Table: health_facilities_state_enforcement_actions_1997_2023_data_file , facility_name like all*

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

facid	facility_name	ltc	fac_type_code	fac_fdr	district_office	penalty_issue_date	penalty_number	disposition	penalty_type	penalty_detail	penalty_category	penalty_category_other	violation_from_date	violation_to_date	appealed	appeal_due_date	appeal_received_date	class_assessed_initial	class_assessed_final	total_amount_initial	total_amount_due_final	total_penalty_offset_amount	total_collected_amount	total_balance_due	aclaims_visit_number	eventid	death_related	intakeid_all	priority_all	sfy
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-06 00:00:00	010001426	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-11-11 00:00:00	1999-11-11 00:00:00	No	2000-02-02 00:00:00	None	B	None	1000	1000	-350	650	0	010010610	A99999	N	None	None	SFY1999-00
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-26 00:00:00	010001435	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-03 00:00:00	1999-12-03 00:00:00	Yes	2000-06-26 00:00:00	2000-01-27 00:00:00	A	A	7000	7000	0	7000	0	010010652	A99999	N	None	None	SFY1999-00
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-26 00:00:00	010001436	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-08-28 00:00:00	1999-08-29 00:00:00	No	2000-02-24 00:00:00	None	B	None	500	1500	0	1500	0	010010654	A99999	N	None	None	SFY1999-00
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-27 00:00:00	010001437	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-15 00:00:00	None	No	2000-02-24 00:00:00	None	B	None	1000	1000	0	1000	0	010010657	A99999	N	None	None	SFY1999-00
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-28 00:00:00	010001438	Closed	Citation	Citation B (HSC 1424)	Other	PTCARE/PHYENVIRONMEN	1999-06-01 00:00:00	1999-06-01 00:00:00	No	2000-02-18 00:00:00	None	B	None	1000	1000	-350	650	0	010010659	A99999	N	None	None	SFY1999-00
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-28 00:00:00	010001439	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1998-03-09 00:00:00	1998-04-13 00:00:00	No	2000-02-18 00:00:00	None	B	None	1000	1000	-500	500	0	010010660	A99999	N	None	None	SFY1999-00
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-02-02 00:00:00	010001441	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-28 00:00:00	1999-11-03 00:00:00	No	2000-02-29 00:00:00	None	B	None	1000	1100	-350	750	0	010010663	A99999	Y	None	None	SFY1999-00
010000876	BLACKWELL HOME 3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-02-08 00:00:00	010001713	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-03-03 00:00:00	1999-12-30 00:00:00	Yes	2000-03-01 00:00:00	2000-02-11 00:00:00	B	B	500	500	0	500	0	010012099	A99999	N	None	None	SFY1999-00
010000743	TLC ON GARMONT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-02-08 00:00:00	010001714	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-03 00:00:00	None	No	2000-03-08 00:00:00	None	B	None	700	700	-245	455	0	010012105	A99999	N	None	None	SFY1999-00
010000507	HOLLY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-02-09 00:00:00	010001715	Closed	Citation	Citation B (HSC 1424)	Other	ADMINISTRATION/PTCAR	2000-01-18 00:00:00	None	No	2000-03-09 00:00:00	None	B	None	800	800	-280	520	0	010012106	A99999	N	None	None	SFY1999-00
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-02-10 00:00:00	010001716	Closed	Citation	Citation B (HSC 1424)	Other	PT. CARE/ABUSE	2000-01-18 00:00:00	None	No	2000-08-01 00:00:00	None	B	None	1000	1000	0	1000	0	010012111	A99999	N	None	None	SFY1999-00
010000598	SACRAMENTO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-02-23 00:00:00	010001717	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-01-24 00:00:00	2000-01-25 00:00:00	No	2000-03-20 00:00:00	None	B	None	400	400	0	400	0	010012236	A99999	N	None	None	SFY1999-00
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-09 00:00:00	010001721	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-14 00:00:00	None	No	2000-04-04 00:00:00	None	B	None	800	800	-280	520	0	010012299	A99999	N	None	None	SFY1999-00
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-13 00:00:00	010001724	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-02-17 00:00:00	None	Yes	2000-04-03 00:00:00	2000-03-15 00:00:00	B	B	1000	2000	0	2000	0	010012303	A99999	N	None	None	SFY1999-00
010000985	THE TAMALPAIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-22 00:00:00	010001732	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-02-23 00:00:00	None	Yes	2000-06-05 00:00:00	2000-06-28 00:00:00	AA	B	25000	21000	0	21000	0	010012341	A99999	Y	None	None	SFY1999-00
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-22 00:00:00	010001733	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-16 00:00:00	2000-01-03 00:00:00	Yes	2000-06-06 00:00:00	2000-03-23 00:00:00	B	None	600	850	0	850	0	010012348	A99999	N	None	None	SFY1999-00
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-22 00:00:00	010001734	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-03 00:00:00	2000-01-12 00:00:00	Yes	2000-06-06 00:00:00	2000-03-23 00:00:00	B	None	1000	1250	0	1250	0	010012348	A99999	N	None	None	SFY1999-00
010000620	MUSTARD SEED	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-05-04 00:00:00	010001741	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/RIGHTS	2000-03-21 00:00:00	2000-03-22 00:00:00	No	2000-06-06 00:00:00	None	B	None	800	800	-280	520	0	010012540	A99999	N	None	None	SFY1999-00
010000160	MILESTONES OF DEVELOPMENT #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-05-05 00:00:00	010001742	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE/RIGHTS	1999-08-30 00:00:00	None	No	2000-06-01 00:00:00	None	A	None	7500	7500	-2625	4875	0	010012549	A99999	N	None	None	SFY1999-00
010000876	BLACKWELL HOME 3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-05-19 00:00:00	010001744	Closed	Citation	Citation B (HSC 1424)	Other	ENVIRONMENT	2000-05-06 00:00:00	None	Yes	2001-08-23 00:00:00	2001-08-13 00:00:00	B	B	500	500	0	500	0	010012607	A99999	N	None	None	SFY1999-00
010000679	GRAND CHALET	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-05-23 00:00:00	010001746	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-05-15 00:00:00	None	No	2000-06-16 00:00:00	None	B	None	1000	1000	-350	650	0	010012626	A99999	N	None	None	SFY1999-00
010000679	GRAND CHALET	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-05-23 00:00:00	010001747	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-05-15 00:00:00	None	No	2000-06-16 00:00:00	None	B	None	1000	1000	0	1000	0	010012631	A99999	N	None	None	SFY1999-00
010000876	BLACKWELL HOME 3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-05-26 00:00:00	010001748	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-04-20 00:00:00	2000-04-22 00:00:00	Yes	2001-08-23 00:00:00	2001-08-13 00:00:00	A	A	5000	5000	0	5000	0	010012632	A99999	N	None	None	SFY1999-00
010000507	HOLLY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-06-01 00:00:00	010001750	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-02 00:00:00	2000-05-05 00:00:00	No	2000-06-23 00:00:00	None	B	None	800	900	-280	620	0	010012654	A99999	N	None	None	SFY1999-00
010000876	BLACKWELL HOME 3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-06-02 00:00:00	010001753	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-04-22 00:00:00	2000-04-30 00:00:00	No	2000-06-30 00:00:00	None	B	None	1000	1000	0	1000	0	010012667	A99999	N	None	None	SFY1999-00
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-06-09 00:00:00	010001754	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-18 00:00:00	2000-03-24 00:00:00	No	2000-06-30 00:00:00	None	B	None	1000	1000	-350	650	0	010012684	A99999	N	None	None	SFY1999-00
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-06-15 00:00:00	010001755	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-13 00:00:00	None	Yes	2001-04-13 00:00:00	2000-06-16 00:00:00	A	A	3500	3500	-3500	0	0	010012694	A99999	N	None	None	SFY1999-00
010000974	SUNRISE I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-06-22 00:00:00	010001756	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-07-28 00:00:00	1999-09-27 00:00:00	No	2000-07-14 00:00:00	None	B	None	800	800	-280	520	0	010012698	A99999	N	None	None	SFY1999-00
010000160	MILESTONES OF DEVELOPMENT #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-06-29 00:00:00	010001757	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-01 00:00:00	None	No	2000-07-21 00:00:00	None	A	None	3000	3000	-1050	1950	0	010012701	A99999	N	None	None	SFY1999-00
010000974	SUNRISE I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-06-29 00:00:00	010001758	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-05 00:00:00	None	Yes	2001-01-10 00:00:00	2000-12-27 00:00:00	A	B	5000	10000	0	10000	0	010012781	A99999	N	None	None	SFY1999-00
010000481	REDWOOD HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-07-03 00:00:00	010001759	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-23 00:00:00	None	No	2000-07-26 00:00:00	None	B	None	500	500	0	500	0	010012792	A99999	N	None	None	SFY2000-01
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-07-20 00:00:00	010001764	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-06-27 00:00:00	2000-07-12 00:00:00	No	2000-08-10 00:00:00	None	B	None	1000	1000	0	1000	0	010012877	A99999	N	None	None	SFY2000-01
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-08-02 00:00:00	010001768	Closed	Citation	Citation AA (HSC 1424)	Other	PATIENT CARE/STAFFIN	2000-04-22 00:00:00	2000-04-22 00:00:00	Yes	2000-08-23 00:00:00	2000-08-09 00:00:00	AA	AA	25000	25000	0	25000	0	010012923	A99999	Y	None	None	SFY2000-01
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-08-21 00:00:00	010001769	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-13 00:00:00	2000-04-16 00:00:00	Yes	2000-09-15 00:00:00	2000-08-22 00:00:00	A	A Trebled	5000	15000	-7500	7500	0	010012963	A99999	N	None	None	SFY2000-01
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-08-29 00:00:00	010001770	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-07 00:00:00	None	No	2000-09-19 00:00:00	None	B	None	1000	1000	0	1000	0	010012969	A99999	N	None	None	SFY2000-01
010000646	GENEVIE DREAM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-08-31 00:00:00	010001771	Closed	Citation	Citation B (HSC 1424)	Other	ADMIN/PATIENT CARE	2000-08-16 00:00:00	None	No	2000-09-25 00:00:00	None	B	None	700	700	0	700	0	010013000	A99999	N	None	None	SFY2000-01
010000646	GENEVIE DREAM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-09-08 00:00:00	010001772	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-06-10 00:00:00	2000-08-17 00:00:00	No	2000-11-28 00:00:00	None	B	None	1000	1000	0	1000	0	010013026	A99999	N	None	None	SFY2000-01
010000646	GENEVIE DREAM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-09-08 00:00:00	010001773	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-08-02 00:00:00	2000-08-30 00:00:00	No	2000-11-28 00:00:00	None	B	None	1000	1000	0	1000	0	010013027	A99999	N	None	None	SFY2000-01
010000646	GENEVIE DREAM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-09-08 00:00:00	010001774	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-08-14 00:00:00	2000-08-17 00:00:00	No	2000-11-28 00:00:00	None	B	None	1000	1000	0	1000	0	010013026	A99999	N	None	None	SFY2000-01
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-21 00:00:00	010001777	Closed	Citation	Citation A (HSC 1424)	Other	PT CARE & PT RIGHTS	2000-03-07 00:00:00	None	Yes	2000-10-17 00:00:00	2000-10-05 00:00:00	A	A	10000	10000	-7300	2700	0	010013125	A99999	N	None	None	SFY2000-01
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-21 00:00:00	010001778	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-07 00:00:00	None	Yes	2000-10-17 00:00:00	2000-10-05 00:00:00	A	A	5000	5000	-3650	1350	0	010013126	A99999	N	None	None	SFY2000-01
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-21 00:00:00	010001779	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-06 00:00:00	None	No	2000-10-23 00:00:00	None	B	None	1000	1000	0	1000	0	010013127	A99999	N	None	None	SFY2000-01
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-21 00:00:00	010001780	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-02 00:00:00	None	No	2000-10-13 00:00:00	None	B	None	1000	3000	-3000	0	0	010013138	A99999	N	None	None	SFY2000-01
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-21 00:00:00	010001781	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-03 00:00:00	2000-09-13 00:00:00	No	2000-10-13 00:00:00	None	B	None	1000	1000	0	1000	0	010013141	A99999	N	None	None	SFY2000-01
010000876	BLACKWELL HOME 3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-09-25 00:00:00	010001784	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-15 00:00:00	None	Yes	2001-07-31 00:00:00	2000-10-06 00:00:00	B	B	1000	1000	0	1000	0	010013146	A99999	N	None	None	SFY2000-01
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-10-13 00:00:00	010001786	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-05-04 00:00:00	2000-06-27 00:00:00	No	2000-11-03 00:00:00	None	B	None	500	500	-175	325	0	010013264	A99999	N	None	None	SFY2000-01
010000864	CROSSROADS II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-10-19 00:00:00	010001788	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-09-03 00:00:00	2000-09-03 00:00:00	No	2000-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	010013308	A99999	N	None	None	SFY2000-01
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-10-18 00:00:00	010001789	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-25 00:00:00	None	Yes	2000-11-08 00:00:00	2000-10-25 00:00:00	B	B	1000	1000	0	1000	0	010013309	A99999	N	None	None	SFY2000-01
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-10-19 00:00:00	010001790	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-30 00:00:00	None	No	2000-11-13 00:00:00	None	B	None	750	750	-262.5	487.5	0	010013310	A99999	N	None	None	SFY2000-01
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-10-19 00:00:00	010001791	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-01 00:00:00	None	No	2000-11-09 00:00:00	None	B	None	750	750	-262.5	487.5	0	010013311	A99999	N	None	None	SFY2000-01
010000782	PARADISE HOME DONCASTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-10-19 00:00:00	010001792	Closed	Citation	Citation A (HSC 1424)	Other	STAFFING & PAT. CARE	2000-07-30 00:00:00	2000-08-03 00:00:00	Yes	2001-07-19 00:00:00	2001-07-05 00:00:00	A	A	5000	1750	0	1750	0	010013319	A99999	N	None	None	SFY2000-01
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-10-27 00:00:00	010001794	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE/ADMIN.	2000-01-10 00:00:00	2000-01-11 00:00:00	Yes	2000-11-20 00:00:00	2000-11-14 00:00:00	A	None	7500	7500	-7500	0	0	010013336	A99999	N	None	None	SFY2000-01
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-11-17 00:00:00	010001797	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-21 00:00:00	2000-04-04 00:00:00	Yes	2000-12-12 00:00:00	2000-11-28 00:00:00	B	B	250	250	0	250	0	010013471	A99999	N	None	None	SFY2000-01
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-11-17 00:00:00	010001798	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-07-01 00:00:00	1999-08-31 00:00:00	No	2000-12-08 00:00:00	None	B	None	250	250	-87.5	162.5	0	010013472	A99999	N	None	None	SFY2000-01
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-11-17 00:00:00	010001799	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-02-18 00:00:00	2000-02-18 00:00:00	Yes	2000-12-11 00:00:00	2000-11-27 00:00:00	B	None	750	750	-750	0	0	010013476	A99999	N	None	None	SFY2000-01
010001011	RAE LANE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-11-29 00:00:00	010001800	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-04-17 00:00:00	2000-11-21 00:00:00	No	2000-12-26 00:00:00	None	A	None	2000	2000	-700	1300	0	010013557	A99999	N	None	None	SFY2000-01
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-01-04 00:00:00	010001816	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-23 00:00:00	None	No	2001-01-29 00:00:00	None	B	None	1000	1000	-350	650	0	010013740	A99999	N	None	None	SFY2000-01
010000598	SACRAMENTO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-01-24 00:00:00	010001821	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-10-13 00:00:00	None	No	2001-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	010013865	A99999	N	None	None	SFY2000-01
010000822	BADGER CREEK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-01-26 00:00:00	010001826	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-11-18 00:00:00	2000-12-05 00:00:00	No	2001-02-20 00:00:00	None	A	None	5000	5000	-1750	3250	0	010013604	A99999	N	None	None	SFY2000-01
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-02-01 00:00:00	010001827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-24 00:00:00	2000-07-31 00:00:00	No	2001-05-09 00:00:00	None	B	None	1000	1000	-1000	0	0	010013950	A99999	N	None	None	SFY2000-01
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-02-08 00:00:00	010001829	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/RIGHTS	2000-06-23 00:00:00	2000-06-26 00:00:00	No	2001-03-05 00:00:00	None	B	None	800	800	0	800	0	010013978	A99999	N	None	None	SFY2000-01
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-02-23 00:00:00	010001830	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-08-03 00:00:00	2000-08-30 00:00:00	No	2001-05-09 00:00:00	None	A	None	10000	10000	-10000	0	0	010014014	A99999	N	None	None	SFY2000-01
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-02-27 00:00:00	010001831	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-06 00:00:00	None	No	2001-03-20 00:00:00	None	B	None	1000	1000	0	1000	0	010014015	A99999	N	None	None	SFY2000-01
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-13 00:00:00	010001832	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-09-30 00:00:00	None	Yes	2001-04-03 00:00:00	2001-03-22 00:00:00	A	A	12000	5500	0	5500	0	010014025	A99999	N	None	None	SFY2000-01
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-21 00:00:00	010001834	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/STAFFIN	2000-08-03 00:00:00	2000-08-21 00:00:00	No	2001-04-11 00:00:00	None	B	None	750	750	-750	0	0	010014052	A99999	N	None	None	SFY2000-01
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-26 00:00:00	010001835	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS/CARE	2000-06-01 00:00:00	2000-06-01 00:00:00	Yes	2001-04-16 00:00:00	2001-07-05 00:00:00	B	B	1000	2000	0	2000	0	010014055	A99999	N	None	None	SFY2000-01
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-26 00:00:00	010001836	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-07 00:00:00	2000-06-07 00:00:00	No	2001-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	010014055	A99999	N	None	None	SFY2000-01
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-29 00:00:00	010001837	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-31 00:00:00	2000-04-01 00:00:00	No	2001-04-23 00:00:00	None	B	B	1000	1000	-800	200	0	010014072	A99999	N	None	None	SFY2000-01
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-29 00:00:00	010001838	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-18 00:00:00	2001-03-18 00:00:00	No	2001-04-23 00:00:00	None	B	B	1000	1000	-800	200	0	010014072	A99999	N	None	None	SFY2000-01
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-04-07 00:00:00	010001839	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-27 00:00:00	2000-05-27 00:00:00	No	2001-05-07 00:00:00	None	B	B	1000	1000	-800	200	0	010014120	A99999	N	None	None	SFY2000-01
010000858	TYSON HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-04-20 00:00:00	010001840	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS/CARE	2001-03-24 00:00:00	2001-03-24 00:00:00	No	2001-05-11 00:00:00	None	B	None	1000	1000	0	1000	0	010014147	A99999	N	None	None	SFY2000-01
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-04-27 00:00:00	010001841	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-04 00:00:00	2000-06-12 00:00:00	No	2001-05-18 00:00:00	None	A	A	20000	20000	-15000	5000	0	010014154	A99999	N	None	None	SFY2000-01
010000480	VELMA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-05-07 00:00:00	010001842	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-16 00:00:00	2001-02-16 00:00:00	No	2001-05-29 00:00:00	None	B	None	600	600	-210	390	0	010014191	A99999	N	None	None	SFY2000-01
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-05-22 00:00:00	010001843	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-03 00:00:00	2000-04-03 00:00:00	Yes	2001-06-14 00:00:00	2001-07-26 00:00:00	B	B	1000	650	0	650	0	010014236	A99999	N	None	None	SFY2000-01
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-05-22 00:00:00	010001844	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-10-25 00:00:00	2000-11-08 00:00:00	No	2001-06-13 00:00:00	None	AA	None	70000	70000	-70000	0	0	010014242	A99999	Y	None	None	SFY2000-01
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-05-31 00:00:00	010001846	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-23 00:00:00	2000-04-23 00:00:00	No	2001-08-06 00:00:00	None	B	None	1000	1000	-1000	0	0	010014276	A99999	N	None	None	SFY2000-01
010000822	BADGER CREEK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-06-04 00:00:00	010001847	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-29 00:00:00	2001-04-29 00:00:00	No	2001-06-25 00:00:00	None	B	None	750	750	-262.5	487.5	0	010014279	A99999	N	None	None	SFY2000-01
010000765	HOPE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-06-07 00:00:00	010001849	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2001-05-11 00:00:00	2001-05-11 00:00:00	No	2001-06-28 00:00:00	None	B	None	750	750	-262.5	487.5	0	010014297	A99999	N	None	None	SFY2000-01
010000679	GRAND CHALET	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-06-21 00:00:00	010001851	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-28 00:00:00	2001-05-27 00:00:00	No	2001-08-03 00:00:00	None	B	None	800	800	-280	520	0	010014325	A99999	N	None	None	SFY2000-01
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-06-26 00:00:00	010001852	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-02 00:00:00	2000-08-06 00:00:00	No	2001-07-20 00:00:00	None	B	None	1000	1000	-1000	0	0	010014330	A99999	N	None	None	SFY2000-01
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-06-26 00:00:00	010001853	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE	2000-12-30 00:00:00	2001-01-04 00:00:00	Yes	2001-07-23 00:00:00	2001-07-13 00:00:00	B	B	1000	1000	-800	200	0	010014340	A99999	N	None	None	SFY2000-01
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-06-28 00:00:00	010001854	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-27 00:00:00	2000-05-30 00:00:00	Yes	2001-07-23 00:00:00	2001-07-02 00:00:00	B	B	1000	650	0	650	0	010014342	A99999	N	None	None	SFY2000-01
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-12 00:00:00	010001856	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-28 00:00:00	2001-03-28 00:00:00	Yes	2001-08-06 00:00:00	2001-07-18 00:00:00	B	B	1000	1000	-800	200	0	010014393	A99999	N	None	None	SFY2001-02
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-12 00:00:00	010001857	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-09 00:00:00	2001-03-23 00:00:00	Yes	2001-08-07 00:00:00	2001-07-18 00:00:00	B	B	1000	1000	-900	100	0	010014394	A99999	N	None	None	SFY2001-02
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-12 00:00:00	010001858	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-20 00:00:00	2001-03-23 00:00:00	Yes	2001-08-03 00:00:00	2001-07-26 00:00:00	B	B	1000	650	0	650	0	010014398	A99999	N	None	None	SFY2001-02
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-24 00:00:00	010001859	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-13 00:00:00	2001-04-13 00:00:00	Yes	2001-08-14 00:00:00	2001-07-27 00:00:00	B	None	1000	1000	-1000	0	0	010014421	A99999	N	None	None	SFY2001-02
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-25 00:00:00	010001860	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-20 00:00:00	2001-05-05 00:00:00	No	2001-08-20 00:00:00	None	B	None	1000	1000	-350	650	0	010014424	A99999	N	None	None	SFY2001-02
010000052	PETALUMA POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-26 00:00:00	010001861	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-11 00:00:00	2000-06-19 00:00:00	Yes	2001-08-20 00:00:00	2001-07-31 00:00:00	A	A	7500	7500	-5625	1875	0	010014429	A99999	N	None	None	SFY2001-02
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-02 00:00:00	010001862	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-24 00:00:00	2001-05-24 00:00:00	Yes	2001-08-24 00:00:00	2001-08-15 00:00:00	B	B	1000	612	0	612	0	010014446	A99999	N	None	None	SFY2001-02
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-10 00:00:00	010001863	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-27 00:00:00	2001-02-28 00:00:00	Yes	2001-08-31 00:00:00	2001-08-15 00:00:00	A	A	12500	12500	-9375	3125	0	010014456	A99999	N	None	None	SFY2001-02
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-07 00:00:00	010001864	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS	2001-03-03 00:00:00	2001-03-25 00:00:00	No	2001-08-29 00:00:00	None	B	B	1000	1000	-800	200	0	010014458	A99999	N	None	None	SFY2001-02
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-16 00:00:00	010001865	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2001-06-25 00:00:00	2001-06-27 00:00:00	No	2001-09-07 00:00:00	None	B	None	1000	2000	0	2000	0	010014489	A99999	N	None	None	SFY2001-02
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-17 00:00:00	010001866	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-07-26 00:00:00	2001-07-27 00:00:00	Yes	2001-09-07 00:00:00	2001-08-28 00:00:00	B	B	1000	500	0	500	0	010014506	A99999	N	None	None	SFY2001-02
010000998	ABLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-08-24 00:00:00	010001867	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-22 00:00:00	2001-07-24 00:00:00	No	2001-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	010014523	A99999	N	None	None	SFY2001-02
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-30 00:00:00	010001868	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RECORDS	2001-02-14 00:00:00	2001-02-14 00:00:00	Yes	2001-09-26 00:00:00	2001-09-05 00:00:00	B	None	1000	1000	0	1000	0	010014525	A99999	N	None	None	SFY2001-02
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-24 00:00:00	010001869	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-20 00:00:00	2001-03-20 00:00:00	No	2001-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	010014527	A99999	N	None	None	SFY2001-02
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-29 00:00:00	010001870	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-07 00:00:00	2000-02-07 00:00:00	No	2001-09-20 00:00:00	None	A	B	7500	4700	0	4700	0	010014539	A99999	N	None	None	SFY2001-02
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-28 00:00:00	010001874	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-26 00:00:00	2000-08-09 00:00:00	No	2001-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	010014549	A99999	N	None	None	SFY2001-02
010000089	NEW HAVEN - ICF-DD -H, INCORPORATED	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-08-29 00:00:00	010001875	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-05 00:00:00	2001-07-05 00:00:00	No	2001-09-24 00:00:00	None	B	None	800	800	-280	520	0	010014550	A99999	N	None	None	SFY2001-02
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-30 00:00:00	010001876	Closed	Citation	Citation B (HSC 1424)	Other	PT RIGHTS/CARE MEDS.	2001-04-13 00:00:00	2001-07-17 00:00:00	Yes	2001-09-26 00:00:00	2001-09-05 00:00:00	B	None	1000	3000	0	3000	0	010014553	A99999	N	None	None	SFY2001-02
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-09-11 00:00:00	010001877	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-04 00:00:00	2001-05-04 00:00:00	No	2001-10-08 00:00:00	None	B	None	1000	3000	-3000	0	0	010014572	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-09-18 00:00:00	010001878	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-01-05 00:00:00	2001-05-12 00:00:00	No	2001-10-16 00:00:00	None	A	A Trebled	5000	15000	-10950	4050	0	010014575	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-09-20 00:00:00	010001879	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-05 00:00:00	2000-10-05 00:00:00	No	2001-10-23 00:00:00	None	B	B	1000	1000	-900	100	0	010014599	A99999	N	None	None	SFY2001-02
010000087	BUTLER VALLEY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-09-19 00:00:00	010001880	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-01-18 00:00:00	2001-01-18 00:00:00	No	2001-10-26 00:00:00	None	B	None	1000	1000	-350	650	0	010014603	A99999	N	None	None	SFY2001-02
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-09-28 00:00:00	010001881	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-21 00:00:00	2001-08-21 00:00:00	No	2001-10-23 00:00:00	None	B	None	1000	1000	-350	650	0	010014606	A99999	N	None	None	SFY2001-02
010000086	BAYBERRY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-09-24 00:00:00	010001882	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-09-12 00:00:00	2001-09-12 00:00:00	No	2001-10-16 00:00:00	None	B	None	1000	1000	-350	650	0	010014621	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-09-27 00:00:00	010001883	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-24 00:00:00	2001-08-31 00:00:00	No	2001-10-29 00:00:00	None	B	B	1000	1000	-900	100	0	010014623	A99999	N	None	None	SFY2001-02
010000481	REDWOOD HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-09-27 00:00:00	010001884	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-08 00:00:00	2001-08-08 00:00:00	No	2001-10-30 00:00:00	None	B	None	1000	1250	0	1250	0	010014633	A99999	N	None	None	SFY2001-02
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-04 00:00:00	010001885	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-25 00:00:00	2001-08-25 00:00:00	No	2001-10-29 00:00:00	None	B	None	1000	1000	-350	650	0	010014653	A99999	N	None	None	SFY2001-02
010000858	TYSON HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-10-05 00:00:00	010001886	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-08-21 00:00:00	2001-08-21 00:00:00	No	2001-11-01 00:00:00	None	B	None	1000	1000	-350	650	0	010014659	A99999	N	None	None	SFY2001-02
010000864	CROSSROADS II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-10-05 00:00:00	010001887	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-19 00:00:00	2001-06-19 00:00:00	No	2001-10-25 00:00:00	None	B	None	1000	1000	-350	650	0	010014660	A99999	N	None	None	SFY2001-02
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-05 00:00:00	010001888	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-01 00:00:00	2000-11-01 00:00:00	No	2001-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	010014661	A99999	N	None	None	SFY2001-02
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-05 00:00:00	010001889	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-01 00:00:00	2000-08-22 00:00:00	No	2001-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	010014669	A99999	N	None	None	SFY2001-02
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-09 00:00:00	010001890	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-09-25 00:00:00	2001-09-25 00:00:00	No	2001-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	010014673	A99999	N	None	None	SFY2001-02
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-09 00:00:00	010001891	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-20 00:00:00	2001-08-21 00:00:00	No	2001-11-07 00:00:00	None	B	None	1000	1000	-1000	0	0	010014676	A99999	N	None	None	SFY2001-02
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-11 00:00:00	010001892	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-21 00:00:00	2001-03-21 00:00:00	Yes	2001-11-13 00:00:00	2001-10-18 00:00:00	B	B	1000	1000	0	1000	0	010014681	A99999	N	None	None	SFY2001-02
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-16 00:00:00	010001893	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-05 00:00:00	2001-07-19 00:00:00	No	2001-11-06 00:00:00	None	B	None	1000	1000	0	1000	0	010014707	A99999	N	None	None	SFY2001-02
010000165	SUMMERSIDE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-10-25 00:00:00	010001896	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-31 00:00:00	2001-10-09 00:00:00	No	2001-11-16 00:00:00	None	B	None	1000	1000	-350	650	0	010014755	A99999	N	None	None	SFY2001-02
010000165	SUMMERSIDE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-10-25 00:00:00	010001897	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-20 00:00:00	2001-09-21 00:00:00	No	2001-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	010014756	A99999	N	None	None	SFY2001-02
010000575	HOLLY HOME #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-10-25 00:00:00	010001898	Closed	Citation	Citation B (HSC 1424)	Other	ENFORCEMENT	2001-06-24 00:00:00	2001-10-04 00:00:00	No	2001-11-16 00:00:00	None	B	None	1000	1000	-350	650	0	010014757	A99999	N	None	None	SFY2001-02
010000575	HOLLY HOME #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-11-01 00:00:00	010001900	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-23 00:00:00	2001-10-02 00:00:00	No	2001-11-27 00:00:00	None	B	None	1000	1050	-350	700	0	010014765	A99999	N	None	None	SFY2001-02
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-01 00:00:00	010001901	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-02 00:00:00	2001-04-20 00:00:00	No	2001-11-30 00:00:00	None	B	None	1000	1000	-350	650	0	010014766	A99999	N	None	None	SFY2001-02
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-02 00:00:00	010001902	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-15 00:00:00	2001-06-17 00:00:00	Yes	2001-11-23 00:00:00	2001-11-05 00:00:00	B	B	1000	557	0	557	0	010014779	A99999	N	None	None	SFY2001-02
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-02 00:00:00	010001903	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-09 00:00:00	2001-03-09 00:00:00	Yes	2001-11-23 00:00:00	2001-11-05 00:00:00	B	B	1000	557	0	557	0	010014780	A99999	N	None	None	SFY2001-02
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-09 00:00:00	010001904	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-09 00:00:00	2001-04-20 00:00:00	No	2001-12-06 00:00:00	None	B	None	1000	1000	-1000	0	0	010014819	A99999	N	None	None	SFY2001-02
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-13 00:00:00	010001905	Closed	Citation	Citation B (HSC 1424)	Medication	None	1998-09-07 00:00:00	1998-09-08 00:00:00	Yes	2001-12-04 00:00:00	2001-11-14 00:00:00	B	B	800	400	0	400	0	010014824	A99999	N	None	None	SFY2001-02
010000646	GENEVIE DREAM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-11-16 00:00:00	010001906	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-10-13 00:00:00	2001-10-31 00:00:00	Yes	2001-12-28 00:00:00	2001-12-06 00:00:00	B	B	1000	1000	-1000	0	0	010014844	A99999	N	None	None	SFY2001-02
010000646	GENEVIE DREAM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-11-16 00:00:00	010001907	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-27 00:00:00	2001-10-27 00:00:00	Yes	2001-12-28 00:00:00	2001-12-06 00:00:00	B	B	1000	1000	-1000	0	0	010014848	A99999	N	None	None	SFY2001-02
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-16 00:00:00	010001909	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-14 00:00:00	2001-07-14 00:00:00	No	2001-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	010014865	A99999	N	None	None	SFY2001-02
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-27 00:00:00	010001910	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-11-05 00:00:00	2001-11-08 00:00:00	No	2001-12-18 00:00:00	None	B	None	1000	1100	-100	1000	0	010014891	A99999	N	None	None	SFY2001-02
010000765	HOPE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-11-30 00:00:00	010001911	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-26 00:00:00	2001-10-30 00:00:00	Yes	2004-05-26 00:00:00	2001-12-13 00:00:00	B	B	800	800	0	800	0	010014900	A99999	N	None	None	SFY2001-02
010000507	HOLLY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-12-04 00:00:00	010001912	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-24 00:00:00	2001-09-24 00:00:00	No	2001-12-27 00:00:00	None	B	None	1000	2700	0	2700	0	010014908	A99999	N	None	None	SFY2001-02
010000907	GREENFIELDS II ICF-DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-12-05 00:00:00	010001913	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-27 00:00:00	2001-05-27 00:00:00	No	2001-12-28 00:00:00	None	B	None	1000	1000	0	1000	0	010014912	A99999	N	None	None	SFY2001-02
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-07 00:00:00	010001914	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-25 00:00:00	2001-11-05 00:00:00	No	2002-01-07 00:00:00	None	B	None	1000	1000	-350	650	0	010014914	A99999	N	None	None	SFY2001-02
010000864	CROSSROADS II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-12-18 00:00:00	010001915	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-06-26 00:00:00	2001-11-20 00:00:00	No	2002-01-10 00:00:00	None	B	None	1000	1050	-350	700	0	010014935	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-19 00:00:00	010001916	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-01 00:00:00	2001-11-01 00:00:00	Yes	2002-01-17 00:00:00	2002-01-02 00:00:00	B	B	1000	1000	-900	100	0	010014949	A99999	N	None	None	SFY2001-02
010000507	HOLLY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-12-19 00:00:00	010001917	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-07-28 00:00:00	2001-09-20 00:00:00	No	2002-01-11 00:00:00	None	B	None	1000	1000	-350	650	0	010014954	A99999	N	None	None	SFY2001-02
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-20 00:00:00	010001918	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-28 00:00:00	2001-06-28 00:00:00	No	2002-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	010014955	A99999	N	None	None	SFY2001-02
010000458	TOWNVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-01-30 00:00:00	010001919	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-07 00:00:00	2002-01-08 00:00:00	Yes	2002-02-27 00:00:00	2002-02-08 00:00:00	B	B	1000	1000	0	1000	0	010015018	A99999	N	None	None	SFY2001-02
010000088	BUTLER VALLEY #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-01-29 00:00:00	010001920	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-12 00:00:00	2002-01-09 00:00:00	No	2002-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	010015019	A99999	N	None	None	SFY2001-02
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-02-05 00:00:00	010001921	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-15 00:00:00	2000-12-16 00:00:00	Yes	2002-03-06 00:00:00	2002-02-08 00:00:00	A	A	12000	6687	0	6687	0	010015035	A99999	N	None	None	SFY2001-02
010000934	CANYON MANOR	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-02-08 00:00:00	010001922	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-04 00:00:00	2001-10-04 00:00:00	No	2002-03-11 00:00:00	None	B	None	500	500	-175	325	0	010015038	A99999	N	None	None	SFY2001-02
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-02-11 00:00:00	010001923	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE	2001-11-20 00:00:00	2001-11-29 00:00:00	No	2002-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	010015040	A99999	N	None	None	SFY2001-02
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-02-07 00:00:00	010001924	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-17 00:00:00	2002-01-15 00:00:00	No	2002-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	010015043	A99999	N	None	None	SFY2001-02
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-02-07 00:00:00	010001925	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-16 00:00:00	2001-11-16 00:00:00	No	2002-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	010015046	A99999	N	None	None	SFY2001-02
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-02-26 00:00:00	010001927	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-03-09 00:00:00	1999-03-26 00:00:00	Yes	2002-03-19 00:00:00	2002-03-01 00:00:00	A	B	12000	3000	0	3000	0	010015071	A99999	N	None	None	SFY2001-02
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-02-26 00:00:00	010001928	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-03-09 00:00:00	1999-03-26 00:00:00	Yes	2002-03-19 00:00:00	2002-03-13 00:00:00	B	Drop>Deficiency	700	0	0	0	0	010015073	A99999	N	None	None	SFY2001-02
010000822	BADGER CREEK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-02-26 00:00:00	010001929	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-04 00:00:00	2001-11-02 00:00:00	No	2002-03-20 00:00:00	None	B	None	500	1500	-525	975	0	010015077	A99999	N	None	None	SFY2001-02
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-02-28 00:00:00	010001930	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-08 00:00:00	2002-02-08 00:00:00	Yes	2002-03-21 00:00:00	2002-03-02 00:00:00	B	B	1000	1000	0	1000	0	010015092	A99999	N	None	None	SFY2001-02
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-03-12 00:00:00	010001931	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-09 00:00:00	2001-08-21 00:00:00	No	2002-04-03 00:00:00	None	B	None	1000	3000	0	3000	0	010015111	A99999	N	None	None	SFY2001-02
010000575	HOLLY HOME #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-03-22 00:00:00	010001932	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-15 00:00:00	2002-02-21 00:00:00	No	2002-04-17 00:00:00	None	B	None	1000	1050	-350	700	0	010015126	A99999	N	None	None	SFY2001-02
010000575	HOLLY HOME #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-03-22 00:00:00	010001933	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-15 00:00:00	2002-02-21 00:00:00	No	2002-04-17 00:00:00	None	B	None	1000	1050	-350	700	0	010015132	A99999	N	None	None	SFY2001-02
010000793	PATHWAYS 2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-04-03 00:00:00	010001935	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-08-10 00:00:00	2002-03-26 00:00:00	No	2002-05-01 00:00:00	None	B	None	750	750	0	750	0	010015169	A99999	N	None	None	SFY2001-02
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-04 00:00:00	010001936	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-27 00:00:00	2001-11-27 00:00:00	Yes	2002-04-29 00:00:00	2002-04-04 00:00:00	B	B	750	750	0	750	0	010015181	A99999	N	None	None	SFY2001-02
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-04 00:00:00	010001937	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-23 00:00:00	2001-11-05 00:00:00	Yes	2002-04-29 00:00:00	2002-04-04 00:00:00	B	B	750	500	0	500	0	010015182	A99999	N	None	None	SFY2001-02
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-12 00:00:00	010001938	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-19 00:00:00	2002-03-19 00:00:00	No	2002-05-03 00:00:00	None	B	None	1000	1000	-350	650	0	010015213	A99999	N	None	None	SFY2001-02
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-12 00:00:00	010001939	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-18 00:00:00	2002-03-27 00:00:00	No	2002-05-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	010015216	A99999	N	None	None	SFY2001-02
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-12 00:00:00	010001940	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-20 00:00:00	2002-02-20 00:00:00	No	2002-05-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	010015224	A99999	N	None	None	SFY2001-02
010000643	PATHWAYS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-04-17 00:00:00	010001941	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-29 00:00:00	2002-03-01 00:00:00	No	2002-05-15 00:00:00	None	B	None	750	750	0	750	0	010015248	A99999	N	None	None	SFY2001-02
010000086	BAYBERRY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-04-19 00:00:00	010001943	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-30 00:00:00	2001-08-29 00:00:00	No	2002-05-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	010015254	A99999	N	None	None	SFY2001-02
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-23 00:00:00	010001944	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-10 00:00:00	2002-02-15 00:00:00	No	2002-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	010015255	A99999	N	None	None	SFY2001-02
010000482	MOUNTAINVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-05-15 00:00:00	010001946	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-09-23 00:00:00	2001-11-05 00:00:00	No	2002-06-10 00:00:00	None	A	None	7500	7500	-2625	4875	0	010015305	A99999	N	None	None	SFY2001-02
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-16 00:00:00	010001947	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-04 00:00:00	2002-03-12 00:00:00	Yes	2002-11-01 00:00:00	2002-05-31 00:00:00	B	B	1000	1000	0	1000	0	010015342	A99999	N	None	None	SFY2001-02
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-16 00:00:00	010001948	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-04 00:00:00	2002-03-12 00:00:00	Yes	2002-11-01 00:00:00	2002-05-31 00:00:00	B	B	1000	3000	0	3000	0	010015343	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-21 00:00:00	010001949	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-05-08 00:00:00	2002-05-10 00:00:00	No	2002-06-17 00:00:00	None	B	None	1000	1000	0	1000	0	010015344	A99999	N	None	None	SFY2001-02
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-21 00:00:00	010001950	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-10 00:00:00	2002-04-10 00:00:00	No	2002-06-12 00:00:00	None	B	None	1000	1000	-350	650	0	010015349	A99999	N	None	None	SFY2001-02
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-22 00:00:00	010001951	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-05 00:00:00	2002-04-05 00:00:00	No	2002-06-18 00:00:00	None	B	None	750	750	-262.5	487.5	0	010015352	A99999	N	None	None	SFY2001-02
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-29 00:00:00	010001952	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-05-21 00:00:00	2002-05-21 00:00:00	No	2002-06-24 00:00:00	None	B	None	1000	1000	-350	650	0	010015382	A99999	N	None	None	SFY2001-02
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-30 00:00:00	010001953	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-03-05 00:00:00	2002-03-08 00:00:00	Yes	2002-06-25 00:00:00	2002-06-14 00:00:00	B	None	750	750	0	750	0	010015384	A99999	N	None	None	SFY2001-02
010000907	GREENFIELDS II ICF-DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-06-05 00:00:00	010001954	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-20 00:00:00	2002-03-25 00:00:00	Yes	2002-06-26 00:00:00	2002-06-19 00:00:00	B	B	800	2400	0	2400	0	010015394	A99999	N	None	None	SFY2001-02
010000799	MY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-06-06 00:00:00	010001955	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-08 00:00:00	2002-03-08 00:00:00	No	2002-06-27 00:00:00	None	B	None	800	800	-280	520	0	010015402	A99999	N	None	None	SFY2001-02
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-06-11 00:00:00	010001956	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-06 00:00:00	2002-05-06 00:00:00	Yes	2002-07-08 00:00:00	2002-06-14 00:00:00	B	None	1000	3000	0	3000	0	010015423	A99999	N	None	None	SFY2001-02
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-06-11 00:00:00	010001957	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-15 00:00:00	2002-04-15 00:00:00	Yes	2002-07-08 00:00:00	2002-06-14 00:00:00	B	None	1000	3000	0	3000	0	010015424	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-06-28 00:00:00	010001959	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-03 00:00:00	2002-05-08 00:00:00	Yes	2002-07-29 00:00:00	2002-07-25 00:00:00	B	B	1000	1000	0	1000	0	010015476	A99999	N	None	None	SFY2001-02
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-02 00:00:00	010001960	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-07 00:00:00	2002-04-19 00:00:00	No	2002-07-26 00:00:00	None	B	None	1000	1000	-350	650	0	010015503	A99999	N	None	None	SFY2002-03
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-02 00:00:00	010001961	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-17 00:00:00	2002-04-25 00:00:00	Yes	2002-07-24 00:00:00	2002-07-26 00:00:00	A	B	12500	7500	0	7500	0	010015505	A99999	Y	None	None	SFY2002-03
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-05 00:00:00	010001962	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-22 00:00:00	2002-03-22 00:00:00	No	2002-07-08 00:00:00	None	B	None	1000	1000	-350	650	0	010015507	A99999	N	None	None	SFY2002-03
010000834	CALISTOGA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-07-03 00:00:00	010001963	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-12-26 00:00:00	2002-04-02 00:00:00	No	2002-07-25 00:00:00	None	B	None	600	600	-210	390	0	010015508	A99999	N	None	None	SFY2002-03
010000596	ROBERTS ROAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-07-30 00:00:00	010001964	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-03-08 00:00:00	2002-03-09 00:00:00	Yes	2002-08-29 00:00:00	2002-08-13 00:00:00	A	A	10000	10000	0	10000	0	010015571	A99999	N	None	None	SFY2002-03
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-31 00:00:00	010001965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-22 00:00:00	2002-04-09 00:00:00	No	2002-08-21 00:00:00	None	B	None	1000	1000	0	1000	0	010015572	A99999	N	None	None	SFY2002-03
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-08 00:00:00	010001966	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-24 00:00:00	2000-11-05 00:00:00	No	2002-08-29 00:00:00	None	B	None	1000	1000	-1000	0	0	010015596	A99999	N	None	None	SFY2002-03
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-08 00:00:00	010001967	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-26 00:00:00	2000-11-08 00:00:00	No	2002-08-29 00:00:00	None	B	None	1000	1000	-1000	0	0	010015596	A99999	N	None	None	SFY2002-03
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-08 00:00:00	010001968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-01 00:00:00	2000-11-08 00:00:00	No	2002-08-29 00:00:00	None	B	None	1000	1000	-1000	0	0	010015596	A99999	N	None	None	SFY2002-03
010000088	BUTLER VALLEY #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-08-09 00:00:00	010001969	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2002-02-01 00:00:00	2002-07-26 00:00:00	No	2002-08-30 00:00:00	None	B	None	800	800	-280	520	0	010015613	A99999	N	None	None	SFY2002-03
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-14 00:00:00	010001970	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-07 00:00:00	2002-06-15 00:00:00	Yes	2002-09-05 00:00:00	2002-08-16 00:00:00	B	None	1000	1000	0	1000	0	010015639	A99999	N	None	None	SFY2002-03
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-15 00:00:00	010001971	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-02 00:00:00	2002-06-02 00:00:00	No	2002-09-06 00:00:00	None	B	None	1000	1000	0	1000	0	010015640	A99999	N	None	None	SFY2002-03
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-21 00:00:00	010001972	Closed	Citation	Citation B (HSC 1424)	Other	PT CARE/PHY ENVIRONM	2002-01-11 00:00:00	2002-04-24 00:00:00	No	2002-09-12 00:00:00	None	B	None	1000	1000	-350	650	0	010015654	A99999	N	None	None	SFY2002-03
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-21 00:00:00	010001973	Closed	Citation	Citation B (HSC 1424)	Other	ADMIN/PHY ENVIRONMEN	2002-04-03 00:00:00	2002-04-05 00:00:00	No	2002-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	010015668	A99999	N	None	None	SFY2002-03
010000076	SUMMERFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-27 00:00:00	010001974	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-20 00:00:00	2002-08-02 00:00:00	No	2002-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	010015674	A99999	N	None	None	SFY2002-03
010000089	NEW HAVEN - ICF-DD -H, INCORPORATED	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-08-30 00:00:00	010001975	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-14 00:00:00	2002-06-07 00:00:00	No	2002-09-23 00:00:00	None	B	None	1000	1000	-350	650	0	010015675	A99999	N	None	None	SFY2002-03
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-27 00:00:00	010001976	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-01 00:00:00	2002-08-01 00:00:00	Yes	2002-09-18 00:00:00	2002-08-28 00:00:00	B	B	500	1500	0	1500	0	010015676	A99999	N	None	None	SFY2002-03
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-30 00:00:00	010001977	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-28 00:00:00	2002-07-28 00:00:00	Yes	2002-09-23 00:00:00	2002-09-08 00:00:00	B	B	1000	1000	0	1000	0	010015711	A99999	N	None	None	SFY2002-03
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	010001980	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-01-09 00:00:00	2002-06-12 00:00:00	No	2002-09-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	010015726	A99999	N	None	None	SFY2002-03
010000985	THE TAMALPAIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	010001981	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-18 00:00:00	2002-06-18 00:00:00	Yes	2002-09-26 00:00:00	2002-09-24 00:00:00	B	B	1000	250	0	250	0	010015732	A99999	N	None	None	SFY2002-03
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-17 00:00:00	010001982	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT RIGHTS/CARE	2002-08-02 00:00:00	2002-08-03 00:00:00	Yes	2002-11-25 00:00:00	2002-10-02 00:00:00	A	A	20000	8450	-450	8000	0	010015777	A99999	N	None	None	SFY2002-03
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-20 00:00:00	010001983	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-15 00:00:00	2002-08-18 00:00:00	No	2002-10-11 00:00:00	None	B	None	500	1500	-525	975	0	010015786	A99999	N	None	None	SFY2002-03
010000089	NEW HAVEN - ICF-DD -H, INCORPORATED	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-09-24 00:00:00	010001985	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-01 00:00:00	2002-09-04 00:00:00	No	2002-10-16 00:00:00	None	B	None	1000	1000	-350	650	0	010015792	A99999	N	None	None	SFY2002-03
010000998	ABLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-09-25 00:00:00	010001986	Closed	Citation	Citation B (HSC 1424)	Other	PT. CARE/MEDICATION	2002-02-01 00:00:00	2002-05-01 00:00:00	No	2002-10-17 00:00:00	None	B	None	500	1500	-525	975	0	010015808	A99999	N	None	None	SFY2002-03
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-26 00:00:00	010001987	Closed	Citation	Citation B (HSC 1424)	Other	PT CARE/STAFFING/P	2002-06-13 00:00:00	2002-06-20 00:00:00	Yes	2002-10-18 00:00:00	2003-05-03 00:00:00	B	None	1000	1000	0	1000	0	010015812	A99999	N	None	None	SFY2002-03
010000985	THE TAMALPAIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-04 00:00:00	010001988	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-28 00:00:00	2002-07-28 00:00:00	Yes	2002-10-25 00:00:00	2002-10-07 00:00:00	B	B	750	250	0	250	0	010015813	A99999	N	None	None	SFY2002-03
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-26 00:00:00	010001989	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/RIGHTS	2002-06-15 00:00:00	2002-06-17 00:00:00	Yes	2002-10-17 00:00:00	2003-05-03 00:00:00	B	None	1000	3000	0	3000	0	010015814	A99999	N	None	None	SFY2002-03
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-27 00:00:00	010001990	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-31 00:00:00	2001-12-05 00:00:00	No	2002-10-21 00:00:00	None	B	None	1000	2300	0	2300	0	010015815	A99999	N	None	None	SFY2002-03
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-03 00:00:00	010001991	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-22 00:00:00	2002-08-15 00:00:00	Yes	2002-11-25 00:00:00	2002-10-17 00:00:00	B	None	1000	1000	0	1000	0	010015824	A99999	N	None	None	SFY2002-03
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-02 00:00:00	010001992	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-31 00:00:00	2002-09-12 00:00:00	No	2002-11-22 00:00:00	None	B	None	1000	1000	0	1000	0	010015835	A99999	N	None	None	SFY2002-03
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-04 00:00:00	010001993	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-21 00:00:00	2001-03-05 00:00:00	Yes	2002-10-28 00:00:00	2002-10-04 00:00:00	A	B	16000	14000	0	14000	0	010015845	A99999	N	None	None	SFY2002-03
010000864	CROSSROADS II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-10-17 00:00:00	010001994	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-18 00:00:00	2002-08-20 00:00:00	No	2002-11-07 00:00:00	None	B	None	800	800	-280	520	0	010015870	A99999	N	None	None	SFY2002-03
010001139	GREENFIELDS III ICF-DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-10-23 00:00:00	010001995	Closed	Citation	Citation B (HSC 1424)	Other	PR,C	2002-09-04 00:00:00	2002-09-16 00:00:00	No	2002-11-25 00:00:00	None	B	None	1000	1000	0	1000	0	010015895	A99999	N	None	None	SFY2002-03
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-23 00:00:00	010001996	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-25 00:00:00	2002-07-25 00:00:00	No	2002-11-26 00:00:00	None	B	None	1000	1000	-350	650	0	010015897	A99999	N	None	None	SFY2002-03
010000022	FRIENDS HOUSE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-24 00:00:00	010001997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-11 00:00:00	2002-08-11 00:00:00	No	2002-11-15 00:00:00	None	B	None	500	500	-175	325	0	010015903	A99999	N	None	None	SFY2002-03
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-11-06 00:00:00	010001998	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-03 00:00:00	2002-10-07 00:00:00	Yes	2002-12-02 00:00:00	2002-11-21 00:00:00	B	B	1000	557	0	557	0	010015944	A99999	N	None	None	SFY2002-03
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-11-22 00:00:00	010001999	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-22 00:00:00	2002-08-15 00:00:00	No	2002-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	010015968	A99999	N	None	None	SFY2002-03
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-11-21 00:00:00	010002000	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-12 00:00:00	2002-10-15 00:00:00	No	2002-12-20 00:00:00	None	B	None	1000	3000	0	3000	0	010015970	A99999	N	None	None	SFY2002-03
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-12-03 00:00:00	010002001	Closed	Citation	Citation B (HSC 1424)	Other	PR C	2002-05-31 00:00:00	2002-05-31 00:00:00	Yes	2002-12-24 00:00:00	2002-12-04 00:00:00	B	B	1000	600	0	600	0	010015978	A99999	N	None	None	SFY2002-03
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-10 00:00:00	010002002	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-06 00:00:00	2002-12-06 00:00:00	No	2003-02-03 00:00:00	None	B	None	750	750	0	750	0	010016094	A99999	N	None	None	SFY2002-03
010000431	PETALUMA ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-01-07 00:00:00	010002003	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-13 00:00:00	2002-09-13 00:00:00	No	2003-01-29 00:00:00	None	B	None	900	900	-315	585	0	010016047	A99999	N	None	None	SFY2002-03
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-10 00:00:00	010002004	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-20 00:00:00	2002-07-14 00:00:00	No	2003-02-03 00:00:00	None	B	None	500	500	-175	325	0	010016106	A99999	N	None	None	SFY2002-03
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-29 00:00:00	010002005	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-04-04 00:00:00	2001-04-04 00:00:00	Yes	2003-02-21 00:00:00	2003-01-31 00:00:00	AA	A	70000	39008	0	39008	0	010016150	A99999	Y	None	None	SFY2002-03
010000598	SACRAMENTO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-02-07 00:00:00	010002007	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-02 00:00:00	2002-07-18 00:00:00	No	2003-03-04 00:00:00	None	B	None	1000	1000	0	1000	0	010016187	A99999	N	None	None	SFY2002-03
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-02-07 00:00:00	010002008	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-24 00:00:00	2002-08-26 00:00:00	No	2003-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	010016208	A99999	N	None	None	SFY2002-03
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-02-18 00:00:00	010002009	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-17 00:00:00	2002-11-17 00:00:00	Yes	2003-12-22 00:00:00	2004-01-30 00:00:00	A	B	15000	5000	0	5000	0	010016219	A99999	N	None	None	SFY2002-03
010000976	SUNRISE II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-02-19 00:00:00	010002010	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-30 00:00:00	2003-01-02 00:00:00	No	2003-03-12 00:00:00	None	B	None	900	900	-315	585	0	010016225	A99999	N	None	None	SFY2002-03
010000793	PATHWAYS 2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-02-21 00:00:00	010002011	Closed	Citation	Citation B (HSC 1424)	Other	PR,A,C,S	2002-11-04 00:00:00	2002-11-04 00:00:00	No	2003-03-14 00:00:00	None	B	None	500	500	0	500	0	010016104	A99999	N	None	None	SFY2002-03
010001031	STONEHAVEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-02-20 00:00:00	010002012	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-13 00:00:00	2002-10-10 00:00:00	No	2003-03-13 00:00:00	None	B	None	750	750	-262.5	487.5	0	010015910	A99999	N	None	None	SFY2002-03
010000480	VELMA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-03-06 00:00:00	010002013	Closed	Citation	Citation B (HSC 1424)	Other	C,PR	2003-01-10 00:00:00	2003-01-10 00:00:00	No	2003-03-27 00:00:00	None	B	None	750	750	0	750	0	010016282	A99999	N	None	None	SFY2002-03
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-07 00:00:00	010002014	Closed	Citation	Citation B (HSC 1424)	Other	PR,C	2002-11-11 00:00:00	2002-11-11 00:00:00	No	2003-03-28 00:00:00	None	B	None	1000	3000	0	3000	0	010016283	A99999	N	None	None	SFY2002-03
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-13 00:00:00	010002015	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-09-12 00:00:00	2001-11-21 00:00:00	Yes	2003-05-27 00:00:00	2003-04-21 00:00:00	A	A	14000	8034	0	8034	0	010016307	A99999	N	None	None	SFY2002-03
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-17 00:00:00	010002016	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-04 00:00:00	2003-01-04 00:00:00	No	2003-04-08 00:00:00	None	B	None	1000	1000	0	1000	0	010016211	A99999	N	None	None	SFY2002-03
010000575	HOLLY HOME #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-03-20 00:00:00	010002017	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-06-09 00:00:00	2002-06-10 00:00:00	Yes	2003-04-11 00:00:00	2003-04-03 00:00:00	A	A	10000	10000	0	10000	0	010015425	A99999	N	None	None	SFY2002-03
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-20 00:00:00	010002018	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-04 00:00:00	2003-03-04 00:00:00	No	2003-05-12 00:00:00	None	B	None	500	1500	0	1500	0	010016317	A99999	N	None	None	SFY2002-03
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-25 00:00:00	010002019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-24 00:00:00	2003-09-24 00:00:00	Yes	2003-04-16 00:00:00	2003-04-03 00:00:00	B	None	600	600	0	600	0	010016125	A99999	N	None	None	SFY2002-03
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-03 00:00:00	010002021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-02 00:00:00	2002-02-02 00:00:00	No	2003-04-24 00:00:00	None	B	None	1000	1000	-350	650	0	010015108	A99999	N	None	None	SFY2002-03
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-03 00:00:00	010002022	Closed	Citation	Citation B (HSC 1424)	Other	C,PR	2003-02-01 00:00:00	2003-02-01 00:00:00	Yes	2003-04-24 00:00:00	2003-04-03 00:00:00	B	B	1000	600	0	600	0	010016200	A99999	N	None	None	SFY2002-03
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-03 00:00:00	010002023	Closed	Citation	Citation B (HSC 1424)	Other	C,PR	2003-02-01 00:00:00	2003-02-01 00:00:00	Yes	2003-04-24 00:00:00	2003-04-03 00:00:00	B	B	1000	600	0	600	0	010016198	A99999	N	None	None	SFY2002-03
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-10 00:00:00	010002024	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-08 00:00:00	2002-07-12 00:00:00	Yes	2003-05-01 00:00:00	2003-04-18 00:00:00	B	None	750	750	0	750	0	010016431	A99999	N	None	None	SFY2002-03
010000160	MILESTONES OF DEVELOPMENT #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-04-25 00:00:00	010002025	Closed	Citation	Citation B (HSC 1424)	Other	C,PR	2003-02-28 00:00:00	2003-02-28 00:00:00	No	2003-05-16 00:00:00	None	B	None	650	650	-227.5	422.5	0	010016345	A99999	N	None	None	SFY2002-03
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-17 00:00:00	010002026	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-04 00:00:00	2002-09-05 00:00:00	No	2003-05-08 00:00:00	None	B	None	1000	1000	-350	650	0	010016474	A99999	N	None	None	SFY2002-03
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-05-08 00:00:00	010002027	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-05 00:00:00	2002-10-05 00:00:00	No	2003-06-25 00:00:00	None	B	None	700	700	0	700	0	010016571	A99999	N	None	None	SFY2002-03
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-05-14 00:00:00	010002028	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-28 00:00:00	2003-02-28 00:00:00	No	2003-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	010016323	A99999	N	None	None	SFY2002-03
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-05-14 00:00:00	010002029	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-28 00:00:00	2003-02-28 00:00:00	No	2003-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	010016576	A99999	N	None	None	SFY2002-03
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-05-15 00:00:00	010002030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-24 00:00:00	2003-04-24 00:00:00	No	2003-06-06 00:00:00	None	B	None	750	750	-262.5	487.5	0	010016573	A99999	N	None	None	SFY2002-03
010000059	NORTHVINE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-05-29 00:00:00	010002031	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-03 00:00:00	2003-05-06 00:00:00	Yes	2003-06-19 00:00:00	2003-06-02 00:00:00	B	B	750	750	0	750	0	010016561	A99999	N	None	None	SFY2002-03
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-05-30 00:00:00	010002032	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-23 00:00:00	2003-04-23 00:00:00	No	2003-07-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	010016514	A99999	N	None	None	SFY2002-03
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-06-04 00:00:00	010002033	Closed	Citation	Citation B (HSC 1424)	Other	A,S	2003-04-30 00:00:00	2003-05-15 00:00:00	No	2003-06-30 00:00:00	None	B	None	650	650	-227.5	422.5	0	010016564	A99999	N	None	None	SFY2002-03
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-06-17 00:00:00	010002034	Closed	Citation	Citation B (HSC 1424)	Other	C, PR	2003-04-02 00:00:00	2003-04-13 00:00:00	Yes	2003-07-09 00:00:00	2003-06-17 00:00:00	B	B Trebled	900	2700	0	2700	0	010016715	A99999	N	None	None	SFY2002-03
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-06-19 00:00:00	010002035	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-11-29 00:00:00	2002-11-29 00:00:00	Yes	2003-07-28 00:00:00	2003-07-07 00:00:00	A	A	7500	7500	0	7500	0	010015993	A99999	N	None	None	SFY2002-03
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-06-19 00:00:00	010002036	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-07 00:00:00	2003-02-07 00:00:00	Yes	2003-07-11 00:00:00	2003-06-27 00:00:00	B	B	750	750	0	750	0	010016724	A99999	N	None	None	SFY2002-03
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-06-19 00:00:00	010002037	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-31 00:00:00	2003-03-31 00:00:00	No	2003-07-11 00:00:00	None	B	None	600	600	-210	390	0	010016725	A99999	N	None	None	SFY2002-03
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-06-25 00:00:00	010002038	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-05-22 00:00:00	2003-05-22 00:00:00	No	2003-07-17 00:00:00	None	B	None	700	700	-245	455	0	010016649	A99999	N	None	None	SFY2002-03
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-03 00:00:00	010002039	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-26 00:00:00	2003-03-26 00:00:00	Yes	2003-07-25 00:00:00	2003-07-15 00:00:00	B	B	800	459	0	459	0	010016430	A99999	N	None	None	SFY2003-04
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-03 00:00:00	010002040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-06 00:00:00	2003-06-06 00:00:00	Yes	2003-07-25 00:00:00	2003-07-25 00:00:00	B	B	750	430	0	430	0	010016705	A99999	N	None	None	SFY2003-04
010000487	MAYETTE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-07-18 00:00:00	010002042	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-05-05 00:00:00	2003-05-05 00:00:00	No	2003-09-05 00:00:00	None	B	None	500	500	0	500	0	010016811	A99999	N	None	None	SFY2003-04
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-24 00:00:00	010002043	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-01 00:00:00	2003-05-01 00:00:00	Yes	2003-08-14 00:00:00	2003-07-28 00:00:00	B	None	800	800	0	800	0	010016721	A99999	N	None	None	SFY2003-04
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-24 00:00:00	010002044	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-27 00:00:00	2003-04-27 00:00:00	Yes	2003-08-14 00:00:00	2003-07-28 00:00:00	B	None	500	500	0	500	0	010016721	A99999	N	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-30 00:00:00	010002045	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-25 00:00:00	2003-06-26 00:00:00	No	2003-08-27 00:00:00	None	B	None	750	750	0	750	0	010016769	A99999	N	None	None	SFY2003-04
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-31 00:00:00	010002046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-03 00:00:00	2003-07-03 00:00:00	Yes	2003-08-21 00:00:00	2003-07-31 00:00:00	B	B	800	800	0	800	0	010016797	A99999	N	None	None	SFY2003-04
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-20 00:00:00	010002047	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-30 00:00:00	2003-01-20 00:00:00	No	2003-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	010016135	A99999	N	None	None	SFY2003-04
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-15 00:00:00	010002048	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-30 00:00:00	2003-03-18 00:00:00	Yes	2003-09-08 00:00:00	2003-08-22 00:00:00	B	B	750	750	0	750	0	010016586	A99999	N	None	None	SFY2003-04
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-22 00:00:00	010002049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-20 00:00:00	2003-07-20 00:00:00	Yes	2003-09-15 00:00:00	2003-08-22 00:00:00	B	B	500	250	0	250	0	010016861	A99999	N	None	None	SFY2003-04
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-25 00:00:00	010002050	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-10 00:00:00	2003-07-10 00:00:00	No	2003-09-16 00:00:00	None	B	None	500	500	-175	325	0	010016961	A99999	N	None	None	SFY2003-04
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-04 00:00:00	010002051	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-31 00:00:00	2002-08-31 00:00:00	Yes	2003-09-25 00:00:00	2003-09-23 00:00:00	B	B	500	679	0	679	0	010016944	A99999	N	None	None	SFY2003-04
010000076	SUMMERFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-05 00:00:00	010002052	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-31 00:00:00	2003-05-31 00:00:00	No	2003-09-26 00:00:00	None	B	None	800	2400	0	2400	0	010016851	A99999	N	None	None	SFY2003-04
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-04 00:00:00	010002053	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-11-15 00:00:00	2003-05-17 00:00:00	No	2003-09-25 00:00:00	None	B	None	800	800	-280	520	0	010016902	A99999	N	None	None	SFY2003-04
010000076	SUMMERFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-10 00:00:00	010002054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-19 00:00:00	2003-07-19 00:00:00	No	2003-10-01 00:00:00	None	B	None	800	800	0	800	0	010016911	A99999	N	None	None	SFY2003-04
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-10 00:00:00	010002055	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-04 00:00:00	2003-09-04 00:00:00	No	2003-10-01 00:00:00	None	B	None	1000	1000	-350	650	0	010016860	A99999	N	None	None	SFY2003-04
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-18 00:00:00	010002056	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-04 00:00:00	2003-08-04 00:00:00	No	2003-10-09 00:00:00	None	B	None	750	750	-262.5	487.5	0	010016897	A99999	N	None	None	SFY2003-04
010000572	VICTORIA DRIVE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-10-07 00:00:00	010002057	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-08-13 00:00:00	2003-08-13 00:00:00	No	2003-11-07 00:00:00	None	B	None	500	500	-175	325	0	010017090	A99999	N	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-10-23 00:00:00	010002058	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-25 00:00:00	2002-04-11 00:00:00	No	2003-12-10 00:00:00	None	A	None	10000	10700	-3500	7200	0	010015457	A99999	N	None	None	SFY2003-04
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-10-29 00:00:00	010002059	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-06-12 00:00:00	2002-06-12 00:00:00	No	2003-11-20 00:00:00	None	A	None	16000	16000	-5600	10400	0	010017148	A99999	N	None	None	SFY2003-04
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-10-29 00:00:00	010002060	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-11 00:00:00	2003-06-11 00:00:00	No	2003-12-09 00:00:00	None	B	None	700	700	0	700	0	010016323	A99999	N	None	None	SFY2003-04
010000458	TOWNVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-11-04 00:00:00	010002061	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-06 00:00:00	2003-09-06 00:00:00	No	2003-11-26 00:00:00	None	B	None	600	600	-210	390	0	010017014	A99999	N	None	None	SFY2003-04
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-03 00:00:00	010002062	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-10 00:00:00	2003-05-10 00:00:00	No	2003-11-25 00:00:00	None	B	None	800	800	0	800	0	010016714	A99999	Y	None	None	SFY2003-04
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-06 00:00:00	010002063	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-06 00:00:00	2002-02-06 00:00:00	No	2003-12-02 00:00:00	None	B	None	1000	1000	-350	650	0	010015698	A99999	N	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-06 00:00:00	010002064	Closed	Citation	Citation AA (HSC 1424)	Administration	None	2003-04-01 00:00:00	2003-04-01 00:00:00	Yes	2003-12-02 00:00:00	2003-11-26 00:00:00	AA	AA	60000	30000	0	30000	0	010015668	A99999	Y	None	None	SFY2003-04
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-07 00:00:00	010002065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-08 00:00:00	2003-04-08 00:00:00	No	2003-12-03 00:00:00	None	B	None	800	800	-280	520	0	010016736	A99999	N	None	None	SFY2003-04
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-10 00:00:00	010002066	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-29 00:00:00	2003-09-29 00:00:00	No	2003-12-04 00:00:00	None	B	None	600	600	0	600	0	010017072	A99999	N	None	None	SFY2003-04
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-14 00:00:00	010002067	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-17 00:00:00	2001-12-18 00:00:00	Yes	2003-12-09 00:00:00	2003-11-18 00:00:00	B	B	800	480	0	480	0	010014973	A99999	N	None	None	SFY2003-04
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-14 00:00:00	010002068	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-10-12 00:00:00	2001-10-12 00:00:00	Yes	2003-12-09 00:00:00	2003-11-18 00:00:00	AA	AA	60000	10000	0	10000	0	010014689	A99999	Y	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-17 00:00:00	010002069	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-16 00:00:00	2003-09-16 00:00:00	Yes	2003-12-10 00:00:00	2003-11-21 00:00:00	B	B	800	800	0	800	0	010017136	A99999	N	None	None	SFY2003-04
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-17 00:00:00	010002070	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-10 00:00:00	2003-08-10 00:00:00	No	2003-12-10 00:00:00	None	B	None	800	800	-280	520	0	010016973	A99999	N	None	None	SFY2003-04
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-19 00:00:00	010002071	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-04 00:00:00	2003-08-04 00:00:00	No	2003-12-12 00:00:00	None	B	None	700	700	-245	455	0	010016929	A99999	N	None	None	SFY2003-04
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-26 00:00:00	010002072	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-10-22 00:00:00	2003-10-26 00:00:00	Yes	2003-12-19 00:00:00	2003-12-15 00:00:00	B	None	750	750	-750	0	0	010017147	A99999	N	None	None	SFY2003-04
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-12-01 00:00:00	010002073	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-30 00:00:00	2003-04-30 00:00:00	Yes	2003-12-22 00:00:00	2003-12-19 00:00:00	B	None	800	800	0	800	0	010017239	A99999	N	None	None	SFY2003-04
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-12-09 00:00:00	010002074	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-11-14 00:00:00	2003-11-18 00:00:00	No	2003-12-31 00:00:00	None	B	None	900	900	-315	585	0	010017217	A99999	N	None	None	SFY2003-04
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-12-09 00:00:00	010002075	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-11-14 00:00:00	2003-11-14 00:00:00	No	2003-12-09 00:00:00	None	B	None	700	700	0	700	0	010017218	A99999	N	None	None	SFY2003-04
010000793	PATHWAYS 2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-12-15 00:00:00	010002076	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-30 00:00:00	2003-10-30 00:00:00	Yes	2004-01-07 00:00:00	2003-01-26 00:00:00	B	B	750	0	0	0	0	010017178	A99999	N	None	None	SFY2003-04
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-01-09 00:00:00	010002077	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-25 00:00:00	2003-08-27 00:00:00	No	2004-02-10 00:00:00	None	B	None	600	600	0	600	0	010017004	A99999	N	None	None	SFY2003-04
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-01-08 00:00:00	010002078	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-10 00:00:00	2003-03-10 00:00:00	Yes	2004-01-30 00:00:00	2004-01-08 00:00:00	A	B	16000	1000	0	1000	0	010016451	A99999	N	None	None	SFY2003-04
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-01-20 00:00:00	010002079	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-05 00:00:00	2003-05-05 00:00:00	No	2004-02-10 00:00:00	None	B	None	800	800	-280	520	0	010016323	A99999	N	None	None	SFY2003-04
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-01-21 00:00:00	010002080	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-13 00:00:00	2003-10-13 00:00:00	No	2004-02-17 00:00:00	None	B	None	750	750	-262.5	487.5	0	010017100	A99999	N	None	None	SFY2003-04
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-02-05 00:00:00	010002081	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-11-24 00:00:00	2003-12-03 00:00:00	No	2004-03-01 00:00:00	None	B	None	1000	1000	-350	650	0	010017242	A99999	N	None	None	SFY2003-04
010000575	HOLLY HOME #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-02-06 00:00:00	010002082	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2004-01-12 00:00:00	2004-01-12 00:00:00	No	2004-03-02 00:00:00	None	B	None	800	800	0	800	0	010017455	A99999	N	None	None	SFY2003-04
010000597	COOPER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-02-05 00:00:00	010002083	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2003-11-25 00:00:00	2003-11-25 00:00:00	No	2004-03-01 00:00:00	None	B	None	500	500	0	500	0	010017160	A99999	N	None	None	SFY2003-04
010000575	HOLLY HOME #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-02-06 00:00:00	010002084	Closed	Citation	Citation B (HSC 1424)	Other	A,P	2004-01-12 00:00:00	2004-01-12 00:00:00	No	2004-03-02 00:00:00	None	B	None	900	900	0	900	0	010017321	A99999	N	None	None	SFY2003-04
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-02-05 00:00:00	010002085	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2003-11-25 00:00:00	2003-11-25 00:00:00	No	2004-03-01 00:00:00	None	B	None	800	800	-280	520	0	010017242	A99999	N	None	None	SFY2003-04
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-02-23 00:00:00	010002086	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-28 00:00:00	2004-01-28 00:00:00	No	2004-03-15 00:00:00	None	B	None	500	500	-175	325	0	010017450	A99999	N	None	None	SFY2003-04
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-02-23 00:00:00	010002087	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-09 00:00:00	2004-02-09 00:00:00	No	2004-03-15 00:00:00	None	B	None	1000	1000	-350	650	0	010017468	A99999	N	None	None	SFY2003-04
010000575	HOLLY HOME #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-03-02 00:00:00	010002088	Closed	Citation	Citation B (HSC 1424)	Other	PT CARE/STAFFING/DIE	2004-01-12 00:00:00	None	No	2004-03-23 00:00:00	None	B	None	1000	1700	-350	1350	0	010017499	A99999	N	None	None	SFY2003-04
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-04 00:00:00	010002089	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-02 00:00:00	2004-02-02 00:00:00	Yes	2004-03-25 00:00:00	2004-03-23 00:00:00	B	B	500	250	0	250	0	010017502	A99999	N	None	None	SFY2003-04
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-04 00:00:00	010002090	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-22 00:00:00	2004-01-22 00:00:00	Yes	2004-03-25 00:00:00	2004-03-05 00:00:00	B	B	1000	500	0	500	0	010017503	A99999	N	None	None	SFY2003-04
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-04 00:00:00	010002091	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-03 00:00:00	2004-02-03 00:00:00	No	2004-03-25 00:00:00	None	B	None	500	500	-175	325	0	010017507	A99999	N	None	None	SFY2003-04
010000792	CROSSROADS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-03-11 00:00:00	010002092	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-01 00:00:00	2004-03-01 00:00:00	No	2004-04-02 00:00:00	None	B	None	600	600	-210	390	0	010017533	A99999	N	None	None	SFY2003-04
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-12 00:00:00	010002093	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-04 00:00:00	2004-03-04 00:00:00	No	2004-04-05 00:00:00	None	B	None	600	600	-210	390	0	010017537	A99999	N	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-17 00:00:00	010002094	Closed	Citation	Citation B (HSC 1424)	Other	A, PR	2004-01-29 00:00:00	2004-01-29 00:00:00	Yes	2004-04-08 00:00:00	2004-03-24 00:00:00	B	None	800	800	0	800	0	010017466	A99999	N	None	None	SFY2003-04
010000858	TYSON HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-03-17 00:00:00	010002095	Closed	Citation	Citation B (HSC 1424)	Other	M, S	2004-02-23 00:00:00	2004-02-23 00:00:00	No	2004-04-08 00:00:00	None	B	None	800	800	0	800	0	010017467	A99999	N	None	None	SFY2003-04
010001001	MILES - CENTER ROAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-03-17 00:00:00	010002096	Closed	Citation	Citation B (HSC 1424)	Other	C, P	2004-02-23 00:00:00	2004-02-23 00:00:00	No	2004-04-08 00:00:00	None	B	None	700	700	-245	455	0	010017538	A99999	N	None	None	SFY2003-04
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-24 00:00:00	010002097	Closed	Citation	Citation B (HSC 1424)	Other	A, S	2004-01-31 00:00:00	2004-01-31 00:00:00	No	2004-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	010017491	A99999	N	None	None	SFY2003-04
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-22 00:00:00	010002098	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-01-03 00:00:00	2004-01-03 00:00:00	No	2004-04-13 00:00:00	None	A	None	16000	16000	-5600	10400	0	010017347	A99999	N	None	None	SFY2003-04
010000862	TLC ON LARCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-04-01 00:00:00	010002099	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-15 00:00:00	2004-02-15 00:00:00	No	2004-04-22 00:00:00	None	B	None	500	500	-175	325	0	010017476	A99999	N	None	None	SFY2003-04
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-04-30 00:00:00	010002100	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-13 00:00:00	2004-02-13 00:00:00	No	2004-05-21 00:00:00	None	B	None	800	800	-280	520	0	010017668	A99999	N	None	None	SFY2003-04
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-04-30 00:00:00	010002101	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-13 00:00:00	2004-02-13 00:00:00	No	2004-05-21 00:00:00	None	B	None	800	800	-280	520	0	010017669	A99999	N	None	None	SFY2003-04
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-05-06 00:00:00	010002102	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-17 00:00:00	2004-03-17 00:00:00	No	2004-05-27 00:00:00	None	B	None	500	500	0	500	0	010017688	A99999	N	None	None	SFY2003-04
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-06-04 00:00:00	010002103	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-10 00:00:00	2004-04-10 00:00:00	No	2004-06-25 00:00:00	None	B	None	800	800	-280	520	0	010017725	A99999	N	None	None	SFY2003-04
010000598	SACRAMENTO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-05-25 00:00:00	010002104	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-13 00:00:00	2003-12-13 00:00:00	No	2004-06-16 00:00:00	None	B	None	800	800	-280	520	0	010017327	A99999	N	None	None	SFY2003-04
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-06-04 00:00:00	010002105	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-24 00:00:00	2004-01-24 00:00:00	Yes	2004-06-25 00:00:00	2004-06-14 00:00:00	B	B	600	360	0	360	0	010017430	A99999	N	None	None	SFY2003-04
010000998	ABLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-06-01 00:00:00	010002106	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-03 00:00:00	2004-05-03 00:00:00	No	2004-06-22 00:00:00	None	B	None	600	600	-210	390	0	010017740	A99999	N	None	None	SFY2003-04
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-07-06 00:00:00	010002107	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-14 00:00:00	2004-02-14 00:00:00	No	2004-07-27 00:00:00	None	B	None	750	750	-262.5	487.5	0	010017539	A99999	N	None	None	SFY2004-05
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-06-21 00:00:00	010002108	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-17 00:00:00	2003-12-17 00:00:00	No	2004-07-13 00:00:00	None	B	None	700	700	-245	455	0	010017316	A99999	N	None	None	SFY2003-04
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-07-09 00:00:00	010002109	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-12-01 00:00:00	2003-12-13 00:00:00	Yes	2006-10-26 00:00:00	2004-07-19 00:00:00	AA	AA	80000	80000	0	80000	0	010017820	A99999	Y	None	None	SFY2004-05
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-06-24 00:00:00	010002110	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-10-09 00:00:00	2003-10-09 00:00:00	No	2004-07-16 00:00:00	None	B	None	700	700	0	700	0	010017823	A99999	N	None	None	SFY2003-04
010000079	HILLCREST POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-06-29 00:00:00	010002111	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-17 00:00:00	2004-02-17 00:00:00	Yes	2004-07-21 00:00:00	2004-07-02 00:00:00	B	Drop>Deficiency	750	0	0	0	0	010017825	A99999	N	None	None	SFY2003-04
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-07-06 00:00:00	010002112	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-30 00:00:00	2003-12-30 00:00:00	No	2004-07-27 00:00:00	None	B	None	700	700	-245	455	0	010017550	A99999	N	None	None	SFY2004-05
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-07-15 00:00:00	010002113	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-10 00:00:00	2003-02-10 00:00:00	Yes	2004-08-05 00:00:00	2004-09-14 00:00:00	B	None	600	600	0	600	0	010017856	A99999	N	None	None	SFY2004-05
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-02 00:00:00	010002114	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-08 00:00:00	2003-10-08 00:00:00	No	2004-08-23 00:00:00	None	B	None	900	900	-315	585	0	010017231	A99999	N	None	None	SFY2004-05
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-09 00:00:00	010002115	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-17 00:00:00	2004-07-17 00:00:00	No	2004-08-30 00:00:00	None	B	None	750	750	-262.5	487.5	0	010017905	A99999	N	None	None	SFY2004-05
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-23 00:00:00	010002116	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-05 00:00:00	2004-06-05 00:00:00	No	2004-09-14 00:00:00	None	B	None	800	800	0	800	0	010017908	A99999	N	None	None	SFY2004-05
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-19 00:00:00	010002117	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-05 00:00:00	2004-05-05 00:00:00	No	2004-09-10 00:00:00	None	B	None	1000	1000	-350	650	0	010017928	A99999	N	None	None	SFY2004-05
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-26 00:00:00	010002118	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-19 00:00:00	2004-05-19 00:00:00	No	2004-09-17 00:00:00	None	B	None	700	2100	0	2100	0	010017943	A99999	N	None	None	SFY2004-05
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-09-03 00:00:00	010002119	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-03-29 00:00:00	2004-03-29 00:00:00	Yes	2004-09-27 00:00:00	2004-09-08 00:00:00	AA	A	80000	30000	0	30000	0	010017695	A99999	Y	None	None	SFY2004-05
010000458	TOWNVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-09-17 00:00:00	010002120	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-06-24 00:00:00	2004-06-27 00:00:00	No	2004-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	010017972	A99999	N	None	None	SFY2004-05
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-09-15 00:00:00	010002121	Closed	Citation	Citation B (HSC 1424)	Other	C,AB	2004-04-14 00:00:00	2004-04-14 00:00:00	No	2004-10-06 00:00:00	None	B	None	800	2400	-840	1560	0	010017635	A99999	N	None	None	SFY2004-05
010000643	PATHWAYS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-09-30 00:00:00	010002122	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2003-10-27 00:00:00	2004-06-29 00:00:00	No	2004-10-22 00:00:00	None	WF	None	1000	1000	-350	650	0	010017818	A99999	None	None	None	SFY2004-05
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-08 00:00:00	010002123	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-30 00:00:00	2004-08-02 00:00:00	No	2004-11-01 00:00:00	None	B	None	800	800	-280	520	0	010018019	A99999	N	None	None	SFY2004-05
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-08 00:00:00	010002124	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2004-07-30 00:00:00	2004-07-30 00:00:00	No	2004-11-01 00:00:00	None	B	None	800	800	-280	520	0	010018019	A99999	N	None	None	SFY2004-05
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-08 00:00:00	010002125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-30 00:00:00	2004-07-30 00:00:00	No	2004-11-01 00:00:00	None	B	None	800	800	-280	520	0	010018019	A99999	N	None	None	SFY2004-05
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-08 00:00:00	010002126	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-30 00:00:00	2004-07-30 00:00:00	No	2004-11-01 00:00:00	None	B	None	800	800	-280	520	0	010018024	A99999	N	None	None	SFY2004-05
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-08 00:00:00	010002127	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-07-30 00:00:00	2004-07-30 00:00:00	No	2004-11-01 00:00:00	None	B	None	800	800	-280	520	0	010018024	A99999	N	None	None	SFY2004-05
010000765	HOPE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-10-12 00:00:00	010002128	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-08-09 00:00:00	2004-08-09 00:00:00	No	2004-11-02 00:00:00	None	B	None	1000	1000	0	1000	0	010018026	A99999	N	None	None	SFY2004-05
010000575	HOLLY HOME #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-10-12 00:00:00	010002129	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-10 00:00:00	2004-05-10 00:00:00	No	2004-12-01 00:00:00	None	B	None	500	500	-500	0	0	010018027	A99999	N	None	None	SFY2004-05
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-11-09 00:00:00	010002130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-02 00:00:00	2003-10-02 00:00:00	Yes	2004-12-03 00:00:00	2004-12-02 00:00:00	B	None	750	750	-262.5	487.5	0	010017389	A99999	N	None	None	SFY2004-05
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-11-18 00:00:00	010002131	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-03-08 00:00:00	2004-03-08 00:00:00	Yes	2004-12-09 00:00:00	2004-11-30 00:00:00	A	A	16000	5000	0	5000	0	010017546	A99999	N	None	None	SFY2004-05
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-11-18 00:00:00	010002132	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-03-30 00:00:00	2004-03-30 00:00:00	Yes	2004-12-09 00:00:00	2004-11-30 00:00:00	A	A	16000	5000	0	5000	0	010018113	A99999	N	None	None	SFY2004-05
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-11-24 00:00:00	010002133	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-10-03 00:00:00	2003-10-03 00:00:00	Yes	2004-12-17 00:00:00	2004-12-15 00:00:00	AA	A	100000	30000	0	30000	0	010017437	A99999	Y	None	None	SFY2004-05
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-11-24 00:00:00	010002134	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-03-15 00:00:00	2004-03-15 00:00:00	Yes	2004-12-15 00:00:00	2004-12-07 00:00:00	A	A	16000	16450	0	16450	0	010018117	A99999	Y	None	None	SFY2004-05
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-12-02 00:00:00	010002135	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-07 00:00:00	2004-05-07 00:00:00	No	2005-01-06 00:00:00	None	B	None	700	2100	-735	1365	0	010018122	A99999	N	None	None	SFY2004-05
010000657	ESTES HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-12-21 00:00:00	010002136	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-01-23 00:00:00	2004-01-23 00:00:00	No	2005-01-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	010017451	A99999	Y	None	None	SFY2004-05
010000597	COOPER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-12-21 00:00:00	010002137	Closed	Citation	Citation B (HSC 1424)	Other	C	2004-10-19 00:00:00	2004-10-19 00:00:00	No	2005-01-18 00:00:00	None	B	None	800	800	-280	520	0	010018103	A99999	N	None	None	SFY2004-05
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-01-14 00:00:00	010002138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-21 00:00:00	2004-12-21 00:00:00	No	2005-02-07 00:00:00	None	B	None	1000	3000	-1050	1950	0	010018177	A99999	N	None	None	SFY2004-05
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-02-03 00:00:00	010002139	Closed	Citation	Citation B (HSC 1424)	Other	C,PR	2004-10-25 00:00:00	2004-10-25 00:00:00	No	2005-02-25 00:00:00	None	B	None	900	900	-315	585	0	010018257	A99999	N	None	None	SFY2004-05
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-02-14 00:00:00	010002140	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-11-12 00:00:00	2004-11-12 00:00:00	Yes	2005-03-08 00:00:00	2005-02-18 00:00:00	B	B	1000	500	0	500	0	010018264	A99999	N	None	None	SFY2004-05
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-01 00:00:00	010002141	Closed	Citation	Citation B (HSC 1424)	Other	PR,TR	2004-10-04 00:00:00	2004-10-04 00:00:00	No	2005-03-22 00:00:00	None	B	None	1000	1000	-350	650	0	010018083	A99999	N	None	None	SFY2004-05
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-04-04 00:00:00	010002142	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-10 00:00:00	2004-10-10 00:00:00	No	2005-04-25 00:00:00	None	B	None	750	750	0	750	0	010018047	A99999	N	None	None	SFY2004-05
010000907	GREENFIELDS II ICF-DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2005-03-30 00:00:00	010002143	Closed	Citation	Citation B (HSC 1424)	Other	C,F	2004-12-20 00:00:00	2004-12-23 00:00:00	No	2005-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	010018269	A99999	N	None	None	SFY2004-05
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-25 00:00:00	010002144	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-28 00:00:00	2004-11-28 00:00:00	No	2005-04-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	010018207	A99999	N	None	None	SFY2004-05
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-25 00:00:00	010002145	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-18 00:00:00	2005-01-18 00:00:00	No	2005-04-18 00:00:00	None	B	None	1000	1000	-350	650	0	010018271	A99999	N	None	None	SFY2004-05
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-25 00:00:00	010002146	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-09 00:00:00	2004-12-09 00:00:00	No	2005-04-18 00:00:00	None	B	None	1000	1000	0	1000	0	010018272	A99999	N	None	None	SFY2004-05
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-25 00:00:00	010002147	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-09 00:00:00	2004-12-09 00:00:00	No	2005-04-18 00:00:00	None	B	None	1000	1000	0	1000	0	010018274	A99999	N	None	None	SFY2004-05
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-25 00:00:00	010002148	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-12-09 00:00:00	2004-12-09 00:00:00	No	2005-04-18 00:00:00	None	B	None	800	800	0	800	0	010018275	A99999	N	None	None	SFY2004-05
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-29 00:00:00	010002149	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-12-19 00:00:00	2004-12-19 00:00:00	Yes	2005-04-20 00:00:00	2005-03-31 00:00:00	A	A	16000	8000	0	8000	0	010018276	A99999	N	None	None	SFY2004-05
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-04-25 00:00:00	010002150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-15 00:00:00	2004-07-15 00:00:00	Yes	2005-05-16 00:00:00	2005-05-16 00:00:00	B	B	900	450	0	450	0	010018029	A99999	N	None	None	SFY2004-05
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-04-25 00:00:00	010002151	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-11-26 00:00:00	2004-11-26 00:00:00	No	2005-05-16 00:00:00	None	A	None	9000	9000	0	9000	0	010018194	A99999	N	None	None	SFY2004-05
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-04-25 00:00:00	010002152	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-11-03 00:00:00	2004-11-03 00:00:00	Yes	2005-05-16 00:00:00	2005-05-16 00:00:00	A	Dismissed by Court	5000	0	0	0	0	010018279	A99999	N	None	None	SFY2004-05
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-05-05 00:00:00	010002153	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-05-09 00:00:00	2004-05-09 00:00:00	No	2005-05-27 00:00:00	None	A	None	8000	8000	0	8000	0	010018281	A99999	N	None	None	SFY2004-05
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-05-05 00:00:00	010002154	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-09 00:00:00	2003-12-09 00:00:00	No	2005-05-27 00:00:00	None	B	None	900	2700	0	2700	0	010018282	A99999	N	None	None	SFY2004-05
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-05-05 00:00:00	010002155	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-13 00:00:00	2004-01-13 00:00:00	No	2005-05-27 00:00:00	None	B	None	1000	3000	0	3000	0	010018283	A99999	N	None	None	SFY2004-05
010000482	MOUNTAINVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2005-05-16 00:00:00	010002156	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-21 00:00:00	2005-03-21 00:00:00	No	2005-06-07 00:00:00	None	B	None	1000	1000	-350	650	0	010018284	A99999	N	None	None	SFY2004-05
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-05-12 00:00:00	010002157	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-03-15 00:00:00	2004-04-29 00:00:00	Yes	2005-06-03 00:00:00	2005-05-19 00:00:00	A	B	7000	14000	0	14000	0	010018285	A99999	Y	None	None	SFY2004-05
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-05-27 00:00:00	010002158	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-07-20 00:00:00	2003-07-20 00:00:00	Yes	2005-06-20 00:00:00	2005-05-31 00:00:00	AA	A	100000	30000	0	30000	0	010018292	A99999	Y	None	None	SFY2004-05
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-06-28 00:00:00	010002159	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-16 00:00:00	2004-12-16 00:00:00	No	2005-07-20 00:00:00	None	B	None	800	800	0	800	0	010018301	A99999	N	None	None	SFY2004-05
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-06-28 00:00:00	010002160	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-27 00:00:00	2005-03-27 00:00:00	No	2005-07-20 00:00:00	None	B	None	800	800	0	800	0	010018302	A99999	N	None	None	SFY2004-05
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-07-07 00:00:00	010002161	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-28 00:00:00	2005-02-28 00:00:00	Yes	2005-08-01 00:00:00	2005-07-11 00:00:00	B	B	750	450	0	450	0	010018303	A99999	N	None	None	SFY2005-06
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-07-12 00:00:00	010002162	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-03-23 00:00:00	2005-03-23 00:00:00	Yes	2005-08-02 00:00:00	2006-05-09 00:00:00	AA	AA	80000	25000	0	25000	0	010018304	A99999	Y	None	None	SFY2005-06
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-07-12 00:00:00	010002163	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-06 00:00:00	2005-04-06 00:00:00	Yes	2005-08-02 00:00:00	2005-08-02 00:00:00	B	B	1000	500	0	500	0	010018305	A99999	N	None	None	SFY2005-06
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-07-12 00:00:00	010002164	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-02 00:00:00	2004-10-11 00:00:00	No	2005-08-02 00:00:00	None	B	None	1000	1000	-350	650	0	010018306	A99999	N	None	None	SFY2005-06
010001005	ALDERSLY SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-07-19 00:00:00	010002165	Closed	Citation	Citation B (HSC 1424)	Other	C, PR	2005-01-26 00:00:00	2005-01-26 00:00:00	No	2005-08-09 00:00:00	None	B	None	1000	1000	-350	650	0	010018307	A99999	N	None	None	SFY2005-06
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-08-01 00:00:00	010002166	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-06-29 00:00:00	2004-06-29 00:00:00	Yes	2005-08-22 00:00:00	2005-08-11 00:00:00	A	A	10000	5000	0	5000	0	010018310	A99999	N	None	None	SFY2005-06
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-08-05 00:00:00	010002167	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-07 00:00:00	2005-06-07 00:00:00	No	2005-08-29 00:00:00	None	B	None	800	2400	-840	1560	0	010018312	A99999	N	None	None	SFY2005-06
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-09-13 00:00:00	010002168	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-06-03 00:00:00	2005-06-03 00:00:00	No	2005-10-04 00:00:00	None	B	None	800	800	-280	520	0	010018318	A99999	N	None	None	SFY2005-06
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-09-13 00:00:00	010002169	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-03 00:00:00	2005-06-03 00:00:00	No	2005-10-04 00:00:00	None	B	None	800	800	-280	520	0	010018319	A99999	N	None	None	SFY2005-06
010001011	RAE LANE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2005-09-28 00:00:00	010002170	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-07-09 00:00:00	2005-04-28 00:00:00	No	2005-10-20 00:00:00	None	B	None	600	600	-210	390	0	010018320	A99999	N	None	None	SFY2005-06
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-10-05 00:00:00	010002171	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-06-29 00:00:00	2005-06-29 00:00:00	Yes	2005-10-27 00:00:00	2005-10-05 00:00:00	B	None	900	900	0	900	0	010018324	A99999	N	None	None	SFY2005-06
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-10-05 00:00:00	010002172	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-06-29 00:00:00	2005-06-29 00:00:00	Yes	2005-10-27 00:00:00	2005-10-05 00:00:00	B	None	1000	1000	0	1000	0	010018325	A99999	N	None	None	SFY2005-06
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-10-05 00:00:00	010002173	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-04-14 00:00:00	2005-04-14 00:00:00	No	2005-10-27 00:00:00	None	B	None	900	900	0	900	0	010018326	A99999	N	None	None	SFY2005-06
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-10-20 00:00:00	010002174	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-10 00:00:00	2005-01-10 00:00:00	No	2005-11-10 00:00:00	None	B	None	1000	1000	-350	650	0	010018327	A99999	N	None	None	SFY2005-06
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-11-07 00:00:00	010002175	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-02-04 00:00:00	2005-02-04 00:00:00	Yes	2011-12-05 00:00:00	2011-11-11 00:00:00	A	A	18000	10000	0	10000	0	010018330	A99999	N	None	None	SFY2005-06
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-11-29 00:00:00	010002176	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-06-10 00:00:00	2004-06-10 00:00:00	Yes	2010-07-28 00:00:00	2010-07-07 00:00:00	A	A	16000	0	0	0	0	010018335	A99999	N	None	None	SFY2005-06
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-11-29 00:00:00	010002177	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-06-19 00:00:00	2004-06-19 00:00:00	Yes	2010-08-30 00:00:00	2010-07-07 00:00:00	A	A	14000	15000	0	15000	0	010018336	A99999	N	None	None	SFY2005-06
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-12-15 00:00:00	010002178	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-14 00:00:00	2005-04-14 00:00:00	No	2006-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	010018337	A99999	N	None	None	SFY2005-06
010000793	PATHWAYS 2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-01-31 00:00:00	010002179	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-01 00:00:00	2005-04-01 00:00:00	Yes	2008-05-28 00:00:00	2006-02-03 00:00:00	B	B	800	400	0	400	0	010018341	A99999	N	CA00044503	B	SFY2005-06
010000995	VILLA MARIN RETIREMENT RESIDENCES	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-02-28 00:00:00	010002180	Closed	Citation	Citation B (HSC 1424)	Other	AB (Abuse) and Admin	2005-03-31 00:00:00	2005-03-31 00:00:00	Yes	2006-03-21 00:00:00	2006-03-07 00:00:00	B	B	1000	500	0	500	0	010018342	A99999	N	CA00043273	A	SFY2005-06
010000995	VILLA MARIN RETIREMENT RESIDENCES	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-02-28 00:00:00	010002181	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-03-31 00:00:00	2005-03-31 00:00:00	No	2006-03-21 00:00:00	None	B	None	800	800	-280	520	0	010018343	A99999	N	CA00043273, CA00043273	A, A	SFY2005-06
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-02-15 00:00:00	010002182	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-16 00:00:00	2005-03-16 00:00:00	No	2006-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	010018344	A99999	N	CA00040867	A	SFY2005-06
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-02-15 00:00:00	010002183	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-24 00:00:00	2005-08-24 00:00:00	No	2006-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	010018345	A99999	N	CA00059534	A	SFY2005-06
010000482	MOUNTAINVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-02-15 00:00:00	010002184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-12 00:00:00	2005-07-12 00:00:00	No	2006-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	010018346	A99999	N	CA00055976	A	SFY2005-06
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-02-17 00:00:00	010002185	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-07-03 00:00:00	2005-07-03 00:00:00	No	2006-03-13 00:00:00	None	B	None	1000	1000	-350	650	0	010018347	A99999	N	CA00053901	A	SFY2005-06
010001009	DURAN DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-03-02 00:00:00	010002186	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2005-07-10 00:00:00	2005-07-10 00:00:00	No	2006-03-23 00:00:00	None	B	None	800	800	0	800	0	010018349	A99999	N	CA00054833	B	SFY2005-06
010000643	PATHWAYS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-03-02 00:00:00	010002187	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-06 00:00:00	2005-06-06 00:00:00	No	2006-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	010018350	A99999	N	CA00050856	B	SFY2005-06
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	1999-04-26 00:00:00	020002353	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-03-16 00:00:00	None	Yes	2000-01-12 00:00:00	1999-05-11 00:00:00	A	A	7000	7000	-7000	0	0	020009764	A99999	N	None	None	SFY1998-99
020000103	HAYWARD GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	1999-06-16 00:00:00	020002371	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-02-05 00:00:00	None	Yes	1999-07-14 00:00:00	1999-06-29 00:00:00	A	A	9000	6300	-6300	0	0	020010074	A99999	N	None	None	SFY1998-99
020000103	HAYWARD GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	1999-07-29 00:00:00	020002387	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-03-28 00:00:00	None	Yes	1999-08-25 00:00:00	1999-08-11 00:00:00	A	A	10000	7000	-7000	0	0	020010274	A99999	N	None	None	SFY1999-00
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-04 00:00:00	020002467	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-24 00:00:00	1999-09-23 00:00:00	Yes	2000-01-27 00:00:00	2000-01-18 00:00:00	A	None	9000	27000	-27000	0	0	020011028	A99999	N	None	None	SFY1999-00
020000110	LAKE MERRITT HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-06 00:00:00	020002468	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-03 00:00:00	None	No	2000-01-31 00:00:00	None	B	None	500	500	-175	325	0	020011029	A99999	N	None	None	SFY1999-00
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-06 00:00:00	020002469	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-15 00:00:00	1999-11-21 00:00:00	Yes	2000-01-27 00:00:00	2000-01-25 00:00:00	B	B	900	300	0	300	0	020011033	A99999	N	None	None	SFY1999-00
020000276	CANYON CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-06 00:00:00	020002470	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-11-08 00:00:00	1999-11-16 00:00:00	No	2000-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	020011052	A99999	N	None	None	SFY1999-00
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-06 00:00:00	020002471	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-11-30 00:00:00	1999-12-07 00:00:00	Yes	2000-01-27 00:00:00	2000-01-25 00:00:00	B	B	1000	1000	0	1000	0	020011054	A99999	N	None	None	SFY1999-00
020000093	EXCELL HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-13 00:00:00	020002473	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-18 00:00:00	1999-11-26 00:00:00	Yes	2000-02-10 00:00:00	2000-03-09 00:00:00	A	A	6000	6000	-4380	1620	0	020011098	A99999	N	None	None	SFY1999-00
020000040	MASONIC HOME	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-19 00:00:00	020002475	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-11-23 00:00:00	None	Yes	2000-08-23 00:00:00	2000-02-04 00:00:00	B	B	500	500	0	500	0	020011154	A99999	N	None	None	SFY1999-00
020000020	WINDSOR COUNTRY DRIVE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-19 00:00:00	020002476	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-25 00:00:00	None	No	2000-02-14 00:00:00	None	B	None	700	1200	0	1200	0	020011155	A99999	N	None	None	SFY1999-00
020000020	WINDSOR COUNTRY DRIVE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-19 00:00:00	020002477	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-18 00:00:00	None	No	2000-02-14 00:00:00	None	B	None	600	1100	0	1100	0	020011156	A99999	N	None	None	SFY1999-00
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-18 00:00:00	020002478	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-06-01 00:00:00	1999-12-13 00:00:00	Yes	2000-06-05 00:00:00	2000-01-26 00:00:00	B	B	600	600	0	600	0	020011157	A99999	N	None	None	SFY1999-00
020000020	WINDSOR COUNTRY DRIVE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-28 00:00:00	020002480	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-12 00:00:00	None	No	2000-02-25 00:00:00	None	B	B	1000	1000	-800	200	0	020011203	A99999	N	None	None	SFY1999-00
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-28 00:00:00	020002481	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-17 00:00:00	None	No	2000-02-18 00:00:00	None	B	B	1000	4250	-3825	425	0	020011222	A99999	N	None	None	SFY1999-00
020000060	BAYPOINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-02-08 00:00:00	020002482	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1999-12-20 00:00:00	1999-12-26 00:00:00	No	2000-03-07 00:00:00	None	AA	None	15000	15400	-15400	0	0	020011259	A99999	Y	None	None	SFY1999-00
020000911	META-CARE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2000-02-07 00:00:00	020002483	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-11-27 00:00:00	None	Yes	2000-03-01 00:00:00	2001-05-18 00:00:00	A	A	8000	8550	-8550	0	0	020011262	A99999	N	None	None	SFY1999-00
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-02-16 00:00:00	020002486	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-31 00:00:00	2000-01-03 00:00:00	Yes	2000-03-16 00:00:00	2000-02-22 00:00:00	B	B	600	600	-540	60	0	020011310	A99999	N	None	None	SFY1999-00
020000060	BAYPOINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-02-18 00:00:00	020002489	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-22 00:00:00	None	No	2000-03-17 00:00:00	None	B	None	500	500	-500	0	0	020011336	A99999	N	None	None	SFY1999-00
020000042	KAISER PERMANENTE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-06 00:00:00	020002492	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-12-01 00:00:00	1999-12-01 00:00:00	No	2000-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	020011415	A99999	N	None	None	SFY1999-00
020000110	LAKE MERRITT HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-08 00:00:00	020002494	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-17 00:00:00	None	No	2000-03-31 00:00:00	None	B	None	600	1800	-630	1170	0	020011424	A99999	N	None	None	SFY1999-00
020001156	BARROW ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2000-03-13 00:00:00	020002495	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-04 00:00:00	None	No	2000-04-11 00:00:00	None	B	None	500	500	-175	325	0	020011436	A99999	N	None	None	SFY1999-00
020000128	ELMWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-13 00:00:00	020002496	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-07-05 00:00:00	1999-07-11 00:00:00	No	2000-04-05 00:00:00	None	A	None	8000	8000	0	8000	0	020011459	A99999	N	None	None	SFY1999-00
020000128	ELMWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-13 00:00:00	020002497	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-07-05 00:00:00	1999-07-11 00:00:00	No	2000-04-05 00:00:00	None	B	None	800	800	0	800	0	020011460	A99999	N	None	None	SFY1999-00
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-22 00:00:00	020002499	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-27 00:00:00	None	Yes	2000-04-18 00:00:00	2000-04-11 00:00:00	A	A	9000	27000	-18710	8290	0	020011492	A99999	N	None	None	SFY1999-00
020000107	LAKESHORE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-28 00:00:00	020002501	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-04 00:00:00	None	No	2000-04-21 00:00:00	None	A	None	8000	8000	-2800	5200	0	020011523	A99999	N	None	None	SFY1999-00
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-30 00:00:00	020002502	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	1999-10-07 00:00:00	2000-01-28 00:00:00	Yes	2000-04-24 00:00:00	2000-04-17 00:00:00	B	B	1000	1000	-900	100	0	020011536	A99999	N	None	None	SFY1999-00
020000125	GARFIELD NEUROBEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-04 00:00:00	020002503	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1999-09-23 00:00:00	None	Yes	2000-04-27 00:00:00	2000-04-20 00:00:00	AA	A	15000	15000	0	15000	0	020011543	A99999	Y	None	None	SFY1999-00
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-05 00:00:00	020002504	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-11-30 00:00:00	None	No	2000-05-01 00:00:00	None	B	None	600	600	-210	390	0	020011544	A99999	N	None	None	SFY1999-00
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-05 00:00:00	020002505	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-11-24 00:00:00	2000-01-24 00:00:00	No	2000-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	020011545	A99999	N	None	None	SFY1999-00
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-05 00:00:00	020002506	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-05 00:00:00	None	Yes	2000-05-03 00:00:00	2000-04-17 00:00:00	A	A Trebled	9000	27000	-18710	8290	0	020011546	A99999	N	None	None	SFY1999-00
020000112	KYAKAMEENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-05 00:00:00	020002510	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1998-10-28 00:00:00	1999-11-20 00:00:00	No	2000-06-06 00:00:00	None	A	None	8000	24000	-12000	12000	0	020011554	A99999	N	None	None	SFY1999-00
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-17 00:00:00	020002512	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-06-15 00:00:00	1999-07-08 00:00:00	No	2000-05-12 00:00:00	None	A	None	8000	8000	-2800	5200	0	020011599	A99999	N	None	None	SFY1999-00
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-18 00:00:00	020002513	Closed	Citation	Citation B (HSC 1424)	Administration	None	1995-01-01 00:00:00	None	Yes	2000-05-11 00:00:00	2000-05-03 00:00:00	B	B	800	850	-50	800	0	020011609	A99999	N	None	None	SFY1999-00
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-03 00:00:00	020002514	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-23 00:00:00	None	No	2000-05-30 00:00:00	None	B	None	1000	1000	0	1000	0	020011650	A99999	N	None	None	SFY1999-00
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-19 00:00:00	020002519	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-24 00:00:00	None	Yes	2000-06-20 00:00:00	2000-05-30 00:00:00	B	None	700	2100	0	2100	0	020011724	A99999	N	None	None	SFY1999-00
020000042	KAISER PERMANENTE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-30 00:00:00	020002523	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-13 00:00:00	None	Yes	2000-12-14 00:00:00	2000-06-09 00:00:00	A	A	9000	9000	-9000	0	0	020011754	A99999	N	None	None	SFY1999-00
020000042	KAISER PERMANENTE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-30 00:00:00	020002524	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-02-06 00:00:00	2000-03-15 00:00:00	No	2000-06-23 00:00:00	None	B	None	1000	1000	0	1000	0	020011759	A99999	N	None	None	SFY1999-00
020000109	SUNSHINE ICF/DDH #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2000-06-01 00:00:00	020002526	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-26 00:00:00	None	Yes	2001-02-01 00:00:00	2000-06-06 00:00:00	B	B	600	600	0	600	0	020011770	A99999	N	None	None	SFY1999-00
020000042	KAISER PERMANENTE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-06-13 00:00:00	020002529	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1999-12-29 00:00:00	1999-12-29 00:00:00	Yes	2000-12-14 00:00:00	2000-06-19 00:00:00	AA	AA	25000	25000	-25000	0	0	020011821	A99999	Y	None	None	SFY1999-00
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-06-20 00:00:00	020002530	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-04-02 00:00:00	2000-04-08 00:00:00	Yes	2000-07-17 00:00:00	2000-07-11 00:00:00	B	B Trebled	600	1404	-650	754	0	020011849	A99999	N	None	None	SFY1999-00
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-06-27 00:00:00	020002531	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-18 00:00:00	2000-05-19 00:00:00	No	2000-07-27 00:00:00	None	B	None	800	800	0	800	0	020011887	A99999	N	None	None	SFY1999-00
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-07-18 00:00:00	020002532	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-26 00:00:00	None	No	2000-08-14 00:00:00	None	B	None	800	800	-800	0	0	020011965	A99999	N	None	None	SFY2000-01
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2000-07-17 00:00:00	020002533	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-12 00:00:00	2000-01-21 00:00:00	Yes	2001-06-11 00:00:00	2000-07-25 00:00:00	B	B	600	600	0	600	0	020011966	A99999	N	None	None	SFY2000-01
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2000-07-24 00:00:00	020002534	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-11 00:00:00	None	No	2000-08-21 00:00:00	None	B	None	700	700	0	700	0	020011996	A99999	N	None	None	SFY2000-01
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-07-26 00:00:00	020002535	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-29 00:00:00	2000-05-30 00:00:00	Yes	2000-08-18 00:00:00	2000-08-16 00:00:00	B	B	800	246	0	246	0	020011997	A99999	N	None	None	SFY2000-01
020000274	THE REHABILITATION CENTER OF OAKLAND	LTC	SNF	Skilled Nursing Facility	East Bay	2000-07-28 00:00:00	020002536	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-02 00:00:00	None	No	2000-08-22 00:00:00	None	B	Dismissed by Court	800	0	0	0	0	020012007	A99999	N	None	None	SFY2000-01
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-08-18 00:00:00	020002540	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-01-01 00:00:00	2000-05-31 00:00:00	No	2000-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	020012078	A99999	N	None	None	SFY2000-01
020000048	CHAPARRAL HOUSE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-08-23 00:00:00	020002541	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-01-26 00:00:00	None	Yes	2001-01-19 00:00:00	2001-01-12 00:00:00	AA	A	15000	6500	0	6500	0	020012091	A99999	Y	None	None	SFY2000-01
020000915	META-CARE #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2000-09-05 00:00:00	020002545	Closed	Citation	Citation A (HSC 1424)	Administration	None	1999-08-17 00:00:00	2000-04-28 00:00:00	Yes	2001-09-14 00:00:00	2000-09-25 00:00:00	A	B	2000	1000	-1000	0	0	020012164	A99999	N	None	None	SFY2000-01
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-07 00:00:00	020002546	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-17 00:00:00	2000-08-21 00:00:00	Yes	2000-09-29 00:00:00	2000-09-22 00:00:00	B	None	500	1850	0	1850	0	020012165	A99999	N	None	None	SFY2000-01
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-07 00:00:00	020002549	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-03 00:00:00	2000-07-16 00:00:00	No	2000-09-29 00:00:00	None	B	None	1000	1000	-350	650	0	020012179	A99999	N	None	None	SFY2000-01
020000047	HAYWARD HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-22 00:00:00	020002557	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-26 00:00:00	None	No	2000-10-20 00:00:00	None	B	None	400	400	-140	260	0	020012248	A99999	N	None	None	SFY2000-01
020000010	ASHBY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-25 00:00:00	020002564	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-21 00:00:00	2000-05-11 00:00:00	Yes	2001-07-13 00:00:00	2000-10-20 00:00:00	A	A	6500	6500	0	6500	0	020012306	A99999	N	None	None	SFY2000-01
020000042	KAISER PERMANENTE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-10-03 00:00:00	020002565	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-22 00:00:00	None	No	2000-11-03 00:00:00	None	B	None	900	2700	0	2700	0	020012323	A99999	N	None	None	SFY2000-01
020000132	FREMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-10-06 00:00:00	020002566	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-17 00:00:00	None	No	2000-11-07 00:00:00	None	B	None	700	700	0	700	0	020012348	A99999	N	None	None	SFY2000-01
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-10-17 00:00:00	020002569	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-05-01 00:00:00	2000-05-04 00:00:00	No	2000-11-14 00:00:00	None	B	None	900	2250	-315	1935	0	020012422	A99999	N	None	None	SFY2000-01
020000070	ALL SAINT'S SUBACUTE & TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-10-17 00:00:00	020002570	Closed	Citation	Citation A (HSC 1424)	Other	INFECTION CONTROL	2000-09-13 00:00:00	None	Yes	2001-07-17 00:00:00	2000-10-18 00:00:00	A	A	5000	5000	0	5000	0	020012423	A99999	N	None	None	SFY2000-01
020000010	ASHBY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-10-19 00:00:00	020002572	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-17 00:00:00	2000-03-25 00:00:00	Yes	2001-09-03 00:00:00	2000-11-14 00:00:00	A	A	9000	9000	0	9000	0	020012442	A99999	N	None	None	SFY2000-01
020000047	HAYWARD HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-11-21 00:00:00	020002574	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-25 00:00:00	None	No	2000-12-19 00:00:00	None	B	None	500	500	-175	325	0	020012527	A99999	N	None	None	SFY2000-01
020000103	HAYWARD GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-11-21 00:00:00	020002575	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-04 00:00:00	None	No	2000-12-15 00:00:00	None	B	None	600	600	-210	390	0	020012560	A99999	N	None	None	SFY2000-01
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-12-08 00:00:00	020002576	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-16 00:00:00	None	No	2001-01-12 00:00:00	None	B	None	400	400	0	400	0	020012616	A99999	N	None	None	SFY2000-01
020000119	REDWOOD HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2000-12-13 00:00:00	020002577	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-05 00:00:00	None	No	2001-01-10 00:00:00	None	B	None	500	500	-175	325	0	020012630	A99999	N	None	None	SFY2000-01
020000042	KAISER PERMANENTE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-12-22 00:00:00	020002578	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-13 00:00:00	None	No	2001-01-24 00:00:00	None	B	None	900	900	-315	585	0	020012778	A99999	N	None	None	SFY2000-01
020000042	KAISER PERMANENTE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-12-22 00:00:00	020002579	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-30 00:00:00	None	No	2001-01-24 00:00:00	None	B	None	900	900	-315	585	0	020012779	A99999	N	None	None	SFY2000-01
020000119	REDWOOD HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2001-01-09 00:00:00	020002580	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-17 00:00:00	None	No	2001-02-02 00:00:00	None	B	None	700	700	-245	455	0	020012571	A99999	N	None	None	SFY2000-01
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2001-01-11 00:00:00	020002581	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-10 00:00:00	None	Yes	2001-07-09 00:00:00	2001-01-11 00:00:00	B	B	700	700	0	700	0	020012819	A99999	N	None	None	SFY2000-01
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-01-24 00:00:00	020002584	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-25 00:00:00	2000-09-29 00:00:00	No	2001-02-22 00:00:00	None	B	None	600	600	0	600	0	020012887	A99999	N	None	None	SFY2000-01
020000103	HAYWARD GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2001-01-26 00:00:00	020002585	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-01 00:00:00	None	No	2001-02-22 00:00:00	None	B	None	700	700	-245	455	0	020012845	A99999	N	None	None	SFY2000-01
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2001-01-24 00:00:00	020002587	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-18 00:00:00	2000-10-25 00:00:00	Yes	2001-06-25 00:00:00	2001-01-30 00:00:00	B	B	1000	1000	0	1000	0	020012911	A99999	N	None	None	SFY2000-01
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-02-01 00:00:00	020002589	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-03 00:00:00	None	No	2001-02-28 00:00:00	None	A	None	12000	12000	-4200	7800	0	020012948	A99999	N	None	None	SFY2000-01
020000060	BAYPOINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-02-08 00:00:00	020002590	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-09-23 00:00:00	None	No	2001-03-13 00:00:00	None	A	None	10000	10000	-10000	0	0	020012991	A99999	N	None	None	SFY2000-01
020000110	LAKE MERRITT HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2001-02-14 00:00:00	020002591	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-31 00:00:00	2000-12-15 00:00:00	No	2001-03-12 00:00:00	None	B	None	800	800	-280	520	0	020013020	A99999	N	None	None	SFY2000-01
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-02-20 00:00:00	020002593	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-16 00:00:00	None	No	2001-03-20 00:00:00	None	B	None	1000	1000	-1000	0	0	020012910	A99999	N	None	None	SFY2000-01
020000053	CRESTWOOD MANOR - FREMONT	LTC	SNF	Skilled Nursing Facility	East Bay	2001-02-28 00:00:00	020002594	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-12-24 00:00:00	None	Yes	2001-03-26 00:00:00	2001-03-01 00:00:00	AA	AA	50000	20000	0	20000	0	020013122	A99999	Y	None	None	SFY2000-01
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-06 00:00:00	020002595	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-03 00:00:00	None	No	2001-03-29 00:00:00	None	B	None	700	700	-700	0	0	020013022	A99999	N	None	None	SFY2000-01
020000132	FREMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-05 00:00:00	020002596	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-09-15 00:00:00	None	Yes	2001-04-06 00:00:00	2001-03-09 00:00:00	A	A	20000	20000	-14600	5400	0	020013143	A99999	N	None	None	SFY2000-01
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-09 00:00:00	020002597	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-23 00:00:00	None	Yes	2001-09-21 00:00:00	2001-09-06 00:00:00	B	Drop>Deficiency	600	600	0	600	0	020012951	A99999	N	None	None	SFY2000-01
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-07 00:00:00	020002598	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-13 00:00:00	None	No	2001-04-02 00:00:00	None	B	None	1000	1000	0	1000	0	020013154	A99999	N	None	None	SFY2000-01
020000070	ALL SAINT'S SUBACUTE & TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-07 00:00:00	020002599	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-02-01 00:00:00	None	Yes	2001-04-13 00:00:00	2001-03-26 00:00:00	B	None	1000	1000	0	1000	0	020012992	A99999	N	None	None	SFY2000-01
020000274	THE REHABILITATION CENTER OF OAKLAND	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-09 00:00:00	020002600	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-08 00:00:00	None	Yes	2001-03-30 00:00:00	2001-03-16 00:00:00	B	None	700	700	0	700	0	020013062	A99999	N	None	None	SFY2000-01
020000125	GARFIELD NEUROBEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-13 00:00:00	020002601	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-10-24 00:00:00	None	Yes	2001-04-09 00:00:00	2001-03-16 00:00:00	AA	A	80000	10000	0	10000	0	020012774	A99999	Y	None	None	SFY2000-01
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-19 00:00:00	020002602	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-04 00:00:00	None	No	2001-04-16 00:00:00	None	B	None	800	800	-800	0	0	020013186	A99999	N	None	None	SFY2000-01
020000047	HAYWARD HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-19 00:00:00	020002603	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-22 00:00:00	None	Yes	2001-09-06 00:00:00	2001-04-04 00:00:00	B	B	600	1800	0	1800	0	020013140	A99999	N	None	None	SFY2000-01
020000125	GARFIELD NEUROBEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-20 00:00:00	020002604	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-10 00:00:00	None	No	2001-04-16 00:00:00	None	B	None	600	600	-210	390	0	020013192	A99999	N	None	None	SFY2000-01
020000125	GARFIELD NEUROBEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-20 00:00:00	020002605	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-29 00:00:00	None	No	2001-04-16 00:00:00	None	B	None	700	700	-245	455	0	020013199	A99999	N	None	None	SFY2000-01
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-27 00:00:00	020002606	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-22 00:00:00	2000-12-18 00:00:00	No	2001-04-23 00:00:00	None	A	None	18000	18000	-18000	0	0	020013217	A99999	N	None	None	SFY2000-01
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-04-03 00:00:00	020002607	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-11-22 00:00:00	2000-12-18 00:00:00	No	2001-05-01 00:00:00	None	B	None	1000	1000	-1000	0	0	020013217	A99999	N	None	None	SFY2000-01
020001179	BRIDLE ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-04-04 00:00:00	020002608	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-07-20 00:00:00	2001-03-12 00:00:00	No	2001-04-30 00:00:00	None	B	None	800	800	-280	520	0	020013253	A99999	N	None	None	SFY2000-01
020000042	KAISER PERMANENTE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-04-05 00:00:00	020002609	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-28 00:00:00	None	No	2001-04-30 00:00:00	None	B	None	1000	1000	-1000	0	0	020013256	A99999	N	None	None	SFY2000-01
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2001-04-16 00:00:00	020002610	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-06 00:00:00	2001-03-11 00:00:00	No	2001-06-08 00:00:00	None	B	None	800	800	0	800	0	020013281	A99999	N	None	None	SFY2000-01
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2001-04-17 00:00:00	020002611	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-03-12 00:00:00	2001-03-23 00:00:00	No	2001-05-08 00:00:00	None	B	None	1000	1000	-350	650	0	020013285	A99999	N	None	None	SFY2000-01
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-04-19 00:00:00	020002612	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-03-29 00:00:00	None	No	2001-05-14 00:00:00	None	B	None	500	500	0	500	0	020013243	A99999	N	None	None	SFY2000-01
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-04-19 00:00:00	020002613	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-29 00:00:00	None	No	2001-05-14 00:00:00	None	B	None	500	500	-175	325	0	020013243	A99999	N	None	None	SFY2000-01
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2001-05-18 00:00:00	020002615	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-25 00:00:00	2001-03-25 00:00:00	No	2001-06-13 00:00:00	None	B	None	1000	1000	-350	650	0	020013294	A99999	N	None	None	SFY2000-01
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2001-05-22 00:00:00	020002616	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-24 00:00:00	2001-02-21 00:00:00	Yes	2001-06-19 00:00:00	2001-06-11 00:00:00	A	B	20000	7500	0	7500	0	020013285	A99999	N	None	None	SFY2000-01
020000099	MCCLURE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2001-06-14 00:00:00	020002643	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-14 00:00:00	None	No	2001-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	020013261	A99999	N	None	None	SFY2000-01
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-06-20 00:00:00	020002644	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-22 00:00:00	None	No	2001-07-17 00:00:00	None	B	None	800	2400	-2400	0	0	020013408	A99999	N	None	None	SFY2000-01
020001114	MAIN ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-07-12 00:00:00	020002645	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-02-22 00:00:00	2001-06-14 00:00:00	No	2001-08-07 00:00:00	None	B	None	600	600	-210	390	0	020013554	A99999	N	None	None	SFY2001-02
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-07-17 00:00:00	020002646	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-05 00:00:00	None	Yes	2001-08-10 00:00:00	2001-07-20 00:00:00	A	B	20000	12133	0	12133	0	020013378	A99999	Y	None	None	SFY2001-02
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-07-20 00:00:00	020002647	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-10 00:00:00	None	Yes	2001-08-15 00:00:00	2001-07-27 00:00:00	B	None	1000	1000	0	1000	0	020013260	A99999	N	None	None	SFY2001-02
020000125	GARFIELD NEUROBEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-07-25 00:00:00	020002648	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-01 00:00:00	None	No	2001-08-22 00:00:00	None	B	None	700	700	-245	455	0	020013546	A99999	N	None	None	SFY2001-02
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2001-07-25 00:00:00	020002649	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-20 00:00:00	None	No	2001-08-31 00:00:00	None	B	None	600	600	-210	390	0	020013510	A99999	N	None	None	SFY2001-02
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2001-07-26 00:00:00	020002650	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-27 00:00:00	None	Yes	2001-08-27 00:00:00	2001-08-06 00:00:00	A	A	20000	5000	0	5000	0	020013485	A99999	Y	None	None	SFY2001-02
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-02 00:00:00	020002651	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-07-18 00:00:00	None	No	2001-08-30 00:00:00	None	B	None	700	700	0	700	0	020013577	A99999	N	None	None	SFY2001-02
020000274	THE REHABILITATION CENTER OF OAKLAND	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-01 00:00:00	020002652	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-25 00:00:00	2001-06-08 00:00:00	Yes	2001-08-24 00:00:00	2001-08-14 00:00:00	B	None	800	800	0	800	0	020013534	A99999	N	None	None	SFY2001-02
020000072	SOUTH SHORE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-07 00:00:00	020002653	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-13 00:00:00	None	No	2001-08-30 00:00:00	None	B	None	800	800	-280	520	0	020013624	A99999	N	None	None	SFY2001-02
020000084	IMMACULATE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-09 00:00:00	020002654	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-07-25 00:00:00	2001-07-30 00:00:00	No	2001-08-30 00:00:00	None	B	None	600	600	0	600	0	020013627	A99999	N	None	None	SFY2001-02
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-14 00:00:00	020002655	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-14 00:00:00	None	Yes	2002-03-05 00:00:00	2002-02-26 00:00:00	B	Drop>Deficiency	500	500	0	500	0	020013579	A99999	N	None	None	SFY2001-02
020000019	VISTA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-21 00:00:00	020002657	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-06-27 00:00:00	None	No	2001-09-14 00:00:00	None	A	None	12000	12000	-4200	7800	0	020013553	A99999	N	None	None	SFY2001-02
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-23 00:00:00	020002658	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-23 00:00:00	None	Yes	2002-02-14 00:00:00	2002-01-28 00:00:00	A	B	15000	12000	0	12000	0	020013420	A99999	N	None	None	SFY2001-02
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-23 00:00:00	020002659	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-01 00:00:00	2001-05-25 00:00:00	Yes	2001-09-18 00:00:00	2001-09-07 00:00:00	A	A	20000	7500	0	7500	0	020013688	A99999	N	None	None	SFY2001-02
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-30 00:00:00	020002661	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-03-17 00:00:00	2001-03-28 00:00:00	Yes	2001-09-25 00:00:00	2001-09-07 00:00:00	A	Drop>Deficiency	20000	0	0	0	0	020013308	A99999	N	None	None	SFY2001-02
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-30 00:00:00	020002662	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-06-07 00:00:00	None	No	2001-09-24 00:00:00	None	B	None	500	500	-175	325	0	020013707	A99999	N	None	None	SFY2001-02
020000274	THE REHABILITATION CENTER OF OAKLAND	LTC	SNF	Skilled Nursing Facility	East Bay	2001-09-10 00:00:00	020002663	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-06-07 00:00:00	None	No	2001-10-09 00:00:00	None	A	B	12500	6500	0	6500	0	020013545	A99999	N	None	None	SFY2001-02
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-10-02 00:00:00	020002665	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-10 00:00:00	None	No	2001-10-30 00:00:00	None	B	None	900	2700	-945	1755	0	020013740	A99999	N	None	None	SFY2001-02
020000019	VISTA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2001-10-02 00:00:00	020002666	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-30 00:00:00	None	No	2001-10-26 00:00:00	None	A	None	15000	15000	-5250	9750	0	020013767	A99999	N	None	None	SFY2001-02
020000274	THE REHABILITATION CENTER OF OAKLAND	LTC	SNF	Skilled Nursing Facility	East Bay	2001-10-10 00:00:00	020002667	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-01 00:00:00	None	Yes	2001-11-02 00:00:00	2001-10-12 00:00:00	B	None	800	2400	0	2400	0	020013757	A99999	N	None	None	SFY2001-02
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2001-10-09 00:00:00	020002668	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-12-28 00:00:00	None	Yes	2001-11-02 00:00:00	2001-10-11 00:00:00	A	A	14000	8000	0	8000	0	020013784	A99999	N	None	None	SFY2001-02
020000037	EMMANUEL POST ACUTE CARE - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2001-10-11 00:00:00	020002669	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-20 00:00:00	None	Yes	2001-11-08 00:00:00	2001-10-22 00:00:00	B	None	1000	1000	-350	650	0	020013599	A99999	N	None	None	SFY2001-02
020000093	EXCELL HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-10-23 00:00:00	020002670	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-16 00:00:00	2001-09-07 00:00:00	No	2001-11-21 00:00:00	None	B	B	600	600	-540	60	0	020013791	A99999	N	None	None	SFY2001-02
020000647	PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-11-01 00:00:00	020002671	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	None	No	2001-12-05 00:00:00	None	B	None	600	600	-210	390	0	020013822	A99999	N	None	None	SFY2001-02
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-11-13 00:00:00	020002672	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-27 00:00:00	None	No	2001-12-11 00:00:00	None	B	None	800	800	-280	520	0	020013773	A99999	N	None	None	SFY2001-02
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-11-30 00:00:00	020002673	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-10 00:00:00	2001-07-12 00:00:00	No	2001-12-31 00:00:00	None	A	A	15000	15000	-10950	4050	0	020013704	A99999	N	None	None	SFY2001-02
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-02 00:00:00	020002674	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-28 00:00:00	None	No	2002-01-30 00:00:00	None	B	B	850	850	-765	85	0	020013884	A99999	N	None	None	SFY2001-02
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-02 00:00:00	020002675	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-29 00:00:00	None	No	2002-01-30 00:00:00	None	B	B	900	900	-810	90	0	020013884	A99999	N	None	None	SFY2001-02
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-03 00:00:00	020002676	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-11-20 00:00:00	2001-11-28 00:00:00	No	2002-01-29 00:00:00	None	B	None	750	750	-262.5	487.5	0	020013965	A99999	N	None	None	SFY2001-02
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-03 00:00:00	020002677	Closed	Citation	Citation B (HSC 1424)	Family/Council Requirement	None	2001-11-14 00:00:00	None	No	2002-01-25 00:00:00	None	B	None	700	700	-245	455	0	020013969	A99999	N	None	None	SFY2001-02
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-14 00:00:00	020002678	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-15 00:00:00	None	No	2002-02-11 00:00:00	None	B	B	800	800	-720	80	0	020013774	A99999	N	None	None	SFY2001-02
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-15 00:00:00	020002679	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-29 00:00:00	None	No	2002-02-08 00:00:00	None	B	None	800	800	-280	520	0	020013966	A99999	N	None	None	SFY2001-02
020000648	STANLEY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-01-18 00:00:00	020002680	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2001-11-26 00:00:00	None	No	2002-02-19 00:00:00	None	B	None	600	600	-210	390	0	020013940	A99999	N	None	None	SFY2001-02
020000010	ASHBY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-23 00:00:00	020002681	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-07 00:00:00	2001-08-23 00:00:00	No	2002-02-19 00:00:00	None	B	None	750	1500	0	1500	0	020013997	A99999	N	None	None	SFY2001-02
020000813	SERRA CENTER VALPEY PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-01-24 00:00:00	020002682	Closed	Citation	Citation B (HSC 1424)	Other	RETALIATION	2001-10-24 00:00:00	2001-11-14 00:00:00	Yes	2002-08-26 00:00:00	2002-01-28 00:00:00	B	B	500	500	0	500	0	020013866	A99999	N	None	None	SFY2001-02
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-23 00:00:00	020002683	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-06 00:00:00	2001-10-01 00:00:00	No	2002-02-19 00:00:00	None	B	None	600	600	-210	390	0	020013879	A99999	N	None	None	SFY2001-02
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-02-06 00:00:00	020002684	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-12 00:00:00	None	No	2002-03-05 00:00:00	None	B	None	700	700	-245	455	0	020013901	A99999	N	None	None	SFY2001-02
020000119	REDWOOD HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2002-02-07 00:00:00	020002685	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-17 00:00:00	None	No	2002-03-06 00:00:00	None	B	None	700	700	-245	455	0	020014044	A99999	N	None	None	SFY2001-02
020000037	EMMANUEL POST ACUTE CARE - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2002-02-21 00:00:00	020002686	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-06 00:00:00	2001-11-15 00:00:00	No	2002-03-21 00:00:00	None	B	None	1000	3000	-1050	1950	0	020013935	A99999	N	None	None	SFY2001-02
020000103	HAYWARD GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-02-22 00:00:00	020002687	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-27 00:00:00	None	No	2002-03-19 00:00:00	None	B	None	600	600	0	600	0	020013836	A99999	N	None	None	SFY2001-02
020000276	CANYON CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-01 00:00:00	020002688	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-11 00:00:00	None	No	2002-03-29 00:00:00	None	B	None	500	500	-175	325	0	020013993	A99999	N	None	None	SFY2001-02
020000099	MCCLURE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-01 00:00:00	020002689	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-08 00:00:00	2001-12-07 00:00:00	No	2002-03-27 00:00:00	None	B	None	750	750	0	750	0	020013985	A99999	N	None	None	SFY2001-02
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-05 00:00:00	020002690	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-05 00:00:00	None	No	2002-04-02 00:00:00	None	B	B	1000	650	0	650	0	020014089	A99999	N	None	None	SFY2001-02
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-13 00:00:00	020002692	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2001-02-23 00:00:00	2002-02-28 00:00:00	No	2002-04-09 00:00:00	None	B	B	1000	650	0	650	0	020014154	A99999	N	None	None	SFY2001-02
020000836	RUUS VILLA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-03-19 00:00:00	020002693	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-01-31 00:00:00	None	No	2002-05-06 00:00:00	None	B	None	500	500	-175	325	0	020014042	A99999	N	None	None	SFY2001-02
020000005	ST ANTHONY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-22 00:00:00	020002694	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-10 00:00:00	2002-01-28 00:00:00	No	2002-04-17 00:00:00	None	B	None	600	600	0	600	0	020014105	A99999	N	None	None	SFY2001-02
020000093	EXCELL HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-29 00:00:00	020002695	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-05 00:00:00	2002-02-20 00:00:00	No	2002-04-29 00:00:00	None	B	None	500	500	-175	325	0	020014200	A99999	N	None	None	SFY2001-02
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-28 00:00:00	020002696	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-01-30 00:00:00	2002-02-08 00:00:00	No	2002-04-23 00:00:00	None	A	A Trebled	15000	9700	0	9700	0	020014106	A99999	N	None	None	SFY2001-02
020000813	SERRA CENTER VALPEY PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-04-17 00:00:00	020002697	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-24 00:00:00	None	Yes	2002-05-10 00:00:00	2002-04-26 00:00:00	B	None	1000	1000	0	1000	0	020013839	A99999	N	None	None	SFY2001-02
020000103	HAYWARD GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-05-02 00:00:00	020002699	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-29 00:00:00	2001-12-26 00:00:00	Yes	2002-05-30 00:00:00	2002-05-13 00:00:00	A	A	15000	7500	0	7500	0	020014085	A99999	N	None	None	SFY2001-02
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-05-15 00:00:00	020002700	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-02 00:00:00	None	No	2002-06-11 00:00:00	None	B	None	900	900	0	900	0	020014187	A99999	N	None	None	SFY2001-02
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2002-05-23 00:00:00	020002701	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-04 00:00:00	None	Yes	2002-06-20 00:00:00	2002-06-24 00:00:00	B	None	500	500	0	500	0	020014223	A99999	N	None	None	SFY2001-02
020000103	HAYWARD GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-05-29 00:00:00	020002702	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-03-07 00:00:00	None	Yes	2002-12-16 00:00:00	2002-06-06 00:00:00	B	B	1000	1000	0	1000	0	020014135	A99999	N	None	None	SFY2001-02
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-06-24 00:00:00	020002703	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-26 00:00:00	None	No	2002-07-23 00:00:00	None	B	None	800	800	-280	520	0	020014278	A99999	N	None	None	SFY2001-02
020000039	HAYWARD HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-06-26 00:00:00	020002704	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-10 00:00:00	2001-12-23 00:00:00	Yes	2002-07-22 00:00:00	2002-07-02 00:00:00	A	B	10000	10000	0	10000	0	020014025	A99999	N	None	None	SFY2001-02
020000084	IMMACULATE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-07-08 00:00:00	020002706	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-06-18 00:00:00	None	No	2002-08-01 00:00:00	None	B	None	500	500	0	500	0	020014442	A99999	N	None	None	SFY2002-03
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-07-10 00:00:00	020002707	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-27 00:00:00	None	No	2002-08-02 00:00:00	None	A	None	12000	12000	-4200	7800	0	020014310	A99999	N	None	None	SFY2002-03
020000103	HAYWARD GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-07-11 00:00:00	020002708	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-05 00:00:00	None	No	2002-08-05 00:00:00	None	B	None	600	600	0	600	0	020014315	A99999	N	None	None	SFY2002-03
020000103	HAYWARD GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-07-11 00:00:00	020002709	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-11 00:00:00	None	No	2002-08-05 00:00:00	None	B	None	600	600	0	600	0	020014415	A99999	N	None	None	SFY2002-03
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-07-15 00:00:00	020002710	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-23 00:00:00	None	No	2002-08-08 00:00:00	None	B	None	900	2700	-945	1755	0	020014457	A99999	N	None	None	SFY2002-03
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-07-16 00:00:00	020002711	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-26 00:00:00	2002-04-01 00:00:00	Yes	2002-08-08 00:00:00	2002-07-23 00:00:00	A	A	18000	9000	0	9000	0	020014240	A99999	N	None	None	SFY2002-03
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2002-07-29 00:00:00	020002712	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-02 00:00:00	None	Yes	2002-11-19 00:00:00	2002-08-12 00:00:00	B	B	700	700	0	700	0	020014438	A99999	N	None	None	SFY2002-03
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-08-15 00:00:00	020002713	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-08 00:00:00	2002-03-02 00:00:00	No	2002-09-17 00:00:00	None	B	None	1000	1000	0	1000	0	020014313	A99999	N	None	None	SFY2002-03
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-08-15 00:00:00	020002714	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-15 00:00:00	2002-04-15 00:00:00	No	2002-09-17 00:00:00	None	B	None	1000	1000	0	1000	0	020014313	A99999	N	None	None	SFY2002-03
020000084	IMMACULATE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-09-10 00:00:00	020002715	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-08-28 00:00:00	None	No	2002-10-01 00:00:00	None	B	None	500	500	0	500	0	020014669	A99999	N	None	None	SFY2002-03
020000128	ELMWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-09-13 00:00:00	020002716	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-12 00:00:00	None	No	2002-10-04 00:00:00	None	B	None	700	700	-245	455	0	020014562	A99999	N	None	None	SFY2002-03
020000112	KYAKAMEENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-09-13 00:00:00	020002717	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-02 00:00:00	2002-07-18 00:00:00	No	2002-10-28 00:00:00	None	B	None	600	600	-210	390	0	020014563	A99999	N	None	None	SFY2002-03
020000125	GARFIELD NEUROBEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-10-02 00:00:00	020002718	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-09 00:00:00	None	Yes	2003-06-02 00:00:00	2003-05-15 00:00:00	B	B	600	300	0	300	0	020014661	A99999	N	None	None	SFY2002-03
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-09-27 00:00:00	020002719	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-07-25 00:00:00	None	No	2002-10-25 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	020014571	A99999	N	None	None	SFY2002-03
020000042	KAISER PERMANENTE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-09-30 00:00:00	020002720	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-07 00:00:00	None	No	2002-10-25 00:00:00	None	B	None	600	600	-210	390	0	020014526	A99999	N	None	None	SFY2002-03
020000107	LAKESHORE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2002-10-10 00:00:00	020002721	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-08 00:00:00	2002-07-04 00:00:00	Yes	2003-04-15 00:00:00	2002-10-12 00:00:00	B	B	750	750	0	750	0	020014583	A99999	N	None	None	SFY2002-03
020000107	LAKESHORE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2002-10-10 00:00:00	020002722	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-08 00:00:00	2002-07-04 00:00:00	Yes	2003-05-08 00:00:00	2002-10-12 00:00:00	B	B	750	750	0	750	0	020014583	A99999	N	None	None	SFY2002-03
020000107	LAKESHORE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2002-10-10 00:00:00	020002723	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-08 00:00:00	2002-07-04 00:00:00	Yes	2003-05-08 00:00:00	2002-10-12 00:00:00	B	B	750	750	0	750	0	020014583	A99999	N	None	None	SFY2002-03
020001156	BARROW ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-10-21 00:00:00	020002724	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-08-28 00:00:00	None	No	2002-11-22 00:00:00	None	B	None	500	500	-175	325	0	020014764	A99999	N	None	None	SFY2002-03
020000084	IMMACULATE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-10-31 00:00:00	020002725	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-04 00:00:00	None	No	2002-11-22 00:00:00	None	B	None	700	700	0	700	0	020014821	A99999	N	None	None	SFY2002-03
020000060	BAYPOINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-10-30 00:00:00	020002726	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-09-06 00:00:00	None	No	2002-11-25 00:00:00	None	B	None	600	600	-210	390	0	020014709	A99999	N	None	None	SFY2002-03
020000010	ASHBY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-11-18 00:00:00	020002727	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-08-07 00:00:00	None	No	2002-12-17 00:00:00	None	A	None	16000	16000	-5600	10400	0	020014611	A99999	N	None	None	SFY2002-03
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2002-11-19 00:00:00	020002728	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-31 00:00:00	None	Yes	2003-04-08 00:00:00	2003-03-27 00:00:00	B	B	700	668	0	668	0	020014586	A99999	N	None	None	SFY2002-03
020000084	IMMACULATE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-11-22 00:00:00	020002729	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-27 00:00:00	None	No	2002-12-13 00:00:00	None	B	None	700	700	-700	0	0	020014826	A99999	N	None	None	SFY2002-03
020000028	BERKELEY PINES SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-12-03 00:00:00	020002730	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-21 00:00:00	2002-02-05 00:00:00	Yes	2003-06-26 00:00:00	2003-06-20 00:00:00	B	B	1000	1000	0	1000	0	020014379	A99999	N	None	None	SFY2002-03
020000084	IMMACULATE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-12-23 00:00:00	020002731	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-12-10 00:00:00	None	No	2003-01-13 00:00:00	None	B	None	800	800	-800	0	0	020014985	A99999	N	None	None	SFY2002-03
020000037	EMMANUEL POST ACUTE CARE - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2002-12-23 00:00:00	020002732	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-31 00:00:00	None	No	2003-01-21 00:00:00	None	B	None	1000	3000	-1050	1950	0	020014636	A99999	N	None	None	SFY2002-03
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-12-30 00:00:00	020002733	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-11 00:00:00	None	No	2003-01-24 00:00:00	None	B	None	650	650	0	650	0	020014705	A99999	N	None	None	SFY2002-03
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2003-01-14 00:00:00	020002734	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-27 00:00:00	None	No	2003-02-19 00:00:00	None	B	B Trebled	1000	3000	-2000	1000	0	020014782	A99999	N	None	None	SFY2002-03
020000112	KYAKAMEENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-01-13 00:00:00	020002735	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-18 00:00:00	2002-09-06 00:00:00	No	2003-02-04 00:00:00	None	B	None	900	900	-315	585	0	020014716	A99999	N	None	None	SFY2002-03
020000042	KAISER PERMANENTE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-01-16 00:00:00	020002736	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-06 00:00:00	None	No	2003-02-11 00:00:00	None	B	None	900	900	-315	585	0	020014721	A99999	N	None	None	SFY2002-03
020000093	EXCELL HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-01-23 00:00:00	020002737	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-13 00:00:00	None	No	2003-02-19 00:00:00	None	B	None	600	600	-210	390	0	020014860	A99999	N	None	None	SFY2002-03
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-01-27 00:00:00	020002738	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-14 00:00:00	None	No	2003-02-25 00:00:00	None	B	None	800	800	-280	520	0	020014825	A99999	N	None	None	SFY2002-03
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-01-31 00:00:00	020002739	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-16 00:00:00	None	No	2003-02-27 00:00:00	None	B	None	800	800	-280	520	0	020015081	A99999	N	None	None	SFY2002-03
020000019	VISTA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-02-04 00:00:00	020002740	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-09 00:00:00	2002-11-26 00:00:00	No	2003-03-04 00:00:00	None	B	None	800	800	-280	520	0	020014968	A99999	N	None	None	SFY2002-03
020000028	BERKELEY PINES SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-02-10 00:00:00	020002741	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-02 00:00:00	None	Yes	2003-06-10 00:00:00	2003-02-24 00:00:00	B	B	800	800	0	800	0	020015015	A99999	N	None	None	SFY2002-03
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2003-02-13 00:00:00	020002742	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-29 00:00:00	2002-07-15 00:00:00	Yes	2003-03-21 00:00:00	2003-03-19 00:00:00	A	A	15000	4771	0	4771	0	020015143	A99999	N	None	None	SFY2002-03
020000093	EXCELL HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-02-20 00:00:00	020002743	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-12 00:00:00	None	No	2003-03-18 00:00:00	None	B	None	800	800	-280	520	0	020015161	A99999	N	None	None	SFY2002-03
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-03-26 00:00:00	020002745	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-15 00:00:00	None	Yes	2003-04-21 00:00:00	2003-04-02 00:00:00	A	A	15000	8607	0	8607	0	020014934	A99999	N	None	None	SFY2002-03
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-18 00:00:00	020002746	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-27 00:00:00	2003-01-29 00:00:00	No	2003-05-14 00:00:00	None	B	None	700	700	-245	455	0	020015164	A99999	N	None	None	SFY2002-03
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-16 00:00:00	020002747	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-28 00:00:00	None	No	2003-05-16 00:00:00	None	B	None	1000	1000	-350	650	0	020015041	A99999	N	None	None	SFY2002-03
020000128	ELMWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-21 00:00:00	020002748	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-04 00:00:00	None	No	2003-05-16 00:00:00	None	B	None	800	800	-280	520	0	020015063	A99999	N	None	None	SFY2002-03
020000128	ELMWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-23 00:00:00	020002749	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2003-01-04 00:00:00	2003-01-14 00:00:00	No	2003-05-16 00:00:00	None	B	None	800	800	-280	520	0	020015063	A99999	N	None	None	SFY2002-03
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-24 00:00:00	020002750	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-03-02 00:00:00	None	Yes	2003-05-20 00:00:00	2003-05-06 00:00:00	B	B	900	510	0	510	0	020015204	A99999	N	None	None	SFY2002-03
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-05-16 00:00:00	020002751	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-09 00:00:00	None	Yes	2003-06-17 00:00:00	2003-06-02 00:00:00	B	B	800	459	0	459	0	020015176	A99999	N	None	None	SFY2002-03
020000070	ALL SAINT'S SUBACUTE & TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-05-23 00:00:00	020002752	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-10 00:00:00	None	No	2003-06-18 00:00:00	None	B	None	800	800	-280	520	0	020015322	A99999	N	None	None	SFY2002-03
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2003-05-28 00:00:00	020002753	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-27 00:00:00	None	No	2003-06-23 00:00:00	None	B	None	600	600	0	600	0	020015363	A99999	N	None	None	SFY2002-03
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2003-05-28 00:00:00	020002754	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2003-04-30 00:00:00	None	No	2003-06-18 00:00:00	None	B	None	600	600	0	600	0	020015363	A99999	N	None	None	SFY2002-03
020000817	SERRA CENTER GIBRALTAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-05-23 00:00:00	020002755	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-27 00:00:00	None	No	2003-06-20 00:00:00	None	B	None	700	700	-245	455	0	020015355	A99999	N	None	None	SFY2002-03
020000112	KYAKAMEENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-06-04 00:00:00	020002756	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-30 00:00:00	None	No	2003-06-25 00:00:00	None	B	None	1000	3000	-1050	1950	0	020015311	A99999	N	None	None	SFY2002-03
020000128	ELMWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-06-06 00:00:00	020002757	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-13 00:00:00	None	No	2003-07-07 00:00:00	None	B	None	1000	3000	-1050	1950	0	020015394	A99999	N	None	None	SFY2002-03
020000110	LAKE MERRITT HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2003-06-17 00:00:00	020002758	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-27 00:00:00	2002-10-27 00:00:00	No	2003-07-15 00:00:00	None	A	None	12500	12500	-4375	8125	0	020015479	A99999	N	None	None	SFY2002-03
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-07-09 00:00:00	020002759	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-05-27 00:00:00	2003-06-23 00:00:00	No	2003-08-04 00:00:00	None	B	None	900	900	-315	585	0	020015502	A99999	N	None	None	SFY2003-04
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-07-17 00:00:00	020002760	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-17 00:00:00	None	No	2003-08-12 00:00:00	None	B	None	700	700	-245	455	0	020015523	A99999	N	None	None	SFY2003-04
020000048	CHAPARRAL HOUSE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-07-18 00:00:00	020002762	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-12 00:00:00	None	No	2003-08-12 00:00:00	None	A	None	12000	12000	-4200	7800	0	020015253	A99999	N	None	None	SFY2003-04
020000064	ST. PAUL'S TOWERS	LTC	SNF	Skilled Nursing Facility	East Bay	2003-07-22 00:00:00	020002763	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-05 00:00:00	None	Yes	2004-02-06 00:00:00	2004-01-28 00:00:00	B	B	700	700	0	700	0	020015393	A99999	N	None	None	SFY2003-04
020000070	ALL SAINT'S SUBACUTE & TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-08-01 00:00:00	020002764	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2003-06-22 00:00:00	None	Yes	2003-12-26 00:00:00	2003-12-19 00:00:00	B	B	300	300	-300	0	0	020015508	A99999	N	None	None	SFY2003-04
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2003-08-11 00:00:00	020002765	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-26 00:00:00	None	No	2003-09-09 00:00:00	None	B	None	600	600	-210	390	0	020015638	A99999	N	None	None	SFY2003-04
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2003-08-15 00:00:00	020002767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-23 00:00:00	2003-06-10 00:00:00	No	2003-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	020015662	A99999	N	None	None	SFY2003-04
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2003-09-02 00:00:00	020002769	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-18 00:00:00	None	No	2003-09-26 00:00:00	None	B	None	700	700	-245	455	0	020015674	A99999	N	None	None	SFY2003-04
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-09-03 00:00:00	020002770	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-16 00:00:00	None	No	2003-09-26 00:00:00	None	B	None	800	800	-280	520	0	020015552	A99999	N	None	None	SFY2003-04
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-09-03 00:00:00	020002771	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-17 00:00:00	None	No	2003-09-29 00:00:00	None	A	None	12000	12000	-4200	7800	0	020015708	A99999	N	None	None	SFY2003-04
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2003-09-09 00:00:00	020002772	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-21 00:00:00	None	Yes	2004-07-26 00:00:00	2003-09-09 00:00:00	B	B	500	500	0	500	0	020015596	A99999	N	None	None	SFY2003-04
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-09-22 00:00:00	020002774	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-16 00:00:00	None	Yes	2003-10-20 00:00:00	2003-09-26 00:00:00	B	B	600	344	0	344	0	020015668	A99999	N	None	None	SFY2003-04
020000836	RUUS VILLA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-10-01 00:00:00	020002775	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-20 00:00:00	None	No	2003-10-27 00:00:00	None	B	None	500	500	-175	325	0	020015707	A99999	N	None	None	SFY2003-04
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-10-16 00:00:00	020002776	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-06 00:00:00	2003-08-14 00:00:00	No	2003-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	020015716	A99999	N	None	None	SFY2003-04
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2003-10-22 00:00:00	020002777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-16 00:00:00	None	No	2003-11-19 00:00:00	None	B	None	800	800	-280	520	0	020015796	A99999	N	None	None	SFY2003-04
020000060	BAYPOINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-10-23 00:00:00	020002778	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-20 00:00:00	None	No	2003-11-17 00:00:00	None	B	None	800	800	-280	520	0	020015711	A99999	N	None	None	SFY2003-04
020000020	WINDSOR COUNTRY DRIVE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-10-29 00:00:00	020002779	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-07-07 00:00:00	None	Yes	2003-11-21 00:00:00	2003-11-20 00:00:00	A	A	12000	10000	0	10000	0	020015559	A99999	N	None	None	SFY2003-04
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-11-06 00:00:00	020002781	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-22 00:00:00	None	No	2003-12-09 00:00:00	None	B	None	1000	1000	-350	650	0	020015778	A99999	N	None	None	SFY2003-04
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-11-25 00:00:00	020002782	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-03 00:00:00	None	No	2003-12-24 00:00:00	None	B	None	800	800	-280	520	0	020015803	A99999	N	None	None	SFY2003-04
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-12-09 00:00:00	020002783	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-19 00:00:00	None	No	2004-01-07 00:00:00	None	B	None	700	700	-245	455	0	020015865	A99999	N	None	None	SFY2003-04
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-12-16 00:00:00	020002784	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-11-19 00:00:00	None	No	2004-01-14 00:00:00	None	B	None	800	800	-280	520	0	020015919	A99999	N	None	None	SFY2003-04
020000093	EXCELL HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-12-19 00:00:00	020002785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-02 00:00:00	None	No	2004-01-16 00:00:00	None	B	None	500	500	-175	325	0	020015963	A99999	N	None	None	SFY2003-04
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-12-19 00:00:00	020002786	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-17 00:00:00	None	Yes	2004-01-13 00:00:00	2003-12-30 00:00:00	B	B	700	500	0	500	0	020015848	A99999	N	None	None	SFY2003-04
020000071	WINDSOR POST-ACUTE CARE CENTER OF HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2004-01-08 00:00:00	020002788	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-12-16 00:00:00	None	Yes	2004-02-04 00:00:00	2004-01-28 00:00:00	B	Dismissed by Court	600	5950	-5950	0	0	020015977	A99999	N	None	None	SFY2003-04
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2004-01-09 00:00:00	020002789	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-12 00:00:00	None	No	2004-02-04 00:00:00	None	B	None	600	600	-210	390	0	020015942	A99999	N	None	None	SFY2003-04
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2004-01-08 00:00:00	020002790	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-12-22 00:00:00	None	No	2004-02-10 00:00:00	None	B	None	800	800	0	800	0	020015994	A99999	N	None	None	SFY2003-04
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-01-26 00:00:00	020002791	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-10 00:00:00	None	No	2004-02-25 00:00:00	None	B	None	600	600	-210	390	0	020016001	A99999	N	None	None	SFY2003-04
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2004-01-26 00:00:00	020002792	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-28 00:00:00	2003-09-04 00:00:00	No	2004-02-24 00:00:00	None	B	None	600	600	-210	390	0	020015815	A99999	N	None	None	SFY2003-04
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-01-29 00:00:00	020002793	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-21 00:00:00	None	No	2004-03-01 00:00:00	None	B	None	700	700	-245	455	0	020015949	A99999	N	None	None	SFY2003-04
020000070	ALL SAINT'S SUBACUTE & TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2004-03-29 00:00:00	020002794	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-05 00:00:00	None	No	2004-04-23 00:00:00	None	B	None	600	600	-210	390	0	020016039	A99999	N	None	None	SFY2003-04
020000068	ST JOHN KRONSTADT CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-03-29 00:00:00	020002795	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-04-23 00:00:00	2003-10-27 00:00:00	Yes	2004-04-20 00:00:00	2004-04-12 00:00:00	A	A	12000	12000	0	12000	0	020015974	A99999	N	None	None	SFY2003-04
020000068	ST JOHN KRONSTADT CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-03-29 00:00:00	020002796	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-01-24 00:00:00	2004-01-29 00:00:00	Yes	2007-11-07 00:00:00	2004-04-13 00:00:00	A	A	12000	12000	0	12000	0	020016072	A99999	N	None	None	SFY2003-04
020000068	ST JOHN KRONSTADT CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-03-29 00:00:00	020002797	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-04-23 00:00:00	2003-06-24 00:00:00	Yes	2004-04-20 00:00:00	2004-04-12 00:00:00	B	B	800	400	0	400	0	020015974	A99999	N	None	None	SFY2003-04
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-04-06 00:00:00	020002798	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-09-21 00:00:00	None	Yes	2007-11-13 00:00:00	2004-04-21 00:00:00	AA	AA	70000	45000	0	45000	0	020015818	A99999	Y	None	None	SFY2003-04
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-04-14 00:00:00	020002799	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-02-05 00:00:00	None	No	2004-05-10 00:00:00	None	B	None	750	750	-262.5	487.5	0	020016269	A99999	N	None	None	SFY2003-04
020000119	REDWOOD HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2004-05-05 00:00:00	020002800	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-12 00:00:00	None	No	2004-05-28 00:00:00	None	B	None	600	600	-210	390	0	020016310	A99999	N	None	None	SFY2003-04
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-05-26 00:00:00	020002801	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-27 00:00:00	None	No	2004-06-22 00:00:00	None	B	None	750	750	-262.5	487.5	0	020016355	A99999	N	None	None	SFY2003-04
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-05-26 00:00:00	020002802	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-04-27 00:00:00	None	No	2004-06-22 00:00:00	None	B	None	800	800	-280	520	0	020016355	A99999	N	None	None	SFY2003-04
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-05-26 00:00:00	020002803	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-10 00:00:00	None	No	2004-06-22 00:00:00	None	B	None	800	2400	-840	1560	0	020016356	A99999	N	None	None	SFY2003-04
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2004-06-14 00:00:00	020002804	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-13 00:00:00	None	Yes	2004-07-12 00:00:00	2004-07-02 00:00:00	B	None	1000	1000	0	1000	0	020016368	A99999	N	None	None	SFY2003-04
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2004-06-14 00:00:00	020002805	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-19 00:00:00	None	Yes	2004-07-12 00:00:00	2004-07-02 00:00:00	B	None	1000	1000	0	1000	0	020016368	A99999	N	None	None	SFY2003-04
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2004-06-14 00:00:00	020002806	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-19 00:00:00	None	Yes	2004-07-12 00:00:00	2004-07-06 00:00:00	B	B	1000	300	0	300	0	020016368	A99999	N	None	None	SFY2003-04
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2004-06-30 00:00:00	020002807	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-21 00:00:00	2003-10-03 00:00:00	Yes	2004-07-26 00:00:00	2004-07-06 00:00:00	B	B	1000	2650	-2150	500	0	020016108	A99999	N	None	None	SFY2003-04
020001179	BRIDLE ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2004-07-16 00:00:00	020002808	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-05 00:00:00	None	No	2004-08-16 00:00:00	None	B	None	600	600	-210	390	0	020016408	A99999	N	None	None	SFY2004-05
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2004-07-28 00:00:00	020002809	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-21 00:00:00	None	Yes	2004-08-18 00:00:00	2004-08-10 00:00:00	B	B	1000	1000	0	1000	0	020016447	A99999	N	None	None	SFY2004-05
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-07-28 00:00:00	020002810	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-05-15 00:00:00	None	No	2004-09-21 00:00:00	None	B	None	600	600	-210	390	0	020016448	A99999	N	None	None	SFY2004-05
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-08-13 00:00:00	020002811	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-07-07 00:00:00	None	No	2004-09-03 00:00:00	None	B	None	600	600	-210	390	0	020016465	A99999	N	None	None	SFY2004-05
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2004-08-16 00:00:00	020002812	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-24 00:00:00	None	Yes	2004-09-14 00:00:00	2004-08-21 00:00:00	B	B	700	350	0	350	0	020016475	A99999	N	None	None	SFY2004-05
020000817	SERRA CENTER GIBRALTAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2004-08-18 00:00:00	020002813	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-08 00:00:00	None	No	2004-09-13 00:00:00	None	B	None	500	500	-175	325	0	020016476	A99999	N	None	None	SFY2004-05
020000070	ALL SAINT'S SUBACUTE & TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2004-09-08 00:00:00	020002814	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-07-21 00:00:00	None	No	2004-09-29 00:00:00	None	B	None	1000	1000	-1000	0	0	020016518	A99999	N	None	None	SFY2004-05
020000020	WINDSOR COUNTRY DRIVE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-09-15 00:00:00	020002815	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-05-04 00:00:00	None	Yes	2004-10-08 00:00:00	2004-09-17 00:00:00	A	A	18000	5250	0	5250	0	020016521	A99999	N	None	None	SFY2004-05
020000047	HAYWARD HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-09-29 00:00:00	020002816	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-15 00:00:00	None	No	2004-10-28 00:00:00	None	B	None	600	600	-210	390	0	020016552	A99999	N	None	None	SFY2004-05
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-10-04 00:00:00	020002817	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-28 00:00:00	None	No	2004-10-28 00:00:00	None	B	None	650	650	-227.5	422.5	0	020016572	A99999	N	None	None	SFY2004-05
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-10-27 00:00:00	020002818	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-06 00:00:00	None	No	2004-11-30 00:00:00	None	B	None	600	600	-210	390	0	020016595	A99999	N	None	None	SFY2004-05
020001052	SERRA CENTER SAN JUAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2004-11-03 00:00:00	020002819	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-12 00:00:00	None	No	2004-11-29 00:00:00	None	B	None	500	500	-175	325	0	020016614	A99999	N	None	None	SFY2004-05
020000060	BAYPOINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-11-05 00:00:00	020002820	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-06-24 00:00:00	2004-08-04 00:00:00	No	2004-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	020016620	A99999	N	None	None	SFY2004-05
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2004-11-08 00:00:00	020002821	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-03 00:00:00	None	No	2004-12-06 00:00:00	None	B	None	700	700	-245	455	0	020016622	A99999	N	None	None	SFY2004-05
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2004-11-10 00:00:00	020002822	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-04 00:00:00	None	No	2004-12-09 00:00:00	None	B	None	700	700	-245	455	0	020016623	A99999	N	None	None	SFY2004-05
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2004-12-02 00:00:00	020002823	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-18 00:00:00	2004-11-18 00:00:00	No	2004-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	020016672	A99999	N	None	None	SFY2004-05
020000813	SERRA CENTER VALPEY PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2004-12-03 00:00:00	020002824	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-05 00:00:00	None	No	2005-01-03 00:00:00	None	B	None	500	500	-175	325	0	020016680	A99999	N	None	None	SFY2004-05
020000020	WINDSOR COUNTRY DRIVE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-12-20 00:00:00	020002825	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-02 00:00:00	None	No	2005-01-14 00:00:00	None	B	None	600	600	-210	390	0	020016708	A99999	N	None	None	SFY2004-05
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-01-10 00:00:00	020002826	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-14 00:00:00	None	No	2005-02-07 00:00:00	None	B	None	600	600	-210	390	0	020016739	A99999	N	None	None	SFY2004-05
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2005-02-15 00:00:00	020002827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-15 00:00:00	None	No	2005-03-11 00:00:00	None	B	None	1000	1000	-350	650	0	020016784	A99999	N	None	None	SFY2004-05
020000047	HAYWARD HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-03-01 00:00:00	020002828	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-27 00:00:00	None	No	2005-04-01 00:00:00	None	B	None	600	600	0	600	0	020016785	A99999	N	None	None	SFY2004-05
020000142	SUNSHINE ICF/DDH #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2005-03-17 00:00:00	020002829	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-08 00:00:00	None	Yes	2005-04-11 00:00:00	2005-03-21 00:00:00	B	B	500	250	0	250	0	020016786	A99999	N	None	None	SFY2004-05
020000017	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-05-09 00:00:00	020002830	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-01-18 00:00:00	None	No	2005-06-06 00:00:00	None	A	None	8000	8000	-2800	5200	0	020016787	A99999	N	None	None	SFY2004-05
020000037	EMMANUEL POST ACUTE CARE - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2005-08-01 00:00:00	020002831	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-03-13 00:00:00	2005-03-13 00:00:00	Yes	2006-03-27 00:00:00	2006-03-20 00:00:00	AA	AA	75000	15000	0	15000	0	020016788	A99999	Y	None	None	SFY2005-06
020000877	ELENA'S ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2005-09-15 00:00:00	020002832	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-13 00:00:00	None	No	2005-10-06 00:00:00	None	B	None	400	400	-140	260	0	020016789	A99999	N	None	None	SFY2005-06
020000836	RUUS VILLA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2005-11-14 00:00:00	020002833	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-02 00:00:00	None	No	2005-12-07 00:00:00	None	B	None	500	500	0	500	0	020016790	A99999	N	None	None	SFY2005-06
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2006-01-17 00:00:00	020002834	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-03 00:00:00	2005-10-03 00:00:00	No	2006-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	020016791	A99999	N	None	None	SFY2005-06
140000113	LAFAYETTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2006-03-08 00:00:00	020002899	Closed	Citation	Citation B (HSC 1424)	Administration	Patient Care	2005-12-27 00:00:00	2005-12-27 00:00:00	No	2006-03-29 00:00:00	None	B	None	600	600	-210	390	0	None	EM4E11	N	CA00067798, CA00067798, CA00067798	C, C, C	SFY2005-06
020000813	SERRA CENTER VALPEY PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2006-07-21 00:00:00	020003213	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-28 00:00:00	2006-04-28 00:00:00	No	2006-08-11 00:00:00	None	B	None	600	600	-210	390	0	None	INBN11	N	None	None	SFY2006-07
020000274	THE REHABILITATION CENTER OF OAKLAND	LTC	SNF	Skilled Nursing Facility	East Bay	2006-12-01 00:00:00	020003536	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-24 00:00:00	2006-08-24 00:00:00	Yes	2006-12-22 00:00:00	2006-12-07 00:00:00	A	None	15000	15000	0	15000	0	None	CKBN11	N	CA00093386	B	SFY2006-07
020000111	JONES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2006-12-06 00:00:00	020003546	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-03 00:00:00	2006-08-03 00:00:00	No	2006-12-28 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	49ZL11	N	CA00090772	C	SFY2006-07
020001292	E & J CARE PROVIDER, INC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2007-01-18 00:00:00	020003638	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-21 00:00:00	2006-11-21 00:00:00	Yes	2007-02-16 00:00:00	2007-02-09 00:00:00	B	B	800	400	0	400	0	None	8VNP11	N	CA00100052, CA00100115	B, B	SFY2006-07
140000078	TAMPICO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2007-02-09 00:00:00	020003708	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-19 00:00:00	2006-05-19 00:00:00	No	2007-03-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	I14811	N	CA00082287	C	SFY2006-07
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2007-03-26 00:00:00	020003845	Closed	Citation	Citation A (HSC 1424)	Other	Accidents	2006-12-01 00:00:00	2006-12-01 00:00:00	Yes	2007-04-16 00:00:00	2007-03-27 00:00:00	A	A	15000	8000	0	8000	0	None	I6R511	N	CA00100215, CA00100309, CA00100310, CA00100828, CA00103427	B, B, B, B, D	SFY2006-07
020001052	SERRA CENTER SAN JUAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2007-05-03 00:00:00	020003927	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-31 00:00:00	2007-03-31 00:00:00	No	2007-05-24 00:00:00	None	B	None	700	700	-245	455	0	None	FGU711	N	CA00111041	B	SFY2006-07
020000276	CANYON CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2007-05-07 00:00:00	020003934	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-05 00:00:00	2007-04-05 00:00:00	No	2007-05-28 00:00:00	None	B	None	600	600	-210	390	0	None	ECQ9	N	CA00111438	B	SFY2006-07
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2007-05-22 00:00:00	020003973	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-03-26 00:00:00	2007-03-26 00:00:00	Yes	2007-06-13 00:00:00	2007-05-29 00:00:00	B	B	1000	500	0	500	0	None	RVOC11	N	CA00111071	C	SFY2006-07
020000813	SERRA CENTER VALPEY PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2007-05-29 00:00:00	020003993	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-17 00:00:00	2007-04-17 00:00:00	No	2007-06-19 00:00:00	None	B	None	800	800	-280	520	0	None	1FTU11	N	CA00113154, CA00113635, CA00114165	C, B, B	SFY2006-07
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2007-07-03 00:00:00	020004058	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-16 00:00:00	2004-09-16 00:00:00	No	2007-07-25 00:00:00	None	B	None	600	800	0	800	0	None	BLY111	N	CA00118884	D	SFY2007-08
020000119	REDWOOD HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2007-10-22 00:00:00	020004369	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-04 00:00:00	2007-09-04 00:00:00	No	2007-11-13 00:00:00	None	B	None	500	500	-175	325	0	None	4CTI11	N	CA00127751	B	SFY2007-08
020000107	LAKESHORE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2007-11-05 00:00:00	020004418	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-04 00:00:00	2007-09-04 00:00:00	No	2007-11-30 00:00:00	None	B	None	1000	2000	-350	1650	0	None	T65F11	N	CA00127791	B	SFY2007-08
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2007-11-06 00:00:00	020004425	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-16 00:00:00	2007-06-16 00:00:00	Yes	2007-11-30 00:00:00	2007-11-08 00:00:00	A	A	18000	10000	0	10000	0	None	YU8011	Y	CA00117585, CA00118888	C, C	SFY2007-08
140000138	CREEKSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2007-11-20 00:00:00	020004461	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-14 00:00:00	2006-10-14 00:00:00	No	2007-12-13 00:00:00	None	B	None	700	1150	0	1150	0	None	630111	N	CA00095973	B	SFY2007-08
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2007-12-20 00:00:00	020004526	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-08-24 00:00:00	2007-08-24 00:00:00	No	2008-01-15 00:00:00	None	B	None	600	1950	-210	1740	0	None	1E1C11	N	CA00126087	C	SFY2007-08
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2008-01-14 00:00:00	020004580	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-12-27 00:00:00	2007-12-27 00:00:00	No	2008-02-05 00:00:00	None	B	None	500	500	-175	325	0	None	96Z711	N	CA00136159	A	SFY2007-08
140000113	LAFAYETTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-01-30 00:00:00	020004609	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-29 00:00:00	2007-12-29 00:00:00	No	2008-02-22 00:00:00	None	B	None	800	800	-280	520	0	None	YJ6F11	N	CA00136458, CA00136558	C, B	SFY2007-08
020000274	THE REHABILITATION CENTER OF OAKLAND	LTC	SNF	Skilled Nursing Facility	East Bay	2008-01-31 00:00:00	020004639	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-24 00:00:00	2006-10-24 00:00:00	Yes	2008-02-25 00:00:00	2008-02-07 00:00:00	B	B	1000	700	0	700	0	None	FUJC11	N	CA00096943	A	SFY2007-08
020000119	REDWOOD HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2008-02-13 00:00:00	020004683	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-28 00:00:00	2007-10-28 00:00:00	No	2008-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	824111	N	CA00135558	C	SFY2007-08
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-04-02 00:00:00	020004841	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-24 00:00:00	2008-01-24 00:00:00	No	2008-04-28 00:00:00	None	B	None	700	700	-245	455	0	None	QF2K11	N	CA00141128, CA00141429	B, B	SFY2007-08
020001289	NEAL'S HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2008-04-08 00:00:00	020004867	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-06 00:00:00	2008-01-06 00:00:00	No	2008-05-02 00:00:00	None	B	None	800	800	0	800	0	None	Y9J011	N	CA00141961, CA00142153	C, B	SFY2007-08
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-05-06 00:00:00	020004967	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-11-24 00:00:00	2007-11-24 00:00:00	Yes	2010-07-16 00:00:00	2010-10-27 00:00:00	AA	AA	60000	10000	0	10000	0	None	1V4W11	Y	CA00133368, CA00133368	C, C	SFY2007-08
020000677	SUNSHINE ICF/DDH #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2008-05-08 00:00:00	020005007	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-14 00:00:00	2008-04-14 00:00:00	Yes	2008-06-02 00:00:00	2008-05-16 00:00:00	B	B	600	300	0	300	0	None	BLXH11	N	CA00147017	B	SFY2007-08
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-05-22 00:00:00	020005057	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-06-17 00:00:00	None	B	None	800	800	-280	520	0	None	C9RW11	N	CA00148477	B	SFY2007-08
140000078	TAMPICO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-06-11 00:00:00	020005128	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-23 00:00:00	2007-11-23 00:00:00	No	2008-07-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	CCUV11	N	CA00140662	C	SFY2007-08
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-07-16 00:00:00	020005236	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-26 00:00:00	2007-12-26 00:00:00	No	2008-08-06 00:00:00	None	B	None	900	900	-315	585	0	None	0KWU11	N	CA00136959	C	SFY2008-09
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-07-22 00:00:00	020005249	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-26 00:00:00	2008-05-26 00:00:00	Yes	2008-08-12 00:00:00	2008-08-04 00:00:00	B	B	1000	500	0	500	0	None	XCQC11	N	CA00152129	C	SFY2008-09
140001320	GLACIER WAY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2008-08-05 00:00:00	020005305	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-26 00:00:00	2008-05-26 00:00:00	No	2008-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	95T711	N	CA00151801	C	SFY2008-09
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-08-06 00:00:00	020005306	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-26 00:00:00	2008-05-26 00:00:00	Yes	2012-08-08 00:00:00	2012-04-06 00:00:00	A	A	20000	5500	0	5500	0	None	XCQC11	N	CA00152129	C	SFY2008-09
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2008-08-25 00:00:00	020005347	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-27 00:00:00	2008-07-27 00:00:00	No	2008-09-16 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	UN6811	N	CA00158834	B	SFY2008-09
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2008-08-25 00:00:00	020005349	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-06-07 00:00:00	2008-06-07 00:00:00	No	2008-09-16 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	0J1F11	N	CA00153004	C	SFY2008-09
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-09-17 00:00:00	020005430	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-22 00:00:00	2008-08-22 00:00:00	Yes	2008-10-08 00:00:00	2008-09-26 00:00:00	B	B	750	375	0	375	0	None	4PF411	N	CA00161320	C	SFY2008-09
140001314	NEW WAY ICF/DD-H #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2008-09-25 00:00:00	020005463	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-06 00:00:00	2008-07-06 00:00:00	No	2008-10-17 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	M7XS11	N	CA00156204	C	SFY2008-09
140000105	LONE TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2008-09-25 00:00:00	020005465	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-16 00:00:00	2008-08-16 00:00:00	No	2008-10-22 00:00:00	None	B	None	600	600	-210	390	0	None	N6MT11	N	CA00161685	B	SFY2008-09
140000038	GREENRIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2008-09-25 00:00:00	020005466	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-28 00:00:00	2008-08-28 00:00:00	No	2008-10-17 00:00:00	None	B	None	600	600	-210	390	0	None	4PMR11	N	CA00161834	B	SFY2008-09
140000003	DELTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2008-10-03 00:00:00	020005493	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-25 00:00:00	2008-08-25 00:00:00	Yes	2008-10-27 00:00:00	2008-10-20 00:00:00	B	B	550	275	0	275	0	None	O45U11	N	CA00161325	B	SFY2008-09
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2008-10-14 00:00:00	020005517	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-16 00:00:00	2008-09-16 00:00:00	No	2008-11-14 00:00:00	None	B	None	700	1000	-245	755	0	None	QD3211	N	CA00163862	B	SFY2008-09
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-11-13 00:00:00	020005599	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-09-10 00:00:00	2008-09-10 00:00:00	No	2008-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	LCNV11	N	None	None	SFY2008-09
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-11-19 00:00:00	020005625	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-03 00:00:00	2008-03-03 00:00:00	Yes	2008-12-17 00:00:00	2008-11-21 00:00:00	B	B	700	350	0	350	0	None	XOO311	N	CA00145397	A	SFY2008-09
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2008-12-08 00:00:00	020005672	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-11-12 00:00:00	2008-11-12 00:00:00	No	2009-01-01 00:00:00	None	B	None	800	800	0	800	0	None	P4BM11	N	CA00169049	A	SFY2008-09
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2008-12-08 00:00:00	020005674	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2008-11-12 00:00:00	2008-11-12 00:00:00	No	2009-01-01 00:00:00	None	B	None	700	700	0	700	0	None	P4BM11	N	CA00169049	A	SFY2008-09
140000113	LAFAYETTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-12-18 00:00:00	020005705	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-07 00:00:00	2008-11-07 00:00:00	No	2009-01-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	T6P911	N	CA00168867, CA00168867	B, B	SFY2008-09
140000113	LAFAYETTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-12-18 00:00:00	020005707	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-05 00:00:00	2008-12-05 00:00:00	No	2009-01-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	Q86P11	N	CA00170995	B	SFY2008-09
020000093	EXCELL HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-01-12 00:00:00	020005764	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-19 00:00:00	2008-08-19 00:00:00	No	2009-02-09 00:00:00	None	B	None	500	500	-175	325	0	None	LH3H11	N	CA00172544	C	SFY2008-09
140000113	LAFAYETTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-01-16 00:00:00	020005781	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-11 00:00:00	2008-10-11 00:00:00	No	2009-02-06 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	OXFM11	N	CA00166315	B	SFY2008-09
020001263	MIKA'S HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2009-02-04 00:00:00	020005840	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-18 00:00:00	2008-12-18 00:00:00	Yes	2013-03-01 00:00:00	2013-01-29 00:00:00	A	A	7500	7500	0	7500	0	None	WBJI11	N	CA00172792	C	SFY2008-09
020000019	VISTA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2009-02-11 00:00:00	020005865	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-20 00:00:00	2009-01-20 00:00:00	No	2009-03-11 00:00:00	None	B	None	800	800	-280	520	0	None	E9V211	N	CA00175482	C	SFY2008-09
020000010	ASHBY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-02-13 00:00:00	020005877	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-12-19 00:00:00	2008-12-19 00:00:00	No	2009-03-09 00:00:00	None	B	None	500	500	0	500	0	None	4CZB11	N	CA00172512	B	SFY2008-09
140001330	NEW WAY ICF/DD-N #N3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2009-03-13 00:00:00	020005961	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-27 00:00:00	2008-09-27 00:00:00	No	2009-04-06 00:00:00	None	B	None	700	700	-245	455	0	None	63XN11	N	CA00164718	B	SFY2008-09
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2009-03-26 00:00:00	020006012	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-05 00:00:00	2009-03-05 00:00:00	No	2009-04-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	IF1711	N	CA00179949	C	SFY2008-09
020000093	EXCELL HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-04-27 00:00:00	020006131	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-04-05 00:00:00	2009-04-05 00:00:00	No	2009-05-18 00:00:00	None	B	None	600	600	-210	390	0	None	GK0J11	N	CA00184212	C	SFY2008-09
140000122	THE VINEYARDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-04-28 00:00:00	020006133	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-11-18 00:00:00	2008-11-18 00:00:00	No	2009-05-19 00:00:00	None	B	None	500	500	-175	325	0	None	BP7X11	N	CA00171327	B	SFY2008-09
020000132	FREMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-05-19 00:00:00	020006193	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-04-12 00:00:00	2009-04-12 00:00:00	No	2009-06-16 00:00:00	None	B	None	600	600	0	600	0	None	6NXJ11	N	CA00186510	C	SFY2008-09
140000038	GREENRIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2009-05-20 00:00:00	020006204	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-04-04 00:00:00	2009-04-04 00:00:00	No	2009-06-11 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	NE9Y11	N	CA00183863	B	SFY2008-09
020000019	VISTA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2009-06-15 00:00:00	020006281	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-23 00:00:00	2009-05-23 00:00:00	No	2009-07-06 00:00:00	None	B	None	600	600	-210	390	0	None	JCSR11	N	CA00189664	B	SFY2008-09
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2009-06-29 00:00:00	020006319	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-03-28 00:00:00	2009-03-28 00:00:00	Yes	2009-07-23 00:00:00	2009-07-01 00:00:00	A	A	15000	15000	0	15000	0	None	3Q9111	N	CA00184036	B	SFY2008-09
140000136	CONCORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2009-08-20 00:00:00	020006479	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-06 00:00:00	2009-06-06 00:00:00	Yes	2009-09-11 00:00:00	2009-08-25 00:00:00	B	B	600	390	0	390	0	None	JOZN11	N	CA00191017	C	SFY2009-10
020000132	FREMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-09-03 00:00:00	020006522	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-19 00:00:00	2009-06-19 00:00:00	Yes	2009-10-02 00:00:00	2009-09-14 00:00:00	B	B	800	400	0	400	0	None	NPU111	N	CA00198065	C	SFY2009-10
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2009-09-30 00:00:00	020006582	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-12 00:00:00	2009-09-12 00:00:00	No	2009-10-26 00:00:00	None	B	None	600	600	0	600	0	None	GC3X11	N	CA00201758	C	SFY2009-10
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2009-10-14 00:00:00	020006611	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-09-01 00:00:00	2009-09-01 00:00:00	No	2009-11-10 00:00:00	None	B	None	600	600	0	600	0	None	L6BE11	N	CA00203533	B	SFY2009-10
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-10-21 00:00:00	020006626	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-04 00:00:00	2009-04-04 00:00:00	Yes	2009-12-03 00:00:00	2009-10-30 00:00:00	B	B	800	400	0	400	0	None	2GXO11	N	CA00199301	C	SFY2009-10
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2009-10-22 00:00:00	020006631	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-18 00:00:00	2009-09-18 00:00:00	No	2009-11-17 00:00:00	None	B	None	500	500	0	500	0	None	P7N911	N	CA00202357	B	SFY2009-10
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2009-10-22 00:00:00	020006632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-09 00:00:00	2009-09-09 00:00:00	No	2009-11-17 00:00:00	None	B	None	500	500	0	500	0	None	P7N911	N	CA00202565	B	SFY2009-10
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-11-02 00:00:00	020006672	Closed	Citation	Citation B (HSC 1424)	Other	Sanitary Conditions	2009-10-04 00:00:00	2009-10-04 00:00:00	No	2009-12-01 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	K0VV11	N	None	None	SFY2009-10
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-11-02 00:00:00	020006675	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-05-17 00:00:00	2009-05-17 00:00:00	No	2009-12-01 00:00:00	None	B	None	800	800	-280	520	0	None	4AI111	N	None	None	SFY2009-10
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-11-02 00:00:00	020006676	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-01 00:00:00	2009-09-01 00:00:00	No	2009-12-01 00:00:00	None	B	None	800	800	-280	520	0	None	4AI111	N	None	None	SFY2009-10
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-11-03 00:00:00	020006680	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-15 00:00:00	2008-12-15 00:00:00	No	2009-11-25 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	4AI111	N	None	None	SFY2009-10
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-11-03 00:00:00	020006682	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-06 00:00:00	2009-10-06 00:00:00	No	2009-11-25 00:00:00	None	B	None	900	900	-315	585	0	None	4AI111	N	None	None	SFY2009-10
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-11-03 00:00:00	020006683	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-07 00:00:00	2009-10-07 00:00:00	No	2009-11-25 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	4AI111	N	None	None	SFY2009-10
140000113	LAFAYETTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2009-11-18 00:00:00	020006720	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-20 00:00:00	2009-10-20 00:00:00	No	2009-12-11 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	SNUE11	N	None	None	SFY2009-10
140001320	GLACIER WAY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2009-12-16 00:00:00	020006796	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-27 00:00:00	2009-06-27 00:00:00	Yes	2010-01-08 00:00:00	2009-12-23 00:00:00	B	B	1000	650	0	650	0	None	525811	N	CA00193338	C	SFY2009-10
140000136	CONCORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2010-01-07 00:00:00	020006881	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-30 00:00:00	2009-07-30 00:00:00	No	2010-02-01 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	522011	N	CA00198631	C	SFY2009-10
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2010-01-19 00:00:00	020006923	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-04 00:00:00	2009-08-04 00:00:00	No	2010-02-09 00:00:00	None	B	None	900	900	-315	585	0	None	PVOC11	N	CA00197615	C	SFY2009-10
020000135	BAY AREA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2010-01-20 00:00:00	020006924	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-28 00:00:00	2009-09-28 00:00:00	No	2010-02-10 00:00:00	None	B	None	900	900	-315	585	0	None	0DPU11	N	CA00204068	B	SFY2009-10
020000132	FREMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2010-01-25 00:00:00	020006936	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-12-10 00:00:00	2009-12-10 00:00:00	No	2010-03-01 00:00:00	None	B	None	800	800	-280	520	0	None	HEV511	N	CA00211127	B	SFY2009-10
630009941	BIENVENUE ICFDD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2010-03-26 00:00:00	020007069	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-12-27 00:00:00	2009-12-27 00:00:00	No	2010-04-19 00:00:00	None	B	None	800	800	0	800	0	None	TIP911	N	CA00214106, CA00214208	C, C	SFY2009-10
140000136	CONCORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2010-03-26 00:00:00	020007077	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-29 00:00:00	2008-03-29 00:00:00	No	2010-04-26 00:00:00	None	B	None	800	800	-280	520	0	None	LXZT11	N	CA00165850	C	SFY2009-10
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2010-03-26 00:00:00	020007080	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-11 00:00:00	2009-06-11 00:00:00	Yes	2010-04-19 00:00:00	2010-04-05 00:00:00	B	B	1000	650	0	650	0	None	WXU611	N	CA00197511	C	SFY2009-10
140001346	MEADOWBROOK CIRCLE ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2010-03-30 00:00:00	020007086	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-11-16 00:00:00	2009-11-16 00:00:00	No	2010-04-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	ZYD811	N	CA00210066	C	SFY2009-10
020000276	CANYON CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2010-04-08 00:00:00	020007101	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-23 00:00:00	2010-03-23 00:00:00	No	2010-04-29 00:00:00	None	B	None	800	800	-280	520	0	None	Z66Y11	N	None	None	SFY2009-10
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2010-04-28 00:00:00	020007171	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-03 00:00:00	2009-07-03 00:00:00	Yes	2010-05-25 00:00:00	2010-04-29 00:00:00	B	None	700	700	0	700	0	None	YCJH11	N	CA00194088	B	SFY2009-10
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2010-05-13 00:00:00	020007213	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-01-01 00:00:00	2010-01-01 00:00:00	Yes	2010-06-04 00:00:00	2011-03-23 00:00:00	B	None	600	600	0	600	0	None	9J6P11	N	CA00217557	C	SFY2009-10
020000681	SUNSHINE ICF/DDH #6	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2010-05-19 00:00:00	020007218	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-22 00:00:00	2010-04-22 00:00:00	Yes	2010-06-15 00:00:00	2010-06-16 00:00:00	B	None	900	900	0	900	0	None	9NRB11	N	CA00226357	B	SFY2009-10
020000128	ELMWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2010-06-10 00:00:00	020007287	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-09-04 00:00:00	2009-09-04 00:00:00	Yes	2010-07-06 00:00:00	2010-06-23 00:00:00	A	None	18000	18000	0	18000	0	None	RXE711	N	CA00201336, CA00212268	C, C	SFY2009-10
140001356	NULL DRIVE ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2010-08-09 00:00:00	020007474	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-29 00:00:00	2010-03-29 00:00:00	No	2010-09-01 00:00:00	None	B	None	700	700	-245	455	0	None	2GM411	N	CA00224375	C	SFY2010-11
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2010-08-19 00:00:00	020007501	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-02 00:00:00	2010-03-02 00:00:00	No	2010-09-13 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	REL011	N	CA00220698	C	SFY2010-11
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2010-08-19 00:00:00	020007502	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-13 00:00:00	2010-05-13 00:00:00	No	2010-09-20 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	W0WI11	N	CA00229784	B	SFY2010-11
140001338	WINGS I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2010-08-26 00:00:00	020007513	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-26 00:00:00	2009-10-26 00:00:00	No	2010-09-21 00:00:00	None	B	None	600	600	-210	390	0	None	JVEX11	N	CA00206618	C	SFY2010-11
020000125	GARFIELD NEUROBEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2010-09-23 00:00:00	020007593	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-02-05 00:00:00	2010-02-05 00:00:00	Yes	2010-10-14 00:00:00	2010-10-05 00:00:00	A	A	15000	6000	0	6000	0	None	FM1X11	Y	CA00217719	C	SFY2010-11
140001348	FRANCISCO ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2010-09-28 00:00:00	020007599	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-24 00:00:00	2010-06-24 00:00:00	No	2010-10-20 00:00:00	None	B	None	600	600	-210	390	0	None	NF9311	N	CA00231906	C	SFY2010-11
020000015	BANCROFT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2010-10-13 00:00:00	020007606	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-06-10 00:00:00	2010-06-10 00:00:00	No	2010-11-03 00:00:00	None	AA	None	60000	60000	-21000	39000	0	None	3QDT11	Y	CA00231955	B	SFY2010-11
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2010-09-30 00:00:00	020007609	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-22 00:00:00	2010-05-22 00:00:00	No	2010-10-25 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	FBIG11	N	CA00230951	B	SFY2010-11
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2010-10-15 00:00:00	020007629	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-20 00:00:00	2010-08-20 00:00:00	No	2010-11-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZNN711	N	CA00240606	B	SFY2010-11
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2010-10-21 00:00:00	020007656	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-09 00:00:00	2010-08-09 00:00:00	No	2010-11-17 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	FKO811	N	CA00238530	B	SFY2010-11
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2010-10-21 00:00:00	020007658	Closed	Citation	Citation B (HSC 1424)	Other	Impeding investigation	2010-08-10 00:00:00	2010-08-10 00:00:00	No	2010-11-17 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	FKO811	N	CA00238530	B	SFY2010-11
020000020	WINDSOR COUNTRY DRIVE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2010-10-29 00:00:00	020007678	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-10 00:00:00	2010-09-10 00:00:00	Yes	2010-11-22 00:00:00	2010-11-15 00:00:00	B	B	650	350	0	350	0	None	D54B11	N	CA00244174	B	SFY2010-11
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2010-11-17 00:00:00	020007716	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-02 00:00:00	2010-10-02 00:00:00	No	2010-12-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	J4CK11	N	CA00245150	B	SFY2010-11
140000574	ALHAMBRA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2011-01-20 00:00:00	020007852	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-19 00:00:00	2010-03-19 00:00:00	No	2011-02-10 00:00:00	None	B	None	600	600	-210	390	0	None	7X1J11	N	CA00222686	C	SFY2010-11
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2011-01-26 00:00:00	020007871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-20 00:00:00	2010-11-20 00:00:00	No	2011-02-16 00:00:00	None	B	None	650	650	0	650	0	None	L85F11	N	CA00250624	C	SFY2010-11
140001126	TICE VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2011-03-02 00:00:00	020007982	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-11 00:00:00	2009-09-11 00:00:00	No	2011-03-23 00:00:00	None	B	None	600	600	-210	390	0	None	LUTP11	N	CA00243343	B	SFY2010-11
140000003	DELTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2011-03-09 00:00:00	020008022	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-11-21 00:00:00	2010-11-21 00:00:00	Yes	2011-03-30 00:00:00	2011-03-17 00:00:00	A	None	2300	2300	0	2300	0	None	DSU611	N	CA00251717	B	SFY2010-11
140000078	TAMPICO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2011-03-14 00:00:00	020008026	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-31 00:00:00	2010-05-31 00:00:00	No	2011-04-05 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	L3GC11	N	CA00231059	C	SFY2010-11
020000043	ALAMEDA HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2011-05-03 00:00:00	020008184	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-12-23 06:00:00	2010-12-23 06:00:00	No	2011-05-24 00:00:00	None	FTR BR	None	1300	1300	0	1300	0	None	M2NW11	None	CA00255091	B	SFY2010-11
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2011-05-17 00:00:00	020008251	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-31 00:00:00	2010-08-31 00:00:00	Yes	2014-04-30 00:00:00	2011-05-24 00:00:00	B	B	600	600	0	600	0	None	UXMG11	N	CA00242575	B	SFY2010-11
140000113	LAFAYETTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2011-06-08 00:00:00	020008296	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-05-04 00:00:00	2011-05-04 00:00:00	No	2011-06-29 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	WPGS11	N	CA00270114	B	SFY2010-11
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2011-08-12 00:00:00	020008464	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-08 00:00:00	2011-06-08 00:00:00	No	2011-09-02 00:00:00	None	B	None	600	600	0	600	0	None	PY8T11	N	CA00272577	C	SFY2011-12
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2011-08-12 00:00:00	020008466	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-03 00:00:00	2011-04-03 00:00:00	No	2011-09-02 00:00:00	None	B	None	750	750	0	750	0	None	PY8T11	N	CA00265938	B	SFY2011-12
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2011-09-07 00:00:00	020008544	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-26 00:00:00	2010-03-26 00:00:00	Yes	2011-09-29 00:00:00	2011-09-08 00:00:00	A	None	15000	15000	0	15000	0	None	HBNO11	N	CA00256713	B	SFY2011-12
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2011-10-13 00:00:00	020008639	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-08-26 00:00:00	2011-08-26 00:00:00	No	2011-11-03 00:00:00	None	B	None	900	900	-315	585	0	None	I3UR11	N	CA00281614	B	SFY2011-12
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2011-11-10 00:00:00	020008733	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-08-20 00:00:00	2010-08-20 00:00:00	No	2011-12-06 00:00:00	None	B	None	700	700	0	700	0	None	NJQ511	N	CA00244260	B	SFY2011-12
140000051	LA CASA VIA TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2011-11-30 00:00:00	020008751	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-04 00:00:00	2011-06-04 00:00:00	Yes	2011-12-21 00:00:00	2011-12-14 00:00:00	B	B	800	520	0	520	0	None	YG3S11	N	CA00272186, CA00272694	B, B	SFY2011-12
140001291	AVONDALE VILLA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2011-11-30 00:00:00	020008754	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-24 00:00:00	2011-09-24 00:00:00	No	2011-12-21 00:00:00	None	B	None	800	800	-280	520	0	None	UNSD11	N	CA00284713	B	SFY2011-12
140000003	DELTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2011-11-18 00:00:00	020008758	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-12-19 00:00:00	2010-12-19 00:00:00	No	2011-12-13 00:00:00	None	A	None	7000	7000	0	7000	0	None	XVEO11	N	CA00256276	B	SFY2011-12
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2011-12-19 00:00:00	020008828	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-23 00:00:00	2011-09-23 00:00:00	No	2012-01-11 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	3RSR11	N	CA00284560	B	SFY2011-12
020000132	FREMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-02-01 00:00:00	020008964	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-27 00:00:00	2011-07-27 00:00:00	No	2012-02-23 00:00:00	None	B	None	750	750	0	750	0	None	V6XV11	N	CA00277534	C	SFY2011-12
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2012-03-02 00:00:00	020009068	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-01-13 00:00:00	2011-01-13 00:00:00	No	2012-03-23 00:00:00	None	B	None	750	750	0	750	0	None	K04O11	N	CA00258287	B	SFY2011-12
140000051	LA CASA VIA TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-03-02 00:00:00	020009069	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-03-01 00:00:00	2011-03-01 00:00:00	No	2012-03-23 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	FGDY11	N	CA00261823	B	SFY2011-12
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2012-03-05 00:00:00	020009078	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-11-07 00:00:00	2010-11-07 00:00:00	Yes	2012-03-26 00:00:00	2012-03-08 00:00:00	AA	AA	75000	37500	0	37500	0	None	8JFW11	Y	CA00248567	C	SFY2011-12
140000105	LONE TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2012-03-06 00:00:00	020009082	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-07 00:00:00	2011-08-07 00:00:00	No	2012-03-27 00:00:00	None	B	None	600	600	0	600	0	None	PUKB11	N	CA00281675	B	SFY2011-12
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-03-12 00:00:00	020009084	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2011-09-06 00:00:00	2011-09-06 00:00:00	Yes	2012-04-02 00:00:00	2012-03-22 00:00:00	AA	A	60000	75000	0	75000	0	None	ILXN11	Y	CA00283531	C	SFY2011-12
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2012-03-15 00:00:00	020009140	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-03-02 00:00:00	2011-03-02 00:00:00	No	2012-04-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	LZWC11	N	CA00261023, CA00261133	B, B	SFY2011-12
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-03-20 00:00:00	020009162	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-10-06 00:00:00	2010-10-06 00:00:00	No	2012-04-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	IPEX11	N	CA00246053	B	SFY2011-12
020000047	HAYWARD HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-03-20 00:00:00	020009163	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-10-29 00:00:00	2010-10-29 00:00:00	No	2012-04-10 00:00:00	None	B	None	700	700	0	700	0	None	1MH711	N	CA00249074	B	SFY2011-12
020000037	EMMANUEL POST ACUTE CARE - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2012-04-26 00:00:00	020009260	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-15 00:00:00	2011-07-15 00:00:00	No	2012-05-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	IRMQ11	N	CA00276814	C	SFY2011-12
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2012-04-26 00:00:00	020009261	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-11-23 00:00:00	2011-11-23 00:00:00	No	2012-05-17 00:00:00	None	A	None	15000	15000	0	15000	0	None	JJQW11	N	CA00291745	B	SFY2011-12
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-05-14 00:00:00	020009298	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-12 00:00:00	2011-03-12 00:00:00	No	2012-06-05 00:00:00	None	A	None	19000	19000	0	19000	0	None	4PBU11	N	CA00285092	B	SFY2011-12
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2012-11-15 00:00:00	020009605	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-08-15 00:00:00	2012-08-15 00:00:00	Yes	2012-12-10 00:00:00	2012-11-29 00:00:00	B	None	2000	2000	0	2000	0	None	JH9I11	N	CA00322235	B	SFY2012-13
020000068	ST JOHN KRONSTADT CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-12-12 00:00:00	020009676	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-08-30 00:00:00	2012-08-30 00:00:00	No	2013-01-04 00:00:00	None	B	None	1500	1500	-525	975	0	None	VIFI11	N	CA00326008	B	SFY2012-13
020000068	ST JOHN KRONSTADT CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-02-04 00:00:00	020009728	Closed	Citation	Citation AA (HSC 1424)	Other	Accidents	2012-07-18 00:00:00	2012-07-18 00:00:00	No	2013-02-26 00:00:00	None	AA	None	60000	60000	-21000	39000	0	None	L8HA11	Y	CA00318813	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009798	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-26 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009799	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-26 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009800	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-26 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009802	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-26 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009811	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-30 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009812	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-30 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009813	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-30 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009814	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-30 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009815	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-30 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009816	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-30 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009817	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-30 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009818	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-26 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009819	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	No	2013-05-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009820	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-26 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009821	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-30 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009822	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-26 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009823	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-20 00:00:00	2012-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-26 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-04-25 00:00:00	020009854	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-06-20 00:00:00	2011-06-20 00:00:00	Yes	2013-05-16 00:00:00	2013-04-26 00:00:00	B	None	2000	2000	-700	1300	0	None	00JP11	N	CA00333624	C	SFY2012-13
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-07-22 00:00:00	020010021	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2013-01-22 00:00:00	2013-01-22 00:00:00	Yes	2013-08-12 00:00:00	2013-07-26 00:00:00	B	None	2000	2000	0	0	2000	None	55LZ11	N	CA00354369	B	SFY2013-14
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-07-29 00:00:00	020010043	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-02-21 00:00:00	2013-02-21 00:00:00	No	2013-08-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	S5DM11	Y	CA00351456	B	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010062	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010065	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010066	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010067	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010069	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010070	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010071	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 12:00:00	2011-09-16 12:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010073	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010075	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 12:00:00	2011-09-16 12:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010076	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 12:00:00	2011-09-16 12:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	B	2000	1300	0	1300	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010077	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010078	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010079	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010080	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010081	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 12:00:00	2011-09-16 12:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010082	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 12:00:00	2011-09-16 12:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010084	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 12:00:00	2011-09-16 12:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-13 00:00:00	020010085	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 00:00:00	2011-09-16 00:00:00	Yes	2013-09-04 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-08-14 00:00:00	020010086	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-16 12:00:00	2011-09-16 12:00:00	Yes	2013-09-05 00:00:00	2013-08-19 00:00:00	B	Drop>Deficiency	2000	0	0	0	0	None	00JP11	N	CA00333624	C	SFY2013-14
020000630	SERRA RESIDENTIAL CENTER - CRESTWOOD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2013-09-27 00:00:00	020010162	Closed	Citation	Citation A (HSC 1424)	Other	Supvr During Dining	2013-04-13 00:00:00	2013-04-13 00:00:00	Yes	2013-10-18 00:00:00	2013-10-17 00:00:00	A	A	20000	20000	0	20000	0	None	1CW411	N	CA00351206, CA00352674	B, B	SFY2013-14
140000686	ALAMEDA HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2013-10-21 00:00:00	020010227	Closed	Citation	Citation A (HSC 1424)	Medication	None	2012-09-27 00:00:00	2012-09-27 00:00:00	No	2013-11-12 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	W92N11	N	CA00327621	B	SFY2013-14
140000396	SHIELDS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-11-20 00:00:00	020010274	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-04-17 00:00:00	2013-04-17 00:00:00	Yes	2013-12-13 00:00:00	2013-12-03 00:00:00	B	None	2000	2000	0	0	2000	None	ZM9Z11	N	CA00367739	B	SFY2013-14
140000136	CONCORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2013-12-06 00:00:00	020010295	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-09-14 00:00:00	2013-09-14 00:00:00	No	2013-12-30 00:00:00	None	B	None	1200	1200	-420	780	0	None	02CG11	N	CA00371398	B	SFY2013-14
630011713	BAYWOOD COURT HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-01-17 00:00:00	020010385	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-09-27 00:00:00	2013-09-27 00:00:00	No	2014-02-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	5DUB11	N	CA00372321	B	SFY2013-14
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-03-19 00:00:00	020010555	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach by person other than a h/c worker	None	2013-10-31 23:00:00	2013-10-31 23:00:00	Yes	2014-04-10 00:00:00	2014-04-01 00:00:00	FTR BR	FTR BR	2800	2900	0	2900	0	None	LFXV11	None	CA00380202	C	SFY2013-14
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-03-19 00:00:00	020010556	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach by person other than a h/c worker	None	2013-10-31 11:00:00	2013-10-31 11:00:00	Yes	2014-04-10 00:00:00	2014-04-01 00:00:00	FTR RES	FTR RES	2400	2400	0	2400	0	None	LFXV11	None	CA00380202	C	SFY2013-14
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-03-26 00:00:00	020010569	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2013-10-31 00:00:00	2013-10-31 00:00:00	Yes	2015-02-24 00:00:00	2015-02-05 00:00:00	AP BR	AP BR	244700	119700	0	119700	0	None	LFXV11	None	CA00380202	C	SFY2013-14
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-06-04 00:00:00	020010744	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2014-06-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	DLCF11	N	CA00398982	A	SFY2013-14
020000053	CRESTWOOD MANOR - FREMONT	LTC	SNF	Skilled Nursing Facility	East Bay	2014-06-06 00:00:00	020010747	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-11-23 00:00:00	2013-11-23 00:00:00	Yes	2014-06-27 00:00:00	2014-06-16 00:00:00	A	A	15000	10000	0	10000	0	None	DLZS11	N	CA00380844	C	SFY2013-14
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-07-09 00:00:00	020010852	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-04-21 00:00:00	2013-04-21 00:00:00	No	2014-07-30 00:00:00	None	B	None	1350	1350	-472.5	877.5	0	None	LF0Q11	N	CA00390298	B	SFY2014-15
630011713	BAYWOOD COURT HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-07-14 00:00:00	020010855	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-08-05 00:00:00	2013-08-05 00:00:00	No	2014-08-04 00:00:00	None	B	None	1500	1500	-525	975	0	None	VGE011	N	CA00365105	B	SFY2014-15
020000128	ELMWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-07-14 00:00:00	020010860	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-08-05 00:00:00	2013-08-05 00:00:00	No	2014-08-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	L6Z311	N	CA00395930, CA00395981	B, B	SFY2014-15
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-07-17 00:00:00	020010865	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-26 00:00:00	2014-04-26 00:00:00	No	2014-08-07 00:00:00	None	B	None	1500	1500	-525	975	0	None	KE2B11	N	CA00396949	B	SFY2014-15
140000105	LONE TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2014-08-06 00:00:00	020010913	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2014-08-27 00:00:00	None	B	None	1500	1500	-525	975	0	None	IY8211	N	CA00397922	C	SFY2014-15
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-08-14 00:00:00	020010932	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-03-26 00:00:00	2014-03-26 00:00:00	No	2014-09-05 00:00:00	None	B	None	1500	1500	-525	975	0	None	OLBN11	N	CA00393004	B	SFY2014-15
020000070	ALL SAINT'S SUBACUTE & TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2014-09-24 00:00:00	020010964	Closed	Citation	Citation B (HSC 1424)	Administration	None	2014-07-19 00:00:00	2014-07-19 00:00:00	No	2014-10-15 00:00:00	None	B	None	1500	1500	-525	975	0	None	NF2H11	N	CA00406356	B	SFY2014-15
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2014-09-03 00:00:00	020010969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-03-25 00:00:00	2014-03-25 00:00:00	Yes	2014-09-24 00:00:00	2014-09-12 00:00:00	B	B	1500	1100	0	1100	0	None	GJUU11	N	CA00392901	B	SFY2014-15
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2014-09-26 00:00:00	020011017	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2014-06-27 00:00:00	2014-06-27 00:00:00	No	2014-10-17 00:00:00	None	B	None	1500	1500	0	1500	0	None	DMY511	N	CA00403890	B	SFY2014-15
140000136	CONCORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2014-10-02 00:00:00	020011038	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-07-14 00:00:00	2014-07-14 00:00:00	No	2014-10-23 00:00:00	None	B	None	1500	1500	-525	975	0	None	ZMT411	N	CA00406001, CA00406007	B, B	SFY2014-15
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-10-02 00:00:00	020011043	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-06-11 00:00:00	2014-06-11 00:00:00	No	2014-10-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	943N11	N	CA00402314	C	SFY2014-15
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2014-11-19 00:00:00	020011051	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-06-04 00:00:00	2014-06-04 00:00:00	No	2014-12-12 00:00:00	None	B	None	1500	1500	0	1500	0	None	SRD811	N	CA00401163, CA00401503	B, B	SFY2014-15
140000136	CONCORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2014-10-09 00:00:00	020011061	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-17 00:00:00	2014-04-17 00:00:00	No	2014-10-30 00:00:00	None	B	None	1500	1500	0	1500	0	None	D9U211	N	CA00395447	C	SFY2014-15
020000004	WISTERIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-11-05 00:00:00	020011063	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-27 00:00:00	2014-05-27 00:00:00	No	2014-12-01 00:00:00	None	B	None	1500	1500	-525	975	0	None	GQ2K11	N	CA00398198	B	SFY2014-15
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2014-11-04 00:00:00	020011101	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-08-27 00:00:00	2014-08-27 00:00:00	No	2014-11-26 00:00:00	None	B	None	1500	1500	0	1500	0	None	B58Y11	N	None	None	SFY2014-15
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2014-11-04 00:00:00	020011104	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-09-10 00:00:00	2014-09-10 00:00:00	No	2014-11-26 00:00:00	None	B	None	1500	1500	0	1500	0	None	B58Y11	N	None	None	SFY2014-15
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2014-11-06 00:00:00	020011113	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-09-30 00:00:00	2014-09-30 00:00:00	Yes	2014-12-02 00:00:00	2014-11-12 00:00:00	B	B	1500	750	0	750	0	None	X75411	N	CA00415448	B	SFY2014-15
140000038	GREENRIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2014-11-25 00:00:00	020011135	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-07-19 00:00:00	2014-07-19 00:00:00	No	2014-12-18 00:00:00	None	B	None	1500	1500	-525	975	0	None	35X411	N	CA00406812, CA00407545	B, C	SFY2014-15
020000042	KAISER PERMANENTE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-12-03 00:00:00	020011148	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-08-16 00:00:00	2014-08-16 00:00:00	No	2014-12-24 00:00:00	None	B	None	1500	1500	-525	975	0	None	K6K811	N	CA00409788	B	SFY2014-15
140000121	WILLOW PASS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-12-08 00:00:00	020011159	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-10-06 00:00:00	2014-10-06 00:00:00	No	2014-12-30 00:00:00	None	B	None	1200	1200	0	1200	0	None	2IQY11	N	None	None	SFY2014-15
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2015-01-15 00:00:00	020011230	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-07 00:00:00	2014-03-07 00:00:00	No	2015-02-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	J9Y311	N	None	None	SFY2014-15
140000136	CONCORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2015-02-13 00:00:00	020011276	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-09-13 00:00:00	2014-09-13 00:00:00	No	2015-03-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DGWP11	N	CA00413465	C	SFY2014-15
140000136	CONCORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2015-02-13 00:00:00	020011279	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-07-29 00:00:00	2014-07-29 00:00:00	No	2015-03-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KI0M11	N	CA00408737	C	SFY2014-15
140000038	GREENRIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2015-03-18 00:00:00	020011346	Closed	Citation	Citation B (HSC 1424)	Other	Bed-Hold	2015-01-20 00:00:00	2015-01-20 00:00:00	No	2015-04-09 00:00:00	None	B	None	1500	1500	0	1500	0	None	CF2C11	N	CA00425383	B	SFY2014-15
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2015-03-23 00:00:00	020011347	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-01-01 00:00:00	2015-01-01 00:00:00	No	2015-04-14 00:00:00	None	B	None	1500	1500	-525	975	0	None	15UI11	N	CA00425743	B	SFY2014-15
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2015-03-23 00:00:00	020011348	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-01-01 00:00:00	2015-01-01 00:00:00	No	2015-04-14 00:00:00	None	B	None	1500	1500	-525	975	0	None	15UI11	N	CA00425743	B	SFY2014-15
020000070	ALL SAINT'S SUBACUTE & TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2015-04-17 00:00:00	020011376	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-01-24 00:00:00	2015-01-24 00:00:00	No	2015-05-08 00:00:00	None	B	None	1500	1500	-525	975	0	None	K62F11	N	CA00428524	B	SFY2014-15
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2015-06-25 00:00:00	020011522	Closed	Citation	Citation A (HSC 1424)	Patient Record	None	2014-09-16 00:00:00	2014-09-16 00:00:00	Yes	2015-07-16 00:00:00	2015-07-16 00:00:00	A	A	18000	12000	0	12000	0	None	9GS911	N	CA00415805	B	SFY2014-15
140000092	ORINDA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2015-06-10 00:00:00	020011532	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-02-07 00:00:00	2015-02-07 00:00:00	No	2015-07-01 00:00:00	None	B	None	1500	1500	0	1500	0	None	IHM111	N	CA00431329	B	SFY2014-15
020000040	MASONIC HOME	LTC	SNF	Skilled Nursing Facility	East Bay	2015-06-25 00:00:00	020011580	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-20 00:00:00	2015-04-20 00:00:00	No	2015-07-16 00:00:00	None	B	None	1500	1500	-525	975	0	None	F0SB11	N	CA00440207	B	SFY2014-15
020000053	CRESTWOOD MANOR - FREMONT	LTC	SNF	Skilled Nursing Facility	East Bay	2015-07-13 00:00:00	020011617	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-07-26 00:00:00	2014-07-26 00:00:00	Yes	2015-08-03 00:00:00	2015-07-15 00:00:00	AA	AA	100000	50000	0	50000	0	None	HLUU11	Y	CA00407437	B	SFY2015-16
140000078	TAMPICO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2015-08-12 00:00:00	020011660	Closed	Citation	Citation B (HSC 1424)	Medication	None	2015-05-16 00:00:00	2015-05-16 00:00:00	No	2015-09-02 00:00:00	None	B	None	1500	1500	-525	975	0	None	1P6O11	N	CA00443272, CA00444127	B, B	SFY2015-16
020000043	ALAMEDA HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2015-09-01 00:00:00	020011701	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-09 00:00:00	2015-04-09 00:00:00	Yes	2015-09-23 00:00:00	2015-09-08 00:00:00	B	B	1500	965	0	965	0	None	PLEU11	N	CA00438405	C	SFY2015-16
020000071	WINDSOR POST-ACUTE CARE CENTER OF HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2015-09-29 00:00:00	020011761	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-23 00:00:00	2014-05-23 00:00:00	Yes	2015-10-20 00:00:00	2015-10-15 00:00:00	B	B	1500	975	0	975	0	None	DXZN11	N	CA00445243	B	SFY2015-16
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2015-10-21 00:00:00	020011787	Closed	Citation	Citation B (HSC 1424)	Immediate Jeopardy	None	2015-08-07 00:00:00	2015-08-07 00:00:00	Yes	2015-11-12 00:00:00	2015-11-09 00:00:00	B	B	1500	1125	0	1125	0	None	312111	N	CA00454254, CA00454254	C, C	SFY2015-16
020000043	ALAMEDA HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2015-11-04 00:00:00	020011824	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2015-01-18 00:00:00	2015-01-18 00:00:00	Yes	2015-11-30 00:00:00	2015-11-05 00:00:00	B	None	2000	2000	0	0	2000	None	6DJ511	Y	CA00427921, CA00427921	B, B	SFY2015-16
140000733	STONEBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2015-11-05 00:00:00	020011831	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-11-19 00:00:00	2014-11-19 00:00:00	No	2015-12-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	WO0I11	N	CA00421787	B	SFY2015-16
140000003	DELTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2015-11-16 00:00:00	020011841	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-02 00:00:00	2015-07-02 00:00:00	No	2015-12-09 00:00:00	None	B	None	1500	1500	-525	975	0	None	WLO612	N	CA00449165	B	SFY2015-16
020000071	WINDSOR POST-ACUTE CARE CENTER OF HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2015-11-17 00:00:00	020011850	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-18 00:00:00	2015-03-18 00:00:00	No	2015-12-10 00:00:00	None	B	None	1500	1500	-525	975	0	None	46T911	N	None	None	SFY2015-16
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2015-11-19 00:00:00	020011858	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-06-26 00:00:00	2015-06-26 00:00:00	No	2015-12-14 00:00:00	None	B	None	1500	4500	0	4500	0	None	CZML11	N	None	None	SFY2015-16
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2015-11-19 00:00:00	020011859	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-09 00:00:00	2015-07-09 00:00:00	No	2015-12-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	CZML11	N	None	None	SFY2015-16
140000023	BAYBERRY SKILLED NURSING & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2015-12-21 00:00:00	020011891	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-07-08 00:00:00	2015-07-08 00:00:00	No	2016-01-13 00:00:00	None	B	None	1500	1500	-525	975	0	None	P8XS11	N	CA00449806	B	SFY2015-16
140000023	BAYBERRY SKILLED NURSING & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2015-12-21 00:00:00	020011892	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-02-04 00:00:00	2015-02-04 00:00:00	No	2016-01-13 00:00:00	None	B	None	1500	1500	-525	975	0	None	FW6U11	N	CA00430910	B	SFY2015-16
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2015-12-22 00:00:00	020011912	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-05-01 00:00:00	2015-05-01 00:00:00	No	2016-01-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	EOZR11	N	None	None	SFY2015-16
140000574	ALHAMBRA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2016-05-31 00:00:00	020011913	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-02-08 00:00:00	2015-02-08 00:00:00	No	2016-06-21 00:00:00	None	B	None	1500	1500	-525	975	0	None	Q1NH12	N	None	None	SFY2015-16
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2015-12-22 00:00:00	020011914	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-04-16 00:00:00	2015-04-16 00:00:00	No	2016-01-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	EOZR11	N	CA00438864, CA00439704, CA00440054, CA00441554, CA00442519, CA00442519	B, B, B, B, B, B	SFY2015-16
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2015-12-22 00:00:00	020011915	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-05-02 00:00:00	2015-05-02 00:00:00	No	2016-01-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	EOZR11	N	None	None	SFY2015-16
020000274	THE REHABILITATION CENTER OF OAKLAND	LTC	SNF	Skilled Nursing Facility	East Bay	2016-05-19 00:00:00	020011916	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-09-28 00:00:00	2015-09-28 00:00:00	No	2016-06-10 00:00:00	None	B	None	1500	1500	-525	975	0	None	L8R911	N	CA00459957	B	SFY2015-16
020000060	BAYPOINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2016-01-13 00:00:00	020011957	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-20 00:00:00	2015-10-20 00:00:00	No	2016-02-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	MZ3811	N	None	None	SFY2015-16
020000060	BAYPOINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2016-01-13 00:00:00	020011961	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-10-20 00:00:00	2015-10-20 00:00:00	No	2016-02-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	MZ3811	N	CA00462737, CA00462737, CA00462737	B, B, B	SFY2015-16
020000103	HAYWARD GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2016-04-13 00:00:00	020012177	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-09 00:00:00	2015-10-09 00:00:00	Yes	2016-05-04 00:00:00	2016-05-02 00:00:00	B	None	1500	1500	0	1500	0	None	G9IQ11	Y	CA00461776, CA00461776, CA00461776	B, B, B	SFY2015-16
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2016-05-11 00:00:00	020012242	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-02-03 00:00:00	2016-02-03 00:00:00	No	2016-06-02 00:00:00	None	B	None	1500	1500	-525	975	0	None	Y7V011	N	CA00475056, CA00475056	B, B	SFY2015-16
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2018-01-11 00:00:00	020012249	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2015-12-22 00:00:00	2015-12-22 00:00:00	Yes	2018-02-02 00:00:00	2016-05-18 00:00:00	B	B	1500	1200	0	1200	0	None	SPP211	N	CA00470038	B	SFY2017-18
020000629	SUNSHINE ICF/DDH #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2016-06-16 00:00:00	020012337	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-03-20 00:00:00	2015-03-20 00:00:00	No	2016-07-08 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	81EI11	N	CA00436078, CA00436078, CA00436078, CA00436078	A, A, A, A	SFY2015-16
020000043	ALAMEDA HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2016-08-24 00:00:00	020012394	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-14 00:00:00	2015-10-14 00:00:00	No	2016-09-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	IID511	N	CA00480942	C	SFY2016-17
020000071	WINDSOR POST-ACUTE CARE CENTER OF HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2016-10-26 00:00:00	020012675	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-12-01 00:00:00	2015-12-01 00:00:00	No	2016-11-17 00:00:00	None	B	None	1500	1500	-525	975	0	None	RNDL11	N	CA00468361	B	SFY2016-17
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2016-10-26 00:00:00	020012676	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-09 00:00:00	2015-03-09 00:00:00	No	2016-11-17 00:00:00	None	B	None	1500	1500	0	1500	0	None	WHHQ11	N	CA00482987	B	SFY2016-17
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2016-10-26 00:00:00	020012677	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-12-16 00:00:00	2015-12-16 00:00:00	No	2016-11-17 00:00:00	None	B	None	1500	1500	0	1500	0	None	FMK911	N	CA00469923	C	SFY2016-17
020000037	EMMANUEL POST ACUTE CARE - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2016-10-26 00:00:00	020012678	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-30 00:00:00	2015-11-30 00:00:00	No	2016-11-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	PSN611	N	CA00467748, CA00467748	C, C	SFY2016-17
020000043	ALAMEDA HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2016-12-08 00:00:00	020012796	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2016-10-06 00:00:00	2016-10-06 00:00:00	No	2016-12-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PNZM11	N	CA00506332	B	SFY2016-17
630011713	BAYWOOD COURT HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-01-19 00:00:00	020012887	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-04-28 00:00:00	2016-04-28 00:00:00	No	2017-02-09 00:00:00	None	B	None	1500	1500	-525	975	0	None	F2ZE11	N	CA00486488	A	SFY2016-17
020000004	WISTERIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-02-16 00:00:00	020012918	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-12-06 00:00:00	2016-12-06 00:00:00	No	2017-03-10 00:00:00	None	B	None	1200	1200	-420	780	0	None	G1TU11	N	None	None	SFY2016-17
020000048	CHAPARRAL HOUSE	LTC	SNF	Skilled Nursing Facility	East Bay	2018-09-28 00:00:00	020012919	Open	Citation	Citation B (HSC 1424)	Immediate Jeopardy	None	2016-11-28 00:00:00	2016-11-28 00:00:00	Yes	2018-10-19 00:00:00	2017-02-03 00:00:00	B	None	1200	1200	0	0	1200	None	RVP911	N	CA00512605	A	SFY2018-19
020000048	CHAPARRAL HOUSE	LTC	SNF	Skilled Nursing Facility	East Bay	2018-09-28 00:00:00	020012920	Open	Citation	Citation B (HSC 1424)	Immediate Jeopardy	None	2016-11-28 00:00:00	2016-11-28 00:00:00	Yes	2018-10-19 00:00:00	2017-02-03 00:00:00	B	None	1200	1200	0	0	1200	None	RVP911	N	CA00512605	A	SFY2018-19
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-02-08 00:00:00	020012945	Closed	Citation	Citation B (HSC 1424)	Medication	None	2016-08-25 00:00:00	2016-08-25 00:00:00	No	2017-03-02 00:00:00	None	B	None	1500	1500	0	1500	0	None	EBVK11	N	CA00502413	B	SFY2016-17
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-24 00:00:00	020013060	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-02-17 00:00:00	2017-02-17 00:00:00	No	2017-04-17 00:00:00	None	B	None	2000	6000	0	0	6000	None	W00P11	N	CA00521108	A	SFY2016-17
140000113	LAFAYETTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-22 00:00:00	020013061	Closed	Citation	Citation B (HSC 1424)	Immediate Jeopardy	None	2017-03-01 00:00:00	2017-03-01 00:00:00	No	2017-04-13 00:00:00	None	B	None	1800	1800	-1800	0	0	None	TQAC11	N	CA00524465	A	SFY2016-17
140000113	LAFAYETTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-22 00:00:00	020013062	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-16 00:00:00	2017-02-16 00:00:00	No	2017-04-13 00:00:00	None	B	None	1000	1000	-1000	0	0	None	SJPD11	N	CA00523301, CA00523301	B, B	SFY2016-17
140000113	LAFAYETTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-22 00:00:00	020013063	Closed	Citation	Citation B (HSC 1424)	Immediate Jeopardy	None	2017-02-17 00:00:00	2017-02-17 00:00:00	No	2017-04-13 00:00:00	None	B	None	1500	1500	-1500	0	0	None	7EGO11	N	CA00521737	B	SFY2016-17
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-22 00:00:00	020013072	Open	Citation	Citation B (HSC 1424)	Other	Quality of care	2016-11-16 00:00:00	2016-11-16 00:00:00	No	2017-04-13 00:00:00	None	B	None	2000	2000	0	0	2000	None	B3I511	N	CA00511482	B	SFY2016-17
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-22 00:00:00	020013073	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-23 00:00:00	2016-09-23 00:00:00	No	2017-04-13 00:00:00	None	B	None	2000	2050	0	0	2050	None	1QT711	N	CA00524765	A	SFY2016-17
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-22 00:00:00	020013074	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-02-20 00:00:00	2017-02-20 00:00:00	No	2017-04-13 00:00:00	None	B	None	2000	2000	0	0	2000	None	2N9311	N	CA00523163	A	SFY2016-17
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-24 00:00:00	020013075	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-23 00:00:00	2016-09-23 00:00:00	No	2017-04-17 00:00:00	None	B	None	2000	6000	0	0	6000	None	1QT711	N	CA00524765	A	SFY2016-17
020000065	WE CARE SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-22 00:00:00	020013076	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-02-20 00:00:00	2017-02-20 00:00:00	No	2017-04-13 00:00:00	None	B	None	2000	2000	0	0	2000	None	2N9311	N	CA00523163	A	SFY2016-17
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-27 00:00:00	020013082	Closed	Citation	Citation B (HSC 1424)	Immediate Jeopardy	None	2016-05-30 00:00:00	2016-05-30 00:00:00	No	2017-04-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	FXHD11	N	CA00490574	B	SFY2016-17
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-27 00:00:00	020013083	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-05-30 00:00:00	2016-05-30 00:00:00	Yes	2017-04-18 00:00:00	2017-04-24 00:00:00	B	B	2000	2000	0	2000	0	None	FXHD11	N	CA00490574	B	SFY2016-17
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-05-02 00:00:00	020013171	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-01 00:00:00	2017-03-01 00:00:00	No	2017-05-23 00:00:00	None	B	None	1200	1200	-420	780	0	None	066V11	N	CA00524759	A	SFY2016-17
020000274	THE REHABILITATION CENTER OF OAKLAND	LTC	SNF	Skilled Nursing Facility	East Bay	2017-05-01 00:00:00	020013173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-28 00:00:00	2016-09-28 00:00:00	No	2017-05-22 00:00:00	None	B	None	1200	1200	-420	780	0	None	IO6311	N	CA00505457	B	SFY2016-17
020000110	LAKE MERRITT HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2017-05-15 00:00:00	020013197	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-04-12 00:00:00	2017-04-12 00:00:00	No	2017-06-06 00:00:00	None	B	None	2000	2550	0	2550	0	None	4GV011	N	CA00532158	A	SFY2016-17
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2018-01-16 00:00:00	020013332	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-25 00:00:00	2017-03-25 00:00:00	No	2018-02-06 00:00:00	None	B	None	1200	1200	-420	780	0	None	F4EF11	N	CA00528577	B	SFY2017-18
020000112	KYAKAMEENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-10-03 00:00:00	020013333	Closed	Citation	Citation B (HSC 1424)	Medication	None	2016-03-24 00:00:00	2016-03-24 00:00:00	No	2017-10-24 00:00:00	None	B	None	1500	1500	0	1500	0	None	NLPT11	N	None	None	SFY2017-18
020000110	LAKE MERRITT HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2017-08-01 00:00:00	020013386	Closed	Citation	Citation B (HSC 1424)	Medication	None	2017-02-14 00:00:00	2017-02-14 00:00:00	No	2017-08-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GPGO11	N	CA00523456	B	SFY2017-18
020000110	LAKE MERRITT HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2017-08-01 00:00:00	020013393	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-04-09 00:00:00	2017-04-09 00:00:00	No	2017-08-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FBUO11	N	CA00531749	B	SFY2017-18
020000110	LAKE MERRITT HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2017-08-01 00:00:00	020013395	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2017-05-18 00:00:00	2017-05-18 00:00:00	No	2017-08-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M8I311	N	CA00535936	A	SFY2017-18
020000125	GARFIELD NEUROBEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-08-01 00:00:00	020013399	Closed	Citation	Citation B (HSC 1424)	Other	Resident Abuse	2017-06-03 00:00:00	2017-06-03 00:00:00	No	2017-08-22 00:00:00	None	B	None	1500	1500	0	1500	0	None	33DS11	N	CA00538741	B	SFY2017-18
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-08-07 00:00:00	020013410	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2015-10-28 00:00:00	2015-10-28 00:00:00	No	2017-08-28 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	RVFM11	Y	CA00463984	B	SFY2017-18
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2017-08-17 00:00:00	020013416	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-12 00:00:00	2017-06-12 00:00:00	No	2017-09-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	38YG11	N	CA00539698	C	SFY2017-18
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-08-23 00:00:00	020013446	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-16 00:00:00	2017-05-16 00:00:00	No	2017-09-14 00:00:00	None	B	None	1500	1500	-525	975	0	None	L4B011	N	CA00536050	B	SFY2017-18
140000105	LONE TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2017-08-25 00:00:00	020013450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-08-11 00:00:00	2016-08-11 00:00:00	Yes	2017-09-18 00:00:00	2017-09-14 00:00:00	B	B	1500	1500	0	1500	0	None	9QFC11	N	CA00499461	B	SFY2017-18
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-09-06 00:00:00	020013456	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-24 00:00:00	2017-05-24 00:00:00	No	2017-09-27 00:00:00	None	B	None	1500	1500	0	1500	0	None	CFKC11	N	CA00537782	C	SFY2017-18
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-10-18 00:00:00	020013549	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-20 00:00:00	2017-08-20 00:00:00	No	2017-11-08 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	BH9411	N	CA00549994	B	SFY2017-18
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-10-27 00:00:00	020013578	Open	Citation	Citation A (HSC 1424)	Medication	None	2017-07-24 00:00:00	2017-07-24 00:00:00	Yes	2017-11-20 00:00:00	2017-11-03 00:00:00	A	None	10000	10000	0	0	10000	None	H85F11	N	CA00546644	B	SFY2017-18
140001338	WINGS I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2017-12-14 00:00:00	020013595	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-02-15 00:00:00	2017-02-15 00:00:00	No	2018-01-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XFB611	N	None	None	SFY2017-18
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-11-15 00:00:00	020013620	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-11 00:00:00	2017-08-11 00:00:00	No	2017-12-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	F4S411	N	CA00548743, CA00550053	B, B	SFY2017-18
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2018-01-16 00:00:00	020013736	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2017-10-29 00:00:00	2017-10-29 00:00:00	No	2018-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	JS4J11	N	CA00558901	A	SFY2017-18
020000124	FRUITVALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2018-03-14 00:00:00	020013900	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2017-11-17 00:00:00	2017-11-17 00:00:00	Yes	2018-04-04 00:00:00	2018-04-04 00:00:00	B	B	2000	1600	0	0	1600	None	ZPZT11	N	CA00561993	C	SFY2017-18
140000081	MORAGA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2018-03-23 00:00:00	020013929	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-02-03 00:00:00	2018-02-03 00:00:00	No	2018-04-13 00:00:00	None	B	None	1200	1200	-420	780	0	None	RMVI11	N	CA00573427	A	SFY2017-18
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2018-03-29 00:00:00	020013932	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-18 00:00:00	2017-06-18 00:00:00	No	2018-04-19 00:00:00	None	B	None	1500	1500	0	1500	0	None	FUOJ11	N	CA00540528	B	SFY2017-18
140000092	ORINDA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2018-04-03 00:00:00	020013953	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-01-26 00:00:00	2018-01-26 00:00:00	Yes	2018-04-24 00:00:00	2018-04-20 00:00:00	B	B	1500	1100	0	1100	0	None	E52S11	N	CA00572086	A	SFY2017-18
020000880	OAKLAND HEIGHTS NURSING AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	East Bay	2018-04-16 00:00:00	020014000	Closed	Citation	Citation B (HSC 1424)	Other	neglect	2017-12-18 00:00:00	2017-12-18 00:00:00	No	2018-05-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	2UFM11	N	CA00570002	B	SFY2017-18
140001362	HAPPY VALLEY #6	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2018-05-30 00:00:00	020014088	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-22 00:00:00	2017-11-22 00:00:00	No	2018-06-20 00:00:00	None	B	None	1500	1500	-525	975	0	None	2LBZ11	Y	CA00562937	B	SFY2017-18
140000038	GREENRIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2018-09-18 00:00:00	020014417	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-08-28 00:00:00	2018-08-28 00:00:00	No	2018-10-09 00:00:00	None	B	None	2000	2700	-700	2000	0	None	W7C211	N	CA00601681	A	SFY2018-19
140000092	ORINDA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2018-10-04 00:00:00	020014448	Closed	Citation	Citation B (HSC 1424)	Other	Accidents	2018-07-30 00:00:00	2018-07-30 00:00:00	No	2018-10-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	1J8D11	N	CA00598014, CA00599197, CA00599197	B, B, B	SFY2018-19
020000112	KYAKAMEENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2018-10-04 00:00:00	020014454	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-05-14 00:00:00	2018-05-14 00:00:00	Yes	2018-10-25 00:00:00	2018-10-22 00:00:00	B	B	2000	1600	0	1600	0	None	GODY11	N	CA00587286, CA00588942	A, B	SFY2018-19
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2018-10-18 00:00:00	020014507	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-09-18 00:00:00	2018-09-18 00:00:00	Yes	2018-11-08 00:00:00	2018-10-25 00:00:00	B	None	2000	2600	0	0	2600	None	IC3G11	N	CA00607724	A	SFY2018-19
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2018-11-15 00:00:00	020014579	Closed	Citation	Citation B (HSC 1424)	Other	Resident Abuse	2018-09-09 00:00:00	2018-09-09 00:00:00	No	2018-12-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7N7C11	N	CA00603640	B	SFY2018-19
020000125	GARFIELD NEUROBEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2018-12-13 00:00:00	020014621	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-08-13 00:00:00	2018-08-13 00:00:00	No	2019-01-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q18L11	N	CA00599761	B	SFY2018-19
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2018-12-07 00:00:00	020014632	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-11-18 00:00:00	2018-11-18 00:00:00	Yes	2018-12-31 00:00:00	2018-12-19 00:00:00	B	None	1500	3950	-2450	1500	0	None	7DTE11	N	CA00612625	A	SFY2018-19
020000037	EMMANUEL POST ACUTE CARE - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2019-01-10 00:00:00	020014714	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-04 00:00:00	2018-09-04 00:00:00	No	2019-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	VCJK11	N	CA00602770	B	SFY2018-19
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2019-01-31 00:00:00	020014724	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-11-18 00:00:00	2018-11-18 00:00:00	No	2019-02-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	2ZJ511	N	CA00613394, CA00613498	A, A	SFY2018-19
020000125	GARFIELD NEUROBEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2019-02-28 00:00:00	020014837	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-08 00:00:00	2018-12-08 00:00:00	No	2019-03-21 00:00:00	None	B	None	2000	6000	0	6000	0	None	1G5F11	N	CA00615215	A	SFY2018-19
020000040	MASONIC HOME	LTC	SNF	Skilled Nursing Facility	East Bay	2019-03-06 00:00:00	020014847	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-09 00:00:00	2018-09-09 00:00:00	Yes	2019-03-27 00:00:00	2019-03-22 00:00:00	A	A	15000	10000	0	10000	0	None	LSSN11	N	CA00603352, CA00611253	B, B	SFY2018-19
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2019-04-16 00:00:00	020014950	Closed	Citation	Citation B (HSC 1424)	Other	ACCIDENTS	2018-11-15 00:00:00	2018-11-15 00:00:00	No	2019-05-07 00:00:00	None	B	None	1800	1800	-630	1170	0	None	GYK911	N	CA00612205, CA00612205, CA00612205, CA00612347, CA00612347, CA00612347	B, B, B, B, B, B	SFY2018-19
020000119	REDWOOD HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2019-06-11 00:00:00	020015057	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-03-14 00:00:00	2019-03-14 00:00:00	Yes	2019-07-02 00:00:00	2019-07-02 00:00:00	B	None	2000	2000	0	0	2000	None	W7D811	N	CA00628755	B	SFY2018-19
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2019-05-14 00:00:00	020015072	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-30 00:00:00	2018-11-30 00:00:00	Yes	2019-06-04 00:00:00	2019-05-29 00:00:00	B	B	2000	1600	0	1600	0	None	1U1711	N	None	None	SFY2018-19
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2019-06-06 00:00:00	020015124	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-05-21 00:00:00	2019-05-21 00:00:00	No	2019-06-27 00:00:00	None	B	None	1500	2450	0	2450	0	None	RMC411	N	CA00638487	A	SFY2018-19
020000020	WINDSOR COUNTRY DRIVE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2019-06-06 00:00:00	020015131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-12 00:00:00	2019-02-12 00:00:00	No	2019-06-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5HNW11	N	CA00624624	B	SFY2018-19
020000276	CANYON CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2019-06-10 00:00:00	020015135	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-15 00:00:00	2019-02-15 00:00:00	No	2019-07-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XZEY11	N	CA00625626	B	SFY2018-19
140000038	GREENRIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2019-06-13 00:00:00	020015138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-07 00:00:00	2019-04-07 00:00:00	No	2019-07-04 00:00:00	None	B	None	1500	1500	-525	975	0	None	5UFL11	N	CA00633682	B	SFY2018-19
020000047	HAYWARD HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2019-06-25 00:00:00	020015176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-30 00:00:00	2019-04-30 00:00:00	No	2019-07-16 00:00:00	None	B	None	1500	1500	0	1500	0	None	M4ZF11	N	CA00635860	B	SFY2018-19
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2019-06-21 00:00:00	020015189	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-28 00:00:00	2018-12-28 00:00:00	No	2019-07-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	SU9811	N	None	None	SFY2018-19
020000064	ST. PAUL'S TOWERS	LTC	SNF	Skilled Nursing Facility	East Bay	2019-07-11 00:00:00	020015226	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-25 00:00:00	2018-08-25 00:00:00	No	2019-08-01 00:00:00	None	B	None	1500	1500	0	1500	0	None	6BBX11	N	CA00604402	B	SFY2019-20
020000274	THE REHABILITATION CENTER OF OAKLAND	LTC	SNF	Skilled Nursing Facility	East Bay	2019-08-12 00:00:00	020015295	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-09-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7M4911	N	CA00617676	B	SFY2019-20
020000053	CRESTWOOD MANOR - FREMONT	LTC	SNF	Skilled Nursing Facility	East Bay	2019-10-15 00:00:00	020015432	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-05-09 00:00:00	2019-05-09 00:00:00	Yes	2019-11-05 00:00:00	2019-10-17 00:00:00	B	None	2000	2000	0	0	2000	None	G1WC11	N	CA00637045, CA00637045	A, A	SFY2019-20
020000010	ASHBY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2019-11-06 00:00:00	020015513	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-12 00:00:00	2019-09-12 00:00:00	No	2019-11-27 00:00:00	None	A	None	15000	15000	0	15000	0	None	FPWP11	Y	None	None	SFY2019-20
020000119	REDWOOD HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2019-11-13 00:00:00	020015531	Open	Citation	Citation B (HSC 1424)	Other	Admit/Transfer/Discharge	2019-09-28 00:00:00	2019-09-28 00:00:00	Yes	2019-12-06 00:00:00	2019-12-06 00:00:00	B	None	2000	2000	0	0	2000	None	NUYY11	N	CA00657091	A	SFY2019-20
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2020-02-27 00:00:00	020015714	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-29 00:00:00	2019-04-29 00:00:00	No	2020-03-19 00:00:00	None	B	None	1500	1500	-525	975	0	None	6EXP11	N	CA00635856, CA00635856	B, B	SFY2019-20
630015449	ELGIN CARE CENTER	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2020-02-28 00:00:00	020015768	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-20 00:00:00	2018-10-20 00:00:00	No	2020-03-20 00:00:00	None	B	None	1500	1500	-1500	0	0	None	CHES11	N	CA00609813, CA00609813	B, B	SFY2019-20
020000116	EAST BAY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2020-03-04 00:00:00	020015775	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2019-03-21 00:00:00	2019-03-21 00:00:00	No	2020-03-25 00:00:00	None	AA	None	75000	75000	-26250	48750	0	None	4CXP11	Y	CA00630570, CA00630570, CA00630570, CA00630570	B, B, B, B	SFY2019-20
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2020-10-19 00:00:00	020016104	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-09-14 00:00:00	2020-09-14 00:00:00	No	2020-11-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	865J11	N	CA00705379	A	SFY2020-21
140000092	ORINDA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2021-01-21 00:00:00	020016244	Closed	Citation	Citation B (HSC 1424)	Other	IMMEDIATE JEOPARDY	2020-04-09 00:00:00	2020-04-09 00:00:00	Yes	2021-02-11 00:00:00	2021-02-03 00:00:00	B	B	2000	1700	0	1700	0	None	3GXG11	N	CA00684414, CA00684813	A, A	SFY2020-21
140000092	ORINDA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2021-01-21 00:00:00	020016245	Closed	Citation	Citation B (HSC 1424)	Other	IMMEDIATE JEOPARDY	2020-09-13 00:00:00	2020-09-13 00:00:00	Yes	2021-02-11 00:00:00	2021-02-03 00:00:00	B	B	2000	1700	0	1700	0	None	26NW11	N	CA00705244	A	SFY2020-21
140000092	ORINDA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2021-01-21 00:00:00	020016246	Closed	Citation	Citation B (HSC 1424)	Other	IMMEDIATE JEOPARDY	2020-09-13 00:00:00	2020-09-13 00:00:00	Yes	2021-02-11 00:00:00	2021-02-03 00:00:00	B	B	2000	1700	0	1700	0	None	26NW11	N	CA00705244	A	SFY2020-21
020000110	LAKE MERRITT HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2021-01-26 00:00:00	020016249	Open	Citation	Citation B (HSC 1424)	Other	IMMEDIATE JEOPARDY	2020-04-29 00:00:00	2020-04-29 00:00:00	Yes	2021-02-17 00:00:00	2021-02-03 00:00:00	B	None	2000	2000	0	0	2000	None	H5JY11	N	CA00686849	A	SFY2020-21
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-05-14 00:00:00	020016494	Closed	Citation	Citation B (HSC 1424)	Other	Immediate Jeopardy	2021-02-04 00:00:00	2021-02-04 00:00:00	No	2021-06-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	3OMK11	N	CA00724234	A	SFY2020-21
020000132	FREMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-06-24 00:00:00	020016630	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-06 00:00:00	2021-02-06 00:00:00	Yes	2021-07-15 00:00:00	2021-07-20 00:00:00	B	B	2000	1800	0	1800	0	None	NZ4611	N	CA00725815	B	SFY2020-21
020000132	FREMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-07-21 00:00:00	020016732	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-01-01 00:00:00	2020-01-01 00:00:00	No	2021-08-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	MTQJ11	N	CA00670253, CA00670256, CA00670414	B, B, B	SFY2021-22
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-08-24 00:00:00	020016839	Closed	Citation	Citation B (HSC 1424)	Other	Immediate Jeopardy	2021-06-28 00:00:00	2021-06-28 00:00:00	No	2021-09-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	HB9011	N	None	None	SFY2021-22
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-09-13 00:00:00	020016900	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-02-16 00:00:00	2021-02-16 00:00:00	No	2021-10-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	B7TO11	N	CA00726063	B	SFY2021-22
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2021-10-29 00:00:00	020017045	Closed	Citation	Citation B (HSC 1424)	Other	Neglect	2021-03-31 00:00:00	2021-03-31 00:00:00	No	2021-11-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CFEH11	N	CA00732609	B	SFY2021-22
020000043	ALAMEDA HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-11-30 00:00:00	020017137	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-04-28 00:00:00	2021-04-28 00:00:00	No	2021-12-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	SVJG11	N	CA00737983, CA00737983, CA00737983	B, B, B	SFY2021-22
140000733	STONEBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-12-13 00:00:00	020017184	Closed	Citation	Citation B (HSC 1424)	Other	Accidents	2021-06-19 00:00:00	2021-06-19 00:00:00	No	2022-01-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1PDK11	N	CA00741128	B	SFY2021-22
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2022-03-09 00:00:00	020017462	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-02-02 00:00:00	2022-02-02 00:00:00	Yes	2022-03-30 00:00:00	2022-03-23 00:00:00	B	B	2000	1600	0	1600	0	None	6T2N11	N	CA00774257	A	SFY2021-22
020000132	FREMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-04-06 00:00:00	020017543	Closed	Citation	Citation B (HSC 1424)	Medication	None	2020-10-10 00:00:00	2020-10-10 00:00:00	No	2022-04-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	KZKP11	N	CA00732346, CA00732346	B, B	SFY2021-22
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-05-25 00:00:00	020017661	Closed	Citation	Citation B (HSC 1424)	Other	Immediate Jeopardy	2022-03-28 00:00:00	2022-03-28 00:00:00	No	2022-06-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	RCFN11	N	CA00778798	A	SFY2021-22
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-07-12 00:00:00	020017770	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-04-27 00:00:00	2022-04-27 00:00:00	No	2022-08-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	7RP711	N	CA00782486	A	SFY2022-23
140001126	TICE VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2022-07-26 00:00:00	020017814	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-06 00:00:00	2020-11-06 00:00:00	No	2022-08-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9TWP11	N	CA00700281, CA00700281	B, B	SFY2022-23
020000005	ST ANTHONY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-08-23 00:00:00	020017908	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-01-05 00:00:00	2022-01-05 00:00:00	No	2022-09-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	U65211	N	CA00767848, CA00767848, CA00768215	A, A, A	SFY2022-23
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2022-09-08 00:00:00	020017934	Closed	Citation	Citation B (HSC 1424)	Other	Immediate Jeopardy	2022-04-24 00:00:00	2022-04-24 00:00:00	No	2022-09-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7NTZ11	N	CA00782248	B	SFY2022-23
140000121	WILLOW PASS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-09-12 00:00:00	020017935	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-08 00:00:00	2022-02-08 00:00:00	No	2022-10-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	W83E11	N	CA00761629, CA00761629, CA00761629, CA00761629	B, B, B, B	SFY2022-23
140000078	TAMPICO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-02-02 00:00:00	020018071	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-30 00:00:00	2021-06-30 00:00:00	No	2023-02-24 00:00:00	None	A	None	10000	10000	0	10000	0	None	RD7J11	Y	CA00743194	C	SFY2022-23
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-10-19 00:00:00	020018089	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2022-06-20 00:00:00	2022-06-20 00:00:00	No	2022-11-09 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	DS8X11	None	CA00782163, CA00782163	B, B	SFY2022-23
020000124	FRUITVALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-12-08 00:00:00	020018215	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-28 00:00:00	2021-12-28 00:00:00	Yes	2022-12-29 00:00:00	2022-12-27 00:00:00	A	None	2000	2000	0	0	2000	None	VNUI11	N	CA00767879	B	SFY2022-23
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-01-24 00:00:00	020018316	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-10-23 00:00:00	2022-10-23 00:00:00	No	2023-02-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	6O0F11	N	CA00808806	B	SFY2022-23
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2023-02-10 00:00:00	020018398	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2022-12-12 00:00:00	2022-12-12 00:00:00	No	2023-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	974U11	N	None	None	SFY2022-23
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2023-02-10 00:00:00	020018399	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2022-12-15 00:00:00	2022-12-15 00:00:00	No	2023-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	974U11	N	None	None	SFY2022-23
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2023-02-10 00:00:00	020018400	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2022-12-13 00:00:00	2022-12-13 00:00:00	No	2023-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	974U11	N	None	None	SFY2022-23
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2023-05-04 00:00:00	020018713	Closed	Citation	Citation B (HSC 1424)	Other	Accidents	2023-02-09 00:00:00	2023-02-09 00:00:00	No	2023-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EG0G11	N	CA00826647	A	SFY2022-23
140000105	LONE TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2023-07-14 00:00:00	020018948	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-04 00:00:00	2023-04-04 00:00:00	No	2023-08-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4MT11	N	CA00837382	B	SFY2023-24
020000090	EDEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-08-02 00:00:00	020019018	Closed	Citation	Citation B (HSC 1424)	Other	ACCIDENTS	2023-02-18 00:00:00	2023-02-18 00:00:00	No	2023-08-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UKYJ11	N	CA00827979, CA00828006	B, B	SFY2023-24
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-10-09 00:00:00	020019228	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-08-17 00:00:00	2023-08-17 00:00:00	No	2023-10-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CWPK11	N	CA00856314	A	SFY2023-24
020000053	CRESTWOOD MANOR - FREMONT	LTC	SNF	Skilled Nursing Facility	East Bay	2023-10-16 00:00:00	020019251	Closed	Citation	Citation B (HSC 1424)	Other	Accidents	2021-11-30 00:00:00	2021-11-30 00:00:00	No	2023-11-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N0DR11	N	CA00763500	B	SFY2023-24
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-10-23 00:00:00	020019274	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-01 00:00:00	2023-09-01 00:00:00	Yes	2023-11-14 00:00:00	2023-11-07 00:00:00	B	None	2000	2000	0	0	2000	None	FBI711	N	None	None	SFY2023-24
020000112	KYAKAMEENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-11-15 00:00:00	020019280	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-08 00:00:00	2023-09-08 00:00:00	No	2023-12-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	KOUF11	N	CA00859624, CA00859624	B, B	SFY2023-24
020000100	MERCY RETIREMENT & CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-12-21 00:00:00	020019513	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-09 00:00:00	2023-06-09 00:00:00	No	2024-01-12 00:00:00	None	B	None	2000	2000	0	1300	700	None	E0ZW11	N	None	None	SFY2023-24
020000100	MERCY RETIREMENT & CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-12-21 00:00:00	020019521	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-06-09 00:00:00	2023-06-09 00:00:00	No	2024-01-12 00:00:00	None	B	None	2000	2000	0	1300	700	None	E0ZW11	N	None	None	SFY2023-24
020000114	LAKE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2024-01-03 00:00:00	020019535	Closed	Citation	Citation B (HSC 1424)	Dietary	Dietary	2023-10-24 00:00:00	2023-10-24 00:00:00	No	2024-01-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	L20K11	N	None	None	SFY2023-24
630014957	STRATFORD VILLA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2024-02-06 00:00:00	020019681	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-05 00:00:00	2022-07-05 00:00:00	Yes	2024-02-27 00:00:00	2024-02-23 00:00:00	A	None	25000	25000	0	0	25000	None	ZHN111	Y	CA00837686, CA00837686, CA00837686	B, B, B	SFY2023-24
030001004	AMERICAN RIVER CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-01-14 00:00:00	030001995	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-31 00:00:00	None	Yes	2000-02-10 00:00:00	2000-01-31 00:00:00	A	A	8000	8000	-6000	2000	0	030013795	A99999	N	None	None	SFY1999-00
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-01-25 00:00:00	030001997	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-01 00:00:00	None	No	2000-02-17 00:00:00	None	A	None	10000	10000	-3500	6500	0	030013842	A99999	N	None	None	SFY1999-00
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-02-23 00:00:00	030002000	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLECT	1999-10-15 00:00:00	None	No	2000-03-16 00:00:00	None	B	None	800	800	-280	520	0	030013925	A99999	N	None	None	SFY1999-00
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2000-03-22 00:00:00	030002003	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2000-02-15 00:00:00	None	Yes	2000-04-17 00:00:00	2000-03-28 00:00:00	B	None	800	800	0	800	0	030013976	A99999	N	None	None	SFY1999-00
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-03-23 00:00:00	030002004	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE	1999-12-28 00:00:00	None	No	2000-04-17 00:00:00	None	A	None	8000	8000	-2800	5200	0	030013982	A99999	N	None	None	SFY1999-00
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-03-23 00:00:00	030002005	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-28 00:00:00	None	No	2000-04-17 00:00:00	None	B	None	800	800	-280	520	0	030013987	A99999	N	None	None	SFY1999-00
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-04-14 00:00:00	030002009	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-26 00:00:00	None	No	2000-05-05 00:00:00	None	A	None	6500	6500	0	6500	0	030014062	A99999	N	None	None	SFY1999-00
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-04-14 00:00:00	030002010	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-26 00:00:00	None	No	2000-05-05 00:00:00	None	A	None	6500	6500	0	6500	0	030014061	A99999	N	None	None	SFY1999-00
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2000-05-03 00:00:00	030002013	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-05 00:00:00	None	Yes	2000-05-31 00:00:00	2000-05-22 00:00:00	A	A	8000	8000	-6400	1600	0	030014121	A99999	N	None	None	SFY1999-00
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2000-05-03 00:00:00	030002014	Closed	Citation	Citation A (HSC 1424)	Staffing	None	1999-12-05 00:00:00	None	No	2000-05-31 00:00:00	None	A	A Trebled	8000	24000	-12000	12000	0	030014122	A99999	N	None	None	SFY1999-00
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2000-05-03 00:00:00	030002015	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-03 00:00:00	None	Yes	2000-05-24 00:00:00	2000-05-22 00:00:00	A	A	8000	5150	-150	5000	0	030014123	A99999	N	None	None	SFY1999-00
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-06-05 00:00:00	030002020	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-27 00:00:00	None	Yes	2000-07-12 00:00:00	2000-06-12 00:00:00	A	A	8000	8000	-6000	2000	0	030014156	A99999	N	None	None	SFY1999-00
030001202	CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Fresno	2000-05-31 00:00:00	030002021	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-31 00:00:00	None	Yes	2000-06-29 00:00:00	2000-06-16 00:00:00	A	B	6000	6000	0	6000	0	030014238	A99999	N	None	None	SFY1999-00
030001202	CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Fresno	2000-05-31 00:00:00	030002022	Closed	Citation	Citation A (HSC 1424)	Medication	None	1999-12-30 00:00:00	None	Yes	2000-07-11 00:00:00	2000-06-20 00:00:00	A	A	6000	5000	0	5000	0	030014237	A99999	N	None	None	SFY1999-00
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-07-17 00:00:00	030002029	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-16 00:00:00	None	Yes	2000-08-11 00:00:00	2000-07-26 00:00:00	A	A	10000	10000	-8000	2000	0	None	999999	N	None	None	SFY2000-01
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-08-22 00:00:00	030002031	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-05-15 00:00:00	None	No	2000-09-12 00:00:00	None	B	None	1000	1000	-350	650	0	030014360	A99999	N	None	None	SFY2000-01
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-09-20 00:00:00	030002037	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-12 00:00:00	None	Yes	2000-10-11 00:00:00	2000-09-26 00:00:00	A	A	10000	10000	-7500	2500	0	030014543	A99999	N	None	None	SFY2000-01
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2000-10-20 00:00:00	030002041	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-09-05 00:00:00	None	No	2000-11-10 00:00:00	None	A	A	8000	8000	-6000	2000	0	030014674	A99999	N	None	None	SFY2000-01
030000007	MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-11-06 00:00:00	030002043	Closed	Citation	Citation A (HSC 1424)	Medication	None	2000-08-23 00:00:00	None	No	2000-11-27 00:00:00	None	A	None	7500	7500	-2625	4875	0	030014726	A99999	N	None	None	SFY2000-01
030000005	COLLEGE OAK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-11-06 00:00:00	030002044	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-08 00:00:00	None	No	2000-11-30 00:00:00	None	A	None	6000	6000	-2100	3900	0	030014727	A99999	N	None	None	SFY2000-01
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-01-10 00:00:00	030002051	Closed	Citation	Citation A (HSC 1424)	Other	C,PR	2000-03-21 00:00:00	2000-03-21 00:00:00	Yes	2001-07-24 00:00:00	2001-01-15 00:00:00	A	A	10000	10000	0	10000	0	030014562	A99999	N	None	None	SFY2000-01
030000004	ROSEVILLE POINT HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-01 00:00:00	030002052	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-20 00:00:00	None	No	2001-02-22 00:00:00	None	A	None	16000	16000	-16000	0	0	030015088	A99999	N	None	None	SFY2000-01
030000804	TUOLUMNE GENERAL MEDICAL FACILITY D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-01-19 00:00:00	030002054	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-06 00:00:00	None	No	2001-02-09 00:00:00	None	B	None	1000	1000	0	1000	0	030015096	A99999	N	None	None	SFY2000-01
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-01 00:00:00	030002055	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-07 00:00:00	None	Yes	2001-02-26 00:00:00	2001-02-21 00:00:00	A	A	20000	10000	0	10000	0	030015117	A99999	N	None	None	SFY2000-01
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-23 00:00:00	030002056	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-07 00:00:00	None	Yes	2001-06-11 00:00:00	2001-05-30 00:00:00	B	B	1000	350	0	350	0	030015171	A99999	N	None	None	SFY2000-01
030000083	SUTTER TRANSITIONAL CARE CENTER-MIDTOWN D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-04-04 00:00:00	030002058	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-27 00:00:00	None	No	2001-04-25 00:00:00	None	B	None	500	500	-175	325	0	030015377	A99999	N	None	None	SFY2000-01
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-04-12 00:00:00	030002059	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-27 00:00:00	None	No	2001-05-03 00:00:00	None	B	None	1000	1000	-350	650	0	030015339	A99999	N	None	None	SFY2000-01
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-04-13 00:00:00	030002060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-28 00:00:00	None	No	2001-05-04 00:00:00	None	A	A	10000	10000	-8000	2000	0	030015356	A99999	N	None	None	SFY2000-01
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-04-12 00:00:00	030002061	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-20 00:00:00	None	No	2001-05-03 00:00:00	None	B	None	600	600	-210	390	0	030015169	A99999	N	None	None	SFY2000-01
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-04-18 00:00:00	030002062	Closed	Citation	Citation B (HSC 1424)	Other	DIGNITY/PATIENT CARE	2001-02-06 00:00:00	None	No	2001-05-11 00:00:00	None	B	B	800	800	-640	160	0	030015299	A99999	N	None	None	SFY2000-01
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-04-18 00:00:00	030002063	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-05 00:00:00	None	No	2001-05-09 00:00:00	None	A	None	12000	12000	-4200	7800	0	030015391	A99999	N	None	None	SFY2000-01
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-04-20 00:00:00	030002064	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-19 00:00:00	None	No	2001-05-11 00:00:00	None	A	A	10000	10000	-8000	2000	0	030015206	A99999	N	None	None	SFY2000-01
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-05-15 00:00:00	030002065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-09 00:00:00	None	No	2001-06-06 00:00:00	None	B	None	600	600	0	600	0	030015494	A99999	N	None	None	SFY2000-01
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-06-08 00:00:00	030002066	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-05 00:00:00	None	No	2001-06-29 00:00:00	None	A	None	16000	16000	-5600	10400	0	030015391	A99999	N	None	None	SFY2000-01
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-06-13 00:00:00	030002067	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-01-24 00:00:00	None	Yes	2001-07-05 00:00:00	2001-06-18 00:00:00	AA	A	60000	55000	0	55000	0	030015205	A99999	Y	None	None	SFY2000-01
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-06-13 00:00:00	030002068	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-01-24 00:00:00	None	Yes	2001-07-05 00:00:00	2001-06-18 00:00:00	A	A	20000	15000	0	15000	0	030015205	A99999	N	None	None	SFY2000-01
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-06-22 00:00:00	030002069	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-04-10 00:00:00	None	No	2001-07-16 00:00:00	None	B	B	1000	1000	-800	200	0	030015562	A99999	N	None	None	SFY2000-01
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2001-06-28 00:00:00	030002070	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-08 00:00:00	None	No	2001-07-20 00:00:00	None	B	None	800	800	0	800	0	030015177	A99999	N	None	None	SFY2000-01
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-06-28 00:00:00	030002071	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-08-24 00:00:00	None	No	2001-07-20 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	999999	N	None	None	SFY2000-01
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-08-01 00:00:00	030002072	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-13 00:00:00	None	No	2001-08-22 00:00:00	None	B	B	1000	1000	-800	200	0	030015589	A99999	N	None	None	SFY2001-02
030000852	BRANDEL MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2001-08-22 00:00:00	030002074	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-28 00:00:00	None	No	2001-09-13 00:00:00	None	B	None	600	600	0	600	0	030015753	A99999	N	None	None	SFY2001-02
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-08-31 00:00:00	030002075	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-20 00:00:00	None	Yes	2001-09-24 00:00:00	2001-09-07 00:00:00	A	A	15000	11000	0	11000	0	030015373	A99999	N	None	None	SFY2001-02
030000852	BRANDEL MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2001-09-28 00:00:00	030002076	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-14 00:00:00	None	No	2001-10-22 00:00:00	None	B	None	800	800	-280	520	0	030015399	A99999	N	None	None	SFY2001-02
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-04 00:00:00	030002077	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-13 00:00:00	None	No	2001-10-26 00:00:00	None	B	None	800	800	-280	520	0	030015890	A99999	N	None	None	SFY2001-02
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2001-10-04 00:00:00	030002078	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-06-08 00:00:00	None	No	2001-10-26 00:00:00	None	B	None	800	800	-280	520	0	030015734	A99999	N	None	None	SFY2001-02
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-04 00:00:00	030002079	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-01-28 00:00:00	None	No	2001-10-26 00:00:00	None	AA	None	60000	60000	-21000	39000	0	030015625	A99999	Y	None	None	SFY2001-02
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-16 00:00:00	030002080	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-12 00:00:00	None	Yes	2001-11-06 00:00:00	2001-10-31 00:00:00	A	A	20000	20000	0	20000	0	030015387	A99999	N	None	None	SFY2001-02
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-12 00:00:00	030002081	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-13 00:00:00	None	No	2001-11-02 00:00:00	None	B	None	800	800	-280	520	0	030015793	A99999	N	None	None	SFY2001-02
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-23 00:00:00	030002082	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-09 00:00:00	None	No	2001-11-14 00:00:00	None	A	None	15000	15000	-5250	9750	0	030015230	A99999	N	None	None	SFY2001-02
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-26 00:00:00	030002083	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-08 00:00:00	None	No	2001-11-27 00:00:00	None	B	None	800	800	-280	520	0	030015771	A99999	N	None	None	SFY2001-02
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-11-21 00:00:00	030002084	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-14 00:00:00	None	No	2001-12-14 00:00:00	None	A	None	16000	16000	-5600	10400	0	030016043	A99999	N	None	None	SFY2001-02
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-12-14 00:00:00	030002085	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-08-24 00:00:00	None	Yes	2002-01-11 00:00:00	2001-12-24 00:00:00	AA	A	60000	50000	0	50000	0	030016089	A99999	Y	None	None	SFY2001-02
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-12-19 00:00:00	030002086	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-03-31 00:00:00	None	Yes	2002-01-17 00:00:00	2002-01-09 00:00:00	AA	A	60000	30000	0	30000	0	030016107	A99999	Y	None	None	SFY2001-02
030000007	MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-01-03 00:00:00	030002087	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-06-11 00:00:00	None	No	2002-01-25 00:00:00	None	AA	None	95000	95000	-33250	61750	0	030016138	A99999	Y	None	None	SFY2001-02
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-01-17 00:00:00	030002088	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-06-29 00:00:00	None	Yes	2002-02-08 00:00:00	2002-01-28 00:00:00	A	B	10000	5000	0	5000	0	030015951	A99999	N	None	None	SFY2001-02
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-02-14 00:00:00	030002089	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-31 00:00:00	None	No	2002-03-08 00:00:00	None	A	None	10000	30000	-10500	19500	0	030016048	A99999	N	None	None	SFY2001-02
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-03-15 00:00:00	030002090	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-13 00:00:00	None	No	2002-04-08 00:00:00	None	B	None	800	800	-280	520	0	030016076	A99999	N	None	None	SFY2001-02
030000854	BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-03-18 00:00:00	030002091	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-23 00:00:00	None	No	2002-04-12 00:00:00	None	A	None	15000	15000	0	15000	0	030016306	A99999	N	None	None	SFY2001-02
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-04-25 00:00:00	030002092	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-19 00:00:00	None	No	2002-05-16 00:00:00	None	A	None	16000	16000	-5600	10400	0	030016105	A99999	N	None	None	SFY2001-02
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-04-24 00:00:00	030002093	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-21 00:00:00	None	Yes	2002-05-20 00:00:00	2002-05-14 00:00:00	A	A	20000	11477	0	11477	0	030016161	A99999	N	None	None	SFY2001-02
030000005	COLLEGE OAK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-06-07 00:00:00	030002094	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-08 00:00:00	None	Yes	2002-07-02 00:00:00	2002-06-20 00:00:00	A	None	15000	15000	0	15000	0	030016316	A99999	N	None	None	SFY2001-02
030001254	KAISER FOUNDATION HOSPITAL MANTECA D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-06-11 00:00:00	030002095	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-09-29 00:00:00	None	No	2002-07-05 00:00:00	None	A	None	16000	16000	-5600	10400	0	030015937	A99999	N	None	None	SFY2001-02
030001081	LODI MEMORIAL HOSPITAL-WEST D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-01-06 00:00:00	030002096	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-15 00:00:00	None	Yes	2003-02-05 00:00:00	2003-01-16 00:00:00	A	B	15000	15000	0	15000	0	030016474	A99999	N	None	None	SFY2002-03
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-07-10 00:00:00	030002097	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-24 00:00:00	None	Yes	2002-08-05 00:00:00	2002-07-26 00:00:00	A	A	16000	6000	0	6000	0	030016452	A99999	N	None	None	SFY2002-03
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-07-22 00:00:00	030002098	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-03-20 00:00:00	None	Yes	2002-08-15 00:00:00	2002-08-09 00:00:00	AA	AA	90000	55000	0	55000	0	030016325	A99999	Y	None	None	SFY2002-03
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-09 00:00:00	030002099	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2002-06-16 00:00:00	None	No	2002-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	030016610	A99999	N	None	None	SFY2002-03
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-13 00:00:00	030002100	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-06-08 00:00:00	None	Yes	2002-09-09 00:00:00	2002-08-26 00:00:00	A	B	10000	6600	0	6600	0	030016607	A99999	N	None	None	SFY2002-03
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-28 00:00:00	030002101	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-06-25 00:00:00	None	Yes	2002-09-24 00:00:00	2002-09-10 00:00:00	A	A	10000	6700	0	6700	0	030016648	A99999	N	None	None	SFY2002-03
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-19 00:00:00	030002102	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-31 00:00:00	None	No	2002-09-10 00:00:00	None	A	None	16000	16000	-5600	10400	0	030015848	A99999	N	None	None	SFY2002-03
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-19 00:00:00	030002103	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-05-14 00:00:00	None	No	2002-09-12 00:00:00	None	A	None	14000	14000	-4900	9100	0	030016519	A99999	N	None	None	SFY2002-03
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-19 00:00:00	030002104	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-03 00:00:00	None	No	2002-09-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	030016013	A99999	N	None	None	SFY2002-03
030000079	OAKDALE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-09-04 00:00:00	030002105	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE-SELF REPORTED	2002-04-03 00:00:00	None	No	2002-10-01 00:00:00	None	B	None	500	500	-175	325	0	030016424	A99999	N	None	None	SFY2002-03
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-09-12 00:00:00	030002106	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-22 00:00:00	None	Yes	2003-07-11 00:00:00	2002-09-25 00:00:00	B	B	400	400	0	400	0	030016706	A99999	N	None	None	SFY2002-03
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-10-01 00:00:00	030002107	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-06 00:00:00	None	No	2002-10-23 00:00:00	None	B	B	1000	650	0	650	0	030016934	A99999	N	None	None	SFY2002-03
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-10-02 00:00:00	030002108	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-12 00:00:00	None	No	2002-10-29 00:00:00	None	B	None	800	800	-280	520	0	030015958	A99999	N	None	None	SFY2002-03
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-10-16 00:00:00	030002109	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-19 00:00:00	None	No	2002-11-06 00:00:00	None	B	None	800	800	-280	520	0	030016709	A99999	N	None	None	SFY2002-03
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-10-17 00:00:00	030002110	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-07 00:00:00	None	No	2002-11-07 00:00:00	None	B	None	600	600	-210	390	0	030016668	A99999	N	None	None	SFY2002-03
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-10-18 00:00:00	030002111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-16 00:00:00	None	No	2002-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	030016871	A99999	N	None	None	SFY2002-03
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-11-04 00:00:00	030002112	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-27 00:00:00	None	Yes	2002-12-03 00:00:00	2002-11-12 00:00:00	B	B	700	500	0	500	0	030016857	A99999	N	None	None	SFY2002-03
030000016	NORTH STARR POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-11-06 00:00:00	030002113	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-07-21 00:00:00	None	No	2002-12-02 00:00:00	None	A	None	10000	10000	-3500	6500	0	030016795	A99999	N	None	None	SFY2002-03
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-11-14 00:00:00	030002114	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-07-31 00:00:00	None	Yes	2002-12-09 00:00:00	2002-12-05 00:00:00	A	A	12000	4000	0	4000	0	030017053	A99999	N	None	None	SFY2002-03
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-11-20 00:00:00	030002115	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-26 00:00:00	None	No	2002-12-17 00:00:00	None	B	None	600	600	-210	390	0	030016945	A99999	N	None	None	SFY2002-03
030001202	CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Fresno	2002-12-11 00:00:00	030002116	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-01 00:00:00	2002-10-05 00:00:00	Yes	2003-01-08 00:00:00	2002-12-18 00:00:00	B	None	600	600	0	600	0	030017014	A99999	N	None	None	SFY2002-03
030001202	CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Fresno	2002-12-27 00:00:00	030002117	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-15 00:00:00	None	Yes	2003-01-28 00:00:00	2003-01-03 00:00:00	B	None	600	600	0	600	0	030017004	A99999	N	None	None	SFY2002-03
030001004	AMERICAN RIVER CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-01-08 00:00:00	030002118	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE SELF REPORTED	2001-06-18 00:00:00	None	No	2003-02-04 00:00:00	None	B	None	1000	1000	-350	650	0	030016743	A99999	N	None	None	SFY2002-03
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-01-15 00:00:00	030002119	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-10 00:00:00	None	Yes	2003-02-11 00:00:00	2003-01-17 00:00:00	B	B	500	500	0	500	0	030017101	A99999	N	None	None	SFY2002-03
030000079	OAKDALE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-01-21 00:00:00	030002120	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-17 00:00:00	None	Yes	2003-02-14 00:00:00	2003-02-05 00:00:00	A	A	16000	4050	-50	4000	0	030016069	A99999	N	None	None	SFY2002-03
030000079	OAKDALE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-01-21 00:00:00	030002121	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-28 00:00:00	None	Yes	2003-02-14 00:00:00	2003-02-05 00:00:00	A	B	16000	10050	-50	10000	0	030016069	A99999	N	None	None	SFY2002-03
030000011	ROCK CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-02-13 00:00:00	030002122	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-15 00:00:00	None	Yes	2003-03-11 00:00:00	2003-02-18 00:00:00	A	A	16000	8000	0	8000	0	030016827	A99999	N	None	None	SFY2002-03
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-02-20 00:00:00	030002123	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-09-18 00:00:00	None	Yes	2003-03-17 00:00:00	2003-02-28 00:00:00	A	None	15000	15000	0	15000	0	030016925	A99999	N	None	None	SFY2002-03
030000550	SUTTER AMADOR HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-03-14 00:00:00	030002124	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-05 00:00:00	None	Yes	2003-04-09 00:00:00	2003-03-19 00:00:00	A	A	10000	1000	0	1000	0	030016970	A99999	N	None	None	SFY2002-03
030001202	CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Fresno	2003-03-18 00:00:00	030002125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-03 00:00:00	None	No	2003-04-14 00:00:00	None	B	None	400	400	-140	260	0	030016656	A99999	N	None	None	SFY2002-03
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-03-20 00:00:00	030002126	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-28 00:00:00	None	Yes	2003-04-15 00:00:00	2003-03-26 00:00:00	A	A Trebled	20000	60000	-25570	34430	0	030017220	A99999	N	None	None	SFY2002-03
030000060	FOLSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-03-24 00:00:00	030002127	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-06-08 00:00:00	None	No	2003-04-15 00:00:00	None	A	None	18000	18000	0	18000	0	030016667	A99999	N	None	None	SFY2002-03
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-04-10 00:00:00	030002128	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-10 00:00:00	None	No	2003-05-05 00:00:00	None	B	None	1000	1000	0	1000	0	030016533	A99999	N	None	None	SFY2002-03
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-04-21 00:00:00	030002129	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-19 00:00:00	None	No	2003-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	030017024	A99999	N	None	None	SFY2002-03
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-04-23 00:00:00	030002130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-24 00:00:00	None	No	2003-05-14 00:00:00	None	B	None	1000	1000	-350	650	0	030017382	A99999	N	None	None	SFY2002-03
030000288	TURLOCK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-05-16 00:00:00	030002131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-03 00:00:00	None	No	2003-06-10 00:00:00	None	B	None	600	600	0	600	0	030017517	A99999	N	None	None	SFY2002-03
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-05-23 00:00:00	030002132	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-13 00:00:00	None	Yes	2003-06-20 00:00:00	2003-06-03 00:00:00	B	B	800	459	0	459	0	030017548	A99999	N	None	None	SFY2002-03
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-06-06 00:00:00	030002133	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE/NEGLECT	2003-03-28 00:00:00	None	Yes	2003-06-30 00:00:00	2003-06-11 00:00:00	A	A	10000	5738	0	5738	0	030017471	A99999	N	None	None	SFY2002-03
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-06-18 00:00:00	030002134	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-19 00:00:00	None	No	2003-07-10 00:00:00	None	B	B	1000	574	0	574	0	030017355	A99999	N	None	None	SFY2002-03
030000550	SUTTER AMADOR HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-06-27 00:00:00	030002135	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-01-20 00:00:00	None	Yes	2003-07-21 00:00:00	2003-07-01 00:00:00	AA	AA	75000	30000	0	30000	0	030017242	A99999	Y	None	None	SFY2002-03
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-07-01 00:00:00	030002136	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-28 00:00:00	None	Yes	2003-07-28 00:00:00	2003-07-10 00:00:00	A	A	10000	5738	0	5738	0	030017474	A99999	N	None	None	SFY2003-04
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-07-01 00:00:00	030002137	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-01 00:00:00	None	No	2003-07-23 00:00:00	None	B	None	1000	1000	-350	650	0	030017612	A99999	N	None	None	SFY2003-04
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-07-03 00:00:00	030002138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-19 00:00:00	2003-05-11 00:00:00	No	2003-07-30 00:00:00	None	B	None	1000	1000	-350	650	0	030017463	A99999	N	None	None	SFY2003-04
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-07-28 00:00:00	030002139	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-05-14 00:00:00	2002-05-22 00:00:00	Yes	2004-01-09 00:00:00	2003-07-31 00:00:00	B	B	1000	1000	0	1000	0	030016711	A99999	N	None	None	SFY2003-04
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-07-28 00:00:00	030002140	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-05-14 00:00:00	2002-05-22 00:00:00	Yes	2003-08-20 00:00:00	2003-07-29 00:00:00	AA	AA	85000	40000	0	40000	0	030016711	A99999	Y	None	None	SFY2003-04
030000878	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-07-31 00:00:00	030002141	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-24 00:00:00	None	No	2003-08-28 00:00:00	None	A	None	12000	12000	-4200	7800	0	030017231	A99999	N	None	None	SFY2003-04
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-08-04 00:00:00	030002142	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-06 00:00:00	None	No	2003-08-27 00:00:00	None	A	None	18000	18000	-6300	11700	0	030017362	A99999	N	None	None	SFY2003-04
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-08-04 00:00:00	030002143	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-09-22 00:00:00	None	Yes	2003-08-27 00:00:00	2003-08-21 00:00:00	A	A	16000	1000	0	1000	0	030016990	A99999	N	None	None	SFY2003-04
030000060	FOLSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-08-11 00:00:00	030002144	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-29 00:00:00	None	Yes	2003-09-17 00:00:00	2003-08-22 00:00:00	B	B	700	200	0	200	0	030017590	A99999	N	None	None	SFY2003-04
030000066	CERES POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2003-08-13 00:00:00	030002145	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-16 00:00:00	None	No	2003-09-08 00:00:00	None	A	None	16000	16000	-5600	10400	0	030017429	A99999	N	None	None	SFY2003-04
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-08-29 00:00:00	030002146	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-19 00:00:00	None	No	2003-09-22 00:00:00	None	B	None	1000	1000	-350	650	0	030017665	A99999	N	None	None	SFY2003-04
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-09-10 00:00:00	030002147	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-24 00:00:00	2003-06-24 00:00:00	Yes	2003-10-06 00:00:00	2003-09-18 00:00:00	B	B	1000	500	0	500	0	030017906	A99999	N	None	None	SFY2003-04
030000083	SUTTER TRANSITIONAL CARE CENTER-MIDTOWN D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-10-16 00:00:00	030002148	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-18 00:00:00	None	Yes	2003-11-17 00:00:00	2003-10-23 00:00:00	B	B	500	400	0	400	0	030017945	A99999	N	None	None	SFY2003-04
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2003-10-24 00:00:00	030002149	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-26 00:00:00	None	No	2003-11-17 00:00:00	None	B	None	800	800	-280	520	0	030017952	A99999	N	None	None	SFY2003-04
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-10-31 00:00:00	030002150	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-07-06 00:00:00	None	No	2003-11-24 00:00:00	None	B	None	1000	1000	-350	650	0	030017846	A99999	N	None	None	SFY2003-04
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-11-14 00:00:00	030002151	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-19 00:00:00	None	No	2003-12-09 00:00:00	None	B	None	500	500	-175	325	0	030017849	A99999	N	None	None	SFY2003-04
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-12-10 00:00:00	030002152	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-06 00:00:00	None	No	2004-01-02 00:00:00	None	B	None	500	500	0	500	0	030018214	A99999	N	None	None	SFY2003-04
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2004-01-02 00:00:00	030002153	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-28 00:00:00	None	Yes	2004-02-02 00:00:00	2004-01-14 00:00:00	B	B	600	600	0	600	0	030017971	A99999	N	None	None	SFY2003-04
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2004-01-05 00:00:00	030002154	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-24 00:00:00	None	No	2004-02-02 00:00:00	None	B	None	1000	1000	-350	650	0	030017065	A99999	N	None	None	SFY2003-04
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2004-01-04 00:00:00	030002155	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-24 00:00:00	None	No	2004-02-02 00:00:00	None	B	None	1000	1000	-350	650	0	030017065	A99999	N	None	None	SFY2003-04
030000060	FOLSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-01-26 00:00:00	030002156	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-24 00:00:00	None	No	2004-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	030017997	A99999	N	None	None	SFY2003-04
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-01-27 00:00:00	030002157	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-24 00:00:00	None	No	2004-02-25 00:00:00	None	B	None	1000	1000	0	1000	0	030017881	A99999	N	None	None	SFY2003-04
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-01-27 00:00:00	030002158	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-07-30 00:00:00	None	No	2004-02-23 00:00:00	None	A	None	16000	16000	-5600	10400	0	030017909	A99999	N	None	None	SFY2003-04
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-01-28 00:00:00	030002159	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-21 00:00:00	None	No	2004-03-05 00:00:00	None	B	None	800	800	0	800	0	030018185	A99999	N	None	None	SFY2003-04
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-02-10 00:00:00	030002160	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-08 00:00:00	None	No	2004-03-04 00:00:00	None	B	None	800	800	-280	520	0	030017811	A99999	N	None	None	SFY2003-04
030000079	OAKDALE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2004-02-26 00:00:00	030002161	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-24 00:00:00	None	Yes	2006-04-11 00:00:00	2004-03-05 00:00:00	B	B	1000	1000	0	1000	0	030018064	A99999	N	None	None	SFY2003-04
030000079	OAKDALE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2004-02-26 00:00:00	030002162	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-24 00:00:00	None	Yes	2004-10-07 00:00:00	2004-03-05 00:00:00	B	B	1000	1000	0	1000	0	030018064	A99999	N	None	None	SFY2003-04
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-03-02 00:00:00	030002163	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-07-18 00:00:00	None	Yes	2004-03-23 00:00:00	2008-01-02 00:00:00	A	A	10000	5000	0	5000	0	030018106	A99999	N	None	None	SFY2003-04
030000011	ROCK CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-03-03 00:00:00	030002164	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-25 00:00:00	None	Yes	2004-03-29 00:00:00	2004-03-08 00:00:00	A	A	20000	10000	0	10000	0	030018208	A99999	N	None	None	SFY2003-04
030001202	CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Fresno	2004-03-04 00:00:00	030002165	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-01 00:00:00	None	No	2004-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	030018080	A99999	N	None	None	SFY2003-04
030000013	AUBURN RAVINE TERRACE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-03-15 00:00:00	030002166	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-21 00:00:00	None	No	2004-04-06 00:00:00	None	A	None	16000	16000	-5600	10400	0	030017739	A99999	N	None	None	SFY2003-04
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-04-01 00:00:00	030002167	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-12-31 00:00:00	2003-12-31 00:00:00	Yes	2004-04-29 00:00:00	2004-04-20 00:00:00	B	B	500	500	0	500	0	030018324	A99999	N	None	None	SFY2003-04
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-03-30 00:00:00	030002168	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-19 00:00:00	None	No	2004-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	030016765	A99999	N	None	None	SFY2003-04
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-04-14 00:00:00	030002169	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-09-08 00:00:00	None	No	2004-05-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	030016899	A99999	N	None	None	SFY2003-04
030000005	COLLEGE OAK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-05-03 00:00:00	030002170	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-09 00:00:00	None	No	2004-05-24 00:00:00	None	A	None	18000	18300	0	18300	0	030017385	A99999	N	None	None	SFY2003-04
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-06-03 00:00:00	030002171	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-09 00:00:00	None	No	2004-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	030018448	A99999	N	None	None	SFY2003-04
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-07-02 00:00:00	030002172	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-02-17 00:00:00	None	No	2004-07-26 00:00:00	None	A	None	5000	5000	-1750	3250	0	030018470	A99999	N	None	None	SFY2004-05
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-08-18 00:00:00	030002173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-28 00:00:00	None	No	2004-09-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	030018809	A99999	N	None	None	SFY2004-05
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-04-05 00:00:00	030002180	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-13 00:00:00	None	Yes	2000-04-28 00:00:00	2000-04-24 00:00:00	A	A	9000	9000	0	9000	0	030019023	A99999	N	None	None	SFY1999-00
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-05-10 00:00:00	030002181	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-31 00:00:00	None	No	2002-06-03 00:00:00	None	B	None	800	800	-280	520	0	030019036	A99999	N	None	None	SFY2001-02
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-10-23 00:00:00	030002182	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-29 00:00:00	None	No	2003-11-24 00:00:00	None	B	None	800	800	0	800	0	030019044	A99999	N	None	None	SFY2003-04
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-04-27 00:00:00	030002183	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE-FAC REPORTED	2003-12-30 00:00:00	None	No	2004-05-24 00:00:00	None	B	None	1000	3000	-1050	1950	0	030019049	A99999	N	None	None	SFY2003-04
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-07-29 00:00:00	030002184	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-29 00:00:00	None	No	2004-08-19 00:00:00	None	B	None	1000	3000	0	3000	0	030019053	A99999	N	None	None	SFY2004-05
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-07-29 00:00:00	030002185	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-03-31 00:00:00	None	No	2004-08-19 00:00:00	None	B	None	1000	1000	0	1000	0	030019049	A99999	N	None	None	SFY2004-05
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-06-02 00:00:00	030002203	Closed	Citation	Citation B (HSC 1424)	Other	TRANSFER/DISCHARGE	2000-04-13 00:00:00	None	No	2000-06-26 00:00:00	None	B	None	1000	1000	0	1000	0	030019186	A99999	N	None	None	SFY1999-00
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-03-07 00:00:00	030002204	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-19 00:00:00	None	Yes	2001-03-28 00:00:00	2001-03-27 00:00:00	B	B	900	900	0	900	0	030019193	A99999	N	None	None	SFY2000-01
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-03-13 00:00:00	030002205	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-23 00:00:00	None	Yes	2002-04-04 00:00:00	2002-03-27 00:00:00	B	B	1000	1000	0	1000	0	030019205	A99999	N	None	None	SFY2001-02
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-02-03 00:00:00	030002215	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-13 00:00:00	None	Yes	2000-02-29 00:00:00	2000-02-24 00:00:00	A	A	10000	7500	0	7500	0	030019284	A99999	N	None	None	SFY1999-00
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-17 00:00:00	030002216	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-10 00:00:00	None	No	2001-11-07 00:00:00	None	B	None	800	800	-280	520	0	030019297	A99999	N	None	None	SFY2001-02
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-09-10 00:00:00	030002217	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2002-07-16 00:00:00	None	No	2002-10-03 00:00:00	None	B	None	1000	1000	-350	650	0	030019320	A99999	N	None	None	SFY2002-03
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-12-31 00:00:00	030002218	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-13 00:00:00	None	No	2003-01-23 00:00:00	None	B	None	500	500	-175	325	0	030019325	A99999	N	None	None	SFY2002-03
030001819	FULTON GARDENS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Stockton	2000-05-17 00:00:00	030002227	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-31 00:00:00	None	No	2000-06-07 00:00:00	None	A	None	5000	5000	-1750	3250	0	030019426	A99999	N	None	None	SFY1999-00
030001819	FULTON GARDENS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Stockton	2000-06-21 00:00:00	030002228	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-02-26 00:00:00	None	No	2000-07-12 00:00:00	None	B	None	700	700	-245	455	0	030019430	A99999	N	None	None	SFY1999-00
030001819	FULTON GARDENS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Stockton	2002-05-09 00:00:00	030002230	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2002-03-03 00:00:00	None	No	2002-06-05 00:00:00	None	B	None	600	600	-210	390	0	030019442	A99999	N	None	None	SFY2001-02
030001819	FULTON GARDENS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Stockton	2003-01-07 00:00:00	030002231	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-17 00:00:00	None	No	2003-02-04 00:00:00	None	B	None	900	900	-315	585	0	030019452	A99999	N	None	None	SFY2002-03
030001821	WOODSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-11-28 00:00:00	030002240	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-07 00:00:00	None	No	2001-12-31 00:00:00	None	B	None	800	800	-280	520	0	030019549	A99999	N	None	None	SFY2001-02
030001821	WOODSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-01-16 00:00:00	030002241	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-14 00:00:00	None	No	2002-02-07 00:00:00	None	A	None	8000	8000	0	8000	0	030019551	A99999	N	None	None	SFY2001-02
030001821	WOODSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-09-16 00:00:00	030002242	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-18 00:00:00	None	No	2003-10-07 00:00:00	None	B	None	1000	1000	0	1000	0	030019563	A99999	N	None	None	SFY2003-04
030001821	WOODSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-11-26 00:00:00	030002243	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-28 00:00:00	None	No	2003-12-26 00:00:00	None	A	None	18000	18000	-6300	11700	0	030019569	A99999	N	None	None	SFY2003-04
030001823	NOBLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-08-01 00:00:00	030002254	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-12 00:00:00	None	Yes	2002-11-07 00:00:00	2002-08-07 00:00:00	B	B	1000	1000	0	1000	0	030019683	A99999	N	None	None	SFY2002-03
030001823	NOBLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2003-07-18 00:00:00	030002255	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-30 00:00:00	None	No	2003-08-19 00:00:00	None	B	B	900	502	0	502	0	030019725	A99999	N	None	None	SFY2003-04
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-11-21 00:00:00	030002272	Closed	Citation	Citation B (HSC 1424)	Other	INADEQUATE SUPERV	2000-05-25 00:00:00	None	No	2000-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	030019917	A99999	N	None	None	SFY2000-01
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-03-25 00:00:00	030002273	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-20 00:00:00	None	No	2002-04-18 00:00:00	None	B	None	800	800	-280	520	0	030019927	A99999	N	None	None	SFY2001-02
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-04-04 00:00:00	030002274	Closed	Citation	Citation B (HSC 1424)	Other	PHYS./MENTAL ABUSE	2002-03-17 00:00:00	None	No	2002-04-29 00:00:00	None	B	None	900	900	0	900	0	030019930	A99999	N	None	None	SFY2001-02
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-05-02 00:00:00	030002275	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-30 00:00:00	None	No	2003-06-03 00:00:00	None	B	None	800	800	-280	520	0	030019950	A99999	N	None	None	SFY2002-03
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-05-13 00:00:00	030002276	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-28 00:00:00	None	No	2003-06-06 00:00:00	None	B	None	800	800	0	800	0	030019951	A99999	N	None	None	SFY2002-03
030001829	ACC CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-02-21 00:00:00	030002281	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-12 00:00:00	None	No	2003-07-14 00:00:00	None	B	Dismissed by Court	300	0	0	0	0	030020030	A99999	N	None	None	SFY2002-03
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-09-05 00:00:00	030002285	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-23 00:00:00	None	No	2001-09-26 00:00:00	None	B	None	800	800	-280	520	0	030020080	A99999	N	None	None	SFY2001-02
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-11-01 00:00:00	030002286	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-08-30 00:00:00	None	No	2001-11-27 00:00:00	None	A	None	18000	18000	-6300	11700	0	030020086	A99999	N	None	None	SFY2001-02
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-12-11 00:00:00	030002287	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-13 00:00:00	None	No	2002-01-03 00:00:00	None	B	None	800	800	0	800	0	030020091	A99999	N	None	None	SFY2001-02
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-12-11 00:00:00	030002288	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-06 00:00:00	None	No	2002-01-03 00:00:00	None	B	None	800	800	0	800	0	030020092	A99999	N	None	None	SFY2001-02
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-12-11 00:00:00	030002289	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-06 00:00:00	None	No	2002-01-03 00:00:00	None	B	None	800	800	0	800	0	030020093	A99999	N	None	None	SFY2001-02
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-03-12 00:00:00	030002290	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-08 00:00:00	None	No	2002-04-08 00:00:00	None	B	None	1000	1000	-350	650	0	030020099	A99999	N	None	None	SFY2001-02
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-03-12 00:00:00	030002291	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-19 00:00:00	None	No	2002-04-08 00:00:00	None	B	None	1000	1000	-350	650	0	030020100	A99999	N	None	None	SFY2001-02
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-03-12 00:00:00	030002292	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-19 00:00:00	None	No	2002-04-08 00:00:00	None	B	None	1000	1000	-350	650	0	030020101	A99999	N	None	None	SFY2001-02
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-02-07 00:00:00	030002293	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE SELF-REPORTED	2002-11-19 00:00:00	None	Yes	2003-03-06 00:00:00	2003-02-18 00:00:00	B	B	800	800	0	800	0	030020113	A99999	N	None	None	SFY2002-03
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-03-04 00:00:00	030002294	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-20 00:00:00	None	No	2003-03-25 00:00:00	None	B	None	800	800	-280	520	0	030020115	A99999	N	None	None	SFY2002-03
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-06-12 00:00:00	030002295	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-01-25 00:00:00	None	Yes	2003-07-10 00:00:00	2003-06-18 00:00:00	AA	AA	75000	10000	0	10000	0	030020116	A99999	Y	None	None	SFY2002-03
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-06-10 00:00:00	030002296	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE-FAC REPORTED	2004-04-27 00:00:00	None	No	2004-07-13 00:00:00	None	B	None	500	500	-175	325	0	030020142	A99999	N	None	None	SFY2003-04
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2004-11-08 00:00:00	030002297	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-16 00:00:00	None	No	2004-12-02 00:00:00	None	B	None	700	700	-245	455	0	030020214	A99999	N	None	None	SFY2004-05
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-11-05 00:00:00	030002298	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-04 00:00:00	None	No	2004-12-01 00:00:00	None	B	None	800	800	-280	520	0	030020219	A99999	N	None	None	SFY2004-05
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-11-08 00:00:00	030002299	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-22 00:00:00	None	No	2004-12-02 00:00:00	None	B	None	1000	1000	-350	650	0	030020223	A99999	N	None	None	SFY2004-05
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-11-19 00:00:00	030002300	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-08-16 00:00:00	None	No	2004-12-27 00:00:00	None	A	None	16000	16000	-5600	10400	0	030020248	A99999	N	None	None	SFY2004-05
030000011	ROCK CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-11-19 00:00:00	030002301	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-08-15 00:00:00	None	No	2004-12-14 00:00:00	None	B	None	600	600	-210	390	0	030020254	A99999	N	None	None	SFY2004-05
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-11-30 00:00:00	030002302	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-08 00:00:00	None	No	2004-12-21 00:00:00	None	B	None	1000	1000	0	1000	0	030018451	A99999	N	None	None	SFY2004-05
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-12-01 00:00:00	030002303	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-05 00:00:00	None	No	2004-12-31 00:00:00	None	B	None	800	800	0	800	0	030020260	A99999	N	None	None	SFY2004-05
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2004-12-03 00:00:00	030002304	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-09 00:00:00	None	No	2004-12-24 00:00:00	None	B	None	1000	1000	-350	650	0	030020273	A99999	N	None	None	SFY2004-05
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-12-10 00:00:00	030002305	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE	2004-08-21 00:00:00	None	No	2004-12-31 00:00:00	None	A	None	16000	16000	-5600	10400	0	030020294	A99999	N	None	None	SFY2004-05
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-12-10 00:00:00	030002306	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-08-21 00:00:00	None	No	2004-12-31 00:00:00	None	B	None	600	600	-210	390	0	030020295	A99999	N	None	None	SFY2004-05
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-12-14 00:00:00	030002307	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-03 00:00:00	None	No	2005-01-04 00:00:00	None	A	None	16000	16000	-5600	10400	0	030018459	A99999	N	None	None	SFY2004-05
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-12-15 00:00:00	030002308	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-27 00:00:00	None	No	2005-01-05 00:00:00	None	B	None	1000	1000	-350	650	0	030019046	A99999	N	None	None	SFY2004-05
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-12-21 00:00:00	030002309	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-27 00:00:00	None	No	2005-01-18 00:00:00	None	B	None	500	500	-175	325	0	030020305	A99999	N	None	None	SFY2004-05
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-12-21 00:00:00	030002310	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-31 00:00:00	None	No	2005-01-18 00:00:00	None	B	None	500	500	-175	325	0	030020305	A99999	N	None	None	SFY2004-05
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-12-29 00:00:00	030002311	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-05-15 00:00:00	None	No	2005-01-26 00:00:00	None	B	None	500	500	-175	325	0	030020325	A99999	N	None	None	SFY2004-05
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-01-06 00:00:00	030002312	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-10-31 00:00:00	None	No	2005-01-26 00:00:00	None	B	None	800	800	-280	520	0	030020330	A99999	N	None	None	SFY2004-05
030000060	FOLSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-01-11 00:00:00	030002313	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE - NOT REPORTED	2004-06-01 00:00:00	None	No	2005-02-02 00:00:00	None	B	None	500	500	-175	325	0	030020357	A99999	N	None	None	SFY2004-05
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2005-01-28 00:00:00	030002314	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-12 00:00:00	None	Yes	2005-03-01 00:00:00	2005-02-22 00:00:00	B	B	1000	500	0	500	0	030020405	A99999	N	None	None	SFY2004-05
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-02-18 00:00:00	030002315	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-24 00:00:00	None	No	2005-03-14 00:00:00	None	B	None	1000	1000	-350	650	0	030020415	A99999	N	None	None	SFY2004-05
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-03-09 00:00:00	030002316	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-15 00:00:00	None	No	2005-04-05 00:00:00	None	B	None	1000	1000	-350	650	0	030020418	A99999	N	None	None	SFY2004-05
030000288	TURLOCK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2005-03-22 00:00:00	030002317	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-10-25 00:00:00	None	Yes	2005-04-18 00:00:00	2005-04-01 00:00:00	AA	AA	90000	115000	0	115000	0	030020419	A99999	Y	None	None	SFY2004-05
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-03-28 00:00:00	030002318	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-25 00:00:00	None	No	2005-05-02 00:00:00	None	B	None	750	750	-262.5	487.5	0	030020420	A99999	N	None	None	SFY2004-05
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-04-12 00:00:00	030002319	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-18 00:00:00	None	No	2005-05-03 00:00:00	None	B	None	800	800	-280	520	0	030020424	A99999	N	None	None	SFY2004-05
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-04-15 00:00:00	030002320	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-07 00:00:00	None	No	2005-05-06 00:00:00	None	B	None	800	800	-280	520	0	030020425	A99999	N	None	None	SFY2004-05
030000079	OAKDALE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2005-04-15 00:00:00	030002321	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-06 00:00:00	None	No	2005-05-12 00:00:00	None	B	None	800	800	-280	520	0	030020426	A99999	N	None	None	SFY2004-05
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-05-11 00:00:00	030002322	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-03 00:00:00	None	No	2005-06-13 00:00:00	None	B	None	1000	1000	-350	650	0	030020431	A99999	N	None	None	SFY2004-05
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-05-18 00:00:00	030002323	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-10 00:00:00	None	No	2005-06-16 00:00:00	None	B	None	1000	1000	-350	650	0	030020432	A99999	N	None	None	SFY2004-05
030000004	ROSEVILLE POINT HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-05-19 00:00:00	030002324	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-07-26 00:00:00	None	Yes	2005-06-16 00:00:00	2005-05-19 00:00:00	A	None	10000	10000	-10000	0	0	030020433	A99999	N	None	None	SFY2004-05
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-05-24 00:00:00	030002325	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-12-13 00:00:00	None	No	2005-06-15 00:00:00	None	B	None	1000	1000	-350	650	0	030020434	A99999	N	None	None	SFY2004-05
030001081	LODI MEMORIAL HOSPITAL-WEST D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-05-24 00:00:00	030002326	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-12-02 00:00:00	None	Yes	2005-06-21 00:00:00	2005-05-31 00:00:00	B	B	500	250	0	250	0	030020435	A99999	N	None	None	SFY2004-05
030000005	COLLEGE OAK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-06-07 00:00:00	030002327	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-07-06 00:00:00	None	Yes	2005-06-28 00:00:00	2005-06-07 00:00:00	A	A	16000	16000	0	16000	0	030017788	A99999	N	None	None	SFY2004-05
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-06-24 00:00:00	030002328	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-26 00:00:00	None	No	2005-07-18 00:00:00	None	B	None	1000	1000	-350	650	0	030020441	A99999	N	None	None	SFY2004-05
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-06-29 00:00:00	030002329	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2005-05-19 00:00:00	None	No	2005-07-27 00:00:00	None	B	None	800	800	-280	520	0	030020443	A99999	N	None	None	SFY2004-05
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-08-01 00:00:00	030002330	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-09 00:00:00	None	No	2005-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	030020447	A99999	N	None	None	SFY2005-06
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-08-12 00:00:00	030002331	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-05-01 00:00:00	None	No	2005-09-02 00:00:00	None	B	None	1000	1000	-350	650	0	030020448	A99999	N	None	None	SFY2005-06
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-09-02 00:00:00	030002332	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-08 00:00:00	None	No	2005-10-17 00:00:00	None	B	None	600	600	-210	390	0	030020451	A99999	N	None	None	SFY2005-06
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-09-02 00:00:00	030002333	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-16 00:00:00	2005-09-08 00:00:00	No	2005-09-26 00:00:00	None	B	None	800	800	-280	520	0	030020452	A99999	N	None	None	SFY2005-06
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-10-12 00:00:00	030002334	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-06 00:00:00	None	No	2005-11-09 00:00:00	None	B	None	1000	1400	-350	1050	0	030020455	A99999	N	None	None	SFY2005-06
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-10-13 00:00:00	030002335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-18 00:00:00	None	Yes	2005-11-03 00:00:00	2005-11-02 00:00:00	B	B	500	250	0	250	0	030020456	A99999	N	None	None	SFY2005-06
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-10-13 00:00:00	030002336	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-27 00:00:00	None	No	2005-11-10 00:00:00	None	B	None	1000	3000	-1050	1950	0	030020457	A99999	N	None	None	SFY2005-06
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-10-28 00:00:00	030002338	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE-SELF REPORTED	2005-09-02 00:00:00	None	No	2005-12-06 00:00:00	None	B	None	1000	1000	0	1000	0	030020458	A99999	N	None	None	SFY2005-06
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-10-28 00:00:00	030002339	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-23 00:00:00	None	No	2005-12-08 00:00:00	None	B	None	1000	1000	-350	650	0	030020459	A99999	N	None	None	SFY2005-06
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-11-04 00:00:00	030002340	Closed	Citation	Citation A (HSC 1424)	Medication	None	2005-07-14 00:00:00	None	Yes	2009-10-27 00:00:00	2009-10-05 00:00:00	A	A	14000	9000	0	9000	0	030020461	A99999	N	CA00055767	B	SFY2005-06
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-11-10 00:00:00	030002341	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-11 00:00:00	None	No	2005-12-21 00:00:00	None	B	None	1000	1000	-350	650	0	030020463	A99999	N	None	None	SFY2005-06
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-11-29 00:00:00	030002342	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-10 00:00:00	None	No	2005-12-20 00:00:00	None	B	None	1000	1000	-350	650	0	030020467	A99999	N	None	None	SFY2005-06
030000288	TURLOCK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2005-12-16 00:00:00	030002343	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-10-02 00:00:00	None	No	2006-01-10 00:00:00	None	B	None	600	600	-210	390	0	030020471	A99999	N	None	None	SFY2005-06
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-01-13 00:00:00	030002344	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-16 00:00:00	None	No	2006-02-17 00:00:00	None	B	None	1000	1000	-350	650	0	030020473	A99999	N	None	None	SFY2005-06
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-02-03 00:00:00	030002345	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-16 00:00:00	None	No	2006-02-28 00:00:00	None	B	None	1000	1000	-350	650	0	030020474	A99999	N	None	None	SFY2005-06
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-02-03 00:00:00	030002346	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE SELF REPORTED	2005-04-24 00:00:00	None	No	2006-02-28 00:00:00	None	B	None	500	500	-175	325	0	030020475	A99999	N	None	None	SFY2005-06
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-08-08 00:00:00	030002914	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-12-06 00:00:00	2005-12-06 00:00:00	Yes	2006-08-29 00:00:00	2006-08-16 00:00:00	AA	A	80000	21050	-1050	20000	0	None	YJL311	Y	CA00067861	A	SFY2006-07
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-01-05 00:00:00	030002916	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-03-20 00:00:00	2005-03-20 00:00:00	Yes	2008-03-14 00:00:00	2008-03-26 00:00:00	AA	A	90000	32500	0	32500	0	None	1UO911	Y	CA00041684	C	SFY2006-07
030000854	BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-04-26 00:00:00	030002919	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-08-09 00:00:00	2005-08-09 00:00:00	No	2006-05-30 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	THVK11	Y	CA00059704	B	SFY2005-06
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-03-11 00:00:00	030002920	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE SELF-REPORTED	2005-11-02 00:00:00	2005-11-02 00:00:00	No	2006-04-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	2B1M11	N	CA00064929	C	SFY2005-06
030000079	OAKDALE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2006-03-21 00:00:00	030002940	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-21 00:00:00	2005-03-21 00:00:00	No	2006-04-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y2UR11	N	CA00047871	C	SFY2005-06
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-03-23 00:00:00	030002977	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-09-13 00:00:00	2005-09-13 00:00:00	No	2006-04-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	N2PQ11	N	CA00062047	B	SFY2005-06
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2006-03-29 00:00:00	030002981	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-16 00:00:00	2005-05-16 00:00:00	No	2006-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	SE0211	N	CA00061029	C	SFY2005-06
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2006-03-29 00:00:00	030002987	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-22 00:00:00	2005-05-22 00:00:00	No	2006-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	SEO211	N	CA00061029	C	SFY2005-06
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-03-28 00:00:00	030002991	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-02-03 00:00:00	2004-02-03 00:00:00	No	2006-04-19 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	19WG11	N	CA00025661, CA00026432	C, C	SFY2005-06
100000027	RIVER BEND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-04-18 00:00:00	030003032	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-06-16 00:00:00	2004-06-16 00:00:00	Yes	2006-05-09 00:00:00	2006-04-24 00:00:00	A	A	10000	6000	0	6000	0	None	6L3511	N	CA00032038	B	SFY2005-06
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-05-31 00:00:00	030003115	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-18 00:00:00	2005-04-18 00:00:00	No	2006-06-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	J02811	N	CA00045501	B	SFY2005-06
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-05-31 00:00:00	030003121	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-28 00:00:00	2005-07-28 00:00:00	No	2006-06-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	DVE911	N	CA00057385	C	SFY2005-06
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-06-14 00:00:00	030003150	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-01-02 00:00:00	2006-01-02 00:00:00	No	2006-07-06 00:00:00	None	B	None	500	500	-175	325	0	None	2CB511	N	None	None	SFY2005-06
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-06-28 00:00:00	030003180	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-09-03 00:00:00	2005-09-03 00:00:00	No	2006-07-20 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	IUPT11	Y	CA00060356, CA00060576, CA00060997	B, B, B	SFY2005-06
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2006-07-21 00:00:00	030003184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-22 00:00:00	2005-09-22 00:00:00	No	2006-08-11 00:00:00	None	B	None	500	500	0	500	0	None	DXQ811	N	None	None	SFY2006-07
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-06-30 00:00:00	030003185	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-02-14 00:00:00	2004-02-14 00:00:00	No	2006-07-24 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	LQP911	N	CA00020571	C	SFY2005-06
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-06-30 00:00:00	030003187	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-13 00:00:00	2004-02-13 00:00:00	No	2006-07-24 00:00:00	None	B	None	800	800	-280	520	0	None	LQP911	N	CA00020571	C	SFY2005-06
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-07-14 00:00:00	030003206	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2006-01-04 00:00:00	2006-01-04 00:00:00	Yes	2006-08-04 00:00:00	2006-08-03 00:00:00	AA	AA	80000	20000	0	20000	0	None	UWW211	Y	CA00070355, CA00070451, CA00070667, CA00082166	B, C, C, B	SFY2006-07
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-06-15 00:00:00	030003214	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-28 00:00:00	2006-05-28 00:00:00	No	2007-07-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	C7A711	N	CA00082206, CA00082401	B, B	SFY2006-07
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2006-08-08 00:00:00	030003215	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-30 00:00:00	2006-01-30 00:00:00	No	2006-08-29 00:00:00	None	B	None	500	500	-175	325	0	None	WO7211	N	CA00071554	B	SFY2006-07
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-12-20 00:00:00	030003318	Closed	Citation	Citation AA (HSC 1424)	Patient Care	Abuse/Fac Not Reported	2005-06-25 00:00:00	2005-06-25 00:00:00	Yes	2007-01-18 00:00:00	2007-01-10 00:00:00	AA	A	100000	20000	0	20000	0	None	CZQM11	Y	CA00053421, CA00056632	B, B	SFY2006-07
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-09-12 00:00:00	030003327	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-12 00:00:00	2005-08-12 00:00:00	No	2006-10-03 00:00:00	None	B	None	500	500	-175	325	0	None	CGP511	N	CA00059025	C	SFY2006-07
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2006-09-14 00:00:00	030003328	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-06 00:00:00	2006-06-06 00:00:00	No	2006-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z5MQ11	N	CA00088530	A	SFY2006-07
100000027	RIVER BEND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-09-13 00:00:00	030003329	Closed	Citation	Citation B (HSC 1424)	Other	Abuse Self Reported	2006-06-30 00:00:00	2006-06-30 00:00:00	Yes	2006-10-04 00:00:00	2006-09-22 00:00:00	B	B	500	100	0	100	0	None	QZDC11	N	CA00086276	B	SFY2006-07
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-09-12 00:00:00	030003332	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-02-03 00:00:00	2006-02-03 00:00:00	No	2006-10-03 00:00:00	None	B	None	500	500	-175	325	0	None	B9CI11	N	CA00072097	B	SFY2006-07
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2006-10-12 00:00:00	030003333	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2006-09-01 00:00:00	2006-09-01 00:00:00	No	2006-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	7E2L11	N	CA00092050	B	SFY2006-07
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-09-20 00:00:00	030003347	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-29 00:00:00	2006-07-29 00:00:00	No	2006-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	XZDS11	N	None	None	SFY2006-07
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-09-25 00:00:00	030003354	Closed	Citation	Citation B (HSC 1424)	Patient Care	Facility Report	2006-08-19 00:00:00	2006-08-19 00:00:00	No	2006-10-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	YTW211	N	CA00090743	B	SFY2006-07
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-10-02 00:00:00	030003370	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-10-13 00:00:00	2005-10-13 00:00:00	No	2006-10-24 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	QNI411	N	CA00064970	C	SFY2006-07
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-10-06 00:00:00	030003389	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-02 00:00:00	2005-09-02 00:00:00	Yes	2006-11-03 00:00:00	2006-10-13 00:00:00	B	B	1000	500	0	500	0	None	WPR611	N	CA00061180	C	SFY2006-07
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-10-05 00:00:00	030003390	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-12 00:00:00	2006-06-12 00:00:00	No	2006-10-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	6XHN11	N	CA00090485	B	SFY2006-07
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-10-17 00:00:00	030003410	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-06 00:00:00	2004-08-06 00:00:00	No	2006-11-07 00:00:00	None	B	None	800	800	-280	520	0	None	IUO911	N	CA00041684	C	SFY2006-07
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2006-10-13 00:00:00	030003414	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-07-30 00:00:00	2006-07-30 00:00:00	No	2006-11-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	RDYD11	N	CA00088841	B	SFY2006-07
100000100	STOLLWOOD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-10-19 00:00:00	030003415	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-30 00:00:00	2006-07-30 00:00:00	No	2006-11-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	YXL411	N	CA00089636, CA00089694	B, B	SFY2006-07
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2006-10-24 00:00:00	030003430	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-06-01 00:00:00	2006-06-01 00:00:00	Yes	2006-11-21 00:00:00	2006-10-26 00:00:00	B	B	800	400	0	400	0	None	P1KC11	N	CA00088291	B	SFY2006-07
100000055	GARDEN CITY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2006-10-24 00:00:00	030003431	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-18 00:00:00	2006-09-18 00:00:00	Yes	2006-11-16 00:00:00	2006-11-03 00:00:00	B	B	500	500	0	500	0	None	UJHV11	N	CA00093665	B	SFY2006-07
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-10-25 00:00:00	030003440	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2006-05-27 00:00:00	2006-05-27 00:00:00	No	2006-11-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	H03911	N	CA00082235	A	SFY2006-07
030001819	FULTON GARDENS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Stockton	2006-10-30 00:00:00	030003444	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-10 00:00:00	2006-03-10 00:00:00	No	2006-11-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	DRCV11	N	CA00075102, CA00075931	B, B	SFY2006-07
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-05-09 00:00:00	030003448	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-14 00:00:00	2003-01-14 00:00:00	No	2007-05-31 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	VVSU11	N	CA00022218	C	SFY2006-07
030000852	BRANDEL MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2006-12-12 00:00:00	030003476	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-02-24 00:00:00	2006-02-24 00:00:00	No	2007-01-04 00:00:00	None	B	None	500	500	0	500	0	None	GF6811	N	CA00074412	B	SFY2006-07
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-11-13 00:00:00	030003480	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-04-13 00:00:00	2005-04-13 00:00:00	No	2006-12-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	NUIY11	N	CA00050391	D	SFY2006-07
030000854	BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-01-23 00:00:00	030003486	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2006-10-17 00:00:00	2006-10-17 00:00:00	Yes	2010-05-05 00:00:00	2010-05-04 00:00:00	AA	AA	100000	83000	0	83000	0	None	SLDK11	Y	CA00096697	A	SFY2006-07
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-11-17 00:00:00	030003489	Closed	Citation	Citation B (HSC 1424)	Other	Abuse - Facility Reported	2005-10-19 00:00:00	2005-10-19 00:00:00	No	2006-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	RX6R11	N	CA00064288	C	SFY2006-07
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-11-27 00:00:00	030003503	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2006-04-08 00:00:00	2006-04-08 00:00:00	No	2006-12-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	II9811	N	CA00080621	B	SFY2006-07
100001681	RCCA - DUTRA PLACE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2006-12-01 00:00:00	030003508	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-26 00:00:00	2006-09-26 00:00:00	Yes	2006-12-26 00:00:00	2006-12-15 00:00:00	B	B	600	300	0	300	0	None	PCCC11	N	CA00094717	B	SFY2006-07
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-12-01 00:00:00	030003510	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-01 00:00:00	2006-10-01 00:00:00	Yes	2006-12-22 00:00:00	2006-12-07 00:00:00	B	B	600	600	0	600	0	None	P69C11	N	CA00094960	B	SFY2006-07
030001819	FULTON GARDENS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Stockton	2006-12-06 00:00:00	030003515	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-07 00:00:00	2006-11-07 00:00:00	No	2006-12-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	QOYF11	N	None	None	SFY2006-07
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-12-06 00:00:00	030003516	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2006-10-26 00:00:00	2006-10-26 00:00:00	No	2006-12-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	0JPP11	N	CA00095275	B	SFY2006-07
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-12-29 00:00:00	030003537	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-01 00:00:00	2006-06-01 00:00:00	No	2007-01-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	OCBW11	N	CA00064815, CA00064815, CA00083301, CA00083301	C, C, B, B	SFY2006-07
030001004	AMERICAN RIVER CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-12-20 00:00:00	030003573	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-12-08 00:00:00	2003-12-08 00:00:00	No	2007-01-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	085D11	N	CA00036382	C	SFY2006-07
030001004	AMERICAN RIVER CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-12-20 00:00:00	030003579	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-12-08 00:00:00	2003-12-08 00:00:00	No	2007-01-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	085D11	Y	CA00036382	C	SFY2006-07
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-12-20 00:00:00	030003580	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-06-25 00:00:00	2005-06-25 00:00:00	No	2007-01-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	CZQM11	N	CA00053421, CA00056632	B, B	SFY2006-07
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-12-20 00:00:00	030003582	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-16 00:00:00	2006-10-16 00:00:00	No	2007-01-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	QO7U11	N	CA00096026	B	SFY2006-07
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2006-12-20 00:00:00	030003586	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-10-14 00:00:00	2006-10-14 00:00:00	Yes	2007-01-18 00:00:00	2006-12-26 00:00:00	B	B	600	300	0	300	0	None	K8KF11	N	CA00095953	B	SFY2006-07
100001639	RCCA - WAWONA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2006-12-20 00:00:00	030003587	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-07-22 00:00:00	2006-07-22 00:00:00	Yes	2007-01-17 00:00:00	2007-01-08 00:00:00	B	B	1000	500	0	500	0	None	I9PU11	N	CA00089192	B	SFY2006-07
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-01-16 00:00:00	030003609	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-29 00:00:00	2006-07-29 00:00:00	No	2007-02-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	VR9M11	N	CA00089576	B	SFY2006-07
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-01-04 00:00:00	030003610	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-06 00:00:00	2005-03-06 00:00:00	No	2007-01-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	CEVJ11	N	CA00060515	C	SFY2006-07
100001639	RCCA - WAWONA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2007-01-04 00:00:00	030003616	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-26 00:00:00	2006-10-26 00:00:00	Yes	2007-01-25 00:00:00	2007-01-09 00:00:00	B	B	600	300	0	300	0	None	EQB611	N	CA00097067	B	SFY2006-07
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-01-16 00:00:00	030003636	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-02 00:00:00	2006-07-02 00:00:00	No	2007-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	6Z1B11	N	CA00085732, CA00089597	B, B	SFY2006-07
100001455	WRS INC. NORTH PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2007-01-18 00:00:00	030003646	Closed	Citation	Citation B (HSC 1424)	Patient Care	Neglect	2006-01-24 00:00:00	2006-01-24 00:00:00	Yes	2007-02-19 00:00:00	2007-01-29 00:00:00	B	Drop>Deficiency	800	0	0	0	0	None	I7LO11	N	CA00071133	B	SFY2006-07
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-04-05 00:00:00	030003655	Closed	Citation	Citation B (HSC 1424)	Administration	Patient Care	2006-12-07 00:00:00	2006-12-07 00:00:00	No	2007-04-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	TGTL11	N	CA00100864	A	SFY2006-07
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-06-20 00:00:00	030003657	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-11-21 00:00:00	2006-11-21 00:00:00	No	2008-07-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	00MS11	N	CA00099479	B	SFY2007-08
100001644	RCCA - LILY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2007-01-30 00:00:00	030003668	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-04-07 00:00:00	2006-04-07 00:00:00	Yes	2007-02-22 00:00:00	2007-02-02 00:00:00	B	B	1000	500	0	500	0	None	VNJ611	N	CA00078429, CA00078434	B, B	SFY2006-07
100001644	RCCA - LILY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2007-01-30 00:00:00	030003669	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-07-15 00:00:00	2006-07-15 00:00:00	Yes	2007-02-20 00:00:00	2007-02-02 00:00:00	B	B	800	400	0	400	0	None	WP2Z11	N	CA00088561	B	SFY2006-07
030000288	TURLOCK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2007-02-07 00:00:00	030003686	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-12 00:00:00	2005-06-12 00:00:00	No	2007-02-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	R7CL11	N	CA00056965	C	SFY2006-07
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-03-02 00:00:00	030003703	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-09 00:00:00	2006-11-09 00:00:00	No	2007-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	QDOJ11	N	CA00098539, CA00098546	A, A	SFY2006-07
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-11-27 00:00:00	030003709	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-30 00:00:00	2005-11-30 00:00:00	No	2007-12-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	VY1S11	N	CA00066485	C	SFY2007-08
030001004	AMERICAN RIVER CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-03-09 00:00:00	030003771	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-10-06 00:00:00	2005-10-06 00:00:00	No	2007-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	JLTU11	N	CA00063787	C	SFY2006-07
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-26 00:00:00	030003780	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-25 00:00:00	2005-08-25 00:00:00	Yes	2007-08-16 00:00:00	2007-08-09 00:00:00	B	None	1000	1350	0	1350	0	None	RB1011	N	CA00076470	B	SFY2007-08
100000104	VIENNA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-03-22 00:00:00	030003787	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-10-27 00:00:00	2006-10-27 00:00:00	Yes	2007-04-12 00:00:00	2007-03-29 00:00:00	B	B	500	250	0	250	0	None	HGOC11	N	CA00097194	B	SFY2006-07
030001823	NOBLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-03-22 00:00:00	030003790	Closed	Citation	Citation B (HSC 1424)	Other	Abuse-Not Self Reported	2006-10-09 00:00:00	2006-10-09 00:00:00	No	2007-04-30 00:00:00	None	B	None	500	500	0	500	0	None	ZWKS11	N	CA00097143	B	SFY2006-07
100000104	VIENNA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-03-22 00:00:00	030003791	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-30 00:00:00	2006-06-30 00:00:00	Yes	2007-04-12 00:00:00	2007-04-05 00:00:00	B	B	1000	500	0	500	0	None	TD0T11	N	CA00097593	B	SFY2006-07
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-03-29 00:00:00	030003793	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-21 00:00:00	2005-08-21 00:00:00	No	2007-04-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	GEJO11	N	CA00063979	C	SFY2006-07
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-03-28 00:00:00	030003794	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-01 00:00:00	2006-08-01 00:00:00	Yes	2007-04-20 00:00:00	2007-04-02 00:00:00	B	B	1000	550	0	550	0	None	K1YS11	N	CA00090165	B	SFY2006-07
100000104	VIENNA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-03-22 00:00:00	030003796	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-15 00:00:00	2006-06-15 00:00:00	Yes	2007-04-16 00:00:00	2007-03-29 00:00:00	B	B	1000	500	0	500	0	None	P6PM11	N	CA00084198	B	SFY2006-07
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-03-23 00:00:00	030003830	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Patient Rights	2006-11-10 00:00:00	2006-11-10 00:00:00	No	2007-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	STXO11	N	CA00072658, CA00098355	B, B	SFY2006-07
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-03-26 00:00:00	030003836	Closed	Citation	Citation B (HSC 1424)	Other	Abuse - Self Reported	2007-01-22 00:00:00	2007-01-22 00:00:00	No	2007-04-16 00:00:00	None	B	None	800	800	0	800	0	None	E6IY11	N	CA00104486	A	SFY2006-07
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-03-29 00:00:00	030003859	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-19 00:00:00	2007-02-19 00:00:00	No	2007-04-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	E3M511	N	CA00107250	B	SFY2006-07
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-03-30 00:00:00	030003861	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-02-13 00:00:00	2007-02-13 00:00:00	No	2007-04-20 00:00:00	None	B	None	600	600	-210	390	0	None	EHZ211	N	CA00106960	B	SFY2006-07
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2007-03-30 00:00:00	030003863	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-04-15 00:00:00	2006-04-15 00:00:00	No	2007-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	RQD511	N	CA00078568	B	SFY2006-07
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-06-15 00:00:00	030003864	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-29 00:00:00	2006-05-29 00:00:00	No	2007-07-09 00:00:00	None	B	None	800	800	-280	520	0	None	C7A711	N	CA00082206, CA00082401	B, B	SFY2006-07
100000032	BROOKSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-04-03 00:00:00	030003865	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge Rights	2006-11-23 00:00:00	2006-11-23 00:00:00	No	2007-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	J21C11	N	CA00100300	B	SFY2006-07
030000530	OAK RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-04-19 00:00:00	030003885	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-04 00:00:00	2005-02-04 00:00:00	No	2007-05-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	R7SD11	N	CA00039015, CA00039050	B, B	SFY2006-07
030000530	OAK RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-04-19 00:00:00	030003886	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-02-07 00:00:00	2005-02-07 00:00:00	Yes	2007-05-10 00:00:00	2007-05-08 00:00:00	A	A	20000	11000	0	11000	0	None	R7SD11	N	CA00039015, CA00039050	B, B	SFY2006-07
100000035	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Stockton	2007-04-17 00:00:00	030003891	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-05 00:00:00	2006-03-05 00:00:00	No	2007-05-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	9CI311	N	CA00076296, CA00076462	A, A	SFY2006-07
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-04-17 00:00:00	030003897	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-03-22 00:00:00	2006-03-22 00:00:00	No	2007-05-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	JQM811	N	CA00079719	B	SFY2006-07
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-04-19 00:00:00	030003899	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-03-10 00:00:00	2006-03-10 00:00:00	Yes	2007-05-10 00:00:00	2007-04-23 00:00:00	A	A	18000	18000	0	18000	0	None	LX7W11	N	CA00078378	B	SFY2006-07
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-04-24 00:00:00	030003906	Closed	Citation	Citation B (HSC 1424)	Other	Abuse Facility Reported	2006-05-19 00:00:00	2006-05-19 00:00:00	No	2007-05-15 00:00:00	None	B	None	500	500	-175	325	0	None	KL9D11	N	CA00081731, CA00083269	B, B	SFY2006-07
100001594	SHIRLEY'S ICF/DD-H #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2007-04-25 00:00:00	030003912	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-26 00:00:00	2006-09-26 00:00:00	No	2007-05-16 00:00:00	None	B	None	500	500	-175	325	0	None	CP3F11	N	CA00093397	B	SFY2006-07
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-05-02 00:00:00	030003925	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-16 00:00:00	2005-03-16 00:00:00	No	2007-05-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	ICKN11	N	CA00041039	C	SFY2006-07
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2007-05-10 00:00:00	030003933	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-15 00:00:00	2007-03-15 00:00:00	Yes	2007-06-01 00:00:00	2007-05-15 00:00:00	B	B	1000	500	0	500	0	None	QY4211	N	CA00081034	B	SFY2006-07
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-05-10 00:00:00	030003935	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2007-04-06 00:00:00	2007-04-06 00:00:00	No	2007-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	NNIS11	N	CA00109661	B	SFY2006-07
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-05-09 00:00:00	030003938	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-14 00:00:00	2003-01-14 00:00:00	No	2007-05-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	VVSU11	N	CA00022218	C	SFY2006-07
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-05-09 00:00:00	030003948	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-14 00:00:00	2003-01-14 00:00:00	No	2007-05-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	VVSU11	N	CA00022218	C	SFY2006-07
100000030	THE GROVE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-05-17 00:00:00	030003963	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-02-11 00:00:00	2007-02-11 00:00:00	No	2007-06-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	PLCK11	N	CA00114253	B	SFY2006-07
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2007-06-01 00:00:00	030003990	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Patient Rights	2007-01-26 00:00:00	2007-01-26 00:00:00	No	2007-06-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	DOCV11	N	CA00105138	B	SFY2006-07
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-14 00:00:00	030004023	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-16 00:00:00	2006-06-16 00:00:00	No	2007-10-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	8FV111	N	CA00085668	B	SFY2007-08
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-06-19 00:00:00	030004027	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-20 00:00:00	2006-05-20 00:00:00	No	2007-07-11 00:00:00	None	B	None	800	800	-280	520	0	None	OJBU11	N	CA00081922	B	SFY2006-07
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-06-19 00:00:00	030004028	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-12 00:00:00	2004-01-12 00:00:00	Yes	2007-07-11 00:00:00	2007-07-17 00:00:00	B	B	1000	1000	0	1000	0	None	83NZ11	N	CA00086526	B	SFY2006-07
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-06-14 00:00:00	030004030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-01 00:00:00	2007-01-01 00:00:00	No	2007-07-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	U24D11	N	CA00107143, CA00107361	B, B	SFY2006-07
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-06-20 00:00:00	030004031	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-13 00:00:00	2006-08-13 00:00:00	Yes	2007-07-12 00:00:00	2007-06-28 00:00:00	A	None	20000	20000	-20000	0	0	None	0CSO11	N	CA00093117	B	SFY2006-07
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-06-19 00:00:00	030004032	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-04-07 00:00:00	2006-04-07 00:00:00	Yes	2008-03-06 00:00:00	2008-02-22 00:00:00	A	A	20000	10000	0	10000	0	None	C2P311	N	CA00101049	B	SFY2006-07
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-06-19 00:00:00	030004033	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-03-21 00:00:00	2006-03-21 00:00:00	No	2007-07-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	6V1G11	N	CA00075814, CA00079676	B, B	SFY2006-07
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-06-19 00:00:00	030004034	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-01-02 00:00:00	2006-01-02 00:00:00	No	2007-07-11 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	4SW611	N	CA00069495	B	SFY2006-07
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-06-21 00:00:00	030004037	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-02-04 00:00:00	2007-02-04 00:00:00	Yes	2008-03-18 00:00:00	2008-02-29 00:00:00	AA	AA	100000	50000	0	50000	0	None	ZUX711	Y	CA00107145	B	SFY2006-07
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-06-27 00:00:00	030004042	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-14 00:00:00	2007-02-14 00:00:00	No	2007-07-19 00:00:00	None	B	None	800	800	-280	520	0	None	TFHN11	N	CA00106568	B	SFY2006-07
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-06-27 00:00:00	030004043	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-04 00:00:00	2007-02-04 00:00:00	No	2007-07-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	LW1E11	N	CA00106063	B	SFY2006-07
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-06-27 00:00:00	030004044	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-01-28 00:00:00	2007-01-28 00:00:00	No	2007-07-19 00:00:00	None	B	None	800	800	-280	520	0	None	1DUQ11	N	CA00105619	B	SFY2006-07
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-06-27 00:00:00	030004047	Closed	Citation	Citation A (HSC 1424)	Patient Care	Physical Environment	2006-07-22 00:00:00	2006-07-22 00:00:00	Yes	2007-07-27 00:00:00	2007-07-17 00:00:00	A	B	20000	5000	0	5000	0	None	V63M11	N	CA00087566	A	SFY2006-07
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-06-27 00:00:00	030004048	Closed	Citation	Citation A (HSC 1424)	Patient Care	Physical Environment	2006-07-23 00:00:00	2006-07-23 00:00:00	Yes	2007-08-02 00:00:00	2007-07-17 00:00:00	A	A	20000	20000	0	20000	0	None	V63M11	N	CA00087566	A	SFY2006-07
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-06-27 00:00:00	030004050	Closed	Citation	Citation AA (HSC 1424)	Patient Care	Physical Environment	2006-07-22 00:00:00	2006-07-22 00:00:00	Yes	2007-08-02 00:00:00	2007-07-17 00:00:00	AA	B	80000	5000	0	5000	0	None	V63M11	Y	CA00087566	A	SFY2006-07
100000851	VINTAGE FAIRE NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-07-02 00:00:00	030004056	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-18 00:00:00	2007-01-18 00:00:00	No	2007-07-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	G5MX11	N	CA00104302	B	SFY2007-08
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-05 00:00:00	030004057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-24 00:00:00	2007-02-24 00:00:00	No	2007-07-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	XQWR11	N	CA00107670	B	SFY2007-08
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-06 00:00:00	030004065	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-04-06 00:00:00	2007-04-06 00:00:00	No	2007-07-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	HTQS11	N	CA00112026	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-12 00:00:00	030004070	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-03-19 00:00:00	2005-03-19 00:00:00	Yes	2007-08-02 00:00:00	2007-07-25 00:00:00	AA	AA	100000	50000	0	50000	0	None	E65O11	Y	CA00050742	C	SFY2007-08
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-18 00:00:00	030004096	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-11 00:00:00	2006-09-11 00:00:00	No	2007-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	QTQZ11	N	CA00093101	B	SFY2007-08
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-17 00:00:00	030004099	Closed	Citation	Citation B (HSC 1424)	Other	Abuse Facility Reported	2007-05-11 00:00:00	2007-05-11 00:00:00	Yes	2007-08-07 00:00:00	2007-07-25 00:00:00	B	B	750	487.5	0	487.5	0	None	4KC311	N	CA00114502	A	SFY2007-08
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-19 00:00:00	030004105	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-19 00:00:00	2003-10-19 00:00:00	Yes	2007-08-09 00:00:00	2007-08-03 00:00:00	B	B	1000	400	0	400	0	None	QKGF11	N	CA00076312	B	SFY2007-08
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2007-07-19 00:00:00	030004111	Closed	Citation	Citation B (HSC 1424)	Patient Care	Nursing Services	2007-05-15 00:00:00	2007-05-15 00:00:00	No	2007-08-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	TNVM11	N	CA00116360	B	SFY2007-08
100000049	WINDSOR ELMHAVEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-07-24 00:00:00	030004112	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-13 00:00:00	2006-12-13 00:00:00	Yes	2007-08-14 00:00:00	2007-07-27 00:00:00	B	None	800	800	-280	520	0	None	KF8O11	N	CA00101202	B	SFY2007-08
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-24 00:00:00	030004113	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-14 00:00:00	2006-06-14 00:00:00	No	2007-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	IPKB11	N	CA00083823	B	SFY2007-08
100000175	CASA DEL MAR #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2007-07-24 00:00:00	030004115	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-16 00:00:00	2007-02-16 00:00:00	Yes	2007-08-14 00:00:00	2007-08-10 00:00:00	B	B	1000	500	0	500	0	None	SFOV11	N	CA00106954	B	SFY2007-08
100000061	GARDENS HEALTHCARE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2007-07-24 00:00:00	030004116	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-16 00:00:00	2006-12-16 00:00:00	No	2007-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	ETKY11	N	CA00100747	B	SFY2007-08
100000170	ALTA'S ICF, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2007-07-24 00:00:00	030004117	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-06 00:00:00	2007-06-06 00:00:00	No	2007-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	MUVO11	N	CA00116978	B	SFY2007-08
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-26 00:00:00	030004124	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-19 00:00:00	2006-03-19 00:00:00	No	2007-08-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	6V1G11	N	CA00075814, CA00079676	B, B	SFY2007-08
030000023	ADVENTIST HEALTH SONORA - D/P SNF (UNIT 6)	LTC	SNF	Skilled Nursing Facility	Stockton	2007-08-01 00:00:00	030004126	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-26 00:00:00	2006-09-26 00:00:00	No	2007-08-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	THJU11	N	CA00094963	B	SFY2007-08
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-26 00:00:00	030004128	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-08-27 00:00:00	2005-08-27 00:00:00	Yes	2007-08-16 00:00:00	2007-08-09 00:00:00	A	A	15000	12350	-350	12000	0	None	RB1011	N	CA00076470	B	SFY2007-08
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-08-02 00:00:00	030004133	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-04-30 00:00:00	2007-04-30 00:00:00	No	2007-08-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	K4OW11	N	CA00114513	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-31 00:00:00	030004134	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-25 00:00:00	2005-07-25 00:00:00	Yes	2007-08-21 00:00:00	2007-08-01 00:00:00	B	None	1000	1000	-350	650	0	None	T7EF11	N	CA00059596	B	SFY2007-08
030000079	OAKDALE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2007-08-06 00:00:00	030004137	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2006-05-21 00:00:00	2006-05-21 00:00:00	No	2007-08-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	6N9511	N	CA00073359	C	SFY2007-08
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2007-08-06 00:00:00	030004141	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/Facility Reported	2006-11-16 00:00:00	2006-11-16 00:00:00	No	2007-08-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	MHR111	N	CA00099016	B	SFY2007-08
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-08-02 00:00:00	030004143	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-30 00:00:00	2007-04-30 00:00:00	No	2007-08-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	9L6T11	N	CA00117325	B	SFY2007-08
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2007-08-06 00:00:00	030004147	Closed	Citation	Citation B (HSC 1424)	Other	Abuse - Facility Reported	2007-04-25 00:00:00	2007-04-25 00:00:00	Yes	2007-08-27 00:00:00	2007-08-14 00:00:00	B	B	1000	500	0	500	0	None	69DQ11	N	CA00113748	B	SFY2007-08
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-28 00:00:00	030004148	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2007-10-25 00:00:00	None	B	None	800	950	-280	670	0	None	W3U511	N	CA00115489	B	SFY2007-08
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-08-03 00:00:00	030004155	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-16 00:00:00	2006-11-16 00:00:00	No	2007-08-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	90BE11	N	CA00099760, CA00099929	B, B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-08-03 00:00:00	030004161	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-09 00:00:00	2005-11-09 00:00:00	Yes	2007-08-29 00:00:00	2007-08-13 00:00:00	B	B	1000	1000	0	1000	0	None	VF0811	N	CA00068261	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-08-03 00:00:00	030004163	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-11-09 00:00:00	2005-11-09 00:00:00	Yes	2007-08-24 00:00:00	2007-08-14 00:00:00	A	A	15000	7500	0	7500	0	None	VF0811	N	CA00068261	B	SFY2007-08
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-08-22 00:00:00	030004203	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-10 00:00:00	2007-07-10 00:00:00	No	2007-09-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	D2N311	N	CA00120049	B	SFY2007-08
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-12 00:00:00	030004226	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/Facility Reported	2007-07-11 00:00:00	2007-07-11 00:00:00	No	2007-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	8EBX11	N	CA00120844	B	SFY2007-08
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-04 00:00:00	030004230	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/Self Reported	2006-06-08 00:00:00	2006-06-08 00:00:00	Yes	2007-09-25 00:00:00	2007-09-07 00:00:00	B	B	1000	400	0	400	0	None	XQ9L11	N	None	None	SFY2007-08
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-05 00:00:00	030004231	Closed	Citation	Citation B (HSC 1424)	Other	Fac. Self Reported Abuse	2006-10-05 00:00:00	2006-10-05 00:00:00	No	2007-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	VN6Y11	N	CA00095168	B	SFY2007-08
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-05 00:00:00	030004232	Closed	Citation	Citation B (HSC 1424)	Other	Fac. Self Report - Abuse	2006-01-24 00:00:00	2006-01-24 00:00:00	No	2007-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	QFDC11	N	CA00070977	B	SFY2007-08
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-05 00:00:00	030004233	Closed	Citation	Citation B (HSC 1424)	Other	Fac. Self Report - Abuse	2006-10-05 00:00:00	2006-10-05 00:00:00	No	2007-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	VN6Y11	N	CA00095170	B	SFY2007-08
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2008-06-06 00:00:00	030004237	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-04-29 00:00:00	2007-04-29 00:00:00	Yes	2008-06-27 00:00:00	2008-07-09 00:00:00	A	A	12000	7000	0	7000	0	None	G5R711	N	CA00111969	B	SFY2007-08
100000061	GARDENS HEALTHCARE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2007-09-07 00:00:00	030004240	Closed	Citation	Citation B (HSC 1424)	Patient Care	Physical Environment	2007-07-12 00:00:00	2007-07-12 00:00:00	No	2007-09-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	QHJB11	N	CA00120297	B	SFY2007-08
030000079	OAKDALE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2007-09-28 00:00:00	030004241	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/Facility Report	2007-05-05 00:00:00	2007-05-05 00:00:00	No	2007-10-22 00:00:00	None	B	None	800	800	0	800	0	None	WJIS11	N	CA00113973	B	SFY2007-08
100000029	LODI CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-07 00:00:00	030004242	Closed	Citation	Citation B (HSC 1424)	Other	Injury of Unknown Orgin	2007-07-18 00:00:00	2007-07-18 00:00:00	No	2007-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	PVT311	N	CA00121884	B	SFY2007-08
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-09-07 00:00:00	030004243	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-07-02 00:00:00	2007-07-02 00:00:00	No	2007-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	QYCH11	N	CA00119687	B	SFY2007-08
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-09-07 00:00:00	030004244	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-02 00:00:00	2007-07-02 00:00:00	No	2007-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	QYCH11	N	CA00119687	B	SFY2007-08
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-09-17 00:00:00	030004245	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-17 00:00:00	2007-06-17 00:00:00	No	2007-10-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	WOGK11	N	CA00117994	B	SFY2007-08
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-17 00:00:00	030004251	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/Self Report	2007-08-01 00:00:00	2007-08-01 00:00:00	No	2007-10-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	T9S111	N	CA00122289	B	SFY2007-08
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-12 00:00:00	030004257	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-16 00:00:00	2006-05-16 00:00:00	Yes	2007-10-03 00:00:00	2007-10-01 00:00:00	B	B	1000	500	0	500	0	None	PSKV11	N	CA00081359	B	SFY2007-08
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-14 00:00:00	030004261	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-21 00:00:00	2007-05-21 00:00:00	No	2007-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	741F11	N	CA00115358	B	SFY2007-08
100001505	DUKE FACILITIES, INC. #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2007-09-19 00:00:00	030004279	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-16 00:00:00	2007-06-16 00:00:00	No	2007-10-25 00:00:00	None	B	None	800	800	-280	520	0	None	1IL111	N	CA00118663	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-20 00:00:00	030004280	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-09 00:00:00	2007-06-09 00:00:00	Yes	2007-11-19 00:00:00	2007-10-09 00:00:00	B	B	1000	1000	0	1000	0	None	665H11	N	CA00117284	B	SFY2007-08
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-09-21 00:00:00	030004281	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-01 00:00:00	2007-09-01 00:00:00	No	2007-10-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	84Y311	N	CA00125370	B	SFY2007-08
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-09-21 00:00:00	030004282	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-09-01 00:00:00	2007-09-01 00:00:00	No	2007-10-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	84Y311	N	CA00125370	B	SFY2007-08
100001535	MEADOWOOD A HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-09-26 00:00:00	030004283	Closed	Citation	Citation B (HSC 1424)	Other	Injury of Unknown Origin	2007-08-28 00:00:00	2007-08-28 00:00:00	No	2007-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	085M11	N	CA00125056	B	SFY2007-08
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-24 00:00:00	030004290	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-08-06 00:00:00	2007-08-06 00:00:00	No	2007-11-29 00:00:00	None	B	None	1000	1050	-350	700	0	None	5WPY11	N	CA00124293	A	SFY2007-08
100000962	CAPITAL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-01 00:00:00	030004294	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-24 00:00:00	2007-07-24 00:00:00	No	2007-10-23 00:00:00	None	B	None	800	800	-280	520	0	None	53OT11	N	CA00121612	B	SFY2007-08
100000082	HARVEST CROSSING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2007-10-01 00:00:00	030004295	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/ Facility Reported	2007-07-01 00:00:00	2007-07-01 00:00:00	No	2007-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	2V7V11	N	CA00119212	A	SFY2007-08
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-01 00:00:00	030004297	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-16 00:00:00	2007-08-16 00:00:00	No	2007-10-23 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	ZSZR11	N	CA00123956	B	SFY2007-08
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2007-10-01 00:00:00	030004298	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-23 00:00:00	2007-07-23 00:00:00	No	2007-10-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	U3IH11	N	CA00121425, CA00123603	B, B	SFY2007-08
100000058	TRACY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-10-08 00:00:00	030004317	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2007-08-30 00:00:00	2007-08-30 00:00:00	Yes	2007-10-29 00:00:00	2008-04-07 00:00:00	B	None	650	650	-227.5	422.5	0	None	IYQR11	N	CA00125458	B	SFY2007-08
030001004	AMERICAN RIVER CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-10 00:00:00	030004318	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Patient Rights	2007-06-21 00:00:00	2007-06-21 00:00:00	No	2007-10-31 00:00:00	None	B	None	650	650	0	650	0	None	WRUH11	N	CA00118831	B	SFY2007-08
030001254	KAISER FOUNDATION HOSPITAL MANTECA D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-05 00:00:00	030004322	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-30 00:00:00	2005-11-30 00:00:00	Yes	2007-10-29 00:00:00	2007-10-12 00:00:00	B	B	1000	500	0	500	0	None	UGB111	N	CA00069089	B	SFY2007-08
100000036	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2007-10-04 00:00:00	030004323	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2007-06-19 00:00:00	2007-06-19 00:00:00	Yes	2007-10-31 00:00:00	2007-10-05 00:00:00	B	B	1000	500	0	500	0	None	I76411	N	CA00084285	B	SFY2007-08
030001004	AMERICAN RIVER CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-10 00:00:00	030004325	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Patient Rights/Care	2007-06-28 00:00:00	2007-06-28 00:00:00	No	2007-11-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	YOHR11	N	CA00118897	B	SFY2007-08
030000096	SAN LUIS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2007-10-08 00:00:00	030004329	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Patiet Right/Patient Care	2007-08-11 00:00:00	2007-08-11 00:00:00	Yes	2007-10-29 00:00:00	2007-10-16 00:00:00	B	B	1000	500	0	500	0	None	10D811	N	CA00123176	B	SFY2007-08
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-16 00:00:00	030004336	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-08 00:00:00	2006-12-08 00:00:00	No	2007-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	20IU11	N	CA00120398	B	SFY2007-08
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-12 00:00:00	030004338	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-02-09 00:00:00	2007-02-09 00:00:00	No	2007-11-06 00:00:00	None	B	None	1000	1550	-350	1200	0	None	8T7X11	N	CA00107999	B	SFY2007-08
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-11 00:00:00	030004342	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-11 00:00:00	2005-07-11 00:00:00	No	2007-11-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	85DC11	N	CA00060531	C	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-11 00:00:00	030004344	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-06-08 00:00:00	2007-06-08 00:00:00	Yes	2007-11-01 00:00:00	2007-10-23 00:00:00	B	B	1000	1000	0	1000	0	None	MPX711	N	CA00117590	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-11 00:00:00	030004345	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-05 00:00:00	2005-09-05 00:00:00	No	2007-11-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	LX6W11	N	CA00073168	B	SFY2007-08
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-11-16 00:00:00	030004351	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-10 00:00:00	2007-09-10 00:00:00	No	2007-12-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	D70711	N	CA00119341, CA00120018, CA00123289, CA00125170	C, B, B, C	SFY2007-08
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-10-22 00:00:00	030004379	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-21 00:00:00	2007-06-21 00:00:00	No	2007-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	PWX311	N	CA00125090	B	SFY2007-08
100000170	ALTA'S ICF, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2007-10-23 00:00:00	030004383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-28 00:00:00	2007-07-28 00:00:00	No	2007-11-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	U35I11	N	CA00122581	B	SFY2007-08
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-10-23 00:00:00	030004386	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-18 00:00:00	2006-10-18 00:00:00	No	2007-11-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	LROJ11	N	CA00101812	B	SFY2007-08
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-23 00:00:00	030004388	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-25 00:00:00	2006-10-25 00:00:00	No	2007-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	4LFY11	N	CA00100724, CA00100745, CA00101234	B, B, B	SFY2007-08
030000288	TURLOCK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2007-10-26 00:00:00	030004392	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-28 00:00:00	2007-02-28 00:00:00	No	2007-11-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	MDDG11	N	CA00107902	B	SFY2007-08
100000003	FAIRMONT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-29 00:00:00	030004395	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-01 00:00:00	2007-07-01 00:00:00	No	2007-11-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	8UHB11	N	CA00119431	B	SFY2007-08
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-29 00:00:00	030004399	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-14 00:00:00	2007-04-14 00:00:00	No	2007-11-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	LHJD11	N	CA00113397	B	SFY2007-08
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2007-10-30 00:00:00	030004400	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-21 00:00:00	2004-07-21 00:00:00	Yes	2007-11-21 00:00:00	2007-11-20 00:00:00	B	B	1000	500	0	500	0	None	TCO311	N	CA00051155	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-30 00:00:00	030004408	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-02-07 00:00:00	2006-02-07 00:00:00	Yes	2007-11-29 00:00:00	2007-11-01 00:00:00	B	B	1000	500	0	500	0	None	YW5911	N	CA00072467	B	SFY2007-08
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-11-30 00:00:00	030004414	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Abuse/Fac Not Reported	2007-08-31 00:00:00	2007-08-31 00:00:00	No	2007-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	TMG911	N	CA00125314	B	SFY2007-08
100000055	GARDEN CITY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-11-14 00:00:00	030004416	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-10 00:00:00	2007-10-10 00:00:00	No	2007-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	SR4811	N	CA00129071	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-12-21 00:00:00	030004419	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-10-13 00:00:00	2005-10-13 00:00:00	Yes	2008-01-15 00:00:00	2008-01-02 00:00:00	AA	A	100000	50000	0	50000	0	None	713911	Y	CA00063176	B	SFY2007-08
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-11-27 00:00:00	030004460	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-11-11 00:00:00	2005-11-11 00:00:00	No	2007-12-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	VY1S11	N	CA00066485	C	SFY2007-08
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-02-27 00:00:00	030004487	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-16 00:00:00	2007-01-16 00:00:00	No	2008-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	LZTU11	N	CA00103656	B	SFY2007-08
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-02-27 00:00:00	030004488	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-16 00:00:00	2007-01-16 00:00:00	Yes	2008-03-21 00:00:00	2008-03-13 00:00:00	A	A	18000	11700	0	11700	0	None	LZTU11	N	CA00103656	B	SFY2007-08
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-02-27 00:00:00	030004491	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-21 00:00:00	2007-01-21 00:00:00	No	2008-03-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	LZTU11	N	CA00103656	B	SFY2007-08
100000036	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2007-12-13 00:00:00	030004512	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-03-10 00:00:00	2007-03-10 00:00:00	Yes	2008-01-09 00:00:00	2007-12-18 00:00:00	A	A	15000	10000	0	10000	0	None	EEXN11	N	CA00108984	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-12-14 00:00:00	030004513	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-30 00:00:00	2007-04-30 00:00:00	Yes	2008-01-17 00:00:00	2008-01-02 00:00:00	B	B	1000	1000	0	1000	0	None	D8WT11	N	CA00113484	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-12-21 00:00:00	030004537	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-10 00:00:00	2005-10-10 00:00:00	Yes	2008-01-23 00:00:00	2008-01-02 00:00:00	B	B	1000	1000	0	1000	0	None	713911	N	CA00063176	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-01-29 00:00:00	030004563	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-02-27 00:00:00	2005-02-27 00:00:00	Yes	2008-02-21 00:00:00	2008-02-06 00:00:00	A	A	20000	10300	-300	10000	0	None	RKO911	N	CA00073716	B	SFY2007-08
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-01-25 00:00:00	030004605	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-02 00:00:00	2007-10-02 00:00:00	No	2008-02-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	GHSW11	N	CA00130714	B	SFY2007-08
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-02-05 00:00:00	030004652	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-24 00:00:00	2007-10-24 00:00:00	No	2008-02-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	AHMP11	N	CA00130765	B	SFY2007-08
030001254	KAISER FOUNDATION HOSPITAL MANTECA D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-02-06 00:00:00	030004653	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-28 00:00:00	2007-10-28 00:00:00	No	2008-02-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	GIWJ11	N	CA00130805	B	SFY2007-08
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-02-05 00:00:00	030004654	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-05 00:00:00	2007-10-05 00:00:00	No	2008-03-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	QCD511	N	CA00128481	B	SFY2007-08
100000030	THE GROVE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-02-08 00:00:00	030004664	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/Facility Reported	2000-07-24 00:00:00	2000-07-24 00:00:00	No	2008-03-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	R45911	N	CA00114490	B	SFY2007-08
100000051	ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Stockton	2008-02-08 00:00:00	030004672	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-02-17 00:00:00	2007-02-17 00:00:00	Yes	2010-06-18 00:00:00	2010-05-28 00:00:00	AA	AA	100000	75000	0	75000	0	None	OLNV11	Y	CA00107530	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-02-15 00:00:00	030004694	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-03-19 00:00:00	2006-03-19 00:00:00	Yes	2008-03-10 00:00:00	2008-02-20 00:00:00	A	A	20000	10350	-350	10000	0	None	ED2Z11	N	CA00075767	B	SFY2007-08
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2008-03-11 00:00:00	030004722	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-01 00:00:00	2007-08-01 00:00:00	No	2008-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	C9SE11	N	CA00122921	B	SFY2007-08
100001674	REIMS ICFDD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2008-03-12 00:00:00	030004751	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-10-08 00:00:00	2007-10-08 00:00:00	No	2008-04-03 00:00:00	None	B	None	800	800	0	800	0	None	B4YW11	N	CA00129457	B	SFY2007-08
100001674	REIMS ICFDD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2008-03-12 00:00:00	030004769	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-08 00:00:00	2007-10-08 00:00:00	No	2008-04-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	B4YW11	N	CA00129457	B	SFY2007-08
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2008-03-17 00:00:00	030004786	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-01 00:00:00	2007-12-01 00:00:00	Yes	2008-04-15 00:00:00	2008-03-28 00:00:00	B	B	1000	500	0	500	0	None	LVHQ11	N	CA00133899, CA00134707	B, B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-03-18 00:00:00	030004793	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-19 00:00:00	2005-09-19 00:00:00	Yes	2008-04-09 00:00:00	2008-03-21 00:00:00	A	A	20000	10000	0	10000	0	None	IY0E11	N	CA00063899	C	SFY2007-08
030001254	KAISER FOUNDATION HOSPITAL MANTECA D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-03-28 00:00:00	030004798	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-20 00:00:00	2007-06-20 00:00:00	No	2008-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	1JKJ11	N	CA00118506	B	SFY2007-08
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-03-21 00:00:00	030004808	Closed	Citation	Citation A (HSC 1424)	Other	Urinary Incontinence	2007-10-28 00:00:00	2007-10-28 00:00:00	No	2008-04-14 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	7M0Q11	N	CA00130659	B	SFY2007-08
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-03-21 00:00:00	030004809	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-12-07 00:00:00	2006-12-07 00:00:00	Yes	2008-04-21 00:00:00	2008-04-02 00:00:00	A	A	20000	20000	-17371	2629	0	None	VBCK11	N	CA00103686	B	SFY2007-08
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-03-28 00:00:00	030004829	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-04 00:00:00	2006-10-04 00:00:00	Yes	2008-04-21 00:00:00	2008-04-03 00:00:00	B	B	1000	650	0	650	0	None	Z1X511	N	CA00081252	B	SFY2007-08
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-03-28 00:00:00	030004833	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-10-04 00:00:00	2006-10-04 00:00:00	Yes	2008-04-21 00:00:00	2008-04-03 00:00:00	B	B	1000	650	0	650	0	None	Z1X511	N	CA00081252	B	SFY2007-08
030001064	MARSHALL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-01-16 00:00:00	030004857	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-13 00:00:00	2007-08-13 00:00:00	No	2009-02-06 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	8J4V11	N	CA00124061	B	SFY2008-09
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-04-15 00:00:00	030004918	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-11 00:00:00	2007-05-11 00:00:00	Yes	2010-04-21 00:00:00	2010-04-01 00:00:00	A	A	20000	13000	0	13000	0	None	ZOQW11	N	CA00115940	B	SFY2007-08
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-04-15 00:00:00	030004920	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-11 00:00:00	2007-05-11 00:00:00	Yes	2010-04-21 00:00:00	2010-04-01 00:00:00	A	A	20000	11500	0	11500	0	None	ZOQW11	N	CA00115940	B	SFY2007-08
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-04-23 00:00:00	030004947	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-11 00:00:00	2007-04-11 00:00:00	No	2008-05-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	4S0E11	N	CA00111889	A	SFY2007-08
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-04-30 00:00:00	030004968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-14 00:00:00	2007-08-14 00:00:00	No	2008-05-27 00:00:00	None	B	None	1000	1200	-350	850	0	None	XPT911	N	CA00126902	B	SFY2007-08
100000104	VIENNA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-05-05 00:00:00	030004979	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-08 00:00:00	2006-06-08 00:00:00	No	2008-05-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	LW8P11	N	CA00087373	B	SFY2007-08
100000058	TRACY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-03-17 00:00:00	030004984	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-12-07 00:00:00	2007-12-07 00:00:00	Yes	2008-04-08 00:00:00	2008-04-01 00:00:00	B	B	1000	500	0	500	0	None	4BV011	N	CA00134672	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-05-15 00:00:00	030005041	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-11-06 00:00:00	2007-11-06 00:00:00	Yes	2008-06-10 00:00:00	2008-05-22 00:00:00	B	B	1000	1000	0	1000	0	None	L48811	N	CA00134972	A	SFY2007-08
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2008-05-16 00:00:00	030005042	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-22 00:00:00	2008-02-22 00:00:00	Yes	2008-06-13 00:00:00	2008-05-21 00:00:00	B	B	1000	800	-300	500	0	None	TTEI11	N	CA00144496	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-05-15 00:00:00	030005043	Closed	Citation	Citation B (HSC 1424)	Other	Transfer-Discharge	2007-12-13 00:00:00	2007-12-13 00:00:00	Yes	2008-06-10 00:00:00	2008-05-22 00:00:00	B	B	1000	1000	0	1000	0	None	YP0P11	N	CA00136090, CA00136980	B, B	SFY2007-08
030000804	TUOLUMNE GENERAL MEDICAL FACILITY D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-05-16 00:00:00	030005044	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-02-05 00:00:00	2008-02-05 00:00:00	No	2008-06-12 00:00:00	None	B	None	800	800	-280	520	0	None	6PVT11	N	CA00141090	B	SFY2007-08
100000035	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Stockton	2008-05-19 00:00:00	030005046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-10 00:00:00	2007-10-10 00:00:00	Yes	2008-06-12 00:00:00	2008-05-22 00:00:00	B	B	1000	650	0	650	0	None	GSJT11	N	CA00129052	E	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-05-16 00:00:00	030005048	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-06-09 00:00:00	2005-06-09 00:00:00	Yes	2008-06-10 00:00:00	2008-05-22 00:00:00	A	A	20000	10000	0	10000	0	None	5YKI11	N	CA00104670	B	SFY2007-08
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-05-16 00:00:00	030005050	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-28 00:00:00	2005-09-28 00:00:00	Yes	2008-06-10 00:00:00	2008-05-22 00:00:00	B	B	1000	1000	0	1000	0	None	5YKI11	N	CA00104670	B	SFY2007-08
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-05-22 00:00:00	030005056	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-07-18 00:00:00	2005-07-18 00:00:00	Yes	2008-06-17 00:00:00	2008-06-03 00:00:00	A	None	20000	20000	0	20000	0	None	K1W211	N	CA00110261	B	SFY2007-08
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-05-22 00:00:00	030005061	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2006-08-21 00:00:00	2006-08-21 00:00:00	No	2008-06-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	NNQK11	N	CA00109471, CA00110417	B, B	SFY2007-08
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-05-22 00:00:00	030005067	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-02-10 00:00:00	2006-02-10 00:00:00	No	2008-06-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	NNQK11	N	CA00109471, CA00110417	B, B	SFY2007-08
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-05-30 00:00:00	030005078	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-11-02 00:00:00	2005-11-02 00:00:00	Yes	2008-06-24 00:00:00	2008-06-10 00:00:00	A	A	18000	6000	0	6000	0	None	MT0K11	N	CA00067542	B	SFY2007-08
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-05-30 00:00:00	030005079	Closed	Citation	Citation B (HSC 1424)	Other	Abuse - Facility Reported	2007-02-14 00:00:00	2007-02-14 00:00:00	Yes	2008-06-24 00:00:00	2008-06-10 00:00:00	B	B	1000	650	0	650	0	None	0ZZZ11	N	CA00106668	E	SFY2007-08
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-05-29 00:00:00	030005081	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-30 00:00:00	2007-05-30 00:00:00	Yes	2010-05-05 00:00:00	2010-04-20 00:00:00	A	A	20000	20000	0	20000	0	None	8E9111	N	CA00116923	B	SFY2007-08
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-01-14 00:00:00	030005090	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-12 00:00:00	2007-12-12 00:00:00	No	2010-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	71WM11	N	CA00140835, CA00141702	B, B	SFY2009-10
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-06-02 00:00:00	030005091	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-02-10 00:00:00	2006-02-10 00:00:00	Yes	2008-06-23 00:00:00	2008-06-06 00:00:00	AA	A	90000	25100	-100	25000	0	None	9P3111	Y	CA00086645	B	SFY2007-08
100000082	HARVEST CROSSING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2008-06-18 00:00:00	030005146	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-08-17 00:00:00	2006-08-17 00:00:00	No	2008-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	WWWD11	N	CA00122279	B	SFY2007-08
100000082	HARVEST CROSSING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2008-06-18 00:00:00	030005147	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-08-17 00:00:00	2006-08-17 00:00:00	No	2008-07-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	WWWD11	N	CA00122279	B	SFY2007-08
100000524	CASA DEL MAR #4	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2008-06-19 00:00:00	030005156	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-02 00:00:00	2007-06-02 00:00:00	Yes	2008-07-11 00:00:00	2008-07-03 00:00:00	B	B	1000	500	0	500	0	None	NYU911	N	CA00119015	B	SFY2007-08
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-06-19 00:00:00	030005162	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-12-29 00:00:00	2006-12-29 00:00:00	Yes	2008-07-15 00:00:00	2008-06-23 00:00:00	A	A	20000	13000	0	13000	0	None	WJ3F11	N	CA00122664	B	SFY2007-08
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-06-27 00:00:00	030005176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-01 00:00:00	2007-05-01 00:00:00	No	2008-07-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	QRQV11	N	CA00111294	B	SFY2007-08
100001154	RCCA - LA ALMENDRA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2008-06-27 00:00:00	030005177	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-07-26 00:00:00	2007-07-26 00:00:00	Yes	2008-07-23 00:00:00	2008-07-10 00:00:00	B	B	1000	500	0	500	0	None	KEXV11	N	CA00121659	B	SFY2007-08
100000061	GARDENS HEALTHCARE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2008-06-27 00:00:00	030005180	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-12-25 00:00:00	2006-12-25 00:00:00	No	2008-07-22 00:00:00	None	B	None	800	800	0	800	0	None	KYJ611	N	CA00102378	B	SFY2007-08
100000049	WINDSOR ELMHAVEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-07-03 00:00:00	030005212	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-05 00:00:00	2006-09-05 00:00:00	Yes	2008-07-25 00:00:00	2008-07-10 00:00:00	B	B	1000	550	0	550	0	None	XGJ111	N	CA00103612	B	SFY2008-09
100000049	WINDSOR ELMHAVEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-07-03 00:00:00	030005213	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-09-05 00:00:00	2006-09-05 00:00:00	Yes	2008-07-31 00:00:00	2008-07-10 00:00:00	B	B	1000	550	0	550	0	None	XGJ111	N	CA00103612	B	SFY2008-09
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-07-08 00:00:00	030005214	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-05-24 00:00:00	2008-05-24 00:00:00	No	2008-07-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	M0DE11	N	CA00151969	C	SFY2008-09
100001249	WRS INC., SQUAW PROGRAM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2008-08-07 00:00:00	030005261	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-27 00:00:00	2007-09-27 00:00:00	No	2008-08-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	D70411	N	CA00128530, CA00128830	B, B	SFY2008-09
030000079	OAKDALE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2008-08-07 00:00:00	030005262	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-22 00:00:00	2007-09-22 00:00:00	No	2008-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	UKIH11	N	CA00127856	B	SFY2008-09
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-07-31 00:00:00	030005271	Closed	Citation	Citation B (HSC 1424)	Other	Supv. & Prof. Standards	2007-08-05 00:00:00	2007-08-05 00:00:00	No	2008-08-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	9XS411	N	CA00122806	B	SFY2008-09
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2008-08-05 00:00:00	030005277	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-10 00:00:00	2007-11-10 00:00:00	No	2008-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	WKQP11	N	CA00131940	B	SFY2008-09
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-08-01 00:00:00	030005278	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-25 00:00:00	2007-05-25 00:00:00	No	2008-08-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	BON311	N	CA00141047	B	SFY2008-09
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-08-01 00:00:00	030005280	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-25 00:00:00	2007-05-25 00:00:00	No	2008-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	BON311	N	CA00122740, CA00129774, CA00141047	B, B, B	SFY2008-09
030001202	CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Fresno	2008-08-05 00:00:00	030005281	Closed	Citation	Citation B (HSC 1424)	Other	Abuse-Facility Reported	2007-10-16 00:00:00	2007-10-16 00:00:00	No	2008-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	3YY411	N	CA00130404	B	SFY2008-09
100000851	VINTAGE FAIRE NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-08-05 00:00:00	030005284	Closed	Citation	Citation B (HSC 1424)	Other	Abuse-Facility Reported	2008-05-24 00:00:00	2008-05-24 00:00:00	Yes	2014-07-29 00:00:00	2014-07-09 00:00:00	B	B	850	637.5	0	637.5	0	None	O1QO11	N	CA00151691	B	SFY2008-09
100000851	VINTAGE FAIRE NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-08-05 00:00:00	030005285	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/Facility Reported	2008-05-24 00:00:00	2008-05-24 00:00:00	Yes	2014-07-29 00:00:00	2014-07-09 00:00:00	B	B	850	637.5	0	637.5	0	None	I8YX11	N	CA00151688	B	SFY2008-09
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2008-08-05 00:00:00	030005295	Closed	Citation	Citation B (HSC 1424)	Other	Employee to Res. Abuse	2007-12-05 00:00:00	2007-12-05 00:00:00	Yes	2008-08-29 00:00:00	2008-08-15 00:00:00	B	B	1000	500	0	500	0	None	ES3S11	N	CA00134064	B	SFY2008-09
100001453	WRS INC., MARSHALL PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2008-09-04 00:00:00	030005344	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2008-03-20 00:00:00	2008-03-20 00:00:00	No	2008-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	8GL811	N	CA00144906	B	SFY2008-09
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-08-26 00:00:00	030005355	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-17 00:00:00	2007-10-17 00:00:00	No	2008-09-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	5ZMK11	N	CA00130938	C	SFY2008-09
100000082	HARVEST CROSSING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2008-08-26 00:00:00	030005356	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-09 00:00:00	2008-05-09 00:00:00	No	2008-09-17 00:00:00	None	B	None	800	800	-280	520	0	None	R2Z811	N	CA00149935	B	SFY2008-09
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-09-04 00:00:00	030005367	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-12-12 00:00:00	2007-12-12 00:00:00	No	2008-10-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	J3DC11	N	CA00134390, CA00134391	B, B	SFY2008-09
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2008-09-03 00:00:00	030005377	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-04-06 00:00:00	2007-04-06 00:00:00	No	2008-09-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	5BO111	N	CA00111677	B	SFY2008-09
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-09-04 00:00:00	030005384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-05 00:00:00	2008-01-05 00:00:00	No	2008-09-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	D07411	N	CA00137646	B	SFY2008-09
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2008-09-09 00:00:00	030005393	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-19 00:00:00	2007-12-19 00:00:00	Yes	2008-10-03 00:00:00	2008-09-16 00:00:00	B	B	1000	500	0	500	0	None	6S5T11	N	CA00144193, CA00149697	B, B	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-09-08 00:00:00	030005394	Closed	Citation	Citation Willful Material Omission (HSC 1424(f)(1))	Patient Record	None	2007-05-29 00:00:00	2007-05-29 00:00:00	Yes	2008-09-29 00:00:00	2008-09-11 00:00:00	WO	B	1000	500	0	500	0	None	OD6Y11	None	CA00116058	B	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-09-08 00:00:00	030005395	Closed	Citation	Citation A (HSC 1424)	Other	Abuse	2007-05-29 00:00:00	2007-05-29 00:00:00	Yes	2008-09-29 00:00:00	2008-09-11 00:00:00	A	A	20000	7600	0	7600	0	None	OD6Y11	N	CA00116058	B	SFY2008-09
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-09-08 00:00:00	030005396	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-07 00:00:00	2007-05-07 00:00:00	No	2008-10-01 00:00:00	None	A	A	20000	20000	-17371	2629	0	None	RGYC11	N	CA00117351	B	SFY2008-09
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-09-08 00:00:00	030005399	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-28 00:00:00	2008-03-28 00:00:00	No	2008-09-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	R37011	N	CA00145586, CA00146291	B, B	SFY2008-09
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-09-12 00:00:00	030005409	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-02-24 00:00:00	2007-02-24 00:00:00	No	2008-10-06 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	L2KD11	N	CA00113691	B	SFY2008-09
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-09-16 00:00:00	030005416	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-11-01 00:00:00	2006-11-01 00:00:00	No	2008-10-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OEC211	Y	CA00099764	B	SFY2008-09
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-09-16 00:00:00	030005417	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-11-10 00:00:00	2006-11-10 00:00:00	No	2008-10-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	OEC211	N	CA00099764	B	SFY2008-09
100001317	RCCA - MONTEVIEW DRIVE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2008-09-18 00:00:00	030005433	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-26 00:00:00	2008-01-26 00:00:00	Yes	2008-10-09 00:00:00	2009-12-22 00:00:00	A	B	10000	10000	0	10000	0	None	1CSS11	N	CA00139100	B	SFY2008-09
100000035	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Stockton	2008-09-18 00:00:00	030005441	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-29 00:00:00	2008-03-29 00:00:00	Yes	2008-10-23 00:00:00	2008-10-01 00:00:00	B	B	1000	650	0	650	0	None	VJIR11	N	CA00145454	B	SFY2008-09
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-09-29 00:00:00	030005471	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-05-01 00:00:00	2007-05-01 00:00:00	No	2008-10-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	616Q11	N	CA00114484	B	SFY2008-09
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-10-01 00:00:00	030005479	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-05-15 00:00:00	2008-05-15 00:00:00	No	2008-10-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	XRRS11	N	CA00150720	C	SFY2008-09
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-10-01 00:00:00	030005480	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-01-31 00:00:00	2008-01-31 00:00:00	No	2008-10-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	XRRS11	N	CA00151325	C	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-10-20 00:00:00	030005532	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-20 00:00:00	2008-02-20 00:00:00	Yes	2008-11-10 00:00:00	2008-10-23 00:00:00	B	B	1000	500	0	500	0	None	74C911	N	CA00141386	B	SFY2008-09
030000854	BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-10-24 00:00:00	030005545	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-18 00:00:00	2007-05-18 00:00:00	Yes	2010-05-05 00:00:00	2010-04-21 00:00:00	A	A	20000	10000	0	10000	0	None	KSFO11	N	CA00115280	B	SFY2008-09
030000004	ROSEVILLE POINT HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-11-06 00:00:00	030005576	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-15 00:00:00	2008-05-15 00:00:00	Yes	2008-12-02 00:00:00	2008-11-06 00:00:00	A	B	20000	4000	-4000	0	0	None	5BT011	N	CA00154296	B	SFY2008-09
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-12-05 00:00:00	030005603	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-26 00:00:00	2007-04-26 00:00:00	No	2008-12-31 00:00:00	None	B	None	800	1050	-280	770	0	None	TW9M11	N	CA00113187	B	SFY2008-09
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2008-11-18 00:00:00	030005608	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-06-11 00:00:00	2008-06-11 00:00:00	Yes	2008-12-18 00:00:00	2008-11-24 00:00:00	B	B	700	525	0	525	0	None	VNQ411	N	CA00153821	B	SFY2008-09
030000066	CERES POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2008-11-19 00:00:00	030005628	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-28 00:00:00	2007-06-28 00:00:00	Yes	2008-12-15 00:00:00	2008-11-21 00:00:00	A	None	16000	16250	-5600	10650	0	None	JBTJ11	N	CA00121131	B	SFY2008-09
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-11-20 00:00:00	030005632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-18 00:00:00	2007-12-18 00:00:00	Yes	2008-12-16 00:00:00	2008-11-21 00:00:00	B	None	1000	1000	-350	650	0	None	65W011	Y	CA00135239, CA00136496, CA00136505	H, B, B	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-12-09 00:00:00	030005679	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-06-18 00:00:00	2008-06-18 00:00:00	Yes	2008-12-31 00:00:00	2008-12-12 00:00:00	B	B	1000	500	0	500	0	None	KP6M11	N	CA00154059	B	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-12-09 00:00:00	030005680	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-18 00:00:00	2008-06-18 00:00:00	Yes	2009-01-12 00:00:00	2008-12-12 00:00:00	A	A	20000	13000	0	13000	0	None	KP6M11	N	CA00154059	B	SFY2008-09
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-12-16 00:00:00	030005693	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-04-18 00:00:00	2006-04-18 00:00:00	No	2009-01-13 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	RG9S11	N	CA00079344	B	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-12-23 00:00:00	030005694	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-10-13 00:00:00	2007-10-13 00:00:00	Yes	2009-01-27 00:00:00	2008-12-29 00:00:00	B	B	1000	500	0	500	0	None	L4X611	N	CA00129327	B	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-12-23 00:00:00	030005696	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-13 00:00:00	2007-10-13 00:00:00	Yes	2009-01-15 00:00:00	2009-02-09 00:00:00	B	B	1000	500	0	500	0	None	L4X611	N	CA00129327	B	SFY2008-09
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2009-02-20 00:00:00	030005703	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-11-16 00:00:00	2007-11-16 00:00:00	Yes	2010-03-24 00:00:00	2010-03-10 00:00:00	A	B	20000	20000	0	20000	0	None	PNSC11	N	CA00132772	B	SFY2008-09
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-12-18 00:00:00	030005710	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-05-13 00:00:00	2008-05-13 00:00:00	No	2009-01-13 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UKRB11	N	CA00114610	A	SFY2008-09
100001433	RCCA - WESTWOOD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2009-01-15 00:00:00	030005783	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-10-01 00:00:00	2006-10-01 00:00:00	Yes	2010-01-01 00:00:00	2009-12-22 00:00:00	A	A	10000	10000	0	10000	0	None	XCES11	N	CA00098242, CA00098242	B, B	SFY2008-09
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-01-16 00:00:00	030005797	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-08-21 00:00:00	2008-08-21 00:00:00	Yes	2009-02-11 00:00:00	2009-01-23 00:00:00	AA	A	100000	25000	0	25000	0	None	JBNY11	Y	CA00151848	B	SFY2008-09
030000004	ROSEVILLE POINT HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-01-30 00:00:00	030005827	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-10-16 00:00:00	2008-10-16 00:00:00	No	2009-02-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	3HIH11	N	CA00164344, CA00164345, CA00170524	A, A, B	SFY2008-09
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2009-02-09 00:00:00	030005858	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-21 00:00:00	2008-03-21 00:00:00	Yes	2009-03-10 00:00:00	2009-02-10 00:00:00	B	B	1000	500	0	500	0	None	LE3311	N	CA00163413	C	SFY2008-09
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2009-02-11 00:00:00	030005864	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-01 00:00:00	2007-10-01 00:00:00	No	2009-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	77ZI11	N	CA00128118	C	SFY2008-09
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-03-02 00:00:00	030005888	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-24 00:00:00	2007-08-24 00:00:00	No	2009-03-25 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	0ZFB11	N	CA00128710	B	SFY2008-09
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-02-26 00:00:00	030005902	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-09-04 00:00:00	2008-09-04 00:00:00	No	2009-03-19 00:00:00	None	B	None	600	600	-210	390	0	None	99WB11	N	CA00170220	B	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-03-03 00:00:00	030005912	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-03-25 00:00:00	2006-03-25 00:00:00	Yes	2009-04-14 00:00:00	2009-03-12 00:00:00	B	B	1000	500	0	500	0	None	0ND111	N	CA00076355	B	SFY2008-09
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-02-27 00:00:00	030005913	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-17 00:00:00	2007-12-17 00:00:00	No	2009-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	T0KQ11	N	CA00136232	B	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-03-03 00:00:00	030005914	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-25 00:00:00	2006-03-25 00:00:00	Yes	2009-03-24 00:00:00	2009-03-12 00:00:00	B	B	1000	500	0	500	0	None	0ND111	N	CA00076355	B	SFY2008-09
100001676	UNIVERSITY RETIREMENT COMMUNITY AT DAVIS	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-03-19 00:00:00	030005992	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-10 00:00:00	2008-01-10 00:00:00	No	2009-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	1VTJ11	N	CA00137765	B	SFY2008-09
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-03-19 00:00:00	030005997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-14 00:00:00	2008-01-14 00:00:00	No	2009-04-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	O18F11	N	CA00142570	B	SFY2008-09
100000082	HARVEST CROSSING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2009-04-01 00:00:00	030006022	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-06 00:00:00	2007-12-06 00:00:00	No	2009-04-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	Y8JG11	N	CA00134699, CA00134852	B, B	SFY2008-09
100000082	HARVEST CROSSING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2009-04-01 00:00:00	030006038	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-06 00:00:00	2007-12-06 00:00:00	No	2009-04-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	Y8JG11	N	CA00134699, CA00134852	B, B	SFY2008-09
100000003	FAIRMONT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-04-06 00:00:00	030006040	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-04 00:00:00	2007-09-04 00:00:00	Yes	2009-04-28 00:00:00	2009-04-14 00:00:00	A	A	18000	10000	0	10000	0	None	BUZ711	N	CA00125695	B	SFY2008-09
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2009-04-10 00:00:00	030006067	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-26 00:00:00	2008-10-26 00:00:00	No	2009-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	W7QY11	N	CA00167795, CA00174990	A, B	SFY2008-09
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2009-04-10 00:00:00	030006069	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-10-26 00:00:00	2008-10-26 00:00:00	No	2009-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	W7QY11	N	CA00167795, CA00174990	A, B	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-04-21 00:00:00	030006072	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-10-09 00:00:00	2007-10-09 00:00:00	Yes	2009-05-12 00:00:00	2009-05-01 00:00:00	B	B	1000	1500	0	1500	0	None	7TJO11	N	CA00128885	B	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-04-21 00:00:00	030006076	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-10-21 00:00:00	2007-10-21 00:00:00	Yes	2009-05-12 00:00:00	2009-05-01 00:00:00	B	B	1000	500	0	500	0	None	4PN011	N	CA00129892	B	SFY2008-09
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-04-21 00:00:00	030006077	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-10-21 00:00:00	2007-10-21 00:00:00	Yes	2009-05-12 00:00:00	2009-05-04 00:00:00	B	B	1000	1500	0	1500	0	None	4PN011	N	CA00129892	B	SFY2008-09
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-04-17 00:00:00	030006103	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-22 00:00:00	2008-01-22 00:00:00	No	2009-05-08 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	345211	N	CA00139796	B	SFY2008-09
030000852	BRANDEL MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2009-05-14 00:00:00	030006172	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-08-09 00:00:00	2008-08-09 00:00:00	No	2009-06-05 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	YHI011	N	CA00159710	B	SFY2008-09
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-06-12 00:00:00	030006277	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-05 00:00:00	2008-01-05 00:00:00	Yes	2009-07-07 00:00:00	2009-06-16 00:00:00	A	A	20000	13000	0	13000	0	None	ODE711	N	CA00147695	B	SFY2008-09
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-06-18 00:00:00	030006300	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-30 00:00:00	2008-01-30 00:00:00	No	2009-07-10 00:00:00	None	A	A	18000	12250	-550	11700	0	None	6N0911	N	CA00139386, CA00139395, CA00141201	B, B, B	SFY2008-09
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2009-06-25 00:00:00	030006309	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-02 00:00:00	2008-07-02 00:00:00	Yes	2009-07-20 00:00:00	2009-07-01 00:00:00	B	B	1000	1000	0	1000	0	None	TYZT11	N	CA00155737	C	SFY2008-09
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-07-16 00:00:00	030006386	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-26 00:00:00	2008-03-26 00:00:00	No	2009-08-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	I0C211	N	CA00145372, CA00145906	B, B	SFY2009-10
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-07-16 00:00:00	030006387	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-01-01 00:00:00	2008-01-01 00:00:00	Yes	2009-08-06 00:00:00	2009-07-20 00:00:00	B	B	1000	500	0	500	0	None	FCXG11	N	CA00148332	B	SFY2009-10
030000852	BRANDEL MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2009-08-13 00:00:00	030006422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-27 00:00:00	2008-02-27 00:00:00	No	2009-09-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	2DV611	N	CA00148661	B	SFY2009-10
030000007	MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-07-31 00:00:00	030006424	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-12 00:00:00	2008-09-12 00:00:00	No	2009-08-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	D27811	N	CA00165112	B	SFY2009-10
030000007	MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-07-31 00:00:00	030006425	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-08 00:00:00	2008-09-08 00:00:00	No	2009-08-28 00:00:00	None	B	None	800	800	-280	520	0	None	D27811	N	CA00165112	B	SFY2009-10
100001316	RCCA - GATEWOOD DRIVE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2009-08-03 00:00:00	030006431	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-25 00:00:00	2008-01-25 00:00:00	Yes	2009-08-31 00:00:00	2009-08-24 00:00:00	B	B	900	450	0	450	0	None	W1VQ11	N	CA00140669	B	SFY2009-10
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-08-11 00:00:00	030006459	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-03-05 00:00:00	2009-03-05 00:00:00	No	2009-09-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	T0W111	N	CA00145257, CA00145841, CA00164668	B, B, B	SFY2009-10
100000049	WINDSOR ELMHAVEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2009-08-19 00:00:00	030006468	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-11 00:00:00	2008-09-11 00:00:00	Yes	2009-09-14 00:00:00	2009-09-08 00:00:00	A	A	18000	11750	0	11750	0	None	W4TY11	N	CA00163255	B	SFY2009-10
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2009-08-19 00:00:00	030006469	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-08-14 00:00:00	2008-08-14 00:00:00	Yes	2010-09-02 00:00:00	2010-08-23 00:00:00	AA	AA	100000	60000	0	60000	0	None	DWKV11	Y	CA00164153	B	SFY2009-10
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-08-27 00:00:00	030006510	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-03-25 00:00:00	2009-03-25 00:00:00	Yes	2009-09-23 00:00:00	2009-09-22 00:00:00	A	A	18000	20000	0	20000	0	None	3FY211	N	CA00180472	B	SFY2009-10
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2009-09-21 00:00:00	030006555	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-10-15 00:00:00	2006-10-15 00:00:00	No	2009-10-13 00:00:00	None	A	None	20000	20150	-7000	13150	0	None	XFJY11	N	CA00100171, CA00100852	B, B	SFY2009-10
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-10-01 00:00:00	030006589	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-22 00:00:00	2008-07-22 00:00:00	No	2009-10-28 00:00:00	None	B	None	1000	1250	-350	900	0	None	QOW511	N	CA00158979	B	SFY2009-10
100000032	BROOKSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2009-10-08 00:00:00	030006600	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-04-25 00:00:00	2008-04-25 00:00:00	Yes	2012-08-07 00:00:00	2012-05-29 00:00:00	A	B	20000	1000	0	1000	0	None	VKMG11	N	CA00151715	B	SFY2009-10
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-10-14 00:00:00	030006603	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-09-12 00:00:00	2006-09-12 00:00:00	Yes	2009-11-06 00:00:00	2009-10-19 00:00:00	A	A	19000	19000	0	19000	0	None	QJFB11	N	CA00093655, CA00093791	B, B	SFY2009-10
100000082	HARVEST CROSSING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2009-10-23 00:00:00	030006628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-06 00:00:00	2008-06-06 00:00:00	No	2009-11-16 00:00:00	None	B	None	800	800	-280	520	0	None	6TC611	N	CA00154975	B	SFY2009-10
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2009-10-22 00:00:00	030006639	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-06-13 00:00:00	2007-06-13 00:00:00	No	2009-11-17 00:00:00	None	AA	None	90000	90000	-31500	58500	0	None	UHT111	Y	CA00132271	B	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006697	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006698	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006699	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	Yes	2009-12-16 00:00:00	2009-12-08 00:00:00	B	Drop>Deficiency	1000	0	0	0	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006700	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006701	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006702	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006703	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006704	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006705	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006707	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006708	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006709	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006710	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006711	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-11-17 00:00:00	030006712	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	0JG911	N	CA00172536	C	SFY2009-10
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-12-15 00:00:00	030006765	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-10 00:00:00	2008-03-10 00:00:00	No	2010-01-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	57SQ11	N	CA00144219, CA00178326	B, B	SFY2009-10
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-12-15 00:00:00	030006766	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-10 00:00:00	2009-03-10 00:00:00	No	2010-01-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	57SQ11	N	CA00144219, CA00178326	B, B	SFY2009-10
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-12-15 00:00:00	030006769	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-08 00:00:00	2008-06-08 00:00:00	No	2010-01-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	7K0Z11	N	CA00159564	B	SFY2009-10
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-12-15 00:00:00	030006770	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-08 00:00:00	2008-06-08 00:00:00	No	2010-01-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	7K0Z11	N	CA00159564	B	SFY2009-10
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-12-15 00:00:00	030006771	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-08 00:00:00	2008-06-08 00:00:00	No	2010-01-07 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	7K0Z11	N	CA00159564	B	SFY2009-10
100000035	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Stockton	2009-12-29 00:00:00	030006774	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-20 00:00:00	2009-07-20 00:00:00	Yes	2010-01-25 00:00:00	2010-01-04 00:00:00	B	B	1000	750	0	750	0	None	YJMS11	N	CA00196787	B	SFY2009-10
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-01-13 00:00:00	030006909	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-13 00:00:00	2006-09-13 00:00:00	No	2010-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZT0N11	N	CA00095231	B	SFY2009-10
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-02-05 00:00:00	030006971	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-06-01 00:00:00	2006-06-01 00:00:00	No	2010-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	HM2G11	N	CA00152981	B	SFY2009-10
100000522	CASA DEL MAR #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2010-03-04 00:00:00	030007020	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-21 00:00:00	2008-02-21 00:00:00	Yes	2010-03-26 00:00:00	2010-03-08 00:00:00	B	B	1000	500	0	500	0	None	ES1Z11	N	CA00141765	C	SFY2009-10
100000035	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Stockton	2010-03-04 00:00:00	030007021	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-16 00:00:00	2009-08-16 00:00:00	Yes	2010-03-30 00:00:00	2010-03-15 00:00:00	B	B	1000	750	0	750	0	None	SENN11	N	CA00198804	B	SFY2009-10
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-03-26 00:00:00	030007032	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-11 00:00:00	2007-11-11 00:00:00	No	2010-04-21 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	9I6Z11	N	CA00130915	C	SFY2009-10
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-03-26 00:00:00	030007070	Closed	Citation	Citation B (HSC 1424)	Other	Admission, Transfer&Disch	2009-08-21 00:00:00	2009-08-21 00:00:00	Yes	2010-04-21 00:00:00	2010-04-15 00:00:00	B	B	1000	1000	0	1000	0	None	6K9Q11	N	CA00199317	A	SFY2009-10
030000854	BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-03-26 00:00:00	030007071	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-26 00:00:00	2008-06-26 00:00:00	No	2010-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	4RGG11	N	CA00201768	B	SFY2009-10
030000854	BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-03-26 00:00:00	030007072	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-06-26 00:00:00	2008-06-26 00:00:00	No	2010-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	4RGG11	N	CA00201768	B	SFY2009-10
030000854	BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-03-26 00:00:00	030007073	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-26 00:00:00	2008-06-26 00:00:00	No	2010-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	4RGG11	N	CA00201768	B	SFY2009-10
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-04-01 00:00:00	030007099	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-13 00:00:00	2008-03-13 00:00:00	No	2010-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	MYL911	N	CA00144110	B	SFY2009-10
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-04-02 00:00:00	030007100	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-05 00:00:00	2008-03-05 00:00:00	No	2010-04-26 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	T0W111	N	CA00145257, CA00164668	B, B	SFY2009-10
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-04-16 00:00:00	030007120	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-28 00:00:00	2008-03-28 00:00:00	No	2010-05-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	7XWS11	N	CA00145619	B	SFY2009-10
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2010-04-16 00:00:00	030007121	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-29 00:00:00	2008-03-29 00:00:00	Yes	2010-05-07 00:00:00	2010-04-21 00:00:00	B	B	800	520	0	520	0	None	ZCCW11	N	CA00145377	B	SFY2009-10
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2010-04-16 00:00:00	030007122	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-29 00:00:00	2008-03-29 00:00:00	Yes	2010-06-09 00:00:00	2010-04-21 00:00:00	B	B	1000	650	0	650	0	None	ZCCW11	N	CA00145377	B	SFY2009-10
030001821	WOODSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-04-16 00:00:00	030007129	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-07-21 00:00:00	2005-07-21 00:00:00	Yes	2010-05-07 00:00:00	2010-05-04 00:00:00	A	A	18000	11700	0	11700	0	None	2KXV11	N	CA00136146	B	SFY2009-10
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-04-26 00:00:00	030007150	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-09 00:00:00	2010-03-09 00:00:00	No	2010-05-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	DLUH11	N	None	None	SFY2009-10
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-04-23 00:00:00	030007157	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-19 00:00:00	2008-05-19 00:00:00	No	2010-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	LE4D11	N	CA00151058	B	SFY2009-10
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-05-13 00:00:00	030007192	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-04 00:00:00	2008-04-04 00:00:00	No	2010-06-11 00:00:00	None	B	None	900	900	0	900	0	None	T1SZ11	N	CA00146248	B	SFY2009-10
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-05-11 00:00:00	030007196	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-26 00:00:00	2010-01-26 00:00:00	No	2010-06-21 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	IJ7211	N	CA00216260	B	SFY2009-10
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-05-18 00:00:00	030007199	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-13 00:00:00	2008-03-13 00:00:00	No	2010-06-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	YQTH11	N	CA00153967	B	SFY2009-10
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-05-13 00:00:00	030007206	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-04 00:00:00	2008-07-04 00:00:00	Yes	2010-06-07 00:00:00	2010-05-27 00:00:00	B	B	1000	650	0	650	0	None	KG3O11	N	CA00155873	B	SFY2009-10
100000021	CASA COLOMA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-05-12 00:00:00	030007208	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-21 00:00:00	2010-03-21 00:00:00	No	2010-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	5J2411	N	None	None	SFY2009-10
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-05-13 00:00:00	030007210	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-05 00:00:00	2008-07-05 00:00:00	No	2010-06-04 00:00:00	None	B	None	600	600	0	600	0	None	E5G011	N	CA00155894	B	SFY2009-10
030000854	BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-06-10 00:00:00	030007303	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-20 00:00:00	2010-05-20 00:00:00	No	2010-07-05 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	P4OY11	N	None	None	SFY2009-10
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2010-06-23 00:00:00	030007322	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-18 00:00:00	2008-05-18 00:00:00	Yes	2010-07-19 00:00:00	2010-07-09 00:00:00	A	A	20000	13000	-0.03	12999.97	0	None	QN8L11	N	CA00151012	B	SFY2009-10
030001254	KAISER FOUNDATION HOSPITAL MANTECA D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-07-01 00:00:00	030007345	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	FAILURE TO REPORT	2008-10-24 00:00:00	2008-10-24 00:00:00	No	2010-07-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	1GXT11	N	CA00167683	B	SFY2010-11
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-07-02 00:00:00	030007346	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-10 00:00:00	2008-08-10 00:00:00	Yes	2010-08-04 00:00:00	2010-07-09 00:00:00	B	B	1000	1000	0	1000	0	None	Y9RW11	N	CA00159708	B	SFY2010-11
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-07-20 00:00:00	030007388	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-29 00:00:00	2008-11-29 00:00:00	No	2010-08-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	QNW211	N	CA00170767	B	SFY2010-11
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-07-20 00:00:00	030007389	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-10-08 00:00:00	2008-10-08 00:00:00	No	2010-08-12 00:00:00	None	B	None	600	600	-210	390	0	None	97DO11	N	CA00235529	B	SFY2010-11
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-07-28 00:00:00	030007421	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-16 00:00:00	2008-07-16 00:00:00	No	2010-08-23 00:00:00	None	B	None	800	1100	-280	820	0	None	IYQ111	N	CA00102077, CA00157701	B, B	SFY2010-11
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-08-09 00:00:00	030007455	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-10-12 00:00:00	2007-10-12 00:00:00	Yes	2010-12-27 00:00:00	2010-12-06 00:00:00	AA	AA	90000	80000	0	80000	0	None	YLEB11	Y	CA00130836	B	SFY2010-11
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-08-06 00:00:00	030007468	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-03 00:00:00	2008-07-03 00:00:00	No	2010-08-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	QOZT11	N	CA00158021	B	SFY2010-11
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-08-09 00:00:00	030007470	Closed	Citation	Citation B (HSC 1424)	Other	Supervision	2007-02-02 00:00:00	2007-02-02 00:00:00	Yes	2010-09-07 00:00:00	2010-08-10 00:00:00	B	B	1000	650	0	650	0	None	GYJS11	N	CA00138807	B	SFY2010-11
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-08-09 00:00:00	030007471	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-02-03 00:00:00	2007-02-03 00:00:00	Yes	2010-09-03 00:00:00	2010-08-10 00:00:00	B	B	1000	650	0	650	0	None	GYJS11	N	CA00138807	B	SFY2010-11
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-08-09 00:00:00	030007472	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-02-04 00:00:00	2007-02-04 00:00:00	Yes	2010-09-07 00:00:00	2010-08-10 00:00:00	B	B	1000	650	0	650	0	None	GYJS11	N	CA00138807	B	SFY2010-11
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-08-24 00:00:00	030007509	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-11 00:00:00	2008-08-11 00:00:00	Yes	2010-09-20 00:00:00	2010-09-02 00:00:00	B	B	800	800	0	800	0	None	ZF1T11	N	CA00159948	B	SFY2010-11
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-08-30 00:00:00	030007510	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-04 00:00:00	2008-07-04 00:00:00	No	2010-09-22 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	87HS11	N	CA00160294	B	SFY2010-11
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-09-03 00:00:00	030007531	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-29 00:00:00	2008-03-29 00:00:00	No	2010-10-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	QD2811	N	CA00146095, CA00160168	B, B	SFY2010-11
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-09-08 00:00:00	030007534	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-27 00:00:00	2008-07-27 00:00:00	No	2010-10-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	0PUG11	N	CA00159484, CA00159779	B, B	SFY2010-11
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-09-08 00:00:00	030007554	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-10-06 00:00:00	2008-10-06 00:00:00	Yes	2010-09-30 00:00:00	2010-09-22 00:00:00	A	A	20000	13000	0	13000	0	None	P1DV11	N	CA00172847	B	SFY2010-11
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-09-08 00:00:00	030007555	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-13 00:00:00	2008-11-13 00:00:00	Yes	2010-09-30 00:00:00	2010-09-22 00:00:00	B	B	800	600	0	600	0	None	P1DV11	N	CA00172847	B	SFY2010-11
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-09-27 00:00:00	030007577	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-07-20 00:00:00	2008-07-20 00:00:00	Yes	2010-10-18 00:00:00	2010-12-27 00:00:00	AA	AA	100000	85050	-50	85000	0	None	HDU911	Y	CA00157781, CA00160099, CA00160099, CA00174717	B, B, B, B	SFY2010-11
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-09-22 00:00:00	030007588	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2009-04-13 00:00:00	2009-04-13 00:00:00	Yes	2010-10-15 00:00:00	2010-10-06 00:00:00	B	B	1000	750	0	750	0	None	YC7O11	N	CA00185318	B	SFY2010-11
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-09-27 00:00:00	030007592	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-16 00:00:00	2008-05-16 00:00:00	Yes	2010-10-21 00:00:00	2010-10-08 00:00:00	A	None	20000	20000	0	20000	0	None	I4LH11	N	CA00152436, CA00155928	C, B	SFY2010-11
030000063	GOLD COUNTRY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-09-30 00:00:00	030007603	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-30 00:00:00	2008-09-30 00:00:00	No	2010-10-25 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	LEPZ11	N	CA00162543	B	SFY2010-11
030000063	GOLD COUNTRY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-09-30 00:00:00	030007604	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-22 00:00:00	2008-07-22 00:00:00	No	2010-10-25 00:00:00	None	B	None	1000	1050	-350	700	0	None	INRU11	N	CA00158199	B	SFY2010-11
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-10-14 00:00:00	030007626	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-30 00:00:00	2008-05-30 00:00:00	No	2010-11-04 00:00:00	None	B	None	600	600	-210	390	0	None	7ING11	N	CA00162210	B	SFY2010-11
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-10-14 00:00:00	030007627	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-05-30 00:00:00	2008-05-30 00:00:00	No	2010-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	7ING11	N	CA00162210	B	SFY2010-11
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-10-20 00:00:00	030007647	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-09-12 00:00:00	2008-09-12 00:00:00	No	2010-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	GUGE11	N	CA00163616, CA00164547	B, B	SFY2010-11
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-11-17 00:00:00	030007652	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-04-06 00:00:00	2008-04-06 00:00:00	Yes	2010-12-10 00:00:00	2011-02-11 00:00:00	AA	AA	80000	16000	0	16000	0	None	6YGG11	Y	CA00153502	B	SFY2010-11
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-11-04 00:00:00	030007662	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-23 00:00:00	2010-04-23 00:00:00	No	2010-12-01 00:00:00	None	B	None	600	600	-210	390	0	None	82HE11	N	CA00226726	B	SFY2010-11
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-10-26 00:00:00	030007669	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-27 00:00:00	2008-06-27 00:00:00	Yes	2013-02-04 00:00:00	2012-11-21 00:00:00	A	A	20000	13000	0	13000	0	None	5TK911	N	CA00155628	B	SFY2010-11
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-12-02 00:00:00	030007736	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-11-23 00:00:00	2008-11-23 00:00:00	Yes	2010-12-23 00:00:00	2010-12-21 00:00:00	A	A	20000	16500	0	16500	0	None	HRPZ11	N	CA00192882	B	SFY2010-11
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-12-15 00:00:00	030007773	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-10-29 00:00:00	2008-10-29 00:00:00	No	2011-01-05 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	35BK11	Y	CA00172315	B	SFY2010-11
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-12-15 00:00:00	030007774	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-29 00:00:00	2008-10-29 00:00:00	No	2011-01-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	35BK11	N	CA00172315	B	SFY2010-11
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-01-19 00:00:00	030007817	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-11 00:00:00	2008-10-11 00:00:00	No	2011-02-09 00:00:00	None	B	None	1000	3000	0	3000	0	None	YWLS11	N	CA00166108	C	SFY2010-11
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-03-03 00:00:00	030007983	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-06-15 00:00:00	2008-06-15 00:00:00	Yes	2011-03-24 00:00:00	2011-03-09 00:00:00	B	B	800	520	0	520	0	None	Q3QO11	N	CA00154437	B	SFY2010-11
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-03-03 00:00:00	030007984	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-01 00:00:00	2008-06-01 00:00:00	Yes	2011-03-24 00:00:00	2011-03-09 00:00:00	A	A	20000	11700	0	11700	0	None	6F7W11	N	CA00166573	B	SFY2010-11
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2011-03-10 00:00:00	030007987	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-08 00:00:00	2008-02-08 00:00:00	No	2011-04-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	DRWV11	N	CA00166193	C	SFY2010-11
100001681	RCCA - DUTRA PLACE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2011-03-10 00:00:00	030007988	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-11-16 00:00:00	2008-11-16 00:00:00	Yes	2011-04-01 00:00:00	2011-03-29 00:00:00	B	B	1000	500	0	500	0	None	WOYV11	N	CA00169822	C	SFY2010-11
100001681	RCCA - DUTRA PLACE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2011-03-10 00:00:00	030007994	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-11-16 00:00:00	2008-11-16 00:00:00	Yes	2011-04-01 00:00:00	2011-03-29 00:00:00	B	B	1000	500	0	500	0	None	WOYV11	N	CA00169822	C	SFY2010-11
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2011-03-10 00:00:00	030007995	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-08 00:00:00	2008-10-08 00:00:00	No	2011-04-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	DRWV11	N	CA00166193	C	SFY2010-11
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-03-09 00:00:00	030008005	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-20 00:00:00	2007-08-20 00:00:00	Yes	2011-03-30 00:00:00	2011-03-17 00:00:00	B	B	1000	1500	0	1500	0	None	S6VM11	N	CA00128516, CA00128716	B, B	SFY2010-11
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-03-11 00:00:00	030008019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-01 00:00:00	2008-08-01 00:00:00	No	2011-04-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	3NGJ11	N	CA00162827, CA00174955	B, B	SFY2010-11
100000031	CASA DE MODESTO	LTC	SNF	Skilled Nursing Facility	Fresno	2011-04-06 00:00:00	030008080	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-13 00:00:00	2009-08-13 00:00:00	No	2011-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	YFO911	N	CA00198603	B	SFY2010-11
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-03-30 00:00:00	030008087	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-07 00:00:00	2008-09-07 00:00:00	No	2011-04-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	TXDH11	N	CA00167209	C	SFY2010-11
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2011-04-06 00:00:00	030008092	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-05-11 00:00:00	2009-05-11 00:00:00	Yes	2011-04-27 00:00:00	2011-04-18 00:00:00	B	B	1000	650	0	650	0	None	830211	N	CA00188027	B	SFY2010-11
100000029	LODI CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-04-19 00:00:00	030008153	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-01 00:00:00	2008-12-01 00:00:00	No	2011-05-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	0R4411	N	CA00170962	B	SFY2010-11
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-04-25 00:00:00	030008174	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-12-28 00:00:00	2008-12-28 00:00:00	No	2011-05-16 00:00:00	None	B	None	1000	1050	-350	700	0	None	VUD111	N	CA00172735	B	SFY2010-11
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-04-26 00:00:00	030008176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-08 00:00:00	2008-12-08 00:00:00	No	2011-05-17 00:00:00	None	B	None	1000	1400	-350	1050	0	None	YDFE11	N	CA00171760	C	SFY2010-11
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-04-25 00:00:00	030008178	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-11-18 00:00:00	2008-11-18 00:00:00	No	2011-05-16 00:00:00	None	A	None	16000	16050	-5600	10450	0	None	IWZT11	N	CA00169849	B	SFY2010-11
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-04-26 00:00:00	030008194	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-01-10 00:00:00	2008-01-10 00:00:00	No	2011-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	DO4311	N	CA00174848	B	SFY2010-11
100000092	RANCHO SECO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-04-29 00:00:00	030008201	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-11-22 00:00:00	2008-11-22 00:00:00	Yes	2013-02-04 00:00:00	2012-11-26 00:00:00	A	A	20000	15000	0	15000	0	None	2YW211	N	CA00170213	B	SFY2010-11
030000023	ADVENTIST HEALTH SONORA - D/P SNF (UNIT 6)	LTC	SNF	Skilled Nursing Facility	Stockton	2011-05-19 00:00:00	030008255	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-07-04 00:00:00	2009-07-04 00:00:00	No	2011-06-10 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	NJW911	N	CA00194021	B	SFY2010-11
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-05-26 00:00:00	030008270	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-01 00:00:00	2008-03-01 00:00:00	No	2011-06-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	BK5811	N	CA00156568	B	SFY2010-11
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-05-26 00:00:00	030008271	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-01 00:00:00	2008-03-01 00:00:00	No	2011-06-17 00:00:00	None	B	None	700	700	0	700	0	None	BK5811	N	CA00156568	B	SFY2010-11
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-06-07 00:00:00	030008283	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-24 00:00:00	2008-12-24 00:00:00	No	2011-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	3WW711	N	CA00173408	B	SFY2010-11
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-06-07 00:00:00	030008284	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-24 00:00:00	2008-12-24 00:00:00	No	2011-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	3WW711	N	CA00173408	B	SFY2010-11
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-06-09 00:00:00	030008292	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-10 00:00:00	2009-02-10 00:00:00	Yes	2011-06-30 00:00:00	2011-06-16 00:00:00	A	None	18000	54000	-54000	0	0	None	4Q3711	N	CA00177675, CA00177784	B, C	SFY2010-11
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-06-15 00:00:00	030008293	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-10-23 00:00:00	2008-10-23 00:00:00	Yes	2011-10-06 00:00:00	2011-10-04 00:00:00	AA	AA	100000	70000	0	70000	0	None	N3TQ11	Y	CA00167537	B	SFY2010-11
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-06-20 00:00:00	030008315	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-03-11 00:00:00	2010-03-11 00:00:00	No	2011-07-12 00:00:00	None	B	None	1000	1400	-350	1050	0	None	8F5011	N	CA00225106, CA00225309, CA00227481	B, B, B	SFY2010-11
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-06-24 00:00:00	030008321	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-11 00:00:00	2009-01-11 00:00:00	No	2011-07-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	H0MV11	N	CA00175222	A	SFY2010-11
100000055	GARDEN CITY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-07-07 00:00:00	030008360	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-06-17 00:00:00	2008-06-17 00:00:00	No	2011-07-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	YHZC11	N	CA00154638	B	SFY2011-12
100000055	GARDEN CITY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-07-07 00:00:00	030008361	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-06-15 00:00:00	2008-06-15 00:00:00	No	2011-07-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	BRV411	N	CA00154403	B	SFY2011-12
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-07-15 00:00:00	030008383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-09 00:00:00	2009-02-09 00:00:00	No	2011-08-05 00:00:00	None	B	None	800	800	0	800	0	None	NHU711	N	CA00179168	A	SFY2011-12
030000854	BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-08-03 00:00:00	030008431	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-16 00:00:00	2009-05-16 00:00:00	No	2011-08-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	CGO911	N	CA00178632	H	SFY2011-12
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-08-04 00:00:00	030008433	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-06 00:00:00	2008-12-06 00:00:00	No	2011-08-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	X5MU11	N	CA00171358	B	SFY2011-12
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-08-04 00:00:00	030008434	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-06 00:00:00	2008-12-06 00:00:00	No	2011-08-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	X5MU11	N	CA00171358	B	SFY2011-12
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-08-04 00:00:00	030008435	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-17 00:00:00	2009-03-17 00:00:00	No	2011-08-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	STLX11	N	CA00181650	C	SFY2011-12
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-08-04 00:00:00	030008436	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-04-10 00:00:00	2009-04-10 00:00:00	No	2011-08-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	579U11	N	CA00184721	B	SFY2011-12
100001481	RCCA - PHOENIX	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2011-08-11 00:00:00	030008447	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2010-01-12 00:00:00	2010-01-12 00:00:00	No	2011-09-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	6IQ211	N	CA00214732	B	SFY2011-12
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-08-12 00:00:00	030008453	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-03 00:00:00	2009-04-03 00:00:00	No	2011-09-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	VZR111	N	CA00184998	B	SFY2011-12
100000082	HARVEST CROSSING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2011-08-24 00:00:00	030008488	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-11-10 00:00:00	2009-11-10 00:00:00	No	2011-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	39FH11	N	CA00207911	B	SFY2011-12
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-08-24 00:00:00	030008489	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-04 00:00:00	2010-07-04 00:00:00	No	2011-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	9ZWT11	N	CA00234657	B	SFY2011-12
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-08-25 00:00:00	030008494	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-04 00:00:00	2009-11-04 00:00:00	No	2011-09-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	PGYY11	N	CA00207445	B	SFY2011-12
030000063	GOLD COUNTRY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-08-26 00:00:00	030008501	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-03 00:00:00	2009-03-03 00:00:00	No	2011-09-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	7QDV11	N	CA00180190	B	SFY2011-12
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2011-09-26 00:00:00	030008583	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-03-30 00:00:00	2009-03-30 00:00:00	Yes	2013-02-05 00:00:00	2012-11-20 00:00:00	A	A	20000	12000	0	12000	0	None	NHIV11	N	CA00183799	B	SFY2011-12
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-09-30 00:00:00	030008603	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-04-27 00:00:00	2009-04-27 00:00:00	No	2011-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	CXFK11	N	CA00187587, CA00187606	C, C	SFY2011-12
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-10-12 00:00:00	030008633	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-02-23 00:00:00	2009-02-23 00:00:00	No	2011-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	5EPG11	N	CA00180943	B	SFY2011-12
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-10-14 00:00:00	030008634	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-01 00:00:00	2009-02-01 00:00:00	Yes	2011-11-04 00:00:00	2011-10-28 00:00:00	A	A	18000	18000	0	18000	0	None	B22X11	N	CA00182993	B	SFY2011-12
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-11-01 00:00:00	030008666	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-29 00:00:00	2009-05-29 00:00:00	Yes	2011-11-23 00:00:00	2011-11-07 00:00:00	B	B	1000	650	0	650	0	None	1OFD11	N	CA00192029	B	SFY2011-12
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-11-01 00:00:00	030008667	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-29 00:00:00	2009-05-29 00:00:00	Yes	2011-11-23 00:00:00	2011-11-07 00:00:00	B	B	1000	650	0	650	0	None	1OFD11	N	CA00192029	B	SFY2011-12
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-11-01 00:00:00	030008668	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-29 00:00:00	2009-05-29 00:00:00	Yes	2011-11-23 00:00:00	2011-11-07 00:00:00	B	B	800	520	0	520	0	None	1OFD11	N	CA00192029	B	SFY2011-12
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-11-16 00:00:00	030008725	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-09-30 00:00:00	2009-09-30 00:00:00	No	2011-12-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	RTQR11	N	CA00254183, CA00255861	B, B	SFY2011-12
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2011-11-21 00:00:00	030008759	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-30 00:00:00	2009-04-30 00:00:00	No	2011-12-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	6F8Q11	N	CA00188838	B	SFY2011-12
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-12-08 00:00:00	030008791	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-04-16 00:00:00	2009-04-16 00:00:00	No	2011-12-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	9ZMQ11	N	CA00186036	C	SFY2011-12
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-12-08 00:00:00	030008793	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-04-16 00:00:00	2009-04-16 00:00:00	No	2011-12-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	9ZMQ11	N	CA00186036	C	SFY2011-12
030000063	GOLD COUNTRY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-12-28 00:00:00	030008829	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-16 00:00:00	2009-10-16 00:00:00	Yes	2012-01-20 00:00:00	2012-01-13 00:00:00	B	B	1000	1000	0	1000	0	None	KPLY11	N	CA00206598	B	SFY2011-12
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-12-29 00:00:00	030008835	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-07-05 00:00:00	2010-07-05 00:00:00	No	2012-01-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	I2LM11	N	CA00237308	B	SFY2011-12
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-01-06 00:00:00	030008848	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-25 00:00:00	2010-06-25 00:00:00	No	2012-01-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	LSMP11	N	CA00233733	B	SFY2011-12
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-01-30 00:00:00	030008941	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-24 00:00:00	2009-05-24 00:00:00	No	2012-02-21 00:00:00	None	B	None	800	900	-280	620	0	None	286J11	N	CA00192441	A	SFY2011-12
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-01-30 00:00:00	030008942	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2009-06-15 00:00:00	2009-06-15 00:00:00	No	2012-02-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	286J11	N	CA00192441	A	SFY2011-12
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-02-01 00:00:00	030008960	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-19 00:00:00	2009-05-19 00:00:00	No	2012-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	CINF11	N	CA00189469	C	SFY2011-12
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-02-15 00:00:00	030009001	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-02-23 00:00:00	2009-02-23 00:00:00	No	2012-03-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	YEXM11	N	CA00179602, CA00179611	B, B	SFY2011-12
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-02-16 00:00:00	030009009	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-01 00:00:00	2009-05-01 00:00:00	No	2012-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	807J11	N	CA00189854	C	SFY2011-12
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-02-16 00:00:00	030009010	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-13 00:00:00	2009-05-13 00:00:00	No	2012-03-09 00:00:00	None	B	None	800	800	-280	520	0	None	BC4C11	N	CA00188964	C	SFY2011-12
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-02-27 00:00:00	030009032	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-11-14 00:00:00	2009-11-14 00:00:00	No	2012-03-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	D9SI11	N	CA00208673, CA00209698	B, B	SFY2011-12
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-02-23 00:00:00	030009035	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-02-25 00:00:00	2009-02-25 00:00:00	Yes	2012-03-15 00:00:00	2012-03-26 00:00:00	B	B	1000	800	0	800	0	None	NCW011	N	CA00179392	B	SFY2011-12
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-03-07 00:00:00	030009085	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-10 00:00:00	2009-10-10 00:00:00	No	2012-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	LKKF11	N	CA00205459	B	SFY2011-12
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-03-08 00:00:00	030009086	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-11 00:00:00	2009-06-11 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	YXUK11	N	CA00195664	B	SFY2011-12
100000032	BROOKSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2012-03-08 00:00:00	030009090	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-11 00:00:00	2009-03-11 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	TRMC11	N	CA00180886	B	SFY2011-12
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-03-15 00:00:00	030009124	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-04-13 00:00:00	2009-04-13 00:00:00	Yes	2012-04-05 00:00:00	2012-03-23 00:00:00	B	B	1000	650	0	650	0	None	SVZE11	N	CA00184760	B	SFY2011-12
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2012-03-16 00:00:00	030009138	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-23 00:00:00	2009-05-23 00:00:00	No	2012-04-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	JTYT11	N	CA00190334	B	SFY2011-12
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-03-28 00:00:00	030009182	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-10-16 00:00:00	2009-10-16 00:00:00	Yes	2012-04-18 00:00:00	2012-04-09 00:00:00	B	B	1000	850	-100	750	0	None	4MZ411	N	CA00205262	B	SFY2011-12
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-03-28 00:00:00	030009183	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-14 00:00:00	2009-10-14 00:00:00	Yes	2012-04-18 00:00:00	2012-04-09 00:00:00	B	B	1000	850	-100	750	0	None	4MZ411	N	CA00296638	B	SFY2011-12
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-04-10 00:00:00	030009213	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-15 00:00:00	2009-07-15 00:00:00	No	2012-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	F2RX11	N	CA00195147, CA00195336, CA00195440, CA00195523	B, B, B, B	SFY2011-12
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2012-11-28 00:00:00	030009216	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2009-10-14 00:00:00	2009-10-14 00:00:00	No	2012-12-19 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	FIQ911	N	CA00205143, CA00208053	B, A	SFY2012-13
100000092	RANCHO SECO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-04-12 00:00:00	030009221	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-06 00:00:00	2009-06-06 00:00:00	No	2012-05-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	99EV11	N	CA00191342	B	SFY2011-12
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-05-03 00:00:00	030009263	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-03 00:00:00	2009-05-03 00:00:00	No	2012-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	YCMX11	N	CA00189866	B	SFY2011-12
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-05-03 00:00:00	030009264	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-21 00:00:00	2009-05-21 00:00:00	No	2012-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	X87Z11	N	CA00190259	B	SFY2011-12
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-05-03 00:00:00	030009265	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-26 00:00:00	2009-05-26 00:00:00	No	2012-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y5S911	N	CA00201109	B	SFY2011-12
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-05-03 00:00:00	030009278	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-18 00:00:00	2009-05-18 00:00:00	No	2012-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	X87Z11	N	CA00190259	B	SFY2011-12
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2012-05-25 00:00:00	030009323	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-12 00:00:00	2008-12-12 00:00:00	No	2012-06-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	GOT011	N	CA00175485	C	SFY2011-12
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2012-05-25 00:00:00	030009324	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-12 00:00:00	2008-12-12 00:00:00	No	2012-06-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	GOT011	N	None	None	SFY2011-12
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-05-25 00:00:00	030009332	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-12 00:00:00	2010-09-12 00:00:00	No	2012-06-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	X86V11	N	None	None	SFY2011-12
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-06-07 00:00:00	030009346	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-13 00:00:00	2009-09-13 00:00:00	Yes	2012-06-28 00:00:00	2012-06-22 00:00:00	B	B	1000	500	0	500	0	None	ORVW11	N	CA00195126	C	SFY2011-12
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-06-07 00:00:00	030009350	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-09-13 00:00:00	2009-09-13 00:00:00	Yes	2012-06-28 00:00:00	2012-06-22 00:00:00	B	B	1000	500	0	500	0	None	ORVW11	N	CA00195126	C	SFY2011-12
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2012-07-12 00:00:00	030009390	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-10-23 00:00:00	2008-10-23 00:00:00	No	2012-08-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	K3C811	N	CA00167694	B	SFY2012-13
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2012-07-25 00:00:00	030009409	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-01-07 00:00:00	2009-01-07 00:00:00	No	2012-08-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	CJXY11	N	CA00174147	C	SFY2012-13
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-07-26 00:00:00	030009414	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-07-10 00:00:00	2009-07-10 00:00:00	No	2012-08-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ5111	N	CA00194821	B	SFY2012-13
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-07-26 00:00:00	030009418	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-20 00:00:00	2008-03-20 00:00:00	No	2012-08-16 00:00:00	None	B	None	800	800	-280	520	0	None	Y41011	N	CA00144628	C	SFY2012-13
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-08-16 00:00:00	030009433	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-14 00:00:00	2009-03-14 00:00:00	No	2012-09-07 00:00:00	None	B	None	500	500	0	500	0	None	MBNG11	N	CA00181582	B	SFY2012-13
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-08-30 00:00:00	030009462	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-15 00:00:00	2010-03-15 00:00:00	No	2012-09-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	60X311	N	CA00262231	B	SFY2012-13
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-09-12 00:00:00	030009480	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-07-19 00:00:00	2008-07-19 00:00:00	No	2012-10-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	E5I011	N	CA00157595	B	SFY2012-13
100000092	RANCHO SECO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-09-20 00:00:00	030009507	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-20 00:00:00	2010-04-20 00:00:00	Yes	2012-10-11 00:00:00	2012-10-01 00:00:00	B	B	1000	700	0	700	0	None	MSPR11	N	CA00226218, CA00227515, CA00238786	B, B, A	SFY2012-13
030001525	BARTON HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-09-28 00:00:00	030009530	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-24 00:00:00	2009-09-24 00:00:00	No	2012-10-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	SIEH11	N	CA00203145	B	SFY2012-13
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2012-10-04 00:00:00	030009531	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-23 00:00:00	2009-08-23 00:00:00	No	2012-10-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	3HU211	Y	CA00199717, CA00202315	H, B	SFY2012-13
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-10-12 00:00:00	030009544	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-01-04 00:00:00	2009-01-04 00:00:00	Yes	2012-11-02 00:00:00	2012-10-31 00:00:00	B	None	1000	1000	0	1000	0	None	PA6N11	N	CA00182759, CA00184726	B, B	SFY2012-13
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-10-12 00:00:00	030009545	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-01-04 00:00:00	2009-01-04 00:00:00	Yes	2012-11-02 00:00:00	2012-10-31 00:00:00	B	None	1000	1000	0	1000	0	None	PA6N11	N	CA00182759, CA00184726	B, B	SFY2012-13
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2012-10-16 00:00:00	030009548	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-01 00:00:00	2010-07-01 00:00:00	No	2012-11-06 00:00:00	None	B	None	500	500	-175	325	0	None	8MJ411	N	CA00234376	B	SFY2012-13
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-10-23 00:00:00	030009564	Closed	Citation	Citation B (HSC 1424)	Other	STAFF QUALIFICATIONS	2005-11-04 00:00:00	2005-11-04 00:00:00	No	2012-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	74CC11	N	CA00219860	C	SFY2012-13
630011271	HAPPY RANCH PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2012-10-25 00:00:00	030009566	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-26 00:00:00	2010-06-26 00:00:00	No	2012-11-16 00:00:00	None	B	None	500	500	-175	325	0	None	O3WL11	N	CA00233858	C	SFY2012-13
100000036	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2012-11-08 00:00:00	030009568	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-24 00:00:00	2009-12-24 00:00:00	No	2012-12-04 00:00:00	None	B	None	800	800	-280	520	0	None	LT3Q11	N	CA00214434	C	SFY2012-13
100000015	CRESCENT COURT NURSING HOME	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-11-08 00:00:00	030009571	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-21 00:00:00	2009-07-21 00:00:00	No	2012-12-04 00:00:00	None	B	None	800	800	-280	520	0	None	MMG711	N	CA00195839	B	SFY2012-13
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2012-11-08 00:00:00	030009574	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-11 00:00:00	2009-09-11 00:00:00	No	2012-12-04 00:00:00	None	B	None	600	600	-210	390	0	None	KQCC11	N	CA00201562, CA00203994, CA00205387, CA00215909	C, C, B, C	SFY2012-13
030001004	AMERICAN RIVER CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-11-15 00:00:00	030009588	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-24 00:00:00	2009-03-24 00:00:00	No	2012-12-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	6NES11	N	CA00182723, CA00182902	B, B	SFY2012-13
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2012-11-19 00:00:00	030009602	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-10-30 00:00:00	2009-10-30 00:00:00	No	2012-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	2T2011	N	CA00206861	B	SFY2012-13
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-12-20 00:00:00	030009612	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-27 00:00:00	2009-10-27 00:00:00	No	2013-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	OCQY11	N	CA00206425	B	SFY2012-13
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-11-28 00:00:00	030009613	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-17 00:00:00	2009-07-17 00:00:00	No	2012-12-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	HW7R11	N	CA00196584	B	SFY2012-13
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-12-07 00:00:00	030009629	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-07 00:00:00	2011-04-07 00:00:00	No	2012-12-31 00:00:00	None	B	None	1000	1000	0	1000	0	None	SFB411	N	CA00268899	B	SFY2012-13
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2012-12-14 00:00:00	030009674	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2009-03-26 00:00:00	2009-03-26 00:00:00	No	2013-01-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	U08X11	N	CA00182926	B	SFY2012-13
100001535	MEADOWOOD A HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2012-12-27 00:00:00	030009681	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-25 00:00:00	2009-06-25 00:00:00	No	2013-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	X7YY11	N	CA00218345	B	SFY2012-13
100000002	UNIVERSITY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-12-27 00:00:00	030009682	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-03-02 00:00:00	2012-03-02 00:00:00	No	2013-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	D47L11	N	CA00331664	E	SFY2012-13
100000082	HARVEST CROSSING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2013-01-15 00:00:00	030009691	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-26 00:00:00	2009-12-26 00:00:00	No	2013-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	4MI011	N	CA00212891	B	SFY2012-13
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-01-11 00:00:00	030009697	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-03 00:00:00	2009-03-03 00:00:00	Yes	2013-02-04 00:00:00	2013-01-11 00:00:00	B	None	1000	1000	0	1000	0	None	4JWJ11	N	CA00186774, CA00197417	D, D	SFY2012-13
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-01-18 00:00:00	030009698	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-05-27 00:00:00	2008-05-27 00:00:00	No	2013-02-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	D7US11	N	CA00152040, CA00152583, CA00153330, CA00154846, CA00157068, CA00173777, CA00183459, CA00183470, CA00194415	C, C, C, C, C, B, B, B, C	SFY2012-13
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-02-11 00:00:00	030009721	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-02-01 00:00:00	2010-02-01 00:00:00	No	2013-03-05 00:00:00	None	B	None	1000	1150	-350	800	0	None	UKGN11	N	CA00217009	C	SFY2012-13
100000030	THE GROVE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-02-07 00:00:00	030009730	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-09 00:00:00	2010-11-09 00:00:00	No	2013-03-01 00:00:00	None	B	None	800	800	-280	520	0	None	VBC511	N	CA00249040	B	SFY2012-13
100000999	JEAN MARTIN HOME #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2013-02-22 00:00:00	030009751	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-09-03 00:00:00	2009-09-03 00:00:00	No	2013-03-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	LBQI11	N	CA00200718	A	SFY2012-13
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-03-07 00:00:00	030009761	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-18 00:00:00	2010-06-18 00:00:00	No	2013-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	579G11	N	CA00232902	A	SFY2012-13
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-03-07 00:00:00	030009770	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-02 00:00:00	2010-11-02 00:00:00	No	2013-03-28 00:00:00	None	B	None	500	500	-175	325	0	None	QOTO11	N	CA00248164	B	SFY2012-13
100001810	SHIRLEY'S ICF/DD-H #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2013-03-11 00:00:00	030009773	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-21 00:00:00	2009-12-21 00:00:00	No	2013-04-02 00:00:00	None	B	None	500	500	-175	325	0	None	5J7211	N	CA00242264	B	SFY2012-13
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-03-08 00:00:00	030009775	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-07-30 00:00:00	2011-07-30 00:00:00	No	2013-03-29 00:00:00	None	B	None	500	500	-175	325	0	None	GE7U11	N	CA00278143, CA00278586	B, B	SFY2012-13
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-03-12 00:00:00	030009780	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-13 00:00:00	2010-05-13 00:00:00	No	2013-04-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	HN1B11	N	CA00254907, CA00260468	B, B	SFY2012-13
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-03-21 00:00:00	030009792	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2011-05-30 00:00:00	2011-05-30 00:00:00	Yes	2013-04-12 00:00:00	2013-04-11 00:00:00	AA	AA	100000	90000	0	90000	0	None	OZ5J11	Y	CA00274673	C	SFY2012-13
030001823	NOBLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2013-04-25 00:00:00	030009836	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-26 00:00:00	2010-02-26 00:00:00	No	2013-05-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	664S11	N	CA00219754	B	SFY2012-13
030000011	ROCK CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-05-09 00:00:00	030009884	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-08 00:00:00	2010-05-08 00:00:00	No	2013-05-31 00:00:00	None	B	None	1000	1000	0	1000	0	None	I2YK11	N	CA00228340, CA00229482	C, B	SFY2012-13
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-05-16 00:00:00	030009885	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-02-13 00:00:00	2011-02-13 00:00:00	No	2013-06-07 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ADZG11	Y	CA00265051	B	SFY2012-13
100001639	RCCA - WAWONA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2013-05-16 00:00:00	030009886	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-29 00:00:00	2009-05-29 00:00:00	No	2013-06-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	GX0L11	N	CA00189885, CA00191261	B, B	SFY2012-13
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-05-16 00:00:00	030009887	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-28 00:00:00	2010-11-28 00:00:00	No	2013-06-07 00:00:00	None	B	None	1000	1350	-350	1000	0	None	EC9Y11	N	CA00250717	B	SFY2012-13
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-05-31 00:00:00	030009893	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-24 00:00:00	2010-12-24 00:00:00	No	2013-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	4EIH11	N	CA00256069	B	SFY2012-13
030001825	LODI NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-05-20 00:00:00	030009898	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-04-26 00:00:00	2010-04-26 00:00:00	No	2013-06-11 00:00:00	None	B	None	500	500	-175	325	0	None	GEDJ11	N	CA00228786	B	SFY2012-13
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-05-17 00:00:00	030009910	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-12 00:00:00	2011-08-12 00:00:00	No	2013-06-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	7QZ211	N	CA00279216, CA00282332	B, B	SFY2012-13
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-06-10 00:00:00	030009914	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-25 00:00:00	2010-05-25 00:00:00	Yes	2013-07-01 00:00:00	2013-06-25 00:00:00	B	None	1000	1000	0	1000	0	None	118X11	N	CA00199959	B	SFY2012-13
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2013-05-31 00:00:00	030009917	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-02-02 00:00:00	2011-02-02 00:00:00	No	2013-06-21 00:00:00	None	B	None	800	800	-280	520	0	None	28ZM11	N	CA00258033	B	SFY2012-13
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-05-29 00:00:00	030009920	Closed	Citation	Citation B (HSC 1424)	Other	FIRE SAFETY	2011-12-13 00:00:00	2011-12-13 00:00:00	No	2013-06-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	DG8C11	N	CA00293455	B	SFY2012-13
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-06-10 00:00:00	030009931	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-25 00:00:00	2010-05-25 00:00:00	Yes	2013-07-01 00:00:00	2013-06-25 00:00:00	B	None	1000	1000	0	1000	0	None	118X11	N	CA00230516, CA00231143	B, A	SFY2012-13
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-06-25 00:00:00	030009944	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-02 00:00:00	2010-07-02 00:00:00	No	2013-07-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	15G911	N	CA00227506	B	SFY2012-13
030001829	ACC CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-07-03 00:00:00	030009946	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2012-01-09 00:00:00	2012-01-09 00:00:00	Yes	2013-07-25 00:00:00	2013-07-23 00:00:00	AA	A	80000	11000	0	11000	0	None	T51C11	Y	CA00302503	B	SFY2013-14
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2013-07-03 00:00:00	030009986	Closed	Citation	Citation B (HSC 1424)	Medication	None	2012-06-20 00:00:00	2012-06-20 00:00:00	No	2013-07-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	R65811	N	CA00233171	A	SFY2013-14
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-07-19 00:00:00	030009989	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-02-21 00:00:00	2010-02-21 00:00:00	No	2013-08-09 00:00:00	None	B	None	800	800	0	800	0	None	U0RG11	N	CA00222965	C	SFY2013-14
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-07-08 00:00:00	030009992	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-04 00:00:00	2010-05-04 00:00:00	Yes	2013-07-29 00:00:00	2013-07-16 00:00:00	B	None	1000	1000	0	1000	0	None	9YSD11	N	CA00196509, CA00221549, CA00227829	B, C, B	SFY2013-14
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-07-08 00:00:00	030009993	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-03-05 00:00:00	2013-03-05 00:00:00	No	2013-07-29 00:00:00	None	B	None	500	500	0	500	0	None	72UG11	N	CA00347773	B	SFY2013-14
030001825	LODI NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-07-19 00:00:00	030010006	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-22 00:00:00	2010-10-22 00:00:00	No	2013-08-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	LRZ311	N	CA00247050	A	SFY2013-14
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2013-07-25 00:00:00	030010007	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-22 00:00:00	2010-03-22 00:00:00	No	2013-08-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	R4K511	N	CA00236654	B	SFY2013-14
100001681	RCCA - DUTRA PLACE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2013-07-18 00:00:00	030010011	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-06-23 00:00:00	2011-06-23 00:00:00	No	2013-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	RT0411	N	CA00274271, CA00274753, CA00276881	C, C, B	SFY2013-14
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2013-08-01 00:00:00	030010024	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2012-01-04 00:00:00	2012-01-04 00:00:00	No	2013-08-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	1JZM11	N	CA00295772	B	SFY2013-14
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-08-14 00:00:00	030010044	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-23 00:00:00	2010-07-23 00:00:00	No	2013-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	FUWW11	N	CA00241942	B	SFY2013-14
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-08-01 00:00:00	030010045	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-16 00:00:00	2010-01-16 00:00:00	Yes	2013-08-22 00:00:00	2013-08-21 00:00:00	A	None	20000	20000	0	20000	0	None	Z75H11	N	CA00218518	B	SFY2013-14
100000017	BETHANY HOME SOCIETY SAN JOAQUIN COUNTY	LTC	SNF	Skilled Nursing Facility	Stockton	2013-08-08 00:00:00	030010063	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-06-14 00:00:00	2010-06-14 00:00:00	No	2013-08-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	TVGD11	N	CA00232318	B	SFY2013-14
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-08-13 00:00:00	030010068	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-12-26 00:00:00	2010-12-26 00:00:00	Yes	2013-09-04 00:00:00	2013-09-05 00:00:00	B	None	800	800	0	800	0	None	0B8711	N	CA00253677, CA00255452	B, B	SFY2013-14
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2013-08-20 00:00:00	030010094	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-23 00:00:00	2010-03-23 00:00:00	Yes	2013-09-11 00:00:00	2013-08-26 00:00:00	A	B	16000	10400	0	10400	0	None	DSML11	N	CA00241974	B	SFY2013-14
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-08-27 00:00:00	030010112	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-24 00:00:00	2010-05-24 00:00:00	Yes	2013-09-18 00:00:00	2013-09-19 00:00:00	A	None	20000	20000	0	20000	0	None	EKZV11	Y	CA00230035, CA00260735	B, C	SFY2013-14
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-08-29 00:00:00	030010113	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-03-20 00:00:00	2011-03-20 00:00:00	Yes	2013-09-20 00:00:00	2013-09-05 00:00:00	B	None	500	500	0	500	0	None	BU0H11	N	CA00264448	B	SFY2013-14
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-08-29 00:00:00	030010115	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-03-20 00:00:00	2011-03-20 00:00:00	Yes	2013-09-20 00:00:00	2013-09-05 00:00:00	B	None	800	800	0	800	0	None	BU0H11	N	CA00264448	B	SFY2013-14
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-09-17 00:00:00	030010122	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-13 00:00:00	2010-10-13 00:00:00	No	2013-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	SB9Q11	N	CA00247096	B	SFY2013-14
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-09-17 00:00:00	030010123	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-10-13 00:00:00	2010-10-13 00:00:00	No	2013-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	SB9Q11	N	CA00246591	B	SFY2013-14
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2013-09-26 00:00:00	030010156	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-16 00:00:00	2010-07-16 00:00:00	No	2013-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z69W11	N	CA00239622	C	SFY2013-14
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2013-10-04 00:00:00	030010160	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-30 00:00:00	2010-08-30 00:00:00	Yes	2013-10-25 00:00:00	2013-10-15 00:00:00	B	B	1000	1000	0	1000	0	None	UM5711	N	CA00242479	B	SFY2013-14
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-10-02 00:00:00	030010172	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-25 00:00:00	2011-11-25 00:00:00	No	2013-10-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	J73S11	N	CA00292023	B	SFY2013-14
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-10-30 00:00:00	030010188	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-07-09 00:00:00	2013-07-09 00:00:00	No	2013-11-21 00:00:00	None	FTR BR	None	1200	1200	-300	900	0	None	95MC11	None	CA00363771, CA00364852	B, D	SFY2013-14
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-10-30 00:00:00	030010189	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-07-09 00:00:00	2013-07-09 00:00:00	No	2013-11-21 00:00:00	None	FTR RES	None	1100	1100	-275	825	0	None	95MC11	None	CA00363771, CA00364852	B, D	SFY2013-14
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-10-11 00:00:00	030010193	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-03 00:00:00	2010-05-03 00:00:00	No	2013-11-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	0GMP11	N	CA00228027, CA00228037	B, B	SFY2013-14
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-10-23 00:00:00	030010206	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-25 00:00:00	2010-10-25 00:00:00	No	2013-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	OZPD11	N	CA00247395	B	SFY2013-14
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-10-22 00:00:00	030010222	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-06-08 00:00:00	2011-06-08 00:00:00	No	2013-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	38S611	N	CA00272704	B	SFY2013-14
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-10-30 00:00:00	030010237	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-01-21 00:00:00	2011-01-21 00:00:00	No	2013-11-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IIZJ11	N	CA00255627	B	SFY2013-14
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-11-14 00:00:00	030010243	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-04-04 00:00:00	2011-04-04 00:00:00	No	2013-12-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z3OJ11	N	CA00268972	B	SFY2013-14
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2013-11-13 00:00:00	030010244	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-30 00:00:00	2011-06-30 00:00:00	No	2013-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	J7AX11	N	CA00275021, CA00275065, CA00365708	C, B, B	SFY2013-14
030000063	GOLD COUNTRY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-11-14 00:00:00	030010251	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-16 00:00:00	2011-09-16 00:00:00	No	2013-12-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7KR311	N	CA00283800	C	SFY2013-14
100000021	CASA COLOMA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-11-14 00:00:00	030010252	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2013-12-09 00:00:00	None	B	None	500	500	-175	325	0	None	MWG511	N	CA00372475	B	SFY2013-14
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-11-19 00:00:00	030010254	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-21 00:00:00	2012-01-21 00:00:00	No	2013-12-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	WJIB11	N	CA00297288, CA00297802	D, B	SFY2013-14
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-11-13 00:00:00	030010256	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2007-01-01 00:00:00	2007-01-01 00:00:00	Yes	2013-12-06 00:00:00	2013-11-27 00:00:00	AA	AA	100000	50000	0	50000	0	None	07SF11	Y	CA00103216	D	SFY2013-14
100000522	CASA DEL MAR #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2013-11-26 00:00:00	030010272	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-18 00:00:00	2011-11-18 00:00:00	No	2013-12-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	8JZL11	N	CA00290355, CA00290364	B, B	SFY2013-14
100000522	CASA DEL MAR #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2013-11-26 00:00:00	030010273	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2011-11-18 00:00:00	2011-11-18 00:00:00	No	2013-12-19 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	8JZL11	N	CA00290355, CA00290364, CA00290364, CA00290364	B, B, B, B	SFY2013-14
030001821	WOODSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-12-03 00:00:00	030010280	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-24 00:00:00	2010-07-24 00:00:00	No	2013-12-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	HP2I11	N	CA00237762	B	SFY2013-14
030001825	LODI NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-11-27 00:00:00	030010281	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-12-03 00:00:00	2010-12-03 00:00:00	Yes	2013-12-20 00:00:00	2013-12-10 00:00:00	A	A	10000	8000	0	8000	0	None	HEV911	N	CA00272052	B	SFY2013-14
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-12-13 00:00:00	030010296	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-23 00:00:00	2011-11-23 00:00:00	Yes	2014-01-06 00:00:00	2014-01-03 00:00:00	B	B	1000	650	0	650	0	None	MWL411	N	CA00303879	B	SFY2013-14
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-01-29 00:00:00	030010372	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-19 00:00:00	2010-01-19 00:00:00	Yes	2014-02-20 00:00:00	2014-02-03 00:00:00	A	None	5000	5000	0	5000	0	None	BRMM11	N	CA00217279	B	SFY2013-14
100000049	WINDSOR ELMHAVEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2014-01-24 00:00:00	030010380	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-04-03 00:00:00	2007-04-03 00:00:00	Yes	2014-02-14 00:00:00	2014-02-03 00:00:00	A	B	20000	12500	0	12500	0	None	4SU711	N	CA00111573	B	SFY2013-14
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2014-01-16 00:00:00	030010381	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-26 00:00:00	2012-02-26 00:00:00	No	2014-02-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	FJ5H11	N	CA00301391	C	SFY2013-14
030001829	ACC CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-01-29 00:00:00	030010383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-16 00:00:00	2012-02-16 00:00:00	No	2014-02-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	YS9P11	N	CA00300015	B	SFY2013-14
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-01-23 00:00:00	030010396	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-04-12 00:00:00	2011-04-12 00:00:00	Yes	2014-02-13 00:00:00	2014-01-23 00:00:00	B	None	1000	1000	-350	650	0	None	MGZG11	N	CA00266172	B	SFY2013-14
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-01-23 00:00:00	030010397	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-01-26 00:00:00	2011-01-26 00:00:00	No	2014-02-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	JUJ711	N	CA00257105, CA00257217	B, B	SFY2013-14
100000049	WINDSOR ELMHAVEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2014-01-29 00:00:00	030010401	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-12-03 00:00:00	2011-12-03 00:00:00	Yes	2014-02-20 00:00:00	2014-02-10 00:00:00	A	A	20000	11750	0	11750	0	None	N0PY11	N	CA00292037	B	SFY2013-14
030000530	OAK RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-02-06 00:00:00	030010437	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-11-30 00:00:00	2010-11-30 00:00:00	Yes	2014-02-28 00:00:00	2014-02-10 00:00:00	B	B	800	520	0	520	0	None	AI0S11	N	CA00255338	B	SFY2013-14
030001819	FULTON GARDENS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Stockton	2014-02-12 00:00:00	030010445	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-10-01 00:00:00	2011-10-01 00:00:00	Yes	2014-03-06 00:00:00	2014-03-04 00:00:00	A	A	20000	13000	0	13000	0	None	LU9V11	N	CA00286139	B	SFY2013-14
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-02-12 00:00:00	030010456	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-01 00:00:00	2011-09-01 00:00:00	Yes	2014-03-06 00:00:00	2014-02-13 00:00:00	A	None	18000	18000	0	0	18000	None	PW1911	N	CA00286939	B	SFY2013-14
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2014-02-26 00:00:00	030010495	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-02-29 00:00:00	2012-02-29 00:00:00	No	2014-03-19 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	VH1H11	N	CA00301630	C	SFY2013-14
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-03-25 00:00:00	030010549	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-12-17 00:00:00	2013-12-17 00:00:00	No	2014-04-16 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	XV0K11	None	CA00382082	E	SFY2013-14
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-03-25 00:00:00	030010550	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-12-17 00:00:00	2013-12-17 00:00:00	No	2014-04-16 00:00:00	None	FTR RES	None	300	300	-75	225	0	None	XV0K11	None	CA00382082	E	SFY2013-14
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2014-07-10 00:00:00	030010840	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-03-19 00:00:00	2014-03-19 00:00:00	No	2014-07-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	8G7611	N	CA00392522	B	SFY2014-15
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-09-17 00:00:00	030010988	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-06-25 00:00:00	2014-06-25 00:00:00	No	2014-10-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	055Z11	N	CA00405022, CA00405037, CA00405052	B, B, B	SFY2014-15
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-09-17 00:00:00	030010989	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-07-24 00:00:00	2014-07-24 00:00:00	No	2014-10-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZH5211	N	CA00407089, CA00407552	B, B	SFY2014-15
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-10-24 00:00:00	030011076	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-04-11 00:00:00	2013-04-11 00:00:00	No	2014-11-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	9U8111	N	CA00414422	B	SFY2014-15
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-10-17 00:00:00	030011077	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-12-16 00:00:00	2013-12-16 00:00:00	No	2014-11-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	5L7E11	Y	CA00380729	A	SFY2014-15
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-11-13 00:00:00	030011094	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2014-12-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KQCE11	N	CA00399121, CA00399185	A, A	SFY2014-15
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2014-12-24 00:00:00	030011200	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-10-03 00:00:00	2014-10-03 00:00:00	No	2015-01-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y7S411	N	CA00416395	A	SFY2014-15
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2015-10-30 00:00:00	030011816	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-06-17 00:00:00	2015-06-17 00:00:00	Yes	2015-11-23 00:00:00	2015-11-09 00:00:00	B	None	2000	13850	0	0	13850	None	UFRL11	N	CA00454986	C	SFY2015-16
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2015-11-06 00:00:00	030011834	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Readmit	2015-09-18 00:00:00	2015-09-18 00:00:00	Yes	2015-12-02 00:00:00	2015-11-16 00:00:00	B	B	2000	1200	0	1200	0	None	SWE911	N	CA00459728	B	SFY2015-16
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2015-11-18 00:00:00	030011854	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-08-18 00:00:00	2015-08-18 00:00:00	No	2015-12-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XHKF11	N	CA00454964, CA00454964	B, B	SFY2015-16
100000495	TAHOE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2015-11-19 00:00:00	030011857	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-06-11 00:00:00	2015-06-11 00:00:00	No	2015-12-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	CMTX11	N	CA00462469, CA00462635	A, A	SFY2015-16
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-04-15 00:00:00	030012175	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-23 00:00:00	2014-07-23 00:00:00	No	2016-05-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	5X3K11	N	CA00436710	B	SFY2015-16
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-04-20 00:00:00	030012176	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-02-10 00:00:00	2016-02-10 00:00:00	No	2016-05-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5JOX11	N	CA00476188	B	SFY2015-16
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2016-04-20 00:00:00	030012183	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-08-23 00:00:00	2014-08-23 00:00:00	Yes	2016-05-11 00:00:00	2016-05-02 00:00:00	AA	AA	80000	50000	0	50000	0	None	IY5E11	Y	CA00410834, CA00411801	B, B	SFY2015-16
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-05-18 00:00:00	030012238	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-03-26 00:00:00	2016-03-26 00:00:00	No	2016-06-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CYVQ11	N	CA00482003	A	SFY2015-16
030001825	LODI NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-06-16 00:00:00	030012302	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-04 00:00:00	2016-04-04 00:00:00	No	2016-07-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MBB811	N	CA00482872	B	SFY2015-16
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-06-08 00:00:00	030012313	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-08-08 00:00:00	2012-08-08 00:00:00	No	2016-06-29 00:00:00	None	A	None	4000	4000	-1400	2600	0	None	WMMK11	N	CA00322035	B	SFY2015-16
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-07-27 00:00:00	030012428	Closed	Citation	Citation B (HSC 1424)	Other	Patient Safety	2016-06-11 00:00:00	2016-06-11 00:00:00	No	2016-08-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EPVA11	N	CA00493031	A	SFY2016-17
100000030	THE GROVE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-08-09 00:00:00	030012495	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-03-26 00:00:00	2016-03-26 00:00:00	No	2016-08-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ETHU11	N	CA00481986	B	SFY2016-17
100001453	WRS INC., MARSHALL PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2016-08-31 00:00:00	030012524	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-12-23 00:00:00	2014-12-23 00:00:00	No	2016-09-22 00:00:00	None	AA	None	10000	10000	-3500	6500	0	None	SM9111	Y	CA00427024	B	SFY2016-17
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-08-29 00:00:00	030012541	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-19 00:00:00	2016-06-19 00:00:00	No	2016-09-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5KDG11	N	CA00492618	A	SFY2016-17
030001823	NOBLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2016-09-20 00:00:00	030012577	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Report	2016-07-25 00:00:00	2016-07-25 00:00:00	No	2016-10-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TG5V11	N	CA00493992	D	SFY2016-17
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2016-09-20 00:00:00	030012583	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-09 00:00:00	2016-08-09 00:00:00	Yes	2016-10-11 00:00:00	2016-10-13 00:00:00	B	B	2000	1300	0	1300	0	None	292L11	N	CA00498378	A	SFY2016-17
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-09-30 00:00:00	030012599	Closed	Citation	Citation B (HSC 1424)	Other	Refusal to Readmit	2016-07-04 00:00:00	2016-07-04 00:00:00	No	2016-10-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1BHH11	N	CA00494290, CA00494348	C, A	SFY2016-17
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2016-09-30 00:00:00	030012604	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-11 00:00:00	2016-07-11 00:00:00	No	2016-10-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OFKR11	N	CA00498778	B	SFY2016-17
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2016-10-07 00:00:00	030012611	Closed	Citation	Citation A (HSC 1424)	Other	Res Care/ResSafety	2016-04-23 00:00:00	2016-04-23 00:00:00	No	2016-10-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	34TL11	N	CA00486000	B	SFY2016-17
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2016-10-05 00:00:00	030012617	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-05 00:00:00	2016-06-05 00:00:00	No	2016-10-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2UL011	N	CA00495545	B	SFY2016-17
030001831	GRAMERCY COURT	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-10-21 00:00:00	030012674	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2016-05-19 00:00:00	2016-05-19 00:00:00	No	2016-11-14 00:00:00	None	FTR BR	None	2800	2800	0	2800	0	None	96ON11	None	CA00493221	D	SFY2016-17
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2016-11-10 00:00:00	030012717	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-02 00:00:00	2016-04-02 00:00:00	No	2016-12-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	80YP11	N	CA00483112	B	SFY2016-17
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2016-11-10 00:00:00	030012720	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-03-12 00:00:00	2016-03-12 00:00:00	No	2016-12-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4BL611	N	CA00480131	B	SFY2016-17
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-12-02 00:00:00	030012787	Closed	Citation	Citation B (HSC 1424)	Other	Failure to re-admit	2016-04-09 00:00:00	2016-04-09 00:00:00	No	2016-12-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z5JU11	N	CA00483684	B	SFY2016-17
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-12-30 00:00:00	030012832	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-02-16 00:00:00	2016-02-16 00:00:00	No	2017-01-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KQ4H11	N	CA00481554	B	SFY2016-17
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-02-09 00:00:00	030012928	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-01-08 00:00:00	2014-01-08 00:00:00	Yes	2017-03-03 00:00:00	2017-02-14 00:00:00	A	None	20000	20000	0	20000	0	None	M1HO11	N	CA00471937	B	SFY2016-17
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-02-02 00:00:00	030012930	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-11-03 00:00:00	2015-11-03 00:00:00	No	2017-02-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	194911	N	CA00448211	B	SFY2016-17
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-02-03 00:00:00	030012933	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Issue Bed-Hold	2016-03-25 00:00:00	2016-03-25 00:00:00	No	2017-02-27 00:00:00	None	B	None	2000	2200	-700	1500	0	None	YS2211	N	CA00480931, CA00496976	A, C	SFY2016-17
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-03-03 00:00:00	030013014	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2016-08-03 00:00:00	2016-08-03 00:00:00	No	2017-03-24 00:00:00	None	FTR BR	None	3500	3500	-875	2625	0	None	TRKS11	None	CA00502656, CA00504815	B, B	SFY2016-17
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-03-03 00:00:00	030013015	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2016-08-03 00:00:00	2016-08-03 00:00:00	No	2017-03-24 00:00:00	None	FTR RES	None	3400	3400	-850	2550	0	None	TRKS11	None	CA00502656, CA00504815	B, B	SFY2016-17
100001511	GAPASIN MANOR ICF DDN #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2017-03-16 00:00:00	030013050	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-20 00:00:00	2016-12-20 00:00:00	No	2017-04-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	2BZV11	N	CA00515581	A	SFY2016-17
100000097	SAYLOR LANE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-03-24 00:00:00	030013081	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-11-27 00:00:00	2016-11-27 00:00:00	No	2017-04-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ONVX11	Y	CA00511986	A	SFY2016-17
030000589	LINCOLN MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-04-13 00:00:00	030013118	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-23 00:00:00	2017-01-23 00:00:00	No	2017-05-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3X3J11	N	CA00519088, CA00519715, CA00519761	A, A, A	SFY2016-17
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-04-14 00:00:00	030013121	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Re-admit	2016-08-01 00:00:00	2016-08-01 00:00:00	No	2017-05-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4H6V11	N	CA00499785	B	SFY2016-17
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2017-04-14 00:00:00	030013126	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-03 00:00:00	2017-03-03 00:00:00	No	2017-05-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CWS811	N	CA00524832	B	SFY2016-17
030000004	ROSEVILLE POINT HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-07-14 00:00:00	030013349	Closed	Citation	Citation B (HSC 1424)	Other	Unsafe Transfer	2016-10-04 00:00:00	2016-10-04 00:00:00	Yes	2017-08-04 00:00:00	2017-07-26 00:00:00	B	B	2000	1500	0	1500	0	None	P39H11	N	CA00505151, CA00506045, CA00506097	B, B, B	SFY2017-18
100000029	LODI CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-08-09 00:00:00	030013415	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-07 00:00:00	2017-06-07 00:00:00	No	2017-08-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RUB211	N	CA00539169	B	SFY2017-18
100000097	SAYLOR LANE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-08-30 00:00:00	030013459	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Readmit	2017-01-13 00:00:00	2017-01-13 00:00:00	No	2017-09-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HFC111	N	CA00518158	B	SFY2017-18
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-10-19 00:00:00	030013512	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2017-03-23 00:00:00	2017-03-23 00:00:00	Yes	2017-11-09 00:00:00	2017-10-31 00:00:00	B	B	2000	4300	0	4300	0	None	GYVJ11	N	CA00531892, CA00538219, CA00541837	B, B, B	SFY2017-18
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2017-10-05 00:00:00	030013526	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-07-25 00:00:00	2017-07-25 00:00:00	No	2017-10-26 00:00:00	None	B	None	2150	2150	-700	1450	0	None	CFXI11	N	CA00548020	B	SFY2017-18
630013020	DHK MANOR	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2017-10-05 00:00:00	030013528	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-19 00:00:00	2017-01-19 00:00:00	No	2017-10-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C55F11	N	None	None	SFY2017-18
100000032	BROOKSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2017-10-09 00:00:00	030013532	Closed	Citation	Citation B (HSC 1424)	Other	Failure to readmit	2017-04-26 00:00:00	2017-04-26 00:00:00	Yes	2017-10-30 00:00:00	2017-10-19 00:00:00	B	B	2000	1300	0	1300	0	None	Y6VO11	N	CA00537772, CA00538752, CA00540675, CA00544496	B, B, B, B	SFY2017-18
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-10-20 00:00:00	030013560	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-02-01 00:00:00	2017-02-01 00:00:00	No	2017-11-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HNBB11	N	CA00526036	B	SFY2017-18
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-10-27 00:00:00	030013565	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-15 00:00:00	2015-10-15 00:00:00	No	2017-11-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7QED11	N	CA00501126	B	SFY2017-18
630013324	CITRUS HOME ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2017-11-01 00:00:00	030013591	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Report	2017-07-26 00:00:00	2017-07-26 00:00:00	No	2017-11-27 00:00:00	None	B	None	500	500	-175	325	0	None	26RO11	N	None	None	SFY2017-18
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2017-11-06 00:00:00	030013597	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-09-03 00:00:00	2017-09-03 00:00:00	No	2017-11-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MVZZ11	N	None	None	SFY2017-18
100000030	THE GROVE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-11-09 00:00:00	030013604	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-07-26 00:00:00	2017-07-26 00:00:00	No	2017-12-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PNUX11	N	CA00546223	B	SFY2017-18
100000092	RANCHO SECO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-11-30 00:00:00	030013643	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-02 00:00:00	2017-07-02 00:00:00	No	2017-12-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	892B11	N	CA00545761	A	SFY2017-18
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-12-06 00:00:00	030013675	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-06 00:00:00	2017-08-06 00:00:00	No	2017-12-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EL6Y11	N	CA00547340	B	SFY2017-18
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-01-04 00:00:00	030013706	Closed	Citation	Citation B (HSC 1424)	Other	Failure to readmit	2016-05-16 00:00:00	2016-05-16 00:00:00	No	2018-01-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BFEE11	N	CA00488423, CA00488688	A, A	SFY2017-18
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2018-03-23 00:00:00	030013890	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-25 00:00:00	2017-03-25 00:00:00	Yes	2018-04-13 00:00:00	2018-03-28 00:00:00	B	B	2000	1400	0	1400	0	None	MQQN11	N	CA00528920	B	SFY2017-18
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-03-16 00:00:00	030013907	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-08-05 00:00:00	2017-08-05 00:00:00	No	2018-04-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	NSNB11	N	CA00548200	B	SFY2017-18
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-03-15 00:00:00	030013908	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-22 00:00:00	2015-12-22 00:00:00	Yes	2018-04-05 00:00:00	2018-03-23 00:00:00	A	B	15000	15000	0	15000	0	None	KD9211	Y	CA00470036	B	SFY2017-18
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-04-04 00:00:00	030013950	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-19 00:00:00	2017-12-19 00:00:00	No	2018-04-25 00:00:00	None	B	None	2000	2400	-700	1700	0	None	TC4O11	N	CA00565917	B	SFY2017-18
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-04-04 00:00:00	030013951	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-19 00:00:00	2017-12-19 00:00:00	No	2018-04-25 00:00:00	None	B	None	2000	2400	-700	1700	0	None	TC4O11	N	CA00565917	B	SFY2017-18
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-04-06 00:00:00	030013957	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-01-23 00:00:00	2018-01-23 00:00:00	No	2018-04-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	P8UK11	N	CA00570847	B	SFY2017-18
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2018-04-20 00:00:00	030014010	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-17 00:00:00	2017-01-17 00:00:00	No	2018-05-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	6J7D11	Y	CA00519172	B	SFY2017-18
030000004	ROSEVILLE POINT HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-04-26 00:00:00	030014015	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-02-21 00:00:00	2018-02-21 00:00:00	No	2018-05-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EQ2X11	N	CA00571703, CA00574052	B, B	SFY2017-18
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-06-01 00:00:00	030014086	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-18 00:00:00	2017-11-18 00:00:00	Yes	2018-06-22 00:00:00	2018-06-01 00:00:00	B	None	2000	2000	0	2000	0	None	R4CR11	N	CA00563561	B	SFY2017-18
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2018-09-12 00:00:00	030014371	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge Notice	2018-07-20 00:00:00	2018-07-20 00:00:00	No	2018-10-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	YOFZ11	N	None	None	SFY2018-19
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-09-05 00:00:00	030014381	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-07-29 00:00:00	2018-07-29 00:00:00	No	2018-09-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	VDIP11	N	CA00598135	B	SFY2018-19
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2018-09-07 00:00:00	030014385	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2017-12-29 00:00:00	2017-12-29 00:00:00	No	2018-09-28 00:00:00	None	AA	None	100000	100400	-35000	65400	0	None	HETZ11	N	CA00567190, CA00567190, CA00567190, CA00567190, CA00567525, CA00567525, CA00567525, CA00567525	A, A, A, A, B, B, B, B	SFY2018-19
100000049	WINDSOR ELMHAVEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2018-09-14 00:00:00	030014391	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-07 00:00:00	2018-01-07 00:00:00	No	2018-10-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6SIJ11	N	CA00577490, CA00577490, CA00577490	B, B, B	SFY2018-19
030000011	ROCK CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-10-05 00:00:00	030014457	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-28 00:00:00	2017-01-28 00:00:00	No	2018-10-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	JK8F11	N	CA00521006	B	SFY2018-19
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2018-10-10 00:00:00	030014476	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-07-17 00:00:00	2018-07-17 00:00:00	No	2018-10-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UIH211	N	CA00598792, CA00598792, CA00598792, CA00598835, CA00598835, CA00598835	A, A, A, B, B, B	SFY2018-19
100000035	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Stockton	2018-10-18 00:00:00	030014484	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-11-23 00:00:00	2015-11-23 00:00:00	Yes	2018-11-08 00:00:00	2018-11-01 00:00:00	A	A	12000	8850	0	8850	0	None	1BI211	Y	CA00466845	B	SFY2018-19
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2018-10-19 00:00:00	030014487	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-18 00:00:00	2018-03-18 00:00:00	No	2018-11-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QN5K11	N	CA00579528	A	SFY2018-19
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-10-18 00:00:00	030014496	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-02-26 00:00:00	2018-02-26 00:00:00	No	2018-11-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0JRW11	N	None	None	SFY2018-19
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-10-30 00:00:00	030014525	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Readmit	2016-10-01 00:00:00	2016-10-01 00:00:00	Yes	2018-11-21 00:00:00	2018-11-05 00:00:00	B	B	2000	1500	0	1500	0	None	CU9Z11	N	CA00524370, CA00533610	B, B	SFY2018-19
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-10-29 00:00:00	030014529	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-02 00:00:00	2018-08-02 00:00:00	No	2018-11-20 00:00:00	None	B	None	2000	2050	0	2050	0	None	6FDO11	N	CA00598108	B	SFY2018-19
100000032	BROOKSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2018-11-16 00:00:00	030014575	Closed	Citation	Citation B (HSC 1424)	Other	Transfer Notices	2018-01-16 00:00:00	2018-01-16 00:00:00	No	2018-12-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	9U5611	N	None	None	SFY2018-19
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-01-11 00:00:00	030014663	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-27 00:00:00	2017-03-27 00:00:00	No	2019-02-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VT4F11	N	CA00534111, CA00534111	B, B	SFY2018-19
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-01-03 00:00:00	030014689	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-10-02 00:00:00	2018-10-02 00:00:00	No	2019-01-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MCKV11	N	CA00607682, CA00607682	B, B	SFY2018-19
100000834	RCCA - BRENTFORD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-02-05 00:00:00	030014768	Closed	Citation	Citation B (HSC 1424)	Other	Abuse Reporting	2018-12-13 00:00:00	2018-12-13 00:00:00	No	2019-02-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	NRLW11	N	None	None	SFY2018-19
100000524	CASA DEL MAR #4	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-02-12 00:00:00	030014794	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-08-06 00:00:00	2018-08-06 00:00:00	No	2019-03-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	14ZL11	N	None	None	SFY2018-19
100000173	CASA DEL MAR #1	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-02-12 00:00:00	030014806	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-07-20 00:00:00	2018-07-20 00:00:00	No	2019-03-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	NPZV11	N	None	None	SFY2018-19
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2019-02-22 00:00:00	030014813	Closed	Citation	Citation B (HSC 1424)	Other	No notification to Ombuds	2019-01-16 00:00:00	2019-01-16 00:00:00	No	2019-03-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	HGZC11	N	None	None	SFY2018-19
030000011	ROCK CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-02-19 00:00:00	030014816	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-10-05 00:00:00	2018-10-05 00:00:00	No	2019-03-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	MUNK11	N	CA00605084	B	SFY2018-19
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-02-20 00:00:00	030014818	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-13 00:00:00	2018-10-13 00:00:00	No	2019-03-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IITR11	N	CA00606517, CA00606517	B, B	SFY2018-19
100001800	J & M'S ICF/DDH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2019-02-27 00:00:00	030014829	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-04 00:00:00	2018-12-04 00:00:00	No	2019-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	589E11	N	CA00614617, CA00616110, CA00616110	A, B, B	SFY2018-19
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-03-27 00:00:00	030014902	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-28 00:00:00	2018-11-28 00:00:00	No	2019-04-17 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	JDD611	N	CA00613838	B	SFY2018-19
100000030	THE GROVE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-03-26 00:00:00	030014908	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-01-27 00:00:00	2019-01-27 00:00:00	No	2019-04-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QLKD11	N	CA00622618	B	SFY2018-19
100000082	HARVEST CROSSING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2019-04-04 00:00:00	030014914	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-24 00:00:00	2017-06-24 00:00:00	No	2019-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	OIBQ11	N	CA00541278, CA00541278	B, B	SFY2018-19
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-04-10 00:00:00	030014925	Closed	Citation	Citation B (HSC 1424)	Other	Resident Safety/Supervisi	2018-11-13 00:00:00	2018-11-13 00:00:00	No	2019-05-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JHBC11	N	CA00612246, CA00612246	B, B	SFY2018-19
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-04-17 00:00:00	030014943	Closed	Citation	Citation B (HSC 1424)	Other	Neglect	2019-01-04 00:00:00	2019-01-04 00:00:00	No	2019-05-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QFC711	N	CA00619102	B	SFY2018-19
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-04-17 00:00:00	030014944	Closed	Citation	Citation B (HSC 1424)	Other	Falcification	2019-01-04 00:00:00	2019-01-04 00:00:00	No	2019-05-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QFC711	N	CA00619102, CA00619102	B, B	SFY2018-19
100001484	RCCA - LEQUEL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-04-12 00:00:00	030014949	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-25 00:00:00	2019-02-25 00:00:00	No	2019-05-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	J5A911	N	None	None	SFY2018-19
630011558	SHIRLEY'S ICF/DD-N #5	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2019-04-17 00:00:00	030014956	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-01-05 00:00:00	2019-01-05 00:00:00	No	2019-05-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	RYA711	N	None	None	SFY2018-19
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-04-24 00:00:00	030014978	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2019-01-06 00:00:00	2019-01-06 00:00:00	Yes	2019-05-15 00:00:00	2019-05-13 00:00:00	B	B	2000	1600	0	1600	0	None	V3P511	N	CA00618885, CA00618885	B, B	SFY2018-19
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-04-29 00:00:00	030014994	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Report	2018-12-07 00:00:00	2018-12-07 00:00:00	No	2019-05-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z4R911	N	CA00620411	B	SFY2018-19
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-05-14 00:00:00	030015036	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-21 00:00:00	2019-02-21 00:00:00	No	2019-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FYDV11	Y	CA00627723	B	SFY2018-19
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-05-14 00:00:00	030015037	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-29 00:00:00	2018-11-29 00:00:00	Yes	2019-06-04 00:00:00	2019-06-03 00:00:00	A	None	20000	20000	0	0	20000	None	MHJ311	N	CA00621546	B	SFY2018-19
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-05-08 00:00:00	030015040	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-01-18 00:00:00	2019-01-18 00:00:00	No	2019-05-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	0QUI11	N	CA00608431	B	SFY2018-19
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-05-10 00:00:00	030015047	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-21 00:00:00	2019-02-21 00:00:00	No	2019-05-31 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	TFKY11	N	CA00626678, CA00626678, CA00626678	B, B, B	SFY2018-19
630013324	CITRUS HOME ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-05-23 00:00:00	030015090	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-10 00:00:00	2018-03-10 00:00:00	Yes	2019-06-14 00:00:00	2019-06-05 00:00:00	B	B	2000	1400	0	1400	0	None	OR3Q11	N	CA00606209	B	SFY2018-19
030001819	FULTON GARDENS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Stockton	2019-05-28 00:00:00	030015092	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-03-12 00:00:00	2019-03-12 00:00:00	No	2019-06-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5TRR11	N	CA00628057	A	SFY2018-19
100000017	BETHANY HOME SOCIETY SAN JOAQUIN COUNTY	LTC	SNF	Skilled Nursing Facility	Stockton	2019-06-03 00:00:00	030015098	Closed	Citation	Citation B (HSC 1424)	Other	Failure to notify Ombudsm	2019-01-15 00:00:00	2019-01-15 00:00:00	No	2019-06-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	JI0F11	N	None	None	SFY2018-19
100001449	WRS INC., ELLIOT PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-05-29 00:00:00	030015111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-04 00:00:00	2018-03-04 00:00:00	No	2019-06-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6ZZH11	N	CA00576950	B	SFY2018-19
100000998	WAWONA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2019-05-31 00:00:00	030015113	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-05-01 00:00:00	2019-05-01 00:00:00	Yes	2019-06-21 00:00:00	2019-06-12 00:00:00	B	B	1000	750	0	750	0	None	PSKB11	N	CA00636213	B	SFY2018-19
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-05-30 00:00:00	030015115	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-06-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HCQS11	N	CA00627990, CA00627990, CA00630670	B, B, A	SFY2018-19
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-06-06 00:00:00	030015116	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-15 00:00:00	2018-11-15 00:00:00	Yes	2019-06-27 00:00:00	2019-06-13 00:00:00	A	None	20000	20000	-7000	13000	0	None	POM011	N	None	None	SFY2018-19
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-06-17 00:00:00	030015156	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-16 00:00:00	2018-03-16 00:00:00	Yes	2019-07-08 00:00:00	2019-06-25 00:00:00	A	A	20000	15000	0	15000	0	None	540G11	Y	CA00585174, CA00585174	B, B	SFY2018-19
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2019-06-21 00:00:00	030015164	Closed	Citation	Citation B (HSC 1424)	Other	Abuse Traning per DOJ	2019-05-20 00:00:00	2019-05-20 00:00:00	No	2019-07-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	GXLC11	N	CA00636527, CA00636527, CA00636527	B, B, B	SFY2018-19
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-06-19 00:00:00	030015167	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-04-17 00:00:00	2019-04-17 00:00:00	No	2019-07-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	K1MW11	N	CA00633706, CA00633706	A, A	SFY2018-19
100000834	RCCA - BRENTFORD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-06-21 00:00:00	030015177	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-03-22 00:00:00	2019-03-22 00:00:00	No	2019-07-12 00:00:00	None	B	None	1500	4500	0	4500	0	None	8WFL11	N	CA00630099	B	SFY2018-19
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-06-26 00:00:00	030015183	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-14 00:00:00	2019-01-14 00:00:00	No	2019-07-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7EMF11	N	CA00620336	B	SFY2018-19
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-07-10 00:00:00	030015190	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-05-03 00:00:00	2017-05-03 00:00:00	No	2019-07-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KRZE11	N	CA00534528	B	SFY2019-20
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-07-11 00:00:00	030015194	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-31 00:00:00	2016-12-31 00:00:00	No	2019-08-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RJQ911	N	CA00516747	B	SFY2019-20
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-06-28 00:00:00	030015196	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-01-24 00:00:00	2018-01-24 00:00:00	No	2019-07-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2D3M11	N	CA00570838	E	SFY2018-19
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-06-28 00:00:00	030015201	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2019-07-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2D3M11	N	CA00578897	E	SFY2018-19
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-07-11 00:00:00	030015224	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2018-07-24 00:00:00	2018-07-24 00:00:00	Yes	2019-08-01 00:00:00	2019-07-18 00:00:00	A	B	10000	10000	0	10000	0	None	5G3Y11	N	CA00596620, CA00596620, CA00596707, CA00596707	A, A, B, B	SFY2019-20
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-07-12 00:00:00	030015227	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-04 00:00:00	2019-02-04 00:00:00	No	2019-08-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UEWR11	N	CA00622824	B	SFY2019-20
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-08-13 00:00:00	030015271	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-10-12 00:00:00	2017-10-12 00:00:00	No	2019-09-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5NKR11	N	None	None	SFY2019-20
100001433	RCCA - WESTWOOD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-08-14 00:00:00	030015293	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-05-22 00:00:00	2019-05-22 00:00:00	No	2019-09-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	K50D11	N	CA00639086, CA00639086, CA00640100, CA00640100, CA00640524	B, B, B, B, B	SFY2019-20
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-08-14 00:00:00	030015300	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-22 00:00:00	2018-07-22 00:00:00	No	2019-09-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	E2HZ11	N	CA00596360	B	SFY2019-20
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-08-14 00:00:00	030015302	Closed	Citation	Citation B (HSC 1424)	Other	Patient Rights/Failure No	2019-03-06 00:00:00	2019-03-06 00:00:00	No	2019-09-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FKEH11	N	CA00627659	B	SFY2019-20
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-08-14 00:00:00	030015306	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-18 00:00:00	2019-02-18 00:00:00	No	2019-09-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5M7O11	N	CA00624919, CA00624919	B, B	SFY2019-20
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-09-09 00:00:00	030015344	Closed	Citation	Citation B (HSC 1424)	Other	Post Ombudsman Info	2018-12-24 00:00:00	2018-12-24 00:00:00	No	2019-09-30 00:00:00	None	B	None	1000	3000	0	3000	0	None	Q6BH11	N	None	None	SFY2019-20
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-09-09 00:00:00	030015345	Closed	Citation	Citation B (HSC 1424)	Other	Post Ombudsman Info	2019-07-15 00:00:00	2019-07-15 00:00:00	No	2019-09-30 00:00:00	None	B	None	1000	3000	0	3000	0	None	Q6BH11	N	None	None	SFY2019-20
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-09-09 00:00:00	030015346	Closed	Citation	Citation B (HSC 1424)	Other	Post Ombudsman Info	2019-04-24 00:00:00	2019-04-24 00:00:00	No	2019-09-30 00:00:00	None	B	None	1000	3000	0	3000	0	None	Q6BH11	N	None	None	SFY2019-20
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-09-09 00:00:00	030015349	Closed	Citation	Citation B (HSC 1424)	Other	Post Ombudsman Info	2018-09-19 00:00:00	2018-09-19 00:00:00	No	2019-09-30 00:00:00	None	B	None	1000	3000	0	3000	0	None	Q6BH11	N	None	None	SFY2019-20
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-08-28 00:00:00	030015351	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-25 00:00:00	2019-02-25 00:00:00	No	2019-09-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HMPS11	N	CA00626705	B	SFY2019-20
100001482	RCCA - GREEN PARK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-08-30 00:00:00	030015354	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-02 00:00:00	2017-03-02 00:00:00	No	2019-09-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	WLLW11	N	CA00532901	B	SFY2019-20
630002961	DUKE FACILITIES, INC. #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2019-09-03 00:00:00	030015355	Closed	Citation	Citation B (HSC 1424)	Other	Governing body & Manageme	2017-06-07 00:00:00	2017-06-07 00:00:00	No	2019-09-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	MGPY11	N	CA00538789	B	SFY2019-20
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-09-10 00:00:00	030015362	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-22 00:00:00	2019-02-22 00:00:00	No	2019-10-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BEKS11	N	None	None	SFY2019-20
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-09-18 00:00:00	030015388	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-08-08 00:00:00	2019-08-08 00:00:00	No	2019-10-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	LSIM11	N	None	None	SFY2019-20
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-10-23 00:00:00	030015437	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-08 00:00:00	2018-10-08 00:00:00	Yes	2019-11-13 00:00:00	2019-10-31 00:00:00	B	B	2000	2000	0	2000	0	None	H00R11	N	CA00606957, CA00606957	B, B	SFY2019-20
030001825	LODI NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-10-31 00:00:00	030015467	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-06-07 00:00:00	2017-06-07 00:00:00	No	2019-11-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NVRA11	N	CA00539614	B	SFY2019-20
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-10-24 00:00:00	030015469	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-08-18 00:00:00	2019-08-18 00:00:00	No	2019-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GZHF11	N	CA00651965	B	SFY2019-20
030000090	ROSEVILLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-11-01 00:00:00	030015495	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-03-21 00:00:00	2019-03-21 00:00:00	No	2019-11-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9GTI11	N	CA00629803, CA00631272	B, B	SFY2019-20
100000170	ALTA'S ICF, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-11-13 00:00:00	030015522	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-05-13 00:00:00	2019-05-13 00:00:00	No	2019-12-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XRWE11	N	None	None	SFY2019-20
030001825	LODI NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-11-15 00:00:00	030015527	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-19 00:00:00	2018-11-19 00:00:00	No	2019-12-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XM8J11	Y	CA00617856, CA00617856	B, B	SFY2019-20
100001455	WRS INC. NORTH PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-11-19 00:00:00	030015533	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-04-11 00:00:00	2019-04-11 00:00:00	No	2019-12-10 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	KS7W11	Y	CA00633082, CA00635958	B, B	SFY2019-20
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-11-22 00:00:00	030015544	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-11 00:00:00	2019-09-11 00:00:00	No	2019-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3H7X11	N	CA00658638, CA00658638	C, C	SFY2019-20
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-11-27 00:00:00	030015551	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-16 00:00:00	2019-05-16 00:00:00	No	2019-12-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WPL111	N	CA00638944	A	SFY2019-20
100000032	BROOKSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-11-26 00:00:00	030015552	Closed	Citation	Citation B (HSC 1424)	Other	Willful Falsification	2019-10-04 00:00:00	2019-10-04 00:00:00	No	2019-12-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	SLN911	N	CA00659886	B	SFY2019-20
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-11-27 00:00:00	030015556	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-24 00:00:00	2019-09-24 00:00:00	No	2019-12-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MS6M11	N	None	None	SFY2019-20
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-12-06 00:00:00	030015563	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-10-01 00:00:00	2019-10-01 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	UIL011	N	CA00657571	B	SFY2019-20
100000524	CASA DEL MAR #4	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2019-12-04 00:00:00	030015564	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-02 00:00:00	2017-06-02 00:00:00	No	2019-12-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	IYDF11	N	CA00539757	B	SFY2019-20
030001825	LODI NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-01-06 00:00:00	030015613	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-01-27 00:00:00	2018-01-27 00:00:00	No	2020-01-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JU4T11	N	CA00571529	C	SFY2019-20
030001823	NOBLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-01-06 00:00:00	030015616	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-01-01 00:00:00	2018-01-01 00:00:00	No	2020-01-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	P3NJ11	N	CA00568401	E	SFY2019-20
030001823	NOBLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-01-06 00:00:00	030015617	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-06-17 00:00:00	2018-06-17 00:00:00	No	2020-01-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5UOF11	N	CA00591400	B	SFY2019-20
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-12-23 00:00:00	030015623	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2019-08-02 00:00:00	2019-08-02 00:00:00	Yes	2020-01-15 00:00:00	2020-01-06 00:00:00	AA	AA	100000	80000	0	80000	0	None	IPGJ11	Y	CA00648877	A	SFY2019-20
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-01-09 00:00:00	030015654	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-11-03 00:00:00	2019-11-03 00:00:00	No	2020-01-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	5ITG11	N	None	None	SFY2019-20
100001535	MEADOWOOD A HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-01-15 00:00:00	030015684	Closed	Citation	Citation B (HSC 1424)	Other	Failure to report transfe	2019-09-25 00:00:00	2019-09-25 00:00:00	No	2020-02-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	NFMU11	N	None	None	SFY2019-20
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-01-28 00:00:00	030015698	Closed	Citation	Citation B (HSC 1424)	Other	Not notifying ombudsman	2019-09-27 00:00:00	2019-09-27 00:00:00	No	2020-02-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	1OO811	N	CA00667416	B	SFY2019-20
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-02-04 00:00:00	030015715	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-10-29 00:00:00	2019-10-29 00:00:00	No	2020-02-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QVXD11	N	CA00664605	A	SFY2019-20
100000027	RIVER BEND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-02-25 00:00:00	030015743	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-08-21 00:00:00	2019-08-21 00:00:00	No	2020-03-17 00:00:00	None	A	None	20000	20250	-7000	13250	0	None	6E2X11	N	CA00651253, CA00651253, CA00651253, CA00651253, CA00651253	A, A, A, A, A	SFY2019-20
100000027	RIVER BEND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-02-25 00:00:00	030015744	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-08-21 00:00:00	2019-08-21 00:00:00	No	2020-03-17 00:00:00	None	A	None	20000	20250	-7000	13250	0	None	6E2X11	N	CA00651253, CA00651253, CA00651253, CA00651253, CA00651253, CA00651253	A, A, A, A, A, A	SFY2019-20
100000027	RIVER BEND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-02-25 00:00:00	030015745	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-08-21 00:00:00	2019-08-21 00:00:00	No	2020-03-17 00:00:00	None	A	None	20000	20250	-7000	13250	0	None	6E2X11	N	CA00651253, CA00651253, CA00651253, CA00651253, CA00651253, CA00651253	A, A, A, A, A, A	SFY2019-20
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-03-05 00:00:00	030015784	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-12-24 00:00:00	2019-12-24 00:00:00	No	2020-03-26 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	VK6K11	N	CA00668413, CA00668413, CA00669575, CA00669575	A, A, B, B	SFY2019-20
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-03-12 00:00:00	030015792	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-10-23 00:00:00	2014-10-23 00:00:00	No	2020-04-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	75JZ11	N	None	None	SFY2019-20
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-07-28 00:00:00	030015945	Closed	Citation	Citation B (HSC 1424)	Other	DOJ Training	2019-07-22 00:00:00	2019-07-22 00:00:00	No	2020-08-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NZ3211	N	CA00678621	B	SFY2020-21
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-07-28 00:00:00	030015946	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-02-28 00:00:00	2020-02-28 00:00:00	No	2020-08-18 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	NZ3211	N	CA00678621, CA00678621	B, B	SFY2020-21
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-08-28 00:00:00	030015995	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-02-28 00:00:00	2020-02-28 00:00:00	No	2020-09-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NLD911	N	CA00678338, CA00678338, CA00678627	A, A, B	SFY2020-21
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-10-19 00:00:00	030016090	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-10-25 00:00:00	2014-10-25 00:00:00	No	2020-11-09 00:00:00	None	A	None	20000	20350	-7000	13350	0	None	DD2611	N	CA00466608, CA00466608, CA00466608, CA00466608, CA00466608, CA00466608	D, D, D, D, D, D	SFY2020-21
030001819	FULTON GARDENS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Stockton	2020-10-20 00:00:00	030016097	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-07 00:00:00	2020-08-07 00:00:00	No	2020-11-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CZD511	N	CA00700184, CA00700184	A, A	SFY2020-21
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-11-19 00:00:00	030016155	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-01 00:00:00	2020-10-01 00:00:00	Yes	2020-12-14 00:00:00	2020-12-01 00:00:00	B	None	2000	2500	0	2500	0	None	P24811	N	CA00707200	B	SFY2020-21
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-01-15 00:00:00	030016239	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-11-09 00:00:00	2020-11-09 00:00:00	No	2021-02-08 00:00:00	None	B	None	2000	6950	0	6950	0	None	GGO211	N	CA00712208, CA00714942	B, B	SFY2020-21
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-01-28 00:00:00	030016250	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-09-21 00:00:00	2020-09-21 00:00:00	No	2021-02-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QLS011	N	CA00691058, CA00691194, CA00704097	B, B, B	SFY2020-21
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-04-16 00:00:00	030016422	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-07-20 00:00:00	2020-07-20 00:00:00	No	2021-05-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	URDN11	N	CA00697648	B	SFY2020-21
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-04-22 00:00:00	030016431	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-29 00:00:00	2021-03-29 00:00:00	No	2021-05-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8DY111	N	CA00683214	D	SFY2020-21
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-07-01 00:00:00	030016641	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-04-21 00:00:00	2020-04-21 00:00:00	No	2021-07-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BKEH11	N	CA00685726	C	SFY2021-22
030001825	LODI NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-08-02 00:00:00	030016747	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2020-06-21 00:00:00	2020-06-21 00:00:00	No	2021-08-23 00:00:00	None	WF	None	1000	1000	-350	650	0	None	4C6H11	None	CA00694517	A	SFY2021-22
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-08-17 00:00:00	030016791	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-05-08 00:00:00	2021-05-08 00:00:00	No	2021-09-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TUVI11	N	CA00736402, CA00736402	B, B	SFY2021-22
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-08-13 00:00:00	030016796	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-17 00:00:00	2021-06-17 00:00:00	No	2021-09-03 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	F8JX11	N	CA00740781	A	SFY2021-22
100000035	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Stockton	2021-08-31 00:00:00	030016833	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-10 00:00:00	2021-08-10 00:00:00	Yes	2021-09-22 00:00:00	2021-09-08 00:00:00	B	B	2000	2000	0	2000	0	None	4EN111	N	CA00688063, CA00688063	B, B	SFY2021-22
100000035	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Stockton	2021-08-31 00:00:00	030016834	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-04-23 00:00:00	2021-04-23 00:00:00	Yes	2021-09-22 00:00:00	2021-09-08 00:00:00	B	Drop>Deficiency	2000	3000	-3000	0	0	None	2TCD11	N	CA00686020	C	SFY2021-22
100000049	WINDSOR ELMHAVEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-09-08 00:00:00	030016892	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-12 00:00:00	2021-08-12 00:00:00	No	2021-09-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9TYM11	N	CA00748211	B	SFY2021-22
100000032	BROOKSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-09-22 00:00:00	030016943	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-05-18 00:00:00	2021-05-18 00:00:00	No	2021-10-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	UJ8X11	N	CA00739744, CA00739744	B, B	SFY2021-22
100000170	ALTA'S ICF, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2021-09-24 00:00:00	030016945	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-03 00:00:00	2020-02-03 00:00:00	No	2021-10-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	QF7411	Y	CA00686464, CA00686524	A, B	SFY2021-22
030000004	ROSEVILLE POINT HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-10-14 00:00:00	030016974	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-09-17 00:00:00	2021-09-17 00:00:00	No	2021-11-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	NC4T11	N	CA00752308	A	SFY2021-22
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-10-15 00:00:00	030017010	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-10 00:00:00	2021-09-10 00:00:00	No	2021-11-05 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	V73C11	N	CA00752510, CA00752510, CA00752510	B, B, B	SFY2021-22
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-11-09 00:00:00	030017066	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-04-03 00:00:00	2021-04-03 00:00:00	No	2021-12-03 00:00:00	None	AA	None	75000	75000	-26250	48750	0	None	93KZ11	Y	CA00731737, CA00734430, CA00734430, CA00734430, CA00734493, CA00734493, CA00734493, CA00734493	B, B, B, B, B, B, B, B	SFY2021-22
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-12-13 00:00:00	030017141	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-29 00:00:00	2018-09-29 00:00:00	No	2022-01-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	D99M11	Y	CA00605866, CA00606247, CA00606247, CA00606247	A, B, B, B	SFY2021-22
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2021-12-15 00:00:00	030017173	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	WMF	2021-04-20 00:00:00	2021-04-20 00:00:00	No	2022-01-05 00:00:00	None	WF	None	5000	5000	0	5000	0	None	0HR811	Y	CA00737348, CA00737348, CA00737348	B, B, B	SFY2021-22
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2021-12-15 00:00:00	030017174	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-04-20 00:00:00	2021-04-20 00:00:00	Yes	2022-01-05 00:00:00	2022-01-03 00:00:00	AA	AA	50000	20000	0	20000	0	None	0HR811	Y	CA00737348, CA00737348, CA00737348, CA00737348	B, B, B, B	SFY2021-22
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-12-22 00:00:00	030017204	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-25 00:00:00	2021-10-25 00:00:00	No	2022-01-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q9HG11	N	CA00759909, CA00759909, CA00759909	A, A, A	SFY2021-22
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-12-22 00:00:00	030017205	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-25 00:00:00	2021-10-25 00:00:00	No	2022-01-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q9HG11	N	CA00759909, CA00759909, CA00759909	A, A, A	SFY2021-22
030000854	BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-02-02 00:00:00	030017292	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-24 00:00:00	2021-09-24 00:00:00	No	2022-02-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	K3KX11	N	CA00755194	B	SFY2021-22
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-02-23 00:00:00	030017346	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-10-10 00:00:00	2021-10-10 00:00:00	No	2022-03-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MWIH11	N	CA00756462, CA00756784, CA00758226, CA00758276, CA00759960	B, B, B, B, B	SFY2021-22
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-03-17 00:00:00	030017487	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-11-10 00:00:00	2021-11-10 00:00:00	No	2022-04-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4FHQ11	N	CA00760924, CA00760924	B, B	SFY2021-22
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-03-17 00:00:00	030017488	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-11-10 00:00:00	2021-11-10 00:00:00	No	2022-04-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4FHQ11	N	CA00760924, CA00760924, CA00760924	B, B, B	SFY2021-22
100000194	LOCUST HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2022-04-13 00:00:00	030017548	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-02-24 00:00:00	2022-02-24 00:00:00	No	2022-05-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0D7911	N	CA00774915, CA00776476	B, B	SFY2021-22
100001535	MEADOWOOD A HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-09-14 00:00:00	030017960	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-07-01 00:00:00	2022-07-01 00:00:00	No	2022-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	NB7N11	N	CA00792446	B	SFY2022-23
100001332	CARCIDO'S ICF/DD-H #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2022-09-14 00:00:00	030017977	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-08-02 00:00:00	2022-08-02 00:00:00	No	2022-10-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	D0E811	N	None	None	SFY2022-23
100000773	CLEARWATER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-09-26 00:00:00	030017996	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-04-20 00:00:00	2022-04-20 00:00:00	No	2022-10-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CY8411	N	CA00798869	A	SFY2022-23
030000165	MOUNTAIN MANOR SENIOR RESIDENCE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-07 00:00:00	030018021	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-02-27 00:00:00	2022-02-27 00:00:00	No	2022-10-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	5JRK11	N	CA00775062, CA00775062	B, B	SFY2022-23
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-07 00:00:00	030018036	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-04-06 00:00:00	2022-04-06 00:00:00	No	2022-10-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	NYDM11	N	CA00779876	B	SFY2022-23
100000021	CASA COLOMA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-06 00:00:00	030018044	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2021-12-14 00:00:00	2021-12-28 00:00:00	No	2022-10-27 00:00:00	None	B	None	2000	2700	-700	2000	0	None	H82111	N	CA00765195	A	SFY2022-23
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-19 00:00:00	030018062	Closed	Citation	Citation B (HSC 1424)	Other	Refusal to Readmit	2022-04-18 00:00:00	2022-04-18 00:00:00	No	2022-11-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	EEWU11	N	CA00781725	A	SFY2022-23
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-11 00:00:00	030018066	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-22 00:00:00	2022-04-22 00:00:00	No	2022-11-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	RGVP11	N	CA00790187, CA00790187, CA00790187	B, B, B	SFY2022-23
100000021	CASA COLOMA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-13 00:00:00	030018070	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2021-12-16 00:00:00	2021-12-16 00:00:00	No	2022-11-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6T7W11	N	CA00765211, CA00765264	A, A	SFY2022-23
030000046	WINDSOR EL CAMINO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-18 00:00:00	030018083	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2020-08-14 00:00:00	2020-08-14 00:00:00	Yes	2022-11-08 00:00:00	2022-11-01 00:00:00	AA	None	30000	30000	0	0	30000	None	HI0S11	Y	CA00758897, CA00758897, CA00758897	B, B, B	SFY2022-23
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-28 00:00:00	030018104	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-20 00:00:00	2022-07-20 00:00:00	No	2022-11-21 00:00:00	None	A	None	10000	10000	0	10000	0	None	3BCP11	N	CA00795049	B	SFY2022-23
030000004	ROSEVILLE POINT HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-15 00:00:00	030018429	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-12-15 00:00:00	2023-01-15 00:00:00	No	2023-04-06 00:00:00	None	B	None	3000	4550	-50	4500	0	None	RUVZ11	N	CA00819534	B	SFY2022-23
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-02 00:00:00	030018437	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-09-07 00:00:00	2022-09-07 00:00:00	No	2023-03-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BOLZ11	N	CA00802796	A	SFY2022-23
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-07 00:00:00	030018447	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-06 00:00:00	2017-02-06 00:00:00	No	2023-03-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	48JM11	N	CA00524209, CA00524209	A, A	SFY2022-23
030000024	WESTVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-02 00:00:00	030018452	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-27 00:00:00	2021-05-27 00:00:00	No	2023-03-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NUOK11	N	CA00738926	A	SFY2022-23
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-08 00:00:00	030018453	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-08-17 00:00:00	2022-08-17 00:00:00	No	2023-03-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JC2611	N	CA00819854, CA00819854, CA00819854, CA00819854	B, B, B, B	SFY2022-23
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-09 00:00:00	030018486	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2022-10-27 00:00:00	2022-10-27 00:00:00	No	2023-03-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7QW611	N	CA00813019	B	SFY2022-23
100000962	CAPITAL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-29 00:00:00	030018506	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2019-08-15 00:00:00	2019-08-15 00:00:00	No	2023-04-20 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	2FQV11	Y	CA00651365	B	SFY2022-23
100000524	CASA DEL MAR #4	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2023-03-16 00:00:00	030018515	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-08-21 00:00:00	2019-08-21 00:00:00	Yes	2023-04-07 00:00:00	2023-03-29 00:00:00	B	None	2000	2000	-700	1300	0	None	Z7HN11	N	CA00652585, CA00652585	B, B	SFY2022-23
100000962	CAPITAL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-29 00:00:00	030018584	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-10-12 00:00:00	2021-10-12 00:00:00	No	2023-04-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NM3N11	N	CA00756812, CA00756812	B, B	SFY2022-23
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-04-06 00:00:00	030018605	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-17 00:00:00	2023-02-17 00:00:00	No	2023-04-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DL4T11	N	CA00827559, CA00827571	B, B	SFY2022-23
100001453	WRS INC., MARSHALL PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2023-04-13 00:00:00	030018620	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-01-13 00:00:00	2020-01-13 00:00:00	No	2023-05-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y67E11	N	CA00671789, CA00671904	B, B	SFY2022-23
030000011	ROCK CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-04-18 00:00:00	030018627	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-21 00:00:00	2023-03-21 00:00:00	No	2023-05-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	G5NL11	N	CA00832748, CA00833596	B, B	SFY2022-23
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-04-25 00:00:00	030018651	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-02-04 00:00:00	2020-02-04 00:00:00	No	2023-05-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3CKK11	N	CA00673937, CA00675988	C, B	SFY2022-23
030001815	COURTYARD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-04-26 00:00:00	030018680	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-20 00:00:00	2021-04-20 00:00:00	Yes	2023-05-17 00:00:00	2023-05-12 00:00:00	B	B	2000	1600	0	1600	0	None	VFN011	Y	CA00733760, CA00737092	B, B	SFY2022-23
100000027	RIVER BEND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-06-13 00:00:00	030018847	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-28 00:00:00	2022-10-28 00:00:00	No	2023-07-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2WH411	N	CA00830815, CA00830815, CA00830815, CA00835085, CA00835085, CA00835085	B, B, B, B, B, B	SFY2022-23
030000105	WHITNEY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-06-20 00:00:00	030018866	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-19 00:00:00	2023-04-19 00:00:00	No	2023-07-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2EZJ11	N	CA00835306, CA00835306	B, B	SFY2022-23
030000004	ROSEVILLE POINT HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-06-28 00:00:00	030018890	Closed	Citation	Citation A (HSC 1424)	Other	Staff Competency	2022-07-22 00:00:00	2022-07-22 00:00:00	No	2023-07-20 00:00:00	None	A	None	25000	25000	0	25000	0	None	CW8T11	N	CA00805898, CA00805898	B, B	SFY2022-23
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-07-10 00:00:00	030018893	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-09-03 00:00:00	2021-09-03 00:00:00	No	2023-07-31 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	ZN0J11	Y	CA00754186, CA00754186	B, B	SFY2023-24
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-10-03 00:00:00	030018974	Closed	Citation	Citation A (HSC 1424)	Medication	None	2023-05-12 00:00:00	2023-05-12 00:00:00	No	2023-10-24 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	32W511	N	CA00841097, CA00841097, CA00841097, CA00841097, CA00841097, CA00841605, CA00841605, CA00841605, CA00841605, CA00841605	B, B, B, B, B, B, B, B, B, B	SFY2023-24
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-02-27 00:00:00	030019046	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-04-08 00:00:00	2019-04-08 00:00:00	Yes	2023-09-14 00:00:00	2023-09-01 00:00:00	AP BR	None	246900	246900	0	0	246900	None	MCZU11	None	CA00643663	C	SFY2020-21
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-02-27 00:00:00	030019048	Open	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2019-04-08 00:00:00	2019-04-08 00:00:00	No	2021-03-19 00:00:00	None	FTR RES	None	3100	3100	0	0	3100	None	MCZU11	None	CA00643663, CA00643663	C, C	SFY2020-21
100000092	RANCHO SECO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-09-05 00:00:00	030019120	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-05-30 00:00:00	2023-05-30 00:00:00	No	2023-09-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HI9J11	N	CA00843190, CA00843190	B, B	SFY2023-24
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-10-12 00:00:00	030019217	Closed	Citation	Citation AA (HSC 1424)	Other	QoC: Free of Accident Haz	2022-08-26 00:00:00	2022-08-26 00:00:00	No	2023-11-02 00:00:00	None	AA	None	120000	120000	0	120000	0	None	5T2111	Y	CA00831775, CA00831775	B, B	SFY2023-24
030000165	MOUNTAIN MANOR SENIOR RESIDENCE	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-11-15 00:00:00	030019359	Closed	Citation	Citation A (HSC 1424)	Patient Care	Patient Care/Not reported	2023-03-07 00:00:00	2023-03-07 00:00:00	No	2023-12-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	7WN311	N	CA00830422, CA00830422, CA00831190	B, B, B	SFY2023-24
030000004	ROSEVILLE POINT HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-11-16 00:00:00	030019360	Closed	Citation	Citation A (HSC 1424)	Other	Patient Care	2022-12-16 00:00:00	2022-12-16 00:00:00	No	2023-12-11 00:00:00	None	A	None	25000	27700	0	27700	0	None	SVQ811	N	CA00820959, CA00820959	B, B	SFY2023-24
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-11-21 00:00:00	030019376	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-22 00:00:00	2023-08-22 00:00:00	No	2023-12-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	B3EL11	N	CA00857406	A	SFY2023-24
100000092	RANCHO SECO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-01-10 00:00:00	030019553	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-30 00:00:00	2023-05-30 00:00:00	No	2024-01-31 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	HI9J11	N	CA00843190, CA00843190, CA00843190	B, B, B	SFY2023-24
100000027	RIVER BEND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-01-18 00:00:00	030019576	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-10 00:00:00	2023-09-10 00:00:00	No	2024-02-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	L9VC11	Y	CA00863026, CA00863026, CA00863026, CA00863026	B, B, B, B	SFY2023-24
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-01-18 00:00:00	030019593	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-29 00:00:00	2023-11-29 00:00:00	No	2024-02-08 00:00:00	None	B	None	3000	3000	0	3000	0	None	OOUL11	N	CA00872107, CA00872107	B, B	SFY2023-24
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-01-18 00:00:00	030019600	Closed	Citation	Citation B (HSC 1424)	Other	Accidents	2023-08-18 00:00:00	2023-08-18 00:00:00	No	2024-02-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WGQD11	Y	CA00856897	B	SFY2023-24
100000002	UNIVERSITY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-01-25 00:00:00	030019626	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-17 00:00:00	2023-11-17 00:00:00	No	2024-02-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	H0DU11	N	CA00870839	A	SFY2023-24
030000004	ROSEVILLE POINT HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-01-31 00:00:00	030019667	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-19 00:00:00	2024-01-19 00:00:00	No	2024-02-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	2QU511	N	CA00880637, CA00880637, CA00881474, CA00881474	B, B, B, B	SFY2023-24
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-02-02 00:00:00	030019672	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-27 00:00:00	2023-12-27 00:00:00	No	2024-02-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8WV811	N	CA00874600	A	SFY2023-24
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-02-20 00:00:00	030019674	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-03 00:00:00	2023-11-03 00:00:00	No	2024-03-12 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	Q52T11	N	CA00868807	B	SFY2023-24
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-03-13 00:00:00	030019840	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-05 00:00:00	2024-01-05 00:00:00	No	2024-04-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4ERW11	N	CA00878419	C	SFY2023-24
630025269	INTEGRITY CARE GROUP LLC	LTC	CLHF	Congregate Living Health Facility	Sacramento	2024-04-10 00:00:00	030019926	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-25 00:00:00	2023-09-25 00:00:00	No	2024-05-01 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	PV0U11	N	CA00880720, CA00880720	A, A	SFY2023-24
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-05-01 00:00:00	030019962	Open	Citation	Citation A (HSC 1424)	Other	Quality of Care: Safety	2024-02-21 00:00:00	2024-02-21 00:00:00	No	2024-05-22 00:00:00	None	A	None	25000	26150	0	0	26150	None	FOZ111	N	CA00886307	B	SFY2023-24
100000092	RANCHO SECO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-04-23 00:00:00	030020035	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-07 00:00:00	2024-03-07 00:00:00	No	2024-05-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DGB311	N	CA00888888, CA00888888	B, B	SFY2023-24
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-05-02 00:00:00	030020068	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-04 00:00:00	2023-11-04 00:00:00	No	2024-05-23 00:00:00	None	A	None	17200	17200	-6020	11180	0	None	CT5G11	N	CA00887127	B	SFY2023-24
630012655	SUNSHINE ICF DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2024-05-03 00:00:00	030020092	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-24 00:00:00	2024-03-24 00:00:00	No	2024-05-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	34BC11	N	CA00891419, CA00891419	C, C	SFY2023-24
100000962	CAPITAL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-05-09 00:00:00	030020136	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-16 00:00:00	2024-03-16 00:00:00	No	2024-05-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JJ9811	N	CA00892478	B	SFY2023-24
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-05-17 00:00:00	030020196	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-20 00:00:00	2024-04-20 00:00:00	No	2024-06-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	YKJZ11	N	CA00896900	B	SFY2023-24
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-06-05 00:00:00	030020223	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-04-20 00:00:00	2024-04-20 00:00:00	No	2024-06-26 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	Y5I511	Y	CA00896540, CA00896540	B, B	SFY2023-24
100000911	JEAN MARTIN HOME #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2024-06-17 00:00:00	030020303	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-03 00:00:00	2024-01-03 00:00:00	No	2024-07-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	TNC511	N	CA00898947	B	SFY2023-24
040001040	WILLOW CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	1998-09-15 00:00:00	040001142	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1998-08-13 00:00:00	1998-08-13 00:00:00	Yes	1999-02-02 00:00:00	1999-01-22 00:00:00	AA	B	25000	1000	-342	658	0	040009401	A99999	Y	None	None	SFY1998-99
040000012	EVERGREEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-02-22 00:00:00	040001170	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-03 00:00:00	1999-11-03 00:00:00	No	2000-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	040010700	A99999	N	None	None	SFY1999-00
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2000-03-03 00:00:00	040001173	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-02 00:00:00	1999-12-02 00:00:00	Yes	2000-09-27 00:00:00	2000-09-27 00:00:00	A	A	10000	7500	0	7500	0	040010716	A99999	N	None	None	SFY1999-00
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-04-13 00:00:00	040001174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-01 00:00:00	2000-02-01 00:00:00	Yes	2000-05-05 00:00:00	2000-04-18 00:00:00	B	B Trebled	1000	1200	0	1200	0	040010798	A99999	N	None	None	SFY1999-00
040000074	WISH-I-AH HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-04-13 00:00:00	040001176	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-17 00:00:00	2000-01-06 00:00:00	Yes	2000-05-05 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	1000	0	0	0	0	040010812	A99999	N	None	None	SFY1999-00
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-06-30 00:00:00	040001178	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1999-02-16 00:00:00	None	Yes	2000-07-24 00:00:00	2000-07-12 00:00:00	AA	A	25000	18750	0	18750	0	040010984	A99999	Y	None	None	SFY1999-00
040000026	COUNTRYSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-06-29 00:00:00	040001179	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-06 00:00:00	2000-03-06 00:00:00	Yes	2001-03-05 00:00:00	2001-02-28 00:00:00	B	Drop>Deficiency	1000	757	0	757	0	040010985	A99999	N	None	None	SFY1999-00
040000014	HORIZON HEALTH & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-08-09 00:00:00	040001181	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1998-08-13 00:00:00	1998-08-13 00:00:00	Yes	2000-08-31 00:00:00	2000-08-09 00:00:00	B	Dismissed by Court	1000	0	0	0	0	040011097	A99999	N	None	None	SFY2000-01
040000076	THE TERRACES AT SAN JOAQUIN GARDENS VILLAGE	LTC	SNF	Skilled Nursing Facility	Fresno	2000-09-13 00:00:00	040001184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-29 00:00:00	2000-06-29 00:00:00	Yes	2001-09-11 00:00:00	2000-09-26 00:00:00	B	B	100	100	0	100	0	040011224	A99999	N	None	None	SFY2000-01
040000048	MERCED BEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-09-20 00:00:00	040001186	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-29 00:00:00	2000-06-29 00:00:00	Yes	2000-10-12 00:00:00	2000-09-22 00:00:00	B	B	1000	900	0	900	0	040011226	A99999	N	None	None	SFY2000-01
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-09-21 00:00:00	040001189	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-06-23 00:00:00	2000-06-23 00:00:00	No	2000-10-13 00:00:00	None	AA	None	25000	25000	0	25000	0	040011263	A99999	Y	None	None	SFY2000-01
040000059	NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2000-10-03 00:00:00	040001190	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-11 00:00:00	2000-04-11 00:00:00	No	2000-10-31 00:00:00	None	B	None	1000	1000	0	1000	0	040011277	A99999	N	None	None	SFY2000-01
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-11-30 00:00:00	040001194	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-10 00:00:00	2000-01-29 00:00:00	Yes	2000-12-21 00:00:00	2000-12-04 00:00:00	B	Drop>Deficiency	1000	800	0	800	0	040011495	A99999	N	None	None	SFY2000-01
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-12-04 00:00:00	040001195	Closed	Citation	Citation B (HSC 1424)	Other	RES. TO RES. ABUSE	2000-07-23 00:00:00	2000-07-23 00:00:00	Yes	2000-12-29 00:00:00	2000-12-11 00:00:00	B	B	1000	1000	0	1000	0	040011502	A99999	N	None	None	SFY2000-01
040000049	COVENANT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2000-12-06 00:00:00	040001196	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-10 00:00:00	2000-07-10 00:00:00	No	2001-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	040011527	A99999	N	None	None	SFY2000-01
040000035	FRANCISCAN POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-12-08 00:00:00	040001197	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-11 00:00:00	2000-08-11 00:00:00	Yes	2001-09-12 00:00:00	2000-12-08 00:00:00	B	B	900	900	0	900	0	040011535	A99999	N	None	None	SFY2000-01
040001041	DEWITT SUB-ACUTE & SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-12-21 00:00:00	040001198	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-25 00:00:00	2000-07-25 00:00:00	No	2001-01-16 00:00:00	None	B	None	900	900	-315	585	0	040011562	A99999	N	None	None	SFY2000-01
040000064	TWILIGHT HAVEN	LTC	SNF	Skilled Nursing Facility	Fresno	2001-01-02 00:00:00	040001201	Closed	Citation	Citation B (HSC 1424)	Other	RES. BEHAVIOR	2000-07-06 00:00:00	None	No	2001-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	040011600	A99999	N	None	None	SFY2000-01
040000474	COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-01-16 00:00:00	040001202	Closed	Citation	Citation A (HSC 1424)	Other	NURSING SERVICES	2000-08-16 00:00:00	2000-08-16 00:00:00	No	2001-02-06 00:00:00	None	A	None	8000	8000	-2800	5200	0	040011214	A99999	N	None	None	SFY2000-01
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2001-01-24 00:00:00	040001203	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-28 00:00:00	2000-08-28 00:00:00	Yes	2001-05-30 00:00:00	2001-02-14 00:00:00	B	B	1000	1000	0	1000	0	040011676	A99999	N	None	None	SFY2000-01
040000063	PACIFIC GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-02-13 00:00:00	040001206	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-02 00:00:00	2000-02-02 00:00:00	Yes	2001-03-09 00:00:00	2001-02-20 00:00:00	A	B	10000	10000	0	10000	0	040011753	A99999	N	None	None	SFY2000-01
040000043	FRESNO NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-02-14 00:00:00	040001207	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-01 00:00:00	2000-06-01 00:00:00	No	2001-03-12 00:00:00	None	B	None	800	800	-280	520	0	040011746	A99999	N	None	None	SFY2000-01
040000605	LOYD'S LIBERTY HOMES, INC. - AUGUSTA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2001-03-13 00:00:00	040001209	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-18 00:00:00	2000-11-18 00:00:00	No	2001-04-03 00:00:00	None	B	None	800	800	-280	520	0	040011848	A99999	N	None	None	SFY2000-01
040001111	DAVIS GROUP HOMES	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2001-03-14 00:00:00	040001210	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-03 00:00:00	2000-12-03 00:00:00	No	2001-04-06 00:00:00	None	B	None	800	800	-280	520	0	040011851	A99999	N	None	None	SFY2000-01
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-04-12 00:00:00	040001211	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-01 00:00:00	2001-01-01 00:00:00	No	2001-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	040011952	A99999	N	None	None	SFY2000-01
040000052	ROLLING HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-05-03 00:00:00	040001215	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-27 00:00:00	2000-05-27 00:00:00	Yes	2001-12-14 00:00:00	2001-05-03 00:00:00	B	B	1000	1000	0	1000	0	040012030	A99999	N	None	None	SFY2000-01
040000647	ABLELIGHT INC. - ROGERS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2001-05-03 00:00:00	040001216	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-25 00:00:00	2000-11-25 00:00:00	Yes	2001-09-12 00:00:00	2001-05-14 00:00:00	B	B	1000	1000	0	1000	0	040012031	A99999	N	None	None	SFY2000-01
040000015	BETHEL LUTHERAN HOME, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2001-05-10 00:00:00	040001217	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-16 00:00:00	2001-03-16 00:00:00	No	2001-06-04 00:00:00	None	B	None	500	500	-175	325	0	040011884	A99999	N	None	None	SFY2000-01
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2001-06-04 00:00:00	040001218	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-26 00:00:00	2001-03-07 00:00:00	Yes	2001-10-12 00:00:00	2001-06-22 00:00:00	B	B	1000	3000	0	3000	0	040011846	A99999	N	None	None	SFY2000-01
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-06-07 00:00:00	040001219	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-15 00:00:00	2001-04-15 00:00:00	Yes	2001-06-28 00:00:00	2001-06-07 00:00:00	B	B	1000	1000	0	1000	0	040012127	A99999	N	None	None	SFY2000-01
040000038	COMMUNITY LIVING CENTER - FRESNO	LTC	SNF	Skilled Nursing Facility	Fresno	2001-06-26 00:00:00	040001221	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICE	2001-02-02 00:00:00	2001-02-02 00:00:00	Yes	2001-07-20 00:00:00	2001-07-23 00:00:00	B	None	900	900	0	900	0	040011889	A99999	N	None	None	SFY2000-01
040000073	GOLDEN MADERA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-07-12 00:00:00	040001222	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-23 00:00:00	2001-04-23 00:00:00	No	2001-08-13 00:00:00	None	B	None	500	500	-175	325	0	040012010	A99999	N	None	None	SFY2001-02
040000074	WISH-I-AH HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-07-19 00:00:00	040001223	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-13 00:00:00	2001-02-13 00:00:00	Yes	2001-08-10 00:00:00	2001-08-06 00:00:00	A	B	20000	20000	0	20000	0	040012256	A99999	N	None	None	SFY2001-02
040000047	HEALTHCARE CENTRE OF FRESNO	LTC	SNF	Skilled Nursing Facility	Fresno	2001-07-24 00:00:00	040001224	Closed	Citation	Citation B (HSC 1424)	Other	GENERAL MAINTENANCE	2001-04-25 00:00:00	2001-04-25 00:00:00	No	2001-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	040012019	A99999	N	None	None	SFY2001-02
040000534	CASA TERCEIRA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2001-07-25 00:00:00	040001225	Closed	Citation	Citation A (HSC 1424)	Abuse/Facility Not Self Reported	None	2001-04-29 00:00:00	2001-04-29 00:00:00	Yes	2001-12-14 00:00:00	2001-08-08 00:00:00	A	A	10000	10000	0	10000	0	040012059	A99999	N	None	None	SFY2001-02
040000010	PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR.	LTC	SNF	Skilled Nursing Facility	Fresno	2001-08-06 00:00:00	040001226	Closed	Citation	Citation B (HSC 1424)	Other	STAFF/RESIDENT ABUSE	2001-05-09 00:00:00	2001-05-09 00:00:00	Yes	2001-08-29 00:00:00	2003-06-16 00:00:00	B	B	1000	1000	0	1000	0	040012097	A99999	N	None	None	SFY2001-02
040000904	LOYD'S LIBERTY HOMES, INC., - ROBINSON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2001-09-28 00:00:00	040001227	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-04-16 00:00:00	2001-04-17 00:00:00	Yes	2001-10-23 00:00:00	2002-01-07 00:00:00	A	None	8000	8000	0	8000	0	040012344	A99999	N	None	None	SFY2001-02
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2001-08-23 00:00:00	040001228	Closed	Citation	Citation B (HSC 1424)	Other	IMPLEMENT DNR POLICY	2001-06-02 00:00:00	2001-06-02 00:00:00	No	2001-09-18 00:00:00	None	B	None	500	500	0	500	0	040012189	A99999	N	None	None	SFY2001-02
040000856	BUCKINGHAM HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2001-09-19 00:00:00	040001229	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-05 00:00:00	2000-06-05 00:00:00	No	2001-10-15 00:00:00	None	B	Dismissed by Court	700	0	0	0	0	040012448	A99999	N	None	None	SFY2001-02
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-11-01 00:00:00	040001230	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-04 00:00:00	2001-01-04 00:00:00	No	2001-11-29 00:00:00	None	B	B	1000	1000	0	1000	0	040011625	A99999	N	None	None	SFY2001-02
040000052	ROLLING HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-11-06 00:00:00	040001231	Closed	Citation	Citation B (HSC 1424)	Other	FINANCIAL ABUSE	2001-08-23 00:00:00	2001-08-23 00:00:00	No	2002-02-05 00:00:00	None	B	B	1000	1000	0	1000	0	040012459	A99999	N	None	None	SFY2001-02
040000063	PACIFIC GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-11-19 00:00:00	040001232	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-20 00:00:00	2001-03-20 00:00:00	Yes	2001-12-17 00:00:00	2001-11-30 00:00:00	B	B	500	500	0	500	0	040012025	A99999	N	None	None	SFY2001-02
040000345	JOHN C. FREMONT HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Fresno	2001-12-06 00:00:00	040001233	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-05 00:00:00	2001-08-05 00:00:00	No	2002-01-04 00:00:00	None	B	None	1000	1000	-350	650	0	040012377	A99999	N	None	None	SFY2001-02
040000066	VALLEY CARE & GUIDANCE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-12-11 00:00:00	040001234	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-06 00:00:00	2001-08-06 00:00:00	Yes	2002-01-10 00:00:00	2001-12-11 00:00:00	B	None	500	500	0	500	0	040012341	A99999	N	None	None	SFY2001-02
040001016	PROVIDENT HEALTH CARE - WINDY GAP	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2002-01-17 00:00:00	040001235	Closed	Citation	Citation A (HSC 1424)	Other	RESTRAINTS	2001-11-14 00:00:00	2001-11-14 00:00:00	Yes	2002-06-06 00:00:00	2002-02-07 00:00:00	A	B	5000	0	0	0	0	040012686	A99999	N	None	None	SFY2001-02
040000019	MORNING STAR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-01-17 00:00:00	040001236	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-10 00:00:00	2001-09-10 00:00:00	No	2002-02-13 00:00:00	None	B	None	1000	1000	-350	650	0	040012478	A99999	N	None	None	SFY2001-02
040000015	BETHEL LUTHERAN HOME, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2002-02-14 00:00:00	040001237	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-21 00:00:00	2001-09-21 00:00:00	No	2002-03-13 00:00:00	None	B	None	1000	1000	-350	650	0	040012549	A99999	N	None	None	SFY2001-02
040000060	SIERRA VIEW HOMES INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2002-02-26 00:00:00	040001238	Closed	Citation	Citation B (HSC 1424)	Other	RES.BEHAVE. & FAC.PR	2001-08-27 00:00:00	2001-08-27 00:00:00	No	2002-03-21 00:00:00	None	B	Drop>Deficiency	500	0	0	0	0	040012561	A99999	N	None	None	SFY2001-02
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-02-26 00:00:00	040001239	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-21 00:00:00	2001-09-21 00:00:00	Yes	2002-06-06 00:00:00	2002-05-20 00:00:00	B	B	1000	1150	0	1150	0	040012535	A99999	N	None	None	SFY2001-02
040001033	LOYD'S LIBERTY HOMES, INC. - COLUMBIA NORTH	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2002-02-28 00:00:00	040001240	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-01-03 00:00:00	2002-01-03 00:00:00	No	2002-03-25 00:00:00	None	B	None	1000	1000	-350	650	0	040012927	A99999	N	None	None	SFY2001-02
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-02-28 00:00:00	040001241	Closed	Citation	Citation B (HSC 1424)	Other	HOUSEKEEPING	2000-09-06 00:00:00	2000-09-06 00:00:00	No	2002-03-22 00:00:00	None	B	None	1000	1000	0	1000	0	040012012	A99999	N	None	None	SFY2001-02
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-03-14 00:00:00	040001242	Closed	Citation	Citation B (HSC 1424)	Other	RESTRAINTS	2001-04-22 00:00:00	2001-04-22 00:00:00	Yes	2002-04-05 00:00:00	2002-03-18 00:00:00	B	B	500	400	0	400	0	040012027	A99999	N	None	None	SFY2001-02
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-03-20 00:00:00	040001244	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-02 00:00:00	2002-01-02 00:00:00	No	2002-04-15 00:00:00	None	B	None	1000	1000	0	1000	0	040012811	A99999	N	None	None	SFY2001-02
040000019	MORNING STAR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-03-28 00:00:00	040001245	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-05-09 00:00:00	2001-05-09 00:00:00	Yes	2002-04-22 00:00:00	2002-04-05 00:00:00	A	A	17500	13125	0	13125	0	040012379	A99999	N	None	None	SFY2001-02
040000074	WISH-I-AH HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-04-11 00:00:00	040001246	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-16 00:00:00	2002-01-16 00:00:00	Yes	2002-08-27 00:00:00	2002-08-27 00:00:00	B	B	1000	1000	0	1000	0	040012926	A99999	N	None	None	SFY2001-02
040001033	LOYD'S LIBERTY HOMES, INC. - COLUMBIA NORTH	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2002-04-18 00:00:00	040001247	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-29 00:00:00	2002-01-29 00:00:00	No	2002-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	040012902	A99999	N	None	None	SFY2001-02
040000022	COALINGA DISTINGUISHED COMMUNITY CARE, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2002-05-01 00:00:00	040001248	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-25 00:00:00	2001-12-25 00:00:00	No	2002-05-22 00:00:00	None	B	None	1000	1000	-350	650	0	040012832	A99999	N	None	None	SFY2001-02
040000073	GOLDEN MADERA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-05-14 00:00:00	040001249	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICE-GEN	2001-09-10 00:00:00	2001-09-10 00:00:00	Yes	2002-06-11 00:00:00	2002-05-29 00:00:00	B	B	1000	1000	0	1000	0	040012505	A99999	N	None	None	SFY2001-02
040000076	THE TERRACES AT SAN JOAQUIN GARDENS VILLAGE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-05-14 00:00:00	040001251	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICE - GE	2002-02-09 00:00:00	2002-02-09 00:00:00	Yes	2002-08-28 00:00:00	2002-08-16 00:00:00	B	B	1000	1000	0	1000	0	040012973	A99999	N	None	None	SFY2001-02
040000798	COALINGA REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Fresno	2002-05-21 00:00:00	040001252	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICE-GENE	2002-02-26 00:00:00	2002-02-26 00:00:00	No	2002-06-21 00:00:00	None	B	None	750	750	-262.5	487.5	0	040013056	A99999	N	None	None	SFY2001-02
040000767	BLUE HAVEN ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2002-05-23 00:00:00	040001253	Closed	Citation	Citation B (HSC 1424)	Other	FIDUCIARY	2002-03-05 00:00:00	2002-03-05 00:00:00	No	2002-06-20 00:00:00	None	B	None	1000	1600	0	1600	0	040013322	A99999	N	None	None	SFY2001-02
040000841	BLUE HAVEN ICF/DD-H #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2002-06-11 00:00:00	040001254	Closed	Citation	Citation B (HSC 1424)	Other	FIDUCIARY	2002-03-05 00:00:00	2002-03-05 00:00:00	No	2002-07-03 00:00:00	None	B	None	1000	1000	0	1000	0	040013376	A99999	N	None	None	SFY2001-02
040000019	MORNING STAR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-13 00:00:00	040001255	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-06 00:00:00	2002-04-06 00:00:00	No	2002-07-08 00:00:00	None	B	None	1000	3000	-1050	1950	0	040013386	A99999	N	None	None	SFY2001-02
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-13 00:00:00	040001256	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-15 00:00:00	2002-05-15 00:00:00	No	2002-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	040013315	A99999	N	None	None	SFY2001-02
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-13 00:00:00	040001257	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-29 00:00:00	2001-09-29 00:00:00	Yes	2002-09-23 00:00:00	2002-06-19 00:00:00	B	B	500	500	0	500	0	040012475	A99999	N	None	None	SFY2001-02
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-25 00:00:00	040001258	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-02-16 00:00:00	2002-02-16 00:00:00	Yes	2002-10-04 00:00:00	2002-09-23 00:00:00	A	Dismissed by Court	20000	0	0	0	0	040013063	A99999	N	None	None	SFY2001-02
040000680	SELMA COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-25 00:00:00	040001259	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICES	2001-07-03 00:00:00	2002-06-25 00:00:00	No	2002-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	040013299	A99999	N	None	None	SFY2001-02
040000046	MERCED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-26 00:00:00	040001260	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-05 00:00:00	2002-05-05 00:00:00	Yes	2002-07-23 00:00:00	2002-07-03 00:00:00	B	B	1000	800	0	800	0	040013282	A99999	N	None	None	SFY2001-02
040000047	HEALTHCARE CENTRE OF FRESNO	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-27 00:00:00	040001261	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-25 00:00:00	2002-03-25 00:00:00	No	2002-07-22 00:00:00	None	B	None	500	500	-175	325	0	040013170	A99999	N	None	None	SFY2001-02
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-07-25 00:00:00	040001263	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-06 00:00:00	2002-06-06 00:00:00	No	2002-08-21 00:00:00	None	B	None	1000	1000	0	1000	0	040013399	A99999	N	None	None	SFY2002-03
040000059	NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2002-08-12 00:00:00	040001264	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-04-29 00:00:00	2002-05-17 00:00:00	No	2002-09-03 00:00:00	None	A	None	5000	5000	-1750	3250	0	040013314	A99999	N	None	None	SFY2002-03
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-08-14 00:00:00	040001265	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-05-02 00:00:00	2002-05-02 00:00:00	Yes	2002-09-10 00:00:00	2002-08-29 00:00:00	A	B	10000	5573	0	5573	0	040013277	A99999	N	None	None	SFY2002-03
040000022	COALINGA DISTINGUISHED COMMUNITY CARE, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2002-08-20 00:00:00	040001266	Closed	Citation	Citation A (HSC 1424)	Other	ACCIDENTS	2002-05-21 00:00:00	2002-05-21 00:00:00	Yes	2002-09-16 00:00:00	2002-08-27 00:00:00	A	A	20000	11477	0	11477	0	040013372	A99999	N	None	None	SFY2002-03
040000345	JOHN C. FREMONT HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Fresno	2002-09-13 00:00:00	040001267	Closed	Citation	Citation A (HSC 1424)	Medication	None	2001-10-24 00:00:00	2001-10-24 00:00:00	No	2002-10-07 00:00:00	None	A	None	2000	2000	-700	1300	0	040013697	A99999	N	None	None	SFY2002-03
040000050	GOLDEN MERCED CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-09-18 00:00:00	040001268	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-04 00:00:00	2001-11-04 00:00:00	Yes	2002-10-16 00:00:00	2002-09-30 00:00:00	A	B	20000	11145	0	11145	0	040012709	A99999	N	None	None	SFY2002-03
040000841	BLUE HAVEN ICF/DD-H #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2002-09-25 00:00:00	040001270	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-04-03 00:00:00	2002-04-03 00:00:00	Yes	2002-10-23 00:00:00	2002-09-25 00:00:00	B	None	1000	1000	0	1000	0	040013761	A99999	N	None	None	SFY2002-03
040000920	LOYD'S LIBERTY HOMES, INC. - NORTH KNOLL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2002-09-25 00:00:00	040001271	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-05 00:00:00	2002-06-05 00:00:00	No	2002-10-24 00:00:00	None	B	None	1000	1000	-350	650	0	040013394	A99999	N	None	None	SFY2002-03
040001364	HANFORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2000-04-17 00:00:00	040001310	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-11 00:00:00	2000-01-11 00:00:00	No	2000-05-12 00:00:00	None	B	None	1000	1000	0	1000	0	040013925	A99999	N	None	None	SFY1999-00
040001364	HANFORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2001-10-02 00:00:00	040001311	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-04 00:00:00	None	No	2001-10-24 00:00:00	None	B	None	300	300	0	300	0	040013937	A99999	N	None	None	SFY2001-02
040001364	HANFORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-01-16 00:00:00	040001312	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-03 00:00:00	None	No	2002-02-07 00:00:00	None	B	None	500	500	0	500	0	040013945	A99999	N	None	None	SFY2001-02
040001366	KINGS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2002-05-02 00:00:00	040001319	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-16 00:00:00	2001-05-16 00:00:00	Yes	2002-08-21 00:00:00	2002-08-09 00:00:00	B	B	800	800	0	800	0	040014071	A99999	N	None	None	SFY2001-02
040001366	KINGS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2002-05-20 00:00:00	040001320	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-12 00:00:00	None	No	2002-06-12 00:00:00	None	B	None	1000	1000	-350	650	0	040014072	A99999	N	None	None	SFY2001-02
040001366	KINGS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2002-09-23 00:00:00	040001321	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-15 00:00:00	None	No	2002-10-16 00:00:00	None	B	None	800	800	-280	520	0	040014073	A99999	N	None	None	SFY2002-03
040000059	NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2002-10-09 00:00:00	040001322	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-26 00:00:00	2002-07-26 00:00:00	No	2002-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	040013556	A99999	N	None	None	SFY2002-03
040000043	FRESNO NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-10-10 00:00:00	040001323	Closed	Citation	Citation A (HSC 1424)	Other	NURSING SERVICES	2002-05-25 00:00:00	2002-05-25 00:00:00	Yes	2002-11-05 00:00:00	2002-10-16 00:00:00	A	B	10000	5573	0	5573	0	040013392	A99999	N	None	None	SFY2002-03
040000047	HEALTHCARE CENTRE OF FRESNO	LTC	SNF	Skilled Nursing Facility	Fresno	2002-10-11 00:00:00	040001324	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-07-27 00:00:00	2002-07-27 00:00:00	Yes	2002-11-05 00:00:00	2002-10-11 00:00:00	A	A	2500	2500	0	2500	0	040013554	A99999	N	None	None	SFY2002-03
040000920	LOYD'S LIBERTY HOMES, INC. - NORTH KNOLL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2002-10-30 00:00:00	040001325	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-08 00:00:00	2002-06-08 00:00:00	Yes	2002-11-27 00:00:00	2002-11-21 00:00:00	B	B	1000	1000	0	1000	0	040013440	A99999	N	None	None	SFY2002-03
040000049	COVENANT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-10-31 00:00:00	040001326	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-07-15 00:00:00	2002-07-15 00:00:00	No	2002-11-27 00:00:00	None	B	None	500	500	0	500	0	040013555	A99999	N	None	None	SFY2002-03
040000035	FRANCISCAN POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-01-09 00:00:00	040001327	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-29 00:00:00	2002-09-29 00:00:00	Yes	2003-07-15 00:00:00	2003-08-04 00:00:00	B	B	1000	557	0	557	0	040014107	A99999	N	None	None	SFY2002-03
040000474	COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-02-11 00:00:00	040001328	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-26 00:00:00	2002-09-26 00:00:00	No	2003-03-12 00:00:00	None	B	None	900	900	-315	585	0	040013801	A99999	N	None	None	SFY2002-03
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-03-07 00:00:00	040001329	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-18 00:00:00	2002-11-18 00:00:00	Yes	2003-04-03 00:00:00	2003-03-07 00:00:00	B	Drop>Deficiency	500	279	0	279	0	040014273	A99999	N	None	None	SFY2002-03
040000225	ANBERRY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-04-23 00:00:00	040001330	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-01 00:00:00	2003-02-01 00:00:00	Yes	2003-11-13 00:00:00	2003-10-27 00:00:00	B	B	500	350	0	350	0	040014446	A99999	N	None	None	SFY2002-03
040000010	PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR.	LTC	SNF	Skilled Nursing Facility	Fresno	2003-05-08 00:00:00	040001331	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-15 00:00:00	2002-02-15 00:00:00	Yes	2003-05-30 00:00:00	2003-05-03 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	040014678	A99999	N	None	None	SFY2002-03
040000010	PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR.	LTC	SNF	Skilled Nursing Facility	Fresno	2003-05-08 00:00:00	040001332	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-15 00:00:00	2002-02-15 00:00:00	Yes	2003-05-30 00:00:00	2003-05-03 00:00:00	B	B	1000	1000	0	1000	0	040014679	A99999	N	None	None	SFY2002-03
040000010	PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR.	LTC	SNF	Skilled Nursing Facility	Fresno	2003-05-08 00:00:00	040001333	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-01 00:00:00	2002-02-01 00:00:00	Yes	2003-05-30 00:00:00	2003-05-03 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	040014680	A99999	N	None	None	SFY2002-03
040000010	PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR.	LTC	SNF	Skilled Nursing Facility	Fresno	2003-05-08 00:00:00	040001334	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-13 00:00:00	2002-09-13 00:00:00	Yes	2003-05-30 00:00:00	2003-05-30 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	040014298	A99999	N	None	None	SFY2002-03
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-05-15 00:00:00	040001335	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2003-01-03 00:00:00	2003-01-03 00:00:00	Yes	2007-11-26 00:00:00	2008-04-24 00:00:00	A	B	20000	2500	0	2500	0	040014374	A99999	N	None	None	SFY2002-03
040000031	LOS BANOS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2003-06-11 00:00:00	040001336	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-02-22 00:00:00	2003-02-22 00:00:00	No	2003-07-07 00:00:00	None	A	None	15000	15000	-5250	9750	0	040014550	A99999	N	None	None	SFY2002-03
040000856	BUCKINGHAM HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-06-20 00:00:00	040001337	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-07-02 00:00:00	2002-07-02 00:00:00	Yes	2003-07-16 00:00:00	2003-07-07 00:00:00	B	B	500	500	0	500	0	040014307	A99999	N	None	None	SFY2002-03
040000856	BUCKINGHAM HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-06-20 00:00:00	040001338	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-07-02 00:00:00	2002-07-02 00:00:00	Yes	2003-07-16 00:00:00	2003-07-07 00:00:00	B	None	500	500	-500	0	0	040014774	A99999	N	None	None	SFY2002-03
040000856	BUCKINGHAM HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-06-20 00:00:00	040001339	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-07-02 00:00:00	2002-07-02 00:00:00	Yes	2003-07-16 00:00:00	2003-07-07 00:00:00	B	None	500	500	-500	0	0	040014775	A99999	N	None	None	SFY2002-03
040000856	BUCKINGHAM HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-06-20 00:00:00	040001340	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-07-02 00:00:00	2002-07-02 00:00:00	Yes	2003-07-16 00:00:00	2003-07-07 00:00:00	B	None	500	500	-500	0	0	040014778	A99999	N	None	None	SFY2002-03
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-06-18 00:00:00	040001341	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-26 00:00:00	2003-02-26 00:00:00	Yes	2003-07-16 00:00:00	2003-07-07 00:00:00	B	B Trebled	1000	1672	0	1672	0	040014531	A99999	N	None	None	SFY2002-03
040000856	BUCKINGHAM HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-06-20 00:00:00	040001342	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-07-02 00:00:00	2002-07-02 00:00:00	Yes	2003-07-16 00:00:00	2003-07-07 00:00:00	B	None	500	500	-500	0	0	040014776	A99999	N	None	None	SFY2002-03
040000856	BUCKINGHAM HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-06-20 00:00:00	040001343	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-07-02 00:00:00	2002-07-02 00:00:00	Yes	2003-07-16 00:00:00	2003-07-07 00:00:00	B	None	500	500	-500	0	0	040014777	A99999	N	None	None	SFY2002-03
040001364	HANFORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2003-06-18 00:00:00	040001344	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-13 00:00:00	2001-09-13 00:00:00	Yes	2003-07-11 00:00:00	2003-06-18 00:00:00	B	None	1000	1000	0	1000	0	040014453	A99999	N	None	None	SFY2002-03
040000226	LOYD'S LIBERTY HOMES, INC., - ALLUVIAL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-08-04 00:00:00	040001345	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2003-01-24 00:00:00	2003-01-24 00:00:00	No	2003-08-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	040015041	A99999	N	None	None	SFY2003-04
040001033	LOYD'S LIBERTY HOMES, INC. - COLUMBIA NORTH	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-08-11 00:00:00	040001346	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-16 00:00:00	2003-02-16 00:00:00	No	2003-09-04 00:00:00	None	B	None	900	900	-315	585	0	040014493	A99999	N	None	None	SFY2003-04
040000904	LOYD'S LIBERTY HOMES, INC., - ROBINSON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-08-11 00:00:00	040001347	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-29 00:00:00	2003-04-29 00:00:00	No	2003-09-03 00:00:00	None	B	None	900	900	-315	585	0	040014687	A99999	N	None	None	SFY2003-04
040000904	LOYD'S LIBERTY HOMES, INC., - ROBINSON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-08-11 00:00:00	040001348	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-18 00:00:00	2003-03-18 00:00:00	No	2003-09-03 00:00:00	None	B	None	1000	1000	-350	650	0	040014581	A99999	N	None	None	SFY2003-04
040000857	HARMONY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-08-11 00:00:00	040001349	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-11-04 00:00:00	2002-11-04 00:00:00	Yes	2003-09-03 00:00:00	2003-09-08 00:00:00	B	B	500	500	0	500	0	040014272	A99999	N	None	None	SFY2003-04
040000857	HARMONY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-08-11 00:00:00	040001350	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-11-04 00:00:00	2002-11-04 00:00:00	Yes	2003-09-03 00:00:00	2003-09-09 00:00:00	B	None	500	500	-500	0	0	040015039	A99999	N	None	None	SFY2003-04
040000857	HARMONY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-08-11 00:00:00	040001351	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-11-04 00:00:00	2002-11-04 00:00:00	Yes	2003-09-03 00:00:00	2003-09-12 00:00:00	B	None	500	500	-500	0	0	040015072	A99999	N	None	None	SFY2003-04
040000647	ABLELIGHT INC. - ROGERS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-08-25 00:00:00	040001352	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-29 00:00:00	2003-01-29 00:00:00	No	2003-09-17 00:00:00	None	B	None	1000	1000	0	1000	0	040014445	A99999	N	None	None	SFY2003-04
040000833	CLAREMY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2003-08-21 00:00:00	040001353	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-12-09 00:00:00	2002-12-09 00:00:00	Yes	2003-09-12 00:00:00	2003-09-02 00:00:00	B	B	1000	1000	0	1000	0	040014302	A99999	N	None	None	SFY2003-04
040000875	CASA SANTA MARIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2004-03-30 00:00:00	040001354	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-11 00:00:00	2003-08-11 00:00:00	No	2004-04-28 00:00:00	None	B	None	1000	1000	-350	650	0	040015087	A99999	N	None	None	SFY2003-04
040001041	DEWITT SUB-ACUTE & SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2004-03-30 00:00:00	040001355	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-29 00:00:00	2003-06-29 00:00:00	No	2004-04-22 00:00:00	None	B	None	900	900	-315	585	0	040014989	A99999	N	None	None	SFY2003-04
040000904	LOYD'S LIBERTY HOMES, INC., - ROBINSON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2004-04-06 00:00:00	040001356	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-01 00:00:00	2003-08-23 00:00:00	No	2004-04-28 00:00:00	None	B	None	1000	1000	-350	650	0	040015216	A99999	N	None	None	SFY2003-04
040000039	GRACE HOME, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2004-04-06 00:00:00	040001357	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-12-20 00:00:00	2003-12-20 00:00:00	No	2004-04-30 00:00:00	None	B	None	500	500	-175	325	0	040015617	A99999	N	None	None	SFY2003-04
040000148	LOYD'S LIBERTY HOMES, INC., - MESA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2004-04-21 00:00:00	040001358	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-19 00:00:00	2003-05-19 00:00:00	No	2004-05-12 00:00:00	None	B	None	1000	1000	-350	650	0	040014756	A99999	N	None	None	SFY2003-04
040000474	COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2004-05-13 00:00:00	040001359	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-07-20 00:00:00	2003-07-20 00:00:00	No	2004-06-08 00:00:00	None	B	None	1000	1000	-350	650	0	040015263	A99999	N	None	None	SFY2003-04
040000954	OUR HOUSE BERRY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2004-06-10 00:00:00	040001360	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-14 00:00:00	2004-01-14 00:00:00	No	2004-07-06 00:00:00	None	B	None	900	900	-315	585	0	040015572	A99999	N	None	None	SFY2003-04
040000022	COALINGA DISTINGUISHED COMMUNITY CARE, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2004-07-13 00:00:00	040001361	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-06-30 00:00:00	2004-06-30 00:00:00	No	2004-08-16 00:00:00	None	B	None	1000	1000	-350	650	0	040015971	A99999	N	None	None	SFY2004-05
040000022	COALINGA DISTINGUISHED COMMUNITY CARE, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2004-07-14 00:00:00	040001362	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-05-20 00:00:00	2004-06-30 00:00:00	No	2004-08-04 00:00:00	None	B	None	1000	1000	0	1000	0	040016012	A99999	N	None	None	SFY2004-05
040000641	ABLELIGHT INC. - FILBERT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2004-10-18 00:00:00	040001363	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-16 00:00:00	2004-07-16 00:00:00	No	2004-11-12 00:00:00	None	B	None	800	800	-280	520	0	040016302	A99999	N	None	None	SFY2004-05
040000842	LOYD'S LIBERTY HOMES, INC. - LIBERTY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2004-10-18 00:00:00	040001364	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-31 00:00:00	2004-07-31 00:00:00	No	2004-11-10 00:00:00	None	B	None	1000	1000	-350	650	0	040016087	A99999	N	None	None	SFY2004-05
040000920	LOYD'S LIBERTY HOMES, INC. - NORTH KNOLL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2004-10-18 00:00:00	040001365	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-06-24 00:00:00	2004-06-24 00:00:00	No	2004-11-10 00:00:00	None	B	None	800	800	-280	520	0	040015968	A99999	N	None	None	SFY2004-05
040001335	PAUL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-01-11 00:00:00	040001366	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-03 00:00:00	2004-08-03 00:00:00	No	2005-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	040016159	A99999	N	None	None	SFY2004-05
040000767	BLUE HAVEN ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-01-25 00:00:00	040001367	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-12-06 00:00:00	2004-12-06 00:00:00	No	2005-02-18 00:00:00	None	B	None	1000	1000	-1000	0	0	040016571	A99999	N	None	None	SFY2004-05
040000841	BLUE HAVEN ICF/DD-H #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-01-25 00:00:00	040001368	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-12-06 00:00:00	2004-12-06 00:00:00	No	2005-02-22 00:00:00	None	B	None	1000	1000	-1000	0	0	040016590	A99999	N	None	None	SFY2004-05
040000767	BLUE HAVEN ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-01-25 00:00:00	040001369	Closed	Citation	Citation B (HSC 1424)	Other	FIDUCIARY ABUSE	2004-07-08 00:00:00	2004-07-28 00:00:00	No	2005-02-18 00:00:00	None	B	None	1000	1450	-1450	0	0	040016529	A99999	N	None	None	SFY2004-05
040000841	BLUE HAVEN ICF/DD-H #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-01-25 00:00:00	040001370	Closed	Citation	Citation B (HSC 1424)	Other	FIDUCIARY ABUSE	2004-07-08 00:00:00	2004-07-08 00:00:00	No	2005-02-22 00:00:00	None	B	None	1000	1450	-1450	0	0	040016591	A99999	N	None	None	SFY2004-05
040000904	LOYD'S LIBERTY HOMES, INC., - ROBINSON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-02-15 00:00:00	040001371	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-01 00:00:00	2004-10-01 00:00:00	No	2005-03-11 00:00:00	None	B	None	900	900	-315	585	0	040016300	A99999	N	None	None	SFY2004-05
040000904	LOYD'S LIBERTY HOMES, INC., - ROBINSON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-05-19 00:00:00	040001372	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-08 00:00:00	2004-07-08 00:00:00	No	2005-06-14 00:00:00	None	B	None	1000	1000	-350	650	0	040016035	A99999	N	None	None	SFY2004-05
040000899	SAFE HARBOR RESIDENTIAL SERVICES-MAGNOLIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-06-20 00:00:00	040001373	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-28 00:00:00	2005-01-28 00:00:00	No	2005-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	040016638	A99999	N	None	None	SFY2004-05
040000474	COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2005-06-27 00:00:00	040001374	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-06-27 00:00:00	2004-06-27 00:00:00	No	2005-07-21 00:00:00	None	AA	None	80000	80000	-28000	52000	0	040016639	A99999	Y	None	None	SFY2004-05
040001079	DAVIDSON SUN VALLEY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-08-18 00:00:00	040001375	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2005-02-13 00:00:00	2005-02-13 00:00:00	No	2005-09-09 00:00:00	None	AA	None	25000	25000	-8750	16250	0	040016640	A99999	Y	None	None	SFY2005-06
040000035	FRANCISCAN POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2005-09-13 00:00:00	040001376	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-22 00:00:00	2005-07-22 00:00:00	Yes	2005-10-11 00:00:00	2005-10-04 00:00:00	B	B	800	800	0	800	0	040016641	A99999	N	None	None	SFY2005-06
040000833	CLAREMY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-09-12 00:00:00	040001377	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-20 00:00:00	2004-04-20 00:00:00	No	2005-10-05 00:00:00	None	B	None	800	800	-280	520	0	040016642	A99999	N	None	None	SFY2005-06
040000022	COALINGA DISTINGUISHED COMMUNITY CARE, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2005-12-08 00:00:00	040001378	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2005-11-07 00:00:00	2005-11-07 00:00:00	No	2005-12-30 00:00:00	None	B	None	1000	1000	0	1000	0	040016645	A99999	N	None	None	SFY2005-06
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2006-01-18 00:00:00	040001379	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-01 00:00:00	2005-07-01 00:00:00	No	2006-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	040016646	A99999	N	None	None	SFY2005-06
040000904	LOYD'S LIBERTY HOMES, INC., - ROBINSON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2006-02-03 00:00:00	040001380	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-04-18 00:00:00	2005-04-18 00:00:00	No	2006-03-03 00:00:00	None	A	None	10000	10000	-3500	6500	0	040016648	A99999	N	None	None	SFY2005-06
040000035	FRANCISCAN POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2006-05-16 00:00:00	040003100	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-22 00:00:00	2005-09-22 00:00:00	Yes	2006-06-13 00:00:00	2006-06-15 00:00:00	B	B	1000	500	0	500	0	None	Z8M711	N	CA00062511	C	SFY2005-06
040001151	LOYD'S LIBERTY HOMES INC., RAMONA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2006-06-26 00:00:00	040003173	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2005-12-08 00:00:00	2005-12-08 00:00:00	No	2006-07-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	EEPP11	N	CA00074174	B	SFY2005-06
040000856	BUCKINGHAM HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2006-06-26 00:00:00	040003177	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-30 00:00:00	2005-10-30 00:00:00	Yes	2006-07-18 00:00:00	2006-07-18 00:00:00	B	B	600	300	0	300	0	None	KH6Z11	N	CA00065351	C	SFY2005-06
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2006-09-11 00:00:00	040003319	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-06-14 00:00:00	2006-06-14 00:00:00	No	2006-10-02 00:00:00	None	B	None	1000	1000	-1000	0	0	None	44X911	N	None	None	SFY2006-07
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2006-09-11 00:00:00	040003321	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2006-06-08 00:00:00	2006-06-08 00:00:00	No	2006-10-02 00:00:00	None	B	None	1000	1350	-1350	0	0	None	RE5M11	N	None	None	SFY2006-07
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2006-09-11 00:00:00	040003322	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2006-06-06 00:00:00	2006-06-06 00:00:00	No	2006-10-02 00:00:00	None	B	None	1000	1350	-1350	0	0	None	RE5M11	N	None	None	SFY2006-07
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2006-09-11 00:00:00	040003325	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-06-14 00:00:00	2006-06-14 00:00:00	No	2006-10-02 00:00:00	None	A	None	15000	15000	-15000	0	0	None	RE5M11	N	None	None	SFY2006-07
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2006-09-11 00:00:00	040003326	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-13 00:00:00	2006-06-13 00:00:00	No	2006-10-02 00:00:00	None	A	None	20000	20000	-20000	0	0	None	RE5M11	N	None	None	SFY2006-07
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2006-09-11 00:00:00	040003330	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2006-06-15 00:00:00	2006-06-15 00:00:00	No	2006-10-02 00:00:00	None	A	None	20000	20000	-20000	0	0	None	RE5M11	N	None	None	SFY2006-07
040000064	TWILIGHT HAVEN	LTC	SNF	Skilled Nursing Facility	Fresno	2006-10-05 00:00:00	040003397	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-19 00:00:00	2005-10-19 00:00:00	No	2006-10-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	4PRN11	N	CA00070983	C	SFY2006-07
040000047	HEALTHCARE CENTRE OF FRESNO	LTC	SNF	Skilled Nursing Facility	Fresno	2007-02-08 00:00:00	040003697	Closed	Citation	Citation A (HSC 1424)	Medication	None	2006-01-12 00:00:00	2006-01-12 00:00:00	No	2007-03-05 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	HJKJ11	N	CA00070091	C	SFY2006-07
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2007-02-09 00:00:00	040003698	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Patient Rights	2006-08-18 00:00:00	2006-08-18 00:00:00	No	2007-03-02 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	EZ8V11	N	CA00090908	C	SFY2006-07
040000856	BUCKINGHAM HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2007-02-23 00:00:00	040003743	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-09-03 00:00:00	2006-09-03 00:00:00	Yes	2007-03-16 00:00:00	2007-02-23 00:00:00	A	A	10000	5000	0	5000	0	None	Y9NE11	N	CA00092063	B	SFY2006-07
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2007-05-02 00:00:00	040003924	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-09 00:00:00	2006-10-09 00:00:00	No	2007-05-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	6PN511	N	CA00095193	C	SFY2006-07
040000954	OUR HOUSE BERRY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2007-08-02 00:00:00	040004158	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-25 00:00:00	2006-09-25 00:00:00	No	2007-08-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	XPC011	N	CA00094205	C	SFY2007-08
040001378	ALLEN-FLORER FAMILY HOME - WHEELER	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2007-08-13 00:00:00	040004176	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-01-10 00:00:00	2007-01-10 00:00:00	No	2007-09-04 00:00:00	None	B	None	600	750	-210	540	0	None	JJBT11	N	CA00103969	C	SFY2007-08
040000059	NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2007-08-28 00:00:00	040004212	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-05-17 00:00:00	2006-05-17 00:00:00	Yes	2007-09-19 00:00:00	2007-10-18 00:00:00	B	None	1000	1000	0	1000	0	None	NBTD11	N	CA00081619	C	SFY2007-08
040001364	HANFORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2007-12-05 00:00:00	040004482	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-25 00:00:00	2006-03-25 00:00:00	No	2007-12-27 00:00:00	None	B	None	900	900	-315	585	0	None	KFJE11	N	CA00077131	C	SFY2007-08
040001106	ALLEN-COX FAMILY HOME IV	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-01-17 00:00:00	040004592	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-12-01 00:00:00	2006-12-01 00:00:00	No	2008-02-08 00:00:00	None	B	None	1000	1200	0	1200	0	None	18PK11	N	CA00105680	C	SFY2007-08
040000583	DAVIDSON HOME - BROOKDALE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-02-08 00:00:00	040004593	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-20 00:00:00	2006-09-20 00:00:00	No	2008-03-04 00:00:00	None	B	None	1000	1200	-350	850	0	None	OG6111	N	CA00094385	C	SFY2007-08
040000875	CASA SANTA MARIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-02-07 00:00:00	040004671	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-11 00:00:00	2007-04-11 00:00:00	No	2008-03-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	6RBT11	N	CA00112036	C	SFY2007-08
040000224	LOYD'S LIBERTY HOMES, INC. - COLONIAL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-02-07 00:00:00	040004673	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-14 00:00:00	2007-08-14 00:00:00	No	2008-03-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	9NP911	N	CA00123578	C	SFY2007-08
040000039	GRACE HOME, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2008-02-14 00:00:00	040004685	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-23 00:00:00	2007-07-23 00:00:00	No	2008-03-07 00:00:00	None	B	None	800	800	-280	520	0	None	TRIM11	N	CA00121420	C	SFY2007-08
040001363	ALLEN-FLORER FAMILY HOME - NINTH	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-03-18 00:00:00	040004794	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-28 00:00:00	2007-05-28 00:00:00	No	2008-04-09 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	4I4E11	N	CA00116785	B	SFY2007-08
630002861	MY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-03-18 00:00:00	040004795	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-01-31 00:00:00	2007-01-31 00:00:00	No	2008-04-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	GOR611	N	CA00108373	B	SFY2007-08
040001151	LOYD'S LIBERTY HOMES INC., RAMONA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-03-18 00:00:00	040004797	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-16 00:00:00	2006-11-16 00:00:00	No	2008-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	CUF011	N	CA00098938	C	SFY2007-08
040000641	ABLELIGHT INC. - FILBERT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-04-03 00:00:00	040004853	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-31 00:00:00	2007-08-31 00:00:00	No	2008-04-24 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	WN7F11	N	CA00125419	C	SFY2007-08
040000051	OAKWOOD GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2008-04-07 00:00:00	040004872	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-01-11 00:00:00	2008-01-11 00:00:00	Yes	2008-04-28 00:00:00	2008-04-08 00:00:00	B	B	1000	1350	0	1350	0	None	CP0I11	N	CA00137576	B	SFY2007-08
040000043	FRESNO NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2008-04-23 00:00:00	040004954	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-06 00:00:00	2007-02-06 00:00:00	No	2008-05-14 00:00:00	None	B	None	800	800	-280	520	0	None	5QIW11	N	CA00105828	B	SFY2007-08
040000642	ABLELIGHT INC. - BROWNING	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-05-13 00:00:00	040005011	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-23 00:00:00	2007-09-23 00:00:00	No	2008-06-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	GKWH11	N	CA00128998	C	SFY2007-08
040001106	ALLEN-COX FAMILY HOME IV	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-05-13 00:00:00	040005012	Closed	Citation	Citation A (HSC 1424)	Patient Care	staff to patient abuse	2008-03-08 00:00:00	2008-03-08 00:00:00	No	2008-06-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	I5XD11	N	CA00143277	C	SFY2007-08
040001106	ALLEN-COX FAMILY HOME IV	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-05-20 00:00:00	040005055	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-01 00:00:00	2007-12-01 00:00:00	No	2008-06-11 00:00:00	None	B	None	1000	1100	0	1100	0	None	4GUC11	N	CA00133716	C	SFY2007-08
040000051	OAKWOOD GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2008-05-29 00:00:00	040005080	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-18 00:00:00	2007-08-18 00:00:00	No	2008-06-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	K3D211	N	CA00123838	C	SFY2007-08
040000012	EVERGREEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2008-09-16 00:00:00	040005415	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-18 00:00:00	2008-03-18 00:00:00	No	2008-10-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	UI8W11	N	CA00144495	C	SFY2008-09
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2008-09-16 00:00:00	040005418	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-09 00:00:00	2008-02-09 00:00:00	No	2008-10-07 00:00:00	None	B	None	800	800	0	800	0	None	78JO11	N	CA00140767	C	SFY2008-09
040001364	HANFORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2008-09-16 00:00:00	040005426	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-19 00:00:00	2008-06-19 00:00:00	No	2008-10-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	6K8G11	N	CA00154243	C	SFY2008-09
040001106	ALLEN-COX FAMILY HOME IV	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2009-01-15 00:00:00	040005786	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-07 00:00:00	2008-07-07 00:00:00	No	2009-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	PCLV11	N	CA00150091	C	SFY2008-09
040000856	BUCKINGHAM HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2009-01-15 00:00:00	040005795	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-25 00:00:00	2008-05-25 00:00:00	No	2009-02-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	G61T11	N	CA00151609	H	SFY2008-09
040000856	BUCKINGHAM HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2009-01-20 00:00:00	040005809	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-08-01 00:00:00	2008-08-01 00:00:00	No	2009-02-10 00:00:00	None	A	None	10000	10000	0	10000	0	None	697211	N	CA00159514	H	SFY2008-09
040000012	EVERGREEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2009-03-04 00:00:00	040005924	Closed	Citation	Citation AA (HSC 1424)	Dietary	None	2008-11-19 00:00:00	2008-11-19 00:00:00	Yes	2010-05-06 00:00:00	2010-04-28 00:00:00	AA	AA	80000	80000	0	80000	0	None	6DHL11	Y	CA00169920	B	SFY2008-09
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2009-05-01 00:00:00	040006149	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-03-18 00:00:00	2009-03-18 00:00:00	Yes	2009-05-22 00:00:00	2009-05-15 00:00:00	A	B	16000	16000	0	16000	0	None	PWDX11	N	CA00181569	C	SFY2008-09
040001378	ALLEN-FLORER FAMILY HOME - WHEELER	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2009-05-11 00:00:00	040006167	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-03-16 00:00:00	2009-03-16 00:00:00	No	2009-06-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	YB9S11	N	CA00181171	B	SFY2008-09
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-06-10 00:00:00	040006238	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-10 00:00:00	2007-09-10 00:00:00	No	2009-07-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	PK5T11	N	CA00125975	B	SFY2008-09
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2009-07-10 00:00:00	040006381	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-03-19 00:00:00	2006-03-19 00:00:00	Yes	2009-08-03 00:00:00	2009-07-10 00:00:00	B	B	1000	500	0	500	0	None	PVED11	N	CA00186975	B	SFY2009-10
040000954	OUR HOUSE BERRY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2009-07-16 00:00:00	040006390	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-04 00:00:00	2008-09-04 00:00:00	No	2009-08-06 00:00:00	None	B	None	800	800	0	800	0	None	9BSO11	N	CA00162354	B	SFY2009-10
040000642	ABLELIGHT INC. - BROWNING	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2009-08-27 00:00:00	040006495	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-10 00:00:00	2008-12-10 00:00:00	No	2009-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	IBA711	N	CA00171788	C	SFY2009-10
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-09-25 00:00:00	040006583	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-07-16 00:00:00	2009-07-16 00:00:00	Yes	2009-10-19 00:00:00	2010-11-19 00:00:00	AP BR	AP BR	125000	31250	0	31250	0	None	MCEG11	None	CA00195220	H	SFY2009-10
040001366	KINGS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2009-10-14 00:00:00	040006613	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-13 00:00:00	2009-06-13 00:00:00	No	2009-11-04 00:00:00	None	B	None	800	800	-280	520	0	None	F7KL11	N	CA00192282	C	SFY2009-10
040000051	OAKWOOD GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2009-10-14 00:00:00	040006615	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-05-08 00:00:00	2009-05-08 00:00:00	No	2009-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	E4H211	N	CA00187748	C	SFY2009-10
040000051	OAKWOOD GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2009-10-14 00:00:00	040006617	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-11 00:00:00	2009-05-11 00:00:00	No	2009-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	HZG311	N	CA00189078	C	SFY2009-10
040000474	COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2010-01-06 00:00:00	040006887	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-20 00:00:00	2009-08-20 00:00:00	Yes	2010-01-29 00:00:00	2010-01-14 00:00:00	B	None	1000	1000	0	1000	0	None	DIF711	N	CA00200176	B	SFY2009-10
040001363	ALLEN-FLORER FAMILY HOME - NINTH	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2010-05-04 00:00:00	040007187	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-06 00:00:00	2009-12-06 00:00:00	No	2010-05-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	DK5W11	N	CA00210566	C	SFY2009-10
100000851	VINTAGE FAIRE NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2010-06-23 00:00:00	040007321	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-10 00:00:00	2007-06-10 00:00:00	No	2010-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZTLH11	N	CA00144188	B	SFY2009-10
630002861	MY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2010-06-29 00:00:00	040007338	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-10-15 00:00:00	2009-10-15 00:00:00	No	2010-07-22 00:00:00	None	B	None	600	600	0	600	0	None	JE1I11	N	CA00205240	C	SFY2009-10
040000842	LOYD'S LIBERTY HOMES, INC. - LIBERTY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2010-10-14 00:00:00	040007643	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-20 00:00:00	2010-03-20 00:00:00	No	2010-11-09 00:00:00	None	B	None	1000	1150	-350	800	0	None	L8L011	N	CA00222364	C	SFY2010-11
040001257	SHEPHERD FAMILY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2010-12-21 00:00:00	040007786	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-08-01 00:00:00	2010-08-01 00:00:00	Yes	2011-01-11 00:00:00	2011-01-12 00:00:00	AA	None	25000	25000	-25000	0	0	None	JU8711	Y	CA00244672	C	SFY2010-11
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2011-01-25 00:00:00	040007857	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-27 00:00:00	2010-03-27 00:00:00	No	2011-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	FMR811	N	CA00223425	C	SFY2010-11
040000790	CHOWCHILLA MEMORIAL HEALTHCARE DISTRICT	LTC	SNF	Skilled Nursing Facility	Fresno	2011-01-25 00:00:00	040007860	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-26 00:00:00	2010-11-26 00:00:00	No	2011-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	LN7F11	N	CA00250947	C	SFY2010-11
040001363	ALLEN-FLORER FAMILY HOME - NINTH	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2011-03-01 00:00:00	040007970	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2010-10-23 00:00:00	2010-10-23 00:00:00	No	2011-03-22 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	T66511	N	CA00247173	B	SFY2010-11
040001259	NEW BETHANY	LTC	SNF	Skilled Nursing Facility	Fresno	2011-03-23 00:00:00	040008052	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-16 00:00:00	2010-10-16 00:00:00	No	2011-04-14 00:00:00	None	B	None	800	800	-280	520	0	None	XW9311	N	CA00246238	C	SFY2010-11
040000647	ABLELIGHT INC. - ROGERS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2011-09-07 00:00:00	040008542	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-14 00:00:00	2011-05-14 00:00:00	No	2011-09-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	4K3J11	N	CA00269866	B	SFY2011-12
040000898	SAFE HARBOR RESIDENTIAL SERVICES-DOUTY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2011-09-13 00:00:00	040008563	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-07-09 00:00:00	2011-07-09 00:00:00	No	2011-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	UFKG11	N	CA00276731	C	SFY2011-12
040001040	WILLOW CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2012-01-03 00:00:00	040008876	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-27 00:00:00	2011-09-27 00:00:00	Yes	2012-01-25 00:00:00	2012-01-20 00:00:00	B	None	1000	1000	0	1000	0	None	W6QY11	N	CA00284984	C	SFY2011-12
040001000	ABLELIGHT INC. - GATEWAY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2012-03-08 00:00:00	040009096	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-15 00:00:00	2010-09-15 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	C7LS11	N	CA00282371	C	SFY2011-12
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2012-03-15 00:00:00	040009117	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-05 00:00:00	2011-08-05 00:00:00	No	2012-04-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	QT9S11	N	CA00278548	C	SFY2011-12
040000035	FRANCISCAN POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2012-03-27 00:00:00	040009139	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-02 00:00:00	2011-10-02 00:00:00	Yes	2012-04-17 00:00:00	2012-04-11 00:00:00	B	B	1000	1050	0	1050	0	None	0I8311	N	CA00285512	C	SFY2011-12
040000798	COALINGA REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Fresno	2012-04-03 00:00:00	040009205	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-22 00:00:00	2011-11-22 00:00:00	No	2012-04-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	GSR111	N	CA00290641	C	SFY2011-12
100001316	RCCA - GATEWOOD DRIVE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2012-04-23 00:00:00	040009231	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-12-22 00:00:00	2011-12-22 00:00:00	Yes	2012-05-14 00:00:00	2012-05-10 00:00:00	B	B	1000	500	0	500	0	None	HVVC11	N	CA00293868	B	SFY2011-12
040000035	FRANCISCAN POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2012-08-21 00:00:00	040009448	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-06 00:00:00	2011-10-06 00:00:00	Yes	2012-09-12 00:00:00	2012-08-31 00:00:00	B	None	2000	2000	0	2000	0	None	OHVE11	N	CA00286785	C	SFY2012-13
040000932	PROVIDENT HEALTH CARE - LULANG	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2013-01-24 00:00:00	040009713	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2012-04-12 00:00:00	2012-04-12 00:00:00	Yes	2013-02-14 00:00:00	2013-01-31 00:00:00	AA	None	25000	25000	0	25000	0	None	NYGY11	Y	CA00306922	B	SFY2012-13
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2013-02-14 00:00:00	040009746	Closed	Citation	Citation AA (HSC 1424)	Other	staff development	2012-02-19 00:00:00	2012-02-19 00:00:00	Yes	2013-03-08 00:00:00	2013-02-14 00:00:00	AA	AA	80000	70350	-350	70000	0	None	H83811	Y	CA00300289	B	SFY2012-13
040001000	ABLELIGHT INC. - GATEWAY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2013-03-05 00:00:00	040009768	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-03-13 00:00:00	2012-03-13 00:00:00	No	2013-03-26 00:00:00	None	B	None	1000	1100	-350	750	0	None	IT9S11	N	CA00302405	C	SFY2012-13
040000033	VINEYARDS AT FOWLER	LTC	SNF	Skilled Nursing Facility	Fresno	2013-03-13 00:00:00	040009782	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-01-21 00:00:00	2013-01-21 00:00:00	Yes	2013-04-04 00:00:00	2013-03-13 00:00:00	B	None	2000	2000	-700	1300	0	None	57FZ11	N	CA00343660	B	SFY2012-13
040000308	CASA FLAMENGOS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2013-04-25 00:00:00	040009853	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-12-21 00:00:00	2012-12-21 00:00:00	No	2013-05-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	839X11	N	CA00337417	B	SFY2012-13
040001378	ALLEN-FLORER FAMILY HOME - WHEELER	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2013-05-13 00:00:00	040009896	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-02-24 00:00:00	2013-02-24 00:00:00	No	2013-06-04 00:00:00	None	B	None	1000	1100	0	1100	0	None	F86J11	N	CA00345050	C	SFY2012-13
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2013-05-20 00:00:00	040009912	Open	Citation	Citation A (HSC 1424)	Medication	None	2012-10-26 00:00:00	2012-10-26 00:00:00	Yes	2013-06-11 00:00:00	2013-05-30 00:00:00	A	None	17000	17000	0	0	17000	None	VJJQ11	Y	CA00331163	B	SFY2012-13
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2013-07-25 00:00:00	040010032	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-03-29 00:00:00	2013-03-29 00:00:00	No	2013-08-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DPHX11	N	CA00352336	B	SFY2013-14
100000036	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2013-08-15 00:00:00	040010097	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-12-04 00:00:00	2012-12-04 00:00:00	Yes	2013-09-06 00:00:00	2013-08-27 00:00:00	B	B	800	600	0	600	0	None	LX0F11	N	CA00335226	B	SFY2013-14
100000036	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2013-10-03 00:00:00	040010178	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-10-01 00:00:00	2012-10-01 00:00:00	Yes	2013-10-24 00:00:00	2013-10-09 00:00:00	B	B	2000	1000	0	1000	0	None	MJDE11	N	CA00337332	B	SFY2013-14
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2013-10-22 00:00:00	040010229	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-03-02 00:00:00	2013-03-02 00:00:00	No	2013-11-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q2LP11	N	CA00345578	B	SFY2013-14
040000729	OUR HOUSE WESTGATE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2013-12-10 00:00:00	040010307	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-03 00:00:00	2013-09-03 00:00:00	No	2014-01-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	73IZ11	N	CA00368662	B	SFY2013-14
040000729	OUR HOUSE WESTGATE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2013-12-10 00:00:00	040010308	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-03 00:00:00	2013-09-03 00:00:00	No	2014-01-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	73IZ11	N	CA00368648	B	SFY2013-14
040000050	GOLDEN MERCED CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2014-05-05 00:00:00	040010702	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-12-20 00:00:00	2013-12-20 00:00:00	No	2014-05-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	4OZ011	N	CA00382436	B	SFY2013-14
040000064	TWILIGHT HAVEN	LTC	SNF	Skilled Nursing Facility	Fresno	2014-05-08 00:00:00	040010716	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-12-31 00:00:00	2013-12-31 00:00:00	No	2014-05-30 00:00:00	None	B	None	2000	2150	-700	1450	0	None	2IYZ11	N	CA00382431	B	SFY2013-14
630006901	MARIA'S HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2014-05-12 00:00:00	040010723	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-04-23 00:00:00	2014-04-23 00:00:00	No	2014-06-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	CJG511	N	CA00396031	A	SFY2013-14
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2014-08-04 00:00:00	040010905	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2014-02-01 00:00:00	2014-02-01 00:00:00	Yes	2014-08-25 00:00:00	2014-08-04 00:00:00	B	None	2000	2000	0	0	2000	None	E50111	N	CA00386649	C	SFY2014-15
040000645	ABLELIGHT INC. - MITCHELL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2014-08-21 00:00:00	040010948	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-07-03 00:00:00	2014-07-03 00:00:00	No	2014-09-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	6KOE11	N	CA00404438	C	SFY2014-15
040000474	COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2014-08-28 00:00:00	040010961	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-07-29 00:00:00	2014-07-29 00:00:00	No	2014-09-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	17L211	N	CA00407483	B	SFY2014-15
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2014-09-03 00:00:00	040010976	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-02-18 00:00:00	2014-02-18 00:00:00	No	2014-09-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8V8E11	N	None	None	SFY2014-15
040000898	SAFE HARBOR RESIDENTIAL SERVICES-DOUTY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2014-09-03 00:00:00	040010979	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-07-30 00:00:00	2014-07-30 00:00:00	No	2014-09-24 00:00:00	None	B	None	1000	1100	-350	750	0	None	O0PC11	N	CA00408013	C	SFY2014-15
030000079	OAKDALE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2014-09-15 00:00:00	040010996	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-07-07 00:00:00	2014-07-07 00:00:00	No	2014-10-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	045D11	N	CA00404815	B	SFY2014-15
040000647	ABLELIGHT INC. - ROGERS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2014-10-01 00:00:00	040011040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-09-06 00:00:00	2014-09-06 00:00:00	No	2014-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	H29J11	N	CA00413666	C	SFY2014-15
040000920	LOYD'S LIBERTY HOMES, INC. - NORTH KNOLL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2014-10-07 00:00:00	040011050	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-09-04 00:00:00	2014-09-04 00:00:00	No	2014-10-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	SYOP11	N	CA00410920	B	SFY2014-15
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2014-11-24 00:00:00	040011133	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-09-23 00:00:00	2014-09-23 00:00:00	No	2014-12-17 00:00:00	None	B	None	1500	1500	-525	975	0	None	64XE11	N	CA00414401	B	SFY2014-15
040000074	WISH-I-AH HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2014-11-26 00:00:00	040011140	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-10-06 00:00:00	2014-10-06 00:00:00	No	2014-12-19 00:00:00	None	A	None	20000	20000	0	20000	0	None	3C3011	N	CA00417327	E	SFY2014-15
040000074	WISH-I-AH HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2014-11-26 00:00:00	040011141	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-09-15 00:00:00	2014-09-15 00:00:00	No	2014-12-19 00:00:00	None	A	None	20000	20000	0	20000	0	None	3C3011	N	CA00414179	E	SFY2014-15
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2015-01-12 00:00:00	040011219	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-09-29 00:00:00	2014-09-29 00:00:00	No	2015-02-03 00:00:00	None	B	None	1500	1500	-525	975	0	None	S2Z011	N	CA00415161	B	SFY2014-15
040001150	HOLLYWOOD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2015-01-12 00:00:00	040011223	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-09-14 00:00:00	2014-09-14 00:00:00	No	2015-02-03 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	YNF711	N	CA00413411	C	SFY2014-15
040000584	LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2015-01-15 00:00:00	040011234	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-12-06 00:00:00	2014-12-06 00:00:00	No	2015-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	42YI11	N	CA00422738	C	SFY2014-15
040000647	ABLELIGHT INC. - ROGERS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2015-04-09 00:00:00	040011375	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-10-28 00:00:00	2014-10-28 00:00:00	No	2015-04-30 00:00:00	None	B	None	1000	1050	-350	700	0	None	2YS411	N	CA00418666	B	SFY2014-15
040000224	LOYD'S LIBERTY HOMES, INC. - COLONIAL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2015-04-14 00:00:00	040011380	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-02-02 00:00:00	2015-02-02 00:00:00	No	2015-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	RXZQ11	N	CA00429626	C	SFY2014-15
040000833	CLAREMY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2015-05-01 00:00:00	040011427	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-12-07 00:00:00	2014-12-07 00:00:00	No	2015-05-22 00:00:00	None	B	None	1000	1200	-350	850	0	None	1ZMU11	N	CA00424290	B	SFY2014-15
630002861	MY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2015-05-13 00:00:00	040011460	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-04 00:00:00	2015-03-04 00:00:00	No	2015-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	JS6611	N	CA00435510	B	SFY2014-15
040000605	LOYD'S LIBERTY HOMES, INC. - AUGUSTA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2015-06-10 00:00:00	040011545	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-02-01 00:00:00	2015-02-01 00:00:00	No	2015-07-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	BJSI11	N	CA00429965	B	SFY2014-15
040001040	WILLOW CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2015-06-19 00:00:00	040011572	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-10-21 00:00:00	2014-10-21 00:00:00	No	2015-07-10 00:00:00	None	B	None	1500	1500	-525	975	0	None	8RWH11	N	CA00432133	A	SFY2014-15
100000851	VINTAGE FAIRE NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2015-07-06 00:00:00	040011595	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-03-13 00:00:00	2015-03-13 00:00:00	Yes	2015-07-27 00:00:00	2015-07-17 00:00:00	B	B	2000	1300	0	1300	0	None	C5B311	N	CA00438824	B	SFY2015-16
040000531	BETHESDA LUTHERAN COMMUNITIES - FLORADORA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2015-08-18 00:00:00	040011669	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-06-27 00:00:00	2015-06-27 00:00:00	No	2015-09-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	T1YC11	N	CA00448396	C	SFY2015-16
040000050	GOLDEN MERCED CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2015-09-04 00:00:00	040011710	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-08-09 00:00:00	2014-08-09 00:00:00	No	2015-09-28 00:00:00	None	A	None	2250	2250	0	2250	0	None	ZQZ611	N	CA00408885	B	SFY2015-16
040000050	GOLDEN MERCED CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2015-09-23 00:00:00	040011741	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-08-24 00:00:00	2014-08-24 00:00:00	No	2015-10-14 00:00:00	None	A	None	10000	10100	0	10100	0	None	ZQZ611	N	CA00410687	B	SFY2015-16
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2015-10-27 00:00:00	040011799	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-08 00:00:00	2015-06-08 00:00:00	No	2015-11-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	XJ1E11	N	CA00445939	A	SFY2015-16
040000059	NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2015-11-24 00:00:00	040011866	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-09-02 00:00:00	2015-09-02 00:00:00	Yes	2015-12-17 00:00:00	2015-11-24 00:00:00	B	B	1500	975	0	975	0	None	XCN811	N	CA00458057	B	SFY2015-16
040000014	HORIZON HEALTH & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2015-12-09 00:00:00	040011885	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2015-06-14 00:00:00	2015-06-14 00:00:00	Yes	2015-12-31 00:00:00	2015-12-10 00:00:00	B	None	1500	1500	0	0	1500	None	1BM411	N	CA00446735	B	SFY2015-16
630005941	GOETHE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-01-26 00:00:00	040011991	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-11-10 00:00:00	2015-11-10 00:00:00	No	2016-02-17 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	BWYV11	N	CA00465043	B	SFY2015-16
040000644	ABLELIGHT INC. - HELM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-01-26 00:00:00	040011992	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2015-06-10 00:00:00	2015-06-10 00:00:00	No	2016-02-17 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	4ZRM11	Y	CA00446191	A	SFY2015-16
040000474	COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-02-24 00:00:00	040012044	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-10-14 00:00:00	2015-10-14 00:00:00	Yes	2016-03-16 00:00:00	2016-03-07 00:00:00	B	None	1500	1500	0	0	1500	None	63X511	N	None	None	SFY2015-16
040000474	COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-02 00:00:00	040012057	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-03-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	63X512	N	None	None	SFY2015-16
030000066	CERES POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-14 00:00:00	040012076	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-11-19 00:00:00	2015-11-19 00:00:00	No	2016-04-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	WW6Z11	N	CA00466410	B	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012077	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012078	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012079	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012081	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012082	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012087	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012088	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012089	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012090	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012091	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012092	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012094	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012095	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012097	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012098	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012099	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012103	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012104	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012105	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012107	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012108	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012109	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012110	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012111	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012112	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012113	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012114	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	Yes	2016-04-07 00:00:00	2016-04-04 00:00:00	A	A	20000	10000	0	10000	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012117	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	Yes	2016-04-07 00:00:00	2016-04-04 00:00:00	A	A	20000	10000	0	10000	0	None	FZRR11	N	CA00468198	A	SFY2015-16
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-03-16 00:00:00	040012118	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2015-12-09 00:00:00	2015-12-09 00:00:00	Yes	2016-04-07 00:00:00	2016-04-04 00:00:00	A	A	20000	10000	0	10000	0	None	FZRR11	N	CA00468198	A	SFY2015-16
040000644	ABLELIGHT INC. - HELM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-03-22 00:00:00	040012130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-01-11 00:00:00	2016-01-11 00:00:00	No	2016-04-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	908D11	N	CA00472261, CA00475863	C, E	SFY2015-16
040000584	LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-03-24 00:00:00	040012132	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-12-28 00:00:00	2015-12-28 00:00:00	No	2016-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	I0HM11	N	CA00470728	B	SFY2015-16
040000584	LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-03-24 00:00:00	040012134	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-12-28 00:00:00	2015-12-28 00:00:00	No	2016-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	I0HM11	N	CA00470728	B	SFY2015-16
040000584	LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-03-24 00:00:00	040012135	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-12-28 00:00:00	2015-12-28 00:00:00	No	2016-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	I0HM11	N	CA00470728	B	SFY2015-16
040000584	LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-03-24 00:00:00	040012136	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-12-28 00:00:00	2015-12-28 00:00:00	No	2016-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	I0HM11	N	CA00470728	B	SFY2015-16
040000584	LOYD'S LIBERTY HOMES, INC. - SAN JOSE STREET	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-03-24 00:00:00	040012137	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-12-28 00:00:00	2015-12-28 00:00:00	No	2016-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	I0HM11	N	CA00470728	B	SFY2015-16
040001120	SIERRA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-03-24 00:00:00	040012146	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-11-16 00:00:00	2015-11-16 00:00:00	No	2016-04-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	UY6V11	N	CA00464981	C	SFY2015-16
040000225	ANBERRY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-04-27 00:00:00	040012209	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-09-15 00:00:00	2015-09-15 00:00:00	Yes	2016-05-18 00:00:00	2016-05-02 00:00:00	B	B	2000	1000	0	1000	0	None	BC8Z11	N	CA00462040	B	SFY2015-16
040000308	CASA FLAMENGOS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-05-09 00:00:00	040012239	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-23 00:00:00	2015-12-23 00:00:00	No	2016-05-31 00:00:00	None	A	None	10000	10500	-3500	7000	0	None	0AEJ11	N	CA00470725	B	SFY2015-16
030000852	BRANDEL MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2016-05-18 00:00:00	040012263	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-05-04 00:00:00	2016-05-04 00:00:00	No	2016-06-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3RPJ11	N	CA00479473	B	SFY2015-16
040000064	TWILIGHT HAVEN	LTC	SNF	Skilled Nursing Facility	Fresno	2016-05-20 00:00:00	040012275	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-03-02 00:00:00	2016-03-02 00:00:00	No	2016-06-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	LK2M11	N	CA00478480	B	SFY2015-16
040000037	SIERRA VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2016-05-25 00:00:00	040012291	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2016-04-27 00:00:00	2016-04-27 00:00:00	No	2016-06-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	REHO11	N	CA00463683, CA00463683	B, B	SFY2015-16
040000225	ANBERRY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-06-01 00:00:00	040012299	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2016-05-11 00:00:00	2016-05-11 00:00:00	Yes	2016-06-22 00:00:00	2016-06-06 00:00:00	B	None	2000	38400	0	0	38400	None	UISX11	N	CA00440945	B	SFY2015-16
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012397	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012400	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012401	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012402	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012403	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012404	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012405	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012406	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012407	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012408	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012409	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012410	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012412	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012413	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012414	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012425	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012426	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012427	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012430	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012431	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012433	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012434	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012436	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012437	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012438	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935, CA00468935	B, B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012439	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012440	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935, CA00468935	B, B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012441	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935, CA00468935	B, B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012442	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012443	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012444	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935, CA00468935	B, B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012445	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012449	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012450	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012451	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935, CA00468935	B, B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012452	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012453	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935, CA00468935	B, B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012454	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012455	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012456	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012457	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012458	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012459	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012460	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012462	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	B	2000	1300	0	1300	0	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012464	Open	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	None	2000	2000	0	0	2000	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012466	Open	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	None	2000	2000	0	0	2000	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012468	Open	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	None	2000	2000	0	0	2000	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012471	Open	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	None	2000	2000	0	0	2000	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012473	Open	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	None	2000	2000	0	0	2000	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012475	Open	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	None	2000	2050	0	0	2050	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012476	Open	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	None	2000	2050	0	0	2050	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012477	Open	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	None	2000	2050	0	0	2050	None	W2Y811	N	CA00468935	B	SFY2016-17
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-07-27 00:00:00	040012478	Open	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-30 00:00:00	2015-12-30 00:00:00	No	2016-08-17 00:00:00	None	B	None	2000	2000	0	0	2000	None	W2Y811	N	CA00468935	B	SFY2016-17
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-09-16 00:00:00	040012581	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-29 00:00:00	2016-07-29 00:00:00	No	2016-10-07 00:00:00	None	B	B	2000	1500	0	1500	0	None	77UF11	N	CA00496994	B	SFY2016-17
040000531	BETHESDA LUTHERAN COMMUNITIES - FLORADORA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-10-04 00:00:00	040012612	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-06-04 00:00:00	2016-06-04 00:00:00	No	2016-10-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	V1TE11	N	CA00491996	C	SFY2016-17
040000076	THE TERRACES AT SAN JOAQUIN GARDENS VILLAGE	LTC	SNF	Skilled Nursing Facility	Fresno	2016-10-19 00:00:00	040012662	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-06-09 00:00:00	2016-06-09 00:00:00	No	2016-11-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EYUQ11	N	CA00491502	B	SFY2016-17
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-10-20 00:00:00	040012663	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-09-01 00:00:00	2016-09-01 00:00:00	No	2016-11-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	DJXQ11	N	CA00500840	B	SFY2016-17
040000605	LOYD'S LIBERTY HOMES, INC. - AUGUSTA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-10-28 00:00:00	040012696	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-29 00:00:00	2016-07-29 00:00:00	No	2016-11-21 00:00:00	None	B	None	1000	1450	-350	1100	0	None	IMZJ11	N	CA00501138	H	SFY2016-17
040000035	FRANCISCAN POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-12-08 00:00:00	040012798	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-16 00:00:00	2016-09-16 00:00:00	No	2016-12-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LH7H11	N	CA00501613	A	SFY2016-17
040000073	GOLDEN MADERA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-12-09 00:00:00	040012802	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2016-09-01 00:00:00	2016-09-01 00:00:00	No	2017-01-03 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	CDX811	Y	CA00501186, CA00501384	A, A	SFY2016-17
040000644	ABLELIGHT INC. - HELM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-12-28 00:00:00	040012849	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-27 00:00:00	2016-06-27 00:00:00	No	2017-01-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	4SEB11	Y	CA00493640	B	SFY2016-17
040000069	ORCHARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2017-02-02 00:00:00	040012932	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-24 00:00:00	2016-08-24 00:00:00	No	2017-02-24 00:00:00	None	A	None	20000	20000	0	20000	0	None	ZKDB11	N	CA00501128	B	SFY2016-17
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2017-02-08 00:00:00	040012956	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-06-10 00:00:00	2016-06-10 00:00:00	No	2017-03-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8IH211	N	CA00491420	A	SFY2016-17
040000015	BETHEL LUTHERAN HOME, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2017-03-24 00:00:00	040013080	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2016-05-16 00:00:00	2016-05-16 00:00:00	No	2017-04-17 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	H54511	Y	CA00488228	B	SFY2016-17
040000012	EVERGREEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2017-04-28 00:00:00	040013169	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-01-18 00:00:00	2017-01-18 00:00:00	No	2017-05-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	26GM11	N	CA00518922	B	SFY2016-17
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2017-05-04 00:00:00	040013178	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-10-07 00:00:00	2016-10-07 00:00:00	No	2017-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IFYI11	N	CA00506149	A	SFY2016-17
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2017-05-04 00:00:00	040013181	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-11-23 00:00:00	2016-11-23 00:00:00	No	2017-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IFYI11	N	CA00511997	A	SFY2016-17
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2017-05-25 00:00:00	040013225	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-01-18 00:00:00	2017-01-18 00:00:00	No	2017-06-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	MJXP11	N	CA00518850	B	SFY2016-17
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2017-05-30 00:00:00	040013232	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2016-09-22 00:00:00	2016-09-22 00:00:00	No	2017-06-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	IHLJ11	N	CA00508510	B	SFY2016-17
040000646	BETHESDA LUTHERAN COMMUNITES - RICHERT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2017-05-31 00:00:00	040013234	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-08-05 00:00:00	2016-08-05 00:00:00	No	2017-06-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4XM511	N	CA00499533	C	SFY2016-17
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2017-07-26 00:00:00	040013358	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-02-04 00:00:00	2017-02-04 00:00:00	No	2017-08-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0PDX11	N	CA00534476	B	SFY2017-18
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2017-07-26 00:00:00	040013361	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-02-04 00:00:00	2017-02-04 00:00:00	No	2017-08-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0PDX11	N	CA00531944	B	SFY2017-18
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2017-07-26 00:00:00	040013363	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2016-10-06 00:00:00	2016-10-06 00:00:00	No	2017-08-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	0PDX11	N	CA00506068	B	SFY2017-18
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2017-08-08 00:00:00	040013417	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2016-07-26 00:00:00	2016-07-26 00:00:00	No	2017-08-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BIFB11	N	CA00496941	B	SFY2017-18
100000055	GARDEN CITY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2017-09-07 00:00:00	040013474	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-14 00:00:00	2016-12-14 00:00:00	No	2017-09-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	CTB411	N	CA00515040	A	SFY2017-18
040000064	TWILIGHT HAVEN	LTC	SNF	Skilled Nursing Facility	Fresno	2017-09-13 00:00:00	040013483	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2017-04-19 00:00:00	2017-04-19 00:00:00	No	2017-10-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	XWZD11	N	CA00531444	B	SFY2017-18
040000037	SIERRA VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2017-09-18 00:00:00	040013500	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-11-18 00:00:00	2016-11-18 00:00:00	No	2017-10-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LBCD11	N	CA00511409	A	SFY2017-18
040000064	TWILIGHT HAVEN	LTC	SNF	Skilled Nursing Facility	Fresno	2017-10-06 00:00:00	040013533	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-27 00:00:00	2017-06-27 00:00:00	No	2017-10-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4KL11	N	CA00542034	B	SFY2017-18
040000064	TWILIGHT HAVEN	LTC	SNF	Skilled Nursing Facility	Fresno	2017-10-06 00:00:00	040013534	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-09-11 00:00:00	2017-09-11 00:00:00	No	2017-10-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	U4KL11	N	None	None	SFY2017-18
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2018-01-10 00:00:00	040013721	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-13 00:00:00	2017-09-13 00:00:00	No	2018-01-31 00:00:00	None	A	None	20000	20000	0	20000	0	None	NY3511	N	CA00552396	B	SFY2017-18
040001162	PROVIDENT HEALTH CARE - 619	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2018-02-08 00:00:00	040013797	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-10-16 00:00:00	2017-10-16 00:00:00	No	2018-03-02 00:00:00	None	B	None	2000	2300	-1000	1300	0	None	YXC711	N	CA00557202	A	SFY2017-18
100000851	VINTAGE FAIRE NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2018-02-15 00:00:00	040013817	Closed	Citation	Citation A (HSC 1424)	Medication	None	2018-01-12 00:00:00	2018-01-12 00:00:00	Yes	2018-03-09 00:00:00	2018-02-16 00:00:00	A	A	20000	12000	0	12000	0	None	L95B11	N	CA00569048	B	SFY2017-18
040001040	WILLOW CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2018-04-06 00:00:00	040013973	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-12-05 00:00:00	2017-12-05 00:00:00	No	2018-04-27 00:00:00	None	AA	None	75000	75000	-26250	48750	0	None	WICQ11	Y	CA00564851	A	SFY2017-18
040000059	NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2018-04-12 00:00:00	040013991	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-03-02 00:00:00	2018-03-02 00:00:00	No	2018-05-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	LO0U11	N	CA00574504, CA00574504	D, D	SFY2017-18
040001366	KINGS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2018-05-17 00:00:00	040014081	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-23 00:00:00	2017-11-23 00:00:00	No	2018-06-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	FH2S11	N	CA00562274	B	SFY2017-18
040001366	KINGS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2018-05-17 00:00:00	040014084	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-15 00:00:00	2017-06-15 00:00:00	No	2018-06-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	FH2S11	N	CA00537737	B	SFY2017-18
040000059	NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2018-05-23 00:00:00	040014089	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-02-06 00:00:00	2018-02-06 00:00:00	No	2018-06-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LO0U11	N	CA00567224	B	SFY2017-18
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2018-06-20 00:00:00	040014167	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-02 00:00:00	2018-04-02 00:00:00	No	2018-07-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	GJWX11	N	CA00580714	A	SFY2017-18
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2018-07-10 00:00:00	040014228	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-03-05 00:00:00	2018-03-05 00:00:00	No	2018-07-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GL1Q11	N	CA00576796	A	SFY2018-19
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2018-08-08 00:00:00	040014318	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-03-26 00:00:00	2018-03-26 00:00:00	No	2018-08-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	J3XY11	N	CA00583230	A	SFY2018-19
040001363	ALLEN-FLORER FAMILY HOME - NINTH	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2018-08-09 00:00:00	040014325	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-17 00:00:00	2018-01-17 00:00:00	Yes	2018-08-30 00:00:00	2018-08-28 00:00:00	A	None	10000	10000	0	0	10000	None	344V11	Y	CA00569909	C	SFY2018-19
040001364	HANFORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2018-08-21 00:00:00	040014340	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-23 00:00:00	2018-02-23 00:00:00	Yes	2018-09-12 00:00:00	2018-08-21 00:00:00	A	B	20000	12500	0	12500	0	None	C4G811	N	CA00575456, CA00577865	B, B	SFY2018-19
040000012	EVERGREEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2018-09-12 00:00:00	040014405	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-20 00:00:00	2017-09-20 00:00:00	No	2018-10-03 00:00:00	None	A	None	20000	20000	0	20000	0	None	RVJ611	N	CA00554036	B	SFY2018-19
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2018-09-26 00:00:00	040014433	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-05-18 00:00:00	2018-05-18 00:00:00	No	2018-10-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	971011	N	CA00587242, CA00587242, CA00587242	A, A, A	SFY2018-19
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2018-10-01 00:00:00	040014444	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2018-02-14 00:00:00	2018-02-14 00:00:00	No	2018-10-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IJXL11	N	CA00574409	A	SFY2018-19
040000049	COVENANT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2018-10-24 00:00:00	040014527	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-02 00:00:00	2018-07-02 00:00:00	No	2018-11-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2T1H11	N	CA00593826	B	SFY2018-19
040000031	LOS BANOS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2018-12-17 00:00:00	040014653	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-21 00:00:00	2018-04-21 00:00:00	No	2019-01-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	7HSZ11	N	CA00583730, CA00583730	B, B	SFY2018-19
040000308	CASA FLAMENGOS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2019-02-27 00:00:00	040014842	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-10-16 00:00:00	2018-10-16 00:00:00	No	2019-03-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	E7IQ11	N	None	None	SFY2018-19
040000308	CASA FLAMENGOS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2019-02-27 00:00:00	040014844	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-10-16 00:00:00	2018-10-16 00:00:00	No	2019-03-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	E7IQ11	N	None	None	SFY2018-19
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2019-03-29 00:00:00	040014915	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2019-02-01 00:00:00	2019-02-01 00:00:00	No	2019-04-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	EM2Q13	N	None	None	SFY2018-19
040000225	ANBERRY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2019-04-03 00:00:00	040014934	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-11-29 00:00:00	2018-11-29 00:00:00	Yes	2019-04-24 00:00:00	2019-04-18 00:00:00	AA	A	100000	55000	0	55000	0	None	S70D11	Y	CA00613999	A	SFY2018-19
630011955	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	Fresno	2019-04-19 00:00:00	040014979	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-17 00:00:00	2018-04-17 00:00:00	No	2019-05-10 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	SBNN11	N	CA00586384	C	SFY2018-19
040000043	FRESNO NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2019-09-27 00:00:00	040015409	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-26 00:00:00	2019-05-26 00:00:00	No	2019-10-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8VMU11	N	CA00639912	A	SFY2019-20
040000012	EVERGREEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2019-12-16 00:00:00	040015610	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-23 00:00:00	2019-06-23 00:00:00	No	2020-01-06 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	ZT0B11	N	CA00642928	B	SFY2019-20
040000015	BETHEL LUTHERAN HOME, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2020-01-29 00:00:00	040015708	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-23 00:00:00	2019-06-23 00:00:00	No	2020-02-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	PLZ211	N	None	None	SFY2019-20
040000027	LA SIERRA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2020-01-31 00:00:00	040015722	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2019-07-13 00:00:00	2019-07-13 00:00:00	Yes	2020-02-21 00:00:00	2020-02-10 00:00:00	A	B	20000	20000	0	20000	0	None	D7H911	N	CA00646193, CA00646193	A, A	SFY2019-20
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2020-02-14 00:00:00	040015748	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-12 00:00:00	2019-09-12 00:00:00	Yes	2020-03-06 00:00:00	2020-03-02 00:00:00	A	A	20000	12000	0	12000	0	None	Y5PT11	N	CA00654416	A	SFY2019-20
040000014	HORIZON HEALTH & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2020-02-25 00:00:00	040015764	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-06 00:00:00	2018-08-06 00:00:00	Yes	2020-03-17 00:00:00	2020-03-13 00:00:00	A	A	20000	16000	0	16000	0	None	AL2L11	N	CA00598760	B	SFY2019-20
040000014	HORIZON HEALTH & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2020-02-25 00:00:00	040015765	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-03 00:00:00	2018-08-03 00:00:00	Yes	2020-03-17 00:00:00	2020-03-13 00:00:00	A	A	20000	16000	0	16000	0	None	AL2L11	N	CA00599257	B	SFY2019-20
040001040	WILLOW CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-11-23 00:00:00	040017121	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-22 00:00:00	2020-12-22 00:00:00	No	2021-12-16 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	GDDY11	N	CA00718128	B	SFY2021-22
040000015	BETHEL LUTHERAN HOME, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2021-12-16 00:00:00	040017195	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2019-03-27 00:00:00	2019-03-27 00:00:00	No	2022-01-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q0H511	N	CA00636077	B	SFY2021-22
040000048	MERCED BEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-12-29 00:00:00	040017225	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2020-10-06 00:00:00	2020-10-06 00:00:00	No	2022-01-20 00:00:00	None	A	None	20000	20000	0	20000	0	None	RHML11	N	CA00707973	A	SFY2021-22
040000043	FRESNO NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-02-03 00:00:00	040017306	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2021-06-23 00:00:00	2021-06-23 00:00:00	No	2022-02-25 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	89V011	N	CA00741469	B	SFY2021-22
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2022-03-08 00:00:00	040017473	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-29 00:00:00	2020-07-29 00:00:00	No	2022-03-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	9SUY11	N	CA00699096	B	SFY2021-22
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-04-06 00:00:00	040017547	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge Rights	2022-03-09 00:00:00	2022-03-09 00:00:00	No	2022-04-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	APNQ11	N	CA00776784	A	SFY2021-22
630017833	SIERRA CARE CLOVIS	LTC	CLHF	Congregate Living Health Facility	Fresno	2022-06-13 00:00:00	040017705	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-09 00:00:00	2022-04-09 00:00:00	No	2022-07-05 00:00:00	None	A	None	8000	8000	0	8000	0	None	W64811	N	CA00780396	B	SFY2021-22
040000015	BETHEL LUTHERAN HOME, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2021-02-26 00:00:00	040017897	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-10-21 00:00:00	2019-10-21 00:00:00	No	2022-09-15 00:00:00	None	AP BR	None	15000	15000	0	15000	0	None	WZXX11	None	CA00660046	C	SFY2020-21
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-10-24 00:00:00	040018108	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-28 00:00:00	2022-06-28 00:00:00	No	2022-11-15 00:00:00	None	A	None	20000	20000	-20000	0	0	None	9QID11	N	CA00791521	B	SFY2022-23
040000043	FRESNO NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-12-01 00:00:00	040018187	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-15 00:00:00	2022-01-15 00:00:00	No	2022-12-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	E1SM11	N	CA00766351, CA00766351	B, B	SFY2022-23
030000288	TURLOCK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-03-13 00:00:00	040018467	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-29 00:00:00	2020-10-29 00:00:00	Yes	2023-04-04 00:00:00	2023-03-14 00:00:00	A	None	20000	20050	0	0	20050	None	W3BS11	N	CA00725453, CA00725453	A, A	SFY2022-23
630016994	BEACON OF HOPE CARE FACILITY	LTC	CLHF	Congregate Living Health Facility	Fresno	2023-04-18 00:00:00	040018636	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-02-27 00:00:00	2023-02-27 00:00:00	No	2023-05-09 00:00:00	None	B	None	500	500	0	500	0	None	ZIQF11	N	None	None	SFY2022-23
630016994	BEACON OF HOPE CARE FACILITY	LTC	CLHF	Congregate Living Health Facility	Fresno	2023-04-18 00:00:00	040018638	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-02-27 00:00:00	2023-02-27 00:00:00	No	2023-05-09 00:00:00	None	B	None	500	500	0	500	0	None	ZIQF11	N	None	None	SFY2022-23
630016994	BEACON OF HOPE CARE FACILITY	LTC	CLHF	Congregate Living Health Facility	Fresno	2023-04-18 00:00:00	040018639	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-02-27 00:00:00	2023-02-27 00:00:00	No	2023-05-09 00:00:00	None	B	None	500	500	0	500	0	None	ZIQF11	N	None	None	SFY2022-23
630016994	BEACON OF HOPE CARE FACILITY	LTC	CLHF	Congregate Living Health Facility	Fresno	2023-04-18 00:00:00	040018640	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-02-27 00:00:00	2023-02-27 00:00:00	No	2023-05-09 00:00:00	None	B	None	500	500	0	500	0	None	ZIQF11	N	None	None	SFY2022-23
630016994	BEACON OF HOPE CARE FACILITY	LTC	CLHF	Congregate Living Health Facility	Fresno	2023-04-18 00:00:00	040018641	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-02-27 00:00:00	2023-02-27 00:00:00	No	2023-05-09 00:00:00	None	B	None	500	500	0	500	0	None	ZIQF11	N	None	None	SFY2022-23
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-05-19 00:00:00	040018773	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-02 00:00:00	2022-11-02 00:00:00	No	2023-06-12 00:00:00	None	B	None	2000	2000	0	0	2000	None	SHQV11	N	CA00809555, CA00809555	B, B	SFY2022-23
040000064	TWILIGHT HAVEN	LTC	SNF	Skilled Nursing Facility	Fresno	2023-06-02 00:00:00	040018819	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-23 00:00:00	2022-12-23 00:00:00	No	2023-06-23 00:00:00	None	A	None	18000	18000	0	18000	0	None	GS0I11	N	CA00817972	B	SFY2022-23
040000048	MERCED BEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-07-19 00:00:00	040018968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-01 00:00:00	2023-06-01 00:00:00	No	2023-08-09 00:00:00	None	B	None	2000	2050	0	2050	0	None	DRHI11	N	None	None	SFY2023-24
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-10-05 00:00:00	040019218	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-10-28 00:00:00	2022-10-28 00:00:00	Yes	2023-10-26 00:00:00	2023-10-26 00:00:00	AA	None	80000	80000	0	0	80000	None	SHQV11	Y	CA00809584	A	SFY2023-24
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-10-04 00:00:00	040019224	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-20 00:00:00	2023-03-20 00:00:00	No	2023-10-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	20R211	N	CA00834854	B	SFY2023-24
040000042	BRIGHTON POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2023-12-07 00:00:00	040019442	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-03 00:00:00	2023-04-03 00:00:00	No	2023-12-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N8LH11	N	CA00834356	B	SFY2023-24
040000077	CORNERSTONE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-12-07 00:00:00	040019444	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-06 00:00:00	2023-02-06 00:00:00	No	2023-12-29 00:00:00	None	B	None	2500	2500	-875	1625	0	None	2TYU11	N	CA00825435	B	SFY2023-24
040000043	FRESNO NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2024-01-22 00:00:00	040019620	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-31 00:00:00	2023-08-31 00:00:00	No	2024-02-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MX3U11	N	CA00858590, CA00858590, CA00858937, CA00860770	B, B, B, B	SFY2023-24
030000852	BRANDEL MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2024-01-23 00:00:00	040019622	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-19 00:00:00	2023-09-19 00:00:00	No	2024-02-13 00:00:00	None	A	None	15000	15000	0	15000	0	None	E9OT11	N	CA00861613, CA00861613, CA00861613, CA00862439, CA00862439, CA00862439	B, B, B, B, B, B	SFY2023-24
030000852	BRANDEL MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2024-04-02 00:00:00	040019655	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-23 00:00:00	2022-09-23 00:00:00	No	2024-04-23 00:00:00	None	A	None	20000	20000	0	20000	0	None	ZQFL11	N	CA00804752, CA00804752, CA00806643, CA00806643	B, B, B, B	SFY2023-24
040000047	HEALTHCARE CENTRE OF FRESNO	LTC	SNF	Skilled Nursing Facility	Fresno	2024-02-29 00:00:00	040019796	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-06 00:00:00	2023-11-06 00:00:00	No	2024-03-21 00:00:00	None	A	None	20000	20000	0	20000	0	None	OLVO11	N	CA00868517	C	SFY2023-24
630011850	LORETTA'S LITTLE MIRACLES	LTC	PDHRCF	Pediatric Day Health & Respite Care Facility	Fresno	2024-03-21 00:00:00	040019886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-09 00:00:00	2022-02-09 00:00:00	No	2024-04-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	QYFI11	N	CA00774285, CA00774285	C, C	SFY2023-24
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2024-05-03 00:00:00	040020083	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-15 00:00:00	2024-01-15 00:00:00	Yes	2024-05-24 00:00:00	2024-05-07 00:00:00	A	None	20000	20000	0	0	20000	None	45WD11	N	CA00882482, CA00882482	B, B	SFY2023-24
050000005	COUNTRY CARE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2000-01-04 00:00:00	050001353	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-03-27 00:00:00	1999-03-27 00:00:00	No	2000-01-28 00:00:00	None	B	None	800	800	0	800	0	050013406	A99999	N	None	None	SFY1999-00
050001111	THE ICF COTTAGE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-01-05 00:00:00	050001354	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-09 00:00:00	1999-12-09 00:00:00	No	2000-02-01 00:00:00	None	B	None	300	300	0	300	0	050013407	A99999	N	None	None	SFY1999-00
050000141	COMMUNITY MEMORIAL CONTINUING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2000-01-04 00:00:00	050001355	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE & RIGHT	1999-10-25 00:00:00	None	Yes	2000-05-29 00:00:00	2000-05-03 00:00:00	B	B	800	500	0	500	0	050013408	A99999	N	None	None	SFY1999-00
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2000-01-11 00:00:00	050001359	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/RIGHTS	1999-12-19 00:00:00	None	Yes	2000-02-08 00:00:00	2000-01-24 00:00:00	B	B	1000	1000	-900	100	0	050013429	A99999	N	None	None	SFY1999-00
050001021	GOLETA VALLEY COTTAGE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2000-01-28 00:00:00	050001360	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-01 00:00:00	1999-09-01 00:00:00	No	2000-02-18 00:00:00	None	B	None	1000	1000	-350	650	0	050013487	A99999	N	None	None	SFY1999-00
050000131	VINEYARD HILLS HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2000-01-31 00:00:00	050001361	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/NEGLECT	1999-12-25 00:00:00	1999-12-25 00:00:00	No	2000-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	050013488	A99999	N	None	None	SFY1999-00
050000216	SINGH CARE HOME, INC. II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-01-28 00:00:00	050001362	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-12-20 00:00:00	None	Yes	2000-02-25 00:00:00	2000-02-22 00:00:00	A	A	10000	10000	-10000	0	0	050013490	A99999	N	None	None	SFY1999-00
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2000-02-02 00:00:00	050001363	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-10 00:00:00	1999-09-10 00:00:00	No	2000-01-26 00:00:00	None	B	None	900	900	0	900	0	050013498	A99999	N	None	None	SFY1999-00
050001098	JADE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-02-18 00:00:00	050001365	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-06 00:00:00	2000-01-06 00:00:00	No	2000-03-30 00:00:00	None	B	None	700	700	-245	455	0	050013548	A99999	N	None	None	SFY1999-00
050000079	MILTON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-02-25 00:00:00	050001366	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-02 00:00:00	2000-02-02 00:00:00	Yes	2000-07-18 00:00:00	2000-03-13 00:00:00	B	B	500	500	0	500	0	050013560	A99999	N	None	None	SFY1999-00
050001152	SAN LUIS OBISPO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-03-02 00:00:00	050001370	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-08-24 00:00:00	1999-08-24 00:00:00	Yes	2000-07-19 00:00:00	2000-07-07 00:00:00	B	Dismissed by Court	800	0	0	0	0	050013583	A99999	N	None	None	SFY1999-00
050001071	FARROLL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-03-08 00:00:00	050001371	Closed	Citation	Citation A (HSC 1424)	Staffing	None	2000-02-08 00:00:00	2000-02-08 00:00:00	Yes	2000-07-03 00:00:00	2001-01-31 00:00:00	A	Drop>Deficiency	1000	1000	0	1000	0	050013618	A99999	N	None	None	SFY1999-00
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2000-04-19 00:00:00	050001375	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2000-03-11 00:00:00	2000-03-11 00:00:00	Yes	2000-05-19 00:00:00	2000-04-20 00:00:00	B	None	1000	1000	0	1000	0	050013763	A99999	N	None	None	SFY1999-00
050000045	CASA DE VIDA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-05-02 00:00:00	050001378	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-02 00:00:00	None	Yes	2000-08-17 00:00:00	2000-05-17 00:00:00	B	B	1000	1000	0	1000	0	050013830	A99999	N	None	None	SFY1999-00
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2000-05-19 00:00:00	050001379	Closed	Citation	Citation B (HSC 1424)	Other	PT RIGHTS/NEGLECT/AB	2000-04-26 00:00:00	2000-04-26 00:00:00	No	2000-06-14 00:00:00	None	B	None	1000	1000	0	1000	0	050013890	A99999	N	None	None	SFY1999-00
050001111	THE ICF COTTAGE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-05-30 00:00:00	050001380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-29 00:00:00	None	No	2000-06-23 00:00:00	None	B	None	1000	1000	0	1000	0	050013908	A99999	N	None	None	SFY1999-00
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-05-30 00:00:00	050001383	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-03 00:00:00	2000-04-03 00:00:00	No	2000-06-23 00:00:00	None	B	None	500	500	0	500	0	050013934	A99999	N	None	None	SFY1999-00
050000612	SEASHORE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-05-30 00:00:00	050001384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-14 00:00:00	2000-04-14 00:00:00	No	2000-06-26 00:00:00	None	B	None	700	700	0	700	0	050013935	A99999	N	None	None	SFY1999-00
050000836	SUNSET COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-06-09 00:00:00	050001385	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-26 00:00:00	2000-04-26 00:00:00	Yes	2000-07-06 00:00:00	2000-06-12 00:00:00	B	B	1000	1000	0	1000	0	050013976	A99999	N	None	None	SFY1999-00
050001218	SIERRA VISTA REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2000-06-14 00:00:00	050001386	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-04-02 00:00:00	2000-04-02 00:00:00	Yes	2000-11-22 00:00:00	2000-11-08 00:00:00	B	Dismissed by Court	800	0	0	0	0	050013991	A99999	N	None	None	SFY1999-00
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2000-06-14 00:00:00	050001387	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-28 00:00:00	1999-11-28 00:00:00	No	2000-07-13 00:00:00	None	B	None	900	900	0	900	0	050013993	A99999	N	None	None	SFY1999-00
050000139	BAYSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2000-07-17 00:00:00	050001388	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLECT	2000-06-05 00:00:00	None	No	2000-08-09 00:00:00	None	B	None	500	500	-175	325	0	050014111	A99999	N	None	None	SFY2000-01
050000871	MAGNOLIA COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-07-20 00:00:00	050001389	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-02-14 00:00:00	2000-02-14 00:00:00	Yes	2000-11-24 00:00:00	2001-03-19 00:00:00	A	A	6000	2000	0	2000	0	050014120	A99999	N	None	None	SFY2000-01
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2000-08-10 00:00:00	050001390	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-19 00:00:00	1999-08-19 00:00:00	No	2000-08-31 00:00:00	None	B	None	1000	1000	-350	650	0	050014186	A99999	N	None	None	SFY2000-01
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2000-08-10 00:00:00	050001391	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-19 00:00:00	1999-08-19 00:00:00	No	2000-09-07 00:00:00	None	B	None	1000	1000	-350	650	0	050014186	A99999	N	None	None	SFY2000-01
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2000-09-20 00:00:00	050001395	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-15 00:00:00	2000-08-15 00:00:00	Yes	2000-10-13 00:00:00	2000-10-23 00:00:00	B	B Trebled	1000	2250	0	2250	0	050014327	A99999	N	None	None	SFY2000-01
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2000-09-29 00:00:00	050001396	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-08-24 00:00:00	2000-08-24 00:00:00	Yes	2000-10-31 00:00:00	2000-10-23 00:00:00	B	B	1000	750	0	750	0	050014353	A99999	N	None	None	SFY2000-01
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2000-10-05 00:00:00	050001398	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-06-01 00:00:00	2000-08-20 00:00:00	Yes	2000-11-06 00:00:00	2000-10-18 00:00:00	B	B	1000	750	0	750	0	050014363	A99999	N	None	None	SFY2000-01
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2000-11-20 00:00:00	050001400	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-11 00:00:00	2000-09-11 00:00:00	Yes	2000-12-19 00:00:00	2000-11-21 00:00:00	B	B	1000	750	0	750	0	050014473	A99999	N	None	None	SFY2000-01
050000066	COASTAL VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2000-12-05 00:00:00	050001402	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-08 00:00:00	2000-10-08 00:00:00	Yes	2001-07-05 00:00:00	2001-07-02 00:00:00	B	B	800	800	0	800	0	050014525	A99999	N	None	None	SFY2000-01
050000066	COASTAL VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2000-12-19 00:00:00	050001406	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-08 00:00:00	2000-10-08 00:00:00	Yes	2001-07-05 00:00:00	2001-07-02 00:00:00	B	B	800	800	0	800	0	050014572	A99999	N	None	None	SFY2000-01
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-12-20 00:00:00	050001407	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-10-11 00:00:00	None	No	2001-01-18 00:00:00	None	A	None	6000	6000	-2100	3900	0	050014573	A99999	N	None	None	SFY2000-01
050001325	TOLTEC LIVING CENTER	LTC	CLHF	Congregate Living Health Facility	Ventura	2000-12-20 00:00:00	050001408	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2000-12-11 00:00:00	None	Yes	2001-07-23 00:00:00	2001-01-03 00:00:00	B	B	900	900	0	900	0	050014579	A99999	N	None	None	SFY2000-01
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-01-08 00:00:00	050001409	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-24 00:00:00	2000-11-24 00:00:00	No	2001-02-13 00:00:00	None	B	None	1000	1000	-350	650	0	050014599	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001410	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-27 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014609	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001411	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-27 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014611	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001412	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-28 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014612	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001413	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-27 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014614	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001414	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-27 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014613	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001415	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-27 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014615	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001416	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-27 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014616	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001417	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-30 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014617	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001418	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-30 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014618	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001419	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-28 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014619	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001420	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-29 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014620	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001421	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-28 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014621	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001422	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-29 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	800	0	0	0	0	050014622	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001423	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-27 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	800	0	0	0	0	050014623	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001424	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-11-14 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	800	0	0	0	0	050014624	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001425	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-27 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014625	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001426	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-27 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	800	0	0	0	0	050014626	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001427	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-30 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014628	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001428	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-27 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	800	0	0	0	0	050014629	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001429	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-11-13 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014630	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001430	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-28 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014631	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001431	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-11-02 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	800	0	0	0	0	050014632	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001432	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-28 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014633	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001433	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-11-03 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	Drop>Deficiency	500	0	0	0	0	050014634	A99999	N	None	None	SFY2000-01
050000001	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-12 00:00:00	050001434	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-10-28 00:00:00	None	Yes	2001-02-07 00:00:00	2001-01-22 00:00:00	B	B	500	10725	0	10725	0	050014635	A99999	N	None	None	SFY2000-01
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2001-01-17 00:00:00	050001436	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-10-28 00:00:00	None	Yes	2001-02-28 00:00:00	2001-01-22 00:00:00	B	B Trebled	1000	2250	0	2250	0	050014645	A99999	N	None	None	SFY2000-01
050000871	MAGNOLIA COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-01-23 00:00:00	050001437	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-22 00:00:00	None	Yes	2001-06-18 00:00:00	2001-01-25 00:00:00	B	B	800	800	0	800	0	050014669	A99999	N	None	None	SFY2000-01
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-02-05 00:00:00	050001438	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-02 00:00:00	None	Yes	2001-03-06 00:00:00	2001-02-14 00:00:00	A	A	12000	6500	0	6500	0	050014714	A99999	N	None	None	SFY2000-01
050000073	VENTURA ESTATES HEALTH MANOR	LTC	SNF	Skilled Nursing Facility	Ventura	2001-02-06 00:00:00	050001439	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-16 00:00:00	None	Yes	2001-06-11 00:00:00	2001-02-13 00:00:00	B	Drop>Deficiency	800	0	0	0	0	050014726	A99999	N	None	None	SFY2000-01
050000610	PELICAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-02-06 00:00:00	050001440	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-25 00:00:00	None	Yes	2001-08-06 00:00:00	2001-02-09 00:00:00	B	B	1000	1050	0	1050	0	050014728	A99999	N	None	None	SFY2000-01
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2001-02-06 00:00:00	050001441	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-10-28 00:00:00	None	No	2001-03-07 00:00:00	None	B	None	1000	3000	-1050	1950	0	050014711	A99999	N	None	None	SFY2000-01
050000610	PELICAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-02-09 00:00:00	050001442	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-12-09 00:00:00	None	Yes	2001-08-14 00:00:00	2001-02-09 00:00:00	A	A	5000	5000	0	5000	0	050014735	A99999	N	None	None	SFY2000-01
050000062	THE CALIFORNIAN	LTC	SNF	Skilled Nursing Facility	Ventura	2001-02-21 00:00:00	050001443	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-11-01 00:00:00	2000-11-01 00:00:00	No	2001-03-19 00:00:00	None	B	Drop>Deficiency	750	0	0	0	0	050014776	A99999	N	None	None	SFY2000-01
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-02-22 00:00:00	050001444	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-11-01 00:00:00	2000-11-01 00:00:00	No	2001-03-21 00:00:00	None	B	None	1000	1000	-1000	0	0	050014794	A99999	N	None	None	SFY2000-01
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2001-03-08 00:00:00	050001446	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE REPORTING	2001-01-31 00:00:00	2001-01-31 00:00:00	Yes	2001-03-29 00:00:00	2001-03-09 00:00:00	B	None	650	650	0	650	0	050014826	A99999	N	None	None	SFY2000-01
050001343	PIKE, THE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-03-22 00:00:00	050001447	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-13 00:00:00	None	Yes	2001-08-07 00:00:00	2001-03-28 00:00:00	B	B	800	800	0	800	0	050014908	A99999	N	None	None	SFY2000-01
050000050	GLENWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-04-03 00:00:00	050001449	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-13 00:00:00	2000-12-13 00:00:00	Yes	2001-04-24 00:00:00	2001-04-09 00:00:00	A	A	12000	5000	0	5000	0	050014939	A99999	N	CA00066740	C	SFY2000-01
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2001-04-09 00:00:00	050001451	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLECT REPORT	2001-02-23 00:00:00	None	No	2001-05-03 00:00:00	None	B	None	200	200	-70	130	0	050014964	A99999	N	None	None	SFY2000-01
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2001-04-10 00:00:00	050001452	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-21 00:00:00	None	Yes	2001-11-06 00:00:00	2001-10-16 00:00:00	A	A	18000	7500	0	7500	0	050014969	A99999	N	None	None	SFY2000-01
050000139	BAYSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-06-05 00:00:00	050001453	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-28 00:00:00	2000-04-28 00:00:00	No	2001-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	050015133	A99999	N	None	None	SFY2000-01
050000139	BAYSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-06-05 00:00:00	050001454	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-01-29 00:00:00	1999-01-29 00:00:00	No	2001-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	050015134	A99999	N	None	None	SFY2000-01
050000139	BAYSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-06-05 00:00:00	050001455	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-04-28 00:00:00	2000-04-28 00:00:00	No	2001-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	050015136	A99999	N	None	None	SFY2000-01
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-06-06 00:00:00	050001456	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-28 00:00:00	2001-02-28 00:00:00	No	2001-07-02 00:00:00	None	B	None	1000	1000	0	1000	0	050015137	A99999	N	None	None	SFY2000-01
050000044	SAN LUIS POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-06-26 00:00:00	050001457	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-11 00:00:00	2001-03-11 00:00:00	No	2001-07-24 00:00:00	None	A	None	3000	3000	-1050	1950	0	050015179	A99999	N	None	None	SFY2000-01
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-06-27 00:00:00	050001459	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLECT	2001-03-30 00:00:00	2001-03-30 00:00:00	Yes	2001-10-30 00:00:00	2001-10-26 00:00:00	B	B	800	800	0	800	0	050015178	A99999	N	None	None	SFY2000-01
050000678	LA PALOMA GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-07-18 00:00:00	050001460	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-06-22 00:00:00	2001-06-22 00:00:00	No	2001-08-09 00:00:00	None	A	None	2000	2000	0	2000	0	050015253	A99999	N	None	None	SFY2001-02
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2001-07-18 00:00:00	050001461	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-04-22 00:00:00	2001-04-22 00:00:00	Yes	2001-10-31 00:00:00	2001-10-16 00:00:00	A	A	16000	16000	0	16000	0	050015092	A99999	N	None	None	SFY2001-02
050000141	COMMUNITY MEMORIAL CONTINUING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-07-27 00:00:00	050001462	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2001-03-18 00:00:00	2001-03-18 00:00:00	No	2001-08-20 00:00:00	None	B	None	800	800	-280	520	0	050015274	A99999	N	None	None	SFY2001-02
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2001-07-26 00:00:00	050001463	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-28 00:00:00	2001-05-28 00:00:00	No	2001-08-21 00:00:00	None	B	None	800	800	-280	520	0	050015284	A99999	N	None	None	SFY2001-02
050001345	CHUPARROSA STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-08-15 00:00:00	050001464	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-06-09 00:00:00	2001-06-09 00:00:00	Yes	2001-11-28 00:00:00	2001-08-17 00:00:00	A	A	1200	1200	0	1200	0	050015328	A99999	N	None	None	SFY2001-02
050001110	VERONA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-08-16 00:00:00	050001465	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE/NEGLECT	2001-06-12 00:00:00	2001-06-12 00:00:00	Yes	2001-12-12 00:00:00	2001-08-29 00:00:00	A	A	1200	1200	0	1200	0	050015337	A99999	N	None	None	SFY2001-02
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2001-09-21 00:00:00	050001466	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-20 00:00:00	2001-08-20 00:00:00	No	2001-10-24 00:00:00	None	B	None	800	900	-280	620	0	050015409	A99999	N	None	None	SFY2001-02
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2001-09-21 00:00:00	050001467	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-14 00:00:00	2001-04-14 00:00:00	No	2001-10-15 00:00:00	None	B	None	500	500	-175	325	0	050015415	A99999	N	None	None	SFY2001-02
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2001-09-21 00:00:00	050001468	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-04-13 00:00:00	2001-04-13 00:00:00	No	2001-10-24 00:00:00	None	B	None	1000	1000	-350	650	0	050015416	A99999	N	None	None	SFY2001-02
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2001-10-03 00:00:00	050001469	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-09 00:00:00	2001-01-09 00:00:00	No	2001-10-26 00:00:00	None	B	None	800	800	-280	520	0	050015449	A99999	N	None	None	SFY2001-02
050000611	SANDPIPER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-10-18 00:00:00	050001470	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-08-02 00:00:00	2001-08-02 00:00:00	Yes	2002-03-12 00:00:00	2002-02-28 00:00:00	A	B	2500	2500	0	2500	0	050015462	A99999	N	None	None	SFY2001-02
050001152	SAN LUIS OBISPO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-10-19 00:00:00	050001471	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-07-31 00:00:00	2001-07-31 00:00:00	Yes	2002-01-30 00:00:00	2002-01-22 00:00:00	A	A	2500	3500	0	3500	0	050015469	A99999	N	None	None	SFY2001-02
050000648	MORRO BAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-10-19 00:00:00	050001472	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-06-24 00:00:00	2001-06-24 00:00:00	Yes	2002-01-28 00:00:00	2002-01-22 00:00:00	A	Drop>Deficiency	2500	2500	0	2500	0	050015471	A99999	N	None	None	SFY2001-02
050000648	MORRO BAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-10-19 00:00:00	050001473	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-09-16 00:00:00	2001-09-16 00:00:00	Yes	2002-02-14 00:00:00	2002-01-29 00:00:00	A	Dismissed by Court	2500	0	0	0	0	050015473	A99999	N	None	None	SFY2001-02
050001021	GOLETA VALLEY COTTAGE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2001-10-24 00:00:00	050001474	Closed	Citation	Citation A (HSC 1424)	Other	PHYSICIAN SVCS/NEGLC	2000-12-01 00:00:00	2000-12-01 00:00:00	Yes	2002-04-15 00:00:00	2001-11-14 00:00:00	A	A	2000	2000	0	2000	0	050015479	A99999	N	None	None	SFY2001-02
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-10-24 00:00:00	050001475	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-12 00:00:00	2001-09-12 00:00:00	No	2001-11-16 00:00:00	None	B	None	1000	1000	-350	650	0	050015480	A99999	N	None	None	SFY2001-02
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-10-29 00:00:00	050001476	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-13 00:00:00	2001-07-31 00:00:00	No	2001-11-27 00:00:00	None	B	None	900	900	0	900	0	050015484	A99999	N	None	None	SFY2001-02
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2001-11-01 00:00:00	050001477	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-07-03 00:00:00	2001-07-03 00:00:00	Yes	2001-11-27 00:00:00	2001-11-06 00:00:00	AA	AA	60000	33435	0	33435	0	050015496	A99999	Y	None	None	SFY2001-02
050000139	BAYSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-11-01 00:00:00	050001478	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-03 00:00:00	None	Yes	2002-03-22 00:00:00	2002-03-14 00:00:00	A	A	3500	3500	0	3500	0	050015503	A99999	N	None	None	SFY2001-02
050000073	VENTURA ESTATES HEALTH MANOR	LTC	SNF	Skilled Nursing Facility	Ventura	2001-11-19 00:00:00	050001479	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE/NEGLECT	2001-08-15 00:00:00	None	No	2001-12-13 00:00:00	None	A	None	12500	12500	-4375	8125	0	050015509	A99999	N	None	None	SFY2001-02
050001278	MOORPARK HEALTHCARE CENTER	LTC	CLHF	Congregate Living Health Facility	Ventura	2001-11-19 00:00:00	050001480	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-10-08 00:00:00	None	No	2001-12-13 00:00:00	None	B	None	700	700	-245	455	0	050015510	A99999	N	None	None	SFY2001-02
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2001-11-20 00:00:00	050001481	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLECT	2001-10-04 00:00:00	None	No	2001-12-17 00:00:00	None	B	None	800	800	-280	520	0	050015524	A99999	N	None	None	SFY2001-02
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-12-10 00:00:00	050001483	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-23 00:00:00	None	Yes	2002-04-08 00:00:00	2001-12-31 00:00:00	B	B	500	500	0	500	0	050015581	A99999	N	None	None	SFY2001-02
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-12-11 00:00:00	050001484	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-13 00:00:00	None	Yes	2002-03-22 00:00:00	2002-03-11 00:00:00	A	A	5000	2786	0	2786	0	050015584	A99999	N	None	None	SFY2001-02
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-12-27 00:00:00	050001486	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-06 00:00:00	None	No	2002-01-25 00:00:00	None	B	None	500	500	-175	325	0	050015608	A99999	N	None	None	SFY2001-02
050000549	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-12-31 00:00:00	050001487	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-05 00:00:00	None	Yes	2002-04-02 00:00:00	2002-01-02 00:00:00	B	B	800	800	0	800	0	050015609	A99999	N	None	None	SFY2001-02
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2002-01-18 00:00:00	050001488	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-07 00:00:00	None	No	2002-02-14 00:00:00	None	B	None	1000	1000	-350	650	0	050015651	A99999	N	None	None	SFY2001-02
050000062	THE CALIFORNIAN	LTC	SNF	Skilled Nursing Facility	Ventura	2002-01-18 00:00:00	050001489	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-04 00:00:00	None	Yes	2002-08-26 00:00:00	2002-08-12 00:00:00	A	A	6000	2000	0	2000	0	050015653	A99999	N	None	None	SFY2001-02
050001111	THE ICF COTTAGE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-02-04 00:00:00	050001490	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-07-25 00:00:00	None	No	2002-02-27 00:00:00	None	B	None	500	500	0	500	0	050015682	A99999	N	None	None	SFY2001-02
050001175	GENESIS DEVELOPMENTAL SERVICES - SALISBURY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-02-27 00:00:00	050001491	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-02-05 00:00:00	None	No	2002-04-23 00:00:00	None	B	None	500	500	-175	325	0	050015724	A99999	N	None	None	SFY2001-02
050000062	THE CALIFORNIAN	LTC	SNF	Skilled Nursing Facility	Ventura	2002-02-28 00:00:00	050001492	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-01-12 00:00:00	None	Yes	2002-08-21 00:00:00	2002-03-18 00:00:00	B	B	200	200	0	200	0	050015725	A99999	N	None	None	SFY2001-02
050000136	WORK TRAINING PROGRAM INC'S PROJECT INDEPENDENCE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-03-04 00:00:00	050001493	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-12 00:00:00	None	No	2002-03-26 00:00:00	None	B	None	200	200	0	200	0	050015727	A99999	N	None	None	SFY2001-02
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-03-14 00:00:00	050001494	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-06 00:00:00	None	Yes	2002-07-25 00:00:00	2002-03-18 00:00:00	B	B	500	500	0	500	0	050015759	A99999	N	None	None	SFY2001-02
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2002-03-18 00:00:00	050001495	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-26 00:00:00	None	No	2002-04-10 00:00:00	None	B	None	500	500	-175	325	0	050015761	A99999	N	None	None	SFY2001-02
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2002-03-21 00:00:00	050001496	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-26 00:00:00	None	No	2002-04-17 00:00:00	None	B	None	1000	1000	-350	650	0	050015765	A99999	N	None	None	SFY2001-02
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-03-21 00:00:00	050001497	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-01-29 00:00:00	None	Yes	2002-08-26 00:00:00	2002-04-15 00:00:00	A	A	10000	10000	0	10000	0	050015766	A99999	N	None	None	SFY2001-02
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2002-03-25 00:00:00	050001498	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-02-19 00:00:00	None	No	2002-04-22 00:00:00	None	A	None	10000	10050	-3500	6550	0	050015774	A99999	N	None	None	SFY2001-02
050000043	OJAI HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Ventura	2002-04-17 00:00:00	050001499	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2001-12-01 00:00:00	None	No	2002-05-10 00:00:00	None	B	None	500	500	0	500	0	050015815	A99999	N	None	None	SFY2001-02
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-04-26 00:00:00	050001500	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-24 00:00:00	None	Yes	2002-05-21 00:00:00	2002-05-01 00:00:00	A	B	5000	7000	0	7000	0	050015827	A99999	N	None	None	SFY2001-02
050000648	MORRO BAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-05-10 00:00:00	050001501	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-12 00:00:00	None	Yes	2002-10-04 00:00:00	2002-05-10 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	050015858	A99999	N	None	None	SFY2001-02
050001180	STARFISH HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-05-17 00:00:00	050001502	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-05 00:00:00	None	No	2002-06-18 00:00:00	None	B	None	800	800	0	800	0	050015874	A99999	N	None	None	SFY2001-02
050001370	GENESIS DEVELOPMENTAL SERVICES - MOONCREST	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-05-16 00:00:00	050001503	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-10 00:00:00	None	No	2002-06-18 00:00:00	None	B	None	600	600	-210	390	0	050015875	A99999	N	None	None	SFY2001-02
050000648	MORRO BAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-05-21 00:00:00	050001504	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-24 00:00:00	None	Yes	2002-10-17 00:00:00	2002-09-30 00:00:00	B	Drop>Deficiency	800	600	0	600	0	050015876	A99999	N	None	None	SFY2001-02
050001111	THE ICF COTTAGE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-05-24 00:00:00	050001505	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-21 00:00:00	None	No	2002-06-17 00:00:00	None	B	None	800	800	-280	520	0	050015896	A99999	N	None	None	SFY2001-02
050001111	THE ICF COTTAGE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-05-24 00:00:00	050001506	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-21 00:00:00	None	No	2002-07-02 00:00:00	None	B	None	800	800	-280	520	0	050015896	A99999	N	None	None	SFY2001-02
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2002-05-30 00:00:00	050001507	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-26 00:00:00	None	No	2002-06-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	050015900	A99999	N	None	None	SFY2001-02
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2002-06-10 00:00:00	050001508	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-08 00:00:00	None	No	2002-07-08 00:00:00	None	B	None	800	800	0	800	0	050015919	A99999	N	None	None	SFY2001-02
050000469	MOMENTUM AGENCIES BEL AIR HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-06-11 00:00:00	050001509	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-04-16 00:00:00	None	No	2002-07-08 00:00:00	None	A	None	5000	5000	-1750	3250	0	050015920	A99999	N	None	None	SFY2001-02
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2002-06-20 00:00:00	050001510	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-07 00:00:00	None	No	2002-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	050015938	A99999	N	None	None	SFY2001-02
050000722	SCHOOL STREET HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-06-25 00:00:00	050001511	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-06-10 00:00:00	None	Yes	2002-10-23 00:00:00	2002-10-04 00:00:00	B	Drop>Deficiency	800	0	0	0	0	050015947	A99999	N	None	None	SFY2001-02
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-07-19 00:00:00	050001512	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-30 00:00:00	None	No	2002-08-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	050016000	A99999	N	None	None	SFY2002-03
050000049	GREENFIELD CARE CENTER OF FILLMORE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2002-07-22 00:00:00	050001513	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-23 00:00:00	None	No	2002-08-14 00:00:00	None	B	None	300	300	0	300	0	050016002	A99999	N	None	None	SFY2002-03
050000140	MARIAN REGIONAL MEDICAL CENTER DP/SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2002-08-07 00:00:00	050001514	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-07-12 00:00:00	None	No	2002-08-30 00:00:00	None	B	None	100	100	0	100	0	050016028	A99999	N	None	None	SFY2002-03
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-08-14 00:00:00	050001515	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-06-15 00:00:00	None	No	2002-09-12 00:00:00	None	B	None	500	500	-175	325	0	050016060	A99999	N	None	None	SFY2002-03
050000140	MARIAN REGIONAL MEDICAL CENTER DP/SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2002-08-21 00:00:00	050001516	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-08-07 00:00:00	None	No	2002-09-17 00:00:00	None	A	None	5000	5000	-1750	3250	0	050016072	A99999	N	None	None	SFY2002-03
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-08-21 00:00:00	050001517	Closed	Citation	Citation A (HSC 1424)	Administration	None	2002-05-29 00:00:00	None	Yes	2002-09-17 00:00:00	2002-09-13 00:00:00	A	None	5000	5000	0	5000	0	050016077	A99999	N	None	None	SFY2002-03
050000043	OJAI HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Ventura	2002-08-28 00:00:00	050001518	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-02 00:00:00	None	Yes	2002-12-11 00:00:00	2002-11-22 00:00:00	B	B	1000	1000	0	1000	0	050016086	A99999	N	None	None	SFY2002-03
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2002-09-09 00:00:00	050001519	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-08 00:00:00	None	No	2002-10-03 00:00:00	None	A	None	20000	20000	-7000	13000	0	050016107	A99999	N	None	None	SFY2002-03
050001110	VERONA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-09-10 00:00:00	050001520	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-28 00:00:00	None	No	2002-10-07 00:00:00	None	B	None	1000	1000	0	1000	0	050016108	A99999	N	None	None	SFY2002-03
050000045	CASA DE VIDA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-09-19 00:00:00	050001521	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-18 00:00:00	None	Yes	2003-02-04 00:00:00	2002-10-10 00:00:00	B	B	500	500	0	500	0	050016138	A99999	N	None	None	SFY2002-03
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2002-09-24 00:00:00	050001522	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-07-10 00:00:00	None	Yes	2002-10-22 00:00:00	2002-10-02 00:00:00	B	B	100	100	0	100	0	050016155	A99999	N	None	None	SFY2002-03
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2002-09-25 00:00:00	050001523	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-17 00:00:00	None	No	2002-10-25 00:00:00	None	B	None	1000	1000	-350	650	0	050016158	A99999	N	None	None	SFY2002-03
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-10-11 00:00:00	050001524	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-09-12 00:00:00	None	Yes	2003-05-20 00:00:00	2003-05-12 00:00:00	A	B	10000	4000	0	4000	0	050016195	A99999	N	None	None	SFY2002-03
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-10-11 00:00:00	050001525	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-03-26 00:00:00	2002-09-12 00:00:00	Yes	2003-05-20 00:00:00	2003-05-14 00:00:00	B	B	1000	250	0	250	0	050016197	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-10-17 00:00:00	050001526	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-08 00:00:00	None	Yes	2003-03-06 00:00:00	2003-02-19 00:00:00	B	B	1000	1000	0	1000	0	050016201	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-10-17 00:00:00	050001527	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-08-28 00:00:00	None	Yes	2003-03-06 00:00:00	2003-02-19 00:00:00	B	B	500	500	0	500	0	050016204	A99999	N	None	None	SFY2002-03
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2002-10-17 00:00:00	050001528	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-09 00:00:00	None	No	2002-11-12 00:00:00	None	B	None	1000	3000	-1050	1950	0	050016207	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-10-17 00:00:00	050001529	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-08-15 00:00:00	None	Yes	2003-03-06 00:00:00	2003-02-19 00:00:00	A	B	2000	4000	0	4000	0	050016211	A99999	N	None	None	SFY2002-03
050000141	COMMUNITY MEMORIAL CONTINUING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2002-10-24 00:00:00	050001531	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-10 00:00:00	2002-08-10 00:00:00	No	2002-11-15 00:00:00	None	B	None	800	800	-280	520	0	050016225	A99999	N	None	None	SFY2002-03
050001021	GOLETA VALLEY COTTAGE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2002-10-30 00:00:00	050001532	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-19 00:00:00	None	No	2002-11-21 00:00:00	None	B	None	500	500	-175	325	0	050016231	A99999	N	None	None	SFY2002-03
050001021	GOLETA VALLEY COTTAGE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2002-10-30 00:00:00	050001533	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-23 00:00:00	2002-10-30 00:00:00	No	2002-11-21 00:00:00	None	B	None	1000	1000	-350	650	0	050016235	A99999	N	None	None	SFY2002-03
050001021	GOLETA VALLEY COTTAGE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2002-10-30 00:00:00	050001534	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-17 00:00:00	2002-10-30 00:00:00	No	2002-11-21 00:00:00	None	B	None	500	500	-175	325	0	050016239	A99999	N	None	None	SFY2002-03
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2002-11-04 00:00:00	050001536	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-14 00:00:00	2002-10-31 00:00:00	No	2002-12-03 00:00:00	None	B	None	500	500	0	500	0	050016247	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-11-13 00:00:00	050001537	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-23 00:00:00	None	Yes	2002-12-09 00:00:00	2002-11-14 00:00:00	B	None	1000	1250	0	1250	0	050016269	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-11-13 00:00:00	050001538	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-10-23 00:00:00	None	Yes	2002-12-09 00:00:00	2002-11-14 00:00:00	B	None	800	800	0	800	0	050016270	A99999	N	None	None	SFY2002-03
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2002-11-26 00:00:00	050001539	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-09-16 00:00:00	None	Yes	2002-12-23 00:00:00	2002-12-16 00:00:00	AA	AA	50000	50000	0	50000	0	050016286	A99999	Y	None	None	SFY2002-03
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-12-04 00:00:00	050001540	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-23 00:00:00	None	Yes	2003-03-14 00:00:00	2002-12-18 00:00:00	B	B	1000	1000	0	1000	0	050016306	A99999	N	None	None	SFY2002-03
050000718	CASA DEL SOL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-12-05 00:00:00	050001541	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-21 00:00:00	None	Yes	2002-12-27 00:00:00	2002-12-12 00:00:00	B	Drop>Deficiency	800	0	0	0	0	050016307	A99999	N	None	None	SFY2002-03
050001347	PEREIRA DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-12-05 00:00:00	050001542	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-05-09 00:00:00	None	Yes	2003-03-14 00:00:00	2002-12-18 00:00:00	B	B	200	200	0	200	0	050016309	A99999	N	None	None	SFY2002-03
050001021	GOLETA VALLEY COTTAGE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2003-01-10 00:00:00	050001545	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-26 00:00:00	None	No	2003-02-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	050016359	A99999	N	None	None	SFY2002-03
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-02-20 00:00:00	050001546	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-14 00:00:00	None	Yes	2003-10-06 00:00:00	2003-03-06 00:00:00	A	A	12000	12000	0	12000	0	050016468	A99999	N	None	None	SFY2002-03
050000055	MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2003-02-20 00:00:00	050001547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-26 00:00:00	None	No	2003-03-14 00:00:00	None	B	None	300	300	-105	195	0	050016469	A99999	N	None	None	SFY2002-03
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2003-02-21 00:00:00	050001548	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-11-04 00:00:00	None	Yes	2003-03-17 00:00:00	2003-03-13 00:00:00	AA	A	60000	40000	0	40000	0	050016476	A99999	Y	None	None	SFY2002-03
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2003-03-03 00:00:00	050001549	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-04 00:00:00	None	Yes	2003-03-27 00:00:00	2003-03-13 00:00:00	A	B	10000	6667	0	6667	0	050016489	A99999	N	None	None	SFY2002-03
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-03-07 00:00:00	050001550	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-11-23 00:00:00	None	No	2003-03-28 00:00:00	None	B	None	100	100	0	100	0	050016500	A99999	N	None	None	SFY2002-03
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-03-07 00:00:00	050001551	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-23 00:00:00	None	No	2003-03-28 00:00:00	None	B	None	500	500	0	500	0	050016500	A99999	N	None	None	SFY2002-03
050000054	LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2003-03-10 00:00:00	050001552	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-09-02 00:00:00	None	Yes	2003-04-02 00:00:00	2003-03-21 00:00:00	AA	A	60000	20000	0	20000	0	050016502	A99999	Y	None	None	SFY2002-03
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-03-12 00:00:00	050001553	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-20 00:00:00	None	Yes	2003-04-08 00:00:00	2003-03-17 00:00:00	B	B	500	446	0	446	0	050016511	A99999	N	None	None	SFY2002-03
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-03-12 00:00:00	050001554	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-18 00:00:00	None	Yes	2003-04-08 00:00:00	2003-03-17 00:00:00	B	B	800	446	0	446	0	050016511	A99999	N	None	None	SFY2002-03
050000469	MOMENTUM AGENCIES BEL AIR HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-03-19 00:00:00	050001555	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2002-12-31 00:00:00	None	No	2003-04-11 00:00:00	None	B	None	800	800	-280	520	0	050016529	A99999	N	None	None	SFY2002-03
050000081	BEACHCOMBER HOME ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-03-19 00:00:00	050001556	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-02 00:00:00	None	No	2003-04-11 00:00:00	None	B	None	300	300	-105	195	0	050016538	A99999	N	None	None	SFY2002-03
050000139	BAYSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-03-20 00:00:00	050001557	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-08-13 00:00:00	None	No	2003-04-15 00:00:00	None	A	None	3000	3000	-1050	1950	0	050016540	A99999	N	None	None	SFY2002-03
050001111	THE ICF COTTAGE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-03-25 00:00:00	050001558	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-02-20 00:00:00	None	No	2003-04-22 00:00:00	None	B	None	800	800	0	800	0	050016546	A99999	N	None	None	SFY2002-03
050000722	SCHOOL STREET HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-03-27 00:00:00	050001559	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-09-22 00:00:00	None	Yes	2003-04-21 00:00:00	2003-04-01 00:00:00	A	B	3000	1000	0	1000	0	050016554	A99999	N	None	None	SFY2002-03
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-03-28 00:00:00	050001560	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-06 00:00:00	None	No	2003-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	050016559	A99999	N	None	None	SFY2002-03
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-03-28 00:00:00	050001561	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-06 00:00:00	None	No	2003-04-21 00:00:00	None	B	None	500	500	-175	325	0	050016559	A99999	N	None	None	SFY2002-03
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2003-04-08 00:00:00	050001562	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-25 00:00:00	None	No	2003-05-05 00:00:00	None	B	None	1000	1550	-350	1200	0	050016567	A99999	N	None	None	SFY2002-03
050000054	LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2003-04-15 00:00:00	050001563	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-17 00:00:00	None	Yes	2003-05-07 00:00:00	2003-04-25 00:00:00	A	None	5000	5000	0	5000	0	050016571	A99999	N	None	None	SFY2002-03
050000005	COUNTRY CARE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2003-04-28 00:00:00	050001564	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-08 00:00:00	None	No	2003-05-21 00:00:00	None	B	None	400	400	-140	260	0	050016603	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-07 00:00:00	050001565	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-06 00:00:00	None	Yes	2003-08-15 00:00:00	2003-08-06 00:00:00	B	B	600	300	0	300	0	050016628	A99999	N	None	None	SFY2002-03
050000931	TAYLOR COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-05-07 00:00:00	050001566	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-30 00:00:00	None	Yes	2003-10-16 00:00:00	2003-10-10 00:00:00	A	B	3000	3000	0	3000	0	050016629	A99999	N	None	None	SFY2002-03
050000718	CASA DEL SOL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-05-07 00:00:00	050001567	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-13 00:00:00	None	Yes	2003-05-30 00:00:00	2003-05-13 00:00:00	B	None	500	500	0	500	0	050016630	A99999	N	None	None	SFY2002-03
050001071	FARROLL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-05-12 00:00:00	050001568	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-24 00:00:00	None	Yes	2003-09-23 00:00:00	2003-09-26 00:00:00	A	A	3000	3000	0	3000	0	050016644	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-15 00:00:00	050001569	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-02-06 00:00:00	None	Yes	2003-08-29 00:00:00	2003-08-14 00:00:00	A	B	15000	10000	0	10000	0	050016646	A99999	N	None	None	SFY2002-03
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-19 00:00:00	050001570	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-24 00:00:00	None	Yes	2003-06-16 00:00:00	2003-06-09 00:00:00	A	A	20000	13333	0	13333	0	050016660	A99999	N	None	None	SFY2002-03
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-19 00:00:00	050001571	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-24 00:00:00	None	No	2003-06-16 00:00:00	None	B	None	1000	3000	-1050	1950	0	050016660	A99999	N	None	None	SFY2002-03
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-19 00:00:00	050001572	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-24 00:00:00	None	No	2003-06-10 00:00:00	None	B	None	1000	1000	-350	650	0	050016660	A99999	N	None	None	SFY2002-03
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-19 00:00:00	050001573	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-03-27 00:00:00	None	No	2003-06-10 00:00:00	None	B	None	1000	1000	-350	650	0	050016660	A99999	N	None	None	SFY2002-03
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-19 00:00:00	050001574	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-24 00:00:00	None	No	2003-06-16 00:00:00	None	B	None	1000	1000	-350	650	0	050016660	A99999	N	None	None	SFY2002-03
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-19 00:00:00	050001575	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-24 00:00:00	None	No	2003-06-16 00:00:00	None	B	None	1000	1000	-350	650	0	050016660	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-28 00:00:00	050001576	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-03 00:00:00	None	Yes	2003-11-13 00:00:00	2003-06-10 00:00:00	A	A	15000	0	0	0	0	050016684	A99999	N	None	None	SFY2002-03
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-30 00:00:00	050001577	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-16 00:00:00	None	No	2003-06-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	050016688	A99999	N	None	None	SFY2002-03
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-06-05 00:00:00	050001578	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-05-05 00:00:00	None	No	2003-06-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	050016696	A99999	N	None	None	SFY2002-03
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-06-13 00:00:00	050001579	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-04-11 00:00:00	None	Yes	2003-07-07 00:00:00	2003-06-18 00:00:00	A	B	5000	2786	0	2786	0	050016720	A99999	N	None	None	SFY2002-03
050000610	PELICAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-07-29 00:00:00	050001580	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-07-06 00:00:00	None	No	2003-08-21 00:00:00	None	B	None	1000	1000	0	1000	0	050016766	A99999	N	None	None	SFY2003-04
050000549	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-07-31 00:00:00	050001581	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-05-22 00:00:00	None	Yes	2003-08-26 00:00:00	2003-08-04 00:00:00	A	A	10000	3000	0	3000	0	050016768	A99999	N	None	None	SFY2003-04
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-08-12 00:00:00	050001582	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2003-05-28 00:00:00	None	Yes	2003-09-04 00:00:00	2003-08-19 00:00:00	B	B	500	500	0	500	0	050016781	A99999	N	None	None	SFY2003-04
050001278	MOORPARK HEALTHCARE CENTER	LTC	CLHF	Congregate Living Health Facility	Ventura	2003-08-12 00:00:00	050001583	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-05-26 00:00:00	None	No	2003-09-04 00:00:00	None	B	None	1000	1000	-350	650	0	050016782	A99999	N	None	None	SFY2003-04
050001180	STARFISH HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-08-19 00:00:00	050001584	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-08-06 00:00:00	None	No	2003-09-12 00:00:00	None	B	None	600	600	0	600	0	050016786	A99999	N	None	None	SFY2003-04
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-08-26 00:00:00	050001585	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-07 00:00:00	None	Yes	2003-09-18 00:00:00	2003-08-27 00:00:00	B	B	1000	1000	0	1000	0	050016798	A99999	N	None	None	SFY2003-04
050001152	SAN LUIS OBISPO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-09-09 00:00:00	050001586	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-22 00:00:00	None	Yes	2003-10-03 00:00:00	2003-09-11 00:00:00	B	B	1000	1000	0	1000	0	050016820	A99999	N	None	None	SFY2003-04
050001098	JADE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-09-09 00:00:00	050001587	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-04 00:00:00	None	No	2003-10-02 00:00:00	None	B	None	1000	1000	-350	650	0	050016825	A99999	N	None	None	SFY2003-04
050001071	FARROLL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-09-12 00:00:00	050001588	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2003-04-10 00:00:00	None	No	2003-10-24 00:00:00	None	A	Drop>Deficiency	5000	1800	-300	1500	0	050016837	A99999	N	None	None	SFY2003-04
050001347	PEREIRA DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-10-17 00:00:00	050001589	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2003-04-27 00:00:00	2003-04-27 00:00:00	Yes	2003-11-10 00:00:00	2003-11-03 00:00:00	A	B	5000	5000	0	5000	0	050016668	A99999	N	None	None	SFY2003-04
050000005	COUNTRY CARE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2003-10-27 00:00:00	050001590	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-24 00:00:00	None	No	2003-11-20 00:00:00	None	A	None	3500	3500	-1225	2275	0	050016890	A99999	N	None	None	SFY2003-04
050000141	COMMUNITY MEMORIAL CONTINUING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-11-06 00:00:00	050001591	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-03 00:00:00	None	No	2003-12-10 00:00:00	None	B	None	800	2400	-840	1560	0	050016900	A99999	N	None	None	SFY2003-04
050000073	VENTURA ESTATES HEALTH MANOR	LTC	SNF	Skilled Nursing Facility	Ventura	2003-11-06 00:00:00	050001592	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-01 00:00:00	None	Yes	2004-05-05 00:00:00	2004-04-15 00:00:00	B	B	1000	1000	-1000	0	0	050016901	A99999	N	None	None	SFY2003-04
050000005	COUNTRY CARE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2003-11-13 00:00:00	050001593	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-25 00:00:00	None	Yes	2003-12-26 00:00:00	2003-11-20 00:00:00	B	B	500	500	0	500	0	050016906	A99999	N	None	None	SFY2003-04
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-11-14 00:00:00	050001594	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-10-17 00:00:00	None	Yes	2003-12-12 00:00:00	2003-12-05 00:00:00	B	B	800	446	0	446	0	050016910	A99999	N	None	None	SFY2003-04
050000131	VINEYARD HILLS HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-11-18 00:00:00	050001595	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-17 00:00:00	None	No	2003-12-15 00:00:00	None	B	None	300	300	-105	195	0	050016913	A99999	N	None	None	SFY2003-04
050000005	COUNTRY CARE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2003-12-02 00:00:00	050001596	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-16 00:00:00	None	No	2003-12-26 00:00:00	None	B	None	500	500	-175	325	0	050016928	A99999	N	None	None	SFY2003-04
050000722	SCHOOL STREET HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-12-04 00:00:00	050001597	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-17 00:00:00	None	Yes	2003-12-29 00:00:00	2004-05-04 00:00:00	B	B	800	0	0	0	0	050016937	A99999	N	None	None	SFY2003-04
050001175	GENESIS DEVELOPMENTAL SERVICES - SALISBURY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2004-02-11 00:00:00	050001598	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Other	WILLFUL FALSIFICATIO	2003-10-20 00:00:00	None	No	2004-03-05 00:00:00	None	WF	None	1000	1000	-350	650	0	050017061	A99999	None	None	None	SFY2003-04
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2004-03-11 00:00:00	050001599	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-24 00:00:00	None	No	2004-04-07 00:00:00	None	B	None	1000	1000	-350	650	0	050017104	A99999	N	None	None	SFY2003-04
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2004-07-07 00:00:00	050001600	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-04-29 00:00:00	None	No	2004-07-29 00:00:00	None	B	None	500	500	0	500	0	050017428	A99999	N	None	None	SFY2004-05
050000136	WORK TRAINING PROGRAM INC'S PROJECT INDEPENDENCE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2004-07-12 00:00:00	050001601	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-04 00:00:00	None	No	2004-08-02 00:00:00	None	B	None	1000	1000	-350	650	0	050017161	A99999	N	None	None	SFY2004-05
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2004-07-22 00:00:00	050001602	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-30 00:00:00	None	Yes	2004-08-13 00:00:00	2004-08-04 00:00:00	B	B	1000	500	0	500	0	050017346	A99999	N	None	None	SFY2004-05
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2004-07-22 00:00:00	050001603	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-03-22 00:00:00	None	No	2004-08-13 00:00:00	None	B	None	500	500	-175	325	0	050017472	A99999	N	None	None	SFY2004-05
050000612	SEASHORE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2004-07-22 00:00:00	050001604	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-21 00:00:00	None	Yes	2004-08-13 00:00:00	2004-08-04 00:00:00	B	B	600	300	0	300	0	050017479	A99999	N	None	None	SFY2004-05
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-02 00:00:00	050001605	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-08-18 00:00:00	None	Yes	2004-09-27 00:00:00	2004-09-09 00:00:00	B	B	500	250	0	250	0	050017527	A99999	N	None	None	SFY2004-05
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-02 00:00:00	050001606	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-07 00:00:00	None	Yes	2004-09-27 00:00:00	2004-09-09 00:00:00	B	B	800	400	0	400	0	050017527	A99999	N	None	None	SFY2004-05
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-13 00:00:00	050001607	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-01-05 00:00:00	None	No	2004-10-05 00:00:00	None	B	None	800	800	-280	520	0	050017537	A99999	N	None	None	SFY2004-05
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-17 00:00:00	050001608	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-17 00:00:00	None	No	2004-10-12 00:00:00	None	B	None	400	400	-140	260	0	050017542	A99999	N	None	None	SFY2004-05
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-21 00:00:00	050001609	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-11-16 00:00:00	None	Yes	2004-10-13 00:00:00	2004-10-07 00:00:00	A	A	18000	7750	0	7750	0	050016967	A99999	N	None	None	SFY2004-05
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-21 00:00:00	050001610	Closed	Citation	Citation Willful Material Omission (HSC 1424(f)(1))	Patient Care	None	2003-11-16 00:00:00	None	Yes	2004-10-13 00:00:00	2004-10-07 00:00:00	WO	WMO>$1000	2500	2500	0	2500	0	050016967	A99999	None	None	None	SFY2004-05
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-27 00:00:00	050001611	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-28 00:00:00	None	No	2004-10-20 00:00:00	None	B	None	1000	1000	-1000	0	0	050017560	A99999	N	None	None	SFY2004-05
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-27 00:00:00	050001612	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-14 00:00:00	None	No	2004-10-20 00:00:00	None	B	None	1000	1000	-1000	0	0	050017560	A99999	N	None	None	SFY2004-05
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-27 00:00:00	050001613	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-15 00:00:00	None	No	2004-10-20 00:00:00	None	B	None	1000	1000	-1000	0	0	050017563	A99999	N	None	None	SFY2004-05
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-27 00:00:00	050001614	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-16 00:00:00	None	No	2004-10-19 00:00:00	None	B	None	1000	1000	-1000	0	0	050017563	A99999	N	None	None	SFY2004-05
050000718	CASA DEL SOL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2004-11-22 00:00:00	050001615	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-19 00:00:00	None	No	2004-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	050017650	A99999	N	None	None	SFY2004-05
050000718	CASA DEL SOL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2004-11-22 00:00:00	050001616	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-01 00:00:00	2004-07-31 00:00:00	No	2004-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	050017650	A99999	N	None	None	SFY2004-05
050000718	CASA DEL SOL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2004-11-22 00:00:00	050001617	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-08-06 00:00:00	None	No	2004-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	050017650	A99999	N	None	None	SFY2004-05
050000953	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	Ventura	2005-01-10 00:00:00	050001618	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-06-02 00:00:00	None	Yes	2005-02-07 00:00:00	2005-01-24 00:00:00	AA	AA	25000	10000	0	10000	0	050017742	A99999	Y	None	None	SFY2004-05
050000953	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	Ventura	2005-01-10 00:00:00	050001619	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-10-20 00:00:00	None	No	2005-02-07 00:00:00	None	B	None	300	300	0	300	0	050017743	A99999	N	None	None	SFY2004-05
050000048	DANISH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-01-20 00:00:00	050001620	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-01 00:00:00	None	No	2005-02-11 00:00:00	None	B	None	1000	1000	-350	650	0	050017766	A99999	N	None	None	SFY2004-05
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-01-21 00:00:00	050001621	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-04-05 00:00:00	None	No	2005-02-11 00:00:00	None	B	None	100	100	0	100	0	050017187	A99999	N	None	None	SFY2004-05
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-01-21 00:00:00	050001622	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-08-11 00:00:00	None	No	2005-02-11 00:00:00	None	B	None	200	200	-70	130	0	050017187	A99999	N	None	None	SFY2004-05
050000898	JESSICA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-01-21 00:00:00	050001623	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-11-14 00:00:00	None	No	2005-02-11 00:00:00	None	B	None	100	100	0	100	0	050017769	A99999	N	None	None	SFY2004-05
050000604	MOONSTONE HOME ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-02-09 00:00:00	050001624	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-03 00:00:00	None	No	2005-03-07 00:00:00	None	B	None	500	500	-175	325	0	050017796	A99999	N	None	None	SFY2004-05
050001347	PEREIRA DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-02-23 00:00:00	050001625	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-12 00:00:00	None	No	2005-03-21 00:00:00	None	B	None	800	800	-280	520	0	050017797	A99999	N	None	None	SFY2004-05
050000610	PELICAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-05-04 00:00:00	050001626	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-09 00:00:00	2004-09-09 00:00:00	No	2005-06-07 00:00:00	None	B	None	800	800	0	800	0	050017802	A99999	N	None	None	SFY2004-05
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2005-05-25 00:00:00	050001628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-27 00:00:00	2005-04-27 00:00:00	No	2005-06-27 00:00:00	None	B	None	800	800	-280	520	0	050017803	A99999	N	None	None	SFY2004-05
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-08-09 00:00:00	050001629	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-12-09 00:00:00	2004-12-09 00:00:00	No	2005-09-02 00:00:00	None	A	None	3000	3000	-1050	1950	0	050017808	A99999	N	None	None	SFY2005-06
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-09-21 00:00:00	050001630	Closed	Citation	Citation A (HSC 1424)	Medication	None	2005-01-20 00:00:00	2005-01-20 00:00:00	Yes	2005-10-18 00:00:00	2008-04-08 00:00:00	A	A	18000	18000	0	18000	0	050017812	A99999	N	None	None	SFY2005-06
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2005-09-21 00:00:00	050001631	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-12-15 00:00:00	2004-12-15 00:00:00	No	2005-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	050017814	A99999	N	None	None	SFY2005-06
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2005-09-21 00:00:00	050001632	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-27 00:00:00	2005-01-27 00:00:00	No	2005-10-18 00:00:00	None	B	None	800	800	-280	520	0	050017814	A99999	N	None	None	SFY2005-06
050001158	OUR LADY OF GUADALUPE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-09-22 00:00:00	050001633	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2005-06-21 00:00:00	2005-06-21 00:00:00	No	2005-10-14 00:00:00	None	B	None	800	800	0	800	0	050017815	A99999	N	None	None	SFY2005-06
050000929	JOANNE COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-09-22 00:00:00	050001634	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-16 00:00:00	2005-08-16 00:00:00	No	2005-10-18 00:00:00	None	B	None	200	200	0	200	0	050017816	A99999	N	None	None	SFY2005-06
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-11-10 00:00:00	050001635	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-25 00:00:00	2005-03-25 00:00:00	No	2005-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	050017840	A99999	N	CA00043412	C	SFY2005-06
050000718	CASA DEL SOL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-11-22 00:00:00	050001636	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-19 00:00:00	2005-02-19 00:00:00	Yes	2005-12-19 00:00:00	2005-11-28 00:00:00	B	None	1000	3000	-3000	0	0	050017841	A99999	N	None	None	SFY2005-06
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-11-22 00:00:00	050001637	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-01 00:00:00	2004-04-01 00:00:00	Yes	2005-12-19 00:00:00	2005-12-07 00:00:00	B	B	500	250	0	250	0	050017842	A99999	N	None	None	SFY2005-06
050001278	MOORPARK HEALTHCARE CENTER	LTC	CLHF	Congregate Living Health Facility	Ventura	2005-12-13 00:00:00	050001638	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-08-27 00:00:00	2005-08-27 00:00:00	No	2006-01-09 00:00:00	None	B	None	250	250	0	250	0	050017844	A99999	N	None	None	SFY2005-06
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-12-23 00:00:00	050001639	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-03-17 00:00:00	2005-03-17 00:00:00	Yes	2006-02-17 00:00:00	2005-12-27 00:00:00	B	B	800	400	0	400	0	050017846	A99999	N	None	None	SFY2005-06
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-12-23 00:00:00	050001640	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-02 00:00:00	2005-04-02 00:00:00	Yes	2006-02-17 00:00:00	2005-12-27 00:00:00	B	B	800	400	0	400	0	050017847	A99999	N	None	None	SFY2005-06
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-12-22 00:00:00	050001641	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-12 00:00:00	2005-03-12 00:00:00	No	2006-01-17 00:00:00	None	B	None	600	600	-210	390	0	050017848	A99999	N	None	None	SFY2005-06
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-12-22 00:00:00	050001642	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-27 00:00:00	2005-04-27 00:00:00	No	2006-01-17 00:00:00	None	B	None	800	800	-280	520	0	050017849	A99999	N	None	None	SFY2005-06
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2006-01-05 00:00:00	050001643	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-12-11 00:00:00	2005-12-11 00:00:00	No	2006-01-27 00:00:00	None	B	None	500	500	-175	325	0	050017850	A99999	N	None	None	SFY2005-06
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-03-15 00:00:00	050002930	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-30 00:00:00	2005-12-30 00:00:00	No	2006-04-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	2QL011	N	CA00069275	C	SFY2005-06
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-03-15 00:00:00	050002932	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-02-02 00:00:00	2005-02-02 00:00:00	No	2006-04-06 00:00:00	None	B	None	800	800	-280	520	0	None	2QL011	N	None	None	SFY2005-06
050000549	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-03-17 00:00:00	050002963	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-23 00:00:00	2005-06-23 00:00:00	No	2006-04-10 00:00:00	None	B	None	800	800	-280	520	0	None	1T6U11	N	CA00053618	C	SFY2005-06
050001041	HORIZON HOUSE I	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-03-21 00:00:00	050002972	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-02-16 00:00:00	2006-02-16 00:00:00	No	2006-04-12 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	U6U511	N	CA00072760	B	SFY2005-06
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2006-04-06 00:00:00	050003015	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-14 00:00:00	2005-06-14 00:00:00	No	2006-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	JZ0911	N	CA00052868	C	SFY2005-06
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2006-04-06 00:00:00	050003016	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-12 00:00:00	2004-12-12 00:00:00	No	2006-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	LK2411	N	CA00054325	C	SFY2005-06
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-06-28 00:00:00	050003181	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-09-10 00:00:00	2005-09-10 00:00:00	Yes	2006-07-20 00:00:00	2009-09-10 00:00:00	A	Drop>Deficiency	1500	0	0	0	0	None	Z0S611	N	None	None	SFY2005-06
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-06-28 00:00:00	050003182	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-04-15 00:00:00	2006-04-15 00:00:00	Yes	2006-07-20 00:00:00	2006-07-06 00:00:00	B	B	250	125	0	125	0	None	Z0S611	N	None	None	SFY2005-06
050001347	PEREIRA DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-08-15 00:00:00	050003280	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-12-05 00:00:00	2005-12-05 00:00:00	Yes	2006-09-06 00:00:00	2006-08-29 00:00:00	B	B	200	100	0	100	0	None	IMUR11	N	CA00073810, CA00084595	C, C	SFY2006-07
050001347	PEREIRA DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-08-15 00:00:00	050003282	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-05 00:00:00	2005-12-05 00:00:00	Yes	2006-09-06 00:00:00	2006-08-29 00:00:00	B	B	300	150	0	150	0	None	IMUR11	N	CA00084595	C	SFY2006-07
050000604	MOONSTONE HOME ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-08-14 00:00:00	050003283	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-30 00:00:00	2006-05-30 00:00:00	No	2006-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	1LTE11	N	CA00083159	C	SFY2006-07
050001021	GOLETA VALLEY COTTAGE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2006-09-07 00:00:00	050003323	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-20 00:00:00	2005-12-20 00:00:00	No	2006-09-28 00:00:00	None	B	None	300	300	-105	195	0	None	GX4K11	N	CA00068549	C	SFY2006-07
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2006-09-14 00:00:00	050003342	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-15 00:00:00	2005-03-15 00:00:00	No	2006-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	TCG911	N	CA00044146	C	SFY2006-07
050000678	LA PALOMA GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-10-02 00:00:00	050003383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-22 00:00:00	2006-08-22 00:00:00	No	2006-10-24 00:00:00	None	B	None	800	800	-280	520	0	None	BLLL11	N	None	None	SFY2006-07
050000678	LA PALOMA GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-10-02 00:00:00	050003384	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-08-18 00:00:00	2006-08-18 00:00:00	No	2006-10-24 00:00:00	None	B	None	200	200	-70	130	0	None	BLLL11	N	None	None	SFY2006-07
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-10-27 00:00:00	050003453	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2006-10-17 00:00:00	2006-10-17 00:00:00	No	2006-11-20 00:00:00	None	B	None	800	800	-280	520	0	None	Q3GG11	N	CA00096617	B	SFY2006-07
050000549	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-10-31 00:00:00	050003456	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-05 00:00:00	2005-01-05 00:00:00	Yes	2006-11-22 00:00:00	2006-11-16 00:00:00	B	B	800	800	0	800	0	None	LD2H11	N	CA00039095	C	SFY2006-07
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-07 00:00:00	050003462	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-29 00:00:00	2005-04-29 00:00:00	No	2006-12-01 00:00:00	None	B	None	800	800	-280	520	0	None	OEOU11	N	CA00047342	C	SFY2006-07
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-07 00:00:00	050003464	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-01 00:00:00	2006-04-01 00:00:00	No	2006-12-01 00:00:00	None	B	None	800	800	-280	520	0	None	7R9P11	N	CA00077468	C	SFY2006-07
050000005	COUNTRY CARE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-08 00:00:00	050003469	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-12 00:00:00	2004-12-12 00:00:00	No	2006-12-04 00:00:00	None	B	None	800	800	-280	520	0	None	EKYW11	N	CA00037194	C	SFY2006-07
050000045	CASA DE VIDA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-11-08 00:00:00	050003471	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-11 00:00:00	2006-03-11 00:00:00	Yes	2006-12-04 00:00:00	2006-11-16 00:00:00	B	B	600	300	0	300	0	None	POK211	N	CA00077672, CA00077701	C, C	SFY2006-07
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-09 00:00:00	050003481	Closed	Citation	Citation B (HSC 1424)	Other	Not Reporting Unusual Occ	2006-01-19 00:00:00	2006-01-19 00:00:00	No	2006-12-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	0OX311	N	CA00095367	C	SFY2006-07
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-09 00:00:00	050003482	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-09-12 00:00:00	2006-09-12 00:00:00	No	2006-12-05 00:00:00	None	A	None	5000	5000	0	5000	0	None	0OX311	N	CA00093092	C	SFY2006-07
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-09 00:00:00	050003483	Closed	Citation	Citation A (HSC 1424)	Other	Neglect	2006-01-19 00:00:00	2006-01-19 00:00:00	No	2006-12-05 00:00:00	None	A	None	5000	5000	0	5000	0	None	0OX311	N	CA00095367	C	SFY2006-07
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-20 00:00:00	050003491	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-03-06 00:00:00	2006-03-06 00:00:00	Yes	2006-12-13 00:00:00	2006-12-08 00:00:00	A	A	16000	8000	0	8000	0	None	V6S311	N	CA00076935	C	SFY2006-07
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-20 00:00:00	050003492	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-18 00:00:00	2006-10-18 00:00:00	Yes	2007-01-12 00:00:00	2006-12-08 00:00:00	B	B	800	500	0	500	0	None	3NN911	N	CA00095338	B	SFY2006-07
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-20 00:00:00	050003493	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-27 00:00:00	2006-07-27 00:00:00	Yes	2007-01-12 00:00:00	2006-12-08 00:00:00	B	B	500	200	0	200	0	None	3NN911	N	CA00095338	B	SFY2006-07
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-21 00:00:00	050003506	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-04 00:00:00	2006-06-04 00:00:00	No	2006-12-14 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	5C6B11	N	CA00084704	C	SFY2006-07
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-22 00:00:00	050003511	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-18 00:00:00	2006-09-18 00:00:00	No	2006-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	40J511	N	CA00093944	C	SFY2006-07
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-22 00:00:00	050003512	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-09-18 00:00:00	2006-09-18 00:00:00	No	2006-12-15 00:00:00	None	B	None	400	400	-140	260	0	None	7XD311	N	None	None	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-22 00:00:00	050003517	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-04 00:00:00	2006-10-04 00:00:00	No	2006-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZK6V11	N	CA00095221, CA00095308	A, A	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-22 00:00:00	050003518	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Report	2006-10-04 00:00:00	2006-10-04 00:00:00	No	2006-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZK6V11	N	CA00095221, CA00095308	A, A	SFY2006-07
050000045	CASA DE VIDA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-11-28 00:00:00	050003528	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2006-09-20 00:00:00	2006-09-20 00:00:00	Yes	2006-12-19 00:00:00	2007-09-12 00:00:00	AA	A	25000	10000	0	10000	0	None	MFWL11	Y	CA00094033, CA00094056	B, B	SFY2006-07
050000836	SUNSET COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-12-12 00:00:00	050003561	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-06-25 00:00:00	2006-06-25 00:00:00	Yes	2007-01-04 00:00:00	2006-12-26 00:00:00	A	A	10000	5000	0	5000	0	None	X1FQ11	N	CA00084729, CA00084756, CA00085010	B, B, B	SFY2006-07
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2006-12-08 00:00:00	050003562	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-08-10 00:00:00	2006-08-10 00:00:00	No	2007-01-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZHKQ11	N	CA00090184, CA00094846	C, C	SFY2006-07
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2006-12-08 00:00:00	050003563	Closed	Citation	Citation B (HSC 1424)	Other	Neglect	2006-08-10 00:00:00	2006-08-10 00:00:00	No	2007-01-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZHKQ11	N	CA00090184, CA00094846	C, C	SFY2006-07
050000062	THE CALIFORNIAN	LTC	SNF	Skilled Nursing Facility	Ventura	2006-12-12 00:00:00	050003564	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-16 00:00:00	2006-11-16 00:00:00	No	2007-01-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	WFI011	N	CA00099091	B	SFY2006-07
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2006-12-13 00:00:00	050003566	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-10 00:00:00	2006-05-10 00:00:00	Yes	2007-01-05 00:00:00	2006-12-20 00:00:00	B	B	1000	500	0	500	0	None	N7XL11	N	CA00080486	B	SFY2006-07
050000048	DANISH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-11 00:00:00	050003627	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-26 00:00:00	2006-07-26 00:00:00	No	2007-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	9G6S11	N	CA00088137	B	SFY2006-07
050000048	DANISH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-11 00:00:00	050003628	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-03 00:00:00	2006-10-03 00:00:00	No	2007-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	GC6B11	N	CA00094713	B	SFY2006-07
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-18 00:00:00	050003640	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-11-20 00:00:00	2006-11-20 00:00:00	No	2007-02-08 00:00:00	None	B	None	300	300	0	300	0	None	WN5211	N	CA00099833	C	SFY2006-07
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-18 00:00:00	050003641	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-26 00:00:00	2006-10-26 00:00:00	No	2007-02-08 00:00:00	None	B	None	600	600	0	600	0	None	WN5211	N	CA00099833	C	SFY2006-07
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-18 00:00:00	050003642	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-11-20 00:00:00	2006-11-20 00:00:00	No	2007-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	WN5211	N	CA00099833	C	SFY2006-07
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-18 00:00:00	050003644	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-10-31 00:00:00	2006-10-31 00:00:00	No	2007-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	YOR811	N	CA00097552, CA00097845	C, B	SFY2006-07
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-25 00:00:00	050003660	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-06 00:00:00	2006-11-06 00:00:00	No	2007-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJOV11	N	CA00097915	B	SFY2006-07
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-25 00:00:00	050003661	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-22 00:00:00	2006-11-22 00:00:00	No	2007-02-15 00:00:00	None	B	None	800	800	-280	520	0	None	XJOV11	N	CA00099424	C	SFY2006-07
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-25 00:00:00	050003662	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-11 00:00:00	2006-11-11 00:00:00	No	2007-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJOV11	N	CA00099028	B	SFY2006-07
050000050	GLENWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-02-02 00:00:00	050003673	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-11 00:00:00	2006-08-11 00:00:00	No	2007-02-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	2YE611	N	CA00092047	C	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-02-01 00:00:00	050003675	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-02 00:00:00	2005-09-02 00:00:00	No	2007-02-26 00:00:00	None	A	None	5000	5000	0	5000	0	None	OLEQ11	N	CA00061909	C	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-02-16 00:00:00	050003714	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-19 00:00:00	2006-07-19 00:00:00	No	2007-03-12 00:00:00	None	B	None	800	800	-280	520	0	None	W8P311	N	CA00077434	C	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-01 00:00:00	050003718	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-09-29 00:00:00	2006-09-29 00:00:00	No	2007-03-22 00:00:00	None	B	None	800	800	-280	520	0	None	LLIS11	N	CA00066330	C	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-08-03 00:00:00	050003719	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-02-13 00:00:00	2006-02-13 00:00:00	No	2007-08-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	1ED711	N	CA00073803	C	SFY2007-08
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-09 00:00:00	050003721	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-02-23 00:00:00	2006-02-23 00:00:00	No	2007-03-30 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	DYPH11	N	CA00073574, CA00074225	C, C	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-09 00:00:00	050003723	Closed	Citation	Citation A (HSC 1424)	Administration	None	2004-02-16 00:00:00	2004-02-16 00:00:00	No	2007-03-30 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	DYPH11	N	CA00073574, CA00074225	C, C	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-09 00:00:00	050003724	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-02-22 00:00:00	2006-02-22 00:00:00	No	2007-03-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	DYPH11	N	CA00073574, CA00074225	C, C	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-01 00:00:00	050003725	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-16 00:00:00	2006-03-16 00:00:00	No	2007-03-22 00:00:00	None	B	None	500	500	-175	325	0	None	3Q0211	N	CA00075794	C	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-04-13 00:00:00	050003726	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-15 00:00:00	2006-04-15 00:00:00	No	2010-05-07 00:00:00	None	B	None	800	800	-280	520	0	None	NN4O11	N	CA00082548	C	SFY2009-10
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-05 00:00:00	050003727	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Other	Willful Material Falsific	2006-09-19 00:00:00	2006-09-19 00:00:00	No	2008-06-26 00:00:00	None	WF	None	2500	2500	-875	1625	0	None	6KJB11	None	None	None	SFY2007-08
050000069	VALLE VERDE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2007-08-02 00:00:00	050003728	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-15 00:00:00	2006-06-15 00:00:00	Yes	2007-08-23 00:00:00	2009-08-20 00:00:00	A	Drop>Deficiency	8000	2000	0	2000	0	None	97W811	N	CA00083899	C	SFY2007-08
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-02-22 00:00:00	050003729	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-09 00:00:00	2006-06-09 00:00:00	No	2007-03-15 00:00:00	None	A	None	20000	20250	-7000	13250	0	None	77HK11	N	CA00083618	C	SFY2006-07
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-10-29 00:00:00	050003730	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-11 00:00:00	2006-06-11 00:00:00	No	2007-11-20 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	J6EI11	N	CA00087725, CA00088800	C, C	SFY2007-08
050000062	THE CALIFORNIAN	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-06 00:00:00	050003731	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-12 00:00:00	2006-11-12 00:00:00	Yes	2007-03-27 00:00:00	2007-03-16 00:00:00	B	B	1000	1000	0	1000	0	None	6WS511	N	CA00098538	C	SFY2006-07
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-05-27 00:00:00	050003732	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-20 00:00:00	2006-07-20 00:00:00	No	2008-06-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	PXTD11	N	CA00097222, CA00097976	C, A	SFY2007-08
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-05-23 00:00:00	050003735	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-01 00:00:00	2006-06-01 00:00:00	No	2007-06-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	O7ZJ11	N	CA00082668, CA00083141	C, C	SFY2006-07
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-21 00:00:00	050003736	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-10 00:00:00	2006-11-10 00:00:00	No	2007-04-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	1E5M11	N	CA00099034	C	SFY2006-07
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2007-07-13 00:00:00	050003737	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-21 00:00:00	2006-05-21 00:00:00	Yes	2007-08-03 00:00:00	2007-07-30 00:00:00	B	None	1000	1000	0	1000	0	None	3PIV11	N	CA00091649	C	SFY2007-08
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2007-07-13 00:00:00	050003738	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-17 00:00:00	2006-08-17 00:00:00	Yes	2007-10-25 00:00:00	2007-07-30 00:00:00	A	None	18000	18000	0	18000	0	None	3PIV11	N	CA00091649	C	SFY2007-08
050000612	SEASHORE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-10-16 00:00:00	050003740	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-07-31 00:00:00	2006-07-31 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	V4WQ11	N	CA00089083, CA00090170	B, B	SFY2007-08
050000612	SEASHORE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-10-16 00:00:00	050003741	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-29 00:00:00	2006-07-29 00:00:00	No	2007-11-08 00:00:00	None	B	None	300	300	0	300	0	None	V4WQ11	N	None	None	SFY2007-08
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-01 00:00:00	050003742	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-08 00:00:00	2007-02-08 00:00:00	No	2007-03-22 00:00:00	None	B	None	500	1500	0	1500	0	None	XGBV11	N	CA00106110	C	SFY2006-07
050000720	ORCUTT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-03-07 00:00:00	050003769	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-09-29 00:00:00	2006-09-29 00:00:00	Yes	2007-03-28 00:00:00	2007-03-15 00:00:00	B	B	500	500	0	500	0	None	8YTT11	N	CA00096211	B	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-09 00:00:00	050003783	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-05-27 00:00:00	2006-05-27 00:00:00	No	2007-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	QW8I11	N	CA00082332, CA00082357	C, C	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-09 00:00:00	050003784	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-12-29 00:00:00	2004-12-29 00:00:00	No	2007-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	QW8I11	N	CA00082332, CA00082357	C, C	SFY2006-07
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-20 00:00:00	050003785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-18 00:00:00	2005-12-18 00:00:00	No	2007-04-10 00:00:00	None	B	None	800	2400	-840	1560	0	None	XVX011	N	CA00068226	C	SFY2006-07
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-12 00:00:00	050003786	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-11-06 00:00:00	2006-11-06 00:00:00	Yes	2007-04-02 00:00:00	2007-03-13 00:00:00	A	None	10000	10000	-3500	6500	0	None	DQJX11	Y	CA00098893	C	SFY2006-07
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-11-20 00:00:00	050003814	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-05 00:00:00	2007-01-05 00:00:00	No	2007-12-17 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	NXSD11	N	CA00105204	C	SFY2007-08
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-21 00:00:00	050003833	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-16 00:00:00	2006-11-16 00:00:00	No	2007-04-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	1E5M11	N	CA00099034	C	SFY2006-07
050000871	MAGNOLIA COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-11-06 00:00:00	050003868	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-04-18 00:00:00	2006-04-18 00:00:00	Yes	2007-12-04 00:00:00	2007-11-19 00:00:00	B	B	1000	500	0	500	0	None	M2MF11	N	CA00088325	C	SFY2007-08
050000871	MAGNOLIA COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-11-06 00:00:00	050003869	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-04-29 00:00:00	2006-04-29 00:00:00	Yes	2007-11-30 00:00:00	2009-09-08 00:00:00	A	A	2000	2000	0	2000	0	None	M2MF11	N	CA00079682	C	SFY2007-08
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-07-11 00:00:00	050003876	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2006-07-28 00:00:00	2006-07-28 00:00:00	No	2007-08-01 00:00:00	None	B	None	800	800	0	800	0	None	U2XR11	N	None	None	SFY2007-08
050000074	VILLA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-10-31 00:00:00	050003910	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-03-06 00:00:00	2007-03-06 00:00:00	No	2007-11-26 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	3DQW11	N	CA00111629	B	SFY2007-08
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-12-18 00:00:00	050003921	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-15 00:00:00	2006-08-15 00:00:00	No	2009-01-14 00:00:00	None	A	None	7500	7500	-2625	4875	0	None	4ZW511	N	CA00090257	C	SFY2008-09
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-07-06 00:00:00	050003962	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-30 00:00:00	2007-01-30 00:00:00	No	2007-07-27 00:00:00	None	B	None	800	800	-280	520	0	None	73R411	N	CA00111181	C	SFY2007-08
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-08-10 00:00:00	050003966	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-04 00:00:00	2006-11-04 00:00:00	Yes	2007-08-31 00:00:00	2007-08-23 00:00:00	B	Drop>Deficiency	800	800	0	800	0	None	6NOP11	N	CA00100028	B	SFY2007-08
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-07-12 00:00:00	050003971	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-04-28 00:00:00	2007-04-28 00:00:00	No	2007-08-02 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	4QXD11	N	CA00113668	B	SFY2007-08
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-08-10 00:00:00	050003974	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-05 00:00:00	2006-11-05 00:00:00	Yes	2007-08-31 00:00:00	2007-08-23 00:00:00	B	Drop>Deficiency	500	500	0	500	0	None	6NOP11	N	CA00100028	B	SFY2007-08
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-08-10 00:00:00	050003975	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-13 00:00:00	2007-02-13 00:00:00	Yes	2007-08-31 00:00:00	2007-08-23 00:00:00	B	B	300	300	0	300	0	None	QNXD11	N	CA00106627, CA00108256	C, C	SFY2007-08
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-08-10 00:00:00	050003976	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-13 00:00:00	2007-02-13 00:00:00	Yes	2007-08-31 00:00:00	2007-08-23 00:00:00	B	B	1000	1000	0	1000	0	None	QNXD11	N	CA00106627, CA00108256	C, C	SFY2007-08
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-05-29 00:00:00	050003991	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-27 00:00:00	2007-01-27 00:00:00	No	2007-06-19 00:00:00	None	B	None	800	850	-280	570	0	None	O38211	N	CA00107185	C	SFY2006-07
050000069	VALLE VERDE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2007-07-12 00:00:00	050004064	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-03-01 00:00:00	2007-03-01 00:00:00	Yes	2007-08-09 00:00:00	2009-08-20 00:00:00	A	B	8000	3000	0	3000	0	None	YB8V11	N	None	None	SFY2007-08
050000611	SANDPIPER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-08-29 00:00:00	050004066	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-26 00:00:00	2007-06-26 00:00:00	No	2007-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y39911	N	CA00117809, CA00118623	C, B	SFY2007-08
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2007-07-12 00:00:00	050004083	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-09-08 00:00:00	2006-09-08 00:00:00	No	2007-08-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZN8N11	N	None	None	SFY2007-08
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2007-07-12 00:00:00	050004094	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-04-28 00:00:00	2006-04-28 00:00:00	No	2007-08-02 00:00:00	None	B	None	900	900	-315	585	0	None	8YLK11	N	CA00079826	C	SFY2007-08
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-08-30 00:00:00	050004173	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-07-30 00:00:00	2006-07-30 00:00:00	No	2007-09-21 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	OSTW11	N	CA00088756, CA00090392	C, C	SFY2007-08
050000049	GREENFIELD CARE CENTER OF FILLMORE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2007-08-17 00:00:00	050004195	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-07-28 00:00:00	2007-07-28 00:00:00	No	2007-09-10 00:00:00	None	B	None	100	100	0	100	0	None	PN4711	N	CA00122323	B	SFY2007-08
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-11-20 00:00:00	050004205	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-04 00:00:00	2007-01-04 00:00:00	No	2007-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	NXSD11	N	CA00105204	C	SFY2007-08
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-10-24 00:00:00	050004214	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-09 00:00:00	2007-04-09 00:00:00	Yes	2008-11-19 00:00:00	2008-11-05 00:00:00	B	None	1000	1250	0	1250	0	None	Y4FF11	N	CA00113470	B	SFY2008-09
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-09-05 00:00:00	050004235	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-01-01 00:00:00	2007-01-01 00:00:00	No	2007-09-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	C8WL11	N	None	None	SFY2007-08
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2007-10-17 00:00:00	050004272	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-08-20 00:00:00	2007-08-20 00:00:00	No	2007-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	HJR611	N	None	None	SFY2007-08
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-09-28 00:00:00	050004305	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-20 00:00:00	2007-01-20 00:00:00	Yes	2007-10-26 00:00:00	2007-10-02 00:00:00	B	Dismissed by Court	700	0	0	0	0	None	9DDH11	N	CA00104536	C	SFY2007-08
050001175	GENESIS DEVELOPMENTAL SERVICES - SALISBURY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2008-05-21 00:00:00	050004309	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-05 00:00:00	2007-06-05 00:00:00	No	2008-06-17 00:00:00	None	B	None	800	800	-280	520	0	None	P5L911	N	CA00116730, CA00116855	B, C	SFY2007-08
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-10-26 00:00:00	050004310	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-09-06 00:00:00	2007-09-06 00:00:00	No	2007-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	DGEQ11	N	CA00126738	B	SFY2007-08
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-10-26 00:00:00	050004311	Closed	Citation	Citation B (HSC 1424)	Patient Care	Mistreatment/Neglect	2007-09-25 00:00:00	2007-09-25 00:00:00	No	2007-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	CUF211	N	CA00127641	H	SFY2007-08
050001152	SAN LUIS OBISPO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-11-06 00:00:00	050004312	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-08-26 00:00:00	2007-08-26 00:00:00	Yes	2007-12-04 00:00:00	2007-11-14 00:00:00	B	B	600	600	0	600	0	None	RBDE11	N	CA00127722	A	SFY2007-08
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-11-01 00:00:00	050004315	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-13 00:00:00	2007-08-13 00:00:00	No	2007-11-27 00:00:00	None	B	None	800	800	-280	520	0	None	D4VN11	N	CA00125518	C	SFY2007-08
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-11-21 00:00:00	050004396	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-06 00:00:00	2007-10-06 00:00:00	No	2007-12-17 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	7SNN11	N	CA00128659	C	SFY2007-08
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-11-05 00:00:00	050004426	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-07-14 00:00:00	2006-07-14 00:00:00	No	2007-11-29 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	104Z11	N	CA00091669	C	SFY2007-08
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-12-13 00:00:00	050004452	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-11 00:00:00	2007-10-11 00:00:00	No	2008-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	GLVG11	N	CA00129492, CA00129996	C, C	SFY2007-08
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-11-20 00:00:00	050004457	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-05 00:00:00	2007-01-05 00:00:00	No	2007-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	NXSD11	N	CA00105204	C	SFY2007-08
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-11-20 00:00:00	050004458	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-06 00:00:00	2007-01-06 00:00:00	No	2007-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	NXSD11	N	CA00105204	C	SFY2007-08
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-11-20 00:00:00	050004459	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-08 00:00:00	2007-01-08 00:00:00	No	2007-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	NXSD11	N	CA00105204	C	SFY2007-08
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-09-03 00:00:00	050004520	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-22 00:00:00	2007-06-22 00:00:00	Yes	2008-09-29 00:00:00	2008-09-18 00:00:00	B	Drop>Deficiency	1000	1315	-700	615	0	None	35VN11	N	CA00121278	B	SFY2008-09
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-09-03 00:00:00	050004521	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-28 00:00:00	2007-06-28 00:00:00	Yes	2008-09-29 00:00:00	2008-09-18 00:00:00	B	Drop>Deficiency	1000	1315	-700	615	0	None	35VN11	N	CA00121278	B	SFY2008-09
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-09-03 00:00:00	050004522	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-08 00:00:00	2007-06-08 00:00:00	Yes	2008-09-29 00:00:00	2008-09-18 00:00:00	B	Drop>Deficiency	1000	615	0	615	0	None	35VN11	N	CA00121278	B	SFY2008-09
050000074	VILLA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-07-18 00:00:00	050004614	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-06 00:00:00	2005-05-06 00:00:00	No	2008-08-12 00:00:00	None	B	None	600	600	-210	390	0	None	EDO911	N	CA00048627	C	SFY2008-09
050000074	VILLA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-07-18 00:00:00	050004615	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-09 00:00:00	2007-08-09 00:00:00	No	2008-08-12 00:00:00	None	B	None	600	600	-210	390	0	None	9DKZ11	N	CA00123544	C	SFY2008-09
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-02-01 00:00:00	050004633	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-16 00:00:00	2006-09-16 00:00:00	Yes	2008-03-04 00:00:00	2008-02-21 00:00:00	B	B	800	800	0	800	0	None	6UDQ11	N	CA00093960	C	SFY2007-08
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-05-20 00:00:00	050004682	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-02 00:00:00	2006-04-02 00:00:00	No	2008-06-13 00:00:00	None	B	None	1000	1350	-350	1000	0	None	J6JR11	N	CA00076895	C	SFY2007-08
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-10 00:00:00	050004712	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-11 00:00:00	2008-02-11 00:00:00	No	2008-07-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	QRNW11	N	CA00139273	C	SFY2007-08
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2008-04-16 00:00:00	050004766	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-12 00:00:00	2008-02-12 00:00:00	No	2008-05-14 00:00:00	None	B	None	800	800	0	800	0	None	WSZD11	N	None	None	SFY2007-08
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-10 00:00:00	050004767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-29 00:00:00	2008-02-29 00:00:00	No	2008-07-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	QRNW11	N	CA00139273	C	SFY2007-08
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-10 00:00:00	050004768	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-29 00:00:00	2008-02-29 00:00:00	No	2008-07-08 00:00:00	None	B	None	800	800	-280	520	0	None	WSZD11	N	None	None	SFY2007-08
050001098	JADE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2008-04-16 00:00:00	050004792	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-06 00:00:00	2008-03-06 00:00:00	No	2008-05-07 00:00:00	None	B	None	400	400	-140	260	0	None	7Q1X11	N	CA00141860	B	SFY2007-08
050000004	MISSION PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-04-16 00:00:00	050004845	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-02-12 00:00:00	2005-02-12 00:00:00	No	2008-05-07 00:00:00	None	A	None	6000	6000	-2100	3900	0	None	ZTZY11	N	CA00137555	C	SFY2007-08
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-07-14 00:00:00	050004851	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-02-26 00:00:00	2008-02-26 00:00:00	Yes	2008-08-15 00:00:00	2008-07-29 00:00:00	A	None	10000	30000	0	30000	0	None	99B611	N	CA00142300, CA00144105	C, C	SFY2008-09
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2008-04-10 00:00:00	050004864	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-08 00:00:00	2008-02-08 00:00:00	No	2008-05-07 00:00:00	None	B	None	800	800	0	800	0	None	HX9E11	N	CA00140660	C	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005014	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005015	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005016	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005017	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005018	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005019	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005020	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005021	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005022	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005023	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005024	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005025	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005026	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005027	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-24 00:00:00	2008-04-24 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005028	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-29 00:00:00	2008-04-29 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005029	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050001041	HORIZON HOUSE I	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2008-05-21 00:00:00	050005059	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-17 00:00:00	2007-12-17 00:00:00	No	2008-06-12 00:00:00	None	B	None	800	800	-280	520	0	None	4V4S11	N	CA00135667, CA00135720	B, B	SFY2007-08
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005085	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-29 00:00:00	2008-01-29 00:00:00	No	2009-04-01 00:00:00	None	A	None	10000	10000	0	10000	0	None	SRUZ11	N	CA00140624	B	SFY2008-09
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-06 00:00:00	050005086	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-12 00:00:00	2008-03-12 00:00:00	No	2010-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	H4VX11	N	CA00144763	B	SFY2009-10
050001288	ARROYO GRANDE COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-10 00:00:00	050005097	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-05 00:00:00	2008-04-05 00:00:00	No	2008-07-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	4R9N11	N	CA00146471	B	SFY2007-08
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-06 00:00:00	050005100	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2010-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	H4VX11	N	CA00144763	B	SFY2009-10
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-06 00:00:00	050005101	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2010-02-01 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	H4VX11	N	CA00144763	B	SFY2009-10
050001071	FARROLL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2008-07-08 00:00:00	050005137	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-06-09 00:00:00	2008-06-09 00:00:00	Yes	2008-08-01 00:00:00	2008-07-17 00:00:00	B	B	675	337.5	0	337.5	0	None	IIF811	N	None	None	SFY2008-09
050000919	PETIT COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2008-10-28 00:00:00	050005199	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-14 00:00:00	2008-06-14 00:00:00	No	2008-11-20 00:00:00	None	A	None	3000	3000	-1050	1950	0	None	47WL11	N	CA00154149	C	SFY2008-09
050000054	LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2008-10-29 00:00:00	050005204	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-30 00:00:00	2008-03-30 00:00:00	No	2008-11-21 00:00:00	None	B	None	600	600	-210	390	0	None	LI2V11	N	CA00146442	C	SFY2008-09
050000054	LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2008-10-29 00:00:00	050005205	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-20 00:00:00	2008-05-20 00:00:00	No	2008-11-21 00:00:00	None	B	None	900	900	-315	585	0	None	LI2V11	N	CA00151246	B	SFY2008-09
050000054	LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2008-10-29 00:00:00	050005207	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-12-15 00:00:00	2005-12-15 00:00:00	Yes	2008-11-21 00:00:00	2008-11-07 00:00:00	A	B	10000	10000	0	10000	0	None	LI2V11	Y	CA00068555	C	SFY2008-09
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2008-10-17 00:00:00	050005220	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-11-22 00:00:00	2007-11-22 00:00:00	No	2008-11-10 00:00:00	None	B	None	800	800	0	800	0	None	XOZ511	N	CA00137069	C	SFY2008-09
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-08-29 00:00:00	050005225	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-06 00:00:00	2007-08-06 00:00:00	No	2008-09-26 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	Z2PT11	N	CA00140594	C	SFY2008-09
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-08-29 00:00:00	050005226	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-06 00:00:00	2007-08-06 00:00:00	No	2008-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z2PT11	N	CA00140594	C	SFY2008-09
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-08-29 00:00:00	050005302	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-18 00:00:00	2007-12-18 00:00:00	No	2008-09-26 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	620E11	N	CA00152348	C	SFY2008-09
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2008-09-11 00:00:00	050005308	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-22 00:00:00	2008-07-22 00:00:00	No	2008-10-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	L6DY11	N	CA00158033	C	SFY2008-09
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-09-03 00:00:00	050005369	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-20 00:00:00	2007-06-20 00:00:00	Yes	2008-09-29 00:00:00	2009-08-18 00:00:00	A	B	10000	6855	-700	6155	0	None	35VN11	N	CA00121278	B	SFY2008-09
050000054	LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-01-30 00:00:00	050005372	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-04-10 00:00:00	2007-04-10 00:00:00	Yes	2009-02-25 00:00:00	2009-02-09 00:00:00	A	B	8000	8000	0	8000	0	None	PB6A11	N	CA00112186	B	SFY2008-09
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2012-07-25 00:00:00	050005373	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-08-05 00:00:00	2008-08-05 00:00:00	No	2012-08-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	4F8G11	N	CA00160114, CA00160693	C, C	SFY2012-13
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-10-02 00:00:00	050005375	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Report	2008-06-30 00:00:00	2008-06-30 00:00:00	No	2008-10-29 00:00:00	None	B	None	500	500	-175	325	0	None	XJS411	N	CA00158299	C	SFY2008-09
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005445	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-18 00:00:00	2008-08-18 00:00:00	Yes	2009-04-13 00:00:00	2009-03-18 00:00:00	B	B	1000	0	0	0	0	None	9WGY11	N	CA00162637	C	SFY2008-09
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005446	Closed	Citation	Citation Willful Material Omission (HSC 1424(f)(1))	Patient Record	None	2008-08-18 00:00:00	2008-08-18 00:00:00	Yes	2009-03-30 00:00:00	2009-03-18 00:00:00	WO	WMO>$1000	10000	2500	0	2500	0	None	9WGY11	None	CA00162637	C	SFY2008-09
050001152	SAN LUIS OBISPO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2008-10-16 00:00:00	050005451	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-26 00:00:00	2008-08-26 00:00:00	Yes	2008-11-12 00:00:00	2008-10-22 00:00:00	B	B	1000	500	0	500	0	None	VPML11	N	CA00162612	C	SFY2008-09
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-12-16 00:00:00	050005467	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-11-04 00:00:00	2006-11-04 00:00:00	No	2009-01-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	LEQR11	N	CA00098128, CA00098344	C, B	SFY2008-09
050001180	STARFISH HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2009-01-29 00:00:00	050005476	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-06-06 00:00:00	2008-06-06 00:00:00	No	2009-02-24 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	WTPD11	N	CA00153911	C	SFY2008-09
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005495	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005496	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-06-24 00:00:00	2008-06-24 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005497	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-07-03 00:00:00	2008-07-03 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005498	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005499	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-06-19 00:00:00	2008-06-19 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005500	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005501	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005502	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-06-26 00:00:00	2008-06-26 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005503	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005504	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-06-17 00:00:00	2008-06-17 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005505	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005506	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-06-24 00:00:00	2008-06-24 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-10-30 00:00:00	050005513	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-10-02 00:00:00	2008-10-02 00:00:00	Yes	2008-12-02 00:00:00	2008-11-20 00:00:00	B	B	1000	1000	0	1000	0	None	H1J611	N	CA00165382	B	SFY2008-09
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-10-24 00:00:00	050005514	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-03 00:00:00	2007-12-03 00:00:00	Yes	2008-11-19 00:00:00	2008-11-05 00:00:00	A	A	12000	12000	0	12000	0	None	F58B11	N	CA00134119	B	SFY2008-09
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2008-12-11 00:00:00	050005548	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-01 00:00:00	2007-10-01 00:00:00	No	2009-01-09 00:00:00	None	B	None	500	500	-175	325	0	None	POIC11	N	CA00155145	B	SFY2008-09
050000140	MARIAN REGIONAL MEDICAL CENTER DP/SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-01-16 00:00:00	050005557	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-17 00:00:00	2008-09-17 00:00:00	No	2009-02-10 00:00:00	None	B	None	800	800	-280	520	0	None	H6BQ11	N	None	None	SFY2008-09
050000836	SUNSET COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2010-07-19 00:00:00	050005602	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-11 00:00:00	2008-10-11 00:00:00	No	2010-08-10 00:00:00	None	B	None	600	600	0	600	0	None	H9GW11	N	CA00166331, CA00166748	B, C	SFY2010-11
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-04 00:00:00	050005643	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-11-03 00:00:00	2008-11-03 00:00:00	No	2009-03-26 00:00:00	None	B	None	300	300	0	300	0	None	LLMQ11	N	CA00169142	B	SFY2008-09
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005644	Closed	Citation	Citation A (HSC 1424)	Medication	None	2008-11-01 00:00:00	2008-11-01 00:00:00	No	2009-04-01 00:00:00	None	A	None	5000	5000	0	5000	0	None	LLMQ11	N	CA00168487	C	SFY2008-09
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005645	Closed	Citation	Citation A (HSC 1424)	Medication	None	2008-08-19 00:00:00	2008-08-19 00:00:00	No	2009-04-01 00:00:00	None	A	None	3500	3500	0	3500	0	None	LLMQ11	N	CA00162342	C	SFY2008-09
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-12-23 00:00:00	050005646	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-18 00:00:00	2007-12-18 00:00:00	No	2009-01-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	705711	N	CA00137135	C	SFY2008-09
050000074	VILLA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-05-26 00:00:00	050005648	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-27 00:00:00	2008-09-27 00:00:00	No	2011-06-17 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	SFNS11	N	CA00165250, CA00165766	B, C	SFY2010-11
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-12-31 00:00:00	050005650	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-11-24 00:00:00	2008-11-24 00:00:00	Yes	2009-01-28 00:00:00	2009-01-20 00:00:00	B	None	1000	1000	-1000	0	0	None	S1Q411	N	None	None	SFY2008-09
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-01-28 00:00:00	050005677	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-17 00:00:00	2008-11-17 00:00:00	No	2009-02-24 00:00:00	None	B	None	500	500	-175	325	0	None	IR2Z11	N	CA00169872	C	SFY2008-09
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2009-01-13 00:00:00	050005736	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-27 00:00:00	2008-09-27 00:00:00	No	2009-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	LDY811	N	CA00164778	C	SFY2008-09
630011658	OAKVIEW SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Ventura	2009-01-28 00:00:00	050005738	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-16 00:00:00	2008-12-16 00:00:00	No	2009-02-24 00:00:00	None	B	None	500	500	-175	325	0	None	83QR11	N	None	None	SFY2008-09
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005743	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-01 00:00:00	2008-11-01 00:00:00	No	2009-04-01 00:00:00	None	B	None	500	500	-175	325	0	None	KU0J11	N	CA00171288	C	SFY2008-09
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-01-28 00:00:00	050005763	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-01 00:00:00	2008-12-01 00:00:00	No	2009-02-24 00:00:00	None	B	None	300	300	-105	195	0	None	LWO111	N	CA00171431	C	SFY2008-09
050000054	LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2010-04-19 00:00:00	050005785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-28 00:00:00	2008-10-28 00:00:00	No	2010-05-13 00:00:00	None	B	None	600	600	0	600	0	None	JIT911	N	CA00167924	C	SFY2009-10
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005910	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-29 00:00:00	2008-01-29 00:00:00	No	2009-04-01 00:00:00	None	A	None	5000	5000	0	5000	0	None	SRUZ11	N	CA00140624	B	SFY2008-09
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005911	Closed	Citation	Citation B (HSC 1424)	Administration	Reporting	2008-01-29 00:00:00	2008-01-29 00:00:00	No	2009-04-01 00:00:00	None	B	None	800	800	0	800	0	None	SRUZ11	N	CA00140624	B	SFY2008-09
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-17 00:00:00	050005952	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-16 00:00:00	2008-04-16 00:00:00	No	2009-04-10 00:00:00	None	B	None	1000	1000	-1000	0	0	None	H9PG11	N	CA00147796	C	SFY2008-09
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-11 00:00:00	050005987	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2009-02-24 00:00:00	2009-02-24 00:00:00	Yes	2010-02-03 00:00:00	2014-10-08 00:00:00	WF	WMF<$1000	500	100	0	100	0	None	4LOU11	None	CA00179293	C	SFY2009-10
050000049	GREENFIELD CARE CENTER OF FILLMORE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2009-04-03 00:00:00	050005988	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-14 00:00:00	2007-02-14 00:00:00	Yes	2009-04-24 00:00:00	2009-04-06 00:00:00	B	B	1000	500	0	500	0	None	CQI211	N	CA00110691	B	SFY2008-09
630010001	CARING CONCERN RESIDENTIAL HOMES INC - DANA POINT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2009-04-23 00:00:00	050006007	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-27 00:00:00	2009-02-27 00:00:00	No	2009-05-28 00:00:00	None	B	None	1000	1350	-350	1000	0	None	6F3F11	N	CA00179642	C	SFY2008-09
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2009-12-18 00:00:00	050006091	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-10 00:00:00	2007-04-10 00:00:00	No	2010-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	M9QQ11	N	CA00150916	C	SFY2009-10
050000048	DANISH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-04-19 00:00:00	050006109	Closed	Citation	Citation B (HSC 1424)	Other	Theft and Loss	2008-12-01 00:00:00	2008-12-01 00:00:00	Yes	2014-04-03 00:00:00	2010-05-10 00:00:00	B	Dismissed by Court	300	0	0	0	0	None	QG7B11	N	None	None	SFY2009-10
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-10-08 00:00:00	050006125	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-04-12 00:00:00	2009-04-12 00:00:00	Yes	2014-03-28 00:00:00	2009-10-28 00:00:00	B	B	1000	1000	0	1000	0	None	U0PD11	N	CA00184893, CA00184895	C, C	SFY2009-10
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-10-08 00:00:00	050006126	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Failure to Report	2008-10-16 00:00:00	2008-10-16 00:00:00	Yes	2014-03-28 00:00:00	2009-10-28 00:00:00	B	B	800	800	0	800	0	None	U0PD11	N	CA00184893, CA00184895	C, C	SFY2009-10
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-10-08 00:00:00	050006127	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Failure to Report	2009-03-15 00:00:00	2009-03-15 00:00:00	Yes	2014-03-28 00:00:00	2009-10-28 00:00:00	B	B	1000	1000	0	1000	0	None	U0PD11	N	CA00184893, CA00184895	C, C	SFY2009-10
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-06 00:00:00	050006137	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-23 00:00:00	2008-08-23 00:00:00	Yes	2009-11-20 00:00:00	2009-08-17 00:00:00	B	B	1000	650	0	650	0	None	UWZE11	N	CA00181244	C	SFY2009-10
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2009-04-30 00:00:00	050006138	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Failure to Report	2008-07-08 00:00:00	2008-07-08 00:00:00	No	2009-05-26 00:00:00	None	B	None	500	500	-175	325	0	None	2OID11	N	None	None	SFY2008-09
050000629	MITCHELL HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2009-04-30 00:00:00	050006139	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-04-18 00:00:00	2009-04-18 00:00:00	No	2009-05-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	HMJT11	N	CA00185445, CA00185532	B, B	SFY2008-09
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2009-05-08 00:00:00	050006152	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-05-13 00:00:00	2008-05-13 00:00:00	No	2009-06-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	24VE11	N	CA00151737	C	SFY2008-09
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2009-05-08 00:00:00	050006153	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-13 00:00:00	2008-05-13 00:00:00	No	2009-06-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	24VE11	N	CA00151737	C	SFY2008-09
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-06-18 00:00:00	050006156	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2009-03-01 00:00:00	2009-03-01 00:00:00	No	2009-07-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	Y47711	N	CA00185481	C	SFY2008-09
050000046	CASA DORINDA	LTC	SNF	Skilled Nursing Facility	Ventura	2009-06-10 00:00:00	050006178	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-04-12 00:00:00	2009-04-12 00:00:00	Yes	2009-07-06 00:00:00	2009-06-12 00:00:00	B	B	800	400	0	400	0	None	GZLB11	N	CA00184870	C	SFY2008-09
050000065	ST JOSEPHS HEALTH AND RETIREMENT CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-04-07 00:00:00	050006236	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-17 00:00:00	2009-05-17 00:00:00	No	2011-04-28 00:00:00	None	B	None	800	800	0	800	0	None	OBJL11	N	CA00189230	C	SFY2010-11
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-11 00:00:00	050006242	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-22 00:00:00	2009-05-22 00:00:00	Yes	2014-03-28 00:00:00	2014-03-20 00:00:00	B	B	800	400	0	400	0	None	E3CO11	N	CA00190230	C	SFY2009-10
050000919	PETIT COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2011-04-20 00:00:00	050006243	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Failure to Report	2009-05-12 00:00:00	2009-05-12 00:00:00	Yes	2011-05-11 00:00:00	2011-04-27 00:00:00	B	B	600	300	0	300	0	None	9X5S11	N	CA00187435	E	SFY2010-11
050000919	PETIT COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2011-04-20 00:00:00	050006244	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-04-30 00:00:00	2009-04-30 00:00:00	Yes	2011-05-11 00:00:00	2011-04-27 00:00:00	B	B	1000	500	0	500	0	None	QMYV11	N	CA00186969	C	SFY2010-11
050000141	COMMUNITY MEMORIAL CONTINUING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-06-16 00:00:00	050006267	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-19 00:00:00	2009-03-19 00:00:00	No	2010-07-13 00:00:00	None	B	None	600	600	0	600	0	None	38UG11	N	CA00185940	B	SFY2009-10
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-12 00:00:00	050006286	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-06 00:00:00	2009-05-06 00:00:00	No	2009-09-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	GZYS11	N	CA00187856	C	SFY2009-10
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-12 00:00:00	050006287	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-18 00:00:00	2009-05-18 00:00:00	No	2009-09-16 00:00:00	None	A	None	3500	3500	-1225	2275	0	None	PKC511	N	CA00188978	B	SFY2009-10
050000549	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-12-16 00:00:00	050006291	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-19 00:00:00	2009-04-19 00:00:00	Yes	2014-03-28 00:00:00	2014-03-25 00:00:00	B	B	1000	1000	-350	650	0	None	LAC211	N	CA00165017	C	SFY2009-10
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-12 00:00:00	050006417	Closed	Citation	Citation B (HSC 1424)	Other	willful falsification	2009-07-10 00:00:00	2009-07-10 00:00:00	No	2009-09-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	IURU11	N	None	None	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-10-15 00:00:00	050006509	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2009-08-21 00:00:00	2009-08-21 00:00:00	No	2009-11-10 00:00:00	None	A	None	2000	4800	0	4800	0	None	Y2JP11	N	None	None	SFY2009-10
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2009-12-18 00:00:00	050006536	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-28 00:00:00	2008-01-28 00:00:00	No	2010-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	K8UJ11	N	CA00141234	C	SFY2009-10
050000919	PETIT COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2010-02-02 00:00:00	050006581	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-11 00:00:00	2009-09-11 00:00:00	Yes	2010-02-25 00:00:00	2010-02-11 00:00:00	B	B	500	250	0	250	0	None	52IG11	N	None	None	SFY2009-10
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-04 00:00:00	050006592	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-13 00:00:00	2009-03-13 00:00:00	No	2010-02-03 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	NIZU11	N	CA00182801	B	SFY2009-10
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-06-01 00:00:00	050006663	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-06-05 00:00:00	2009-06-05 00:00:00	No	2011-06-22 00:00:00	None	A	None	9000	9000	-3150	5850	0	None	HUMD11	N	CA00191416	C	SFY2010-11
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-04-14 00:00:00	050006684	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-29 00:00:00	2009-10-29 00:00:00	Yes	2010-07-08 00:00:00	2010-06-18 00:00:00	B	Drop>Deficiency	800	1800	0	1800	0	None	VV8811	N	CA00206876	A	SFY2009-10
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-11 00:00:00	050006759	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-08-12 00:00:00	2009-08-12 00:00:00	Yes	2015-04-16 00:00:00	2015-03-26 00:00:00	A	A	8500	5500	0	5500	0	None	OZKJ11	N	CA00200652	C	SFY2009-10
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-11 00:00:00	050006778	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-08-08 00:00:00	2009-08-08 00:00:00	Yes	2015-04-16 00:00:00	2015-03-26 00:00:00	A	B	5000	5100	-100	5000	0	None	HT0C11	N	CA00200192	C	SFY2009-10
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-12-22 00:00:00	050006820	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2009-04-07 00:00:00	2009-04-07 00:00:00	Yes	2014-03-28 00:00:00	2010-01-05 00:00:00	B	B Trebled	1000	3000	0	3000	0	None	H9O311	N	CA00185454	C	SFY2009-10
050000919	PETIT COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2010-02-02 00:00:00	050006871	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-11-09 00:00:00	2009-11-09 00:00:00	Yes	2010-02-25 00:00:00	2010-02-11 00:00:00	B	B	500	250	0	250	0	None	G99X11	N	CA00208330	B	SFY2009-10
050000006	CAMARILLO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-06-01 00:00:00	050006906	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-12-12 00:00:00	2009-12-12 00:00:00	No	2011-06-22 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	189H11	N	CA00211685	B	SFY2010-11
050000141	COMMUNITY MEMORIAL CONTINUING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-04-07 00:00:00	050007026	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-12-09 00:00:00	2009-12-09 00:00:00	No	2010-05-19 00:00:00	None	A	None	9000	9000	0	9000	0	None	MWIO11	N	CA00211693	C	SFY2009-10
050000043	OJAI HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Ventura	2010-06-08 00:00:00	050007049	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	FTR Patient Care	2010-01-16 12:01:00	2010-01-16 12:01:00	No	2010-07-01 00:00:00	None	B	None	100	100	0	100	0	None	NK3511	N	CA00216717	E	SFY2009-10
050000141	COMMUNITY MEMORIAL CONTINUING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-04-07 00:00:00	050007076	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-21 00:00:00	2010-01-21 00:00:00	No	2010-05-19 00:00:00	None	A	None	10000	10000	0	10000	0	None	L78B11	N	CA00216730, CA00221498	C, C	SFY2009-10
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-03-25 00:00:00	050007078	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-11 00:00:00	2009-10-11 00:00:00	Yes	2011-04-18 00:00:00	2011-04-07 00:00:00	A	B	10000	6500	0	6500	0	None	1BKK11	N	CA00214886	C	SFY2010-11
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-04-13 00:00:00	050007081	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2010-02-22 00:00:00	2010-02-22 00:00:00	Yes	2010-07-08 00:00:00	2010-06-17 00:00:00	A	B	8000	10000	0	10000	0	None	074411	N	CA00219723, CA00219912	C, A	SFY2009-10
050000062	THE CALIFORNIAN	LTC	SNF	Skilled Nursing Facility	Ventura	2011-04-27 00:00:00	050007104	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-01-18 00:00:00	2010-01-18 00:00:00	Yes	2014-05-05 00:00:00	2011-05-06 00:00:00	B	B	200	200	0	200	0	None	RFB511	N	CA00215667	B	SFY2010-11
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2010-05-10 00:00:00	050007191	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-15 00:00:00	2009-08-15 00:00:00	No	2010-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	K6UT11	N	CA00199488	B	SFY2009-10
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2012-07-19 00:00:00	050007262	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-22 00:00:00	2009-05-22 00:00:00	No	2012-08-09 00:00:00	None	A	None	10000	10000	-10000	0	0	None	9B5G11	N	CA00218890	B	SFY2012-13
050000066	COASTAL VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-10-20 00:00:00	050007475	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-11 00:00:00	2010-05-11 00:00:00	Yes	2014-05-05 00:00:00	2010-11-01 00:00:00	A	A	4000	4000	0	4000	0	None	75WJ11	N	CA00228734	A	SFY2010-11
050000141	COMMUNITY MEMORIAL CONTINUING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-04-20 00:00:00	050007580	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Failure to Report Abuse	2010-06-19 00:00:00	2010-06-19 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	I4R111	N	CA00233765	B	SFY2010-11
050000141	COMMUNITY MEMORIAL CONTINUING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-04-20 00:00:00	050007581	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Resident to Resident Abus	2010-06-18 00:00:00	2010-06-18 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	I4R111	N	CA00233765	B	SFY2010-11
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2011-04-20 00:00:00	050007589	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Failure to Report Abuse	2010-08-31 00:00:00	2010-08-31 00:00:00	Yes	2011-05-11 00:00:00	2011-04-27 00:00:00	B	B	400	200	0	200	0	None	CMSO11	N	CA00241570	B	SFY2010-11
050000468	MOMENTUM AGENCIES ICF/DD-N HILLCREST	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2012-04-11 00:00:00	050007674	Closed	Citation	Citation B (HSC 1424)	Patient Rights	sexual abuse	2010-09-18 00:00:00	2010-09-18 00:00:00	No	2012-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	56PP11	N	CA00243428	B	SFY2011-12
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-08-23 00:00:00	050007730	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-09-06 00:00:00	2010-09-06 00:00:00	Yes	2011-09-13 00:00:00	2011-08-23 00:00:00	B	B	500	325	0	325	0	None	W6RQ11	N	CA00243408	B	SFY2011-12
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-04-20 00:00:00	050007732	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-06-07 00:00:00	2010-06-07 00:00:00	Yes	2014-05-05 00:00:00	2011-04-29 00:00:00	B	B	800	800	-800	0	0	None	FK7U11	N	CA00234124	C	SFY2010-11
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-02-28 00:00:00	050007853	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-02-18 00:00:00	2010-02-18 00:00:00	No	2011-03-21 00:00:00	None	B	None	200	200	0	200	0	None	7MUF11	N	CA00255569	C	SFY2010-11
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-02-28 00:00:00	050007911	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-02-18 00:00:00	2010-02-18 00:00:00	No	2011-03-21 00:00:00	None	B	None	300	300	0	300	0	None	7MUF11	N	CA00255569	C	SFY2010-11
050000074	VILLA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-07-26 00:00:00	050008061	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-02-14 00:00:00	2011-02-14 00:00:00	No	2011-08-16 00:00:00	None	B	None	200	200	-70	130	0	None	0OJ311	N	CA00259878	C	SFY2011-12
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-07-26 00:00:00	050008067	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-11-01 00:00:00	2010-11-01 00:00:00	No	2011-08-16 00:00:00	None	B	None	200	200	0	200	0	None	P7EH11	N	CA00249176	C	SFY2011-12
630011658	OAKVIEW SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Ventura	2011-04-28 00:00:00	050008073	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-27 00:00:00	2010-08-27 00:00:00	No	2011-05-19 00:00:00	None	A	None	7000	7000	-2450	4550	0	None	XSJ411	N	CA00241240	C	SFY2010-11
630011658	OAKVIEW SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Ventura	2011-04-28 00:00:00	050008074	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-01-21 00:00:00	2011-01-21 00:00:00	No	2011-05-19 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	XSJ411	N	CA00241240	C	SFY2010-11
050000048	DANISH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-04-26 00:00:00	050008159	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2011-03-29 00:00:00	2011-03-29 00:00:00	No	2011-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	J5NY11	N	CA00264406	B	SFY2010-11
050000049	GREENFIELD CARE CENTER OF FILLMORE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2011-05-19 00:00:00	050008256	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	Financial Occurrence	2010-11-10 00:00:00	2010-11-10 00:00:00	No	2011-06-10 00:00:00	None	B	None	200	200	-70	130	0	None	ETND11	N	CA00264576, CA00265065, CA00265071	B, B, B	SFY2010-11
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-09-19 00:00:00	050008403	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-09-09 00:00:00	2010-09-09 00:00:00	No	2011-10-10 00:00:00	None	B	None	200	200	-70	130	0	None	BN4U11	N	CA00243694	C	SFY2011-12
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-09-19 00:00:00	050008404	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2011-01-20 00:00:00	2011-01-20 00:00:00	No	2011-10-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q3M411	N	CA00257324	C	SFY2011-12
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-08-03 00:00:00	050008413	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-06-06 00:00:00	2011-06-06 00:00:00	Yes	2014-05-27 00:00:00	2014-05-12 00:00:00	A	A	8000	8000	0	8000	0	None	PNZR11	N	CA00272495	B	SFY2011-12
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-09-19 00:00:00	050008414	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-09 00:00:00	2010-09-09 00:00:00	No	2011-10-10 00:00:00	None	B	None	800	800	-280	520	0	None	BN4U11	N	CA00243694	C	SFY2011-12
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-09-08 00:00:00	050008438	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-07-19 00:00:00	2011-07-19 00:00:00	No	2011-09-30 00:00:00	None	B	None	800	800	-800	0	0	None	J8OC11	N	CA00276905, CA00277082, CA00277296	B, B, B	SFY2011-12
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-08-24 00:00:00	050008448	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	failure to report	2011-07-20 00:00:00	2011-07-20 00:00:00	Yes	2011-09-14 00:00:00	2011-08-24 00:00:00	B	B	500	325	0	325	0	None	P7SM11	N	None	None	SFY2011-12
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-08-23 00:00:00	050008481	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-07-19 00:00:00	2011-07-19 00:00:00	Yes	2011-09-13 00:00:00	2011-08-23 00:00:00	B	B	700	455	0	455	0	None	J8OC11	N	CA00276905, CA00277082, CA00277296	B, B, B	SFY2011-12
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-08-24 00:00:00	050008482	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-02 00:00:00	2011-08-02 00:00:00	Yes	2011-09-14 00:00:00	2011-08-24 00:00:00	A	None	20000	20000	-20000	0	0	None	FP1S11	N	CA00278451	B	SFY2011-12
050000072	VENTURA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-10-18 00:00:00	050008645	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-12 00:00:00	2010-10-12 00:00:00	Yes	2014-06-05 00:00:00	2011-10-25 00:00:00	B	B	500	550	-50	500	0	None	KPTY12	N	CA00258444	B	SFY2011-12
050000072	VENTURA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2011-10-18 00:00:00	050008646	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-12 00:00:00	2010-11-12 00:00:00	Yes	2014-06-05 00:00:00	2011-10-25 00:00:00	B	B	800	850	-50	800	0	None	KPTY12	N	CA00258444	B	SFY2011-12
050000549	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-11-14 00:00:00	050008659	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-09 00:00:00	2011-09-09 00:00:00	No	2011-12-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	P65I11	N	None	None	SFY2011-12
050000549	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-11-14 00:00:00	050008660	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-01-09 00:00:00	2011-01-09 00:00:00	No	2011-12-07 00:00:00	None	B	None	800	800	0	800	0	None	P65I11	N	None	None	SFY2011-12
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2012-04-05 00:00:00	050008714	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-09-27 00:00:00	2009-09-27 00:00:00	No	2012-04-26 00:00:00	None	B	None	800	800	-280	520	0	None	8QUW11	N	CA00204026	C	SFY2011-12
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2012-01-19 00:00:00	050008727	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-24 00:00:00	2011-03-24 00:00:00	No	2012-02-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	70V011	N	CA00265090	C	SFY2011-12
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2012-01-10 00:00:00	050008821	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-05 00:00:00	2011-09-05 00:00:00	No	2012-02-01 00:00:00	None	A	None	9500	9500	-3325	6175	0	None	VFM611	N	None	None	SFY2011-12
050000139	BAYSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2012-02-01 00:00:00	050008833	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-07 00:00:00	2011-09-07 00:00:00	Yes	2012-02-23 00:00:00	2012-04-13 00:00:00	A	A	10000	6500	0	6500	0	None	DCQM11	N	None	None	SFY2011-12
050001098	JADE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2013-12-04 00:00:00	050009092	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-08 00:00:00	2010-11-08 00:00:00	No	2013-12-26 00:00:00	None	B	None	500	500	-175	325	0	None	5X2M11	N	CA00248775, CA00248817	E, E	SFY2013-14
050000468	MOMENTUM AGENCIES ICF/DD-N HILLCREST	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2012-04-11 00:00:00	050009214	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-18 00:00:00	2010-09-18 00:00:00	No	2012-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	56PP11	N	CA00243431	B	SFY2011-12
050000044	SAN LUIS POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2012-07-24 00:00:00	050009334	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-04 00:00:00	2009-05-04 00:00:00	Yes	2012-08-14 00:00:00	2012-08-07 00:00:00	A	B	10000	6750	0	6750	0	None	RTSV11	N	CA00191362	B	SFY2012-13
050000140	MARIAN REGIONAL MEDICAL CENTER DP/SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2012-08-08 00:00:00	050009380	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-10-19 00:00:00	2011-10-19 00:00:00	No	2012-08-29 00:00:00	None	A	None	4000	4000	-1400	2600	0	None	4W7U11	N	CA00287725	E	SFY2012-13
050000049	GREENFIELD CARE CENTER OF FILLMORE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2012-10-09 00:00:00	050009389	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2011-08-23 00:00:00	2011-08-23 00:00:00	No	2012-10-30 00:00:00	None	B	None	200	600	-210	390	0	None	O2VT11	N	CA00314800	C	SFY2012-13
050000054	LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2013-11-21 00:00:00	050009766	Closed	Citation	Citation B (HSC 1424)	Other	Quality of Care	2013-01-04 00:00:00	2013-01-04 00:00:00	No	2013-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	QHGB11	N	CA00338510	B	SFY2013-14
050000688	WAVECREST HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2014-02-14 00:00:00	050009832	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-04-04 00:00:00	2011-04-04 00:00:00	No	2014-03-10 00:00:00	None	B	None	500	500	-175	325	0	None	JW8811	N	CA00266792	B	SFY2013-14
050000688	WAVECREST HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2014-02-14 00:00:00	050009833	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-04-04 00:00:00	2011-04-04 00:00:00	No	2014-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	JW8811	N	CA00266792	B	SFY2013-14
050000053	SANTA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2014-02-20 00:00:00	050010171	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-09-26 00:00:00	2010-09-26 00:00:00	No	2014-03-13 00:00:00	None	A	None	4000	4000	-1400	2600	0	None	71G211	Y	CA00244360, CA00246881	C, C	SFY2013-14
050000069	VALLE VERDE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2014-07-01 00:00:00	050010827	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-17 00:00:00	2014-02-17 00:00:00	No	2014-07-23 00:00:00	None	A	None	4000	4000	-1400	2600	0	None	KFBN11	N	None	None	SFY2014-15
050000064	ATTERDAG CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2014-09-11 00:00:00	050010901	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-06-03 00:00:00	2014-06-03 00:00:00	No	2014-10-02 00:00:00	None	A	None	5000	5000	0	5000	0	None	XQ6Q11	N	CA00400951	C	SFY2014-15
050000075	VISTA DEL MONTE	LTC	SNF	Skilled Nursing Facility	Ventura	2014-10-16 00:00:00	050010903	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-06-30 00:00:00	2014-06-30 00:00:00	Yes	2014-11-06 00:00:00	2014-10-20 00:00:00	A	A	5000	3250	-3250	0	0	None	UMCX11	N	CA00404095	C	SFY2014-15
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2015-01-02 00:00:00	050010993	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-07-06 00:00:00	2014-07-06 00:00:00	No	2015-01-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	49VU11	N	CA00405572, CA00407447, CA00407810, CA00408458, CA00409625	C, B, C, C, C	SFY2014-15
050000043	OJAI HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Ventura	2015-02-05 00:00:00	050011023	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-09-07 00:00:00	2014-09-07 00:00:00	No	2015-02-27 00:00:00	None	A	None	6000	6000	-2100	3900	0	None	3JD411	N	CA00412279, CA00412493, CA00413391, CA00414895, CA00415482	B, B, B, B, B	SFY2014-15
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2014-11-25 00:00:00	050011030	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-09-03 00:00:00	2014-09-03 00:00:00	No	2014-12-18 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	4JR311	N	CA00411992, CA00411992	B, B	SFY2014-15
050000549	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2015-01-09 00:00:00	050011086	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-09-07 00:00:00	2014-09-07 00:00:00	No	2015-02-02 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	295N11	N	CA00412336	B	SFY2014-15
050000053	SANTA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2015-05-18 00:00:00	050011093	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-13 00:00:00	2014-03-13 00:00:00	No	2015-06-09 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	Q4SY11	N	CA00406236	B	SFY2014-15
050000055	MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2015-11-03 00:00:00	050011175	Closed	Citation	Citation A (HSC 1424)	Medication	None	2014-11-27 00:00:00	2014-11-27 00:00:00	No	2015-11-25 00:00:00	None	A	None	4500	4500	-1575	2925	0	None	B2FE11	N	CA00422115	A	SFY2015-16
050000074	VILLA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2016-04-12 00:00:00	050011179	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-11-12 00:00:00	2014-11-12 00:00:00	No	2016-05-03 00:00:00	None	A	None	15542	15542	-5439.7	10102.3	0	None	1XP011	N	CA00420377	C	SFY2015-16
050000044	SAN LUIS POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2015-10-14 00:00:00	050011205	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-10-16 00:00:00	2014-10-16 00:00:00	No	2015-11-04 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	WJ8S11	N	CA00417597	B	SFY2015-16
050000005	COUNTRY CARE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2015-04-02 00:00:00	050011239	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-10-13 00:00:00	2014-10-13 00:00:00	No	2015-04-23 00:00:00	None	A	None	5000	5600	-1750	3850	0	None	SCMM11	N	CA00416899	C	SFY2014-15
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2016-09-26 00:00:00	050011308	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Abuse/Not Self Reported	2015-02-04 00:00:00	2015-02-04 00:00:00	No	2016-10-17 00:00:00	None	B	None	855	855	-299.25	555.75	0	None	7RLM11	N	CA00429923	B	SFY2016-17
050000050	GLENWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-05-24 00:00:00	050011407	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2015-03-16 00:00:00	2015-03-16 00:00:00	Yes	2016-06-15 00:00:00	2016-05-24 00:00:00	AA	AA	77163	45000	0	45000	0	None	Z27N11	Y	CA00435205, CA00435228	B, B	SFY2015-16
050001071	FARROLL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2015-07-06 00:00:00	050011520	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-01-03 00:00:00	2015-01-03 00:00:00	No	2015-07-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	DDWV11	N	CA00426649	B	SFY2015-16
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2015-11-24 00:00:00	050011521	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-24 00:00:00	2014-08-24 00:00:00	Yes	2015-12-17 00:00:00	2015-12-14 00:00:00	B	B	1000	1000	0	1000	0	None	SKJM11	N	CA00436135, CA00441101	B, B	SFY2015-16
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-02-01 00:00:00	050011614	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-15 00:00:00	2015-06-15 00:00:00	No	2016-02-23 00:00:00	None	A	None	6000	6000	-2100	3900	0	None	L80411	N	CA00446995	B	SFY2015-16
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-07-29 00:00:00	050011623	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-06-23 00:00:00	2015-06-23 00:00:00	Yes	2016-08-19 00:00:00	2016-08-05 00:00:00	B	B	1710	1026	0	1026	0	None	ZZY411	N	CA00447925	B	SFY2016-17
050000629	MITCHELL HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2015-10-19 00:00:00	050011629	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-21 00:00:00	2015-05-21 00:00:00	No	2015-11-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	I58X11	N	CA00442864, CA00448196	B, B	SFY2015-16
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-01-26 00:00:00	050011735	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-07-25 00:00:00	2015-07-25 00:00:00	Yes	2016-02-17 00:00:00	2016-02-08 00:00:00	B	B	2000	1500	0	1500	0	None	ITZ711	N	None	None	SFY2015-16
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-04-06 00:00:00	050011736	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-18 00:00:00	2015-06-18 00:00:00	Yes	2016-04-27 00:00:00	2016-04-11 00:00:00	A	A	15542	10100	0	10100	0	None	SLGS11	N	None	None	SFY2015-16
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2015-10-30 00:00:00	050011791	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-04-20 00:00:00	2015-04-20 00:00:00	Yes	2015-11-23 00:00:00	2015-11-23 00:00:00	B	Dismissed by Court	2000	250	-250	0	0	None	WFPI11	N	CA00444823	B	SFY2015-16
050000054	LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2016-04-07 00:00:00	050011804	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-10-05 00:00:00	2015-10-05 00:00:00	No	2016-04-28 00:00:00	None	B	None	600	850	-210	640	0	None	D68Y11	N	CA00461914	B	SFY2015-16
050001416	LOMPOC SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-03-01 00:00:00	050011959	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-10-26 00:00:00	2015-10-26 00:00:00	Yes	2016-03-22 00:00:00	2016-03-21 00:00:00	A	B	7000	7000	0	7000	0	None	IJOX11	N	CA00463340	B	SFY2015-16
050000064	ATTERDAG CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-05-24 00:00:00	050012055	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	failure to report abuse.	2016-01-28 00:00:00	2016-01-28 00:00:00	No	2016-06-15 00:00:00	None	B	None	800	800	-280	520	0	None	X5RD11	N	None	None	SFY2015-16
050000064	ATTERDAG CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-05-24 00:00:00	050012197	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-02-24 00:00:00	2016-02-24 00:00:00	No	2016-06-15 00:00:00	None	B	None	500	500	-175	325	0	None	2ZXU11	N	None	None	SFY2015-16
050000069	VALLE VERDE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2016-09-30 00:00:00	050012298	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-03-14 00:00:00	2016-03-14 00:00:00	No	2016-10-21 00:00:00	None	B	None	771	771	-269.85	501.15	0	None	L8TL11	N	CA00487714	B	SFY2016-17
050000141	COMMUNITY MEMORIAL CONTINUING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-08-08 00:00:00	050012340	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-22 00:00:00	2016-02-22 00:00:00	No	2016-08-29 00:00:00	None	A	None	15543	15543	-5440.05	10102.95	0	None	EH4U11	N	CA00477195	B	SFY2016-17
630011658	OAKVIEW SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Ventura	2016-07-28 00:00:00	050012343	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-06 00:00:00	2016-05-06 00:00:00	No	2016-08-18 00:00:00	None	A	None	15543	15543	-5440.05	10102.95	0	None	ZSD611	N	CA00487425	B	SFY2016-17
050000053	SANTA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2016-09-22 00:00:00	050012369	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-19 00:00:00	2016-04-19 00:00:00	No	2016-10-13 00:00:00	None	B	None	803	803	0	803	0	None	MD1D11	N	CA00483962, CA00483989	B, B	SFY2016-17
050000052	HILLSIDE HOUSE INC	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2016-07-26 00:00:00	050012385	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-20 00:00:00	2016-06-20 00:00:00	No	2016-08-16 00:00:00	None	B	None	850	850	0	850	0	None	4Z6M11	N	CA00492454	B	SFY2016-17
050000069	VALLE VERDE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2016-08-26 00:00:00	050012504	Closed	Citation	Citation B (HSC 1424)	Other	5 star posting	2016-08-01 00:00:00	2016-08-01 00:00:00	No	2016-09-19 00:00:00	None	B	None	428	428	0	428	0	None	TB5Y11	N	None	None	SFY2016-17
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-10-14 00:00:00	050012550	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurence Report	2016-08-10 00:00:00	2016-08-10 00:00:00	No	2016-11-04 00:00:00	None	B	None	771	771	0	771	0	None	G3J511	N	CA00499351	B	SFY2016-17
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-12-28 00:00:00	050012759	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-15 00:00:00	2016-07-15 00:00:00	No	2017-01-20 00:00:00	None	B	None	771	771	-269.85	501.15	0	None	QU6N11	N	CA00510019	B	SFY2016-17
050000049	GREENFIELD CARE CENTER OF FILLMORE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2017-01-12 00:00:00	050012841	Closed	Citation	Citation B (HSC 1424)	Administration	Administation	2016-12-08 00:00:00	2016-12-08 00:00:00	No	2017-02-03 00:00:00	None	B	None	500	500	-175	325	0	None	TJGE11	N	None	None	SFY2016-17
050001098	JADE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2017-02-03 00:00:00	050012858	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Abuse/Facility Not Self R	2016-08-15 00:00:00	2016-08-15 00:00:00	No	2017-02-27 00:00:00	None	B	None	855	855	-299.25	555.75	0	None	0FN611	N	CA00504689, CA00505004	A, A	SFY2016-17
050000007	CHANNEL ISLANDS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2017-05-08 00:00:00	050013045	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-21 00:00:00	2017-01-21 00:00:00	Yes	2017-05-30 00:00:00	2017-05-30 00:00:00	A	Dismissed by Court	18000	0	0	0	0	None	CCDB11	N	CA00519053	B	SFY2016-17
050000069	VALLE VERDE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2017-05-08 00:00:00	050013117	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-10 00:00:00	2016-08-10 00:00:00	No	2017-05-30 00:00:00	None	A	None	15433	15433	-5401.55	10031.45	0	None	UVP011	N	CA00505742	B	SFY2016-17
050000005	COUNTRY CARE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2017-05-08 00:00:00	050013143	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Abuse / facility not self	2017-01-08 00:00:00	2017-01-08 00:00:00	No	2017-05-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	OPA411	N	CA00498214, CA00517862, CA00518044	B, A, A	SFY2016-17
050000005	COUNTRY CARE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2017-05-08 00:00:00	050013144	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-01-08 00:00:00	2017-01-08 00:00:00	No	2017-05-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	OPA411	N	CA00517862, CA00518044	A, A	SFY2016-17
050000005	COUNTRY CARE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2017-05-08 00:00:00	050013145	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-02 00:00:00	2016-05-02 00:00:00	No	2017-05-30 00:00:00	None	A	None	15433	15433	0	15433	0	None	OPA411	N	CA00498214	B	SFY2016-17
630014636	SIMI VALLEY CARE HOME, INC.	LTC	CLHF	Congregate Living Health Facility	Ventura	2019-01-23 00:00:00	050013174	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-04-10 00:00:00	2017-04-10 00:00:00	No	2019-02-13 00:00:00	None	AA	None	21375	21375	-7481.25	13893.75	0	None	R4U311	Y	CA00530780	A	SFY2018-19
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2017-07-19 00:00:00	050013213	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-01-18 00:00:00	2017-01-18 00:00:00	No	2017-08-09 00:00:00	None	B	None	1900	1900	-665	1235	0	None	41MT11	N	CA00535485	B	SFY2017-18
050000554	SURFRIDER HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2017-12-15 00:00:00	050013609	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-07-10 00:00:00	2017-07-10 00:00:00	No	2018-01-09 00:00:00	None	B	None	1710	1710	0	1710	0	None	DTFZ11	N	CA00543413	B	SFY2017-18
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2018-02-27 00:00:00	050013770	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-06 00:00:00	2017-11-06 00:00:00	Yes	2018-03-20 00:00:00	2018-03-02 00:00:00	A	B	17000	17000	0	17000	0	None	L0FS11	N	CA00560064, CA00560184, CA00561916, CA00562409	A, A, B, B	SFY2017-18
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2018-08-22 00:00:00	050014302	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-30 00:00:00	2018-03-30 00:00:00	No	2018-09-13 00:00:00	None	B	None	1710	1710	0	1710	0	None	ZTUE11	N	CA00582550	B	SFY2018-19
050000072	VENTURA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2018-08-23 00:00:00	050014317	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-07-10 00:00:00	2018-07-10 00:00:00	No	2018-09-14 00:00:00	None	B	None	1805	1805	0	1805	0	None	ZA4D11	N	CA00597720	A	SFY2018-19
050001383	ALTA HEALTHCARE CENTER OF CAMARILLO	LTC	SNF	Skilled Nursing Facility	Ventura	2019-07-24 00:00:00	050014401	Closed	Citation	Citation AA (HSC 1424)	Patient Care	quality of care	2018-04-06 00:00:00	2018-04-06 00:00:00	No	2019-08-14 00:00:00	None	AA	None	81000	81000	-28350	52650	0	None	2HJQ11	Y	CA00590564, CA00590564, CA00590564, CA00590564	B, B, B, B	SFY2019-20
050000044	SAN LUIS POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2019-06-12 00:00:00	050014451	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-27 00:00:00	2018-04-27 00:00:00	Yes	2019-07-03 00:00:00	2019-06-12 00:00:00	A	B	17100	14000	0	14000	0	None	RF0G11	Y	CA00586840	C	SFY2018-19
050000067	THOUSAND OAKS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2018-12-13 00:00:00	050014570	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2018-09-18 00:00:00	2018-09-18 00:00:00	No	2019-01-04 00:00:00	None	A	None	17100	17100	-5985	11115	0	None	8DUS11	N	CA00603668, CA00603668, CA00603668, CA00603668, CA00603668, CA00603668, CA00603668, CA00603668	B, B, B, B, B, B, B, B	SFY2018-19
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2019-01-15 00:00:00	050014701	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-02 00:00:00	2018-12-02 00:00:00	No	2019-02-05 00:00:00	None	B	None	1710	1710	-598.5	1111.5	0	None	VUSM11	N	CA00614485	B	SFY2018-19
050000468	MOMENTUM AGENCIES ICF/DD-N HILLCREST	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2019-02-25 00:00:00	050014753	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-11 00:00:00	2018-12-11 00:00:00	No	2019-03-18 00:00:00	None	B	None	1805	1805	-631.75	1173.25	0	None	PJO911	N	CA00615637, CA00615637	B, B	SFY2018-19
050000043	OJAI HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Ventura	2019-02-12 00:00:00	050014756	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-08 00:00:00	2018-12-08 00:00:00	No	2019-03-05 00:00:00	None	B	None	1805	1805	0	1805	0	None	4Z2M11	N	CA00616618	A	SFY2018-19
050000139	BAYSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2019-06-27 00:00:00	050014856	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-02-21 00:00:00	2019-02-21 00:00:00	Yes	2019-07-18 00:00:00	2019-07-01 00:00:00	A	A	17100	17100	0	17100	0	None	K2RF11	N	CA00625809	B	SFY2018-19
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2019-08-09 00:00:00	050015119	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-02-16 00:00:00	2019-02-16 00:00:00	No	2019-08-30 00:00:00	None	A	None	18050	18050	-6317.5	11732.5	0	None	QC5S11	N	CA00625160, CA00625160	B, B	SFY2019-20
050000062	THE CALIFORNIAN	LTC	SNF	Skilled Nursing Facility	Ventura	2019-09-19 00:00:00	050015132	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2019-02-11 00:00:00	2019-02-11 00:00:00	No	2019-10-10 00:00:00	None	AA	None	90250	90250	0	90250	0	None	52FI11	Y	CA00623796, CA00623796, CA00623796, CA00623796, CA00623834, CA00623834	A, A, A, A, A, A	SFY2019-20
050000046	CASA DORINDA	LTC	SNF	Skilled Nursing Facility	Ventura	2019-10-10 00:00:00	050015244	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-10-31 00:00:00	None	A	None	17000	17000	-5950	11050	0	None	EFKQ11	N	CA00636685	B	SFY2019-20
630016805	WHITE DOVES HOME CARE, LLC	LTC	CLHF	Congregate Living Health Facility	Ventura	2019-10-28 00:00:00	050015270	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-04 00:00:00	2019-06-04 00:00:00	No	2019-11-18 00:00:00	None	A	None	9025	9025	-3158.75	5866.25	0	None	GNTT11	N	CA00640166, CA00640166, CA00640166, CA00640166, CA00640166	A, A, A, A, A	SFY2019-20
050000044	SAN LUIS POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2019-10-01 00:00:00	050015278	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-31 00:00:00	2019-05-31 00:00:00	No	2019-10-22 00:00:00	None	B	None	1805	1805	0	1805	0	None	12KI11	N	CA00639957, CA00639957	B, B	SFY2019-20
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2019-11-13 00:00:00	050015497	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-13 00:00:00	2019-06-13 00:00:00	No	2019-12-04 00:00:00	None	A	None	17000	17000	-5950	11050	0	None	3H1L11	N	CA00641800	B	SFY2019-20
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2020-01-06 00:00:00	050015570	Closed	Citation	Citation B (HSC 1424)	Other	sign posting	2019-11-13 00:00:00	2019-11-13 00:00:00	No	2020-01-27 00:00:00	None	B	None	900	900	-315	585	0	None	PJID11	N	None	None	SFY2019-20
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2022-07-29 00:00:00	050015731	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-17 00:00:00	2019-11-17 00:00:00	No	2022-08-19 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	DVWX11	Y	None	None	SFY2022-23
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2022-07-07 00:00:00	050017308	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-10-01 00:00:00	2021-10-01 00:00:00	No	2022-07-28 00:00:00	None	AA	None	81000	81000	-28350	52650	0	None	IQ9X11	Y	CA00755465	A	SFY2022-23
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2023-04-13 00:00:00	050017470	Closed	Citation	Citation A (HSC 1424)	Other	Elopement	2022-01-04 00:00:00	2022-01-04 00:00:00	No	2023-05-04 00:00:00	None	A	None	3500	3500	0	3500	0	None	HXQN11	N	CA00768241, CA00768241	A, A	SFY2022-23
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2023-03-14 00:00:00	050017471	Open	Citation	Citation B (HSC 1424)	Other	Failure to report	2022-01-04 00:00:00	2022-01-04 00:00:00	No	2023-04-05 00:00:00	None	B	None	1710	1710	0	0	1710	None	HXQN11	N	CA00768241, CA00768241, CA00768241	A, A, A	SFY2022-23
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2023-03-16 00:00:00	050018017	Open	Citation	Citation B (HSC 1424)	Other	Fairure to report	2022-07-21 00:00:00	2022-07-21 00:00:00	No	2023-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IJEE11	N	CA00795753, CA00795753, CA00795753, CA00795753	A, A, A, A	SFY2022-23
050000595	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2023-01-17 00:00:00	050018152	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-02 00:00:00	2022-11-02 00:00:00	No	2023-02-07 00:00:00	None	B	None	1805	1805	-631.75	1173.25	0	None	B63W11	N	CA00810177, CA00810448	A, A	SFY2022-23
050000549	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2023-05-17 00:00:00	050018273	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-06-18 00:00:00	2022-06-18 00:00:00	Yes	2023-06-08 00:00:00	2023-05-19 00:00:00	B	B	1710	1600	0	1600	0	None	J6I211	N	CA00788306, CA00788475	A, B	SFY2022-23
050000072	VENTURA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2023-06-01 00:00:00	050018416	Closed	Citation	Citation A (HSC 1424)	Other	Abuse	2022-11-21 00:00:00	2022-11-21 00:00:00	No	2023-06-22 00:00:00	None	A	None	20250	20250	-7087.5	13162.5	0	None	6DDF11	N	CA00812762	A	SFY2022-23
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2023-07-19 00:00:00	050018451	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-27 00:00:00	2023-01-27 00:00:00	No	2023-08-09 00:00:00	None	B	None	2700	2700	-945	1755	0	None	SDIP11	N	CA00823697, CA00825313, CA00825313	B, A, A	SFY2023-24
630017071	ROYAL LIVING HOME, INC.	LTC	CLHF	Congregate Living Health Facility	Ventura	2023-04-21 00:00:00	050018519	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-26 00:00:00	2023-01-26 00:00:00	No	2023-05-12 00:00:00	None	B	B	900	450	0	0	450	None	YXS711	N	CA00823234	A	SFY2022-23
630017071	ROYAL LIVING HOME, INC.	LTC	CLHF	Congregate Living Health Facility	Ventura	2023-04-21 00:00:00	050018592	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-27 00:00:00	2023-01-27 00:00:00	No	2023-05-12 00:00:00	None	A	A	19000	13300	0	0	13300	None	XC5M11	N	CA00823979	A	SFY2022-23
630017071	ROYAL LIVING HOME, INC.	LTC	CLHF	Congregate Living Health Facility	Ventura	2023-04-21 00:00:00	050018597	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-27 00:00:00	2023-01-27 00:00:00	No	2023-05-12 00:00:00	None	B	B	1000	500	0	0	500	None	XC5M11	N	CA00823979	A	SFY2022-23
630017071	ROYAL LIVING HOME, INC.	LTC	CLHF	Congregate Living Health Facility	Ventura	2023-04-21 00:00:00	050018598	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-03 00:00:00	2023-02-03 00:00:00	No	2023-05-12 00:00:00	None	B	B	1000	500	0	0	500	None	WR4C11	N	CA00825239	A	SFY2022-23
630017071	ROYAL LIVING HOME, INC.	LTC	CLHF	Congregate Living Health Facility	Ventura	2023-04-21 00:00:00	050018622	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-26 00:00:00	2023-01-26 00:00:00	No	2023-05-12 00:00:00	None	A	A	20000	14000	0	0	14000	None	YXS711	N	CA00823234, CA00823234	A, A	SFY2022-23
630017071	ROYAL LIVING HOME, INC.	LTC	CLHF	Congregate Living Health Facility	Ventura	2023-04-21 00:00:00	050018623	Open	Citation	Citation A (HSC 1424)	Other	Abuse	2023-01-26 00:00:00	2023-01-26 00:00:00	No	2023-05-12 00:00:00	None	A	A	20000	14000	0	0	14000	None	YXS711	N	CA00823234, CA00823234	A, A	SFY2022-23
630017071	ROYAL LIVING HOME, INC.	LTC	CLHF	Congregate Living Health Facility	Ventura	2023-04-21 00:00:00	050018642	Open	Citation	Citation A (HSC 1424)	Administration	None	2023-02-02 00:00:00	2023-02-02 00:00:00	No	2023-05-12 00:00:00	None	A	A	20000	14000	0	0	14000	None	ML7G11	N	None	None	SFY2022-23
630017071	ROYAL LIVING HOME, INC.	LTC	CLHF	Congregate Living Health Facility	Ventura	2023-04-21 00:00:00	050018647	Open	Citation	Citation A (HSC 1424)	Other	Licensee	2023-02-02 00:00:00	2023-02-02 00:00:00	No	2023-05-12 00:00:00	None	A	A	20000	14000	0	0	14000	None	ML7G11	N	None	None	SFY2022-23
050000079	MILTON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2023-06-15 00:00:00	050018710	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-06 00:00:00	2023-04-06 00:00:00	No	2023-07-07 00:00:00	None	B	None	2430	2430	0	2430	0	None	6FX711	N	CA00836860	A	SFY2022-23
050000043	OJAI HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Ventura	2023-12-12 00:00:00	050018808	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-04 00:00:00	2023-02-04 00:00:00	No	2024-01-03 00:00:00	None	A	None	20250	20250	-7087.5	13162.5	0	None	KX0U11	N	CA00825083, CA00825419	A, B	SFY2023-24
630016241	POTTER CARE, LLC	LTC	CLHF	Congregate Living Health Facility	Ventura	2023-12-12 00:00:00	050019302	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-11 00:00:00	2023-09-11 00:00:00	No	2024-01-03 00:00:00	None	A	None	9000	9000	0	0	9000	None	LR6C11	N	CA00860165, CA00860165, CA00860165, CA00860165, CA00860165, CA00860165	A, A, A, A, A, A	SFY2023-24
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	1999-01-06 00:00:00	060000978	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1998-09-24 00:00:00	None	Yes	1999-02-02 00:00:00	1999-01-25 00:00:00	A	A	10000	8000	-8000	0	0	060008532	A99999	N	None	None	SFY1998-99
060001583	HILL ROAD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2000-01-05 00:00:00	060001014	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-30 00:00:00	None	No	2000-01-27 00:00:00	None	B	None	1000	1050	-350	700	0	060009268	A99999	N	None	None	SFY1999-00
060000113	HARBOR VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2000-01-10 00:00:00	060001015	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-25 00:00:00	None	No	2000-02-02 00:00:00	None	B	None	700	700	-245	455	0	060009269	A99999	N	None	None	SFY1999-00
060000052	ORANGE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2000-01-26 00:00:00	060001016	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-09 00:00:00	None	No	2000-02-23 00:00:00	None	B	None	700	700	-245	455	0	060009318	A99999	N	None	None	SFY1999-00
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2000-01-27 00:00:00	060001017	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-06 00:00:00	None	Yes	2000-02-24 00:00:00	2000-02-15 00:00:00	B	B	1000	650	0	650	0	060009322	A99999	N	None	None	SFY1999-00
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2000-01-27 00:00:00	060001018	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-02 00:00:00	None	Yes	2000-02-22 00:00:00	2000-02-15 00:00:00	B	B	1000	650	0	650	0	060009324	A99999	N	None	None	SFY1999-00
060001166	FOOTHILL REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2000-05-01 00:00:00	060001019	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-22 00:00:00	None	No	2000-05-22 00:00:00	None	A	None	10000	10000	-3500	6500	0	060009479	A99999	N	None	None	SFY1999-00
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2000-05-18 00:00:00	060001020	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-07 00:00:00	None	No	2000-06-09 00:00:00	None	B	None	1000	1000	-350	650	0	060009490	A99999	N	None	None	SFY1999-00
060000039	ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2000-05-18 00:00:00	060001021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-19 00:00:00	None	No	2000-06-09 00:00:00	None	B	None	1000	1000	-350	650	0	060009507	A99999	N	None	None	SFY1999-00
060000124	HEALTHCARE CENTER OF ORANGE COUNTY	LTC	SNF	Skilled Nursing Facility	Orange	2000-05-25 00:00:00	060001022	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-07 00:00:00	None	No	2000-06-20 00:00:00	None	B	None	800	800	-280	520	0	060009530	A99999	N	None	None	SFY1999-00
060000124	HEALTHCARE CENTER OF ORANGE COUNTY	LTC	SNF	Skilled Nursing Facility	Orange	2000-05-25 00:00:00	060001023	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-17 00:00:00	None	No	2000-06-20 00:00:00	None	B	None	1000	1000	-350	650	0	060009530	A99999	N	None	None	SFY1999-00
060000194	CHAPMAN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2000-05-25 00:00:00	060001024	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-07 00:00:00	None	Yes	2000-11-02 00:00:00	2000-06-07 00:00:00	B	B	1000	1000	0	1000	0	060009531	A99999	N	None	None	SFY1999-00
060001077	INDEPENDENT OPTIONS, INC. MARK LANE II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2000-06-23 00:00:00	060001025	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-01-25 00:00:00	None	No	2000-07-17 00:00:00	None	B	None	1000	1000	-350	650	0	060009579	A99999	N	None	None	SFY1999-00
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2000-07-18 00:00:00	060001027	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-29 00:00:00	None	Yes	2000-10-10 00:00:00	2000-09-25 00:00:00	A	B	5000	1000	0	1000	0	060009623	A99999	N	None	None	SFY2000-01
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2000-07-17 00:00:00	060001028	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-30 00:00:00	None	Yes	2000-08-08 00:00:00	2000-07-24 00:00:00	B	B	800	800	-800	0	0	060009648	A99999	N	None	None	SFY2000-01
060000164	FRENCH PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2000-10-19 00:00:00	060001029	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-24 00:00:00	None	No	2000-11-13 00:00:00	None	B	None	1000	1250	-350	900	0	060009848	A99999	N	None	None	SFY2000-01
060001698	HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2000-10-24 00:00:00	060001030	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-09-29 00:00:00	None	No	2000-11-16 00:00:00	None	A	None	7500	7500	-2625	4875	0	060009861	A99999	N	None	None	SFY2000-01
060000784	MOMENTUM AGENCIES ICF/DD-H BUENA PARK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2000-10-24 00:00:00	060001031	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-03 00:00:00	None	No	2000-11-15 00:00:00	None	B	None	700	700	-245	455	0	060009862	A99999	N	None	None	SFY2000-01
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2000-10-27 00:00:00	060001032	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-24 00:00:00	None	Yes	2001-06-19 00:00:00	2001-05-29 00:00:00	B	Drop>Deficiency	700	700	0	700	0	060009867	A99999	N	None	None	SFY2000-01
060000194	CHAPMAN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2000-11-08 00:00:00	060001033	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-04-09 00:00:00	None	No	2000-12-05 00:00:00	None	B	None	1000	1000	-350	650	0	060009888	A99999	N	None	None	SFY2000-01
060000039	ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2000-11-15 00:00:00	060001034	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-05 00:00:00	None	No	2000-12-08 00:00:00	None	B	None	500	500	-175	325	0	060009902	A99999	N	None	None	SFY2000-01
060001466	MANGO HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2000-12-06 00:00:00	060001035	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-14 00:00:00	None	No	2000-12-29 00:00:00	None	B	None	500	550	0	550	0	060009968	A99999	N	None	None	SFY2000-01
060000052	ORANGE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2000-12-08 00:00:00	060001036	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-20 00:00:00	None	No	2001-01-02 00:00:00	None	A	None	2500	2500	-875	1625	0	060009973	A99999	N	None	None	SFY2000-01
060000134	REGENTS POINT - WINDCREST	LTC	SNF	Skilled Nursing Facility	Orange	2000-12-27 00:00:00	060001037	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-23 00:00:00	None	Yes	2001-06-19 00:00:00	2001-01-03 00:00:00	A	A	5000	5000	0	5000	0	060010195	A99999	N	None	None	SFY2000-01
060001575	CRIS AVENUE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2001-01-23 00:00:00	060001038	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-16 00:00:00	None	Yes	2001-07-19 00:00:00	2001-02-01 00:00:00	B	B	1000	1000	0	1000	0	060010245	A99999	N	None	None	SFY2000-01
060000022	ALAMITOS WEST HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Orange	2001-01-23 00:00:00	060001039	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-23 00:00:00	None	No	2001-02-20 00:00:00	None	B	None	1000	1100	0	1100	0	060010253	A99999	N	None	None	SFY2000-01
060000156	GREENFIELD CARE CENTER OF FULLERTON, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2001-02-09 00:00:00	060001040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-15 00:00:00	None	No	2001-03-06 00:00:00	None	B	None	1000	1300	-350	950	0	060010284	A99999	N	None	None	SFY2000-01
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-02-05 00:00:00	060001041	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-14 00:00:00	None	Yes	2001-03-01 00:00:00	2001-02-14 00:00:00	B	B	500	1900	-900	1000	0	060010279	A99999	N	None	None	SFY2000-01
060000050	LA PALMA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-02-02 00:00:00	060001042	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-09-06 00:00:00	None	Yes	2001-03-06 00:00:00	2001-02-22 00:00:00	A	A	10000	8000	0	8000	0	060010293	A99999	N	None	None	SFY2000-01
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2001-02-09 00:00:00	060001044	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-16 00:00:00	None	Yes	2001-07-11 00:00:00	2001-06-25 00:00:00	B	B	650	1000	0	1000	0	060010276	A99999	N	None	None	SFY2000-01
060000039	ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2001-02-23 00:00:00	060001045	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-16 00:00:00	None	No	2001-03-19 00:00:00	None	B	None	1000	3000	-1050	1950	0	060010364	A99999	N	None	None	SFY2000-01
060001112	HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2001-02-26 00:00:00	060001046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-07-13 00:00:00	None	No	2001-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	060010366	A99999	N	None	None	SFY2000-01
060000047	COVENTRY COURT HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-03-05 00:00:00	060001047	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-02 00:00:00	None	Yes	2001-03-27 00:00:00	2001-03-14 00:00:00	A	B	5000	5000	0	5000	0	060010390	A99999	N	None	None	SFY2000-01
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-03-05 00:00:00	060001048	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-01 00:00:00	None	No	2001-03-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	060010391	A99999	N	None	None	SFY2000-01
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-03-05 00:00:00	060001049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-01 00:00:00	None	No	2001-03-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	060010391	A99999	N	None	None	SFY2000-01
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-03-05 00:00:00	060001050	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-24 00:00:00	None	No	2001-03-27 00:00:00	None	B	None	1000	3000	-1050	1950	0	060010391	A99999	N	None	None	SFY2000-01
060000047	COVENTRY COURT HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-03-19 00:00:00	060001051	Closed	Citation	Citation B (HSC 1424)	Other	INFORMED CONSENT	2000-12-06 00:00:00	None	No	2001-04-10 00:00:00	None	B	None	500	500	0	500	0	060010454	A99999	N	None	None	SFY2000-01
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-03-27 00:00:00	060001052	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-10 00:00:00	None	Yes	2001-04-18 00:00:00	2001-04-04 00:00:00	B	None	1000	1000	-1000	0	0	060010490	A99999	N	None	None	SFY2000-01
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-04-09 00:00:00	060001053	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-01 00:00:00	None	No	2001-05-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	060010391	A99999	N	None	None	SFY2000-01
060000039	ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2001-04-09 00:00:00	060001054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-01 00:00:00	None	No	2001-05-02 00:00:00	None	B	None	500	500	-175	325	0	060010520	A99999	N	None	None	SFY2000-01
060001592	OLIVE STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2001-05-01 00:00:00	060001055	Closed	Citation	Citation B (HSC 1424)	Other	CLIENT TRUST	2000-04-01 00:00:00	2000-10-31 00:00:00	Yes	2001-08-20 00:00:00	2001-05-08 00:00:00	B	B	500	500	0	500	0	060010555	A99999	N	None	None	SFY2000-01
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-05-07 00:00:00	060001056	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-10-01 00:00:00	None	No	2001-05-29 00:00:00	None	B	None	1000	1000	-350	650	0	060010613	A99999	N	None	None	SFY2000-01
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-05-07 00:00:00	060001057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-01 00:00:00	None	No	2001-05-29 00:00:00	None	B	None	1000	1000	-350	650	0	060010613	A99999	N	None	None	SFY2000-01
060000039	ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2001-06-06 00:00:00	060001058	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-08 00:00:00	None	No	2001-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	060010698	A99999	N	None	None	SFY2000-01
060000113	HARBOR VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-06-07 00:00:00	060001059	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-24 00:00:00	None	Yes	2002-02-11 00:00:00	2001-06-08 00:00:00	A	A	10000	10000	0	10000	0	060010701	A99999	N	None	None	SFY2000-01
060000052	ORANGE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2001-06-13 00:00:00	060001060	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-28 00:00:00	None	Yes	2001-10-23 00:00:00	2001-06-14 00:00:00	B	B	750	750	0	750	0	060010731	A99999	N	None	None	SFY2000-01
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-06-18 00:00:00	060001061	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-10 00:00:00	None	Yes	2001-07-10 00:00:00	2001-06-27 00:00:00	B	B	850	850	0	850	0	060010752	A99999	N	None	None	SFY2000-01
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-06-18 00:00:00	060001062	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-05 00:00:00	None	No	2001-07-12 00:00:00	None	A	None	15000	15000	-5250	9750	0	060010760	A99999	N	None	None	SFY2000-01
060000030	BUENA PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-06-19 00:00:00	060001063	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-14 00:00:00	None	No	2001-07-12 00:00:00	None	B	None	1000	1000	-350	650	0	060010762	A99999	N	None	None	SFY2000-01
060000780	JOHN DOUGLAS FRENCH CENTER FOR ALZHEIMER'S DISEASE	LTC	SNF	Skilled Nursing Facility	Orange	2001-07-12 00:00:00	060001064	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-03-01 00:00:00	None	Yes	2001-10-25 00:00:00	2001-10-09 00:00:00	B	B	800	800	0	800	0	060010848	A99999	N	None	None	SFY2001-02
060000129	CRYSTAL COVE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-07-13 00:00:00	060001065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-13 00:00:00	None	No	2001-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	060010856	A99999	N	None	None	SFY2001-02
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2001-07-26 00:00:00	060001066	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-04-21 00:00:00	None	Yes	2001-08-16 00:00:00	2001-08-02 00:00:00	A	A	20000	10000	0	10000	0	060010892	A99999	N	None	None	SFY2001-02
060000125	THE GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2001-08-17 00:00:00	060001067	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-06-04 00:00:00	None	Yes	2002-01-10 00:00:00	2001-12-20 00:00:00	A	A	15000	7500	0	7500	0	060010958	A99999	N	None	None	SFY2001-02
060000125	THE GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2001-08-17 00:00:00	060001068	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-15 00:00:00	None	No	2001-09-12 00:00:00	None	B	None	1000	1000	-350	650	0	060010958	A99999	N	None	None	SFY2001-02
060001079	BEL AIR	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2001-08-21 00:00:00	060001069	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-24 00:00:00	None	No	2001-09-13 00:00:00	None	B	None	600	750	0	750	0	060010972	A99999	N	None	None	SFY2001-02
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-08-27 00:00:00	060001070	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-15 00:00:00	None	Yes	2002-02-14 00:00:00	2001-08-28 00:00:00	B	B	1000	1000	0	1000	0	060010981	A99999	N	None	None	SFY2001-02
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2001-09-19 00:00:00	060001071	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-28 00:00:00	None	Yes	2001-10-11 00:00:00	2001-09-26 00:00:00	B	None	1000	1000	0	1000	0	060011059	A99999	N	None	None	SFY2001-02
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-09-20 00:00:00	060001072	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-20 00:00:00	None	No	2001-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	060011070	A99999	N	None	None	SFY2001-02
060000155	TERRACE VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-10-05 00:00:00	060001073	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-04-11 00:00:00	None	Yes	2002-02-15 00:00:00	2002-01-24 00:00:00	AA	AA	85000	20000	0	20000	0	060011129	A99999	Y	None	None	SFY2001-02
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-10-25 00:00:00	060001074	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-03 00:00:00	None	No	2001-11-16 00:00:00	None	B	B	1000	1000	0	1000	0	060011195	A99999	N	None	None	SFY2001-02
060000194	CHAPMAN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-01-04 00:00:00	060001075	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-25 00:00:00	None	No	2002-01-28 00:00:00	None	B	None	1000	1000	0	1000	0	060011242	A99999	N	None	None	SFY2001-02
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2001-11-30 00:00:00	060001076	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-11 00:00:00	2001-08-29 00:00:00	No	2001-12-21 00:00:00	None	B	B	800	1050	-350	700	0	060011254	A99999	N	None	None	SFY2001-02
060000031	ANAHEIM CREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-11-30 00:00:00	060001077	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-26 00:00:00	None	Yes	2002-06-21 00:00:00	2002-05-31 00:00:00	B	Drop>Deficiency	500	1000	0	1000	0	060011168	A99999	N	None	None	SFY2001-02
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-12-10 00:00:00	060001078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-05 00:00:00	None	No	2002-01-02 00:00:00	None	B	None	500	500	0	500	0	060011239	A99999	N	None	None	SFY2001-02
060000159	TOWN & COUNTRY	LTC	SNF	Skilled Nursing Facility	Orange	2001-12-10 00:00:00	060001079	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-11 00:00:00	None	No	2002-01-02 00:00:00	None	B	None	1000	1000	-350	650	0	060011148	A99999	Y	None	None	SFY2001-02
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-01-11 00:00:00	060001081	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-03 00:00:00	None	Yes	2002-02-04 00:00:00	2002-01-29 00:00:00	A	B	15000	15000	0	15000	0	060011089	A99999	N	None	None	SFY2001-02
060001166	FOOTHILL REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2002-01-07 00:00:00	060001082	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-11 00:00:00	None	No	2002-01-29 00:00:00	None	B	None	1000	1100	-350	750	0	060011424	A99999	N	None	None	SFY2001-02
060000151	STANLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-01-11 00:00:00	060001083	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-29 00:00:00	None	No	2002-02-04 00:00:00	None	B	None	800	800	-280	520	0	060011299	A99999	N	None	None	SFY2001-02
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-01-11 00:00:00	060001084	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-19 00:00:00	None	Yes	2002-02-01 00:00:00	2002-01-29 00:00:00	B	B	1000	3000	0	3000	0	060011318	A99999	N	None	None	SFY2001-02
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2002-02-07 00:00:00	060001085	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-20 00:00:00	None	Yes	2002-05-17 00:00:00	2002-05-08 00:00:00	A	A	15000	6000	0	6000	0	060011393	A99999	N	None	None	SFY2001-02
060000037	CAPISTRANO BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-02-07 00:00:00	060001086	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-19 00:00:00	None	No	2002-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	060011499	A99999	N	None	None	SFY2001-02
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-02-28 00:00:00	060001087	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-30 00:00:00	None	Yes	2002-03-21 00:00:00	2002-03-01 00:00:00	B	B	800	200	0	200	0	060011618	A99999	N	None	None	SFY2001-02
060000124	HEALTHCARE CENTER OF ORANGE COUNTY	LTC	SNF	Skilled Nursing Facility	Orange	2002-02-28 00:00:00	060001088	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-16 00:00:00	None	Yes	2002-06-24 00:00:00	2002-03-11 00:00:00	B	Dismissed by Court	1000	0	0	0	0	060011619	A99999	N	None	None	SFY2001-02
060001374	MERCED HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2002-03-11 00:00:00	060001089	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-17 00:00:00	None	No	2002-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	060011651	A99999	N	None	None	SFY2001-02
060001025	JENYMEL'S HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2002-03-11 00:00:00	060001090	Closed	Citation	Citation B (HSC 1424)	Other	SAFEGUARDS CLIENT MO	2002-02-08 00:00:00	None	No	2002-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	060011556	A99999	N	None	None	SFY2001-02
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2002-03-25 00:00:00	060001091	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-24 00:00:00	None	No	2002-04-16 00:00:00	None	B	None	1000	1000	-350	650	0	060011623	A99999	N	None	None	SFY2001-02
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-03-25 00:00:00	060001092	Closed	Citation	Citation B (HSC 1424)	Other	ADMIN. & PT. RIGHTS	2002-02-28 00:00:00	None	No	2002-04-16 00:00:00	None	B	None	1000	1000	-350	650	0	060011633	A99999	N	None	None	SFY2001-02
060000049	GARDEN PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-04-18 00:00:00	060001094	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-01 00:00:00	None	No	2002-05-09 00:00:00	None	B	None	800	800	0	800	0	060011596	A99999	N	None	None	SFY2001-02
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2002-04-18 00:00:00	060001095	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-31 00:00:00	None	No	2002-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	060011515	A99999	N	None	None	SFY2001-02
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2002-04-26 00:00:00	060001096	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-15 00:00:00	None	Yes	2002-05-17 00:00:00	2002-04-29 00:00:00	A	None	8000	8000	0	8000	0	060011404	A99999	N	None	None	SFY2001-02
060000054	HUNTINGTON VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-04-22 00:00:00	060001097	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-17 00:00:00	None	Yes	2002-09-03 00:00:00	2002-08-14 00:00:00	B	Drop>Deficiency	1000	500	0	500	0	060011493	A99999	N	None	None	SFY2001-02
060000145	ST. EDNA SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-04-15 00:00:00	060001098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-10 00:00:00	None	Yes	2002-09-26 00:00:00	2002-04-16 00:00:00	B	B	600	600	0	600	0	060011425	A99999	N	None	None	SFY2001-02
060001166	FOOTHILL REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2002-07-11 00:00:00	060001099	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-08 00:00:00	None	Yes	2002-08-01 00:00:00	2002-07-31 00:00:00	A	A	20000	15050	0	15050	0	060011851	A99999	N	None	None	SFY2002-03
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2002-04-26 00:00:00	060001100	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-04-08 00:00:00	None	No	2002-05-17 00:00:00	None	B	None	750	750	-262.5	487.5	0	060011775	A99999	N	None	None	SFY2001-02
060000039	ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2002-05-03 00:00:00	060001101	Closed	Citation	Citation B (HSC 1424)	Other	PT. CARE - ABUSE	2002-04-18 00:00:00	None	No	2002-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	060011841	A99999	N	None	None	SFY2001-02
060000037	CAPISTRANO BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-05-03 00:00:00	060001102	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-25 00:00:00	None	No	2002-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	060011728	A99999	N	None	None	SFY2001-02
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2002-05-21 00:00:00	060001103	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-27 00:00:00	None	No	2002-06-13 00:00:00	None	B	None	500	500	0	500	0	060011962	A99999	N	None	None	SFY2001-02
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2002-05-21 00:00:00	060001104	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-05 00:00:00	None	No	2002-06-13 00:00:00	None	B	None	1000	1000	0	1000	0	060011561	A99999	N	None	None	SFY2001-02
060000123	NEWPORT NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-06-19 00:00:00	060001105	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-19 00:00:00	None	No	2002-07-11 00:00:00	None	B	None	500	500	0	500	0	060012061	A99999	N	None	None	SFY2001-02
060000839	FREEDOM VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-07-01 00:00:00	060001106	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-06 00:00:00	None	No	2002-07-23 00:00:00	None	B	None	750	750	-262.5	487.5	0	060012095	A99999	N	None	None	SFY2002-03
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2002-07-25 00:00:00	060001107	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-05 00:00:00	None	No	2002-08-15 00:00:00	None	B	None	800	800	-280	520	0	060012210	A99999	N	None	None	SFY2002-03
060000123	NEWPORT NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-08-13 00:00:00	060001108	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-11 00:00:00	None	No	2002-09-06 00:00:00	None	B	None	1000	1000	-350	650	0	060012241	A99999	N	None	None	SFY2002-03
060000123	NEWPORT NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-08-19 00:00:00	060001110	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-30 00:00:00	None	No	2002-09-16 00:00:00	None	B	None	1000	1200	0	1200	0	060012342	A99999	N	None	None	SFY2002-03
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-08-29 00:00:00	060001111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-29 00:00:00	2002-03-29 00:00:00	Yes	2002-09-24 00:00:00	2002-09-10 00:00:00	B	B	1000	500	0	500	0	060012375	A99999	N	None	None	SFY2002-03
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-08-29 00:00:00	060001112	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-06 00:00:00	2002-05-06 00:00:00	Yes	2002-09-19 00:00:00	2002-09-10 00:00:00	B	B	1000	500	0	500	0	060012376	A99999	N	None	None	SFY2002-03
060000048	LEISURE COURT NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-09-09 00:00:00	060001113	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-13 00:00:00	None	No	2002-10-02 00:00:00	None	B	None	100	100	0	100	0	060012417	A99999	N	None	None	SFY2002-03
060001166	FOOTHILL REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2002-09-10 00:00:00	060001114	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-06-05 00:00:00	None	Yes	2002-10-01 00:00:00	2002-09-16 00:00:00	AA	AA	90000	45100	-100	45000	0	060012295	A99999	Y	None	None	SFY2002-03
060000117	BONITA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2002-09-12 00:00:00	060001115	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-14 00:00:00	None	No	2002-10-08 00:00:00	None	B	None	750	750	-262.5	487.5	0	060012435	A99999	N	None	None	SFY2002-03
060000047	COVENTRY COURT HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-09-19 00:00:00	060001116	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-26 00:00:00	None	No	2002-10-15 00:00:00	None	B	None	750	750	-262.5	487.5	0	060012458	A99999	N	None	None	SFY2002-03
060000034	VICTORIA HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-10-08 00:00:00	060001117	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-20 00:00:00	None	Yes	2002-10-30 00:00:00	2002-10-22 00:00:00	B	B	750	568	0	568	0	060012509	A99999	N	None	None	SFY2002-03
060001990	J AND P HOMES - SAN PEDRO	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2002-10-15 00:00:00	060001118	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-26 00:00:00	None	No	2002-11-05 00:00:00	None	B	None	500	500	-175	325	0	060012520	A99999	N	None	None	SFY2002-03
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2002-10-15 00:00:00	060001119	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-01-15 00:00:00	None	No	2002-11-05 00:00:00	None	A	None	10000	10000	-10000	0	0	060012540	A99999	N	None	None	SFY2002-03
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2002-10-17 00:00:00	060001120	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-25 00:00:00	None	No	2002-11-07 00:00:00	None	B	None	750	1000	-262.5	737.5	0	060012555	A99999	N	None	None	SFY2002-03
060001149	MISSION HOSPITAL LAGUNA BEACH D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2002-11-13 00:00:00	060001121	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-24 00:00:00	None	No	2002-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	060012680	A99999	N	None	None	SFY2002-03
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-12-19 00:00:00	060001122	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-31 00:00:00	None	Yes	2003-01-13 00:00:00	2003-01-02 00:00:00	B	B	1000	500	0	500	0	060012804	A99999	N	None	None	SFY2002-03
060000125	THE GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2002-12-19 00:00:00	060001123	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-04 00:00:00	None	No	2003-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	060012806	A99999	N	None	None	SFY2002-03
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-01-13 00:00:00	060001124	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-14 00:00:00	2002-12-14 00:00:00	Yes	2003-02-03 00:00:00	2003-01-15 00:00:00	B	B	1000	500	0	500	0	060012885	A99999	N	None	None	SFY2002-03
060000022	ALAMITOS WEST HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Orange	2003-01-22 00:00:00	060001125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-28 00:00:00	None	No	2003-02-13 00:00:00	None	B	None	800	800	-280	520	0	060012925	A99999	N	None	None	SFY2002-03
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-01-31 00:00:00	060001126	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-30 00:00:00	None	Yes	2003-02-25 00:00:00	2003-02-04 00:00:00	B	B	750	418	0	418	0	060012868	A99999	N	None	None	SFY2002-03
060000089	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-02-04 00:00:00	060001127	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-16 00:00:00	None	Yes	2003-06-19 00:00:00	2003-06-10 00:00:00	B	B	1000	500	0	500	0	060012966	A99999	N	None	None	SFY2002-03
060000054	HUNTINGTON VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-02-25 00:00:00	060001128	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-21 00:00:00	None	No	2003-03-18 00:00:00	None	B	None	500	500	-175	325	0	060012961	A99999	N	None	None	SFY2002-03
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2003-05-14 00:00:00	060001129	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-23 00:00:00	None	No	2003-06-12 00:00:00	None	A	A	15000	9750	0	9750	0	060012981	A99999	N	None	None	SFY2002-03
060000043	GARDEN GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2003-03-05 00:00:00	060001130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-25 00:00:00	None	No	2003-03-26 00:00:00	None	B	None	500	500	-175	325	0	060012979	A99999	N	None	None	SFY2002-03
060001166	FOOTHILL REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2003-03-05 00:00:00	060001131	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-01-28 00:00:00	None	No	2003-03-26 00:00:00	None	B	None	1000	1250	0	1250	0	060013085	A99999	N	None	None	SFY2002-03
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-03-13 00:00:00	060001132	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-11 00:00:00	None	No	2003-04-04 00:00:00	None	B	B	500	500	0	500	0	060012952	A99999	N	None	None	SFY2002-03
060001627	ALL STATE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2003-03-17 00:00:00	060001133	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-02-04 00:00:00	None	No	2003-04-08 00:00:00	None	B	None	750	750	-262.5	487.5	0	060013140	A99999	N	None	None	SFY2002-03
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2003-04-18 00:00:00	060001134	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-12-28 00:00:00	None	Yes	2003-05-09 00:00:00	2003-05-09 00:00:00	A	A	15000	7577	0	7577	0	060013032	A99999	N	None	None	SFY2002-03
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2003-04-18 00:00:00	060001135	Closed	Citation	Citation A (HSC 1424)	Medication	None	2002-05-01 00:00:00	2002-05-07 00:00:00	Yes	2003-05-09 00:00:00	2003-05-09 00:00:00	A	B	16000	23446	0	23446	0	060012986	A99999	N	None	None	SFY2002-03
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2003-04-18 00:00:00	060001136	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-05-18 00:00:00	None	Yes	2003-05-09 00:00:00	2003-05-09 00:00:00	B	B	1000	488	0	488	0	060013244	A99999	N	None	None	SFY2002-03
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2003-04-18 00:00:00	060001137	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-11-22 00:00:00	None	Yes	2003-05-09 00:00:00	2003-05-09 00:00:00	B	B	1000	488	0	488	0	060013245	A99999	N	None	None	SFY2002-03
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-05-22 00:00:00	060001138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-23 00:00:00	None	No	2003-06-13 00:00:00	None	B	B	1000	574	0	574	0	060013385	A99999	N	None	None	SFY2002-03
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-07-08 00:00:00	060001139	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-16 00:00:00	None	No	2003-07-29 00:00:00	None	B	B	1000	574	0	574	0	060013548	A99999	N	None	None	SFY2003-04
060000123	NEWPORT NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-07-14 00:00:00	060001140	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-15 00:00:00	None	No	2003-08-04 00:00:00	None	B	B	1000	574	0	574	0	060013566	A99999	N	None	None	SFY2003-04
060000046	GORDON LANE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-07-15 00:00:00	060001141	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2003-04-18 00:00:00	None	No	2003-08-05 00:00:00	None	B	B	500	500	0	500	0	060013572	A99999	N	None	None	SFY2003-04
060000145	ST. EDNA SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-07-11 00:00:00	060001142	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-07-08 00:00:00	None	No	2003-09-03 00:00:00	None	B	None	500	500	0	500	0	060013672	A99999	N	None	None	SFY2003-04
060001586	WASHINGTON AVENUE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2003-08-21 00:00:00	060001143	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-07 00:00:00	None	Yes	2003-12-29 00:00:00	2003-09-04 00:00:00	B	B	500	750	0	750	0	060013721	A99999	N	None	None	SFY2003-04
060000123	NEWPORT NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-08-25 00:00:00	060001144	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-08-11 00:00:00	None	No	2003-09-18 00:00:00	None	B	B	1000	574	0	574	0	060013724	A99999	N	None	None	SFY2003-04
060000195	COUNTRY CLUB CONVALESCENT HOSPITAL, INC.	LTC	SNF	Skilled Nursing Facility	Orange	2003-08-25 00:00:00	060001145	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-27 00:00:00	None	Yes	2003-12-12 00:00:00	2003-11-20 00:00:00	B	Dismissed by Court	1000	0	0	0	0	060013727	A99999	N	None	None	SFY2003-04
060000117	BONITA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2003-09-11 00:00:00	060001146	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-30 00:00:00	None	No	2003-10-02 00:00:00	None	B	None	750	750	0	750	0	060013764	A99999	N	None	None	SFY2003-04
060000123	NEWPORT NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-09-11 00:00:00	060001147	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-02 00:00:00	None	No	2003-10-03 00:00:00	None	B	B	1000	574	0	574	0	060013769	A99999	N	None	None	SFY2003-04
060000145	ST. EDNA SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-09-11 00:00:00	060001148	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-28 00:00:00	None	No	2003-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	060013770	A99999	N	None	None	SFY2003-04
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-10-01 00:00:00	060001149	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-01 00:00:00	None	No	2003-10-23 00:00:00	None	B	None	700	700	-245	455	0	060013823	A99999	N	None	None	SFY2003-04
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-10-08 00:00:00	060001150	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-04-03 00:00:00	None	No	2003-11-04 00:00:00	None	A	A	15000	8607	0	8607	0	060013841	A99999	N	None	None	SFY2003-04
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-10-08 00:00:00	060001151	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-26 00:00:00	2000-09-26 00:00:00	Yes	2003-11-04 00:00:00	2003-10-20 00:00:00	B	B	1000	500	0	500	0	060013842	A99999	N	None	None	SFY2003-04
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2003-10-21 00:00:00	060001152	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-16 00:00:00	None	Yes	2003-11-13 00:00:00	2003-10-31 00:00:00	B	None	750	750	0	750	0	060013887	A99999	N	None	None	SFY2003-04
060000022	ALAMITOS WEST HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Orange	2003-10-24 00:00:00	060001153	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-21 00:00:00	None	No	2003-11-18 00:00:00	None	B	None	800	850	-280	570	0	060013903	A99999	N	None	None	SFY2003-04
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-10-28 00:00:00	060001154	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-02 00:00:00	None	Yes	2003-11-24 00:00:00	2003-10-31 00:00:00	A	A	20000	15100	-100	15000	0	060013910	A99999	N	None	None	SFY2003-04
060000923	BEACH CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2003-11-14 00:00:00	060001155	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-08-11 00:00:00	None	No	2003-12-09 00:00:00	None	B	None	500	500	-175	325	0	060013972	A99999	N	None	None	SFY2003-04
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2003-11-19 00:00:00	060001156	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-15 00:00:00	None	No	2003-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	060013987	A99999	N	None	None	SFY2003-04
060000037	CAPISTRANO BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-12-23 00:00:00	060001157	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-16 00:00:00	None	No	2004-01-15 00:00:00	None	B	None	1000	1000	-350	650	0	060014084	A99999	N	None	None	SFY2003-04
060000037	CAPISTRANO BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-12-23 00:00:00	060001158	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-25 00:00:00	None	No	2004-01-15 00:00:00	None	B	None	750	750	-262.5	487.5	0	060014085	A99999	N	None	None	SFY2003-04
060000123	NEWPORT NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-12-17 00:00:00	060001159	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-10-24 00:00:00	None	No	2004-01-09 00:00:00	None	A	A	15000	8607	0	8607	0	060014100	A99999	N	None	None	SFY2003-04
060000145	ST. EDNA SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-01-13 00:00:00	060001160	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-12 00:00:00	None	No	2004-02-04 00:00:00	None	B	None	800	800	-280	520	0	060014163	A99999	N	None	None	SFY2003-04
060000164	FRENCH PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-01-21 00:00:00	060001161	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-29 00:00:00	None	No	2004-02-11 00:00:00	None	B	None	1000	1000	-350	650	0	060014189	A99999	N	None	None	SFY2003-04
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-01-27 00:00:00	060001162	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-17 00:00:00	None	No	2004-02-19 00:00:00	None	B	None	800	800	-280	520	0	060014209	A99999	N	None	None	SFY2003-04
060000054	HUNTINGTON VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-02-25 00:00:00	060001163	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-23 00:00:00	None	Yes	2004-03-17 00:00:00	2004-03-12 00:00:00	B	B	1000	1000	0	1000	0	060014294	A99999	N	None	None	SFY2003-04
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2004-03-02 00:00:00	060001164	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-12 00:00:00	None	No	2004-03-23 00:00:00	None	B	None	750	1050	-262.5	787.5	0	060014312	A99999	N	None	None	SFY2003-04
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2004-03-19 00:00:00	060001165	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-22 00:00:00	None	No	2004-04-12 00:00:00	None	B	None	1000	1050	-350	700	0	060014385	A99999	N	None	None	SFY2003-04
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2004-03-25 00:00:00	060001166	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-27 00:00:00	None	No	2004-04-16 00:00:00	None	B	None	800	800	-280	520	0	060014406	A99999	N	None	None	SFY2003-04
060000022	ALAMITOS WEST HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Orange	2004-04-06 00:00:00	060001167	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-20 00:00:00	None	No	2004-04-27 00:00:00	None	B	None	800	800	-280	520	0	060014442	A99999	N	None	None	SFY2003-04
060000876	VILLA VALENCIA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-04-06 00:00:00	060001168	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-27 00:00:00	None	Yes	2004-04-27 00:00:00	2004-04-23 00:00:00	B	B	750	350	0	350	0	060014455	A99999	N	None	None	SFY2003-04
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2004-04-20 00:00:00	060001169	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-20 00:00:00	None	No	2004-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	060014482	A99999	N	None	None	SFY2003-04
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2004-05-25 00:00:00	060001170	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-04-06 00:00:00	None	No	2004-06-16 00:00:00	None	B	None	1000	1000	-350	650	0	060014590	A99999	N	None	None	SFY2003-04
060000049	GARDEN PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-05-25 00:00:00	060001171	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-03 00:00:00	None	Yes	2004-06-17 00:00:00	2004-05-25 00:00:00	B	B	750	375	0	375	0	060014596	A99999	N	None	None	SFY2003-04
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2004-06-28 00:00:00	060001172	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-01 00:00:00	None	Yes	2004-07-20 00:00:00	2004-07-02 00:00:00	B	B	750	600	0	600	0	060014718	A99999	N	None	None	SFY2003-04
060000164	FRENCH PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-06-29 00:00:00	060001173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-10 00:00:00	None	Yes	2004-07-21 00:00:00	2004-07-01 00:00:00	B	B	1000	650	-100	550	0	060014719	A99999	N	None	None	SFY2003-04
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-08-03 00:00:00	060001174	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-14 00:00:00	None	Yes	2004-08-30 00:00:00	2004-08-13 00:00:00	B	B	1000	1500	0	1500	0	060014825	A99999	N	None	None	SFY2004-05
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2004-08-24 00:00:00	060001175	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-04 00:00:00	None	No	2004-09-21 00:00:00	None	B	None	1000	1000	-350	650	0	060014910	A99999	N	None	None	SFY2004-05
060000156	GREENFIELD CARE CENTER OF FULLERTON, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2004-09-13 00:00:00	060001176	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-06-11 00:00:00	None	No	2004-10-04 00:00:00	None	A	None	5000	5000	0	5000	0	060014954	A99999	N	None	None	SFY2004-05
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2004-09-08 00:00:00	060001177	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-05 00:00:00	None	No	2004-09-29 00:00:00	None	B	None	750	750	-262.5	487.5	0	060014961	A99999	N	None	None	SFY2004-05
060000055	MISSION PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-09-14 00:00:00	060001178	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-07-03 00:00:00	None	No	2004-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	060014982	A99999	N	None	None	SFY2004-05
060001053	CHRISTOPHER LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2004-09-16 00:00:00	060001179	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-08-17 00:00:00	None	No	2004-10-07 00:00:00	None	B	None	1000	1000	-350	650	0	060014987	A99999	N	None	None	SFY2004-05
060001051	PURE JOY #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2004-09-16 00:00:00	060001180	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-08-18 00:00:00	None	No	2004-10-07 00:00:00	None	B	None	1000	1000	-350	650	0	060014994	A99999	N	None	None	SFY2004-05
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-09-21 00:00:00	060001181	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-02-07 00:00:00	None	Yes	2004-10-14 00:00:00	2004-10-12 00:00:00	A	A	7000	7050	0	7050	0	060015005	A99999	N	None	None	SFY2004-05
060000164	FRENCH PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-10-06 00:00:00	060001182	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-07 00:00:00	None	Yes	2004-11-02 00:00:00	2004-10-08 00:00:00	B	B	1000	500	0	500	0	060015083	A99999	N	None	None	SFY2004-05
060000124	HEALTHCARE CENTER OF ORANGE COUNTY	LTC	SNF	Skilled Nursing Facility	Orange	2004-10-23 00:00:00	060001183	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-13 00:00:00	None	No	2004-11-15 00:00:00	None	B	None	100	100	0	100	0	060015207	A99999	N	None	None	SFY2004-05
060000050	LA PALMA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-12-07 00:00:00	060001184	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-15 00:00:00	None	Yes	2004-12-28 00:00:00	2004-12-10 00:00:00	B	None	500	500	0	500	0	060015232	A99999	N	None	None	SFY2004-05
060000037	CAPISTRANO BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2005-01-05 00:00:00	060001185	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-09-25 00:00:00	None	No	2005-02-08 00:00:00	None	A	None	10000	10000	-3500	6500	0	060015278	A99999	N	None	None	SFY2004-05
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2005-01-10 00:00:00	060001186	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-07-30 00:00:00	None	Yes	2005-02-03 00:00:00	2005-01-19 00:00:00	AA	AA	75000	60150	-150	60000	0	060015292	A99999	Y	None	None	SFY2004-05
060000039	ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2005-02-01 00:00:00	060001187	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-23 00:00:00	None	No	2005-02-25 00:00:00	None	B	None	750	750	-262.5	487.5	0	060015315	A99999	N	None	None	SFY2004-05
060000113	HARBOR VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2005-03-10 00:00:00	060001188	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-27 00:00:00	None	Yes	2005-04-04 00:00:00	2005-03-29 00:00:00	B	B	1000	500	0	500	0	060015319	A99999	N	None	None	SFY2004-05
060000055	MISSION PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2005-03-17 00:00:00	060001189	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-07 00:00:00	None	No	2005-04-13 00:00:00	None	B	None	800	800	-280	520	0	060015320	A99999	N	None	None	SFY2004-05
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2005-04-05 00:00:00	060001190	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-11 00:00:00	None	No	2005-04-29 00:00:00	None	B	None	1000	1050	0	1050	0	060015321	A99999	N	None	None	SFY2004-05
060000051	ADVANCED REHAB CENTER OF TUSTIN	LTC	SNF	Skilled Nursing Facility	Orange	2005-05-05 00:00:00	060001191	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-18 00:00:00	None	No	2005-06-06 00:00:00	None	B	None	750	750	-262.5	487.5	0	060015322	A99999	N	None	None	SFY2004-05
080001542	ALTA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-02-26 00:00:00	060001201	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2001-12-19 00:00:00	None	Yes	2002-06-04 00:00:00	2002-03-07 00:00:00	B	B	1000	500	0	500	0	060015404	A99999	N	None	None	SFY2001-02
080001542	ALTA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-06-17 00:00:00	060001202	Closed	Citation	Citation B (HSC 1424)	Other	INFECTION CONTROL	2001-11-01 00:00:00	None	No	2002-07-16 00:00:00	None	B	None	1000	1000	-350	650	0	060015407	A99999	N	None	None	SFY2001-02
060001366	ABLELIGHT INC. - FERROCARRIL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2005-08-11 00:00:00	060001203	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-07-18 00:00:00	None	No	2005-09-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	060015451	A99999	N	None	None	SFY2005-06
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2005-03-24 00:00:00	060001223	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-27 00:00:00	None	No	2005-04-18 00:00:00	None	B	None	900	900	-315	585	0	060015619	A99999	N	None	None	SFY2004-05
060000839	FREEDOM VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2005-11-14 00:00:00	060001262	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-08-08 00:00:00	None	Yes	2009-08-19 00:00:00	2009-09-23 00:00:00	A	A	10000	6500	0	6500	0	060015964	A99999	N	None	None	SFY2005-06
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2005-10-26 00:00:00	060001263	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-07 00:00:00	None	No	2005-11-17 00:00:00	None	B	None	1000	1000	0	1000	0	060015965	A99999	N	None	None	SFY2005-06
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2005-12-21 00:00:00	060001264	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-19 00:00:00	None	No	2006-01-23 00:00:00	None	B	None	1000	3000	0	3000	0	060015966	A99999	N	None	None	SFY2005-06
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2006-01-10 00:00:00	060001265	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-13 00:00:00	None	No	2006-02-07 00:00:00	None	B	None	750	850	-262.5	587.5	0	060015967	A99999	N	None	None	SFY2005-06
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2006-02-10 00:00:00	060001266	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-03 00:00:00	None	Yes	2006-03-07 00:00:00	2006-02-24 00:00:00	B	B	800	500	0	500	0	060015968	A99999	N	None	None	SFY2005-06
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2006-02-06 00:00:00	060001267	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-05 00:00:00	2006-01-05 00:00:00	No	2006-03-01 00:00:00	None	B	None	1000	1050	0	1050	0	060015969	A99999	N	None	None	SFY2005-06
060001374	MERCED HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2006-03-02 00:00:00	060002880	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-06 00:00:00	2005-12-06 00:00:00	No	2006-03-23 00:00:00	None	B	None	500	500	-175	325	0	None	VLRX11	N	CA00069956	C	SFY2005-06
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2006-03-09 00:00:00	060002913	Closed	Citation	Citation A (HSC 1424)	Other	Abuse	2005-10-11 00:00:00	2005-10-11 00:00:00	No	2006-04-05 00:00:00	None	A	None	5000	5000	0	5000	0	None	HFE711	N	CA00066664	B	SFY2005-06
060000164	FRENCH PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2006-04-07 00:00:00	060003019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-26 00:00:00	2005-12-26 00:00:00	Yes	2006-05-03 00:00:00	2006-04-17 00:00:00	B	B	750	375	0	375	0	None	OY4111	N	CA00070663	C	SFY2005-06
060001970	MARGARET'S HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2006-04-10 00:00:00	060003023	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2006-01-26 00:00:00	2006-01-26 00:00:00	Yes	2006-05-01 00:00:00	2006-04-11 00:00:00	AA	AA	50000	50000	0	50000	0	None	P6J011	Y	CA00071159	C	SFY2005-06
060000048	LEISURE COURT NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2006-04-13 00:00:00	060003026	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-02 00:00:00	2005-07-02 00:00:00	Yes	2006-05-04 00:00:00	2006-05-02 00:00:00	B	None	1000	1000	0	1000	0	None	VWV011	N	CA00073321	C	SFY2005-06
060000923	BEACH CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2006-04-26 00:00:00	060003060	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-27 00:00:00	2006-01-27 00:00:00	No	2006-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	18PG11	N	CA00073472	C	SFY2005-06
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2006-04-26 00:00:00	060003063	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-30 00:00:00	2006-01-30 00:00:00	Yes	2006-05-22 00:00:00	2006-05-15 00:00:00	B	B Trebled	2000	3000	0	3000	0	None	8TTP11	N	CA00074866	C	SFY2005-06
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2006-05-02 00:00:00	060003071	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-29 00:00:00	2005-12-29 00:00:00	No	2006-05-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	QQTS11	N	CA00070014	C	SFY2005-06
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2006-06-28 00:00:00	060003179	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-03 00:00:00	2006-02-03 00:00:00	No	2006-07-20 00:00:00	None	B	None	750	750	0	750	0	None	UFM111	N	CA00073470	C	SFY2005-06
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2006-07-27 00:00:00	060003221	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-01 00:00:00	2006-01-01 00:00:00	No	2006-08-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	8KQL11	N	CA00076064	C	SFY2006-07
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2006-07-27 00:00:00	060003222	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-22 00:00:00	2006-05-22 00:00:00	No	2006-08-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	STYW11	N	None	None	SFY2006-07
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2006-07-27 00:00:00	060003223	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-01-14 00:00:00	2006-01-14 00:00:00	No	2006-08-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	CVJP11	N	CA00073301	C	SFY2006-07
060000039	ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2006-07-27 00:00:00	060003224	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-04 00:00:00	2006-01-04 00:00:00	No	2006-08-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	LL2711	N	CA00072872	C	SFY2006-07
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2006-08-17 00:00:00	060003290	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-01 00:00:00	2006-08-01 00:00:00	No	2006-09-08 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	X7TV11	N	CA00086309	C	SFY2006-07
060000167	EXTENDED CARE HOSPITAL OF WESTMINSTER	LTC	SNF	Skilled Nursing Facility	Orange	2006-08-17 00:00:00	060003293	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-21 00:00:00	2006-07-21 00:00:00	No	2006-09-08 00:00:00	None	B	None	1000	1950	-350	1600	0	None	STUZ11	N	CA00086293	C	SFY2006-07
060001291	HARBOR HEALTH CARE, INC. - REDWOOD DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2006-08-28 00:00:00	060003310	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-28 00:00:00	2006-06-28 00:00:00	No	2006-09-19 00:00:00	None	B	None	1000	1050	-350	700	0	None	312111	N	CA00090084	C	SFY2006-07
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2006-09-11 00:00:00	060003331	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-04 00:00:00	2005-12-04 00:00:00	No	2006-10-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	RWZB11	N	CA00075007	C	SFY2006-07
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2006-09-21 00:00:00	060003359	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-29 00:00:00	2006-06-29 00:00:00	Yes	2006-10-13 00:00:00	2006-10-02 00:00:00	B	B	750	250	0	250	0	None	M19H11	N	CA00086634	C	SFY2006-07
060000051	ADVANCED REHAB CENTER OF TUSTIN	LTC	SNF	Skilled Nursing Facility	Orange	2006-09-28 00:00:00	060003376	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-24 00:00:00	2006-06-24 00:00:00	No	2006-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	XXLF11	N	CA00084850	C	SFY2006-07
060000037	CAPISTRANO BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2006-10-02 00:00:00	060003382	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-25 00:00:00	2005-12-25 00:00:00	No	2006-10-24 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	6H6611	N	CA00086804	C	SFY2006-07
060001052	CHRISTOPHER LANE TWO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2006-10-31 00:00:00	060003455	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-10-16 00:00:00	2006-10-16 00:00:00	No	2006-11-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	OOFC11	N	CA00095664	C	SFY2006-07
060000030	BUENA PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2006-11-22 00:00:00	060003505	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-06 00:00:00	2006-11-06 00:00:00	No	2006-12-15 00:00:00	None	B	None	750	850	-262.5	587.5	0	None	37YN11	N	CA00092895	C	SFY2006-07
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2006-12-20 00:00:00	060003591	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-14 00:00:00	2006-10-14 00:00:00	Yes	2007-01-16 00:00:00	2007-01-03 00:00:00	B	B Trebled	1000	3000	0	3000	0	None	UQD811	N	CA00096170	C	SFY2006-07
060000876	VILLA VALENCIA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-02-08 00:00:00	060003614	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-21 00:00:00	2006-09-21 00:00:00	No	2007-03-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	6GN911	N	CA00094663	H	SFY2006-07
060000156	GREENFIELD CARE CENTER OF FULLERTON, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2007-01-17 00:00:00	060003626	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-10 00:00:00	2006-11-10 00:00:00	No	2007-02-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	MFUX11	N	CA00098980	C	SFY2006-07
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2007-01-17 00:00:00	060003632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-07 00:00:00	2006-11-07 00:00:00	No	2007-02-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	3LZM11	N	CA00100304	C	SFY2006-07
060000089	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-01-23 00:00:00	060003643	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-06 00:00:00	2006-09-06 00:00:00	Yes	2007-02-13 00:00:00	2007-02-02 00:00:00	B	None	1000	1000	0	1000	0	None	IYI511	N	CA00094775	C	SFY2006-07
060000156	GREENFIELD CARE CENTER OF FULLERTON, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2007-01-24 00:00:00	060003645	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-04 00:00:00	2006-09-04 00:00:00	No	2007-02-14 00:00:00	None	B	None	750	900	-262.5	637.5	0	None	N6ZL11	N	CA00093616	D	SFY2006-07
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2007-01-30 00:00:00	060003656	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-23 00:00:00	2006-11-23 00:00:00	No	2007-02-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	S80U11	N	CA00100354	C	SFY2006-07
060000030	BUENA PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-02-28 00:00:00	060003658	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-07-22 00:00:00	2006-07-22 00:00:00	No	2007-03-21 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	PCN611	N	CA00094052	C	SFY2006-07
060000080	ABLELIGHT INC. - REGINA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-01-31 00:00:00	060003671	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-03 00:00:00	2007-01-03 00:00:00	No	2007-02-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	PMDI11	N	CA00103728	C	SFY2006-07
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-02-05 00:00:00	060003688	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-12-09 00:00:00	2006-12-09 00:00:00	Yes	2007-02-26 00:00:00	2007-02-27 00:00:00	B	B	1000	500	0	500	0	None	JHF111	N	CA00101496	C	SFY2006-07
060001477	LIBERTY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-02-27 00:00:00	060003745	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2007-02-06 00:00:00	2007-02-06 00:00:00	No	2007-03-20 00:00:00	None	B	None	1000	1100	-350	750	0	None	PE5611	N	None	None	SFY2006-07
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-02-27 00:00:00	060003747	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-07 00:00:00	2006-08-07 00:00:00	No	2007-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	N94511	Y	CA00091473	C	SFY2006-07
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2007-03-22 00:00:00	060003792	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-25 00:00:00	2007-01-25 00:00:00	Yes	2007-04-12 00:00:00	2007-04-05 00:00:00	A	B	7500	7500	0	7500	0	None	H4IH11	N	CA00105326	C	SFY2006-07
080001542	ALTA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-03-21 00:00:00	060003828	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-21 00:00:00	2006-12-21 00:00:00	No	2007-04-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	ECBR11	N	CA00102392	C	SFY2006-07
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2007-04-10 00:00:00	060003835	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-02-08 00:00:00	2007-02-08 00:00:00	No	2007-05-01 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	IR6011	N	CA00106818	C	SFY2006-07
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2007-04-10 00:00:00	060003842	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-27 00:00:00	2006-12-27 00:00:00	No	2007-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	F51711	N	CA00102698	C	SFY2006-07
060000876	VILLA VALENCIA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-04-05 00:00:00	060003843	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-27 00:00:00	2006-12-27 00:00:00	No	2007-04-26 00:00:00	None	B	None	1000	1200	0	1200	0	None	9PNE11	N	CA00104774	C	SFY2006-07
060001537	ANAHEIM GENERAL HOSPITAL-BUENA PARK CAMPUS-D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2007-05-29 00:00:00	060003872	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-03-27 00:00:00	2007-03-27 00:00:00	No	2007-06-19 00:00:00	None	B	None	1000	1150	-350	800	0	None	50YU11	N	CA00109262	C	SFY2006-07
060000122	MESA VERDE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-04-17 00:00:00	060003878	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-04-04 00:00:00	2007-04-04 00:00:00	Yes	2007-05-18 00:00:00	2007-04-24 00:00:00	A	A	25000	1000	0	1000	0	None	3UZ011	N	CA00106841	A	SFY2006-07
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-04-17 00:00:00	060003893	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-20 00:00:00	2007-01-20 00:00:00	Yes	2007-05-08 00:00:00	2007-05-07 00:00:00	A	A	30000	20000	0	20000	0	None	XH0M11	N	CA00106866	C	SFY2006-07
060001376	ALL AMERICAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-05-21 00:00:00	060003943	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-24 00:00:00	2007-04-24 00:00:00	No	2007-06-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	WVZX11	N	None	None	SFY2006-07
060001688	ARGUS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-06-04 00:00:00	060004002	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-05-22 00:00:00	2007-05-22 00:00:00	No	2007-06-25 00:00:00	None	B	None	500	500	-175	325	0	None	9MSQ11	N	None	None	SFY2006-07
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2007-07-10 00:00:00	060004068	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-26 00:00:00	2007-02-26 00:00:00	No	2007-07-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	7JH011	N	CA00110882	C	SFY2007-08
060000048	LEISURE COURT NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-07-17 00:00:00	060004093	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-29 00:00:00	2007-04-29 00:00:00	Yes	2007-08-07 00:00:00	2007-07-23 00:00:00	B	None	1000	1000	0	1000	0	None	KYZ811	N	CA00114101	C	SFY2007-08
060001712	TRI-ELIZABETH HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-07-25 00:00:00	060004122	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-01 00:00:00	2007-06-01 00:00:00	No	2007-08-15 00:00:00	None	B	None	500	500	-175	325	0	None	80VN11	N	CA00116841	C	SFY2007-08
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-08-07 00:00:00	060004165	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-01 00:00:00	2007-07-01 00:00:00	Yes	2007-08-28 00:00:00	2007-08-08 00:00:00	B	B	750	375	0	375	0	None	CSVU11	N	CA00119296	C	SFY2007-08
060000077	ABLELIGHT INC. - HARTOG	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-08-10 00:00:00	060004166	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-11 00:00:00	2007-07-11 00:00:00	No	2007-08-31 00:00:00	None	B	None	1000	1500	-350	1150	0	None	LOT611	N	CA00119887	C	SFY2007-08
060000837	FOUNTAIN VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2007-08-14 00:00:00	060004174	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-01 00:00:00	2007-06-01 00:00:00	No	2007-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	4ON511	N	CA00117757	B	SFY2007-08
060001374	MERCED HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-08-13 00:00:00	060004175	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-07-30 00:00:00	2007-07-30 00:00:00	No	2007-09-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	JH5U12	N	None	None	SFY2007-08
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-08-21 00:00:00	060004197	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-04-26 00:00:00	2007-04-26 00:00:00	Yes	2010-04-22 00:00:00	2010-04-06 00:00:00	A	A	20000	15000	0	15000	0	None	FH9C11	Y	CA00113199	B	SFY2007-08
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-08-29 00:00:00	060004198	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-01 00:00:00	2007-07-01 00:00:00	Yes	2007-09-24 00:00:00	2007-09-14 00:00:00	B	None	1000	3000	0	3000	0	None	Y21U11	N	CA00120076	B	SFY2007-08
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-08-23 00:00:00	060004199	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-18 00:00:00	2007-04-18 00:00:00	Yes	2007-09-14 00:00:00	2007-09-12 00:00:00	B	None	1000	1000	0	1000	0	None	2KV611	N	CA00119815	B	SFY2007-08
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2007-10-11 00:00:00	060004262	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-20 00:00:00	2007-05-20 00:00:00	No	2007-11-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	XO7L11	Y	CA00120537	C	SFY2007-08
060000046	GORDON LANE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-09-26 00:00:00	060004264	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-24 00:00:00	2007-05-24 00:00:00	Yes	2007-10-18 00:00:00	2007-10-01 00:00:00	B	B	1000	400	0	400	0	None	UD2S11	N	CA00116634	C	SFY2007-08
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-09-26 00:00:00	060004292	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-18 00:00:00	2005-11-18 00:00:00	Yes	2007-10-18 00:00:00	2007-10-11 00:00:00	B	B	1000	500	0	500	0	None	MRGC11	N	CA00123017	C	SFY2007-08
060001688	ARGUS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-10-02 00:00:00	060004296	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-20 00:00:00	2007-07-20 00:00:00	No	2007-10-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	WSOZ11	N	CA00127068	C	SFY2007-08
060001466	MANGO HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-10-12 00:00:00	060004346	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-19 00:00:00	2007-09-19 00:00:00	Yes	2007-11-02 00:00:00	2007-10-15 00:00:00	B	B	1000	500	0	500	0	None	0PXH11	N	CA00126466	C	SFY2007-08
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-10-11 00:00:00	060004348	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-19 00:00:00	2007-09-19 00:00:00	No	2007-11-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	FMG311	N	None	None	SFY2007-08
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2007-10-23 00:00:00	060004380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-05 00:00:00	2007-10-05 00:00:00	No	2007-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	0XUQ11	N	CA00128686	C	SFY2007-08
060001052	CHRISTOPHER LANE TWO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-11-15 00:00:00	060004441	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2007-10-08 00:00:00	2007-10-08 00:00:00	No	2007-12-10 00:00:00	None	A	None	10000	10050	0	10050	0	None	7Z0611	N	CA00128722	C	SFY2007-08
060000039	ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2007-12-11 00:00:00	060004511	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-03 00:00:00	2006-09-03 00:00:00	Yes	2008-01-03 00:00:00	2007-12-12 00:00:00	B	B	750	500	0	500	0	None	95CF11	N	CA00130722	C	SFY2007-08
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-01-16 00:00:00	060004572	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-04 00:00:00	2007-10-04 00:00:00	Yes	2008-02-19 00:00:00	2008-01-29 00:00:00	B	B	1000	500	0	500	0	None	XFQC11	N	CA00128959	C	SFY2007-08
060002145	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	Orange	2008-01-17 00:00:00	060004588	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-16 00:00:00	2007-02-16 00:00:00	Yes	2008-02-08 00:00:00	2008-02-05 00:00:00	B	None	1000	1000	0	1000	0	None	VDNP11	N	CA00130368	C	SFY2007-08
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-02-06 00:00:00	060004637	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-02 00:00:00	2008-01-02 00:00:00	Yes	2008-03-05 00:00:00	2008-02-07 00:00:00	A	None	10000	10000	-3500	6500	0	None	NHFS11	N	CA00136615, CA00136615	B, B	SFY2007-08
060001519	BETHESDA LUTHERAN COMMUNITIES - PAPAGAYO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-02-01 00:00:00	060004649	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-11 00:00:00	2008-01-11 00:00:00	No	2008-03-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	NFKP11	N	None	None	SFY2007-08
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-03-18 00:00:00	060004710	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-27 00:00:00	2007-11-27 00:00:00	No	2008-04-09 00:00:00	None	B	None	800	800	-280	520	0	None	V5Z511	N	CA00134854	C	SFY2007-08
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2008-03-12 00:00:00	060004757	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-01-09 00:00:00	2008-01-09 00:00:00	No	2008-04-08 00:00:00	None	B	None	750	750	0	750	0	None	E6TK11	N	CA00137732	C	SFY2007-08
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2008-03-13 00:00:00	060004772	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-22 00:00:00	2007-12-22 00:00:00	No	2008-04-04 00:00:00	None	B	None	500	500	-175	325	0	None	999999	N	None	None	SFY2007-08
060000130	PARKVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-04-15 00:00:00	060004791	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-10-12 00:00:00	2007-10-12 00:00:00	Yes	2008-05-08 00:00:00	2008-04-17 00:00:00	AA	AA	50000	50000	0	50000	0	None	63GR11	Y	CA00135423	C	SFY2007-08
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-03-26 00:00:00	060004801	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-06 00:00:00	2008-03-06 00:00:00	Yes	2008-04-24 00:00:00	2008-03-27 00:00:00	B	B	1000	500	0	500	0	None	0HD111	N	CA00142144	C	SFY2007-08
060001477	LIBERTY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-03-20 00:00:00	060004802	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-02-05 00:00:00	2007-02-05 00:00:00	No	2008-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	59YL11	N	None	None	SFY2007-08
060000210	BETHESDA LUTHERAN COMMUNITIES - OSPREY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-03-28 00:00:00	060004835	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-20 00:00:00	2008-03-20 00:00:00	Yes	2008-04-25 00:00:00	2008-04-02 00:00:00	B	None	1000	1000	-350	650	0	None	DX9E11	N	None	None	SFY2007-08
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-04-11 00:00:00	060004877	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-06 00:00:00	2008-02-06 00:00:00	No	2008-05-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	OWSU11	N	CA00141746	C	SFY2007-08
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2008-04-15 00:00:00	060004901	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-09 00:00:00	2008-01-09 00:00:00	Yes	2008-05-12 00:00:00	2008-04-21 00:00:00	B	B	1000	500	0	500	0	None	5RW911	N	None	None	SFY2007-08
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2008-04-16 00:00:00	060004922	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-10 00:00:00	2007-08-10 00:00:00	No	2008-05-08 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	VL0011	N	CA00138088	C	SFY2007-08
060000052	ORANGE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2008-04-29 00:00:00	060004924	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-20 00:00:00	2007-09-20 00:00:00	No	2008-05-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	0NG411	N	CA00142341	C	SFY2007-08
060000130	PARKVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-05-15 00:00:00	060005036	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-23 00:00:00	2008-03-23 00:00:00	No	2008-06-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	8GVS11	N	CA00146258	C	SFY2007-08
060000164	FRENCH PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-05-20 00:00:00	060005051	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-03 00:00:00	2008-04-03 00:00:00	Yes	2008-06-13 00:00:00	2008-05-30 00:00:00	B	None	1000	1000	0	1000	0	None	7EYL11	N	CA00146501, CA00146501	C, C	SFY2007-08
060001374	MERCED HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-05-23 00:00:00	060005066	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-05-06 00:00:00	2008-05-06 00:00:00	No	2008-06-16 00:00:00	None	B	None	1000	1100	-1100	0	0	None	E54G11	N	None	None	SFY2007-08
060000077	ABLELIGHT INC. - HARTOG	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-06-06 00:00:00	060005102	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-28 00:00:00	2008-05-28 00:00:00	No	2008-06-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	UWZM11	N	CA00151729	C	SFY2007-08
060001640	TRI-ELIZABETH HOMES III	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-08-11 00:00:00	060005309	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-07-22 00:00:00	2008-07-22 00:00:00	No	2008-09-05 00:00:00	None	B	None	500	500	-175	325	0	None	YKFQ11	N	None	None	SFY2008-09
060001998	ELIZABETH HOMES - SAN RICARDO WAY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-08-11 00:00:00	060005312	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-18 00:00:00	2008-07-18 00:00:00	No	2008-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	90N311	N	CA00157424	C	SFY2008-09
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2008-09-04 00:00:00	060005365	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-12 00:00:00	2008-07-12 00:00:00	Yes	2008-09-29 00:00:00	2008-09-04 00:00:00	B	B	1000	530	0	530	0	None	ZZH511	N	CA00158004	C	SFY2008-09
060000081	BETHESDA LUTHERAN COMMUNITIES - TWIG	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-09-05 00:00:00	060005383	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-08-02 00:00:00	2008-08-02 00:00:00	No	2008-10-03 00:00:00	None	A	None	2500	2500	-875	1625	0	None	MB6O11	N	CA00159804	C	SFY2008-09
060001077	INDEPENDENT OPTIONS, INC. MARK LANE II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-09-05 00:00:00	060005385	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-24 00:00:00	2008-07-24 00:00:00	No	2008-09-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	7I5Q11	N	CA00158144	C	SFY2008-09
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-09-11 00:00:00	060005386	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-16 00:00:00	2007-09-16 00:00:00	Yes	2008-10-06 00:00:00	2008-10-23 00:00:00	A	None	5000	5000	0	5000	0	None	ELOC11	N	CA00146128	A	SFY2008-09
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-10-06 00:00:00	060005475	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-04 00:00:00	2008-07-04 00:00:00	No	2008-11-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	KQKF11	N	CA00160065	C	SFY2008-09
080001540	ANAHEIM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-10-02 00:00:00	060005477	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-02-01 00:00:00	2008-02-01 00:00:00	Yes	2008-10-28 00:00:00	2008-10-14 00:00:00	A	A	5000	5000	0	5000	0	None	ZVKN11	N	CA00160157	C	SFY2008-09
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-10-03 00:00:00	060005482	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-20 00:00:00	2008-08-20 00:00:00	No	2008-10-28 00:00:00	None	B	None	1000	1250	0	1250	0	None	X5N111	N	CA00161707	C	SFY2008-09
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-12-22 00:00:00	060005715	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-08-25 00:00:00	2008-08-25 00:00:00	No	2009-01-16 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	Q1HF11	N	CA00159832	C	SFY2008-09
060001366	ABLELIGHT INC. - FERROCARRIL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-12-22 00:00:00	060005716	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-09 00:00:00	2008-11-09 00:00:00	No	2009-01-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	CXCU11	N	CA00168963	C	SFY2008-09
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-01-06 00:00:00	060005755	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-08 00:00:00	2008-10-08 00:00:00	Yes	2009-01-29 00:00:00	2009-01-07 00:00:00	B	B	1000	500	0	500	0	None	4TMT11	N	CA00167188	B	SFY2008-09
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2009-01-06 00:00:00	060005758	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-17 00:00:00	2008-01-17 00:00:00	No	2009-02-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	H01F11	N	CA00162924	C	SFY2008-09
060001052	CHRISTOPHER LANE TWO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-01-12 00:00:00	060005776	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-12-10 00:00:00	2008-12-10 00:00:00	No	2009-02-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	F4I311	N	CA00171619	B	SFY2008-09
060001053	CHRISTOPHER LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-01-12 00:00:00	060005779	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-12-10 00:00:00	2008-12-10 00:00:00	No	2009-02-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	999999	N	None	None	SFY2008-09
060001971	OLMSTEAD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-01-20 00:00:00	060005801	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-01 00:00:00	2009-01-01 00:00:00	No	2009-02-12 00:00:00	None	B	None	500	500	-175	325	0	None	TGH111	N	CA00174054	C	SFY2008-09
060000051	ADVANCED REHAB CENTER OF TUSTIN	LTC	SNF	Skilled Nursing Facility	Orange	2009-01-21 00:00:00	060005811	Closed	Citation	Citation A (HSC 1424)	Staffing	None	2008-11-10 00:00:00	2008-11-10 00:00:00	No	2009-02-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	L0E311	N	CA00169276	A	SFY2008-09
060000031	ANAHEIM CREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-01-30 00:00:00	060005824	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-09-09 00:00:00	2008-09-09 00:00:00	Yes	2009-02-24 00:00:00	2009-02-12 00:00:00	AA	A	75000	70000	0	70000	0	None	ZPS911	Y	CA00170421	C	SFY2008-09
060001586	WASHINGTON AVENUE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-02-03 00:00:00	060005851	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-12 00:00:00	2009-01-12 00:00:00	Yes	2009-03-03 00:00:00	2009-02-19 00:00:00	B	B	500	250	0	250	0	None	S2WH11	N	CA00174249	C	SFY2008-09
060001052	CHRISTOPHER LANE TWO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-02-03 00:00:00	060005852	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-29 00:00:00	2008-12-29 00:00:00	No	2009-02-27 00:00:00	None	A	None	10000	10100	-3500	6600	0	None	DSC111	N	CA00173338	C	SFY2008-09
060000077	ABLELIGHT INC. - HARTOG	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-02-06 00:00:00	060005859	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-01-13 00:00:00	2009-01-13 00:00:00	No	2009-03-03 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	4ML112	N	None	None	SFY2008-09
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2009-02-26 00:00:00	060005889	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-11 00:00:00	2009-01-11 00:00:00	Yes	2009-03-23 00:00:00	2009-03-18 00:00:00	B	B	1000	650	0	650	0	None	QZY711	N	CA00174847	B	SFY2008-09
060001197	ABLELIGHT INC. - MAWSON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-03-05 00:00:00	060005925	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-09 00:00:00	2008-12-09 00:00:00	No	2009-03-27 00:00:00	None	B	None	500	500	-175	325	0	None	R3DQ11	N	CA00176419	C	SFY2008-09
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-03-05 00:00:00	060005927	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-11 00:00:00	2008-08-11 00:00:00	No	2009-03-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	0ILB11	N	CA00166503	B	SFY2008-09
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2009-03-17 00:00:00	060005968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-17 00:00:00	2008-12-17 00:00:00	No	2009-04-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	B1YJ11	N	CA00174676	C	SFY2008-09
060001058	WALNUT VILLAGE REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-04-02 00:00:00	060006042	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-02-18 00:00:00	2009-02-18 00:00:00	No	2009-04-29 00:00:00	None	B	None	750	750	0	750	0	None	U3CZ11	N	CA00178852	B	SFY2008-09
060001053	CHRISTOPHER LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-04-03 00:00:00	060006043	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-03-18 00:00:00	2009-03-18 00:00:00	Yes	2009-04-30 00:00:00	2009-04-23 00:00:00	B	None	1000	1000	-350	650	0	None	3UV111	N	None	None	SFY2008-09
060001053	CHRISTOPHER LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-04-07 00:00:00	060006044	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2009-03-18 00:00:00	2009-03-18 00:00:00	Yes	2009-04-30 00:00:00	2009-04-23 00:00:00	B	B	1000	500	0	500	0	None	3UV111	N	None	None	SFY2008-09
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2009-04-07 00:00:00	060006051	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-03-18 00:00:00	2009-03-18 00:00:00	No	2009-04-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	28CJ11	N	CA00181390	C	SFY2008-09
060001646	OCEAN BREEZE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-04-13 00:00:00	060006090	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-11 00:00:00	2009-03-11 00:00:00	No	2009-05-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	LPBJ11	N	None	None	SFY2008-09
060001052	CHRISTOPHER LANE TWO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-04-22 00:00:00	060006114	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-15 00:00:00	2009-03-15 00:00:00	Yes	2009-05-15 00:00:00	2009-04-24 00:00:00	B	B	1000	500	0	500	0	None	5I7O11	N	None	None	SFY2008-09
060001052	CHRISTOPHER LANE TWO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-04-22 00:00:00	060006119	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-03-18 00:00:00	2009-03-18 00:00:00	Yes	2009-12-14 00:00:00	2009-12-07 00:00:00	A	A	10000	7500	0	7500	0	None	5I7O11	N	None	None	SFY2008-09
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2009-04-23 00:00:00	060006120	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-18 00:00:00	2009-03-18 00:00:00	Yes	2009-05-15 00:00:00	2009-05-05 00:00:00	B	B	1000	650	0	650	0	None	0H4R11	N	CA00182917	C	SFY2008-09
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-04-27 00:00:00	060006121	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-17 00:00:00	2009-01-17 00:00:00	Yes	2009-05-21 00:00:00	2009-04-28 00:00:00	B	None	1000	1000	0	1000	0	None	L41111	N	CA00179447	B	SFY2008-09
060000125	THE GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2009-05-19 00:00:00	060006129	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-02 00:00:00	2008-07-02 00:00:00	Yes	2009-06-10 00:00:00	2009-05-27 00:00:00	B	B	1000	650	0	650	0	None	YPAD11	N	CA00156041	C	SFY2008-09
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2009-05-11 00:00:00	060006162	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-11-01 00:00:00	2008-11-01 00:00:00	No	2009-06-03 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	V38L11	N	CA00182032	C	SFY2008-09
060000022	ALAMITOS WEST HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Orange	2009-05-26 00:00:00	060006194	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-02-14 00:00:00	2009-02-14 00:00:00	No	2009-06-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	152J11	N	CA00184621	D	SFY2008-09
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-06-03 00:00:00	060006202	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-01 00:00:00	2009-02-01 00:00:00	No	2009-06-26 00:00:00	None	B	None	800	800	0	800	0	None	PVYZ11	N	CA00178224	C	SFY2008-09
060000022	ALAMITOS WEST HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Orange	2009-05-26 00:00:00	060006203	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-12-19 00:00:00	2008-12-19 00:00:00	Yes	2009-10-20 00:00:00	2009-09-29 00:00:00	AA	B	100000	20000	0	20000	0	None	RNVX11	Y	CA00180633	C	SFY2008-09
060000022	ALAMITOS WEST HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Orange	2009-05-26 00:00:00	060006213	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-09 00:00:00	2008-12-09 00:00:00	Yes	2010-04-21 00:00:00	2010-04-07 00:00:00	A	A	20000	10000	0	10000	0	None	SNGX11	N	CA00171868	C	SFY2008-09
060000054	HUNTINGTON VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-06-01 00:00:00	060006231	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-03-02 00:00:00	2009-03-02 00:00:00	Yes	2009-06-23 00:00:00	2009-06-17 00:00:00	AA	A	80000	80000	0	80000	0	None	YFMT11	Y	CA00184802	C	SFY2008-09
060000048	LEISURE COURT NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-06-09 00:00:00	060006240	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-19 00:00:00	2009-02-19 00:00:00	Yes	2009-07-01 00:00:00	2009-06-11 00:00:00	A	None	10000	10000	0	10000	0	None	8W1R11	N	CA00185175	C	SFY2008-09
060002256	INDEPENDENT OPTIONS, INC. HARBOR VILLAGE V	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-06-08 00:00:00	060006253	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-04-21 00:00:00	2009-04-21 00:00:00	No	2009-06-30 00:00:00	None	B	None	500	500	0	500	0	None	RQXQ11	N	CA00186707	C	SFY2008-09
060000876	VILLA VALENCIA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-06-11 00:00:00	060006264	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-10 00:00:00	2009-04-10 00:00:00	Yes	2009-07-06 00:00:00	2009-06-23 00:00:00	A	None	20000	20000	0	20000	0	None	CLYH11	Y	CA00186698	C	SFY2008-09
060001314	SEA BRIGHT PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-06-19 00:00:00	060006298	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-04 00:00:00	2009-06-04 00:00:00	No	2009-07-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	C5DR11	N	None	None	SFY2008-09
060001314	SEA BRIGHT PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-06-19 00:00:00	060006299	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-04 00:00:00	2009-06-04 00:00:00	No	2009-07-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	C5DR11	N	None	None	SFY2008-09
060000070	TUSTIN CARE CENTER, INC.	LTC	ICF	Intermediate Care Facility	Orange	2009-06-26 00:00:00	060006323	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-03-14 00:00:00	2009-03-14 00:00:00	Yes	2010-09-07 00:00:00	2010-08-19 00:00:00	AA	AA	50000	50000	0	50000	0	None	88QF11	Y	CA00181842	C	SFY2008-09
060000210	BETHESDA LUTHERAN COMMUNITIES - OSPREY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-06-30 00:00:00	060006336	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-05-31 00:00:00	2009-05-31 00:00:00	No	2009-07-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	NTER11	N	CA00190468	C	SFY2008-09
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-07-01 00:00:00	060006338	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-17 00:00:00	2009-04-17 00:00:00	Yes	2009-07-24 00:00:00	2009-07-07 00:00:00	B	B	1000	650	0	650	0	None	B4DI11	N	CA00187891	B	SFY2009-10
060000048	LEISURE COURT NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-07-15 00:00:00	060006384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-06 00:00:00	2009-05-06 00:00:00	Yes	2009-08-07 00:00:00	2009-07-16 00:00:00	B	None	1000	1000	0	1000	0	None	ENPT11	N	CA00187033	C	SFY2009-10
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2009-07-16 00:00:00	060006385	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-15 00:00:00	2009-05-15 00:00:00	No	2009-08-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	O5VV11	N	CA00189700	C	SFY2009-10
060002251	THE COVINGTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-07-31 00:00:00	060006440	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-06-15 00:00:00	2009-06-15 00:00:00	No	2009-08-25 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	C0FE11	N	CA00192636	C	SFY2009-10
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-08-18 00:00:00	060006470	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-01 00:00:00	2008-12-01 00:00:00	Yes	2009-09-09 00:00:00	2009-09-09 00:00:00	B	None	1000	1000	0	1000	0	None	BHH411	N	CA00172465	C	SFY2009-10
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-08-27 00:00:00	060006498	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-13 00:00:00	2009-07-13 00:00:00	Yes	2009-09-21 00:00:00	2009-09-10 00:00:00	B	None	1000	1000	0	1000	0	None	5BO611	N	CA00195542	B	SFY2009-10
060000077	ABLELIGHT INC. - HARTOG	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-08-31 00:00:00	060006499	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-07-14 00:00:00	2009-07-14 00:00:00	No	2009-09-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	BTW511	N	CA00198242	C	SFY2009-10
060001576	HEATHER LANE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-08-31 00:00:00	060006508	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-30 00:00:00	2009-06-30 00:00:00	Yes	2009-09-25 00:00:00	2009-09-22 00:00:00	B	B	500	250	0	250	0	None	1MX711	N	CA00193816	C	SFY2009-10
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2009-09-15 00:00:00	060006549	Closed	Citation	Citation A (HSC 1424)	Medication	None	2009-02-05 00:00:00	2009-02-05 00:00:00	No	2009-10-07 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	5X8E11	N	CA00177843	C	SFY2009-10
060000082	HARRIET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-09-16 00:00:00	060006551	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-11 00:00:00	2009-02-11 00:00:00	No	2009-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	7R8P11	N	None	None	SFY2009-10
080001540	ANAHEIM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-09-28 00:00:00	060006568	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-08 00:00:00	2009-05-08 00:00:00	No	2009-10-22 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	D1P711	N	CA00189020	C	SFY2009-10
080001540	ANAHEIM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-09-28 00:00:00	060006569	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-08 00:00:00	2009-07-08 00:00:00	No	2009-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	SWEU11	N	CA00195187	C	SFY2009-10
060000837	FOUNTAIN VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2009-09-28 00:00:00	060006579	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-08-07 00:00:00	2009-08-07 00:00:00	No	2009-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	2D9K11	N	CA00199232	C	SFY2009-10
060000054	HUNTINGTON VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-09-29 00:00:00	060006591	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-25 00:00:00	2009-07-25 00:00:00	No	2009-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	KF0C11	N	CA00198516	C	SFY2009-10
060001053	CHRISTOPHER LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-09-30 00:00:00	060006595	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-03 00:00:00	2009-09-03 00:00:00	No	2009-10-26 00:00:00	None	B	None	1000	1400	-350	1050	0	None	3L3X11	N	CA00200625	C	SFY2009-10
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-10-05 00:00:00	060006596	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-09-10 00:00:00	2009-09-10 00:00:00	Yes	2009-10-30 00:00:00	2009-10-07 00:00:00	B	B	1000	500	0	500	0	None	IXOF11	N	CA00201535	C	SFY2009-10
060001450	CACHUELA ICF/DD-N HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-10-26 00:00:00	060006648	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-02 00:00:00	2009-10-02 00:00:00	No	2009-11-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	10OW11	N	CA00204301	C	SFY2009-10
060001450	CACHUELA ICF/DD-N HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-10-26 00:00:00	060006650	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-02 00:00:00	2009-10-02 00:00:00	No	2009-11-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	10OW11	N	CA00204301	C	SFY2009-10
060000164	FRENCH PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-11-17 00:00:00	060006695	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-19 00:00:00	2008-08-19 00:00:00	Yes	2009-12-14 00:00:00	2009-11-18 00:00:00	B	B	1000	500	0	500	0	None	IPMW11	N	CA00197796	C	SFY2009-10
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-11-17 00:00:00	060006696	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-02 00:00:00	2009-09-02 00:00:00	Yes	2009-12-15 00:00:00	2009-11-24 00:00:00	B	None	500	500	0	500	0	None	RHL311	N	CA00200950	C	SFY2009-10
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-11-17 00:00:00	060006713	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-02 00:00:00	2009-09-02 00:00:00	No	2009-12-15 00:00:00	None	B	None	500	500	-175	325	0	None	YJGW11	N	CA00204233	C	SFY2009-10
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2009-11-18 00:00:00	060006719	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-07-12 00:00:00	2009-07-12 00:00:00	Yes	2009-12-16 00:00:00	2009-12-09 00:00:00	A	A	15000	15000	0	15000	0	None	QNKN11	N	CA00195947	B	SFY2009-10
060000209	BETHESDA LUTHERAN COMMUNITIES - DAPHNE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-11-23 00:00:00	060006721	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-10-21 00:00:00	2009-10-21 00:00:00	No	2009-12-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	FFQD11	N	CA00205690	C	SFY2009-10
060000876	VILLA VALENCIA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-12-09 00:00:00	060006731	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-07-30 00:00:00	2009-07-30 00:00:00	Yes	2010-09-07 00:00:00	2010-08-25 00:00:00	AA	AA	100000	85000	0	85000	0	None	5XC511	Y	CA00196889	A	SFY2009-10
060000081	BETHESDA LUTHERAN COMMUNITIES - TWIG	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-12-09 00:00:00	060006755	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-11-09 00:00:00	2009-11-09 00:00:00	No	2010-01-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	767911	N	None	None	SFY2009-10
060001077	INDEPENDENT OPTIONS, INC. MARK LANE II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-12-09 00:00:00	060006756	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-04 00:00:00	2009-09-04 00:00:00	No	2010-01-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	WZLO11	N	CA00204357	C	SFY2009-10
060001287	912 MAGNOLIA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-12-18 00:00:00	060006787	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2009-12-09 00:00:00	2009-12-09 00:00:00	Yes	2010-01-13 00:00:00	2009-12-21 00:00:00	B	B	1000	500	0	500	0	None	NZZ411	N	None	None	SFY2009-10
060001576	HEATHER LANE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-12-18 00:00:00	060006801	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-10-14 00:00:00	2009-10-14 00:00:00	Yes	2010-01-21 00:00:00	2009-12-21 00:00:00	B	B	500	250	0	250	0	None	6BZB11	N	CA00205320	C	SFY2009-10
060002269	LONIKA HOME APHENA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-12-23 00:00:00	060006834	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2009-12-03 00:00:00	2009-12-03 00:00:00	No	2010-01-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	743011	N	CA00210270	B	SFY2009-10
060000052	ORANGE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2010-01-20 00:00:00	060006849	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-07-14 00:00:00	2009-07-14 00:00:00	Yes	2010-02-10 00:00:00	2010-02-04 00:00:00	AA	A	85000	35000	0	35000	0	None	FOUO11	Y	CA00206488	B	SFY2009-10
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-01-21 00:00:00	060006932	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-11-15 00:00:00	2009-11-15 00:00:00	Yes	2010-02-12 00:00:00	2010-01-25 00:00:00	A	A	7500	7500	0	7500	0	None	XIQZ11	N	CA00209128	C	SFY2009-10
060001999	RIDGLEA HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2010-02-25 00:00:00	060007014	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-23 00:00:00	2009-12-23 00:00:00	No	2010-03-18 00:00:00	None	B	None	800	800	0	800	0	None	I1LO11	N	CA00212491	C	SFY2009-10
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2010-03-09 00:00:00	060007030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-24 00:00:00	2009-10-24 00:00:00	No	2010-04-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	8MR011	N	CA00206495	C	SFY2009-10
060001278	HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2010-03-25 00:00:00	060007065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-25 00:00:00	2010-02-25 00:00:00	No	2010-04-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	3ICL11	N	CA00219556	C	SFY2009-10
060001278	HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2010-03-25 00:00:00	060007066	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-25 00:00:00	2010-02-25 00:00:00	No	2010-04-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	3ICL11	N	CA00219556	C	SFY2009-10
060001278	HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2010-03-25 00:00:00	060007068	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-25 00:00:00	2010-02-25 00:00:00	No	2010-04-19 00:00:00	None	B	None	600	600	-210	390	0	None	3ICL11	N	CA00219556	C	SFY2009-10
060000050	LA PALMA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-04-16 00:00:00	060007130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-13 00:00:00	2010-01-13 00:00:00	Yes	2010-05-10 00:00:00	2010-06-02 00:00:00	B	None	800	800	0	800	0	None	4S3E11	N	CA00216168	C	SFY2009-10
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2010-04-15 00:00:00	060007131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-18 00:00:00	2010-02-18 00:00:00	Yes	2010-05-10 00:00:00	2010-04-16 00:00:00	B	B	800	400	800	1200	0	None	IXNC11	N	CA00221528	C	SFY2009-10
060000839	FREEDOM VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-04-19 00:00:00	060007136	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-10-16 00:00:00	2009-10-16 00:00:00	No	2010-05-12 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	S93E11	Y	CA00214769	B	SFY2009-10
060001278	HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2010-05-04 00:00:00	060007190	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-04-02 00:00:00	2010-04-02 00:00:00	No	2010-05-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	HLYO11	N	CA00223743	B	SFY2009-10
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2010-05-13 00:00:00	060007211	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-03-08 00:00:00	2010-03-08 00:00:00	Yes	2010-06-08 00:00:00	2010-06-03 00:00:00	B	B	1000	650	0	650	0	None	5U1711	N	CA00223504	C	SFY2009-10
060001096	LENMAR HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2010-05-21 00:00:00	060007229	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-02 00:00:00	2010-03-02 00:00:00	No	2010-06-15 00:00:00	None	B	None	500	500	-175	325	0	None	L62211	N	None	None	SFY2009-10
060001096	LENMAR HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2010-05-21 00:00:00	060007232	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-12 00:00:00	2010-04-12 00:00:00	No	2010-06-15 00:00:00	None	B	None	500	500	-175	325	0	None	L62211	N	None	None	SFY2009-10
060000046	GORDON LANE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-01 00:00:00	060007263	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-17 00:00:00	2010-01-17 00:00:00	Yes	2010-06-23 00:00:00	2010-06-09 00:00:00	A	None	8000	8000	0	8000	0	None	OO1411	N	CA00216194	C	SFY2009-10
060001058	WALNUT VILLAGE REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-04 00:00:00	060007281	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-05 00:00:00	2010-03-05 00:00:00	No	2010-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	B0BS11	N	CA00221502	C	SFY2009-10
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-08 00:00:00	060007291	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-28 00:00:00	2009-10-28 00:00:00	Yes	2010-06-30 00:00:00	2010-06-09 00:00:00	A	A	5000	5000	0	5000	0	None	24Z611	N	CA00204225	C	SFY2009-10
060000196	ANAHEIM HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-08 00:00:00	060007295	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-31 00:00:00	2009-08-31 00:00:00	Yes	2010-06-30 00:00:00	2010-06-22 00:00:00	B	B	1000	650	0	650	0	None	QJ6P11	N	CA00205616	B	SFY2009-10
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-09 00:00:00	060007298	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-02-20 00:00:00	2010-02-20 00:00:00	Yes	2010-06-30 00:00:00	2010-06-14 00:00:00	A	A	10000	6500	0	6500	0	None	Y7W011	N	CA00219587	C	SFY2009-10
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-09 00:00:00	060007299	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-02-21 00:00:00	2010-02-21 00:00:00	Yes	2010-07-01 00:00:00	2010-06-28 00:00:00	A	B	7000	7000	0	7000	0	None	5VGZ11	N	CA00224378	C	SFY2009-10
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-23 00:00:00	060007323	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-21 00:00:00	2010-05-21 00:00:00	Yes	2010-07-14 00:00:00	2010-07-01 00:00:00	B	None	1000	1000	-883.6	116.4	0	None	2Z9I11	N	CA00224550	C	SFY2009-10
060000051	ADVANCED REHAB CENTER OF TUSTIN	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-23 00:00:00	060007327	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-17 00:00:00	2010-04-17 00:00:00	No	2010-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	WYIZ11	N	CA00227245	C	SFY2009-10
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-28 00:00:00	060007335	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-02-17 00:00:00	2010-02-17 00:00:00	Yes	2010-07-20 00:00:00	2010-07-07 00:00:00	A	A	10000	5000	0	5000	0	None	IEFK11	N	CA00220390	C	SFY2009-10
630011297	LONIKA HOME DORIA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2010-06-29 00:00:00	060007337	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-20 00:00:00	2010-05-20 00:00:00	Yes	2010-07-20 00:00:00	2010-07-07 00:00:00	B	None	500	500	0	500	0	None	Z29W11	N	CA00229508	C	SFY2009-10
060000167	EXTENDED CARE HOSPITAL OF WESTMINSTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-29 00:00:00	060007339	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-14 00:00:00	2010-05-14 00:00:00	No	2010-07-21 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	NWE811	N	CA00229809	B	SFY2009-10
060000034	VICTORIA HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-07-08 00:00:00	060007363	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2010-05-19 00:00:00	2010-05-19 00:00:00	No	2010-08-02 00:00:00	None	WF	None	700	700	-245	455	0	None	6I2311	None	CA00230459	C	SFY2010-11
060001627	ALL STATE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2010-07-19 00:00:00	060007385	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-03 00:00:00	2010-05-03 00:00:00	No	2010-08-11 00:00:00	None	B	None	500	500	-175	325	0	None	GM1011	N	CA00226373	B	SFY2010-11
060001698	HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2010-07-27 00:00:00	060007405	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-28 00:00:00	2010-05-28 00:00:00	Yes	2013-01-29 00:00:00	2010-07-28 00:00:00	A	A	10000	10100	0	10100	0	None	QJCW11	N	CA00231993	B	SFY2010-11
060000045	BEACHSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-08-03 00:00:00	060007422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-17 00:00:00	2010-06-17 00:00:00	No	2010-08-25 00:00:00	None	B	None	750	750	0	750	0	None	ZP4S11	N	CA00229296	C	SFY2010-11
060000052	ORANGE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2010-08-03 00:00:00	060007423	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-30 00:00:00	2010-04-30 00:00:00	No	2010-08-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	58F011	N	CA00227154	B	SFY2010-11
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-08-12 00:00:00	060007486	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-21 00:00:00	2010-06-21 00:00:00	Yes	2010-09-14 00:00:00	2010-08-16 00:00:00	B	None	1000	3000	0	3000	0	None	P5GJ11	N	CA00232880	C	SFY2010-11
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-08-24 00:00:00	060007503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-12 00:00:00	2010-01-12 00:00:00	Yes	2010-09-15 00:00:00	2010-09-01 00:00:00	B	None	1000	1000	0	1000	0	None	3KRG11	N	CA00214308	A	SFY2010-11
060000030	BUENA PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-08-25 00:00:00	060007516	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-20 00:00:00	2010-06-20 00:00:00	Yes	2010-09-16 00:00:00	2010-08-26 00:00:00	B	None	1000	1000	0	1000	0	None	9BSY11	N	CA00234456	B	SFY2010-11
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2010-08-26 00:00:00	060007521	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-15 00:00:00	2010-06-15 00:00:00	Yes	2010-09-20 00:00:00	2010-09-03 00:00:00	B	B	750	487.5	0	487.5	0	None	YUTH11	N	CA00229301	C	SFY2010-11
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2010-08-26 00:00:00	060007522	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-15 00:00:00	2010-06-15 00:00:00	Yes	2010-09-21 00:00:00	2010-09-03 00:00:00	B	B	1000	650	0	650	0	None	YUTH11	N	CA00232910	D	SFY2010-11
060000167	EXTENDED CARE HOSPITAL OF WESTMINSTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-08-26 00:00:00	060007525	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-18 00:00:00	2010-06-18 00:00:00	No	2010-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	IBRN11	N	CA00233868	C	SFY2010-11
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-10-26 00:00:00	060007670	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-19 00:00:00	2010-07-19 00:00:00	No	2010-11-18 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	2Z3Z11	N	CA00236402	B	SFY2010-11
060002158	ROBIN DALE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2010-12-16 00:00:00	060007771	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-12 00:00:00	2010-09-12 00:00:00	No	2011-01-06 00:00:00	None	B	None	500	500	-175	325	0	None	YNJL11	N	CA00242972	C	SFY2010-11
060000034	VICTORIA HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-02-10 00:00:00	060007811	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-09-08 00:00:00	2010-09-08 00:00:00	Yes	2011-03-04 00:00:00	2011-05-11 00:00:00	A	AA	20000	20000	0	20000	0	None	IQ8T11	N	CA00244031, CA00244031	C, C	SFY2010-11
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-01-11 00:00:00	060007833	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-02 00:00:00	2010-05-02 00:00:00	No	2011-02-02 00:00:00	None	A	None	7500	7500	-2625	4875	0	None	NTJN11	N	CA00230468	C	SFY2010-11
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2011-01-19 00:00:00	060007850	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-29 00:00:00	2010-10-29 00:00:00	No	2011-02-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	V7TR11	N	CA00248272	C	SFY2010-11
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2011-01-25 00:00:00	060007858	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-21 00:00:00	2010-10-21 00:00:00	No	2011-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	H0Z511	N	CA00246596	B	SFY2010-11
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2011-01-25 00:00:00	060007862	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-06 00:00:00	2010-10-06 00:00:00	No	2011-02-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	KFOU11	N	CA00249204	C	SFY2010-11
060000134	REGENTS POINT - WINDCREST	LTC	SNF	Skilled Nursing Facility	Orange	2011-01-26 00:00:00	060007872	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-11-23 00:00:00	2010-11-23 00:00:00	Yes	2011-02-16 00:00:00	2011-02-11 00:00:00	A	None	7500	7500	0	7500	0	None	JZ8711	N	CA00251950	C	SFY2010-11
060000077	ABLELIGHT INC. - HARTOG	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-02-03 00:00:00	060007902	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-10-07 00:00:00	2010-10-07 00:00:00	No	2011-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	0EVE11	N	CA00253016	C	SFY2010-11
060000077	ABLELIGHT INC. - HARTOG	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-03-02 00:00:00	060007946	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-18 00:00:00	2010-12-18 00:00:00	No	2011-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	683V11	N	CA00252938	C	SFY2010-11
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-03-22 00:00:00	060008039	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-01 00:00:00	2011-02-01 00:00:00	Yes	2011-04-13 00:00:00	2011-03-23 00:00:00	B	None	1000	1000	0	1000	0	None	XM3111	N	CA00258491	C	SFY2010-11
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-03-22 00:00:00	060008042	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-28 00:00:00	2011-02-28 00:00:00	No	2011-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	V2KE11	N	CA00260768	B	SFY2010-11
060000030	BUENA PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-03-25 00:00:00	060008058	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-12-21 00:00:00	2010-12-21 00:00:00	Yes	2011-04-18 00:00:00	2011-04-01 00:00:00	B	None	1000	1000	0	1000	0	None	2P7S11	N	CA00253952	C	SFY2010-11
060000159	TOWN & COUNTRY	LTC	SNF	Skilled Nursing Facility	Orange	2011-04-14 00:00:00	060008146	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Medication	None	2010-12-07 00:00:00	2010-12-07 00:00:00	No	2011-05-05 00:00:00	None	WF	None	500	500	-175	325	0	None	MLD811	None	CA00252441	B	SFY2010-11
060000034	VICTORIA HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-04-14 00:00:00	060008150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-11 00:00:00	2010-12-11 00:00:00	Yes	2011-05-05 00:00:00	2011-04-15 00:00:00	B	None	1000	1000	0	1000	0	None	LRIS11	N	CA00255201	B	SFY2010-11
060000159	TOWN & COUNTRY	LTC	SNF	Skilled Nursing Facility	Orange	2011-04-21 00:00:00	060008173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-11 00:00:00	2011-04-11 00:00:00	No	2011-05-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	TFD011	N	CA00265251	C	SFY2010-11
630011296	LONIKA HOME MINOS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-04-26 00:00:00	060008185	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-02-23 00:00:00	2011-02-23 00:00:00	No	2011-05-17 00:00:00	None	B	None	500	500	-175	325	0	None	KSYF11	N	CA00260104	C	SFY2010-11
060000164	FRENCH PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-05-24 00:00:00	060008236	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-28 00:00:00	2011-04-28 00:00:00	No	2011-06-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	V49H11	N	CA00267887	C	SFY2010-11
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2011-05-24 00:00:00	060008267	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-27 00:00:00	2010-11-27 00:00:00	No	2011-06-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	C5GV11	N	CA00252061	C	SFY2010-11
060001052	CHRISTOPHER LANE TWO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-06-24 00:00:00	060008322	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-04-04 00:00:00	2011-04-04 00:00:00	No	2011-07-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	MP1M11	N	CA00270211	C	SFY2010-11
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-06-29 00:00:00	060008333	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-12 00:00:00	2011-04-12 00:00:00	Yes	2011-07-21 00:00:00	2011-07-11 00:00:00	B	None	1000	1000	0	1000	0	None	H45911	N	CA00267188	A	SFY2010-11
060000054	HUNTINGTON VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-07-13 00:00:00	060008363	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-20 00:00:00	2011-04-20 00:00:00	Yes	2011-08-03 00:00:00	2011-07-27 00:00:00	B	None	1000	1000	0	1000	0	None	E7EY11	N	CA00267207	B	SFY2011-12
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-07-15 00:00:00	060008382	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-04 00:00:00	2011-06-04 00:00:00	Yes	2011-08-05 00:00:00	2011-07-28 00:00:00	B	None	1000	1000	-350	650	0	None	8JOE11	N	CA00273903	C	SFY2011-12
630012080	KINDRED HOSPITAL BREA D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2011-07-27 00:00:00	060008424	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-12 00:00:00	2011-06-12 00:00:00	No	2011-08-17 00:00:00	None	B	None	1000	1600	-350	1250	0	None	U45V11	N	CA00272675	D	SFY2011-12
060000837	FOUNTAIN VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2011-08-09 00:00:00	060008451	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-15 00:00:00	2011-07-15 00:00:00	No	2011-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	66P811	N	CA00276606	B	SFY2011-12
060000052	ORANGE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2011-08-09 00:00:00	060008452	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-03-09 00:00:00	2011-03-09 00:00:00	No	2011-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	XVPF11	N	CA00262524	B	SFY2011-12
080001542	ALTA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-08-11 00:00:00	060008455	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2011-06-01 00:00:00	2011-06-01 00:00:00	No	2011-09-01 00:00:00	None	WF	None	1000	1000	-350	650	0	None	LLN011	None	None	None	SFY2011-12
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2011-08-17 00:00:00	060008475	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-29 00:00:00	2011-05-29 00:00:00	No	2011-09-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	0UZY11	N	CA00271148	B	SFY2011-12
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2011-08-17 00:00:00	060008478	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-10 00:00:00	2011-06-10 00:00:00	No	2011-09-07 00:00:00	None	B	None	700	700	0	700	0	None	KNFW11	N	CA00272663	C	SFY2011-12
060000876	VILLA VALENCIA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-08-17 00:00:00	060008485	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-03-23 00:00:00	2010-03-23 00:00:00	No	2011-09-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	LTY711	N	CA00271413	C	SFY2011-12
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2011-08-17 00:00:00	060008487	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-19 00:00:00	2011-06-19 00:00:00	Yes	2011-09-07 00:00:00	2011-09-01 00:00:00	B	B	1000	750	-100	650	0	None	SB3W11	N	CA00273610	B	SFY2011-12
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2011-08-19 00:00:00	060008496	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-22 00:00:00	2011-07-22 00:00:00	No	2011-09-09 00:00:00	None	B	None	1000	1350	-350	1000	0	None	OSBI11	N	CA00278541	C	SFY2011-12
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2011-09-01 00:00:00	060008525	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-26 00:00:00	2010-10-26 00:00:00	No	2011-09-23 00:00:00	None	B	None	750	750	0	750	0	None	X6GB11	N	CA00270705	C	SFY2011-12
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2011-10-03 00:00:00	060008588	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-06 00:00:00	2011-07-06 00:00:00	No	2011-10-24 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	B0Y611	N	CA00276381	C	SFY2011-12
060000070	TUSTIN CARE CENTER, INC.	LTC	ICF	Intermediate Care Facility	Orange	2011-10-12 00:00:00	060008632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-10 00:00:00	2011-04-10 00:00:00	No	2011-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	TRCY11	N	CA00267448	B	SFY2011-12
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-10-19 00:00:00	060008649	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-07-20 00:00:00	2011-07-20 00:00:00	No	2011-11-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	J4V811	N	CA00278127	B	SFY2011-12
060001971	OLMSTEAD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-10-21 00:00:00	060008651	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-14 00:00:00	2011-09-14 00:00:00	No	2011-11-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	M1F211	N	CA00284480	C	SFY2011-12
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-11-10 00:00:00	060008726	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-27 00:00:00	2011-09-27 00:00:00	Yes	2011-12-06 00:00:00	2011-11-14 00:00:00	A	A	10000	10000	0	10000	0	None	22ED11	N	CA00285486	B	SFY2011-12
630011296	LONIKA HOME MINOS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-11-22 00:00:00	060008755	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-08-23 00:00:00	2011-08-23 00:00:00	No	2011-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	SM4Q11	N	CA00280485	B	SFY2011-12
060001652	CASA DE YORBA LINDA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-11-22 00:00:00	060008756	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-17 00:00:00	2011-10-17 00:00:00	No	2011-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	999999	N	None	None	SFY2011-12
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2011-12-01 00:00:00	060008760	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2011-01-30 00:00:00	2011-01-30 00:00:00	Yes	2011-12-22 00:00:00	2012-03-23 00:00:00	AA	AA	90000	90000	0	90000	0	None	X6GB11	Y	CA00270705	C	SFY2011-12
060000123	NEWPORT NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-11-30 00:00:00	060008776	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2011-10-13 00:00:00	2011-10-13 00:00:00	Yes	2012-11-06 00:00:00	2012-07-02 00:00:00	AA	A	100000	70000	0	70000	0	None	5TYP11	Y	CA00283981	B	SFY2011-12
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-12-07 00:00:00	060008782	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-29 00:00:00	2011-08-29 00:00:00	No	2011-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	30MF11	N	CA00281787	C	SFY2011-12
630011296	LONIKA HOME MINOS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-12-14 00:00:00	060008798	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-30 00:00:00	2011-11-30 00:00:00	No	2012-01-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	L1RM11	N	CA00291138	C	SFY2011-12
060001287	912 MAGNOLIA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-12-14 00:00:00	060008818	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-11-16 00:00:00	2011-11-16 00:00:00	Yes	2012-01-06 00:00:00	2011-12-15 00:00:00	B	B	1000	650	0	650	0	None	43Q911	N	None	None	SFY2011-12
060001053	CHRISTOPHER LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-12-23 00:00:00	060008830	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2011-11-24 00:00:00	2011-11-24 00:00:00	Yes	2012-01-18 00:00:00	2011-12-28 00:00:00	B	None	1000	1000	-350	650	0	None	6SO411	N	CA00290999	C	SFY2011-12
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2011-12-23 00:00:00	060008836	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2011-12-01 00:00:00	2011-12-01 00:00:00	Yes	2014-05-21 00:00:00	2012-01-03 00:00:00	B	B	1000	1000	0	1000	0	None	QESJ11	N	CA00291945	C	SFY2011-12
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2012-01-09 00:00:00	060008887	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-28 00:00:00	2011-10-28 00:00:00	Yes	2012-01-31 00:00:00	2012-01-18 00:00:00	B	None	2000	6000	0	6000	0	None	6H9511	N	CA00288388	B	SFY2011-12
060000034	VICTORIA HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2012-01-13 00:00:00	060008910	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-29 00:00:00	2011-06-29 00:00:00	No	2012-02-06 00:00:00	None	B	None	1000	1150	0	1150	0	None	MOOO11	N	CA00281767	C	SFY2011-12
630012563	CRESCENT HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2012-01-20 00:00:00	060008928	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-12-21 00:00:00	2011-12-21 00:00:00	No	2012-02-10 00:00:00	None	A	None	5500	5500	-1925	3575	0	None	9N6W11	N	CA00293421	C	SFY2011-12
060001287	912 MAGNOLIA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2012-02-01 00:00:00	060008961	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-01-17 00:00:00	2012-01-17 00:00:00	No	2012-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y55711	N	CA00295220	D	SFY2011-12
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2012-02-03 00:00:00	060008971	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-12-08 00:00:00	2011-12-08 00:00:00	No	2012-02-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	4DIY11	N	CA00293969	C	SFY2011-12
060001278	HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2012-02-14 00:00:00	060008999	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2011-12-24 00:00:00	2011-12-24 00:00:00	No	2012-03-07 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	S5I311	N	CA00294859	B	SFY2011-12
630012080	KINDRED HOSPITAL BREA D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2012-02-28 00:00:00	060009042	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-14 00:00:00	2011-12-14 00:00:00	No	2012-03-20 00:00:00	None	B	None	1500	1500	-525	975	0	None	2BI611	N	CA00293425	C	SFY2011-12
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2012-03-01 00:00:00	060009056	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-07-15 00:00:00	2011-07-15 00:00:00	Yes	2012-03-22 00:00:00	2012-03-22 00:00:00	A	A	10000	5000	0	5000	0	None	D4V511	N	CA00287639	C	SFY2011-12
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2012-03-22 00:00:00	060009176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-27 00:00:00	2012-02-27 00:00:00	No	2012-04-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VE5H11	N	CA00301257	C	SFY2011-12
060001166	FOOTHILL REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2012-04-24 00:00:00	060009257	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-27 00:00:00	2011-12-27 00:00:00	No	2012-05-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	PRGN11	N	CA00298720	C	SFY2011-12
060000046	GORDON LANE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2012-05-30 00:00:00	060009345	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-06 00:00:00	2011-12-06 00:00:00	No	2012-06-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	T97Z11	N	CA00297884	B	SFY2011-12
630012563	CRESCENT HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2012-06-06 00:00:00	060009354	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-01-30 00:00:00	2012-01-30 00:00:00	No	2012-06-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	89ZF11	N	CA00298031	D	SFY2011-12
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2012-06-11 00:00:00	060009361	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-05-14 00:00:00	2012-05-14 00:00:00	No	2012-07-02 00:00:00	None	B	None	2000	2300	0	2300	0	None	00U811	N	CA00310281	B	SFY2011-12
060001137	BETHESDA LUTHERAN COMMUNITIES - LAS BOLSAS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2012-09-18 00:00:00	060009500	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-04-15 00:00:00	2012-04-15 00:00:00	No	2012-10-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	LIF011	N	CA00310876	C	SFY2012-13
060002181	LONIKA'S HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2012-09-19 00:00:00	060009504	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-07 00:00:00	2012-02-07 00:00:00	No	2012-10-10 00:00:00	None	B	None	1000	1050	-350	700	0	None	HCUC11	Y	None	None	SFY2012-13
060001245	ALL STAR HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2012-09-20 00:00:00	060009506	Closed	Citation	Citation B (HSC 1424)	Medication	None	2012-05-03 00:00:00	2012-05-03 00:00:00	No	2012-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	UOVX11	N	None	None	SFY2012-13
060000129	CRYSTAL COVE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2012-12-03 00:00:00	060009572	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-12-02 00:00:00	2011-12-02 00:00:00	Yes	2012-12-24 00:00:00	2012-12-04 00:00:00	A	A	10000	4000	0	4000	0	None	JKNF11	N	CA00305639, CA00380973	C, B	SFY2012-13
060001558	NEW HORIZON INTEGRATED CARE - TROJAN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2012-11-16 00:00:00	060009599	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-09-14 00:00:00	2012-09-14 00:00:00	No	2012-12-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	DI5U11	N	None	None	SFY2012-13
630012459	MARK LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2015-10-15 00:00:00	060009604	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-19 00:00:00	2012-08-19 00:00:00	Yes	2015-11-05 00:00:00	2012-11-30 00:00:00	B	B	3500	3500	0	3500	0	None	M3F611	N	None	None	SFY2015-16
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2012-12-10 00:00:00	060009663	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2012-09-19 00:00:00	2012-09-19 00:00:00	No	2013-01-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	KLOI11	N	None	None	SFY2012-13
060001137	BETHESDA LUTHERAN COMMUNITIES - LAS BOLSAS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2013-02-01 00:00:00	060009693	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-12-10 00:00:00	2012-12-10 00:00:00	No	2013-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	PDX511	N	CA00334060	C	SFY2012-13
060000130	PARKVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2013-03-08 00:00:00	060009777	Closed	Citation	Citation B (HSC 1424)	Medication	None	2013-01-16 00:00:00	2013-01-16 00:00:00	No	2013-03-29 00:00:00	None	B	None	1500	2150	-525	1625	0	None	P2RX11	N	None	None	SFY2012-13
630011296	LONIKA HOME MINOS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2013-04-05 00:00:00	060009829	Closed	Citation	Citation B (HSC 1424)	Medication	None	2013-02-14 00:00:00	2013-02-14 00:00:00	No	2013-04-26 00:00:00	None	B	None	600	650	-210	440	0	None	J28Z11	N	None	None	SFY2012-13
060001245	ALL STAR HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2013-05-17 00:00:00	060009903	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-03-28 00:00:00	2013-03-28 00:00:00	No	2013-06-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	GH0K11	N	CA00350323	C	SFY2012-13
060001079	BEL AIR	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2013-05-16 00:00:00	060009909	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-02-08 00:00:00	2013-02-08 00:00:00	No	2013-06-07 00:00:00	None	B	None	1000	1200	0	1200	0	None	7C5M11	N	CA00345729	D	SFY2012-13
060000055	MISSION PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2013-05-23 00:00:00	060009916	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-03-08 00:00:00	2013-03-08 00:00:00	Yes	2013-06-14 00:00:00	2013-05-30 00:00:00	A	A	7000	4000	0	4000	0	None	QYQ411	Y	CA00352356	B	SFY2012-13
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2013-08-26 00:00:00	060010117	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-04-01 00:00:00	2013-04-01 00:00:00	No	2013-09-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	L87E11	N	CA00364055	C	SFY2013-14
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2013-12-19 00:00:00	060010334	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-05-01 00:00:00	2013-05-01 00:00:00	No	2014-01-13 00:00:00	None	B	None	2000	2250	-700	1550	0	None	6EIF11	N	CA00375885	B	SFY2013-14
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2013-12-19 00:00:00	060010335	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-05-24 00:00:00	2013-05-24 00:00:00	No	2014-01-13 00:00:00	None	B	None	2000	2250	-700	1550	0	None	6EIF11	N	CA00375885	B	SFY2013-14
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2014-03-04 00:00:00	060010517	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-01-07 00:00:00	2014-01-07 00:00:00	No	2014-03-25 00:00:00	None	B	None	1500	1500	0	1500	0	None	IAE311	N	None	None	SFY2013-14
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2014-05-21 00:00:00	060010735	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-07 00:00:00	2014-04-07 00:00:00	Yes	2014-06-12 00:00:00	2014-05-23 00:00:00	B	B	1000	650	0	650	0	None	NLW611	N	None	None	SFY2013-14
060001578	GROVE STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2014-06-04 00:00:00	060010745	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-05 00:00:00	2014-04-05 00:00:00	No	2014-06-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	YGY411	N	CA00395029	C	SFY2013-14
060001076	INDEPENDENT OPTIONS, INC. CHRISTOPHER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2014-06-24 00:00:00	060010835	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-05-15 00:00:00	2014-05-15 00:00:00	No	2014-07-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	KU9K11	N	None	None	SFY2013-14
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2014-07-08 00:00:00	060010851	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-05-29 00:00:00	2014-05-29 00:00:00	Yes	2014-07-29 00:00:00	2014-07-09 00:00:00	B	None	1000	1150	-150	1000	0	None	ZBSH11	N	CA00399101	C	SFY2014-15
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2014-07-24 00:00:00	060010883	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-07-03 00:00:00	2014-07-03 00:00:00	No	2014-08-14 00:00:00	None	B	None	1500	2600	-525	2075	0	None	JFNW11	N	CA00403433	C	SFY2014-15
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2014-07-30 00:00:00	060010885	Closed	Citation	Citation B (HSC 1424)	Medication	None	2014-06-03 00:00:00	2014-06-03 00:00:00	No	2014-08-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	M9YN11	N	None	None	SFY2014-15
060000134	REGENTS POINT - WINDCREST	LTC	SNF	Skilled Nursing Facility	Orange	2014-10-13 00:00:00	060011068	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2014-09-22 00:00:00	2014-09-22 00:00:00	No	2014-11-03 00:00:00	None	B	None	500	500	-175	325	0	None	SCXJ11	N	None	None	SFY2014-15
060002257	INDEPENDENT OPTIONS, INC. HARBOR VILLAGE VI	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2014-11-10 00:00:00	060011116	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-09-09 00:00:00	2014-09-09 00:00:00	No	2014-12-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	J1L811	N	None	None	SFY2014-15
060001291	HARBOR HEALTH CARE, INC. - REDWOOD DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2014-11-13 00:00:00	060011122	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-10-02 00:00:00	2014-10-02 00:00:00	No	2014-12-08 00:00:00	None	B	None	500	500	-175	325	0	None	NH1K11	N	CA00414198	B	SFY2014-15
060000122	MESA VERDE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2014-11-14 00:00:00	060011127	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-08-12 00:00:00	2014-08-12 00:00:00	No	2014-12-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KHLZ11	N	CA00409853	B	SFY2014-15
060001278	HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2014-12-11 00:00:00	060011170	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-10-24 00:00:00	2014-10-24 00:00:00	Yes	2015-01-02 00:00:00	2014-12-22 00:00:00	A	A	5000	2500	0	2500	0	None	HJ9J11	N	CA00418329	B	SFY2014-15
060000078	ABLELIGHT INC. - MITHRA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2014-12-29 00:00:00	060011195	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-11-12 00:00:00	2014-11-12 00:00:00	No	2015-01-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	5CY711	N	None	None	SFY2014-15
060001096	LENMAR HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2014-12-30 00:00:00	060011196	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-12-02 00:00:00	2014-12-02 00:00:00	No	2015-01-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	QG7F11	N	CA00422162	C	SFY2014-15
630012459	MARK LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2015-10-15 00:00:00	060011249	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-19 00:00:00	2012-08-19 00:00:00	Yes	2015-11-05 00:00:00	2012-11-30 00:00:00	B	B	3500	3500	0	3500	0	None	M3F611	N	None	None	SFY2015-16
060001166	FOOTHILL REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2015-04-15 00:00:00	060011387	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-01-18 00:00:00	2015-01-18 00:00:00	No	2015-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5OLP11	N	CA00434111	B	SFY2014-15
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2015-04-29 00:00:00	060011418	Closed	Citation	Citation B (HSC 1424)	Medication	None	2015-01-18 00:00:00	2015-01-18 00:00:00	No	2015-05-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D8MQ11	N	None	None	SFY2014-15
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2015-07-28 00:00:00	060011642	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-16 00:00:00	2015-03-16 00:00:00	No	2015-08-18 00:00:00	None	B	None	1500	1500	-525	975	0	None	PVEF11	N	CA00439626, CA00440116	B, B	SFY2015-16
060000122	MESA VERDE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2015-10-13 00:00:00	060011742	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-07-14 00:00:00	2014-07-14 00:00:00	No	2015-11-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KZFV11	N	CA00451192, CA00453124, CA00453414, CA00454038, CA00455730	B, B, C, C, C	SFY2015-16
060001314	SEA BRIGHT PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2015-10-02 00:00:00	060011767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-09-17 00:00:00	2015-09-17 00:00:00	No	2015-10-23 00:00:00	None	B	None	800	800	-280	520	0	None	9DX911	N	CA00450463	C	SFY2015-16
060000159	TOWN & COUNTRY	LTC	SNF	Skilled Nursing Facility	Orange	2015-10-27 00:00:00	060011798	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2015-09-14 00:00:00	2015-09-14 00:00:00	No	2015-11-18 00:00:00	None	B	None	1500	1500	-525	975	0	None	3GDN11	N	None	None	SFY2015-16
060000048	LEISURE COURT NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2015-11-05 00:00:00	060011825	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-21 00:00:00	2015-07-21 00:00:00	No	2015-12-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	M2F811	N	CA00450611	H	SFY2015-16
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2015-11-16 00:00:00	060011842	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-31 00:00:00	2015-08-31 00:00:00	No	2015-12-09 00:00:00	None	B	None	1500	1500	-525	975	0	None	VRWS11	N	CA00457821	C	SFY2015-16
060000078	ABLELIGHT INC. - MITHRA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2015-12-09 00:00:00	060011886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-09 00:00:00	2015-11-09 00:00:00	No	2015-12-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	S8NR11	N	None	None	SFY2015-16
060000127	PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2016-03-02 00:00:00	060012053	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2015-12-04 00:00:00	2015-12-04 00:00:00	Yes	2016-03-23 00:00:00	2016-03-03 00:00:00	B	None	1500	1500	0	0	1500	None	PO6H11	N	CA00468881, CA00469542	C, B	SFY2015-16
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2016-05-17 00:00:00	060012254	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-31 00:00:00	2015-08-31 00:00:00	Yes	2016-06-08 00:00:00	2016-05-20 00:00:00	A	A	10000	7000	0	7000	0	None	MJLN11	N	CA00480287	B	SFY2015-16
060001034	ENRICHING LIVES III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2016-06-15 00:00:00	060012331	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-04-25 00:00:00	2016-04-25 00:00:00	No	2016-07-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	LFRG11	N	CA00485702	B	SFY2015-16
060001574	ELM STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2016-11-01 00:00:00	060012706	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-22 00:00:00	2016-09-22 00:00:00	No	2016-11-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	4OUN11	N	CA00502135	B	SFY2016-17
630012459	MARK LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2016-11-08 00:00:00	060012730	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-05 00:00:00	2016-10-05 00:00:00	No	2016-12-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	XZW811	N	CA00500927	B	SFY2016-17
060001375	ARTEMIA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2016-12-14 00:00:00	060012801	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-27 00:00:00	2016-09-27 00:00:00	No	2017-01-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	PD0T11	N	CA00505289	B	SFY2016-17
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2017-01-23 00:00:00	060012897	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-01 00:00:00	2016-07-01 00:00:00	No	2017-02-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	J5PM11	N	None	None	SFY2016-17
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2017-01-23 00:00:00	060012898	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-11-09 00:00:00	2016-11-09 00:00:00	No	2017-02-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	J5PM11	N	None	None	SFY2016-17
060000934	INDEPENDENT OPTIONS, INC. HARBOR VILLAGE II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2017-02-14 00:00:00	060012968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-19 00:00:00	2017-01-19 00:00:00	No	2017-03-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z7KT11	N	CA00518487	B	SFY2016-17
060001591	OLIVE STREET NORTH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2017-04-03 00:00:00	060013100	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-18 00:00:00	2017-01-18 00:00:00	No	2017-04-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	53PH11	N	None	None	SFY2016-17
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2017-04-21 00:00:00	060013120	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-20 00:00:00	2017-01-20 00:00:00	No	2017-05-12 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	VBX011	N	CA00519873	B	SFY2016-17
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2017-07-17 00:00:00	060013348	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-01 00:00:00	2017-03-01 00:00:00	No	2017-08-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	1J0P11	N	CA00533304	B	SFY2017-18
060000971	INDEPENDENT OPTIONS, INC. HARBOR VILLAGE III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2017-07-26 00:00:00	060013374	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-04-12 00:00:00	2017-04-12 00:00:00	No	2017-08-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	EOME11	Y	CA00533411	B	SFY2017-18
060001078	INDEPENDENT OPTIONS, INC. MARK LANE I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2017-08-23 00:00:00	060013448	Closed	Citation	Citation A (HSC 1424)	Other	Abuse	2017-05-14 00:00:00	2017-05-14 00:00:00	No	2017-09-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	YLR511	N	CA00538312	A	SFY2017-18
060000041	THE PAVILION AT SUNNY HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2017-08-28 00:00:00	060013455	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-28 00:00:00	2016-11-28 00:00:00	Yes	2017-09-19 00:00:00	2017-09-01 00:00:00	A	B	10000	20000	0	20000	0	None	S05V11	N	CA00512714	B	SFY2017-18
060000784	MOMENTUM AGENCIES ICF/DD-H BUENA PARK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2017-08-30 00:00:00	060013458	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-12 00:00:00	2017-06-12 00:00:00	No	2017-09-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	O39M11	N	None	None	SFY2017-18
060001652	CASA DE YORBA LINDA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2017-09-13 00:00:00	060013489	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-09 00:00:00	2017-05-09 00:00:00	No	2017-10-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	CDGI11	N	None	None	SFY2017-18
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2017-09-22 00:00:00	060013507	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-06 00:00:00	2017-07-06 00:00:00	No	2017-10-13 00:00:00	None	B	None	1000	3000	0	3000	0	None	694711	N	CA00543106	B	SFY2017-18
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2017-09-27 00:00:00	060013519	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-05 00:00:00	2017-08-05 00:00:00	No	2017-10-18 00:00:00	None	A	None	2500	2500	0	2500	0	None	2QLG11	N	CA00547804	B	SFY2017-18
060001481	INDEPENDENT OPTIONS, INC. SHERWOOD HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2017-09-28 00:00:00	060013522	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Not Self Reported	2017-08-14 00:00:00	2017-08-14 00:00:00	No	2017-10-19 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	6QMX11	N	None	None	SFY2017-18
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2017-10-06 00:00:00	060013535	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-28 00:00:00	2017-08-28 00:00:00	No	2017-10-27 00:00:00	None	A	None	3500	3500	0	3500	0	None	KUND11	N	None	None	SFY2017-18
060001591	OLIVE STREET NORTH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2017-11-30 00:00:00	060013649	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-18 00:00:00	2017-09-18 00:00:00	No	2017-12-21 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	PDUF11	N	CA00554930	B	SFY2017-18
630003462	ATLANTA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2017-12-07 00:00:00	060013669	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-20 00:00:00	2017-10-20 00:00:00	No	2017-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	NIUM11	N	CA00556530	B	SFY2017-18
060001076	INDEPENDENT OPTIONS, INC. CHRISTOPHER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2017-12-18 00:00:00	060013695	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-10-20 00:00:00	2017-10-20 00:00:00	No	2018-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	6C5111	N	CA00556798	B	SFY2017-18
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2017-12-19 00:00:00	060013696	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-22 00:00:00	2017-09-22 00:00:00	No	2018-01-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N5WB11	N	CA00555023	B	SFY2017-18
060001712	TRI-ELIZABETH HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-01-12 00:00:00	060013728	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-11-15 00:00:00	2017-11-15 00:00:00	No	2018-02-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	0L3C11	N	CA00561203	A	SFY2017-18
060000089	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2018-01-24 00:00:00	060013750	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-17 00:00:00	2017-10-17 00:00:00	No	2018-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SWYU11	N	CA00558690	B	SFY2017-18
060000971	INDEPENDENT OPTIONS, INC. HARBOR VILLAGE III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-03-12 00:00:00	060013896	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-12-20 00:00:00	2017-12-20 00:00:00	No	2018-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	DF4Q11	N	CA00565913	B	SFY2017-18
060000876	VILLA VALENCIA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2018-03-19 00:00:00	060013909	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-12 00:00:00	2018-01-12 00:00:00	No	2018-04-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	X7BI11	N	CA00571138	B	SFY2017-18
060001604	VILLA DE MARTIN JUDE HOMES - ARCHER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-04-11 00:00:00	060013988	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-02-10 00:00:00	2018-02-10 00:00:00	No	2018-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	JGWK11	N	CA00573805	B	SFY2017-18
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2018-04-23 00:00:00	060014012	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-14 00:00:00	2018-01-14 00:00:00	No	2018-05-14 00:00:00	None	A	None	4000	4150	-1400	2750	0	None	PXZ411	N	CA00571404	B	SFY2017-18
060001586	WASHINGTON AVENUE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-04-25 00:00:00	060014019	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-01-26 00:00:00	2018-01-26 00:00:00	No	2018-05-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	BMRG11	N	CA00570880	B	SFY2017-18
060000083	MALBORO HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-06-14 00:00:00	060014151	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-19 00:00:00	2018-04-19 00:00:00	No	2018-07-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	0MT211	N	CA00584045	B	SFY2017-18
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2018-06-29 00:00:00	060014195	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-08-01 00:00:00	2017-08-01 00:00:00	Yes	2018-07-23 00:00:00	2018-07-09 00:00:00	B	None	1800	1800	0	1800	0	None	BVUW11	N	None	None	SFY2017-18
060001079	BEL AIR	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-07-27 00:00:00	060014272	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-31 00:00:00	2018-05-31 00:00:00	No	2018-08-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	17SB11	N	CA00589851	B	SFY2018-19
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2018-08-01 00:00:00	060014294	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-22 00:00:00	2018-05-22 00:00:00	Yes	2018-08-22 00:00:00	2018-08-08 00:00:00	A	B	2000	2000	0	2000	0	None	CG0M11	N	CA00588207	B	SFY2018-19
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2018-09-13 00:00:00	060014397	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-14 00:00:00	2018-07-14 00:00:00	No	2018-10-04 00:00:00	None	B	None	1500	1500	-525	975	0	None	4F9W11	N	None	None	SFY2018-19
060001604	VILLA DE MARTIN JUDE HOMES - ARCHER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-09-12 00:00:00	060014404	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-31 00:00:00	2018-07-31 00:00:00	No	2018-10-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	UU1D11	N	None	None	SFY2018-19
060001450	CACHUELA ICF/DD-N HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-09-21 00:00:00	060014422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-31 00:00:00	2018-07-31 00:00:00	No	2018-10-12 00:00:00	None	B	None	1000	1550	-350	1200	0	None	DI1F11	N	None	None	SFY2018-19
630003462	ATLANTA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-10-10 00:00:00	060014460	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-07-14 00:00:00	2018-07-14 00:00:00	No	2018-10-31 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	XBRM11	Y	CA00595475	B	SFY2018-19
060001592	OLIVE STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-10-23 00:00:00	060014508	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-15 00:00:00	2018-08-15 00:00:00	No	2018-11-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	OXWT11	N	CA00598485	B	SFY2018-19
060001287	912 MAGNOLIA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-10-31 00:00:00	060014538	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-09-17 00:00:00	2018-09-17 00:00:00	No	2018-11-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	37C711	N	None	None	SFY2018-19
060001287	912 MAGNOLIA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-10-31 00:00:00	060014540	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-17 00:00:00	2018-09-17 00:00:00	No	2018-11-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	37C711	N	None	None	SFY2018-19
060001450	CACHUELA ICF/DD-N HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-11-20 00:00:00	060014592	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-05 00:00:00	2018-05-05 00:00:00	No	2018-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	N1TM11	N	CA00601333, CA00601333	B, B	SFY2018-19
060001079	BEL AIR	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-11-27 00:00:00	060014602	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-22 00:00:00	2018-08-22 00:00:00	No	2018-12-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	0XWC11	N	CA00602947	C	SFY2018-19
060001604	VILLA DE MARTIN JUDE HOMES - ARCHER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-12-12 00:00:00	060014636	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-11-01 00:00:00	2018-11-01 00:00:00	No	2019-01-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	F80W11	N	CA00610804	B	SFY2018-19
060001074	GARDEN PARK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-01-04 00:00:00	060014702	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-20 00:00:00	2018-08-20 00:00:00	No	2019-01-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	C5UI11	N	CA00607427	B	SFY2018-19
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-03-12 00:00:00	060014871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-09 00:00:00	2019-01-09 00:00:00	No	2019-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	R2Q011	N	None	None	SFY2018-19
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-03-12 00:00:00	060014873	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-16 00:00:00	2018-07-16 00:00:00	No	2019-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	R2Q011	N	None	None	SFY2018-19
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-03-19 00:00:00	060014887	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-14 00:00:00	2018-12-14 00:00:00	No	2019-04-09 00:00:00	None	B	None	2000	2350	-700	1650	0	None	CT4611	N	CA00620666, CA00623923, CA00623923	B, B, B	SFY2018-19
060001245	ALL STAR HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-03-26 00:00:00	060014907	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-07 00:00:00	2019-02-07 00:00:00	No	2019-04-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	940V11	N	None	None	SFY2018-19
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2019-04-04 00:00:00	060014924	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-22 00:00:00	2019-01-22 00:00:00	No	2019-04-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XD6X11	N	CA00625217, CA00625217	B, B	SFY2018-19
060001034	ENRICHING LIVES III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-05-21 00:00:00	060015076	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-16 00:00:00	2019-04-16 00:00:00	No	2019-06-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	42Y011	N	CA00628444	B	SFY2018-19
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2019-05-20 00:00:00	060015084	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-19 00:00:00	2019-02-19 00:00:00	No	2019-06-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IKNF11	N	None	None	SFY2018-19
060001591	OLIVE STREET NORTH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-05-16 00:00:00	060015085	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-05 00:00:00	2019-04-05 00:00:00	No	2019-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	MDYK11	Y	None	None	SFY2018-19
060000075	ENRICHING, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-05-22 00:00:00	060015088	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-14 00:00:00	2019-03-14 00:00:00	No	2019-06-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	HPUS11	N	CA00626859	B	SFY2018-19
060001450	CACHUELA ICF/DD-N HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-06-03 00:00:00	060015089	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-03-11 00:00:00	2019-03-11 00:00:00	No	2019-06-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	N33511	N	CA00630017	B	SFY2018-19
060001576	HEATHER LANE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-06-05 00:00:00	060015097	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-18 00:00:00	2019-03-18 00:00:00	No	2019-06-26 00:00:00	None	B	None	1000	1050	-350	700	0	None	TPD211	Y	CA00628388	B	SFY2018-19
060000130	PARKVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-05-29 00:00:00	060015112	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-03-26 00:00:00	2019-03-26 00:00:00	No	2019-06-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LV4M11	N	CA00631679	B	SFY2018-19
060000039	ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2019-07-08 00:00:00	060015220	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-04-03 00:00:00	2019-04-03 00:00:00	No	2019-07-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BY1311	N	CA00635228	B	SFY2019-20
060001698	HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2019-08-06 00:00:00	060015266	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-04-18 00:00:00	2019-04-18 00:00:00	No	2019-08-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QC0B11	N	CA00637700, CA00638316	B, A	SFY2019-20
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2019-08-05 00:00:00	060015267	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-06 00:00:00	2019-06-06 00:00:00	No	2019-08-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	59H611	N	None	None	SFY2019-20
060001291	HARBOR HEALTH CARE, INC. - REDWOOD DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-08-07 00:00:00	060015269	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-13 00:00:00	2019-05-13 00:00:00	No	2019-08-28 00:00:00	None	B	None	2000	2650	0	2650	0	None	P0MP11	N	CA00637973	B	SFY2019-20
060000052	ORANGE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2019-08-12 00:00:00	060015292	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-04 00:00:00	2019-06-04 00:00:00	No	2019-09-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q8EO11	N	CA00640491	B	SFY2019-20
060002256	INDEPENDENT OPTIONS, INC. HARBOR VILLAGE V	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-08-19 00:00:00	060015320	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-07-10 00:00:00	2019-07-10 00:00:00	No	2019-09-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	PFJU11	N	CA00640327	B	SFY2019-20
060000056	HY-LOND GARDEN GROVE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-08-20 00:00:00	060015322	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-30 00:00:00	2019-05-30 00:00:00	No	2019-09-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	5R8N11	N	CA00639893	B	SFY2019-20
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-08-20 00:00:00	060015323	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-12 00:00:00	2019-06-12 00:00:00	No	2019-09-10 00:00:00	None	B	None	1500	1500	-525	975	0	None	O69U11	N	None	None	SFY2019-20
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2019-09-10 00:00:00	060015368	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-07-28 00:00:00	2019-07-28 00:00:00	No	2019-10-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EQNZ11	N	None	None	SFY2019-20
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-09-09 00:00:00	060015372	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-07-16 00:00:00	2019-07-16 00:00:00	Yes	2019-09-30 00:00:00	2019-09-19 00:00:00	B	None	2000	2000	0	0	2000	None	2G5L11	N	CA00646909	B	SFY2019-20
060001052	CHRISTOPHER LANE TWO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-09-11 00:00:00	060015377	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-07 00:00:00	2019-08-07 00:00:00	No	2019-10-02 00:00:00	None	B	None	1000	1650	-350	1300	0	None	FEL611	N	CA00649294	C	SFY2019-20
060001519	BETHESDA LUTHERAN COMMUNITIES - PAPAGAYO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-09-25 00:00:00	060015393	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-19 00:00:00	2019-08-19 00:00:00	No	2019-10-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z96M11	N	None	None	SFY2019-20
060001576	HEATHER LANE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-09-30 00:00:00	060015421	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-28 00:00:00	2019-08-28 00:00:00	No	2019-10-21 00:00:00	None	B	None	1000	4950	-1050	3900	0	None	WYGS11	N	CA00650386	C	SFY2019-20
630015860	ANACAPA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-10-02 00:00:00	060015427	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-23 00:00:00	2019-08-23 00:00:00	No	2019-10-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	WNHE11	N	CA00645358	B	SFY2019-20
060000123	NEWPORT NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-10-07 00:00:00	060015429	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-06-08 00:00:00	2019-06-08 00:00:00	No	2019-10-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZJ6Y11	Y	CA00648176	B	SFY2019-20
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-10-14 00:00:00	060015446	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-11 00:00:00	2019-08-11 00:00:00	No	2019-11-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3N6711	N	None	None	SFY2019-20
060001585	IRENE WAY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-10-15 00:00:00	060015449	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-04 00:00:00	2019-09-04 00:00:00	No	2019-11-05 00:00:00	None	B	None	1000	2550	-350	2200	0	None	HHOO11	N	CA00649996	B	SFY2019-20
060001578	GROVE STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-11-12 00:00:00	060015475	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-30 00:00:00	2019-09-30 00:00:00	No	2019-12-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	KEX811	N	None	None	SFY2019-20
060000131	NEWPORT SUBACUTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-11-21 00:00:00	060015546	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-10-02 00:00:00	2019-10-02 00:00:00	No	2019-12-12 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	X7JW11	N	CA00658358	B	SFY2019-20
060001576	HEATHER LANE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2019-12-11 00:00:00	060015598	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-26 00:00:00	2019-11-26 00:00:00	No	2020-01-01 00:00:00	None	B	None	1000	3000	0	3000	0	None	GR1X11	N	CA00659252	B	SFY2019-20
630012080	KINDRED HOSPITAL BREA D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2019-12-18 00:00:00	060015614	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-10-24 00:00:00	2019-10-24 00:00:00	No	2020-01-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	W8G011	N	CA00661049, CA00661049	A, A	SFY2019-20
060000164	FRENCH PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-12-20 00:00:00	060015624	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-25 00:00:00	2019-05-25 00:00:00	No	2020-01-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	U01H11	N	None	None	SFY2019-20
060000089	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2020-01-15 00:00:00	060015676	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-11-11 00:00:00	2019-11-11 00:00:00	No	2020-02-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6YM211	N	CA00663322	B	SFY2019-20
060000089	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2020-02-14 00:00:00	060015734	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-21 00:00:00	2019-08-21 00:00:00	No	2020-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	52Y611	N	CA00666356, CA00666356	B, B	SFY2019-20
060000052	ORANGE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2020-02-21 00:00:00	060015759	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-12 00:00:00	2019-08-12 00:00:00	No	2020-03-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0LVL11	N	None	None	SFY2019-20
060000167	EXTENDED CARE HOSPITAL OF WESTMINSTER	LTC	SNF	Skilled Nursing Facility	Orange	2020-03-11 00:00:00	060015791	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-12-17 00:00:00	2019-12-17 00:00:00	No	2020-04-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KCGD11	N	CA00668761, CA00668761, CA00668803, CA00668803	B, B, B, B	SFY2019-20
630014382	MARK LANE TWO	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2020-06-17 00:00:00	060015902	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-25 00:00:00	2020-02-25 00:00:00	No	2020-07-08 00:00:00	None	B	None	1000	1650	-350	1300	0	None	TXTZ11	N	None	None	SFY2019-20
060001052	CHRISTOPHER LANE TWO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2020-06-23 00:00:00	060015903	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-01-28 00:00:00	2020-01-28 00:00:00	No	2020-07-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	6F8611	N	CA00673448	B	SFY2019-20
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2020-07-17 00:00:00	060015931	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-02-15 00:00:00	2020-02-15 00:00:00	No	2020-08-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	AUOR11	N	CA00676666, CA00676666	A, A	SFY2020-21
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2020-08-19 00:00:00	060015971	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-03-10 00:00:00	2020-03-10 00:00:00	No	2020-09-10 00:00:00	None	A	None	10000	10000	0	10000	0	None	0CZ811	Y	CA00672846	B	SFY2020-21
060000124	HEALTHCARE CENTER OF ORANGE COUNTY	LTC	SNF	Skilled Nursing Facility	Orange	2020-08-26 00:00:00	060015988	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	Unsafe Discharge	2020-02-21 00:00:00	2020-02-21 00:00:00	No	2020-09-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	IJE811	N	CA00677093, CA00677093	A, A	SFY2020-21
060000124	HEALTHCARE CENTER OF ORANGE COUNTY	LTC	SNF	Skilled Nursing Facility	Orange	2020-08-26 00:00:00	060015990	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-02-19 00:00:00	2020-02-19 00:00:00	No	2020-09-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	LD8711	Y	CA00678817, CA00678817	B, B	SFY2020-21
060001519	BETHESDA LUTHERAN COMMUNITIES - PAPAGAYO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2020-09-08 00:00:00	060016001	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-06-23 00:00:00	2020-06-23 00:00:00	No	2020-09-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	6KMY11	N	CA00695829	A	SFY2020-21
060000076	ABLELIGHT INC. - CHARLEMAGNE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2020-10-19 00:00:00	060016091	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-17 00:00:00	2020-08-17 00:00:00	No	2020-11-09 00:00:00	None	B	None	1000	2450	0	2450	0	None	EVM411	N	CA00702551	B	SFY2020-21
630017849	OPTIMUM CARE	LTC	CLHF	Congregate Living Health Facility	Orange	2020-10-28 00:00:00	060016115	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-07-07 00:00:00	2020-07-07 00:00:00	No	2020-11-19 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	Y8YL11	N	CA00701036, CA00701036	A, A	SFY2020-21
630011440	STAR ICF/DD-N WAKEFIELD HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2020-11-09 00:00:00	060016131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-16 00:00:00	2020-10-16 00:00:00	No	2020-12-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	PMYN11	N	CA00703722	B	SFY2020-21
630011296	LONIKA HOME MINOS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2020-11-17 00:00:00	060016156	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-09-08 00:00:00	2020-09-08 00:00:00	No	2020-12-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	V5QN11	N	CA00704477	B	SFY2020-21
060000923	BEACH CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2020-12-02 00:00:00	060016162	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-09-09 00:00:00	2020-09-09 00:00:00	Yes	2020-12-23 00:00:00	2020-12-10 00:00:00	A	A	15000	11900	-400	11500	0	None	5M5S11	Y	CA00704492	A	SFY2020-21
060001574	ELM STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2020-12-08 00:00:00	060016182	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-09 00:00:00	2020-11-09 00:00:00	No	2020-12-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	8B8411	N	CA00706846	B	SFY2020-21
060000517	INDEPENDENT OPTIONS, INC. STANLEY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2020-12-08 00:00:00	060016187	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-02 00:00:00	2020-10-02 00:00:00	No	2020-12-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	3XK911	N	CA00707765	B	SFY2020-21
060001305	RAINBOW HOUSE ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2020-12-29 00:00:00	060016211	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-04 00:00:00	2020-10-04 00:00:00	No	2021-01-21 00:00:00	None	B	None	1000	1050	-350	700	0	None	PHCN11	N	CA00708262, CA00708262	B, B	SFY2020-21
060000078	ABLELIGHT INC. - MITHRA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-01-07 00:00:00	060016213	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-10-07 00:00:00	2020-10-07 00:00:00	No	2021-01-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	WECI11	N	CA00708832	B	SFY2020-21
060000077	ABLELIGHT INC. - HARTOG	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-01-12 00:00:00	060016227	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-14 00:00:00	2020-11-14 00:00:00	No	2021-02-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	JMWG11	N	CA00713237	B	SFY2020-21
060001698	HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2021-01-08 00:00:00	060016229	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-16 00:00:00	2020-10-16 00:00:00	No	2021-02-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FVJ311	N	CA00709778	B	SFY2020-21
060001698	HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2021-01-08 00:00:00	060016233	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-16 00:00:00	2020-10-16 00:00:00	No	2021-02-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FVJ311	N	CA00709778, CA00709778	B, B	SFY2020-21
060001652	CASA DE YORBA LINDA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-02-16 00:00:00	060016275	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-03 00:00:00	2021-01-03 00:00:00	No	2021-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	I2PR11	N	CA00719985	B	SFY2020-21
630003381	ARCHER 2 HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-02-23 00:00:00	060016293	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-22 00:00:00	2020-12-22 00:00:00	No	2021-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	X4YU11	N	CA00719799	B	SFY2020-21
060000034	VICTORIA HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-02-24 00:00:00	060016307	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-05 00:00:00	2020-12-05 00:00:00	Yes	2021-03-17 00:00:00	2021-03-04 00:00:00	B	B	2000	1800	-200	1600	0	None	YS6P11	N	CA00715682	B	SFY2020-21
060001605	SAN ALTO HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-03-16 00:00:00	060016338	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-12-17 00:00:00	2020-12-17 00:00:00	No	2021-04-07 00:00:00	None	B	None	1000	1050	-350	700	0	None	2YPD11	N	CA00722833	B	SFY2020-21
060001287	912 MAGNOLIA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-03-23 00:00:00	060016355	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-01-01 00:00:00	2021-01-01 00:00:00	No	2021-04-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	7S3X11	N	CA00722828	B	SFY2020-21
060001481	INDEPENDENT OPTIONS, INC. SHERWOOD HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-05-05 00:00:00	060016461	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-02 00:00:00	2021-04-02 00:00:00	No	2021-05-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	I4JO11	N	CA00727773	B	SFY2020-21
060001137	BETHESDA LUTHERAN COMMUNITIES - LAS BOLSAS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-06-09 00:00:00	060016558	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-13 00:00:00	2021-03-13 00:00:00	No	2021-06-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	CR9Q11	N	CA00729536	B	SFY2020-21
060000124	HEALTHCARE CENTER OF ORANGE COUNTY	LTC	SNF	Skilled Nursing Facility	Orange	2021-06-30 00:00:00	060016658	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-01 00:00:00	2021-06-01 00:00:00	No	2021-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7ESN11	N	CA00731908, CA00731908	B, B	SFY2020-21
060000837	FOUNTAIN VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2021-07-29 00:00:00	060016776	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-12 00:00:00	2021-05-12 00:00:00	No	2021-08-19 00:00:00	None	B	None	1500	1500	0	1500	0	None	LN6P11	N	CA00737406	B	SFY2021-22
060000022	ALAMITOS WEST HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Orange	2021-08-13 00:00:00	060016801	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2021-07-14 00:00:00	2021-07-14 00:00:00	No	2021-09-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KSZD11	N	CA00737027	B	SFY2021-22
630015860	ANACAPA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-09-08 00:00:00	060016897	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-24 00:00:00	2020-11-24 00:00:00	No	2021-09-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	37XJ11	N	None	None	SFY2021-22
630018677	LOS ANGELES WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-09-15 00:00:00	060016917	Closed	Citation	Citation B (HSC 1424)	Other	Client Behavior and Facil	2020-10-06 00:00:00	2020-10-06 00:00:00	No	2021-10-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	4TWX11	N	CA00740937	B	SFY2021-22
630014382	MARK LANE TWO	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-09-21 00:00:00	060016940	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-11 00:00:00	2021-08-11 00:00:00	No	2021-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZF9311	N	None	None	SFY2021-22
630014382	MARK LANE TWO	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-09-27 00:00:00	060016944	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-07-10 00:00:00	2021-07-10 00:00:00	No	2021-10-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	7W8711	N	CA00744335	B	SFY2021-22
630012596	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	Orange	2021-10-01 00:00:00	060016973	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-07-31 00:00:00	2021-07-31 00:00:00	No	2021-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	5TS711	N	CA00746767	A	SFY2021-22
060001440	QUALITY CARE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-10-12 00:00:00	060016985	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-09-04 00:00:00	2021-09-04 00:00:00	No	2021-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	TNEZ11	N	CA00751906, CA00751906	B, B	SFY2021-22
060000075	ENRICHING, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-11-02 00:00:00	060017047	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-09 00:00:00	2021-09-09 00:00:00	No	2021-11-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	EL1L11	N	CA00752867	B	SFY2021-22
080001540	ANAHEIM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-11-04 00:00:00	060017053	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-12 00:00:00	2021-08-12 00:00:00	No	2021-11-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4E5Q11	N	CA00748856, CA00748856	B, B	SFY2021-22
060002256	INDEPENDENT OPTIONS, INC. HARBOR VILLAGE V	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-11-08 00:00:00	060017064	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-19 00:00:00	2021-09-19 00:00:00	No	2021-12-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	F98211	N	CA00753728	B	SFY2021-22
060000167	EXTENDED CARE HOSPITAL OF WESTMINSTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-11-10 00:00:00	060017069	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-16 00:00:00	2021-08-16 00:00:00	No	2021-12-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	UCPQ11	N	CA00749331	B	SFY2021-22
060000561	ABLELIGHT INC. - MOSQUERO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-12-07 00:00:00	060017154	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2021-03-03 00:00:00	2021-03-03 00:00:00	No	2021-12-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	1XSP11	N	CA00756468	A	SFY2021-22
060000080	ABLELIGHT INC. - REGINA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-12-07 00:00:00	060017156	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-04 00:00:00	2021-10-04 00:00:00	No	2021-12-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	NY0P11	N	CA00756484	A	SFY2021-22
060001519	BETHESDA LUTHERAN COMMUNITIES - PAPAGAYO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-12-07 00:00:00	060017159	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-28 00:00:00	2021-10-28 00:00:00	No	2021-12-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	USB511	N	CA00756479	A	SFY2021-22
060001604	VILLA DE MARTIN JUDE HOMES - ARCHER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-12-15 00:00:00	060017176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-16 00:00:00	2021-10-16 00:00:00	No	2022-01-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	XCK311	N	CA00757784	B	SFY2021-22
630014382	MARK LANE TWO	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-12-14 00:00:00	060017188	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-07 00:00:00	2021-12-07 00:00:00	No	2022-01-04 00:00:00	None	B	None	1000	3200	0	3200	0	None	BS6I11	N	CA00758916	B	SFY2021-22
060000194	CHAPMAN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-01-20 00:00:00	060017263	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-23 00:00:00	2021-10-23 00:00:00	No	2022-02-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BVR111	N	CA00758367	B	SFY2021-22
060000047	COVENTRY COURT HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-02-03 00:00:00	060017309	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-04 00:00:00	2022-01-04 00:00:00	No	2022-02-25 00:00:00	None	B	None	3000	3000	0	3000	0	None	HVRK11	N	CA00763402	B	SFY2021-22
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-03-16 00:00:00	060017496	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-02-15 00:00:00	2022-02-15 00:00:00	Yes	2022-04-07 00:00:00	2022-03-28 00:00:00	B	B	3000	2500	0	2500	0	None	4Y2J11	N	CA00765302	A	SFY2021-22
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-04-06 00:00:00	060017546	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-03 00:00:00	2022-03-03 00:00:00	Yes	2022-04-27 00:00:00	2022-04-11 00:00:00	B	B	2500	2500	0	2500	0	None	I32T11	N	CA00769456, CA00769456	B, B	SFY2021-22
060000124	HEALTHCARE CENTER OF ORANGE COUNTY	LTC	SNF	Skilled Nursing Facility	Orange	2022-05-13 00:00:00	060017637	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-30 00:00:00	2022-03-30 00:00:00	No	2022-06-06 00:00:00	None	B	None	2500	7500	0	7500	0	None	ROFJ11	N	CA00774325	B	SFY2021-22
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-05-24 00:00:00	060017647	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-04-14 00:00:00	2022-04-14 00:00:00	Yes	2022-06-15 00:00:00	2022-05-27 00:00:00	B	B	3000	5000	0	5000	0	None	LFNR11	N	CA00775407	B	SFY2021-22
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-07-15 00:00:00	060017781	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-06-15 00:00:00	2022-06-15 00:00:00	No	2022-08-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OQIA11	N	CA00782448, CA00782448	A, A	SFY2022-23
630017553	QUEENSBURY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2022-08-16 00:00:00	060017887	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-07-01 00:00:00	2022-07-01 00:00:00	No	2022-09-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	0AI411	N	None	None	SFY2022-23
060000048	LEISURE COURT NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-08-29 00:00:00	060017896	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-07-19 00:00:00	2022-07-19 00:00:00	No	2022-09-20 00:00:00	None	B	None	3000	3000	0	3000	0	None	2P9011	N	CA00786974	B	SFY2022-23
060001366	ABLELIGHT INC. - FERROCARRIL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2022-09-13 00:00:00	060017979	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-08-09 00:00:00	2022-08-09 00:00:00	No	2022-10-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	9P1R11	N	None	None	SFY2022-23
630004641	LORI'S HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2022-09-15 00:00:00	060017983	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-02 00:00:00	2022-08-02 00:00:00	No	2022-10-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	39J311	N	CA00796886	B	SFY2022-23
060000080	ABLELIGHT INC. - REGINA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2022-09-29 00:00:00	060018022	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-08-02 00:00:00	2022-08-02 00:00:00	No	2022-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	CCTN11	N	CA00797822	B	SFY2022-23
060000052	ORANGE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2022-10-27 00:00:00	060018102	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-21 00:00:00	2022-09-21 00:00:00	No	2022-11-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Q2JV11	N	CA00800584, CA00801532	B, B	SFY2022-23
060001278	HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2022-11-15 00:00:00	060018137	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-24 00:00:00	2022-09-24 00:00:00	No	2022-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	B2P311	N	CA00804986	B	SFY2022-23
060000517	INDEPENDENT OPTIONS, INC. STANLEY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2022-12-06 00:00:00	060018191	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-10-13 00:00:00	2022-10-13 00:00:00	No	2022-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	MBCF11	N	CA00807520	B	SFY2022-23
060000080	ABLELIGHT INC. - REGINA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2023-02-16 00:00:00	060018406	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-29 00:00:00	2022-12-29 00:00:00	No	2023-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	V8S111	N	CA00816138	B	SFY2022-23
060000134	REGENTS POINT - WINDCREST	LTC	SNF	Skilled Nursing Facility	Orange	2023-03-09 00:00:00	060018477	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-10 00:00:00	2023-02-10 00:00:00	No	2023-03-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	7DYQ11	N	None	None	SFY2022-23
060001166	FOOTHILL REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2023-03-15 00:00:00	060018510	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-10 00:00:00	2023-02-10 00:00:00	No	2023-04-06 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	7KOI11	N	CA00820412	B	SFY2022-23
060000075	ENRICHING, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2023-03-22 00:00:00	060018512	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-14 00:00:00	2023-01-14 00:00:00	No	2023-04-13 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	C4BV11	N	CA00821993	B	SFY2022-23
060002256	INDEPENDENT OPTIONS, INC. HARBOR VILLAGE V	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2023-04-05 00:00:00	060018581	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-13 00:00:00	2023-02-13 00:00:00	No	2023-04-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	U54O11	N	CA00826926	B	SFY2022-23
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2023-03-30 00:00:00	060018583	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-04 00:00:00	2023-01-04 00:00:00	No	2023-04-21 00:00:00	None	A	None	40000	40000	-14000	26000	0	None	546L11	Y	None	None	SFY2022-23
060001305	RAINBOW HOUSE ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2023-04-06 00:00:00	060018590	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-16 00:00:00	2023-02-16 00:00:00	No	2023-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	M1S311	N	CA00827465	B	SFY2022-23
630018680	LORANE WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2023-04-11 00:00:00	060018606	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-20 00:00:00	2023-02-20 00:00:00	No	2023-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	X4SE11	N	CA00827712	B	SFY2022-23
060000151	STANLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2023-06-13 00:00:00	060018841	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-05 00:00:00	2023-06-05 00:00:00	No	2023-07-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	87J211	N	None	None	SFY2022-23
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2023-07-12 00:00:00	060018941	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-06 00:00:00	2023-06-06 00:00:00	No	2023-08-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OQUF11	N	CA00841899	B	SFY2023-24
060000113	HARBOR VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2023-08-09 00:00:00	060019040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-06 00:00:00	2023-07-06 00:00:00	No	2023-08-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ERWM11	N	CA00848619, CA00848619	B, B	SFY2023-24
060001078	INDEPENDENT OPTIONS, INC. MARK LANE I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2023-08-22 00:00:00	060019079	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-28 00:00:00	2023-06-28 00:00:00	No	2023-09-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	DTFX11	N	CA00848856	B	SFY2023-24
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2023-09-08 00:00:00	060019136	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-08 00:00:00	2023-08-08 00:00:00	No	2023-09-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ME1111	N	CA00854195, CA00854195, CA00854558	B, B, B	SFY2023-24
630011297	LONIKA HOME DORIA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2023-10-12 00:00:00	060019246	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-16 00:00:00	2023-08-16 00:00:00	No	2023-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	NDQC11	N	CA00856774	B	SFY2023-24
060000051	ADVANCED REHAB CENTER OF TUSTIN	LTC	SNF	Skilled Nursing Facility	Orange	2023-12-13 00:00:00	060019474	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2023-11-09 00:00:00	2023-11-09 00:00:00	No	2024-01-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HSC211	N	None	None	SFY2023-24
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2023-12-20 00:00:00	060019508	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-15 00:00:00	2023-11-15 00:00:00	No	2024-01-11 00:00:00	None	B	None	3000	9000	0	9000	0	None	LKPP11	N	CA00868972	B	SFY2023-24
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2024-01-08 00:00:00	060019566	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-04 00:00:00	2023-12-04 00:00:00	No	2024-01-29 00:00:00	None	B	None	3000	3000	0	0	3000	None	S1N311	N	CA00870873	B	SFY2023-24
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2024-01-09 00:00:00	060019577	Closed	Citation	Citation B (HSC 1424)	Other	Accidents/Hazards	2023-12-12 00:00:00	2023-12-12 00:00:00	No	2024-01-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	RJWZ11	N	CA00872022	B	SFY2023-24
060000933	INDEPENDENT OPTIONS, INC. HARBOR VILLAGE I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2024-06-07 00:00:00	060020267	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-05-02 00:00:00	2024-05-02 00:00:00	No	2024-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	0CQV11	N	CA00898279	B	SFY2023-24
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	1999-05-14 00:00:00	070002246	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-04-15 00:00:00	None	Yes	1999-06-09 00:00:00	1999-05-21 00:00:00	A	A	5000	3500	-3500	0	0	070013569	A99999	N	None	None	SFY1998-99
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-01-07 00:00:00	070002308	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-29 00:00:00	None	Yes	2001-07-09 00:00:00	2000-01-20 00:00:00	B	B	800	800	0	800	0	070014363	A99999	N	None	None	SFY1999-00
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-01-07 00:00:00	070002309	Closed	Citation	Citation B (HSC 1424)	Medication	None	1999-12-13 00:00:00	None	Yes	2001-07-16 00:00:00	2000-01-20 00:00:00	B	B	800	800	0	800	0	070014371	A99999	N	None	None	SFY1999-00
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-01-07 00:00:00	070002310	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-24 00:00:00	None	Yes	2001-07-17 00:00:00	2000-01-20 00:00:00	B	B	800	950	0	950	0	070014372	A99999	N	None	None	SFY1999-00
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-01-13 00:00:00	070002311	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-24 00:00:00	None	Yes	2001-07-17 00:00:00	2000-01-20 00:00:00	B	B	800	800	0	800	0	070014391	A99999	N	None	None	SFY1999-00
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-01-14 00:00:00	070002312	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-16 00:00:00	None	No	2000-02-09 00:00:00	None	B	None	1000	1000	0	1000	0	070014395	A99999	N	None	None	SFY1999-00
070000033	CARMEL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2000-02-03 00:00:00	070002313	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-23 00:00:00	None	No	2000-02-29 00:00:00	None	B	None	600	600	0	600	0	070014488	A99999	N	None	None	SFY1999-00
070000726	TUPAZ HOME #9	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2000-02-15 00:00:00	070002314	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-19 00:00:00	None	No	2000-03-09 00:00:00	None	B	None	500	500	0	500	0	070014497	A99999	N	None	None	SFY1999-00
070000726	TUPAZ HOME #9	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2000-02-15 00:00:00	070002315	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-19 00:00:00	None	No	2000-03-09 00:00:00	None	B	None	600	600	0	600	0	070014498	A99999	N	None	None	SFY1999-00
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-03-16 00:00:00	070002316	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-04 00:00:00	None	Yes	2000-04-10 00:00:00	2000-03-23 00:00:00	A	B	10000	10000	0	10000	0	070014549	A99999	N	None	None	SFY1999-00
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-03-22 00:00:00	070002318	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1999-12-23 00:00:00	None	Yes	2000-04-14 00:00:00	2000-03-27 00:00:00	AA	AA	20000	20000	0	20000	0	070014563	A99999	Y	None	None	SFY1999-00
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-03-31 00:00:00	070002319	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-12-31 00:00:00	None	Yes	2000-04-25 00:00:00	2000-04-17 00:00:00	B	B	800	800	-720	80	0	070014587	A99999	N	None	None	SFY1999-00
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-04-07 00:00:00	070002321	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-23 00:00:00	None	No	2000-04-28 00:00:00	None	B	None	500	500	-175	325	0	070014609	A99999	N	None	None	SFY1999-00
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-04-07 00:00:00	070002322	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-17 00:00:00	None	No	2000-04-28 00:00:00	None	A	None	10000	10000	-3500	6500	0	070014611	A99999	N	None	None	SFY1999-00
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-04-18 00:00:00	070002323	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-29 00:00:00	None	Yes	2000-09-18 00:00:00	2000-05-10 00:00:00	B	B Trebled	1000	3000	0	3000	0	070014646	A99999	N	None	None	SFY1999-00
070000060	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2000-04-21 00:00:00	070002324	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-21 00:00:00	None	No	2000-05-17 00:00:00	None	B	None	400	400	-140	260	0	070014649	A99999	N	None	None	SFY1999-00
070000060	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2000-05-05 00:00:00	070002325	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-24 00:00:00	None	No	2000-05-30 00:00:00	None	B	None	400	1200	0	1200	0	070014702	A99999	N	None	None	SFY1999-00
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-05-17 00:00:00	070002326	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-05 00:00:00	None	Yes	2001-07-06 00:00:00	2000-05-19 00:00:00	B	B	1000	1000	0	1000	0	070014740	A99999	N	None	None	SFY1999-00
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-05-22 00:00:00	070002327	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-03 00:00:00	None	No	2000-06-13 00:00:00	None	A	None	10000	10000	0	10000	0	070014759	A99999	N	None	None	SFY1999-00
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2000-06-16 00:00:00	070002329	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-13 00:00:00	None	Yes	2000-07-12 00:00:00	2000-06-28 00:00:00	A	A	10000	10000	0	10000	0	070014823	A99999	N	None	None	SFY1999-00
070000024	EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2000-06-29 00:00:00	070002334	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-04-15 00:00:00	None	No	2000-07-25 00:00:00	None	A	None	8000	8000	-2800	5200	0	070014870	A99999	N	None	None	SFY1999-00
070000906	WREN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2000-07-05 00:00:00	070002335	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-14 00:00:00	None	Yes	2001-06-28 00:00:00	2000-07-11 00:00:00	B	B	700	700	0	700	0	070014886	A99999	N	None	None	SFY2000-01
070000055	7TH AVENUE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-07-07 00:00:00	070002336	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-05 00:00:00	None	No	2000-07-28 00:00:00	None	A	None	8000	8000	-2800	5200	0	070014890	A99999	N	None	None	SFY2000-01
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-07-25 00:00:00	070002337	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-05 00:00:00	None	No	2000-08-17 00:00:00	None	B	None	1000	1350	-350	1000	0	070014939	A99999	N	None	None	SFY2000-01
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-07 00:00:00	070002338	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-18 00:00:00	None	Yes	2002-05-07 00:00:00	2000-08-17 00:00:00	B	B Trebled	1000	3000	0	3000	0	070015057	A99999	N	None	None	SFY2000-01
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-09 00:00:00	070002339	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-14 00:00:00	None	No	2000-08-31 00:00:00	None	B	None	800	800	-280	520	0	070015061	A99999	N	None	None	SFY2000-01
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-10 00:00:00	070002340	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-08 00:00:00	None	Yes	2000-09-04 00:00:00	2000-09-05 00:00:00	B	B	1000	0	0	0	0	070015075	A99999	N	None	None	SFY2000-01
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-10 00:00:00	070002341	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-05-13 00:00:00	None	Yes	2000-09-04 00:00:00	2000-09-05 00:00:00	B	B	1000	0	0	0	0	070015075	A99999	N	None	None	SFY2000-01
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-10 00:00:00	070002342	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-27 00:00:00	None	No	2000-08-31 00:00:00	None	B	None	1000	1000	0	1000	0	070015077	A99999	N	None	None	SFY2000-01
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-10 00:00:00	070002343	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-27 00:00:00	None	No	2000-08-31 00:00:00	None	B	None	1000	1000	0	1000	0	070015077	A99999	N	None	None	SFY2000-01
070000953	LAWRENCE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2000-08-11 00:00:00	070002344	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-05 00:00:00	None	Yes	2000-09-07 00:00:00	2000-08-23 00:00:00	B	None	600	600	0	600	0	070014894	A99999	N	None	None	SFY2000-01
070000009	VISTA MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-14 00:00:00	070002345	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-31 00:00:00	None	Yes	2000-09-05 00:00:00	2000-08-15 00:00:00	B	None	600	1850	0	1850	0	070014975	A99999	N	None	None	SFY2000-01
070000307	NATIVIDAD MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-16 00:00:00	070002347	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-07 00:00:00	None	No	2000-09-06 00:00:00	None	A	None	7000	7000	-2450	4550	0	070015103	A99999	N	None	None	SFY2000-01
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-24 00:00:00	070002349	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-07-08 00:00:00	None	No	2000-09-19 00:00:00	None	A	None	8000	8000	-2800	5200	0	070015123	A99999	N	None	None	SFY2000-01
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-31 00:00:00	070002350	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-25 00:00:00	None	No	2000-09-21 00:00:00	None	A	B	8000	7000	0	7000	0	070015144	A99999	N	None	None	SFY2000-01
070000050	EMPRESS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Jose	2000-09-12 00:00:00	070002353	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-23 00:00:00	None	No	2000-10-04 00:00:00	None	B	None	600	600	-210	390	0	070015046	A99999	N	None	None	SFY2000-01
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2000-09-15 00:00:00	070002355	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-18 00:00:00	None	No	2000-10-11 00:00:00	None	B	None	900	900	-315	585	0	070015192	A99999	N	None	None	SFY2000-01
070000002	WOODLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-09-21 00:00:00	070002356	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-07-08 00:00:00	None	No	2000-10-24 00:00:00	None	B	None	600	600	0	600	0	070015216	A99999	N	None	None	SFY2000-01
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-10-20 00:00:00	070002358	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-03 00:00:00	None	No	2000-11-15 00:00:00	None	B	None	1000	1000	0	1000	0	070015198	A99999	N	None	None	SFY2000-01
070000002	WOODLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-11-14 00:00:00	070002359	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-07-08 00:00:00	None	Yes	2000-12-12 00:00:00	2000-12-06 00:00:00	A	A	10000	5000	0	5000	0	070015216	A99999	N	None	None	SFY2000-01
070000050	EMPRESS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Jose	2000-12-01 00:00:00	070002360	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-31 00:00:00	None	No	2000-12-26 00:00:00	None	B	None	1000	1000	-350	650	0	070015377	A99999	N	None	None	SFY2000-01
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-12-07 00:00:00	070002362	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-24 00:00:00	None	No	2001-01-03 00:00:00	None	B	Drop>Deficiency	1000	500	0	500	0	070015240	A99999	N	None	None	SFY2000-01
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2000-12-12 00:00:00	070002363	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-05 00:00:00	None	No	2001-01-08 00:00:00	None	B	None	1000	1000	-350	650	0	070015256	A99999	N	None	None	SFY2000-01
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-12-15 00:00:00	070002365	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-15 00:00:00	None	Yes	2001-11-07 00:00:00	2001-01-05 00:00:00	A	A	8000	8000	0	8000	0	070015091	A99999	N	None	None	SFY2000-01
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-02-14 00:00:00	070002366	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-25 00:00:00	None	Yes	2001-03-12 00:00:00	2001-02-22 00:00:00	A	A	20000	1000	0	1000	0	070015715	A99999	N	None	None	SFY2000-01
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-01-25 00:00:00	070002367	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-10 00:00:00	None	Yes	2001-02-21 00:00:00	2001-06-13 00:00:00	B	B	800	800	-640	160	0	070015924	A99999	N	None	None	SFY2000-01
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-01-29 00:00:00	070002369	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-10 00:00:00	None	No	2001-02-23 00:00:00	None	B	None	500	500	-175	325	0	070015127	A99999	N	None	None	SFY2000-01
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-01-29 00:00:00	070002370	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-08-10 00:00:00	None	No	2001-02-23 00:00:00	None	B	None	700	700	-245	455	0	070015127	A99999	N	None	None	SFY2000-01
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-03-06 00:00:00	070002376	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-29 00:00:00	None	Yes	2001-04-02 00:00:00	2001-03-16 00:00:00	B	B	700	700	-560	140	0	070015943	A99999	N	None	None	SFY2000-01
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-03-12 00:00:00	070002377	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-26 00:00:00	None	No	2001-04-05 00:00:00	None	B	None	800	800	-280	520	0	070015982	A99999	N	None	None	SFY2000-01
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2001-03-22 00:00:00	070002378	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-21 00:00:00	None	No	2001-04-12 00:00:00	None	B	None	600	600	-210	390	0	070016045	A99999	N	None	None	SFY2000-01
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-03-23 00:00:00	070002379	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-21 00:00:00	None	No	2001-04-13 00:00:00	None	B	None	1000	3000	0	3000	0	070016047	A99999	N	None	None	SFY2000-01
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2001-04-10 00:00:00	070002380	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-03-02 00:00:00	None	No	2001-05-03 00:00:00	None	B	None	400	400	-140	260	0	070016058	A99999	N	None	None	SFY2000-01
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-04-10 00:00:00	070002381	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-26 00:00:00	None	Yes	2001-05-01 00:00:00	2001-04-27 00:00:00	B	None	1000	1000	0	1000	0	070016001	A99999	N	None	None	SFY2000-01
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-04-10 00:00:00	070002382	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-03-12 00:00:00	None	No	2001-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	070016022	A99999	N	None	None	SFY2000-01
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-04-18 00:00:00	070002383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-29 00:00:00	None	No	2001-05-11 00:00:00	None	B	None	1000	3000	-1050	1950	0	070016108	A99999	N	None	None	SFY2000-01
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-04-17 00:00:00	070002384	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-11 00:00:00	None	Yes	2001-05-14 00:00:00	2001-04-30 00:00:00	B	B	1000	1000	-800	200	0	070014967	A99999	N	None	None	SFY2000-01
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-04-18 00:00:00	070002385	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-23 00:00:00	None	No	2001-05-11 00:00:00	None	B	None	1000	1000	0	1000	0	070015203	A99999	N	None	None	SFY2000-01
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-04-18 00:00:00	070002386	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-23 00:00:00	None	No	2001-05-11 00:00:00	None	B	None	1000	1000	0	1000	0	070015203	A99999	N	None	None	SFY2000-01
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-04-20 00:00:00	070002387	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-06 00:00:00	None	Yes	2001-05-11 00:00:00	2001-04-27 00:00:00	B	B	600	600	0	600	0	070016100	A99999	N	None	None	SFY2000-01
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-05-08 00:00:00	070002388	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-17 00:00:00	None	No	2001-05-30 00:00:00	None	B	None	1000	1000	-350	650	0	070016148	A99999	N	None	None	SFY2000-01
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-05-16 00:00:00	070002389	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-07 00:00:00	None	Yes	2001-06-13 00:00:00	2001-05-23 00:00:00	B	None	600	600	0	600	0	070016144	A99999	N	None	None	SFY2000-01
070000227	WOLFE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2001-05-23 00:00:00	070002390	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-29 00:00:00	None	No	2001-06-15 00:00:00	None	B	None	900	900	-315	585	0	070016043	A99999	N	None	None	SFY2000-01
070000989	SAN MIGUEL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2001-06-06 00:00:00	070002391	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-09 00:00:00	None	Yes	2001-12-07 00:00:00	2001-06-07 00:00:00	B	B	600	600	0	600	0	070016242	A99999	N	None	None	SFY2000-01
070000568	TUPAZ HOME #10	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2001-06-07 00:00:00	070002392	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-12 00:00:00	None	No	2001-06-29 00:00:00	None	B	None	800	800	-280	520	0	070016042	A99999	N	None	None	SFY2000-01
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-06-19 00:00:00	070002393	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-31 00:00:00	None	No	2001-07-13 00:00:00	None	B	None	1000	1000	0	1000	0	070016287	A99999	N	None	None	SFY2000-01
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-07-12 00:00:00	070002395	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-31 00:00:00	None	Yes	2002-01-10 00:00:00	2001-07-19 00:00:00	B	B	1000	1000	-1000	0	0	070016322	A99999	N	None	None	SFY2001-02
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-07-18 00:00:00	070002396	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-28 00:00:00	None	No	2001-08-09 00:00:00	None	B	None	800	800	-280	520	0	070016318	A99999	N	None	None	SFY2001-02
070000324	GEORGE L. MEE MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2001-07-25 00:00:00	070002397	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-07 00:00:00	None	Yes	2002-02-21 00:00:00	2002-02-01 00:00:00	B	B	600	600	0	600	0	070016363	A99999	N	None	None	SFY2001-02
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-08-16 00:00:00	070002398	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-07 00:00:00	None	No	2001-09-11 00:00:00	None	B	None	600	600	-210	390	0	070016364	A99999	N	None	None	SFY2001-02
070000053	GOLDEN AGE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2001-08-22 00:00:00	070002399	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-06-09 00:00:00	None	No	2001-09-13 00:00:00	None	B	None	400	400	-140	260	0	070016399	A99999	N	None	None	SFY2001-02
070000055	7TH AVENUE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-08-27 00:00:00	070002400	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-16 00:00:00	None	Yes	2001-09-19 00:00:00	2001-08-31 00:00:00	B	None	1000	1000	0	1000	0	070016411	A99999	N	None	None	SFY2001-02
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-09-04 00:00:00	070002401	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-08-09 00:00:00	None	No	2001-09-27 00:00:00	None	B	None	600	600	-210	390	0	070016436	A99999	N	None	None	SFY2001-02
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-09-07 00:00:00	070002402	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-19 00:00:00	None	No	2001-09-28 00:00:00	None	B	None	700	700	-245	455	0	070016466	A99999	N	None	None	SFY2001-02
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-09-07 00:00:00	070002403	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-20 00:00:00	None	No	2001-09-28 00:00:00	None	B	None	500	500	-175	325	0	070016466	A99999	N	None	None	SFY2001-02
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-09-14 00:00:00	070002404	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-29 00:00:00	None	Yes	2001-10-16 00:00:00	2001-09-24 00:00:00	B	B	600	600	-540	60	0	070016532	A99999	N	None	None	SFY2001-02
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-09-20 00:00:00	070002405	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-08-25 00:00:00	None	No	2001-10-15 00:00:00	None	B	None	1000	3000	0	3000	0	070016539	A99999	N	None	None	SFY2001-02
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-09-20 00:00:00	070002406	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-18 00:00:00	None	No	2001-10-15 00:00:00	None	B	None	500	500	0	500	0	070016539	A99999	N	None	None	SFY2001-02
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-10-10 00:00:00	070002407	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-03 00:00:00	None	Yes	2001-11-01 00:00:00	2001-10-25 00:00:00	B	B	800	500	0	500	0	070016580	A99999	N	None	None	SFY2001-02
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-10-23 00:00:00	070002408	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-07 00:00:00	None	Yes	2001-11-15 00:00:00	2001-10-25 00:00:00	B	B	1000	600	0	600	0	070016599	A99999	N	None	None	SFY2001-02
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-11-05 00:00:00	070002409	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-12 00:00:00	None	No	2001-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	070016683	A99999	N	None	None	SFY2001-02
070000307	NATIVIDAD MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2001-11-19 00:00:00	070002410	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-24 00:00:00	None	No	2001-12-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	070016241	A99999	Y	None	None	SFY2001-02
070000307	NATIVIDAD MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2001-11-19 00:00:00	070002411	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-05-24 00:00:00	None	No	2001-12-12 00:00:00	None	AA	None	90000	90000	-31500	58500	0	070016241	A99999	Y	None	None	SFY2001-02
070000050	EMPRESS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Jose	2001-11-27 00:00:00	070002412	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-13 00:00:00	None	No	2001-12-19 00:00:00	None	B	None	800	800	-280	520	0	070016732	A99999	N	None	None	SFY2001-02
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-11-26 00:00:00	070002413	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-10-12 00:00:00	2001-10-15 00:00:00	No	2001-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	070016676	A99999	N	None	None	SFY2001-02
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-03 00:00:00	070002414	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-06 00:00:00	None	Yes	2001-12-27 00:00:00	2001-12-11 00:00:00	B	B	500	500	0	500	0	070016746	A99999	N	None	None	SFY2001-02
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-05 00:00:00	070002415	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-15 00:00:00	None	No	2002-01-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	070016634	A99999	N	None	None	SFY2001-02
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-05 00:00:00	070002416	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-11 00:00:00	None	No	2002-01-02 00:00:00	None	B	None	1000	1000	-350	650	0	070016610	A99999	N	None	None	SFY2001-02
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-12 00:00:00	070002417	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-23 00:00:00	None	No	2002-01-10 00:00:00	None	B	B	600	600	-540	60	0	070016684	A99999	N	None	None	SFY2001-02
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-14 00:00:00	070002418	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2001-09-23 00:00:00	None	No	2002-01-11 00:00:00	None	B	None	600	600	-210	390	0	070016600	A99999	N	None	None	SFY2001-02
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-14 00:00:00	070002419	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2001-10-11 00:00:00	None	No	2002-01-08 00:00:00	None	B	None	1000	1000	-350	650	0	070016610	A99999	N	None	None	SFY2001-02
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-17 00:00:00	070002420	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2001-12-05 00:00:00	None	No	2002-01-15 00:00:00	None	B	None	400	400	-140	260	0	070016776	A99999	N	None	None	SFY2001-02
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-17 00:00:00	070002421	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-12-05 00:00:00	None	No	2002-01-15 00:00:00	None	B	None	400	400	-140	260	0	070016776	A99999	N	None	None	SFY2001-02
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-20 00:00:00	070002422	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-28 00:00:00	None	No	2002-01-16 00:00:00	None	B	None	1000	1000	-350	650	0	070016750	A99999	N	None	None	SFY2001-02
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-20 00:00:00	070002423	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-09 00:00:00	2001-10-10 00:00:00	Yes	2002-01-16 00:00:00	2002-01-14 00:00:00	A	A	10000	6067	0	6067	0	070016818	A99999	N	None	None	SFY2001-02
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-20 00:00:00	070002424	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-15 00:00:00	None	Yes	2002-01-16 00:00:00	2002-01-14 00:00:00	B	B	600	400	0	400	0	070016721	A99999	N	None	None	SFY2001-02
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-21 00:00:00	070002425	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-13 00:00:00	None	No	2002-01-17 00:00:00	None	B	None	1000	1000	-350	650	0	070016728	A99999	N	None	None	SFY2001-02
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-01-22 00:00:00	070002426	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-26 00:00:00	None	No	2002-02-15 00:00:00	None	B	None	1000	3450	-1050	2400	0	070016741	A99999	N	None	None	SFY2001-02
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2002-01-24 00:00:00	070002427	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-15 00:00:00	None	No	2002-02-15 00:00:00	None	B	None	500	500	-175	325	0	070016907	A99999	N	None	None	SFY2001-02
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-01-25 00:00:00	070002428	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-12 00:00:00	2001-12-15 00:00:00	No	2002-02-20 00:00:00	None	B	None	1000	1000	-350	650	0	070016810	A99999	N	None	None	SFY2001-02
070000053	GOLDEN AGE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2002-02-28 00:00:00	070002429	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-10-11 00:00:00	None	No	2002-03-21 00:00:00	None	B	None	500	500	-175	325	0	070017013	A99999	N	None	None	SFY2001-02
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2002-03-05 00:00:00	070002430	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-08-16 00:00:00	None	No	2002-04-08 00:00:00	None	B	None	800	800	-280	520	0	070016951	A99999	N	None	None	SFY2001-02
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-03-07 00:00:00	070002431	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-12-12 00:00:00	2001-12-16 00:00:00	No	2002-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	070016911	A99999	N	None	None	SFY2001-02
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-03-08 00:00:00	070002432	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-21 00:00:00	2002-02-21 00:00:00	Yes	2002-04-02 00:00:00	2002-03-18 00:00:00	B	None	1000	1000	0	1000	0	070016981	A99999	N	None	None	SFY2001-02
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-03-11 00:00:00	070002433	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-11-06 00:00:00	None	No	2002-04-03 00:00:00	None	B	None	500	1500	-525	975	0	070017048	A99999	N	None	None	SFY2001-02
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-03-20 00:00:00	070002434	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-31 00:00:00	None	Yes	2002-04-17 00:00:00	2002-04-11 00:00:00	A	A	20000	11145	0	11145	0	070016828	A99999	N	None	None	SFY2001-02
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-03-20 00:00:00	070002435	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-02-11 00:00:00	None	Yes	2002-04-17 00:00:00	2002-04-08 00:00:00	B	B	1000	557	0	557	0	070016828	A99999	N	None	None	SFY2001-02
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-03-20 00:00:00	070002436	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-12 00:00:00	None	Yes	2002-04-17 00:00:00	2002-04-08 00:00:00	A	B	20000	11145	0	11145	0	070016828	A99999	N	None	None	SFY2001-02
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-03-20 00:00:00	070002437	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-01 00:00:00	None	Yes	2002-04-17 00:00:00	2002-04-10 00:00:00	B	Drop>Deficiency	1000	557	0	557	0	070016828	A99999	N	None	None	SFY2001-02
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-03-21 00:00:00	070002438	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-10 00:00:00	None	No	2002-04-16 00:00:00	None	B	None	300	300	-105	195	0	070017086	A99999	N	None	None	SFY2001-02
070000227	WOLFE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2002-03-25 00:00:00	070002439	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-17 00:00:00	None	No	2002-04-17 00:00:00	None	B	None	500	500	-175	325	0	070017067	A99999	N	None	None	SFY2001-02
070000227	WOLFE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2002-03-25 00:00:00	070002440	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-01 00:00:00	None	No	2002-04-17 00:00:00	None	B	None	800	800	-280	520	0	070017067	A99999	N	None	None	SFY2001-02
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-03-26 00:00:00	070002441	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-01-22 00:00:00	None	No	2002-04-22 00:00:00	None	B	None	1000	3050	0	3050	0	070016927	A99999	N	None	None	SFY2001-02
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-03-26 00:00:00	070002442	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-24 00:00:00	None	No	2002-04-22 00:00:00	None	A	B	20000	20000	0	20000	0	070017029	A99999	N	None	None	SFY2001-02
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-04-08 00:00:00	070002443	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-12-28 00:00:00	None	No	2002-05-07 00:00:00	None	A	B	20000	9500	0	9500	0	070016875	A99999	N	None	None	SFY2001-02
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-04-10 00:00:00	070002444	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-17 00:00:00	None	Yes	2002-05-03 00:00:00	2002-04-24 00:00:00	B	B	600	400	0	400	0	070017088	A99999	N	None	None	SFY2001-02
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2002-04-11 00:00:00	070002445	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-03-25 00:00:00	None	Yes	2002-05-07 00:00:00	2002-04-22 00:00:00	B	B Trebled	1000	1672	0	1672	0	070017135	A99999	N	None	None	SFY2001-02
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2002-04-11 00:00:00	070002446	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-20 00:00:00	None	Yes	2002-05-07 00:00:00	2002-04-22 00:00:00	B	B	600	334	0	334	0	070017099	A99999	N	None	None	SFY2001-02
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-04-17 00:00:00	070002447	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-04 00:00:00	2001-12-29 00:00:00	Yes	2002-05-09 00:00:00	2002-05-02 00:00:00	A	A	20000	11750	0	11750	0	070017193	A99999	N	None	None	SFY2001-02
070000024	EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2002-04-19 00:00:00	070002448	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE & RIGHT	2002-03-11 00:00:00	None	No	2002-05-13 00:00:00	None	B	None	600	600	-210	390	0	070017097	A99999	N	None	None	SFY2001-02
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-04-19 00:00:00	070002449	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-27 00:00:00	None	No	2002-05-15 00:00:00	None	B	B	600	390	0	390	0	070017150	A99999	N	None	None	SFY2001-02
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2002-05-03 00:00:00	070002450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-20 00:00:00	None	No	2002-05-28 00:00:00	None	B	None	400	400	-140	260	0	070017216	A99999	N	None	None	SFY2001-02
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-05-07 00:00:00	070002451	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-31 00:00:00	None	No	2002-06-03 00:00:00	None	B	None	600	600	-210	390	0	070017225	A99999	N	None	None	SFY2001-02
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-05-16 00:00:00	070002452	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-27 00:00:00	None	No	2002-06-11 00:00:00	None	B	None	1000	3000	-1050	1950	0	070017286	A99999	N	None	None	SFY2001-02
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2002-05-20 00:00:00	070002453	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-26 00:00:00	None	Yes	2002-06-17 00:00:00	2002-06-03 00:00:00	B	B	600	334	0	334	0	070017282	A99999	N	None	None	SFY2001-02
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-05-29 00:00:00	070002454	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-22 00:00:00	None	Yes	2002-06-21 00:00:00	2002-05-30 00:00:00	B	Drop>Deficiency	600	0	0	0	0	070017355	A99999	N	None	None	SFY2001-02
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-05-31 00:00:00	070002455	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-18 00:00:00	None	No	2002-06-26 00:00:00	None	B	None	600	600	-210	390	0	070017356	A99999	N	None	None	SFY2001-02
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2002-06-05 00:00:00	070002457	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-09 00:00:00	None	No	2002-06-28 00:00:00	None	B	None	400	400	-140	260	0	070017330	A99999	N	None	None	SFY2001-02
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2002-06-07 00:00:00	070002458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-29 00:00:00	None	Yes	2003-05-23 00:00:00	2003-05-15 00:00:00	B	B	800	446	0	446	0	070017365	A99999	N	None	None	SFY2001-02
070000033	CARMEL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2002-06-12 00:00:00	070002459	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-10-02 00:00:00	None	No	2002-07-10 00:00:00	None	B	None	1000	1850	-1850	0	0	070017300	A99999	N	None	None	SFY2001-02
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-06-14 00:00:00	070002460	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-30 00:00:00	None	No	2002-07-09 00:00:00	None	B	None	300	300	-105	195	0	070017396	A99999	N	None	None	SFY2001-02
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-07-03 00:00:00	070002461	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-12 00:00:00	None	Yes	2002-07-26 00:00:00	2002-07-08 00:00:00	B	B	700	429	0	429	0	070017328	A99999	N	None	None	SFY2002-03
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2002-07-10 00:00:00	070002462	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-30 00:00:00	None	Yes	2002-07-31 00:00:00	2002-07-31 00:00:00	A	B	5000	2786	0	2786	0	070017260	A99999	N	None	None	SFY2002-03
070000033	CARMEL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2002-07-11 00:00:00	070002463	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-07 00:00:00	None	No	2002-08-06 00:00:00	None	B	None	1000	1350	-1350	0	0	070017519	A99999	N	None	None	SFY2002-03
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-07-11 00:00:00	070002464	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-30 00:00:00	None	No	2002-08-02 00:00:00	None	B	None	1000	1050	-350	700	0	070017520	A99999	N	None	None	SFY2002-03
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2002-07-16 00:00:00	070002465	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-06-29 00:00:00	None	Yes	2002-08-09 00:00:00	2002-07-23 00:00:00	A	None	8000	8000	0	8000	0	070017509	A99999	N	None	None	SFY2002-03
070000307	NATIVIDAD MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2002-07-24 00:00:00	070002466	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2002-07-10 00:00:00	None	No	2002-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	070017585	A99999	N	None	None	SFY2002-03
070000890	TUPAZ HOME #5	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2002-07-24 00:00:00	070002467	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-29 00:00:00	None	No	2002-08-29 00:00:00	None	B	None	900	900	-315	585	0	070017570	A99999	N	None	None	SFY2002-03
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2002-08-02 00:00:00	070002468	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-17 00:00:00	None	Yes	2003-05-23 00:00:00	2003-05-15 00:00:00	B	B	600	334	0	334	0	070017567	A99999	N	None	None	SFY2002-03
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-08-07 00:00:00	070002469	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-19 00:00:00	None	No	2002-09-04 00:00:00	None	B	None	1000	3000	-1050	1950	0	070017599	A99999	N	None	None	SFY2002-03
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-08-08 00:00:00	070002470	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-07-31 00:00:00	None	No	2002-09-03 00:00:00	None	B	None	1000	1000	-350	650	0	070017609	A99999	N	None	None	SFY2002-03
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-08-07 00:00:00	070002471	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-18 00:00:00	None	No	2002-09-04 00:00:00	None	B	None	1000	3000	-1050	1950	0	070017600	A99999	N	None	None	SFY2002-03
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-08-22 00:00:00	070002472	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-13 00:00:00	None	No	2002-09-19 00:00:00	None	B	None	1000	3000	-1050	1950	0	070017672	A99999	N	None	None	SFY2002-03
070000050	EMPRESS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Jose	2002-08-28 00:00:00	070002473	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-30 00:00:00	None	No	2002-09-24 00:00:00	None	B	None	1000	1000	-350	650	0	070017620	A99999	N	None	None	SFY2002-03
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2002-09-09 00:00:00	070002474	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-05 00:00:00	None	Yes	2003-05-23 00:00:00	2003-05-15 00:00:00	B	B	800	446	0	446	0	070017648	A99999	N	None	None	SFY2002-03
070000998	TUPAZ HOME #7	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2002-09-30 00:00:00	070002475	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-08-01 00:00:00	2002-08-03 00:00:00	Yes	2002-11-01 00:00:00	2002-10-04 00:00:00	A	B	8000	5000	0	5000	0	070017723	A99999	N	None	None	SFY2002-03
070000476	TUPAZ HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2002-09-26 00:00:00	070002476	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-23 00:00:00	None	Yes	2002-10-21 00:00:00	2002-10-04 00:00:00	B	Drop>Deficiency	900	900	0	900	0	070017773	A99999	N	None	None	SFY2002-03
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2002-10-04 00:00:00	070002477	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-20 00:00:00	None	No	2002-10-29 00:00:00	None	B	None	800	800	-280	520	0	070017775	A99999	N	None	None	SFY2002-03
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-10-11 00:00:00	070002478	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-29 00:00:00	None	Yes	2002-11-06 00:00:00	2002-10-28 00:00:00	B	None	700	700	0	700	0	070017811	A99999	N	None	None	SFY2002-03
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-11-01 00:00:00	070002479	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-24 00:00:00	None	No	2002-11-27 00:00:00	None	B	None	800	800	0	800	0	070017810	A99999	N	None	None	SFY2002-03
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-11-06 00:00:00	070002480	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-10-11 00:00:00	None	No	2002-12-02 00:00:00	None	B	None	600	600	-210	390	0	070017902	A99999	N	None	None	SFY2002-03
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-11-15 00:00:00	070002481	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-02-02 00:00:00	None	Yes	2002-12-12 00:00:00	2002-11-20 00:00:00	A	A	20000	5000	0	5000	0	070017931	A99999	N	None	None	SFY2002-03
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2002-11-19 00:00:00	070002482	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-11-13 00:00:00	None	No	2002-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	070017977	A99999	N	None	None	SFY2002-03
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-11-26 00:00:00	070002483	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-16 00:00:00	None	No	2002-12-19 00:00:00	None	B	None	1000	3000	-1050	1950	0	070017951	A99999	N	None	None	SFY2002-03
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-11-26 00:00:00	070002484	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-10-16 00:00:00	None	No	2002-12-19 00:00:00	None	B	None	1000	1000	-350	650	0	070017951	A99999	N	None	None	SFY2002-03
070000060	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2002-12-09 00:00:00	070002486	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-17 00:00:00	None	No	2003-01-02 00:00:00	None	B	None	800	800	-280	520	0	070018019	A99999	N	None	None	SFY2002-03
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-12-13 00:00:00	070002487	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-25 00:00:00	None	No	2003-01-08 00:00:00	None	B	None	850	850	-297.5	552.5	0	070018031	A99999	N	None	None	SFY2002-03
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-12-17 00:00:00	070002488	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-09 00:00:00	None	No	2003-01-09 00:00:00	None	B	None	200	200	0	200	0	070018500	A99999	N	None	None	SFY2002-03
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-12-18 00:00:00	070002489	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-11 00:00:00	None	No	2003-01-10 00:00:00	None	B	None	1000	1000	-350	650	0	070017990	A99999	N	None	None	SFY2002-03
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-01-03 00:00:00	070002490	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-21 00:00:00	None	No	2003-01-31 00:00:00	None	B	None	1000	1500	-350	1150	0	070018527	A99999	N	None	None	SFY2002-03
070000042	WINDSOR THE RIDGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-01-03 00:00:00	070002491	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-12 00:00:00	None	No	2003-02-04 00:00:00	None	B	None	600	600	-210	390	0	070018524	A99999	N	None	None	SFY2002-03
070000817	TUPAZ HOME #4	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2003-01-10 00:00:00	070002492	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-31 00:00:00	None	No	2003-02-04 00:00:00	None	B	None	1000	1000	-350	650	0	070018582	A99999	N	None	None	SFY2002-03
070000076	THE RIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-01-15 00:00:00	070002493	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-14 00:00:00	None	No	2003-02-07 00:00:00	None	B	None	600	600	-210	390	0	070018580	A99999	N	None	None	SFY2002-03
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-01-15 00:00:00	070002494	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-18 00:00:00	None	Yes	2003-02-10 00:00:00	2003-01-24 00:00:00	B	None	1000	1000	0	1000	0	070018541	A99999	N	None	None	SFY2002-03
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-01-23 00:00:00	070002495	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-08 00:00:00	None	Yes	2003-02-19 00:00:00	2003-02-05 00:00:00	B	B	800	446	0	446	0	070018601	A99999	N	None	None	SFY2002-03
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-01-22 00:00:00	070002496	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-12-27 00:00:00	None	No	2003-02-13 00:00:00	None	B	None	800	800	-280	520	0	070018577	A99999	N	None	None	SFY2002-03
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-01-23 00:00:00	070002497	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-08-11 00:00:00	None	Yes	2003-02-19 00:00:00	2003-01-27 00:00:00	AA	AA	90000	51645	0	51645	0	070017690	A99999	Y	None	None	SFY2002-03
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-01-29 00:00:00	070002498	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-10 00:00:00	None	No	2003-02-21 00:00:00	None	B	None	1000	1000	0	1000	0	070018621	A99999	N	None	None	SFY2002-03
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-02-04 00:00:00	070002499	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-17 00:00:00	None	Yes	2003-03-06 00:00:00	2003-02-18 00:00:00	B	B	1000	557	0	557	0	070018634	A99999	N	None	None	SFY2002-03
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-02-11 00:00:00	070002500	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-16 00:00:00	None	No	2003-03-10 00:00:00	None	B	None	750	750	-262.5	487.5	0	070018707	A99999	N	None	None	SFY2002-03
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-02-11 00:00:00	070002501	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-01-16 00:00:00	None	No	2003-03-10 00:00:00	None	B	None	750	750	-262.5	487.5	0	070018707	A99999	N	None	None	SFY2002-03
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-02-11 00:00:00	070002502	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-16 00:00:00	None	No	2003-03-10 00:00:00	None	B	None	750	750	-262.5	487.5	0	070018707	A99999	N	None	None	SFY2002-03
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-02-13 00:00:00	070002503	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-30 00:00:00	None	No	2003-03-10 00:00:00	None	B	None	600	600	-210	390	0	070018670	A99999	N	None	None	SFY2002-03
070000082	PLUM TREE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-03-05 00:00:00	070002504	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-26 00:00:00	None	Yes	2003-12-17 00:00:00	2003-03-12 00:00:00	B	B	600	600	0	600	0	070018768	A99999	N	None	None	SFY2002-03
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2003-03-10 00:00:00	070002505	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-24 00:00:00	None	No	2003-04-03 00:00:00	None	B	None	600	600	-210	390	0	070018790	A99999	N	None	None	SFY2002-03
070000953	LAWRENCE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2003-03-13 00:00:00	070002506	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-02-02 00:00:00	None	No	2003-04-07 00:00:00	None	A	None	10000	10000	-3500	6500	0	070018719	A99999	N	None	None	SFY2002-03
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2003-04-11 00:00:00	070002507	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-18 00:00:00	None	Yes	2003-05-06 00:00:00	2003-04-25 00:00:00	B	B Trebled	600	1003	0	1003	0	070018912	A99999	N	None	None	SFY2002-03
070000033	CARMEL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2003-05-21 00:00:00	070002508	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-22 00:00:00	None	No	2003-06-19 00:00:00	None	B	None	1000	1000	-1000	0	0	070019027	A99999	N	None	None	SFY2002-03
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2003-05-22 00:00:00	070002509	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-04-24 00:00:00	None	No	2003-06-13 00:00:00	None	B	None	600	600	-210	390	0	070019008	A99999	N	None	None	SFY2002-03
070000307	NATIVIDAD MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2003-05-22 00:00:00	070002510	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-05-09 00:00:00	None	No	2003-06-13 00:00:00	None	B	None	1000	1000	-350	650	0	070019025	A99999	N	None	None	SFY2002-03
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-05-28 00:00:00	070002511	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2003-01-16 00:00:00	None	Yes	2003-06-23 00:00:00	2003-06-23 00:00:00	B	None	600	600	-600	0	0	070018904	A99999	N	None	None	SFY2002-03
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-06-10 00:00:00	070002512	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-21 00:00:00	None	Yes	2003-07-02 00:00:00	2003-07-03 00:00:00	B	None	1000	3000	-3000	0	0	070018863	A99999	N	None	None	SFY2002-03
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-06-10 00:00:00	070002513	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-21 00:00:00	None	Yes	2003-07-02 00:00:00	2003-07-03 00:00:00	B	None	1000	1000	-1000	0	0	070018863	A99999	N	None	None	SFY2002-03
070000046	GREENHILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2003-06-17 00:00:00	070002514	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-04 00:00:00	None	No	2003-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	070019116	A99999	N	None	None	SFY2002-03
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-06-19 00:00:00	070002515	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-04-04 00:00:00	None	No	2003-07-11 00:00:00	None	B	None	800	800	-280	520	0	070019127	A99999	N	None	None	SFY2002-03
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-06-24 00:00:00	070002516	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-14 00:00:00	None	No	2003-07-16 00:00:00	None	B	None	800	800	0	800	0	070019134	A99999	N	None	None	SFY2002-03
070001130	KCARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2003-07-08 00:00:00	070002517	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-05-06 00:00:00	None	No	2003-07-31 00:00:00	None	B	None	400	400	-140	260	0	070019167	A99999	N	None	None	SFY2003-04
070000906	WREN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2003-07-09 00:00:00	070002518	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-06-24 00:00:00	None	No	2003-08-01 00:00:00	None	B	None	500	500	-175	325	0	070019171	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-07-10 00:00:00	070002519	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-28 00:00:00	None	No	2003-08-01 00:00:00	None	B	None	600	600	-210	390	0	070019157	A99999	N	None	None	SFY2003-04
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-07-17 00:00:00	070002520	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-13 00:00:00	None	No	2003-08-11 00:00:00	None	B	None	1000	1350	-350	1000	0	070019140	A99999	N	None	None	SFY2003-04
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-07-21 00:00:00	070002521	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-12 00:00:00	None	No	2003-08-13 00:00:00	None	B	None	600	600	-210	390	0	070019206	A99999	N	None	None	SFY2003-04
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-07-31 00:00:00	070002522	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-05 00:00:00	None	Yes	2003-08-27 00:00:00	2003-08-15 00:00:00	B	B	1000	757	0	757	0	070019196	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-07-31 00:00:00	070002523	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-12 00:00:00	None	No	2003-08-21 00:00:00	None	B	None	600	600	-210	390	0	070019223	A99999	N	None	None	SFY2003-04
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-02 00:00:00	070002524	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-07-31 00:00:00	None	No	2003-09-30 00:00:00	None	B	None	600	600	-210	390	0	070019322	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-11 00:00:00	070002525	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-26 00:00:00	None	Yes	2003-10-03 00:00:00	2003-09-25 00:00:00	B	B Trebled	1000	3300	-2886	414	0	070019360	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-11 00:00:00	070002526	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-08-09 00:00:00	None	Yes	2003-10-03 00:00:00	2003-09-23 00:00:00	B	B	1000	1000	-869	131	0	070019282	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-11 00:00:00	070002527	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-08-09 00:00:00	None	Yes	2003-10-03 00:00:00	2003-09-23 00:00:00	B	B	1000	1000	-869	131	0	070019282	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-11 00:00:00	070002528	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-08-12 00:00:00	None	Yes	2003-10-03 00:00:00	2003-09-23 00:00:00	B	B	1000	1150	-999	151	0	070019373	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-11 00:00:00	070002529	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-08-04 00:00:00	None	Yes	2004-01-30 00:00:00	2003-09-23 00:00:00	B	B	1000	1000	0	1000	0	070019282	A99999	N	None	None	SFY2003-04
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-18 00:00:00	070002530	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-09-02 00:00:00	None	No	2003-10-14 00:00:00	None	B	None	500	500	-175	325	0	070019372	A99999	N	None	None	SFY2003-04
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-18 00:00:00	070002531	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-09-02 00:00:00	None	No	2003-10-14 00:00:00	None	B	None	500	500	-175	325	0	070019372	A99999	N	None	None	SFY2003-04
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-19 00:00:00	070002532	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-30 00:00:00	None	No	2003-10-15 00:00:00	None	B	None	600	1800	-630	1170	0	070019358	A99999	N	None	None	SFY2003-04
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-19 00:00:00	070002533	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-01 00:00:00	None	No	2003-10-15 00:00:00	None	B	None	600	1800	-630	1170	0	070019358	A99999	N	None	None	SFY2003-04
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-22 00:00:00	070002534	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-02 00:00:00	None	No	2003-10-15 00:00:00	None	B	None	600	1800	-630	1170	0	070019401	A99999	N	None	None	SFY2003-04
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-26 00:00:00	070002535	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-09-12 00:00:00	None	No	2003-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	070019391	A99999	N	None	None	SFY2003-04
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-26 00:00:00	070002536	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-09-12 00:00:00	None	No	2003-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	070019391	A99999	N	None	None	SFY2003-04
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-09-26 00:00:00	070002537	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-12 00:00:00	None	No	2003-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	070019391	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-10-02 00:00:00	070002538	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-29 00:00:00	None	Yes	2004-02-02 00:00:00	2004-01-20 00:00:00	B	B	1000	1000	0	1000	0	070019244	A99999	N	None	None	SFY2003-04
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-10-08 00:00:00	070002539	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-09 00:00:00	None	No	2003-11-03 00:00:00	None	B	None	600	600	-210	390	0	070019475	A99999	N	None	None	SFY2003-04
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-11-10 00:00:00	070002541	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-28 00:00:00	None	No	2003-12-09 00:00:00	None	B	None	800	2400	-840	1560	0	070019542	A99999	N	None	None	SFY2003-04
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-11-24 00:00:00	070002542	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-01 00:00:00	None	Yes	2011-02-28 00:00:00	2003-12-03 00:00:00	B	B	1000	1000	0	1000	0	070019565	A99999	N	None	None	SFY2003-04
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-11-24 00:00:00	070002543	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-11-01 00:00:00	None	No	2003-12-19 00:00:00	None	B	None	600	1800	-630	1170	0	070019565	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-12-03 00:00:00	070002544	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-02 00:00:00	None	No	2003-12-29 00:00:00	None	B	None	1000	3000	0	3000	0	070019579	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-12-15 00:00:00	070002545	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-12 00:00:00	None	Yes	2004-01-09 00:00:00	2003-12-23 00:00:00	B	B	1000	1000	-869	131	0	070019561	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-12-15 00:00:00	070002546	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-10-12 00:00:00	None	Yes	2004-01-09 00:00:00	2003-12-23 00:00:00	B	B	1000	1000	-869	131	0	070019561	A99999	N	None	None	SFY2003-04
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2003-12-12 00:00:00	070002547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-20 00:00:00	None	Yes	2004-01-09 00:00:00	2003-12-15 00:00:00	B	B	1000	557	0	557	0	070019604	A99999	N	None	None	SFY2003-04
070000053	GOLDEN AGE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2003-12-16 00:00:00	070002548	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-01 00:00:00	None	No	2004-01-08 00:00:00	None	B	None	400	400	0	400	0	070019651	A99999	N	None	None	SFY2003-04
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2003-12-18 00:00:00	070002549	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-24 00:00:00	None	No	2004-01-13 00:00:00	None	B	None	600	600	-210	390	0	070019657	A99999	N	None	None	SFY2003-04
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-12-22 00:00:00	070002550	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-27 00:00:00	None	No	2004-01-15 00:00:00	None	B	None	400	400	-140	260	0	070019645	A99999	N	None	None	SFY2003-04
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-12-22 00:00:00	070002551	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-11-29 00:00:00	None	No	2004-01-15 00:00:00	None	B	None	400	400	-140	260	0	070019645	A99999	N	None	None	SFY2003-04
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-01-08 00:00:00	070002552	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-10 00:00:00	None	No	2004-02-03 00:00:00	None	B	None	800	800	-280	520	0	070019684	A99999	N	None	None	SFY2003-04
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-01-08 00:00:00	070002553	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-16 00:00:00	None	No	2004-02-03 00:00:00	None	B	None	800	800	-280	520	0	070019684	A99999	N	None	None	SFY2003-04
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-01-08 00:00:00	070002554	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-15 00:00:00	None	No	2004-01-30 00:00:00	None	B	None	1000	1000	-350	650	0	070019711	A99999	N	None	None	SFY2003-04
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-02-05 00:00:00	070002555	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-18 00:00:00	None	Yes	2004-03-02 00:00:00	2004-02-13 00:00:00	B	None	600	1800	-1800	0	0	070019792	A99999	N	None	None	SFY2003-04
070000060	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2004-02-10 00:00:00	070002556	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-31 00:00:00	None	No	2004-03-05 00:00:00	None	B	None	800	800	-280	520	0	070019803	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-02-18 00:00:00	070002557	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-22 00:00:00	None	Yes	2004-03-12 00:00:00	2004-02-19 00:00:00	B	B	1000	1000	-869	131	0	070019812	A99999	N	None	None	SFY2003-04
070000030	MARGUERITE TERRACE	LTC	SNF	Skilled Nursing Facility	San Jose	2004-02-19 00:00:00	070002558	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-15 00:00:00	None	No	2004-03-12 00:00:00	None	B	None	800	800	-280	520	0	070019819	A99999	N	None	None	SFY2003-04
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-05 00:00:00	070002559	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-11-14 00:00:00	None	Yes	2004-03-29 00:00:00	2004-03-08 00:00:00	A	A	20000	8050	-550	7500	0	070019652	A99999	N	None	None	SFY2003-04
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-05 00:00:00	070002560	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-31 00:00:00	None	Yes	2007-07-06 00:00:00	2004-03-08 00:00:00	B	B	1000	1050	-550	500	0	070019652	A99999	N	None	None	SFY2003-04
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-05 00:00:00	070002561	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-04 00:00:00	None	Yes	2004-03-29 00:00:00	2004-03-08 00:00:00	B	B	1000	1050	-550	500	0	070019652	A99999	N	None	None	SFY2003-04
070000019	AVE MARIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-11 00:00:00	070002562	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-21 00:00:00	None	No	2004-04-02 00:00:00	None	B	None	400	400	-140	260	0	070019872	A99999	N	None	None	SFY2003-04
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-22 00:00:00	070002563	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-02-05 00:00:00	None	Yes	2006-12-08 00:00:00	2004-04-12 00:00:00	AA	AA	90000	90000	0	90000	0	070019856	A99999	Y	None	None	SFY2003-04
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-23 00:00:00	070002564	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-08-09 00:00:00	None	Yes	2004-04-16 00:00:00	2004-04-01 00:00:00	B	B	800	400	0	400	0	070019906	A99999	N	None	None	SFY2003-04
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-23 00:00:00	070002565	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-23 00:00:00	None	Yes	2004-04-16 00:00:00	2004-04-01 00:00:00	B	B	900	450	0	450	0	070019906	A99999	N	None	None	SFY2003-04
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-23 00:00:00	070002566	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-08-09 00:00:00	None	Yes	2004-04-16 00:00:00	2004-04-01 00:00:00	B	B	800	400	0	400	0	070019906	A99999	N	None	None	SFY2003-04
070000940	SHINRAI - PURPLE HILLS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2004-03-26 00:00:00	070002567	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-07 00:00:00	None	No	2004-04-22 00:00:00	None	B	None	500	500	-175	325	0	070019912	A99999	N	None	None	SFY2003-04
070000904	GOOD SAMARITAN HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2004-04-06 00:00:00	070002568	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-23 00:00:00	None	No	2004-04-30 00:00:00	None	B	None	800	800	-280	520	0	070019930	A99999	N	None	None	SFY2003-04
070000904	GOOD SAMARITAN HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2004-04-06 00:00:00	070002569	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-19 00:00:00	None	No	2004-04-30 00:00:00	None	B	None	800	1650	-280	1370	0	070019930	A99999	N	None	None	SFY2003-04
070000022	BELLEROSE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2004-04-08 00:00:00	070002570	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-23 00:00:00	None	No	2004-05-04 00:00:00	None	B	None	400	400	-140	260	0	070019935	A99999	N	None	None	SFY2003-04
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-05-07 00:00:00	070002571	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-07 00:00:00	None	No	2004-06-01 00:00:00	None	B	None	1000	1000	-350	650	0	070019942	A99999	N	None	None	SFY2003-04
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-04-19 00:00:00	070002572	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-03-18 00:00:00	None	No	2004-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	070019917	A99999	N	None	None	SFY2003-04
070000024	EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2004-04-28 00:00:00	070002573	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-26 00:00:00	None	Yes	2004-05-21 00:00:00	2004-05-12 00:00:00	B	B	800	800	-695	105	0	070019971	A99999	N	None	None	SFY2003-04
070000024	EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2004-04-28 00:00:00	070002574	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-03-26 00:00:00	None	No	2004-05-21 00:00:00	None	B	None	400	400	-140	260	0	070019971	A99999	N	None	None	SFY2003-04
070000034	CARMEL VALLEY MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2004-05-03 00:00:00	070002575	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-03-01 00:00:00	None	No	2004-06-03 00:00:00	None	B	None	1000	1000	0	1000	0	070019973	A99999	N	None	None	SFY2003-04
070000014	MONTEREY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2004-05-03 00:00:00	070002576	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-09 00:00:00	None	No	2004-05-27 00:00:00	None	B	None	500	500	-500	0	0	070019977	A99999	N	None	None	SFY2003-04
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-05-07 00:00:00	070002577	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-04-07 00:00:00	None	No	2004-06-01 00:00:00	None	B	None	1000	1000	-350	650	0	070019942	A99999	N	None	None	SFY2003-04
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-05-17 00:00:00	070002578	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-23 00:00:00	None	No	2004-06-14 00:00:00	None	B	None	900	900	-315	585	0	070020009	A99999	N	None	None	SFY2003-04
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-05-20 00:00:00	070002579	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-04-15 00:00:00	None	No	2004-06-16 00:00:00	None	B	None	900	2700	-945	1755	0	070020013	A99999	N	None	None	SFY2003-04
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-05-20 00:00:00	070002580	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-29 00:00:00	None	No	2004-06-16 00:00:00	None	B	None	900	900	-315	585	0	070020013	A99999	N	None	None	SFY2003-04
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-05-24 00:00:00	070002581	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-15 00:00:00	None	No	2004-06-17 00:00:00	None	B	None	1000	1000	-350	650	0	070020017	A99999	N	None	None	SFY2003-04
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-06-01 00:00:00	070002582	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-26 00:00:00	None	No	2004-06-24 00:00:00	None	B	None	1000	1000	-350	650	0	070020032	A99999	N	None	None	SFY2003-04
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-06-08 00:00:00	070002583	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-12 00:00:00	None	No	2004-07-01 00:00:00	None	B	None	600	600	-210	390	0	070020042	A99999	N	None	None	SFY2003-04
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-06-24 00:00:00	070002584	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-02 00:00:00	None	Yes	2004-07-22 00:00:00	2004-06-28 00:00:00	B	None	1000	1000	0	1000	0	070020074	A99999	N	None	None	SFY2003-04
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2004-07-08 00:00:00	070002585	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-04-10 00:00:00	None	No	2004-08-03 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	070020101	A99999	N	None	None	SFY2004-05
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2004-07-08 00:00:00	070002586	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-25 00:00:00	None	No	2004-08-04 00:00:00	None	B	None	800	800	-280	520	0	070020102	A99999	N	None	None	SFY2004-05
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2004-07-09 00:00:00	070002587	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-28 00:00:00	None	No	2004-08-03 00:00:00	None	B	None	800	800	-280	520	0	070020103	A99999	N	None	None	SFY2004-05
070000076	THE RIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2004-07-13 00:00:00	070002588	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-02-07 00:00:00	None	No	2004-08-04 00:00:00	None	B	None	800	800	-280	520	0	070020108	A99999	N	None	None	SFY2004-05
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-07-27 00:00:00	070002589	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-28 00:00:00	None	No	2004-08-19 00:00:00	None	B	None	800	800	-280	520	0	070020093	A99999	N	None	None	SFY2004-05
070000028	CAPITOLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-09-21 00:00:00	070002590	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-05-11 00:00:00	None	No	2004-10-15 00:00:00	None	B	None	800	800	-280	520	0	070020266	A99999	N	None	None	SFY2004-05
070000067	INVIGORATE POST ACUTE OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2004-11-24 00:00:00	070002591	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-08-25 00:00:00	None	No	2004-12-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	070020374	A99999	N	None	None	SFY2004-05
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2004-12-22 00:00:00	070002592	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-12-14 00:00:00	None	No	2005-01-13 00:00:00	None	B	None	700	700	-245	455	0	070020408	A99999	N	None	None	SFY2004-05
070001398	ROUNDTREE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2004-12-23 00:00:00	070002593	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-22 00:00:00	None	No	2005-01-14 00:00:00	None	B	None	500	500	-175	325	0	070020418	A99999	N	None	None	SFY2004-05
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2005-01-05 00:00:00	070002594	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-18 00:00:00	None	No	2005-01-27 00:00:00	None	B	None	800	800	-280	520	0	070020430	A99999	N	None	None	SFY2004-05
070000067	INVIGORATE POST ACUTE OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2005-02-11 00:00:00	070002595	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-23 00:00:00	None	No	2005-03-08 00:00:00	None	B	None	1000	1000	-350	650	0	070020476	A99999	N	None	None	SFY2004-05
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2005-03-23 00:00:00	070002596	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-02-16 00:00:00	None	Yes	2005-04-14 00:00:00	2005-03-24 00:00:00	B	None	400	2150	-2150	0	0	070020478	A99999	N	None	None	SFY2004-05
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2005-04-07 00:00:00	070002597	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-13 00:00:00	None	No	2005-05-12 00:00:00	None	B	None	800	800	-280	520	0	070020479	A99999	N	None	None	SFY2004-05
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2005-05-02 00:00:00	070002598	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-12-08 00:00:00	2004-12-08 00:00:00	Yes	2005-05-23 00:00:00	2005-05-13 00:00:00	A	None	20000	20000	0	20000	0	070020480	A99999	N	CA00042373	B	SFY2004-05
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2005-06-02 00:00:00	070002599	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-01-09 00:00:00	None	No	2005-06-24 00:00:00	None	B	None	500	500	-175	325	0	070020481	A99999	N	None	None	SFY2004-05
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2005-07-13 00:00:00	070002600	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-07-05 00:00:00	None	No	2005-08-04 00:00:00	None	B	None	800	800	-280	520	0	070020485	A99999	N	None	None	SFY2005-06
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2005-07-25 00:00:00	070002601	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-05-03 00:00:00	None	No	2005-08-17 00:00:00	None	B	None	1000	1000	-350	650	0	070020486	A99999	N	None	None	SFY2005-06
070001130	KCARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2005-08-01 00:00:00	070002602	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-21 00:00:00	None	No	2005-08-23 00:00:00	None	B	None	800	800	-280	520	0	070020487	A99999	N	None	None	SFY2005-06
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2005-08-03 00:00:00	070002603	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-07-15 00:00:00	None	No	2005-08-29 00:00:00	None	B	None	400	400	0	400	0	070020488	A99999	N	None	None	SFY2005-06
070001333	LENA'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2005-08-11 00:00:00	070002604	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-03 00:00:00	None	Yes	2005-09-01 00:00:00	2005-08-15 00:00:00	B	None	800	800	0	800	0	070020491	A99999	N	None	None	SFY2005-06
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2005-08-18 00:00:00	070002605	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-27 00:00:00	None	No	2005-09-19 00:00:00	None	B	None	800	800	-280	520	0	070020492	A99999	N	None	None	SFY2005-06
070001362	SHINRAI-ARAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2005-08-30 00:00:00	070002606	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-31 00:00:00	None	No	2005-09-26 00:00:00	None	B	None	900	900	0	900	0	070020493	A99999	N	None	None	SFY2005-06
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2005-09-14 00:00:00	070002607	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-07-21 00:00:00	None	Yes	2005-10-05 00:00:00	2005-09-15 00:00:00	B	None	700	700	-700	0	0	070020498	A99999	N	None	None	SFY2005-06
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2005-12-08 00:00:00	070002608	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-12 00:00:00	2005-09-12 00:00:00	Yes	2006-01-04 00:00:00	2007-12-12 00:00:00	A	A	10000	3500	0	3500	0	070020501	A99999	N	None	None	SFY2005-06
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2005-12-12 00:00:00	070002609	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-11-16 00:00:00	None	No	2006-01-11 00:00:00	None	B	None	750	750	0	750	0	070020502	A99999	N	None	None	SFY2005-06
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-01-05 00:00:00	070002610	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-30 00:00:00	None	No	2006-01-27 00:00:00	None	B	None	800	800	0	800	0	070020504	A99999	N	None	None	SFY2005-06
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2006-01-09 00:00:00	070002611	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-11-11 00:00:00	2005-11-11 00:00:00	No	2006-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	070020505	A99999	N	None	None	SFY2005-06
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-02-01 00:00:00	070002612	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-11-24 00:00:00	2005-11-24 00:00:00	Yes	2006-02-24 00:00:00	2006-02-02 00:00:00	B	B	1000	1100	-100	1000	0	070020507	A99999	N	None	None	SFY2005-06
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2006-03-14 00:00:00	070002923	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-03 00:00:00	2006-02-03 00:00:00	Yes	2006-04-05 00:00:00	2006-03-23 00:00:00	B	B	1000	1000	0	1000	0	None	WT8411	N	CA00072037, CA00072382, CA00072384	B, B, B	SFY2005-06
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2006-03-14 00:00:00	070002925	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-02-06 00:00:00	2006-02-06 00:00:00	Yes	2006-04-05 00:00:00	2006-03-23 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	None	WT8411	N	CA00072037	B	SFY2005-06
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-03-15 00:00:00	070002935	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2006-03-05 00:00:00	2006-03-05 00:00:00	No	2006-04-06 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	IUY011	N	CA00074156, CA00074510	B, B	SFY2005-06
070001384	BLOSSOM HILL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002941	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-12-19 00:00:00	2005-12-19 00:00:00	Yes	2006-04-14 00:00:00	2006-04-10 00:00:00	A	A	10000	3333	0	3333	0	None	C3RW11	N	CA00072470	B	SFY2005-06
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-22 00:00:00	070002959	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-08-30 00:00:00	2005-08-30 00:00:00	No	2006-04-28 00:00:00	None	AA	None	20000	20000	-7000	13000	0	None	IF0A11	Y	CA00059878	B	SFY2005-06
070001362	SHINRAI-ARAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002961	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-03 00:00:00	2005-12-03 00:00:00	No	2006-04-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	C6E911	N	CA00072298	B	SFY2005-06
070001362	SHINRAI-ARAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002978	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-08-30 00:00:00	2005-08-30 00:00:00	No	2006-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	C6E911	N	CA00072298	B	SFY2005-06
070001384	BLOSSOM HILL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002980	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-12-19 00:00:00	2005-12-19 00:00:00	Yes	2006-04-14 00:00:00	2006-04-10 00:00:00	A	A	10000	3333	0	3333	0	None	C3RW11	N	CA00072470	B	SFY2005-06
070001384	BLOSSOM HILL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002982	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-12-19 00:00:00	2005-12-19 00:00:00	Yes	2006-04-14 00:00:00	2006-04-10 00:00:00	A	A	10000	3333	0	3333	0	None	C3RW11	N	CA00072470	B	SFY2005-06
070001384	BLOSSOM HILL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002983	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-12-27 00:00:00	2005-12-27 00:00:00	Yes	2006-04-14 00:00:00	2006-04-10 00:00:00	A	A	10000	3333	0	3333	0	None	C3RW11	N	CA00072470	B	SFY2005-06
070001384	BLOSSOM HILL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002984	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-19 00:00:00	2005-12-19 00:00:00	No	2006-04-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	C3RW11	N	CA00072470	B	SFY2005-06
070001384	BLOSSOM HILL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002985	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-05-15 00:00:00	2004-05-15 00:00:00	Yes	2006-04-14 00:00:00	2006-04-10 00:00:00	A	A	10000	3333	0	3333	0	None	C3RW11	N	CA00072470	B	SFY2005-06
070001384	BLOSSOM HILL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002986	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2005-04-01 00:00:00	2005-04-01 00:00:00	Yes	2006-04-14 00:00:00	2006-04-10 00:00:00	AA	AA	25000	8333	0	8333	0	None	C3RW11	Y	CA00072470	B	SFY2005-06
070001384	BLOSSOM HILL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002988	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-27 00:00:00	2005-12-27 00:00:00	No	2006-04-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	C3RW11	N	CA00072470	B	SFY2005-06
070001384	BLOSSOM HILL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002989	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-03-07 00:00:00	2006-03-07 00:00:00	No	2006-04-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	C3RW11	N	CA00072470	B	SFY2005-06
070000076	THE RIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-03-24 00:00:00	070002990	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-29 00:00:00	2005-03-29 00:00:00	Yes	2006-04-17 00:00:00	2006-04-03 00:00:00	B	B	1000	500	0	500	0	None	LINJ11	N	CA00070504	B	SFY2005-06
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-03-29 00:00:00	070003000	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-15 00:00:00	2006-03-15 00:00:00	Yes	2006-04-20 00:00:00	2006-04-03 00:00:00	B	B	1000	500	0	500	0	None	M31S11	N	CA00070613	C	SFY2005-06
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-04-06 00:00:00	070003018	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-02-17 00:00:00	2006-02-17 00:00:00	No	2006-04-27 00:00:00	None	B	None	900	900	-315	585	0	None	1TE611	N	None	None	SFY2005-06
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-05-18 00:00:00	070003103	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-04-03 00:00:00	2006-04-03 00:00:00	Yes	2006-06-13 00:00:00	2006-05-23 00:00:00	B	B	1000	500	0	500	0	None	6BRU11	N	CA00076983	B	SFY2005-06
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-05-18 00:00:00	070003107	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-04-03 00:00:00	2006-04-03 00:00:00	Yes	2006-06-13 00:00:00	2006-05-23 00:00:00	B	B	1000	500	0	500	0	None	6BRU11	N	CA00076983	B	SFY2005-06
070000050	EMPRESS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Jose	2006-05-24 00:00:00	070003118	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2006-05-16 00:00:00	2006-05-16 00:00:00	No	2006-06-15 00:00:00	None	B	None	800	800	-280	520	0	None	QXPK11	N	CA00080997	B	SFY2005-06
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-07-06 00:00:00	070003124	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-03-30 00:00:00	2006-03-30 00:00:00	Yes	2006-07-27 00:00:00	2006-07-14 00:00:00	A	A	20000	8000	0	8000	0	None	6BRU11	Y	CA00079887	B	SFY2006-07
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-06-08 00:00:00	070003147	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-06-01 00:00:00	2006-06-01 00:00:00	No	2006-06-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	D05C11	N	CA00079413, CA00080018, CA00082139	B, B, A	SFY2005-06
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-06-08 00:00:00	070003149	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-05-31 00:00:00	2006-05-31 00:00:00	No	2006-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	D05C11	N	CA00079413, CA00080018, CA00082139	B, B, A	SFY2005-06
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-06-26 00:00:00	070003158	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-05-23 00:00:00	2006-05-23 00:00:00	No	2006-07-18 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	64OH11	Y	CA00081735	B	SFY2005-06
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-06-28 00:00:00	070003183	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-16 00:00:00	2006-02-16 00:00:00	Yes	2011-02-28 00:00:00	2006-07-06 00:00:00	B	B	1000	14300	-13300	1000	0	None	7UMF11	N	CA00074974	A	SFY2005-06
070000030	MARGUERITE TERRACE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-07-14 00:00:00	070003210	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-04-19 00:00:00	2006-04-19 00:00:00	Yes	2006-08-04 00:00:00	2006-07-28 00:00:00	A	A	20000	20000	0	20000	0	None	H08T11	N	CA00083254, CA00084243	B, B	SFY2006-07
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-07-17 00:00:00	070003211	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-23 00:00:00	2006-06-23 00:00:00	Yes	2006-08-23 00:00:00	2006-07-19 00:00:00	B	B	1000	500	0	500	0	None	9XIY11	N	CA00084267, CA00084856	B, B	SFY2006-07
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-07-26 00:00:00	070003227	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-07 00:00:00	2006-07-07 00:00:00	No	2006-08-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	9VC711	N	CA00085976	B	SFY2006-07
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-08-15 00:00:00	070003285	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2006-07-25 00:00:00	2006-07-25 00:00:00	No	2006-09-06 00:00:00	None	B	None	1000	9650	-350	9300	0	None	XKCN11	N	CA00083429, CA00083644, CA00087351, CA00087477	B, B, C, B	SFY2006-07
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-08-21 00:00:00	070003304	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-07-19 00:00:00	2006-07-19 00:00:00	Yes	2006-09-12 00:00:00	2006-08-25 00:00:00	B	B	1000	500	0	500	0	None	FZE911	N	CA00088306	B	SFY2006-07
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-08-29 00:00:00	070003314	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-24 00:00:00	2006-08-24 00:00:00	No	2006-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	4GKQ11	N	CA00090819	B	SFY2006-07
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-09-13 00:00:00	070003343	Closed	Citation	Citation A (HSC 1424)	Medication	None	2006-06-16 00:00:00	2006-06-16 00:00:00	Yes	2006-10-04 00:00:00	2006-09-18 00:00:00	A	A	16000	6000	0	6000	0	None	6NRF11	N	CA00087432	C	SFY2006-07
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-09-26 00:00:00	070003371	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-16 00:00:00	2006-06-16 00:00:00	Yes	2006-10-18 00:00:00	2006-10-12 00:00:00	A	None	18000	18000	0	18000	0	None	VIZ611	N	CA00083911	B	SFY2006-07
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-09-26 00:00:00	070003373	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-28 00:00:00	2006-06-28 00:00:00	Yes	2006-10-18 00:00:00	2006-10-12 00:00:00	B	None	1000	1000	0	1000	0	None	VIZ611	N	CA00088868, CA00089152	B, B	SFY2006-07
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-10-11 00:00:00	070003412	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-09-13 00:00:00	2006-09-13 00:00:00	Yes	2006-11-01 00:00:00	2006-10-17 00:00:00	B	B	900	450	0	450	0	None	N6W311	N	CA00092990	B	SFY2006-07
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-10-11 00:00:00	070003413	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-09-13 00:00:00	2006-09-13 00:00:00	Yes	2006-11-06 00:00:00	2006-10-17 00:00:00	B	B	900	450	0	450	0	None	N6W311	N	CA00092990	B	SFY2006-07
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-10-19 00:00:00	070003426	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-07-24 00:00:00	2006-07-24 00:00:00	Yes	2006-11-16 00:00:00	2006-10-23 00:00:00	AA	AA	100000	100000	-86855	13145	0	None	8VSP11	Y	CA00087808, CA00088047, CA00092697	B, B, B	SFY2006-07
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-11-02 00:00:00	070003427	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-06-11 00:00:00	2006-06-11 00:00:00	Yes	2006-11-28 00:00:00	2006-11-03 00:00:00	AA	AA	100000	100000	-86855	13145	0	None	8VSP11	Y	CA00089987	B	SFY2006-07
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-10-19 00:00:00	070003428	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-31 00:00:00	2006-08-31 00:00:00	Yes	2006-11-09 00:00:00	2006-10-23 00:00:00	A	A	20000	20000	-17371	2629	0	None	8VSP11	N	CA00091847, CA00093777	B, B	SFY2006-07
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-10-19 00:00:00	070003429	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-26 00:00:00	2006-09-26 00:00:00	Yes	2006-11-09 00:00:00	2006-10-23 00:00:00	B	B	1000	1000	-869	131	0	None	8VSP11	N	CA00093260	B	SFY2006-07
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-10-23 00:00:00	070003439	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-19 00:00:00	2006-09-19 00:00:00	Yes	2006-11-14 00:00:00	2006-10-31 00:00:00	B	Dismissed by Court	850	0	0	0	0	None	CFU511	N	CA00093129, CA00093257	B, B	SFY2006-07
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-11-02 00:00:00	070003460	Closed	Citation	Citation A (HSC 1424)	Medication	None	2006-07-31 00:00:00	2006-07-31 00:00:00	No	2006-11-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MR7R11	N	None	None	SFY2006-07
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-11-02 00:00:00	070003461	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-07-31 00:00:00	2006-07-31 00:00:00	No	2006-11-28 00:00:00	None	B	None	900	900	-315	585	0	None	MR7R11	N	None	None	SFY2006-07
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-11-08 00:00:00	070003472	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-28 00:00:00	2006-09-28 00:00:00	Yes	2006-12-04 00:00:00	2006-11-27 00:00:00	B	B	900	450	0	450	0	None	UYVE11	N	CA00096309, CA00096476	C, B	SFY2006-07
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-11-16 00:00:00	070003475	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-21 00:00:00	2006-10-21 00:00:00	No	2006-12-11 00:00:00	None	B	None	700	700	-245	455	0	None	4UWR11	N	CA00097037, CA00097045	B, B	SFY2006-07
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-11-30 00:00:00	070003529	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2006-11-06 00:00:00	2006-11-06 00:00:00	Yes	2006-12-21 00:00:00	2006-12-14 00:00:00	AA	A	100000	20000	0	20000	0	None	H3O811	Y	CA00097430	B	SFY2006-07
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-12-07 00:00:00	070003530	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-14 00:00:00	2006-08-14 00:00:00	No	2006-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	YQ1I11	N	CA00090167	C	SFY2006-07
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-11-30 00:00:00	070003535	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-11-06 00:00:00	2006-11-06 00:00:00	No	2006-12-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	H3O811	N	None	None	SFY2006-07
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2006-12-11 00:00:00	070003548	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-11-15 00:00:00	2006-11-15 00:00:00	No	2007-01-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	Y1T011	N	CA00098674	B	SFY2006-07
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-12-07 00:00:00	070003549	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-20 00:00:00	2006-11-20 00:00:00	Yes	2006-12-29 00:00:00	2006-12-15 00:00:00	B	B	700	1050	0	1050	0	None	V9WP11	N	CA00099700, CA00099884	C, C	SFY2006-07
070001333	LENA'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-12-05 00:00:00	070003550	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-30 00:00:00	2006-10-30 00:00:00	No	2006-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	7F2011	N	CA00098207	B	SFY2006-07
070001333	LENA'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-12-05 00:00:00	070003551	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-30 00:00:00	2006-10-30 00:00:00	No	2006-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	7F2011	N	CA00098207	B	SFY2006-07
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-01-08 00:00:00	070003595	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-16 00:00:00	2006-09-16 00:00:00	No	2007-02-06 00:00:00	None	B	None	800	800	0	800	0	None	Y8R311	N	CA00097452	B	SFY2006-07
070000780	EDEN VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-04-18 00:00:00	070003663	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-05 00:00:00	2006-12-05 00:00:00	No	2007-05-09 00:00:00	None	B	None	500	500	0	500	0	None	10T611	N	CA00100688	B	SFY2006-07
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-01-24 00:00:00	070003664	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-12-23 00:00:00	2006-12-23 00:00:00	No	2007-02-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	X4RL11	N	CA00102817, CA00102830	B, B	SFY2006-07
070000050	EMPRESS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Jose	2007-03-06 00:00:00	070003684	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-21 00:00:00	2006-11-21 00:00:00	No	2007-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	1KO411	N	CA00097972, CA00099519, CA00100943	C, C, C	SFY2006-07
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-02-26 00:00:00	070003702	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-10-17 00:00:00	2006-10-17 00:00:00	Yes	2007-03-19 00:00:00	2007-03-02 00:00:00	AA	A	100000	5000	0	5000	0	None	NSI811	Y	CA00104898	B	SFY2006-07
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-02-26 00:00:00	070003757	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-17 00:00:00	2006-10-17 00:00:00	Yes	2007-04-06 00:00:00	2007-03-02 00:00:00	B	Drop>Deficiency	1000	0	0	0	0	None	NSI811	N	CA00104898	B	SFY2006-07
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2007-04-20 00:00:00	070003758	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-02-06 00:00:00	2007-02-06 00:00:00	Yes	2007-05-11 00:00:00	2007-05-03 00:00:00	B	None	1000	1150	0	1150	0	None	MTOP11	N	CA00105986	C	SFY2006-07
070000050	EMPRESS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Jose	2007-03-06 00:00:00	070003766	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-16 00:00:00	2006-05-16 00:00:00	No	2007-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	1KO411	N	CA00097972	C	SFY2006-07
070000050	EMPRESS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Jose	2007-03-06 00:00:00	070003767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-22 00:00:00	2006-05-22 00:00:00	No	2007-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	1KO411	N	CA00097972	C	SFY2006-07
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-03-06 00:00:00	070003772	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-13 00:00:00	2007-02-13 00:00:00	No	2007-03-30 00:00:00	None	B	B Trebled	1000	3000	-2606	394	0	None	Y0VE11	N	CA00106500, CA00106593	C, A	SFY2006-07
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2007-03-07 00:00:00	070003778	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-19 00:00:00	2007-02-19 00:00:00	Yes	2007-03-28 00:00:00	2007-03-20 00:00:00	B	B	1000	500	0	500	0	None	MTOP11	N	CA00106836, CA00106926	B, B	SFY2006-07
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2007-03-14 00:00:00	070003803	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-22 00:00:00	2007-02-22 00:00:00	No	2007-04-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	PAY011	N	None	None	SFY2006-07
070000726	TUPAZ HOME #9	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2007-03-21 00:00:00	070003832	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-14 00:00:00	2007-02-14 00:00:00	No	2007-04-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	J2GG11	N	CA00108426	A	SFY2006-07
070000726	TUPAZ HOME #9	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2007-03-21 00:00:00	070003837	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-02-14 00:00:00	2007-02-14 00:00:00	No	2007-04-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	J2GG11	N	CA00108426	A	SFY2006-07
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-04-18 00:00:00	070003873	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2007-03-27 00:00:00	2007-03-27 00:00:00	Yes	2007-05-09 00:00:00	2007-04-27 00:00:00	B	B	1000	550	-50	500	0	None	4SEV11	N	CA00108933	C	SFY2006-07
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-04-18 00:00:00	070003874	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-01-02 00:00:00	2007-01-02 00:00:00	Yes	2007-05-09 00:00:00	2007-04-27 00:00:00	B	B	1000	550	-50	500	0	None	4SEV11	N	CA00108933	C	SFY2006-07
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-04-24 00:00:00	070003892	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-07 00:00:00	2007-03-07 00:00:00	Yes	2007-05-15 00:00:00	2007-05-01 00:00:00	B	B	700	350	0	350	0	None	Q8WW11	N	CA00110542	B	SFY2006-07
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-04-18 00:00:00	070003895	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2007-03-17 00:00:00	2007-03-17 00:00:00	No	2007-05-09 00:00:00	None	B	None	900	900	0	900	0	None	XBYO11	N	CA00110675	A	SFY2006-07
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2007-04-18 00:00:00	070003898	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-31 00:00:00	2006-08-31 00:00:00	Yes	2007-05-09 00:00:00	2007-04-19 00:00:00	A	A	2000	2000	0	2000	0	None	DBNI11	N	CA00098961	B	SFY2006-07
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-06-01 00:00:00	070003903	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-13 00:00:00	2006-09-13 00:00:00	Yes	2007-06-22 00:00:00	2007-06-11 00:00:00	B	B	700	300	0	300	0	None	F4DD11	N	CA00110407	C	SFY2006-07
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2007-05-22 00:00:00	070003904	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-12 00:00:00	2007-04-12 00:00:00	Yes	2007-06-12 00:00:00	2007-06-06 00:00:00	B	None	1000	3000	0	3000	0	None	HJ4D11	N	CA00110818, CA00111199, CA00111495, CA00111496	B, B, B, B	SFY2006-07
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2007-04-20 00:00:00	070003909	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-06 00:00:00	2007-02-06 00:00:00	Yes	2007-05-11 00:00:00	2007-05-03 00:00:00	B	None	1000	1150	0	1150	0	None	MTOP11	N	CA00105986	C	SFY2006-07
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2007-05-09 00:00:00	070003931	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-15 00:00:00	2007-03-15 00:00:00	Yes	2007-05-31 00:00:00	2007-05-21 00:00:00	B	B	500	250	0	250	0	None	5Z8N11	N	CA00109362	B	SFY2006-07
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-05-16 00:00:00	070003939	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-03-03 00:00:00	2007-03-03 00:00:00	No	2007-06-07 00:00:00	None	B	None	900	900	-315	585	0	None	IUR611	N	CA00108346, CA00108383	C, C	SFY2006-07
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-05-17 00:00:00	070003940	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-02 00:00:00	2007-04-02 00:00:00	No	2007-06-07 00:00:00	None	B	None	400	400	-140	260	0	None	1OQF11	N	CA00111132	B	SFY2006-07
070000989	SAN MIGUEL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2007-05-21 00:00:00	070003969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-19 00:00:00	2007-01-19 00:00:00	No	2007-06-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	LM3V11	N	CA00104549	B	SFY2006-07
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2007-06-04 00:00:00	070003981	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-03 00:00:00	2007-05-03 00:00:00	No	2007-06-25 00:00:00	None	B	None	600	600	-210	390	0	None	VPKQ11	N	CA00113698	B	SFY2006-07
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-05-31 00:00:00	070003989	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-05-17 00:00:00	2007-05-17 00:00:00	No	2007-06-21 00:00:00	None	A	None	14000	14000	-4900	9100	0	None	QXFO11	N	CA00115103	B	SFY2006-07
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-05-31 00:00:00	070003998	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-05-17 00:00:00	2007-05-17 00:00:00	No	2007-06-21 00:00:00	None	B	None	700	700	-245	455	0	None	QXFO11	N	CA00115103	B	SFY2006-07
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-06-01 00:00:00	070004006	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-03-27 00:00:00	2007-03-27 00:00:00	Yes	2007-06-22 00:00:00	2007-06-11 00:00:00	B	B	600	275	0	275	0	None	F4DD11	N	CA00110688	B	SFY2006-07
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-06-08 00:00:00	070004013	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-21 00:00:00	2007-02-21 00:00:00	No	2007-06-29 00:00:00	None	B	None	600	600	-210	390	0	None	6C6I11	N	CA00107833, CA00108479	B, B	SFY2006-07
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-07-10 00:00:00	070004014	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-31 00:00:00	2007-01-31 00:00:00	No	2007-07-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	C3IL11	N	CA00106931	A	SFY2007-08
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-06-11 00:00:00	070004015	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-07 00:00:00	2007-04-07 00:00:00	No	2007-07-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	1KKO11	N	CA00111699	B	SFY2006-07
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-07-05 00:00:00	070004061	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-04-30 00:00:00	2007-04-30 00:00:00	No	2007-07-26 00:00:00	None	B	None	400	400	-140	260	0	None	B08A11	N	CA00114872	B	SFY2007-08
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-01 00:00:00	070004062	Closed	Citation	Citation A (HSC 1424)	Dietary	None	2007-06-16 00:00:00	2007-06-16 00:00:00	Yes	2007-08-30 00:00:00	2007-08-10 00:00:00	A	A	20000	10500	0	10500	0	None	OCX311	Y	CA00117953	B	SFY2007-08
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-17 00:00:00	070004063	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-06-12 00:00:00	2007-06-12 00:00:00	Yes	2007-09-10 00:00:00	2007-08-24 00:00:00	B	B Trebled	1000	1500	0	1500	0	None	TVZF11	N	CA00117618	B	SFY2007-08
070000012	LINCOLN GLEN SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Jose	2007-07-05 00:00:00	070004071	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-29 00:00:00	2007-01-29 00:00:00	No	2007-07-26 00:00:00	None	B	None	400	400	0	400	0	None	0WU411	N	CA00105731	B	SFY2007-08
070000012	LINCOLN GLEN SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Jose	2007-07-05 00:00:00	070004072	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-01-29 00:00:00	2007-01-29 00:00:00	No	2007-07-26 00:00:00	None	B	None	500	500	0	500	0	None	0WU411	N	CA00105731	B	SFY2007-08
070000012	LINCOLN GLEN SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Jose	2007-07-05 00:00:00	070004073	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-01-29 00:00:00	2007-01-29 00:00:00	No	2007-07-26 00:00:00	None	B	None	600	600	0	600	0	None	0WU411	N	CA00105731	B	SFY2007-08
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-16 00:00:00	070004088	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-24 00:00:00	2007-06-24 00:00:00	Yes	2007-09-07 00:00:00	2007-08-28 00:00:00	B	None	750	750	-750	0	0	None	9KBA11	N	CA00118586, CA00118670	C, C	SFY2007-08
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-09-04 00:00:00	070004089	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-05-11 00:00:00	2007-05-11 00:00:00	No	2007-09-25 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	ENS411	N	CA00115403, CA00116407	B, B	SFY2007-08
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-07-12 00:00:00	070004091	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-08-29 00:00:00	2006-08-29 00:00:00	No	2007-08-02 00:00:00	None	B	None	600	700	-210	490	0	None	36JK11	N	CA00091871	B	SFY2007-08
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-07-13 00:00:00	070004092	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-03 00:00:00	2007-07-03 00:00:00	No	2007-08-03 00:00:00	None	B	None	650	650	0	650	0	None	ZYH811	N	CA00118349	B	SFY2007-08
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-16 00:00:00	070004106	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-19 00:00:00	2007-06-19 00:00:00	Yes	2007-09-07 00:00:00	2007-08-28 00:00:00	B	None	600	600	-600	0	0	None	9KBA11	N	CA00118124, CA00118227	B, B	SFY2007-08
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-08 00:00:00	070004142	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-06-29 00:00:00	2007-06-29 00:00:00	No	2007-08-29 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	B0OT11	N	None	None	SFY2007-08
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-13 00:00:00	070004151	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-07-17 00:00:00	2007-07-17 00:00:00	No	2007-09-04 00:00:00	None	B	None	700	700	0	700	0	None	1M6W11	N	CA00121046, CA00121319	B, C	SFY2007-08
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-21 00:00:00	070004162	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-25 00:00:00	2007-05-25 00:00:00	No	2007-09-12 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	U0JG11	N	CA00115824	C	SFY2007-08
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-28 00:00:00	070004164	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-22 00:00:00	2007-06-22 00:00:00	No	2007-09-19 00:00:00	None	A	None	15000	15000	0	15000	0	None	24UI11	N	CA00118906	B	SFY2007-08
070000092	VALLEY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2007-09-06 00:00:00	070004178	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-21 00:00:00	2007-07-21 00:00:00	Yes	2007-09-27 00:00:00	2007-09-27 00:00:00	B	B	750	487.5	0	487.5	0	None	4U6J11	N	CA00121717	A	SFY2007-08
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-09-06 00:00:00	070004183	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-07-01 00:00:00	2007-07-01 00:00:00	No	2007-09-27 00:00:00	None	A	None	15000	15000	0	15000	0	None	VXON11	N	CA00119153, CA00120119	B, C	SFY2007-08
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-15 00:00:00	070004184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-05 00:00:00	2007-07-05 00:00:00	Yes	2007-09-06 00:00:00	2007-08-24 00:00:00	B	None	1000	1000	0	1000	0	None	GWOF11	N	CA00119500, CA00119508, CA00119566, CA00119571	B, B, B, B	SFY2007-08
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-17 00:00:00	070004193	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-06-12 00:00:00	2007-06-12 00:00:00	Yes	2007-09-10 00:00:00	2007-08-24 00:00:00	B	B	600	300	0	300	0	None	TVZF11	N	CA00117618	B	SFY2007-08
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-12-20 00:00:00	070004210	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-25 00:00:00	2007-06-25 00:00:00	No	2008-01-16 00:00:00	None	B	B	600	600	-522	78	0	None	1ICS11	N	CA00120865	B	SFY2007-08
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-30 00:00:00	070004211	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-25 00:00:00	2007-06-25 00:00:00	No	2007-09-21 00:00:00	None	A	None	15000	15000	0	15000	0	None	EXLHII	N	CA00122760	B	SFY2007-08
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-09-06 00:00:00	070004238	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-08-27 00:00:00	2007-08-27 00:00:00	No	2007-09-27 00:00:00	None	B	None	900	900	-315	585	0	None	T4QN11	N	CA00124083	B	SFY2007-08
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2007-09-25 00:00:00	070004263	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-07 00:00:00	2007-08-07 00:00:00	No	2007-10-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	MR2511	N	CA00124264	B	SFY2007-08
070000568	TUPAZ HOME #10	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2007-10-02 00:00:00	070004271	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-16 00:00:00	2007-07-16 00:00:00	No	2007-10-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	T98611	N	CA00121270	B	SFY2007-08
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-11-08 00:00:00	070004291	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-02 00:00:00	2007-03-02 00:00:00	Yes	2007-12-07 00:00:00	2007-11-19 00:00:00	B	None	650	650	-650	0	0	None	ER7311	N	CA00123504	B	SFY2007-08
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-10-12 00:00:00	070004303	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-24 00:00:00	2007-05-24 00:00:00	Yes	2007-11-02 00:00:00	2007-10-19 00:00:00	B	B	600	600	0	600	0	None	NTS011	N	CA00115595	C	SFY2007-08
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-11 00:00:00	070004321	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-20 00:00:00	2007-07-20 00:00:00	No	2008-02-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	XVQH11	N	CA00121153, CA00121155	B, B	SFY2007-08
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-10-25 00:00:00	070004393	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-15 00:00:00	2007-10-15 00:00:00	No	2007-11-16 00:00:00	None	B	None	600	600	0	600	0	None	86YO11	N	CA00129403	A	SFY2007-08
070000053	GOLDEN AGE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2007-11-01 00:00:00	070004417	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-10-09 00:00:00	2007-10-09 00:00:00	No	2007-11-27 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	OUH111	N	CA00129868, CA00129992	B, B	SFY2007-08
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2007-11-07 00:00:00	070004429	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-15 00:00:00	2007-09-15 00:00:00	Yes	2009-03-20 00:00:00	2009-03-11 00:00:00	A	A	20000	34000	0	34000	0	None	T1O811	N	CA00126633	A	SFY2007-08
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2007-11-07 00:00:00	070004430	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-09-15 00:00:00	2007-09-15 00:00:00	Yes	2007-12-03 00:00:00	2009-04-27 00:00:00	AA	A	100000	10000	0	10000	0	None	T1O811	Y	CA00126633	A	SFY2007-08
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2007-11-15 00:00:00	070004437	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-13 00:00:00	2006-06-13 00:00:00	Yes	2009-11-19 00:00:00	2009-11-03 00:00:00	A	A	20000	14000	0	14000	0	None	CS8711	N	CA00108905	B	SFY2007-08
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-11-08 00:00:00	070004438	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-07 00:00:00	2007-08-07 00:00:00	Yes	2007-12-07 00:00:00	2007-11-19 00:00:00	B	None	750	750	-750	0	0	None	ER7311	N	CA00123504	B	SFY2007-08
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-03-06 00:00:00	070004443	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-26 00:00:00	2007-10-26 00:00:00	Yes	2008-03-27 00:00:00	2008-03-07 00:00:00	B	B	1000	500	0	500	0	None	7M3011	N	CA00130506, CA00130814	C, B	SFY2007-08
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-12-20 00:00:00	070004495	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-08-25 00:00:00	2007-08-25 00:00:00	No	2008-01-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	T0DJ11	N	CA00131090, CA00132389	D, B	SFY2007-08
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-12-20 00:00:00	070004496	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-10-25 00:00:00	2007-10-25 00:00:00	No	2008-01-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	T0DJ11	N	CA00131090, CA00132389	D, B	SFY2007-08
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-12-20 00:00:00	070004497	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-25 00:00:00	2007-10-25 00:00:00	No	2008-01-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	T0DJ11	N	CA00130495	C	SFY2007-08
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-12-10 00:00:00	070004498	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-15 00:00:00	2007-11-15 00:00:00	Yes	2008-01-08 00:00:00	2007-12-11 00:00:00	B	B	750	375	0	375	0	None	BL9L11	N	CA00131645	B	SFY2007-08
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-12-10 00:00:00	070004505	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-03-08 00:00:00	2007-03-08 00:00:00	Yes	2012-03-08 00:00:00	2012-02-22 00:00:00	A	B	18000	18000	0	18000	0	None	BL9L11	N	None	None	SFY2007-08
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-12-10 00:00:00	070004506	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-10-28 00:00:00	2007-10-28 00:00:00	Yes	2008-01-08 00:00:00	2007-12-11 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	BL9L11	Y	None	None	SFY2007-08
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-12-20 00:00:00	070004531	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-11-20 00:00:00	2007-11-20 00:00:00	No	2008-01-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	T0DJ11	N	CA00130490, CA00133177	B, B	SFY2007-08
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-11 00:00:00	070004581	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-07-20 00:00:00	2007-07-20 00:00:00	No	2008-02-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	XVQH11	N	CA00121153, CA00121155	B, B	SFY2007-08
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-11 00:00:00	070004582	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-14 00:00:00	2007-09-14 00:00:00	No	2008-02-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	XVQH11	N	CA00126537, CA00131582	B, C	SFY2007-08
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-16 00:00:00	070004590	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-08 00:00:00	2007-12-08 00:00:00	No	2008-02-11 00:00:00	None	B	None	600	600	-210	390	0	None	PKGA11	N	CA00134378	B	SFY2007-08
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-02-07 00:00:00	070004595	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-12-06 00:00:00	2007-12-06 00:00:00	Yes	2008-03-05 00:00:00	2008-02-14 00:00:00	B	B	900	450	0	450	0	None	6YHQ11	N	CA00137347	A	SFY2007-08
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-24 00:00:00	070004596	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-28 00:00:00	2007-10-28 00:00:00	No	2008-02-15 00:00:00	None	B	None	800	800	-280	520	0	None	X43U11	N	CA00131647	B	SFY2007-08
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-31 00:00:00	070004631	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-01-09 00:00:00	2008-01-09 00:00:00	Yes	2008-02-25 00:00:00	2008-02-01 00:00:00	B	B	1000	500	0	500	0	None	VM0511	N	CA00138068	A	SFY2007-08
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-30 00:00:00	070004635	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-26 00:00:00	2007-08-26 00:00:00	No	2008-02-22 00:00:00	None	B	None	800	850	-280	570	0	None	OMW311	N	CA00135695	B	SFY2007-08
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-31 00:00:00	070004640	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-17 00:00:00	2008-01-17 00:00:00	No	2008-02-25 00:00:00	None	B	None	950	950	0	950	0	None	PBSY11	N	CA00136137	B	SFY2007-08
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-02-04 00:00:00	070004644	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-19 00:00:00	2007-11-19 00:00:00	Yes	2008-03-04 00:00:00	2008-02-06 00:00:00	B	B	800	800	-695	105	0	None	3SEZ11	N	CA00133925	B	SFY2007-08
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-02-01 00:00:00	070004645	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-12-25 00:00:00	2007-12-25 00:00:00	Yes	2008-02-27 00:00:00	2008-02-13 00:00:00	B	B	950	475	0	475	0	None	925911	N	CA00137121	B	SFY2007-08
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-02-08 00:00:00	070004656	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-08 00:00:00	2008-01-08 00:00:00	No	2008-03-04 00:00:00	None	B	None	900	900	-315	585	0	None	ZL3G11	N	CA00137137	B	SFY2007-08
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-02-07 00:00:00	070004668	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-12-06 00:00:00	2007-12-06 00:00:00	Yes	2008-03-05 00:00:00	2008-02-14 00:00:00	B	B	900	450	0	450	0	None	6YHQ11	N	CA00137347	A	SFY2007-08
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-02-07 00:00:00	070004669	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-12-06 00:00:00	2007-12-06 00:00:00	Yes	2008-03-05 00:00:00	2008-02-14 00:00:00	B	B	900	450	0	450	0	None	6YHQ11	N	CA00137347	A	SFY2007-08
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-03-12 00:00:00	070004726	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-11-19 00:00:00	2007-11-19 00:00:00	No	2008-04-04 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	TYSP11	N	CA00133433, CA00141880	B, B	SFY2007-08
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-03-12 00:00:00	070004727	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-19 00:00:00	2007-11-19 00:00:00	No	2008-04-04 00:00:00	None	B	None	800	800	0	800	0	None	TYSP11	N	CA00138955	B	SFY2007-08
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-23 00:00:00	070004728	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-24 00:00:00	2008-01-24 00:00:00	No	2008-05-20 00:00:00	None	B	None	750	750	0	750	0	None	TKWZ11	N	CA00139554	B	SFY2007-08
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2008-03-20 00:00:00	070004748	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-26 00:00:00	2007-09-26 00:00:00	No	2008-04-15 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	RL2C11	N	None	None	SFY2007-08
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-03-12 00:00:00	070004759	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-16 00:00:00	2008-02-16 00:00:00	No	2008-04-04 00:00:00	None	B	None	800	800	-280	520	0	None	BTMF11	N	CA00141045, CA00141385	B, B	SFY2007-08
070000006	LOS GATOS MEADOWS GERIATRIC HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-02 00:00:00	070004818	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-02 00:00:00	2008-01-02 00:00:00	Yes	2008-04-29 00:00:00	2008-04-07 00:00:00	A	A	14000	14000	0	14000	0	None	16KP11	N	CA00144081	B	SFY2007-08
070000006	LOS GATOS MEADOWS GERIATRIC HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-02 00:00:00	070004819	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-16 00:00:00	2008-01-16 00:00:00	Yes	2008-04-29 00:00:00	2008-04-07 00:00:00	A	A	16000	16000	0	16000	0	None	16KP11	N	CA00138758	B	SFY2007-08
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-03 00:00:00	070004854	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-02-13 00:00:00	2008-02-13 00:00:00	No	2008-04-29 00:00:00	None	B	None	800	800	-280	520	0	None	Q5WR11	N	CA00141040, CA00141539	B, B	SFY2007-08
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-03 00:00:00	070004855	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-02-14 00:00:00	2008-02-14 00:00:00	No	2008-04-29 00:00:00	None	B	None	800	800	-280	520	0	None	Q5WR11	N	CA00141040, CA00141539	B, B	SFY2007-08
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-03 00:00:00	070004856	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-14 00:00:00	2008-02-14 00:00:00	Yes	2008-04-29 00:00:00	2008-04-07 00:00:00	B	B	1000	500	0	500	0	None	Q5WR11	N	CA00141040, CA00141539	B, B	SFY2007-08
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-08 00:00:00	070004866	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-22 00:00:00	2008-03-22 00:00:00	No	2008-04-29 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	NKV811	N	CA00144692	B	SFY2007-08
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-10 00:00:00	070004895	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-24 00:00:00	2008-03-24 00:00:00	No	2008-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	XPEP11	N	CA00144948	B	SFY2007-08
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-21 00:00:00	070004902	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2008-05-15 00:00:00	None	B	None	700	700	-245	455	0	None	WRE611	N	CA00145016	B	SFY2007-08
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-21 00:00:00	070004914	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-01 00:00:00	2008-04-01 00:00:00	No	2008-05-16 00:00:00	None	B	None	900	900	-315	585	0	None	LTLQ11	N	CA00145748	B	SFY2007-08
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-02 00:00:00	070004944	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-15 00:00:00	2008-04-15 00:00:00	No	2008-05-23 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	3M2X11	N	CA00146666	B	SFY2007-08
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-21 00:00:00	070004945	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2008-05-15 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	WRE611	N	CA00145016	B	SFY2007-08
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-21 00:00:00	070004946	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2008-05-15 00:00:00	None	B	None	700	700	-245	455	0	None	WRE611	N	CA00145016	B	SFY2007-08
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-05 00:00:00	070004951	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-09 00:00:00	2008-04-09 00:00:00	Yes	2008-05-29 00:00:00	2008-05-13 00:00:00	B	B	800	400	0	400	0	None	R18V11	N	CA00147018, CA00147061, CA00147188, CA00147209	B, B, A, A	SFY2007-08
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-23 00:00:00	070004955	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-03-20 00:00:00	2008-03-20 00:00:00	No	2008-05-20 00:00:00	None	B	None	700	700	0	700	0	None	TKWZ11	N	None	None	SFY2007-08
070000092	VALLEY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-02 00:00:00	070004978	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-01-30 00:00:00	2008-01-30 00:00:00	Yes	2008-05-29 00:00:00	2008-05-09 00:00:00	B	B	500	325	0	325	0	None	DJTE11	N	CA00148299	C	SFY2007-08
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-01 00:00:00	070004981	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-11 00:00:00	2008-04-11 00:00:00	No	2008-05-22 00:00:00	None	B	None	800	800	-280	520	0	None	T0CE11	N	CA00146701	B	SFY2007-08
070000092	VALLEY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-02 00:00:00	070004986	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-04-25 00:00:00	2008-04-25 00:00:00	Yes	2008-05-29 00:00:00	2008-05-09 00:00:00	B	B	550	357.5	0	357.5	0	None	DJTE11	N	CA00148033	A	SFY2007-08
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-05 00:00:00	070004987	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-04-09 00:00:00	2008-04-09 00:00:00	Yes	2008-05-29 00:00:00	2008-05-13 00:00:00	B	B	700	350	0	350	0	None	R18V11	N	CA00147018, CA00147061, CA00147188, CA00147209	B, B, A, A	SFY2007-08
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-05 00:00:00	070004988	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-09 00:00:00	2008-04-09 00:00:00	Yes	2008-05-29 00:00:00	2008-05-13 00:00:00	B	B	700	350	0	350	0	None	R18V11	N	CA00147018, CA00147061, CA00147188, CA00147209	B, B, A, A	SFY2007-08
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-02 00:00:00	070004991	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-10 00:00:00	2008-04-10 00:00:00	No	2008-05-29 00:00:00	None	B	None	800	800	-280	520	0	None	3M2X11	N	CA00146666, CA00146678	B, B	SFY2007-08
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-09 00:00:00	070004994	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-04-21 00:00:00	2008-04-21 00:00:00	No	2008-06-02 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	OOSX11	N	CA00147259, CA00147792, CA00148115, CA00148119	B, B, B, A	SFY2007-08
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2008-06-09 00:00:00	070004997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-19 00:00:00	2007-10-19 00:00:00	No	2008-06-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	S6X411	N	CA00143341	B	SFY2007-08
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2008-06-09 00:00:00	070004998	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-25 00:00:00	2008-03-25 00:00:00	No	2008-06-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	S6X411	N	CA00144111	B	SFY2007-08
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-06 00:00:00	070005001	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-28 00:00:00	2007-10-28 00:00:00	No	2008-06-02 00:00:00	None	B	None	700	700	-245	455	0	None	HMWL11	N	CA00145834	C	SFY2007-08
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-09 00:00:00	070005009	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-04-03 00:00:00	2008-04-03 00:00:00	No	2008-06-02 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	P3JW11	N	CA00146234	C	SFY2007-08
070000022	BELLEROSE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-23 00:00:00	070005033	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-04-15 00:00:00	2008-04-15 00:00:00	No	2008-06-16 00:00:00	None	A	None	8500	8500	-2975	5525	0	None	L96G11	N	None	None	SFY2007-08
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-22 00:00:00	070005072	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-18 00:00:00	2008-04-18 00:00:00	No	2008-06-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	CCOB11	N	CA00149803	B	SFY2007-08
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-06-11 00:00:00	070005095	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-23 00:00:00	2008-04-23 00:00:00	No	2008-07-07 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	KYFW11	N	CA00149699	B	SFY2007-08
070000989	SAN MIGUEL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-05-30 00:00:00	070005096	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-25 00:00:00	2008-03-25 00:00:00	No	2008-06-20 00:00:00	None	B	None	500	500	-175	325	0	None	WI7411	N	CA00145286	B	SFY2007-08
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2008-06-17 00:00:00	070005105	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-06 00:00:00	2008-05-06 00:00:00	Yes	2008-07-15 00:00:00	2008-06-30 00:00:00	A	None	12000	12000	-12000	0	0	None	JQI811	N	CA00149707	B	SFY2007-08
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-07-02 00:00:00	070005117	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-06-05 00:00:00	2008-06-05 00:00:00	No	2008-07-28 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	7YKE11	N	CA00125530	C	SFY2008-09
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-06-19 00:00:00	070005118	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-05-04 00:00:00	2008-05-04 00:00:00	No	2008-07-21 00:00:00	None	B	None	900	900	0	900	0	None	UNRC11	N	CA00150162	B	SFY2007-08
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-06-11 00:00:00	070005129	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-12 00:00:00	2008-05-12 00:00:00	No	2008-07-07 00:00:00	None	B	None	800	800	-280	520	0	None	KYFW11	N	CA00150290	B	SFY2007-08
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-06-19 00:00:00	070005159	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-16 00:00:00	2008-03-16 00:00:00	No	2008-07-15 00:00:00	None	A	None	17000	17000	0	17000	0	None	TR4911	N	None	None	SFY2007-08
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-07-17 00:00:00	070005169	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-29 00:00:00	2008-04-29 00:00:00	Yes	2008-08-07 00:00:00	2008-07-24 00:00:00	B	B	750	525	0	525	0	None	8QMF11	N	CA00153195	B	SFY2008-09
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-06-23 00:00:00	070005170	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-06-16 00:00:00	2008-06-16 00:00:00	Yes	2008-07-15 00:00:00	2008-06-24 00:00:00	B	B	800	400	0	400	0	None	G8XR11	N	CA00152884	B	SFY2007-08
070000817	TUPAZ HOME #4	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-06-24 00:00:00	070005172	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-12 00:00:00	2008-06-12 00:00:00	Yes	2008-07-17 00:00:00	2008-06-25 00:00:00	B	B	800	400	0	400	0	None	WGP411	N	None	None	SFY2007-08
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-07-02 00:00:00	070005196	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-22 00:00:00	2007-08-22 00:00:00	No	2008-08-01 00:00:00	None	B	None	900	900	-315	585	0	None	7YKE11	N	CA00125530	C	SFY2008-09
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-07-02 00:00:00	070005197	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-06 00:00:00	2007-09-06 00:00:00	No	2008-07-28 00:00:00	None	B	None	900	900	-315	585	0	None	7YKE11	N	CA00125530	C	SFY2008-09
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-07-08 00:00:00	070005198	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-16 00:00:00	2008-06-16 00:00:00	No	2008-07-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	95CW11	N	None	None	SFY2008-09
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2008-07-11 00:00:00	070005222	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-04-11 00:00:00	2006-04-11 00:00:00	No	2008-08-04 00:00:00	None	B	None	800	800	0	800	0	None	R5GV11	N	CA00098314	B	SFY2008-09
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-07-23 00:00:00	070005227	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-02-18 00:00:00	2008-02-18 00:00:00	No	2008-08-22 00:00:00	None	A	None	18000	18000	0	18000	0	None	TDJD11	N	CA00156338	B	SFY2008-09
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-08-01 00:00:00	070005257	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-18 00:00:00	2008-07-18 00:00:00	No	2008-08-25 00:00:00	None	B	None	800	800	-280	520	0	None	0F6T11	N	CA00156419, CA00157160	B, B	SFY2008-09
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-08-01 00:00:00	070005258	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-11-09 00:00:00	2007-11-09 00:00:00	No	2008-08-25 00:00:00	None	B	None	400	400	0	400	0	None	0RR211	N	None	None	SFY2008-09
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-08-13 00:00:00	070005298	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-04 00:00:00	2008-07-04 00:00:00	No	2008-09-16 00:00:00	None	B	None	750	950	-262.5	687.5	0	None	OC5P11	N	CA00155612	B	SFY2008-09
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-08-13 00:00:00	070005299	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-04 00:00:00	2008-07-04 00:00:00	No	2008-09-04 00:00:00	None	B	None	700	700	-245	455	0	None	OC5P11	N	None	None	SFY2008-09
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-08-08 00:00:00	070005300	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-07-18 00:00:00	2008-07-18 00:00:00	No	2008-09-03 00:00:00	None	B	None	600	600	-210	390	0	None	KROR11	N	CA00157856	B	SFY2008-09
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2008-08-22 00:00:00	070005357	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-06-06 00:00:00	2008-06-06 00:00:00	No	2008-09-19 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	LCO911	N	CA00153382, CA00153382	B, B	SFY2008-09
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-08-29 00:00:00	070005358	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-13 00:00:00	2008-08-13 00:00:00	No	2008-09-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	JOM211	N	CA00160154	B	SFY2008-09
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-08-22 00:00:00	070005360	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-31 00:00:00	2008-05-31 00:00:00	Yes	2008-09-15 00:00:00	2008-09-17 00:00:00	B	B	700	350	0	350	0	None	VR8M11	N	CA00156278	B	SFY2008-09
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-09-05 00:00:00	070005379	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-08-28 00:00:00	2008-08-28 00:00:00	No	2008-10-03 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	M04W11	N	CA00160432, CA00161069	B, B	SFY2008-09
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-09-26 00:00:00	070005422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-04 00:00:00	2008-09-04 00:00:00	No	2008-10-21 00:00:00	None	B	None	700	700	-245	455	0	None	BYXM11	N	CA00162815	B	SFY2008-09
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2008-09-23 00:00:00	070005458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-05 00:00:00	2008-09-05 00:00:00	No	2008-10-21 00:00:00	None	B	None	700	700	-245	455	0	None	QYAF11	N	CA00162366	B	SFY2008-09
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-09-23 00:00:00	070005459	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-07 00:00:00	2008-09-07 00:00:00	Yes	2008-10-20 00:00:00	2008-09-25 00:00:00	B	B	750	375	0	375	0	None	2N4V11	N	CA00162731	B	SFY2008-09
070000953	LAWRENCE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-10-02 00:00:00	070005461	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-17 00:00:00	2008-09-17 00:00:00	No	2008-10-24 00:00:00	None	B	None	800	800	-280	520	0	None	3IAR11	N	None	None	SFY2008-09
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-10-01 00:00:00	070005473	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-09-24 00:00:00	2008-09-24 00:00:00	No	2008-10-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	TOP811	N	CA00163528	B	SFY2008-09
070000915	HACIENDA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-10-07 00:00:00	070005474	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-25 00:00:00	2008-09-25 00:00:00	No	2008-10-29 00:00:00	None	B	None	800	1000	-280	720	0	None	HGZ211	N	None	None	SFY2008-09
070000953	LAWRENCE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-10-02 00:00:00	070005483	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-17 00:00:00	2008-09-17 00:00:00	No	2008-10-24 00:00:00	None	B	None	800	800	-280	520	0	None	3IAR11	N	None	None	SFY2008-09
070000953	LAWRENCE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-10-02 00:00:00	070005484	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-17 00:00:00	2008-09-17 00:00:00	No	2008-10-24 00:00:00	None	B	None	800	800	-280	520	0	None	3IAR11	N	None	None	SFY2008-09
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-12-12 00:00:00	070005519	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-28 00:00:00	2008-09-28 00:00:00	Yes	2009-01-14 00:00:00	2008-12-31 00:00:00	B	B	875	437.5	0	437.5	0	None	X5BF11	N	CA00165376	B	SFY2008-09
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-10-17 00:00:00	070005527	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-10 00:00:00	2008-09-10 00:00:00	Yes	2008-11-10 00:00:00	2008-10-24 00:00:00	B	B	800	800	0	800	0	None	O30X11	N	CA00163511	B	SFY2008-09
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-10-17 00:00:00	070005535	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-26 00:00:00	2008-09-26 00:00:00	Yes	2011-03-07 00:00:00	2011-02-24 00:00:00	B	Drop>Deficiency	800	0	0	0	0	None	P6QR11	N	CA00165038	B	SFY2008-09
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-12-01 00:00:00	070005598	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-27 00:00:00	2008-10-27 00:00:00	Yes	2014-01-01 00:00:00	2013-12-16 00:00:00	B	B	1000	1000	0	1000	0	None	3Q4C11	N	CA00167747	B	SFY2008-09
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-11-26 00:00:00	070005616	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-11 00:00:00	2008-09-11 00:00:00	Yes	2012-05-04 00:00:00	2012-04-23 00:00:00	A	A	17000	8200	0	8200	0	None	E5AT11	N	CA00168971	B	SFY2008-09
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-12-09 00:00:00	070005655	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-23 00:00:00	2008-10-23 00:00:00	No	2009-01-07 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	BMOM11	N	CA00167366	B	SFY2008-09
070001309	TUPAZ HOME #8	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-12-24 00:00:00	070005718	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-15 00:00:00	2008-12-15 00:00:00	Yes	2009-01-21 00:00:00	2009-01-07 00:00:00	B	B	1000	500	0	500	0	None	7WUW11	N	None	None	SFY2008-09
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-12-31 00:00:00	070005728	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-13 00:00:00	2008-12-13 00:00:00	No	2009-01-30 00:00:00	None	B	None	850	850	0	850	0	None	BWY111	N	CA00172401	B	SFY2008-09
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-12-31 00:00:00	070005748	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-13 00:00:00	2008-12-13 00:00:00	No	2009-01-30 00:00:00	None	B	None	900	900	0	900	0	None	BWY111	N	CA00172401	B	SFY2008-09
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-12-31 00:00:00	070005749	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-13 00:00:00	2008-12-13 00:00:00	No	2009-01-30 00:00:00	None	B	None	950	950	0	950	0	None	BWY111	N	CA00172401	B	SFY2008-09
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-01-13 00:00:00	070005782	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-11-22 00:00:00	2008-11-22 00:00:00	No	2009-02-03 00:00:00	None	B	None	800	800	-280	520	0	None	6OP111	N	CA00173446	B	SFY2008-09
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-01-14 00:00:00	070005794	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-21 00:00:00	2008-12-21 00:00:00	No	2009-02-25 00:00:00	None	B	None	600	600	-210	390	0	None	DGHN11	N	CA00172704	B	SFY2008-09
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2009-01-23 00:00:00	070005818	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-01-05 00:00:00	2009-01-05 00:00:00	Yes	2014-02-10 00:00:00	2009-02-02 00:00:00	B	Dismissed by Court	600	0	0	0	0	None	5E0Q11	N	CA00174025	B	SFY2008-09
070000022	BELLEROSE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2009-02-05 00:00:00	070005823	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-21 00:00:00	2009-01-21 00:00:00	Yes	2009-03-11 00:00:00	2009-02-18 00:00:00	B	None	800	800	-800	0	0	None	RHWA11	N	CA00174727	B	SFY2008-09
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-01-27 00:00:00	070005825	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-01-07 00:00:00	2009-01-07 00:00:00	Yes	2014-01-01 00:00:00	2009-02-04 00:00:00	B	B	1000	1000	0	1000	0	None	XPDT11	N	CA00174274, CA00174277, CA00174346, CA00174348, CA00174445	B, B, B, B, B	SFY2008-09
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-02-04 00:00:00	070005843	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-01-08 00:00:00	2009-01-08 00:00:00	No	2009-03-13 00:00:00	None	B	None	900	900	-315	585	0	None	LXWB11	N	CA00174662	C	SFY2008-09
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-03-17 00:00:00	070005844	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-05 00:00:00	2009-01-05 00:00:00	No	2009-04-08 00:00:00	None	B	None	900	900	-315	585	0	None	0TI811	N	CA00175727	B	SFY2008-09
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-02-05 00:00:00	070005863	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-30 00:00:00	2009-01-30 00:00:00	Yes	2009-03-23 00:00:00	2009-02-18 00:00:00	B	None	750	750	0	750	0	None	TJHY11	N	CA00176212	B	SFY2008-09
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2009-02-11 00:00:00	070005879	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-28 00:00:00	2008-12-28 00:00:00	No	2009-03-16 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	BWZF11	N	None	None	SFY2008-09
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-02-18 00:00:00	070005881	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-14 00:00:00	2008-10-14 00:00:00	No	2009-03-20 00:00:00	None	B	None	700	700	-245	455	0	None	0QFW11	N	None	None	SFY2008-09
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-02-23 00:00:00	070005900	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-15 00:00:00	2009-01-15 00:00:00	Yes	2009-03-19 00:00:00	2009-03-02 00:00:00	B	B	850	552.5	0	552.5	0	None	C7NS11	N	CA00175100	B	SFY2008-09
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-02-25 00:00:00	070005901	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-07 00:00:00	2009-01-07 00:00:00	No	2009-03-20 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	E18F11	N	CA00177323	B	SFY2008-09
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-03-09 00:00:00	070005934	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-11 00:00:00	2009-02-11 00:00:00	No	2009-04-07 00:00:00	None	B	None	900	900	-315	585	0	None	R0VT11	N	CA00177842	A	SFY2008-09
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-03-10 00:00:00	070005949	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	No	2009-04-03 00:00:00	None	B	None	600	600	0	600	0	None	COMK11	N	CA00178932, CA00179566	B, B	SFY2008-09
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-03-17 00:00:00	070005970	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-13 00:00:00	2009-02-13 00:00:00	No	2009-04-08 00:00:00	None	A	None	7000	21000	-7350	13650	0	None	HLWS11	N	CA00177995, CA00180960	B, B	SFY2008-09
630010933	SILVER STAR ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-03-18 00:00:00	070005980	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-02 00:00:00	2009-03-02 00:00:00	No	2009-04-21 00:00:00	None	B	None	700	700	-245	455	0	None	ZELX11	N	None	None	SFY2008-09
630010933	SILVER STAR ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-03-18 00:00:00	070005981	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-02 00:00:00	2009-03-02 00:00:00	No	2009-04-21 00:00:00	None	B	None	500	500	-175	325	0	None	ZELX11	N	None	None	SFY2008-09
070000002	WOODLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-10 00:00:00	070006045	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-01 00:00:00	2009-04-01 00:00:00	Yes	2009-05-18 00:00:00	2009-04-16 00:00:00	A	None	13000	13000	-13000	0	0	None	M5MO11	N	CA00182153	B	SFY2008-09
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-17 00:00:00	070006065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-25 00:00:00	2009-03-25 00:00:00	No	2009-05-14 00:00:00	None	B	None	850	2550	-892.5	1657.5	0	None	G49N11	N	CA00182901	B	SFY2008-09
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-24 00:00:00	070006073	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-05 00:00:00	2009-04-05 00:00:00	No	2009-05-15 00:00:00	None	B	None	600	600	-210	390	0	None	05DE11	N	CA00178342, CA00179308, CA00179630, CA00180778, CA00181948, CA00182753, CA00183851	B, B, B, B, B, B, B	SFY2008-09
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-24 00:00:00	070006074	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-05 00:00:00	2009-04-05 00:00:00	No	2009-05-15 00:00:00	None	B	None	900	900	-315	585	0	None	05DE11	N	CA00179853	B	SFY2008-09
070001279	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	San Jose	2009-04-17 00:00:00	070006088	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-02 00:00:00	2009-04-02 00:00:00	Yes	2009-05-13 00:00:00	2009-05-18 00:00:00	B	B	800	520	0	520	0	None	24W511	N	CA00183488, CA00183604	C, B	SFY2008-09
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-23 00:00:00	070006105	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-18 00:00:00	2009-03-18 00:00:00	No	2009-05-14 00:00:00	None	B	None	950	1750	-332.5	1417.5	0	None	G48S11	N	CA00182602	B	SFY2008-09
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-27 00:00:00	070006122	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-21 00:00:00	2009-04-21 00:00:00	No	2009-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	QLZY11	N	CA00184977	B	SFY2008-09
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-23 00:00:00	070006124	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-18 00:00:00	2009-03-18 00:00:00	No	2009-05-14 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	G48S11	N	CA00182602	B	SFY2008-09
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-30 00:00:00	070006136	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-17 00:00:00	2009-04-17 00:00:00	No	2009-05-26 00:00:00	None	B	None	850	850	0	850	0	None	REO711	N	CA00184846	B	SFY2008-09
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-05-15 00:00:00	070006151	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-17 00:00:00	2009-04-17 00:00:00	No	2009-06-15 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	I6GO11	N	CA00185008	B	SFY2008-09
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-02 00:00:00	070006199	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-06 00:00:00	2009-05-06 00:00:00	Yes	2009-06-30 00:00:00	2009-06-11 00:00:00	B	B	850	425	0	425	0	None	VB8C11	N	CA00187595	B	SFY2008-09
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-05-27 00:00:00	070006220	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-11 00:00:00	2009-05-11 00:00:00	No	2009-06-19 00:00:00	None	B	None	950	1300	-332.5	967.5	0	None	I6IH11	N	CA00188217	B	SFY2008-09
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-08 00:00:00	070006228	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-19 00:00:00	2009-05-19 00:00:00	No	2009-07-09 00:00:00	None	B	None	600	600	-210	390	0	None	ETCI11	N	None	None	SFY2008-09
070000002	WOODLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-03 00:00:00	070006229	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2009-05-26 00:00:00	2009-05-26 00:00:00	No	2009-06-24 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	LONM11	N	CA00189646	B	SFY2008-09
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-09 00:00:00	070006257	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-14 00:00:00	2009-05-14 00:00:00	No	2009-07-07 00:00:00	None	B	None	800	800	-280	520	0	None	RFR211	N	CA00188275	B	SFY2008-09
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-08 00:00:00	070006263	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-19 00:00:00	2009-05-19 00:00:00	No	2009-07-09 00:00:00	None	B	None	600	600	-210	390	0	None	ETCI11	N	None	None	SFY2008-09
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-16 00:00:00	070006293	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-05-12 00:00:00	2009-05-12 00:00:00	No	2009-07-13 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	SL7P11	N	CA00189254	B	SFY2008-09
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-16 00:00:00	070006294	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-10 00:00:00	2009-04-10 00:00:00	No	2009-07-07 00:00:00	None	B	None	800	800	-280	520	0	None	WHZX11	N	CA00184878	B	SFY2008-09
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-16 00:00:00	070006297	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-22 00:00:00	2009-05-22 00:00:00	Yes	2011-04-07 00:00:00	2009-07-27 00:00:00	B	B	1000	1000	0	1000	0	None	Y6G011	N	CA00189626	B	SFY2009-10
070000067	INVIGORATE POST ACUTE OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-17 00:00:00	070006302	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-27 00:00:00	2009-05-27 00:00:00	No	2009-07-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	CRBK11	N	None	None	SFY2008-09
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-26 00:00:00	070006328	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-24 00:00:00	2008-09-24 00:00:00	Yes	2009-07-27 00:00:00	2009-08-20 00:00:00	B	Drop>Deficiency	700	0	0	0	0	None	H67K11	Y	CA00191821	B	SFY2008-09
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-29 00:00:00	070006329	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-10 00:00:00	2009-05-10 00:00:00	No	2009-07-27 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	PJZW11	N	CA00190470	B	SFY2008-09
070000092	VALLEY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-26 00:00:00	070006330	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-01-06 00:00:00	2009-01-06 00:00:00	Yes	2009-10-20 00:00:00	2009-08-31 00:00:00	B	Drop>Deficiency	550	0	0	0	0	None	ZVQK11	N	CA00192506, CA00192848	B, B	SFY2009-10
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-08 00:00:00	070006333	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2009-05-31 00:00:00	2009-05-31 00:00:00	No	2009-08-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	4JMM11	N	CA00192373	B	SFY2009-10
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-07-07 00:00:00	070006360	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-04-27 00:00:00	2009-04-27 00:00:00	No	2009-08-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	HMLG11	N	None	None	SFY2009-10
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-06 00:00:00	070006361	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-17 00:00:00	2009-05-17 00:00:00	No	2009-07-27 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	2JSF11	N	CA00189648	C	SFY2009-10
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-09 00:00:00	070006365	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-06-15 00:00:00	2009-06-15 00:00:00	No	2009-07-30 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	XNWI11	N	CA00193018	B	SFY2009-10
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-07 00:00:00	070006369	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-01 00:00:00	2009-06-01 00:00:00	No	2009-08-13 00:00:00	None	B	None	750	750	0	750	0	None	RYH611	N	CA00190304	B	SFY2009-10
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-08 00:00:00	070006374	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2009-05-31 00:00:00	2009-05-31 00:00:00	No	2009-08-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	4JMM11	N	CA00192373	B	SFY2009-10
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-08 00:00:00	070006375	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2009-05-31 00:00:00	2009-05-31 00:00:00	No	2009-08-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	4JMM11	N	CA00192373	B	SFY2009-10
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-09 00:00:00	070006382	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-15 00:00:00	2009-06-15 00:00:00	No	2009-07-30 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	XNWI11	N	CA00193018	B	SFY2009-10
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-27 00:00:00	070006419	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-28 00:00:00	2009-06-28 00:00:00	Yes	2009-09-01 00:00:00	2009-08-06 00:00:00	B	Drop>Deficiency	900	0	0	0	0	None	W6GR11	N	CA00194135	B	SFY2009-10
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-30 00:00:00	070006421	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-20 00:00:00	2009-07-20 00:00:00	No	2009-09-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	57QO11	N	CA00194472, CA00194474, CA00194781, CA00194794	B, B, B, B	SFY2009-10
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-31 00:00:00	070006439	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-04-03 00:00:00	2009-04-03 00:00:00	Yes	2009-09-01 00:00:00	2009-08-05 00:00:00	AA	A	80000	20000	0	20000	0	None	441R11	Y	CA00193421	B	SFY2009-10
070000050	EMPRESS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Jose	2009-09-17 00:00:00	070006453	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-27 00:00:00	2009-07-27 00:00:00	Yes	2014-03-28 00:00:00	2009-10-06 00:00:00	B	B	800	800	0	800	0	None	78E111	N	CA00196613	B	SFY2009-10
070001362	SHINRAI-ARAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-08-18 00:00:00	070006454	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-26 00:00:00	2009-07-26 00:00:00	No	2009-09-11 00:00:00	None	B	None	650	650	0	650	0	None	HQI011	N	CA00196793	B	SFY2009-10
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-21 00:00:00	070006461	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-18 00:00:00	2009-07-18 00:00:00	No	2010-01-13 00:00:00	None	B	None	800	800	0	800	0	None	Q13I11	N	CA00195612	B	SFY2009-10
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-20 00:00:00	070006476	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-08 00:00:00	2009-08-08 00:00:00	No	2009-09-11 00:00:00	None	B	None	800	800	-280	520	0	None	052L11	N	CA00198126	B	SFY2009-10
070000002	WOODLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-09-25 00:00:00	070006478	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-08 00:00:00	2009-08-08 00:00:00	No	2009-11-02 00:00:00	None	B	None	500	500	-175	325	0	None	VOVR11	N	CA00198026	B	SFY2009-10
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-20 00:00:00	070006482	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-01 00:00:00	2009-08-01 00:00:00	No	2009-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	H2R011	N	CA00197086	B	SFY2009-10
070000092	VALLEY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-26 00:00:00	070006491	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-01-06 00:00:00	2009-01-06 00:00:00	Yes	2009-09-17 00:00:00	2009-08-31 00:00:00	B	None	550	550	0	550	0	None	ZVQK11	N	CA00192506, CA00192848	B, B	SFY2009-10
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-25 00:00:00	070006492	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-18 00:00:00	2009-07-18 00:00:00	Yes	2009-09-16 00:00:00	2009-08-31 00:00:00	B	Drop>Deficiency	850	0	0	0	0	None	DHSF11	N	CA00195614	A	SFY2009-10
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-25 00:00:00	070006493	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-19 00:00:00	2009-07-19 00:00:00	Yes	2009-09-16 00:00:00	2009-08-31 00:00:00	B	Drop>Deficiency	850	0	0	0	0	None	DHSF11	N	CA00195435	B	SFY2009-10
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-27 00:00:00	070006500	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-15 00:00:00	2009-06-15 00:00:00	No	2009-10-20 00:00:00	None	B	None	700	700	-245	455	0	None	HLWZ11	N	CA00197310	B	SFY2009-10
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-27 00:00:00	070006501	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-15 00:00:00	2009-06-15 00:00:00	No	2009-10-20 00:00:00	None	B	None	700	700	-245	455	0	None	HLWZ11	N	CA00197310	B	SFY2009-10
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-28 00:00:00	070006502	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-03 00:00:00	2009-08-03 00:00:00	No	2009-09-21 00:00:00	None	B	None	800	800	0	800	0	None	FENV11	N	CA00198030	B	SFY2009-10
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-28 00:00:00	070006503	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-08-08 00:00:00	2009-08-08 00:00:00	Yes	2014-01-01 00:00:00	2013-12-16 00:00:00	B	B	500	250	0	250	0	None	FENV11	N	CA00198223	B	SFY2009-10
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-27 00:00:00	070006504	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-28 00:00:00	2009-07-28 00:00:00	Yes	2009-10-19 00:00:00	2009-08-31 00:00:00	B	Drop>Deficiency	800	0	0	0	0	None	QCLZ11	N	CA00198829	B	SFY2009-10
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-27 00:00:00	070006505	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-11 00:00:00	2009-08-11 00:00:00	Yes	2009-10-19 00:00:00	2009-08-31 00:00:00	B	Drop>Deficiency	700	0	0	0	0	None	QCLZ11	N	None	None	SFY2009-10
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-09-16 00:00:00	070006507	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-08-24 00:00:00	2009-08-24 00:00:00	Yes	2009-10-07 00:00:00	2009-09-18 00:00:00	B	Drop>Deficiency	900	0	0	0	0	None	463E11	N	CA00198883	B	SFY2009-10
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-31 00:00:00	070006513	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-15 00:00:00	2009-08-15 00:00:00	No	2009-09-22 00:00:00	None	B	None	800	800	-280	520	0	None	L76311	N	CA00198722, CA00198941, CA00199088, CA00199391	B, B, A, B	SFY2009-10
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-31 00:00:00	070006514	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-08-15 00:00:00	2009-08-15 00:00:00	No	2009-09-22 00:00:00	None	B	None	600	600	-210	390	0	None	L76311	N	CA00198941, CA00199391	B, B	SFY2009-10
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2009-09-03 00:00:00	070006527	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-07 00:00:00	2009-08-07 00:00:00	No	2009-09-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	2TJ911	N	CA00198072	B	SFY2009-10
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-09-11 00:00:00	070006540	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2009-08-10 00:00:00	2009-08-10 00:00:00	Yes	2009-10-02 00:00:00	2009-09-25 00:00:00	B	B	1000	650	0	650	0	None	965111	N	CA00198594	B	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-09-14 00:00:00	070006543	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-19 00:00:00	2009-06-19 00:00:00	No	2009-10-19 00:00:00	None	B	None	800	800	-280	520	0	None	RW2N11	N	None	None	SFY2009-10
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-11-23 00:00:00	070006561	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-05 00:00:00	2009-07-05 00:00:00	Yes	2009-12-16 00:00:00	2009-12-14 00:00:00	B	None	800	800	0	800	0	None	0F7711	N	CA00196128, CA00196241	B, B	SFY2009-10
070000890	TUPAZ HOME #5	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-09-17 00:00:00	070006562	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-27 00:00:00	2009-08-27 00:00:00	No	2009-10-27 00:00:00	None	B	None	800	850	0	850	0	None	58NV11	N	CA00200280	B	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-10-01 00:00:00	070006588	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-09-19 00:00:00	2009-09-19 00:00:00	No	2009-10-28 00:00:00	None	B	None	800	800	0	800	0	None	W1EF11	N	CA00202754	B	SFY2009-10
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-10-26 00:00:00	070006593	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-28 00:00:00	2009-09-28 00:00:00	No	2009-11-17 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	V1TF11	N	CA00202752	B	SFY2009-10
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2009-10-19 00:00:00	070006627	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-12 00:00:00	2009-10-12 00:00:00	Yes	2009-12-03 00:00:00	2009-11-09 00:00:00	B	B	750	375	0	375	0	None	9XS211	N	CA00204850	B	SFY2009-10
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-10-20 00:00:00	070006629	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-07 00:00:00	2009-10-07 00:00:00	No	2009-12-02 00:00:00	None	B	None	600	600	-210	390	0	None	0RD011	N	CA00203561	B	SFY2009-10
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2009-10-19 00:00:00	070006630	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-12 00:00:00	2009-10-12 00:00:00	Yes	2009-12-03 00:00:00	2009-11-09 00:00:00	B	B	750	375	0	375	0	None	9XS211	N	CA00204850	B	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-10-20 00:00:00	070006634	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-20 00:00:00	2009-09-20 00:00:00	No	2009-11-10 00:00:00	None	B	None	800	800	-280	520	0	None	W1EF11	N	CA00202523	B	SFY2009-10
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-10-26 00:00:00	070006653	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-05 00:00:00	2009-10-05 00:00:00	No	2009-11-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	QG2K11	N	CA00204103	B	SFY2009-10
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-11-04 00:00:00	070006662	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-08 00:00:00	2009-10-08 00:00:00	Yes	2009-11-30 00:00:00	2009-11-05 00:00:00	B	None	700	700	0	700	0	None	6TR511	N	CA00204058	B	SFY2009-10
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-01-05 00:00:00	070006685	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-05 00:00:00	2009-10-05 00:00:00	Yes	2010-02-02 00:00:00	2010-01-13 00:00:00	A	Drop>Deficiency	18000	0	0	0	0	None	782G11	N	CA00206557	B	SFY2009-10
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-18 00:00:00	070006686	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-29 00:00:00	2009-09-29 00:00:00	Yes	2010-01-12 00:00:00	2009-12-28 00:00:00	B	None	1000	3000	0	3000	0	None	4PRW11	N	CA00203452, CA00203598	B, B	SFY2009-10
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-11-23 00:00:00	070006687	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-10-12 00:00:00	2009-10-12 00:00:00	No	2009-12-16 00:00:00	None	B	None	800	800	-280	520	0	None	1S8V11	N	CA00204290	B	SFY2009-10
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-11-23 00:00:00	070006726	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-11 00:00:00	2009-07-11 00:00:00	Yes	2009-12-16 00:00:00	2009-12-14 00:00:00	B	None	700	700	0	700	0	None	0F7711	N	CA00196128, CA00196241	B, B	SFY2009-10
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-11-30 00:00:00	070006737	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-09-29 00:00:00	2009-09-29 00:00:00	No	2009-12-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	EIXQ11	N	CA00208109	C	SFY2009-10
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-10 00:00:00	070006740	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-01 00:00:00	2009-09-01 00:00:00	No	2010-01-06 00:00:00	None	B	None	800	800	-280	520	0	None	133B11	N	CA00207229	B	SFY2009-10
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-02-17 00:00:00	070006741	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-09-03 00:00:00	2009-09-03 00:00:00	Yes	2010-03-19 00:00:00	2010-04-06 00:00:00	B	Drop>Deficiency	800	400	-400	0	0	None	FMOH11	N	CA00208889	B	SFY2009-10
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-03-11 00:00:00	070006742	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-08-24 00:00:00	2009-08-24 00:00:00	Yes	2010-04-02 00:00:00	2010-03-29 00:00:00	AA	None	80000	80000	-80000	0	0	None	22JE11	Y	CA00199676, CA00200856	B, B	SFY2009-10
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-29 00:00:00	070006791	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-07 00:00:00	2009-07-07 00:00:00	Yes	2010-02-03 00:00:00	2010-01-12 00:00:00	B	B	800	400	0	400	0	None	HU6211	N	CA00208468	B	SFY2009-10
070000918	AYER HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-12-18 00:00:00	070006792	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-02-20 00:00:00	2009-02-20 00:00:00	No	2010-01-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	SBR711	N	CA00209407	B	SFY2009-10
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-16 00:00:00	070006793	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-11-16 00:00:00	2009-11-16 00:00:00	No	2010-01-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	LCQZ11	N	None	None	SFY2009-10
070000006	LOS GATOS MEADOWS GERIATRIC HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-29 00:00:00	070006827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-16 00:00:00	2009-11-16 00:00:00	No	2010-02-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	MSQG11	N	None	None	SFY2009-10
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-24 00:00:00	070006850	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-04 00:00:00	2009-12-04 00:00:00	No	2010-01-20 00:00:00	None	B	None	800	800	0	800	0	None	B8JB11	N	CA00210405	B	SFY2009-10
070000053	GOLDEN AGE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-30 00:00:00	070006853	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-15 00:00:00	2009-12-15 00:00:00	No	2010-01-25 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	I8RZ11	N	None	None	SFY2009-10
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-31 00:00:00	070006854	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-14 00:00:00	2009-11-14 00:00:00	No	2010-02-03 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	5VFX11	N	CA00209350	B	SFY2009-10
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-29 00:00:00	070006863	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	Failure to Report	2009-10-06 07:00:00	2009-10-06 07:00:00	No	2010-01-22 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	9W9Z11	None	CA00205607	C	SFY2009-10
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2010-01-26 00:00:00	070006893	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-26 00:00:00	2009-12-26 00:00:00	No	2010-03-05 00:00:00	None	B	None	800	800	-280	520	0	None	RIMW11	N	CA00212852	B	SFY2009-10
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2010-01-29 00:00:00	070006914	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-13 00:00:00	2009-03-13 00:00:00	No	2010-03-09 00:00:00	None	B	None	900	900	0	900	0	None	7QYQ11	N	CA00210828, CA00212734, CA00212791	B, B, B	SFY2009-10
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2010-01-26 00:00:00	070006920	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-01-11 00:00:00	2010-01-11 00:00:00	No	2010-03-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	NKO911	N	None	None	SFY2009-10
070000059	MORGAN HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-01-28 00:00:00	070006948	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-01-13 00:00:00	2010-01-13 00:00:00	No	2010-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	M6RK11	N	None	None	SFY2009-10
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-02-16 00:00:00	070006997	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-15 00:00:00	2009-09-15 00:00:00	Yes	2010-03-19 00:00:00	2010-02-24 00:00:00	B	Drop>Deficiency	850	0	0	0	0	None	JTNU11	N	None	None	SFY2009-10
070000817	TUPAZ HOME #4	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-02-19 00:00:00	070007011	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-01-25 00:00:00	2010-01-25 00:00:00	No	2010-04-02 00:00:00	None	B	None	800	800	0	800	0	None	8OWQ11	N	CA00217727	B	SFY2009-10
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-03-02 00:00:00	070007023	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-02-10 00:00:00	2010-02-10 00:00:00	No	2010-03-23 00:00:00	None	B	None	750	750	0	750	0	None	HBGT11	N	None	None	SFY2009-10
070000780	EDEN VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-03-03 00:00:00	070007025	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-02-11 00:00:00	2010-02-11 00:00:00	No	2010-03-24 00:00:00	None	B	None	600	600	-210	390	0	None	88J311	N	CA00218612, CA00218939	B, B	SFY2009-10
070000038	CRESTHAVEN SKILLED NURSING FACILITY, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2010-03-18 00:00:00	070007036	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-02-26 00:00:00	2010-02-26 00:00:00	No	2010-04-21 00:00:00	None	B	None	750	750	0	750	0	None	JZC711	N	CA00219994	A	SFY2009-10
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-03-10 00:00:00	070007041	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-11-20 00:00:00	2009-11-20 00:00:00	Yes	2014-03-28 00:00:00	2010-03-10 00:00:00	B	B	600	600	0	600	0	None	55X411	N	CA00218082	B	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-03-16 00:00:00	070007050	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-19 00:00:00	2010-01-19 00:00:00	No	2010-04-21 00:00:00	None	B	None	600	600	-210	390	0	None	3SAS11	N	CA00215603	B	SFY2009-10
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-03-22 00:00:00	070007057	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-03-09 00:00:00	2010-03-09 00:00:00	No	2010-04-19 00:00:00	None	B	None	750	750	0	750	0	None	09W111	N	CA00221275	B	SFY2009-10
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-04-14 00:00:00	070007109	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-26 00:00:00	2010-03-26 00:00:00	No	2010-05-05 00:00:00	None	A	None	16000	16000	0	16000	0	None	4ZH011	N	None	None	SFY2009-10
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-04-23 00:00:00	070007110	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-25 00:00:00	2010-03-25 00:00:00	Yes	2010-05-18 00:00:00	2010-05-12 00:00:00	B	B	1000	650	0	650	0	None	HYN911	N	CA00223635, CA00224122	B, B	SFY2009-10
070000092	VALLEY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2010-04-29 00:00:00	070007116	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-04-03 00:00:00	2010-04-03 00:00:00	Yes	2010-06-18 00:00:00	2010-05-04 00:00:00	B	B	600	300	0	300	0	None	7WMM11	N	CA00219844, CA00224059	B, B	SFY2009-10
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-05 00:00:00	070007126	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-02-14 00:00:00	2010-02-14 00:00:00	Yes	2010-06-23 00:00:00	2010-05-14 00:00:00	B	B	500	325	0	325	0	None	OTTR11	N	CA00222476	B	SFY2009-10
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-04 00:00:00	070007132	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-03-24 00:00:00	2009-03-24 00:00:00	No	2010-06-16 00:00:00	None	B	None	700	700	-245	455	0	None	4QJT11	N	CA00223897	B	SFY2009-10
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-04-23 00:00:00	070007161	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-06 00:00:00	2010-04-06 00:00:00	Yes	2010-05-18 00:00:00	2010-05-12 00:00:00	B	B	1000	650	0	650	0	None	HYN911	N	CA00223635, CA00224122	B, B	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-14 00:00:00	070007173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-19 00:00:00	2010-03-19 00:00:00	No	2010-07-05 00:00:00	None	B	None	800	800	0	800	0	None	EGH811	N	CA00222298	B	SFY2009-10
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-27 00:00:00	070007174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-11 00:00:00	2010-04-11 00:00:00	No	2010-06-18 00:00:00	None	B	None	600	600	-210	390	0	None	8GPK11	N	CA00225062	B	SFY2009-10
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-18 00:00:00	070007175	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-10 00:00:00	2010-03-10 00:00:00	Yes	2012-11-30 00:00:00	2012-11-15 00:00:00	A	A	17500	8000	0	8000	0	None	O75N11	N	CA00224140	B	SFY2009-10
070000092	VALLEY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2010-04-29 00:00:00	070007179	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-26 00:00:00	2010-01-26 00:00:00	Yes	2010-06-18 00:00:00	2010-05-04 00:00:00	B	B	600	300	0	300	0	None	SEEQ11	N	CA00224634	B	SFY2009-10
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-25 00:00:00	070007185	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-19 00:00:00	2010-04-19 00:00:00	Yes	2010-12-02 00:00:00	2010-05-26 00:00:00	B	None	750	750	0	750	0	None	S8PG11	N	CA00226951	B	SFY2009-10
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-11 00:00:00	070007207	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-28 00:00:00	2010-02-28 00:00:00	No	2010-06-21 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	WLS111	N	CA00221000	B	SFY2009-10
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-05-19 00:00:00	070007231	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-05-04 00:00:00	2010-05-04 00:00:00	Yes	2010-06-10 00:00:00	2010-06-07 00:00:00	B	B	800	400	0	400	0	None	206811	N	CA00227848	B	SFY2009-10
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-05-19 00:00:00	070007233	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-03 00:00:00	2010-05-03 00:00:00	Yes	2010-06-10 00:00:00	2010-06-09 00:00:00	B	B	800	400	0	400	0	None	206811	N	CA00227503	C	SFY2009-10
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-28 00:00:00	070007235	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-28 00:00:00	2010-04-28 00:00:00	No	2010-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	H7NY11	N	CA00227226	B	SFY2009-10
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-25 00:00:00	070007236	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-05-17 00:00:00	2010-05-17 00:00:00	Yes	2010-06-16 00:00:00	2010-06-15 00:00:00	B	None	800	800	0	800	0	None	144011	N	CA00228260	B	SFY2009-10
070000012	LINCOLN GLEN SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-03 00:00:00	070007245	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-21 00:00:00	2010-04-21 00:00:00	No	2010-06-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	NWWW11	N	CA00227698	B	SFY2009-10
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-27 00:00:00	070007246	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-02-26 00:00:00	2010-02-26 00:00:00	No	2010-06-18 00:00:00	None	B	None	800	800	-280	520	0	None	EJSZ11	N	None	None	SFY2009-10
070000324	GEORGE L. MEE MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-27 00:00:00	070007247	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-02-05 00:00:00	2010-02-05 00:00:00	No	2010-11-30 00:00:00	None	B	None	800	800	-280	520	0	None	HBYN11	N	None	None	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-14 00:00:00	070007309	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-24 00:00:00	2010-03-24 00:00:00	No	2010-11-30 00:00:00	None	B	None	800	800	0	800	0	None	EGH811	N	CA00223129	B	SFY2009-10
070000076	THE RIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-16 00:00:00	070007314	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-10 00:00:00	2010-06-10 00:00:00	No	2010-07-07 00:00:00	None	B	None	550	550	-192.5	357.5	0	None	K32J11	N	CA00231646	B	SFY2009-10
070000067	INVIGORATE POST ACUTE OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-17 00:00:00	070007316	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-07 00:00:00	2010-04-07 00:00:00	No	2010-07-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	H3KZ11	N	None	None	SFY2009-10
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-21 00:00:00	070007317	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-06 00:00:00	2010-04-06 00:00:00	Yes	2011-03-01 00:00:00	2011-02-15 00:00:00	B	B	1000	650	0	650	0	None	Y7UO11	N	CA00225299	B	SFY2009-10
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-23 00:00:00	070007324	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-06-02 00:00:00	2010-06-02 00:00:00	No	2010-07-14 00:00:00	None	B	None	600	600	0	600	0	None	Y8HU11	N	CA00231049	B	SFY2009-10
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-30 00:00:00	070007348	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-25 00:00:00	2010-05-25 00:00:00	Yes	2010-07-21 00:00:00	2010-07-08 00:00:00	A	A	20000	13500	0	13500	0	None	NOIC11	N	CA00230566	B	SFY2009-10
630011211	IN GOOD HANDS HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-07-01 00:00:00	070007351	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-03-24 00:00:00	2010-03-24 00:00:00	No	2010-07-22 00:00:00	None	B	None	600	600	0	600	0	None	CROW11	N	CA00228193, CA00228199	B, B	SFY2010-11
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-07-16 00:00:00	070007354	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-14 00:00:00	2010-06-14 00:00:00	No	2010-08-06 00:00:00	None	B	None	800	800	-280	520	0	None	WDNQ11	N	CA00233492	B	SFY2010-11
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-07-13 00:00:00	070007355	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-06-13 00:00:00	2010-06-13 00:00:00	No	2010-12-07 00:00:00	None	B	None	800	800	-280	520	0	None	0Q5611	N	CA00232233, CA00232390	B, B	SFY2010-11
070000726	TUPAZ HOME #9	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-07-02 00:00:00	070007356	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-16 00:00:00	2010-06-16 00:00:00	Yes	2010-07-23 00:00:00	2010-07-13 00:00:00	B	B	800	950	0	950	0	None	BLZP11	N	CA00233388, CA00233399	B, B	SFY2010-11
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-08-05 00:00:00	070007357	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-20 00:00:00	2010-06-20 00:00:00	Yes	2014-05-08 00:00:00	2014-04-29 00:00:00	B	Drop>Deficiency	750	0	0	0	0	None	RVPV11	N	CA00232921	B	SFY2010-11
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-07-16 00:00:00	070007379	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-02 00:00:00	2010-06-02 00:00:00	No	2010-08-09 00:00:00	None	B	None	800	800	-280	520	0	None	PRUQ11	N	CA00233521	A	SFY2010-11
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-07-16 00:00:00	070007397	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-20 00:00:00	2009-10-20 00:00:00	Yes	2010-08-06 00:00:00	2010-07-22 00:00:00	B	None	900	900	0	900	0	None	5MCW11	N	None	None	SFY2010-11
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-07-23 00:00:00	070007402	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-13 00:00:00	2010-01-13 00:00:00	Yes	2010-08-13 00:00:00	2010-07-27 00:00:00	B	None	750	750	0	750	0	None	E24111	N	CA00234728	B	SFY2010-11
070000032	CANTERBURY WOODS	LTC	SNF	Skilled Nursing Facility	San Jose	2010-07-29 00:00:00	070007403	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-10 00:00:00	2010-06-10 00:00:00	No	2010-08-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	TTWF11	N	None	None	SFY2010-11
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-08-17 00:00:00	070007428	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-21 00:00:00	2009-09-21 00:00:00	No	2010-09-08 00:00:00	None	B	None	700	700	0	700	0	None	E3BW11	N	None	None	SFY2010-11
070000324	GEORGE L. MEE MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2010-08-10 00:00:00	070007442	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-12 00:00:00	2010-07-12 00:00:00	No	2010-11-30 00:00:00	None	B	None	800	800	-280	520	0	None	LL0O11	N	CA00235424	B	SFY2010-11
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-08-17 00:00:00	070007492	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-07-21 00:00:00	2010-07-21 00:00:00	No	2010-09-08 00:00:00	None	B	None	700	700	0	700	0	None	E3BW11	N	None	None	SFY2010-11
070000082	PLUM TREE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-08-25 00:00:00	070007515	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-05-24 00:00:00	2010-05-24 00:00:00	Yes	2010-09-16 00:00:00	2010-08-31 00:00:00	B	B	650	422.5	0	422.5	0	None	6JPT11	N	CA00235205	B	SFY2010-11
070000082	PLUM TREE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-08-25 00:00:00	070007520	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-07-04 00:00:00	2010-07-04 00:00:00	Yes	2010-09-16 00:00:00	2010-08-31 00:00:00	B	B	650	422.5	0	422.5	0	None	6JPT11	N	CA00235205	B	SFY2010-11
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2010-10-06 00:00:00	070007561	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2010-08-30 00:00:00	2010-08-30 00:00:00	No	2010-10-29 00:00:00	None	WF	None	550	550	0	550	0	None	YGPU11	None	CA00239503	B	SFY2010-11
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-11-01 00:00:00	070007562	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-08-17 00:00:00	2009-08-17 00:00:00	No	2010-11-23 00:00:00	None	B	None	700	700	-245	455	0	None	S2NN11	N	CA00240862	B	SFY2010-11
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2010-09-14 00:00:00	070007570	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-23 00:00:00	2008-05-23 00:00:00	Yes	2012-11-30 00:00:00	2012-11-15 00:00:00	A	B	18500	16000	0	16000	0	None	3NYO11	N	CA00228960	B	SFY2010-11
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-10-01 00:00:00	070007590	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-11 00:00:00	2010-08-11 00:00:00	No	2010-10-22 00:00:00	None	B	None	700	700	-245	455	0	None	IDBO11	N	CA00240542, CA00241931	B, B	SFY2010-11
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-09-21 00:00:00	070007591	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-08-28 00:00:00	2010-08-28 00:00:00	No	2010-10-12 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	37H011	N	CA00241236	B	SFY2010-11
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-09-27 00:00:00	070007598	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-15 00:00:00	2010-09-15 00:00:00	No	2010-10-18 00:00:00	None	B	None	800	800	-280	520	0	None	TOLD11	N	CA00241146	B	SFY2010-11
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-10-05 00:00:00	070007611	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-06 00:00:00	2010-07-06 00:00:00	No	2010-10-26 00:00:00	None	B	None	600	600	-210	390	0	None	QL4511	N	CA00241862	B	SFY2010-11
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-10-11 00:00:00	070007613	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-29 00:00:00	2010-07-29 00:00:00	No	2010-11-01 00:00:00	None	B	None	800	800	-280	520	0	None	O81S11	N	CA00238961	B	SFY2010-11
070000906	WREN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-10-01 00:00:00	070007614	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-19 00:00:00	2010-09-19 00:00:00	No	2010-10-22 00:00:00	None	B	None	600	600	0	600	0	None	JILU11	N	CA00242413	B	SFY2010-11
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-10-27 00:00:00	070007677	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-12 00:00:00	2010-10-12 00:00:00	Yes	2010-11-18 00:00:00	2010-11-12 00:00:00	B	None	800	800	0	800	0	None	OBN711	N	CA00245450	B	SFY2010-11
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-11-10 00:00:00	070007681	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-26 00:00:00	2010-09-26 00:00:00	Yes	2010-12-06 00:00:00	2010-11-17 00:00:00	B	B	700	1500	0	1500	0	None	ELW911	N	CA00244237	C	SFY2010-11
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2010-11-16 00:00:00	070007682	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-12 00:00:00	2010-10-12 00:00:00	No	2010-12-09 00:00:00	None	B	None	700	700	-245	455	0	None	8MMQ11	N	CA00245834	B	SFY2010-11
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-11-02 00:00:00	070007684	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-13 00:00:00	2010-09-13 00:00:00	No	2010-11-24 00:00:00	None	B	None	900	900	-315	585	0	None	85PX11	N	CA00244688	B	SFY2010-11
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-11-03 00:00:00	070007685	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-07 00:00:00	2010-10-07 00:00:00	No	2010-11-29 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	OWYB11	N	CA00245386, CA00245840	B, B	SFY2010-11
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-10-28 00:00:00	070007686	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-06-19 00:00:00	2010-06-19 00:00:00	Yes	2010-11-19 00:00:00	2010-11-10 00:00:00	B	B	700	490	0	490	0	None	4X3I11	N	CA00243085	B	SFY2010-11
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-11-19 00:00:00	070007704	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-23 00:00:00	2010-10-23 00:00:00	No	2010-12-14 00:00:00	None	B	None	700	2100	-735	1365	0	None	H4JZ11	N	CA00246988	B	SFY2010-11
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-11-16 00:00:00	070007714	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-17 00:00:00	2010-09-17 00:00:00	No	2010-12-09 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	0PGR11	N	CA00247990	B	SFY2010-11
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-12-02 00:00:00	070007743	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-17 00:00:00	2010-10-17 00:00:00	Yes	2010-12-23 00:00:00	2010-12-14 00:00:00	B	B	850	700	0	700	0	None	9GRE11	N	CA00248213	B	SFY2010-11
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2010-12-08 00:00:00	070007754	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-26 00:00:00	2010-10-26 00:00:00	No	2010-12-29 00:00:00	None	B	None	800	800	-280	520	0	None	WBW011	N	CA00247380	B	SFY2010-11
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-12-17 00:00:00	070007755	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-11-14 00:00:00	2010-11-14 00:00:00	Yes	2011-08-19 00:00:00	2011-08-02 00:00:00	AA	A	80000	65000	0	65000	0	None	3TC411	Y	CA00249178	B	SFY2010-11
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-12-09 00:00:00	070007756	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-11-24 00:00:00	2010-11-24 00:00:00	No	2010-12-30 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	GSYT11	N	CA00249916	B	SFY2010-11
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-12-09 00:00:00	070007757	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-10-17 00:00:00	2010-10-17 00:00:00	Yes	2010-12-30 00:00:00	2014-04-29 00:00:00	B	B	800	800	0	800	0	None	VLHJ11	N	CA00247428	B	SFY2010-11
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-12-14 00:00:00	070007758	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-04 00:00:00	2010-11-04 00:00:00	No	2011-01-04 00:00:00	None	B	None	800	800	-280	520	0	None	2O0M11	N	CA00248177	B	SFY2010-11
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-12-09 00:00:00	070007765	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-10-17 00:00:00	2010-10-17 00:00:00	Yes	2010-12-30 00:00:00	2014-04-29 00:00:00	B	Drop>Deficiency	850	0	0	0	0	None	VLHJ11	N	CA00247428	B	SFY2010-11
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-01-04 00:00:00	070007792	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-19 00:00:00	2010-10-19 00:00:00	Yes	2011-01-26 00:00:00	2011-01-28 00:00:00	B	B	850	552.5	0	552.5	0	None	MS7R11	N	CA00246518	B	SFY2010-11
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2010-12-31 00:00:00	070007802	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-12-10 00:00:00	2010-12-10 00:00:00	No	2011-01-24 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	MNH411	N	CA00252276	B	SFY2010-11
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-12-30 00:00:00	070007804	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-12-18 00:00:00	2010-12-18 00:00:00	No	2011-01-21 00:00:00	None	B	None	600	600	-210	390	0	None	X1CC11	N	CA00252758, CA00253676	B, B	SFY2010-11
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-01-18 00:00:00	070007830	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-19 00:00:00	2010-12-19 00:00:00	Yes	2011-02-08 00:00:00	2011-01-19 00:00:00	B	B	700	455	0	455	0	None	360M11	N	CA00252963	B	SFY2010-11
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2011-01-21 00:00:00	070007831	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-16 00:00:00	2010-12-16 00:00:00	No	2011-02-11 00:00:00	None	B	None	600	600	-210	390	0	None	1DW211	N	CA00252806	B	SFY2010-11
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2011-01-20 00:00:00	070007855	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-12-25 00:00:00	2010-12-25 00:00:00	Yes	2011-02-10 00:00:00	2011-02-09 00:00:00	B	B	600	740	-122.5	617.5	0	None	NCEF11	N	CA00253946	C	SFY2010-11
070000067	INVIGORATE POST ACUTE OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2011-01-24 00:00:00	070007861	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-01-04 00:00:00	2011-01-04 00:00:00	No	2011-02-14 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	CI3M11	N	CA00254815	A	SFY2010-11
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-02-08 00:00:00	070007892	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-01-24 00:00:00	2011-01-24 00:00:00	No	2011-03-02 00:00:00	None	B	None	850	850	0	850	0	None	W9NL11	N	CA00256588, CA00256876, CA00256890	B, B, B	SFY2010-11
070000032	CANTERBURY WOODS	LTC	SNF	Skilled Nursing Facility	San Jose	2011-02-07 00:00:00	070007918	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-01-27 00:00:00	2011-01-27 00:00:00	No	2011-03-01 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	EG0J11	N	CA00256464	B	SFY2010-11
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-02-16 00:00:00	070007919	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-16 00:00:00	2011-01-16 00:00:00	Yes	2011-03-10 00:00:00	2011-02-22 00:00:00	B	B	750	487.5	0	487.5	0	None	EJUF11	N	CA00255715, CA00257038	B, B	SFY2010-11
070000092	VALLEY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2011-02-09 00:00:00	070007922	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-12-20 00:00:00	2010-12-20 00:00:00	Yes	2011-03-03 00:00:00	2011-02-14 00:00:00	B	Drop>Deficiency	550	550	0	550	0	None	F6DO11	N	CA00252919, CA00253313	B, B	SFY2010-11
070000038	CRESTHAVEN SKILLED NURSING FACILITY, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2011-02-07 00:00:00	070007925	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-17 00:00:00	2011-01-17 00:00:00	No	2011-03-01 00:00:00	None	B	None	600	600	-210	390	0	None	J3I311	N	CA00255929	B	SFY2010-11
070000092	VALLEY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2011-02-25 00:00:00	070007937	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-28 00:00:00	2011-01-28 00:00:00	Yes	2011-03-18 00:00:00	2011-03-01 00:00:00	B	B	900	900	0	900	0	None	UUHG11	N	CA00257390	B	SFY2010-11
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2011-02-18 00:00:00	070007952	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-02-01 00:00:00	2011-02-01 00:00:00	No	2011-03-14 00:00:00	None	B	None	500	500	0	500	0	None	YZRH11	N	None	None	SFY2010-11
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-02-25 00:00:00	070007958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-06 00:00:00	2011-01-06 00:00:00	No	2011-03-18 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	VFRK11	N	CA00254966, CA00255497	B, B	SFY2010-11
070000092	VALLEY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2011-02-25 00:00:00	070007968	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2011-02-06 00:00:00	2011-02-06 00:00:00	Yes	2011-03-18 00:00:00	2011-03-01 00:00:00	B	None	750	750	0	750	0	None	UUHG11	N	None	None	SFY2010-11
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-03-25 00:00:00	070007990	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-28 00:00:00	2011-01-28 00:00:00	No	2011-04-18 00:00:00	None	B	None	800	800	-280	520	0	None	S0ML11	N	CA00257537, CA00259191	B, B	SFY2010-11
070000038	CRESTHAVEN SKILLED NURSING FACILITY, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2011-03-22 00:00:00	070007991	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-02-24 00:00:00	2011-02-24 00:00:00	No	2011-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	PZKA11	N	CA00259217, CA00259296	B, B	SFY2010-11
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-03-03 00:00:00	070007992	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-02-04 00:00:00	2011-02-04 00:00:00	Yes	2011-03-24 00:00:00	2011-03-23 00:00:00	B	None	650	650	0	650	0	None	KCBT11	N	CA00258144	B	SFY2010-11
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-03-14 00:00:00	070008004	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-16 00:00:00	2011-02-16 00:00:00	Yes	2011-04-05 00:00:00	2011-03-24 00:00:00	B	None	700	700	0	700	0	None	TF5B11	N	CA00259521	B	SFY2010-11
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-03-29 00:00:00	070008056	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-02-19 00:00:00	2011-02-19 00:00:00	Yes	2012-11-30 00:00:00	2011-04-01 00:00:00	A	A	10000	10000	0	10000	0	None	HDD611	N	CA00260067	B	SFY2010-11
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-03-25 00:00:00	070008057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-08 00:00:00	2011-02-08 00:00:00	No	2011-04-18 00:00:00	None	B	None	850	2550	-892.5	1657.5	0	None	9BOR11	N	CA00259697	B	SFY2010-11
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2011-03-25 00:00:00	070008059	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-05 00:00:00	2011-03-05 00:00:00	No	2011-04-18 00:00:00	None	B	None	700	700	0	700	0	None	XNJE11	N	CA00261247	B	SFY2010-11
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-04-25 00:00:00	070008060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-11-12 00:00:00	2010-11-12 00:00:00	No	2011-05-16 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	B21J11	N	CA00262441	B	SFY2010-11
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-05-09 00:00:00	070008139	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-20 00:00:00	2010-05-20 00:00:00	Yes	2011-05-31 00:00:00	2011-05-16 00:00:00	B	Drop>Deficiency	500	0	0	0	0	None	Z7QB11	N	CA00263606	B	SFY2010-11
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-04-21 00:00:00	070008140	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-02-07 00:00:00	2011-02-07 00:00:00	Yes	2011-05-12 00:00:00	2011-05-03 00:00:00	A	A	16000	16000	0	16000	0	None	IQUX11	N	CA00261860, CA00261860	B, B	SFY2010-11
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2011-05-05 00:00:00	070008141	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-30 00:00:00	2011-03-30 00:00:00	No	2011-05-26 00:00:00	None	B	None	600	600	-210	390	0	None	61LL11	N	CA00264444	B	SFY2010-11
630011211	IN GOOD HANDS HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2011-04-29 00:00:00	070008205	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-21 00:00:00	2011-04-21 00:00:00	No	2011-05-20 00:00:00	None	B	None	600	600	-210	390	0	None	1YDY11	N	None	None	SFY2010-11
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-05-04 00:00:00	070008212	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-19 00:00:00	2011-03-19 00:00:00	Yes	2011-05-25 00:00:00	2011-05-12 00:00:00	B	B	500	325	0	325	0	None	ZUQN11	N	CA00262994	B	SFY2010-11
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2011-05-16 00:00:00	070008230	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2011-05-03 00:00:00	2011-05-03 00:00:00	Yes	2012-03-29 00:00:00	2012-03-22 00:00:00	AA	AA	80000	37500	0	37500	0	None	8J7H11	Y	CA00267140, CA00267608	C, B	SFY2010-11
070001333	LENA'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2011-05-16 00:00:00	070008231	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-04 00:00:00	2011-05-04 00:00:00	No	2011-06-07 00:00:00	None	B	None	600	600	-210	390	0	None	3GFV11	N	None	None	SFY2010-11
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2011-05-12 00:00:00	070008235	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-03-29 00:00:00	2011-03-29 00:00:00	No	2011-06-03 00:00:00	None	B	None	800	800	-280	520	0	None	P0OF11	N	CA00265049, CA00265228, CA00265254, CA00265269, CA00266046	B, B, B, B, B	SFY2010-11
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-07-13 00:00:00	070008239	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-05-05 00:00:00	2011-05-05 00:00:00	No	2011-08-03 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	E23B11	N	CA00267621, CA00268317	B, B	SFY2011-12
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-06-01 00:00:00	070008240	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-04-10 00:00:00	2011-04-10 00:00:00	Yes	2011-06-22 00:00:00	2011-06-07 00:00:00	B	B	600	390	0	390	0	None	L9E411	N	CA00265556	B	SFY2010-11
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-05-19 00:00:00	070008260	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-04-28 00:00:00	2011-04-28 00:00:00	No	2011-06-10 00:00:00	None	B	None	700	700	-245	455	0	None	6S2811	N	CA00268147	B	SFY2010-11
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2011-06-09 00:00:00	070008280	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-02 00:00:00	2011-05-02 00:00:00	No	2011-06-30 00:00:00	None	B	None	600	600	-210	390	0	None	KEK111	N	CA00269865	B	SFY2010-11
070000038	CRESTHAVEN SKILLED NURSING FACILITY, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2011-06-21 00:00:00	070008286	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-05-27 00:00:00	2011-05-27 00:00:00	No	2011-07-13 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	F5PD11	N	CA00266183	B	SFY2010-11
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-06-16 00:00:00	070008312	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-28 00:00:00	2011-02-28 00:00:00	Yes	2011-07-08 00:00:00	2011-06-22 00:00:00	B	B	750	562.5	0	562.5	0	None	N8FQ11	N	CA00269214	B	SFY2010-11
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2011-07-13 00:00:00	070008349	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-07 00:00:00	2011-05-07 00:00:00	No	2011-08-03 00:00:00	None	B	None	600	600	-210	390	0	None	IFRX11	N	CA00274224	A	SFY2011-12
630012069	SHINRAI-WHITE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2011-07-13 00:00:00	070008375	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-07-02 00:00:00	2011-07-02 00:00:00	No	2011-08-03 00:00:00	None	B	None	600	600	-210	390	0	None	H5SE11	N	CA00274825	A	SFY2011-12
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-09-26 00:00:00	070008376	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-02 00:00:00	2011-06-02 00:00:00	Yes	2011-10-17 00:00:00	2011-09-28 00:00:00	B	B	800	520	0	520	0	None	662H11	N	CA00274774	B	SFY2011-12
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-07-13 00:00:00	070008378	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach of IT system theft/loss of edevice/med rec	None	2011-05-24 08:00:00	2011-05-24 08:00:00	No	2011-08-03 00:00:00	None	FTR RES	None	1300	1300	0	1300	0	None	MNSF11	None	CA00274998	B	SFY2011-12
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-07-13 00:00:00	070008379	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2011-05-24 08:00:00	2011-05-24 08:00:00	No	2011-08-03 00:00:00	None	FTR BR	None	1300	1300	0	1300	0	None	MNSF11	None	CA00274998	B	SFY2011-12
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-07-13 00:00:00	070008380	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach of IT system theft/loss of edevice/med rec	None	2011-05-10 08:00:00	2011-05-10 08:00:00	No	2011-08-03 00:00:00	None	FTR RES	None	4200	4200	0	4200	0	None	E23B11	None	CA00267621, CA00268317	B, B	SFY2011-12
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-07-18 00:00:00	070008391	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-06-25 00:00:00	2011-06-25 00:00:00	No	2011-08-08 00:00:00	None	B	None	500	500	-175	325	0	None	Z06511	N	CA00274339	B	SFY2011-12
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-07-19 00:00:00	070008393	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-07-09 00:00:00	2011-07-09 00:00:00	No	2011-08-09 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	L1RY11	N	CA00275625, CA00276067	B, B	SFY2011-12
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-07-21 00:00:00	070008408	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-05-29 00:00:00	2011-05-29 00:00:00	Yes	2011-08-11 00:00:00	2011-07-28 00:00:00	B	B	850	552.5	0	552.5	0	None	QUCX11	N	CA00274370	B	SFY2011-12
070000019	AVE MARIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2011-08-01 00:00:00	070008429	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-07-09 00:00:00	2011-07-09 00:00:00	No	2011-08-22 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	DGD011	N	CA00275785, CA00276060	B, B	SFY2011-12
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-08-30 00:00:00	070008444	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-02 00:00:00	2011-08-02 00:00:00	Yes	2011-09-21 00:00:00	2011-09-20 00:00:00	B	B	700	455	0	455	0	None	YFEV11	N	CA00277298	B	SFY2011-12
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-09-09 00:00:00	070008476	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-07-31 00:00:00	2011-07-31 00:00:00	No	2011-10-03 00:00:00	None	B	None	600	600	-210	390	0	None	VJDB11	N	CA00277999, CA00278924	B, B	SFY2011-12
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-08-16 00:00:00	070008477	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-07-22 00:00:00	2011-07-22 00:00:00	No	2011-09-06 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	NOV011	N	CA00277164	B	SFY2011-12
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2011-08-25 00:00:00	070008506	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-08-08 00:00:00	2011-08-08 00:00:00	Yes	2011-09-16 00:00:00	2011-09-08 00:00:00	B	B Trebled	800	1560	0	1560	0	None	07Q411	N	CA00278609, CA00279321	C, B	SFY2011-12
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-09-02 00:00:00	070008516	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-12-25 00:00:00	2010-12-25 00:00:00	No	2011-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJXR11	N	None	None	SFY2011-12
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-08-30 00:00:00	070008517	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-08-22 00:00:00	2011-08-22 00:00:00	Yes	2011-09-21 00:00:00	2011-09-13 00:00:00	B	None	700	700	0	700	0	None	M42511	N	CA00279876	B	SFY2011-12
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-09-02 00:00:00	070008529	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-08-16 00:00:00	2011-08-16 00:00:00	No	2011-09-26 00:00:00	None	B	None	500	500	-175	325	0	None	XJXR11	N	None	None	SFY2011-12
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-09-07 00:00:00	070008535	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-15 00:00:00	2011-07-15 00:00:00	No	2011-09-29 00:00:00	None	B	None	700	700	-245	455	0	None	13TI11	N	CA00277266	B	SFY2011-12
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-09-08 00:00:00	070008552	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-08-27 00:00:00	2011-08-27 00:00:00	No	2011-09-30 00:00:00	None	B	None	600	600	-210	390	0	None	YVI511	N	CA00281670	B	SFY2011-12
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-09-09 00:00:00	070008555	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-07-29 00:00:00	2011-07-29 00:00:00	Yes	2014-06-06 00:00:00	2011-09-12 00:00:00	B	Dismissed by Court	600	0	0	0	0	None	TYZR11	N	CA00280740	B	SFY2011-12
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-10-06 00:00:00	070008575	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-01 00:00:00	2011-09-01 00:00:00	No	2011-10-27 00:00:00	None	B	None	600	600	-210	390	0	None	DFVN11	N	CA00282477	B	SFY2011-12
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-09-29 00:00:00	070008576	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2011-08-26 00:00:00	2011-08-26 00:00:00	Yes	2012-11-19 00:00:00	2011-10-11 00:00:00	A	A	16000	16000	0	16000	0	None	BYS711	Y	CA00282651, CA00282788, CA00283096	B, B, B	SFY2011-12
070000780	EDEN VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-10-10 00:00:00	070008582	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-14 00:00:00	2011-09-14 00:00:00	No	2011-10-31 00:00:00	None	B	None	200	200	0	200	0	None	P83B11	N	None	None	SFY2011-12
070000046	GREENHILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2011-10-12 00:00:00	070008637	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-22 00:00:00	2011-09-22 00:00:00	Yes	2014-10-09 00:00:00	2011-10-17 00:00:00	B	B	800	800	0	800	0	None	5YYI11	N	CA00285603	B	SFY2011-12
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-10-21 00:00:00	070008653	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-26 00:00:00	2011-09-26 00:00:00	No	2011-11-14 00:00:00	None	B	None	600	600	-210	390	0	None	02P711	N	CA00284469, CA00284521	B, B	SFY2011-12
070000038	CRESTHAVEN SKILLED NURSING FACILITY, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2011-10-26 00:00:00	070008670	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-04 00:00:00	2011-10-04 00:00:00	No	2011-11-17 00:00:00	None	B	None	600	600	-210	390	0	None	97BE11	N	CA00285875	B	SFY2011-12
070000038	CRESTHAVEN SKILLED NURSING FACILITY, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2011-10-26 00:00:00	070008673	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-10 00:00:00	2011-10-10 00:00:00	No	2011-11-17 00:00:00	None	B	None	500	500	-175	325	0	None	97BE11	N	CA00285773	B	SFY2011-12
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-11-10 00:00:00	070008744	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-10-12 08:00:00	2011-10-12 08:00:00	No	2011-12-06 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	DUPZ11	None	CA00287083	B	SFY2011-12
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-11-10 00:00:00	070008745	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-10-12 08:00:00	2011-10-12 08:00:00	No	2011-12-06 00:00:00	None	FTR RES	None	1600	1600	-400	1200	0	None	DUPZ11	None	CA00287083	B	SFY2011-12
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-12-09 00:00:00	070008781	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-11-18 00:00:00	2011-11-18 00:00:00	Yes	2012-01-03 00:00:00	2011-12-30 00:00:00	A	A Trebled	20000	60000	0	60000	0	None	V0W611	N	CA00290353, CA00290648	B, B	SFY2011-12
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2012-01-18 00:00:00	070008820	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-11-18 00:00:00	2011-11-18 00:00:00	No	2012-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	RE4E11	N	CA00290592, CA00290640, CA00290740	B, B, B	SFY2011-12
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2012-01-23 00:00:00	070008901	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-28 00:00:00	2011-11-28 00:00:00	Yes	2012-02-13 00:00:00	2012-02-01 00:00:00	B	None	900	900	0	900	0	None	7F6O11	N	CA00291160, CA00291857	B, B	SFY2011-12
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2012-01-23 00:00:00	070008934	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-19 00:00:00	2011-02-19 00:00:00	No	2012-02-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	EWHR11	N	CA00293862	B	SFY2011-12
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2012-01-25 00:00:00	070008939	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-18 00:00:00	2012-01-18 00:00:00	Yes	2012-02-15 00:00:00	2012-02-07 00:00:00	B	B	750	750	0	750	0	None	PWOR11	N	CA00295118, CA00295123	B, B	SFY2011-12
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2012-01-30 00:00:00	070008956	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-07 00:00:00	2012-01-07 00:00:00	No	2012-02-21 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	RX1611	N	CA00295380	B	SFY2011-12
070000038	CRESTHAVEN SKILLED NURSING FACILITY, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2012-02-14 00:00:00	070008957	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-13 00:00:00	2012-01-13 00:00:00	No	2012-03-07 00:00:00	None	B	None	800	2400	-840	1560	0	None	CFPM11	N	CA00295034	B	SFY2011-12
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2012-02-14 00:00:00	070008994	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-01-26 00:00:00	2012-01-26 00:00:00	Yes	2012-03-07 00:00:00	2012-02-29 00:00:00	B	B	800	800	0	800	0	None	XSNY11	N	CA00297781	B	SFY2011-12
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2012-02-15 00:00:00	070009012	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-01-18 00:00:00	2012-01-18 00:00:00	No	2012-03-08 00:00:00	None	B	None	700	700	-245	455	0	None	3QHW11	N	CA00294615	B	SFY2011-12
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2012-03-07 00:00:00	070009073	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-05 00:00:00	2009-11-05 00:00:00	Yes	2012-03-28 00:00:00	2012-03-22 00:00:00	B	B	800	800	0	800	0	None	0F7711	N	CA00196128, CA00196241	B, B	SFY2011-12
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2012-06-04 00:00:00	070009349	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2012-06-25 00:00:00	None	B	None	1400	1900	0	1900	0	None	VGCQ11	N	CA00307810	B	SFY2011-12
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2012-07-20 00:00:00	070009407	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2012-08-10 00:00:00	None	B	None	600	600	-210	390	0	None	HYC811	N	CA00315132	B	SFY2012-13
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2012-07-20 00:00:00	070009408	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-07-06 00:00:00	2012-07-06 00:00:00	Yes	2012-08-10 00:00:00	2012-07-23 00:00:00	B	None	1400	1400	0	1400	0	None	5DYX11	N	CA00316923, CA00317456	B, B	SFY2012-13
070000092	VALLEY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2012-10-17 00:00:00	070009541	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-09-21 00:00:00	2012-09-21 00:00:00	Yes	2012-11-07 00:00:00	2012-10-25 00:00:00	B	B	1200	900	0	900	0	None	Z7VK11	N	CA00326693	B	SFY2012-13
070001333	LENA'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2012-11-14 00:00:00	070009578	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-10-16 00:00:00	2012-10-16 00:00:00	No	2012-12-07 00:00:00	None	B	None	600	600	-210	390	0	None	XFVT11	N	CA00329956	B	SFY2012-13
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2012-12-18 00:00:00	070009683	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2012-10-30 08:00:00	2012-10-30 08:00:00	No	2013-01-10 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	VFHW11	None	CA00335214	C	SFY2012-13
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2012-12-18 00:00:00	070009684	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-10-30 08:00:00	2012-10-30 08:00:00	No	2013-01-10 00:00:00	None	FTR RES	None	800	800	-200	600	0	None	VFHW11	None	CA00335214	C	SFY2012-13
070000868	O'CONNOR HOSPITAL DP/SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2013-03-05 00:00:00	070009756	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2012-12-26 00:00:00	2012-12-26 00:00:00	Yes	2013-03-26 00:00:00	2013-03-18 00:00:00	AA	Dismissed by Court	65000	0	0	0	0	None	I7KF11	Y	CA00338028	B	SFY2012-13
070001130	KCARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2013-05-02 00:00:00	070009874	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-01 08:00:00	2013-04-01 08:00:00	No	2013-05-23 00:00:00	None	FTR BR	None	200	200	0	200	0	None	W6RL11	None	CA00349465	C	SFY2012-13
070001130	KCARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2013-05-02 00:00:00	070009877	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-02 08:00:00	2013-04-02 08:00:00	No	2013-05-23 00:00:00	None	FTR RES	None	600	600	0	600	0	None	W6RL11	None	CA00349465	C	SFY2012-13
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2013-06-26 00:00:00	070009970	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-05-27 00:00:00	2013-05-27 00:00:00	Yes	2013-07-18 00:00:00	2013-07-05 00:00:00	B	None	1600	1600	0	1600	0	None	0O0911	N	CA00357585	B	SFY2012-13
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2013-09-09 00:00:00	070010132	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-06-17 00:00:00	2013-06-17 00:00:00	No	2013-09-30 00:00:00	None	FTR BR	None	1300	1300	-325	975	0	None	0RTH11	None	CA00359623	B	SFY2013-14
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2013-09-09 00:00:00	070010137	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-06-17 00:00:00	2013-06-17 00:00:00	No	2013-09-30 00:00:00	None	FTR RES	None	6300	6300	-1575	4725	0	None	0RTH11	None	CA00359623	B	SFY2013-14
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2013-10-14 00:00:00	070010190	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-10-04 00:00:00	2013-10-04 00:00:00	No	2013-11-04 00:00:00	None	B	None	1300	1300	-455	845	0	None	BCY511	N	CA00371839, CA00371978	B, B	SFY2013-14
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2013-11-15 00:00:00	070010263	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-11-04 00:00:00	2013-11-04 00:00:00	No	2013-12-10 00:00:00	None	B	None	800	800	0	800	0	None	O1O611	N	CA00375841	A	SFY2013-14
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2013-12-04 00:00:00	070010287	Closed	Citation	Citation B (HSC 1424)	Medication	None	2013-11-18 00:00:00	2013-11-18 00:00:00	No	2013-12-26 00:00:00	None	B	None	1500	1500	-525	975	0	None	82LS11	N	CA00377639	A	SFY2013-14
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-04-30 00:00:00	070010621	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-03-18 00:00:00	2014-03-18 00:00:00	No	2014-05-21 00:00:00	None	B	None	1400	2250	-490	1760	0	None	6IDK11	N	CA00391855	C	SFY2013-14
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-05-12 00:00:00	070010708	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-16 00:00:00	2014-02-16 00:00:00	No	2014-06-03 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	L3C011	N	CA00396608	B	SFY2013-14
070001089	CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI	LTC	SNF	Skilled Nursing Facility	San Jose	2014-05-13 00:00:00	070010713	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-28 00:00:00	2014-04-28 00:00:00	No	2014-06-04 00:00:00	None	B	None	1200	1200	-420	780	0	None	Z92C11	N	CA00397377	B	SFY2013-14
070000038	CRESTHAVEN SKILLED NURSING FACILITY, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2014-05-28 00:00:00	070010740	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-04-02 00:00:00	2014-04-02 00:00:00	Yes	2014-06-18 00:00:00	2014-06-20 00:00:00	A	A	12000	8950	-1150	7800	0	None	SOTI11	N	CA00394887, CA00394887, CA00394887	B, B, B	SFY2013-14
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-08-28 00:00:00	070010942	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-08-01 00:00:00	2014-08-01 00:00:00	No	2014-09-19 00:00:00	None	B	None	1000	3000	0	3000	0	None	J6DS11	N	CA00408809	B	SFY2014-15
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2014-09-04 00:00:00	070010981	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-20 00:00:00	2014-08-20 00:00:00	No	2014-09-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	SRLB11	N	CA00410150	B	SFY2014-15
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-09-10 00:00:00	070010985	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-08-21 00:00:00	2014-08-21 00:00:00	No	2014-10-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	KEB311	N	CA00410603	B	SFY2014-15
070000906	WREN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2014-09-11 00:00:00	070011001	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-08-05 00:00:00	2014-08-05 00:00:00	No	2014-10-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZMPE11	N	CA00408497	B	SFY2014-15
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-11-04 00:00:00	070011107	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-07-29 00:00:00	2014-07-29 00:00:00	No	2014-11-26 00:00:00	None	FTR BR	None	6900	6900	-1725	5175	0	None	IKUE11	None	CA00416785	C	SFY2014-15
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-11-04 00:00:00	070011108	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-07-29 00:00:00	2014-07-29 00:00:00	No	2014-11-26 00:00:00	None	FTR RES	None	6900	6900	-1725	5175	0	None	IKUE11	None	CA00416785	C	SFY2014-15
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-12-09 00:00:00	070011143	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-11-10 00:00:00	2014-11-10 00:00:00	No	2014-12-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	WM5L11	N	CA00420521	B	SFY2014-15
070000046	GREENHILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2015-01-16 00:00:00	070011214	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-12-08 00:00:00	2014-12-08 00:00:00	No	2015-02-09 00:00:00	None	B	None	1600	1600	0	1600	0	None	2TL111	N	CA00425898	C	SFY2014-15
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-03-24 00:00:00	070011333	Closed	Citation	Citation B (HSC 1424)	Medication	None	2015-02-22 00:00:00	2015-02-22 00:00:00	No	2015-04-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	0USZ11	N	CA00432626	B	SFY2014-15
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-04-14 00:00:00	070011377	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-03-19 00:00:00	2015-03-19 00:00:00	No	2015-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	HN4Q11	N	CA00436662, CA00436748	B, B	SFY2014-15
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2015-04-17 00:00:00	070011383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-19 00:00:00	2015-03-19 00:00:00	No	2015-05-08 00:00:00	None	B	None	900	900	0	900	0	None	GFPY11	N	CA00436670	B	SFY2014-15
630012933	GATEWAY CENTER ICF1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2015-05-29 00:00:00	070011386	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-03-08 00:00:00	2015-03-08 00:00:00	No	2015-06-19 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	UV7W11	N	CA00434338	B	SFY2014-15
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2015-04-29 00:00:00	070011398	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-03-21 00:00:00	2015-03-21 00:00:00	Yes	2015-05-20 00:00:00	2015-04-30 00:00:00	B	B	1000	1000	0	1000	0	None	6YIR11	N	CA00435895	B	SFY2014-15
630011211	IN GOOD HANDS HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2015-05-29 00:00:00	070011428	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-25 00:00:00	2015-02-25 00:00:00	No	2015-06-19 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	SQQ511	N	CA00433065	B	SFY2014-15
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-07-27 00:00:00	070011494	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-04-04 00:00:00	2015-04-04 00:00:00	No	2015-08-17 00:00:00	None	A	None	4000	4000	-1400	2600	0	None	7KN911	N	CA00437631	B	SFY2015-16
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-06-30 00:00:00	070011563	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-05-15 00:00:00	2015-05-15 00:00:00	Yes	2015-07-21 00:00:00	2015-07-07 00:00:00	B	Drop>Deficiency	2000	1300	0	1300	0	None	ALHJ11	N	CA00443898	B	SFY2014-15
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2015-07-01 00:00:00	070011582	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-06-13 00:00:00	2015-06-13 00:00:00	No	2015-07-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	2MX111	N	CA00446578	C	SFY2015-16
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-07-24 00:00:00	070011591	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-06-07 00:00:00	2015-06-07 00:00:00	No	2015-08-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	BSD911	N	CA00446175	B	SFY2015-16
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-07-24 00:00:00	070011592	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-06-07 00:00:00	2015-06-07 00:00:00	No	2015-08-14 00:00:00	None	B	None	500	500	0	500	0	None	BSD911	N	CA00446175	B	SFY2015-16
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2015-07-16 00:00:00	070011620	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-02-20 00:00:00	2015-02-20 00:00:00	Yes	2015-08-06 00:00:00	2015-07-17 00:00:00	B	Drop>Deficiency	1000	1000	-550	450	0	None	IRVY11	N	CA00448716	B	SFY2015-16
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2015-08-17 00:00:00	070011655	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-14 00:00:00	2015-05-14 00:00:00	No	2015-09-08 00:00:00	None	B	None	500	500	-175	325	0	None	009P11	N	CA00453158	B	SFY2015-16
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2015-09-01 00:00:00	070011667	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-06-24 00:00:00	2015-06-24 00:00:00	No	2015-09-23 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	9EJW11	N	CA00452255	B	SFY2015-16
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2015-09-01 00:00:00	070011668	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-07 00:00:00	2015-08-07 00:00:00	No	2015-09-23 00:00:00	None	B	None	500	500	-175	325	0	None	9EJW11	N	CA00454341	C	SFY2015-16
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-09-04 00:00:00	070011679	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-07-03 00:00:00	2015-07-03 00:00:00	No	2015-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	N88T11	N	CA00449689	B	SFY2015-16
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-09-04 00:00:00	070011680	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-07-15 00:00:00	2015-07-15 00:00:00	No	2015-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	N88T11	N	CA00453336	B	SFY2015-16
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2015-11-25 00:00:00	070011682	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-20 00:00:00	2015-07-20 00:00:00	No	2015-12-18 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	9OZZ11	N	CA00451417	B	SFY2015-16
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-09-04 00:00:00	070011698	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-07-14 00:00:00	2015-07-14 00:00:00	No	2015-09-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BCNQ11	N	CA00451400	B	SFY2015-16
070000780	EDEN VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-10-05 00:00:00	070011728	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-07 00:00:00	2015-09-07 00:00:00	No	2015-10-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	JW3D11	N	CA00457511, CA00458455	B, B	SFY2015-16
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-09-18 00:00:00	070011730	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-07 00:00:00	2015-08-07 00:00:00	No	2015-10-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9YP511	N	CA00454093	B	SFY2015-16
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-10-22 00:00:00	070011783	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-10-06 00:00:00	2015-10-06 00:00:00	Yes	2015-11-13 00:00:00	2015-10-23 00:00:00	B	B	2000	1300	0	1300	0	None	XL2I11	N	CA00461443	B	SFY2015-16
070000953	LAWRENCE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2015-10-28 00:00:00	070011784	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-05 00:00:00	2015-10-05 00:00:00	No	2015-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	24DI11	N	CA00460956, CA00460961, CA00460976, CA00460978, CA00460981, CA00460983, CA00461162	A, A, A, B, A, A, A	SFY2015-16
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-11-13 00:00:00	070011840	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-19 00:00:00	2015-10-19 00:00:00	No	2015-12-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	L4TC11	N	CA00461238	B	SFY2015-16
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2015-12-31 00:00:00	070011928	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-06 00:00:00	2015-11-06 00:00:00	No	2016-01-25 00:00:00	None	B	None	1000	3000	0	3000	0	None	K1BR11	N	CA00464833	B	SFY2015-16
070000906	WREN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2015-12-29 00:00:00	070011930	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-11-09 00:00:00	2015-11-09 00:00:00	No	2016-01-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	YWEJ11	N	CA00465267	B	SFY2015-16
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-02-02 00:00:00	070012004	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-12-17 00:00:00	2015-12-17 00:00:00	No	2016-02-24 00:00:00	None	B	None	500	1500	-525	975	0	None	R0U211	N	CA00468770	B	SFY2015-16
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-02-02 00:00:00	070012005	Closed	Citation	Citation B (HSC 1424)	Medication	None	2015-11-24 00:00:00	2015-11-24 00:00:00	No	2016-02-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R0U211	N	CA00468770	B	SFY2015-16
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-03-09 00:00:00	070012020	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-26 00:00:00	2016-01-26 00:00:00	No	2016-03-30 00:00:00	None	B	None	500	500	-175	325	0	None	YXYL11	N	None	None	SFY2015-16
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2016-02-23 00:00:00	070012037	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-21 00:00:00	2016-01-21 00:00:00	No	2016-03-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	T88511	N	CA00473799	B	SFY2015-16
070000042	WINDSOR THE RIDGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-03-16 00:00:00	070012119	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-12-28 00:00:00	2015-12-28 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LC0M11	N	CA00473782	B	SFY2015-16
070000042	WINDSOR THE RIDGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-03-16 00:00:00	070012120	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-01-24 00:00:00	2016-01-24 00:00:00	No	2016-04-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	10J811	N	CA00473464	B	SFY2015-16
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-03-15 00:00:00	070012121	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-03-02 00:00:00	2016-03-02 00:00:00	No	2016-04-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	56PH11	N	CA00478698	B	SFY2015-16
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-03-25 00:00:00	070012145	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-03-05 00:00:00	2016-03-05 00:00:00	No	2016-04-18 00:00:00	None	B	None	500	500	0	500	0	None	JT6911	N	CA00479326	B	SFY2015-16
630012069	SHINRAI-WHITE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-04-22 00:00:00	070012173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-03-19 00:00:00	2016-03-19 00:00:00	No	2016-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	N72C11	N	CA00480852	B	SFY2015-16
070000012	LINCOLN GLEN SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Jose	2016-04-14 00:00:00	070012174	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-03-04 00:00:00	2016-03-04 00:00:00	No	2016-05-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y7ND11	N	None	None	SFY2015-16
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-04-20 00:00:00	070012195	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-04 00:00:00	2016-04-04 00:00:00	No	2016-05-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	SO8W11	N	CA00483320	B	SFY2015-16
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-04-22 00:00:00	070012196	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-03-05 00:00:00	2016-03-05 00:00:00	No	2016-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	VCKZ11	N	CA00483615	B	SFY2015-16
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-04-22 00:00:00	070012205	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-03-31 00:00:00	2016-03-31 00:00:00	No	2016-05-13 00:00:00	None	B	None	500	500	-175	325	0	None	VCKZ11	N	CA00483027	B	SFY2015-16
630012069	SHINRAI-WHITE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-04-22 00:00:00	070012212	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-03-19 00:00:00	2016-03-19 00:00:00	No	2016-05-13 00:00:00	None	B	None	500	500	-175	325	0	None	N72C11	N	CA00480852	B	SFY2015-16
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2016-05-27 00:00:00	070012250	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-04-02 00:00:00	2016-04-02 00:00:00	No	2016-06-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	YYH011	N	CA00483902	A	SFY2015-16
630012069	SHINRAI-WHITE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-05-16 00:00:00	070012251	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-18 00:00:00	2016-04-18 00:00:00	No	2016-06-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UWHB11	N	None	None	SFY2015-16
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2016-06-15 00:00:00	070012252	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-26 00:00:00	2016-04-26 00:00:00	No	2016-07-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	1V8D11	N	CA00486865	B	SFY2015-16
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2016-05-16 00:00:00	070012253	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-19 00:00:00	2016-04-19 00:00:00	Yes	2016-06-07 00:00:00	2016-05-26 00:00:00	B	B	2000	1400	0	1400	0	None	1CCP11	N	CA00486341	B	SFY2015-16
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-05-16 00:00:00	070012255	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-04-26 00:00:00	2016-04-26 00:00:00	Yes	2016-06-07 00:00:00	2016-05-17 00:00:00	B	B	1000	650	0	650	0	None	S6EC11	N	CA00485790	B	SFY2015-16
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-05-17 00:00:00	070012257	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-04-29 00:00:00	2016-04-29 00:00:00	No	2016-06-08 00:00:00	None	B	None	500	500	-175	325	0	None	25EV11	N	CA00486458	B	SFY2015-16
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-06-30 00:00:00	070012318	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-22 00:00:00	2016-04-22 00:00:00	Yes	2016-07-22 00:00:00	2016-07-25 00:00:00	A	A	5000	5000	0	5000	0	None	R1Y211	N	CA00485618	B	SFY2015-16
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-06-28 00:00:00	070012345	Closed	Citation	Citation B (HSC 1424)	Other	UNUSUAL OCCURENCES	2016-06-11 00:00:00	2016-06-11 00:00:00	No	2016-07-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	D5PL11	N	CA00491930	B	SFY2015-16
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-07-21 00:00:00	070012376	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-19 00:00:00	2016-05-19 00:00:00	Yes	2016-08-11 00:00:00	2016-08-01 00:00:00	A	A	10000	6500	0	6500	0	None	ZKGM11	N	CA00489559	B	SFY2016-17
070001398	ROUNDTREE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-07-11 00:00:00	070012377	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-15 00:00:00	2016-06-15 00:00:00	No	2016-08-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DIV911	N	CA00492183	B	SFY2016-17
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-06-30 00:00:00	070012378	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-05-11 00:00:00	2016-05-11 00:00:00	No	2016-07-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	QLEL11	N	CA00488395	C	SFY2015-16
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-07-14 00:00:00	070012390	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-19 00:00:00	2016-06-19 00:00:00	No	2016-08-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	PXZB11	N	CA00492690	B	SFY2016-17
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-07-14 00:00:00	070012391	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-06-19 00:00:00	2016-06-19 00:00:00	No	2016-08-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	PXZB11	N	CA00492690	B	SFY2016-17
070000067	INVIGORATE POST ACUTE OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2016-07-25 00:00:00	070012420	Closed	Citation	Citation B (HSC 1424)	Other	improper discharge	2016-06-18 00:00:00	2016-06-18 00:00:00	No	2016-08-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	223Z11	N	CA00492923	B	SFY2016-17
070000067	INVIGORATE POST ACUTE OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2016-07-25 00:00:00	070012421	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-18 00:00:00	2016-06-18 00:00:00	No	2016-08-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	223Z11	N	CA00492457	B	SFY2016-17
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2016-07-26 00:00:00	070012422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-06-18 00:00:00	2016-06-18 00:00:00	No	2016-08-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B7WZ11	N	CA00492464	B	SFY2016-17
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-07-20 00:00:00	070012423	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-11 00:00:00	2016-07-11 00:00:00	No	2016-08-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	QSJS11	N	CA00494202	B	SFY2016-17
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-07-26 00:00:00	070012424	Closed	Citation	Citation B (HSC 1424)	Other	Improper Discharge	2016-05-20 00:00:00	2016-05-20 00:00:00	No	2016-08-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	O7Q811	N	CA00489686	B	SFY2016-17
070000789	TUPAZ HOME #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-08-08 00:00:00	070012447	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-09 00:00:00	2016-07-09 00:00:00	No	2016-08-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	Q9LE11	N	CA00494820	B	SFY2016-17
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2016-08-12 00:00:00	070012469	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-24 00:00:00	2016-06-24 00:00:00	No	2016-09-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	N6Y911	N	CA00493866	B	SFY2016-17
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-09-22 00:00:00	070012470	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-04 00:00:00	2016-07-04 00:00:00	No	2016-10-13 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	FY1H11	N	CA00494427	B	SFY2016-17
070000053	GOLDEN AGE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2016-08-11 00:00:00	070012497	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-02-23 00:00:00	2016-02-23 00:00:00	No	2016-09-01 00:00:00	None	B	None	2000	2000	-1300	700	0	None	STY411	N	None	None	SFY2016-17
070001089	CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI	LTC	SNF	Skilled Nursing Facility	San Jose	2016-08-16 00:00:00	070012510	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-16 00:00:00	2016-07-16 00:00:00	No	2016-09-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	IKET11	N	CA00496667	B	SFY2016-17
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-08-31 00:00:00	070012531	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-07 00:00:00	2016-07-07 00:00:00	No	2016-09-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RF3B11	N	None	None	SFY2016-17
070001333	LENA'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-09-12 00:00:00	070012563	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-08-12 00:00:00	2016-08-12 00:00:00	No	2016-10-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	F6JG11	N	CA00499776, CA00499777	B, B	SFY2016-17
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-09-15 00:00:00	070012574	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-08-15 00:00:00	2016-08-15 00:00:00	No	2016-10-06 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	LTLC11	N	CA00499290	B	SFY2016-17
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-10-10 00:00:00	070012625	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-21 00:00:00	2016-08-21 00:00:00	Yes	2016-10-31 00:00:00	2016-10-19 00:00:00	B	None	2000	2000	-2000	0	0	None	MK0Y11	N	None	None	SFY2016-17
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-10-10 00:00:00	070012626	Closed	Citation	Citation B (HSC 1424)	Medication	None	2016-09-20 00:00:00	2016-09-20 00:00:00	Yes	2016-10-31 00:00:00	2016-10-19 00:00:00	B	B	2000	1000	0	1000	0	None	MK0Y11	N	None	None	SFY2016-17
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-10-10 00:00:00	070012627	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-09-20 00:00:00	2016-09-20 00:00:00	Yes	2016-10-31 00:00:00	2016-10-19 00:00:00	B	B	2000	500	0	500	0	None	MK0Y11	N	None	None	SFY2016-17
070001404	TUPAZ HOME #11	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-10-17 00:00:00	070012640	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-21 00:00:00	2016-09-21 00:00:00	No	2016-11-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	9OZQ11	N	CA00505112	B	SFY2016-17
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-10-14 00:00:00	070012641	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-20 00:00:00	2015-11-20 00:00:00	No	2016-11-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	54CZ11	N	None	None	SFY2016-17
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-10-31 00:00:00	070012668	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-10-07 00:00:00	2016-10-07 00:00:00	No	2016-11-22 00:00:00	None	B	None	500	1500	-525	975	0	None	8E0411	N	CA00506175	B	SFY2016-17
070000906	WREN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-11-04 00:00:00	070012691	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-08-21 00:00:00	2016-08-21 00:00:00	No	2016-11-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z5KK11	N	CA00500750	B	SFY2016-17
070000998	TUPAZ HOME #7	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-10-31 00:00:00	070012692	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-16 00:00:00	2016-08-16 00:00:00	No	2016-11-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	88YU11	N	CA00503132, CA00503132	B, B	SFY2016-17
070000012	LINCOLN GLEN SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Jose	2016-11-10 00:00:00	070012724	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-02 00:00:00	2016-10-02 00:00:00	Yes	2016-12-06 00:00:00	2016-11-28 00:00:00	B	B	2000	1400	0	1400	0	None	MA0411	N	CA00505406	B	SFY2016-17
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-11-28 00:00:00	070012741	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-15 00:00:00	2016-10-15 00:00:00	No	2016-12-19 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	4MSP11	N	CA00507572	B	SFY2016-17
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2016-11-23 00:00:00	070012751	Closed	Citation	Citation B (HSC 1424)	Medication	None	2016-11-08 00:00:00	2016-11-08 00:00:00	No	2016-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	GB3R11	N	None	None	SFY2016-17
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-11-22 00:00:00	070012773	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-25 00:00:00	2016-09-25 00:00:00	No	2016-12-15 00:00:00	None	B	None	1000	3000	0	3000	0	None	CG1611	N	CA00504765, CA00506586	B, B	SFY2016-17
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-11-28 00:00:00	070012775	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-24 00:00:00	2016-10-24 00:00:00	No	2016-12-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	LEIH11	N	CA00508680	B	SFY2016-17
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-11-28 00:00:00	070012776	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-10-24 00:00:00	2016-10-24 00:00:00	No	2016-12-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	LEIH11	N	CA00508680	B	SFY2016-17
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-05 00:00:00	070012788	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-12 00:00:00	2016-10-12 00:00:00	No	2016-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	W80L11	N	CA00506646	B	SFY2016-17
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-29 00:00:00	070012789	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-09 00:00:00	2016-11-09 00:00:00	Yes	2017-01-23 00:00:00	2017-01-23 00:00:00	A	A	20000	11000	0	11000	0	None	MW1C11	N	CA00510770	B	SFY2016-17
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-09 00:00:00	070012804	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-11-18 00:00:00	2016-11-18 00:00:00	Yes	2017-01-03 00:00:00	2016-12-28 00:00:00	B	B	1500	500	0	500	0	None	U3PO11	N	CA00510003	C	SFY2016-17
070000062	WESTLAND HOUSE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-13 00:00:00	070012805	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-11-11 00:00:00	2016-11-11 00:00:00	No	2017-01-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	96M511	N	CA00512203	B	SFY2016-17
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-12 00:00:00	070012806	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-20 00:00:00	2016-09-20 00:00:00	No	2017-01-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	1UV411	N	CA00509539	B	SFY2016-17
070001089	CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-09 00:00:00	070012807	Closed	Citation	Citation B (HSC 1424)	Medication	None	2016-09-07 00:00:00	2016-09-07 00:00:00	No	2017-01-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZJYN11	N	CA00512044	B	SFY2016-17
070000059	MORGAN HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-20 00:00:00	070012823	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-20 00:00:00	2016-07-20 00:00:00	No	2017-01-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	KM4811	N	None	None	SFY2016-17
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-22 00:00:00	070012840	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-11-30 00:00:00	2016-11-30 00:00:00	No	2017-01-17 00:00:00	None	B	None	500	1500	0	1500	0	None	C7VK11	N	CA00512838	B	SFY2016-17
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-29 00:00:00	070012848	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-12-05 00:00:00	2016-12-05 00:00:00	Yes	2017-01-23 00:00:00	2017-01-23 00:00:00	B	B	1000	850	0	850	0	None	JDTL11	N	CA00513177	B	SFY2016-17
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-01-06 00:00:00	070012866	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-11-17 00:00:00	2016-11-17 00:00:00	No	2017-01-30 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	CHZI11	N	CA00511304	B	SFY2016-17
070000568	TUPAZ HOME #10	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2017-01-30 00:00:00	070012880	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-09 00:00:00	2017-01-09 00:00:00	No	2017-02-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	NCIY11	N	None	None	SFY2016-17
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-02-03 00:00:00	070012938	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-25 00:00:00	2016-10-25 00:00:00	No	2017-02-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	MEE911	N	None	None	SFY2016-17
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-02-03 00:00:00	070012939	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-09 00:00:00	2017-01-09 00:00:00	No	2017-02-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	MEE911	N	None	None	SFY2016-17
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-02-07 00:00:00	070012940	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-18 00:00:00	2016-12-18 00:00:00	No	2017-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	W6NN11	N	CA00515100, CA00515170, CA00515993, CA00516435	B, B, B, B	SFY2016-17
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-02-08 00:00:00	070012958	Closed	Citation	Citation B (HSC 1424)	Other	Readmission	2017-01-09 00:00:00	2017-01-09 00:00:00	Yes	2017-03-02 00:00:00	2017-02-13 00:00:00	B	B	2000	1300	0	1300	0	None	UKNF11	N	CA00517443, CA00520482	B, B	SFY2016-17
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2017-02-16 00:00:00	070012966	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-06 00:00:00	2016-12-06 00:00:00	No	2017-03-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	GSK211	N	CA00520736	B	SFY2016-17
070000002	WOODLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-03-09 00:00:00	070013026	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-13 00:00:00	2017-02-13 00:00:00	No	2017-03-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3CXQ11	N	CA00522501	B	SFY2016-17
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-04-05 00:00:00	070013053	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-04 00:00:00	2017-02-04 00:00:00	Yes	2017-04-26 00:00:00	2017-04-13 00:00:00	B	None	2000	2000	0	2000	0	None	WGO111	N	CA00522080	B	SFY2016-17
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-03-16 00:00:00	070013054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-11-22 00:00:00	2016-11-22 00:00:00	No	2017-04-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	OQB711	N	None	None	SFY2016-17
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-03-21 00:00:00	070013055	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-02-27 00:00:00	2017-02-27 00:00:00	No	2017-04-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N3JW11	N	CA00524249	B	SFY2016-17
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-04-03 00:00:00	070013069	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-07 00:00:00	2017-03-07 00:00:00	No	2017-04-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FBQS11	N	CA00525782	B	SFY2016-17
070000012	LINCOLN GLEN SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Jose	2017-03-29 00:00:00	070013089	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-27 00:00:00	2017-02-27 00:00:00	No	2017-04-20 00:00:00	None	B	None	2000	6000	0	6000	0	None	9L0E11	N	CA00524348	B	SFY2016-17
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-04-26 00:00:00	070013097	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-24 00:00:00	2017-02-24 00:00:00	No	2017-05-17 00:00:00	None	B	None	2000	6000	0	6000	0	None	SCVX11	N	CA00527047	B	SFY2016-17
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-04-11 00:00:00	070013101	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-24 00:00:00	2017-03-24 00:00:00	No	2017-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	RRC911	N	None	None	SFY2016-17
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2017-04-12 00:00:00	070013106	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-24 00:00:00	2017-03-24 00:00:00	No	2017-05-03 00:00:00	None	B	None	1000	3000	0	3000	0	None	6PX411	N	CA00528225	B	SFY2016-17
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-04-11 00:00:00	070013115	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-17 00:00:00	2017-02-17 00:00:00	No	2017-05-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	EPM011	N	CA00524747	B	SFY2016-17
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-04-13 00:00:00	070013116	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-03-20 00:00:00	2017-03-20 00:00:00	No	2017-05-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z8O811	N	CA00527611	B	SFY2016-17
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-04-19 00:00:00	070013135	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-04-02 00:00:00	2017-04-02 00:00:00	No	2017-05-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MWR711	N	None	None	SFY2016-17
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-05-03 00:00:00	070013159	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-04-12 00:00:00	2017-04-12 00:00:00	No	2017-05-24 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	IRIO11	N	CA00531875, CA00531880	B, B	SFY2016-17
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-05-31 00:00:00	070013208	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-04-29 00:00:00	2017-04-29 00:00:00	No	2017-06-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2F7911	N	None	None	SFY2016-17
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-06-14 00:00:00	070013229	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-03-18 00:00:00	2017-03-18 00:00:00	No	2017-07-06 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	WON711	Y	CA00527071	A	SFY2016-17
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-05-31 00:00:00	070013236	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-24 00:00:00	2017-05-24 00:00:00	No	2017-06-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2F7911	N	None	None	SFY2016-17
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-06-01 00:00:00	070013241	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-04-24 00:00:00	2017-04-24 00:00:00	No	2017-06-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	N35911	N	CA00533881	B	SFY2016-17
070000998	TUPAZ HOME #7	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2017-06-02 00:00:00	070013248	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-18 00:00:00	2017-02-18 00:00:00	No	2017-06-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	OL3D11	N	CA00525982	B	SFY2016-17
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-06-16 00:00:00	070013287	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-14 00:00:00	2017-05-14 00:00:00	No	2017-07-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8OI611	N	CA00535491	B	SFY2016-17
070000050	EMPRESS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Jose	2017-06-15 00:00:00	070013288	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-05-18 00:00:00	2017-05-18 00:00:00	No	2017-07-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	9LDD11	N	CA00536717	B	SFY2016-17
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-06-14 00:00:00	070013289	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-02 00:00:00	2017-06-02 00:00:00	Yes	2017-07-06 00:00:00	2017-07-05 00:00:00	B	B	2000	1400	0	1400	0	None	ETMB11	N	None	None	SFY2016-17
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-06 00:00:00	070013321	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-19 00:00:00	2017-06-19 00:00:00	No	2017-07-27 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	3JNY11	N	CA00540040	B	SFY2017-18
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-11 00:00:00	070013325	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-08 00:00:00	2017-06-08 00:00:00	No	2017-08-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4GG811	N	CA00538807	B	SFY2017-18
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-14 00:00:00	070013341	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-06-19 00:00:00	2017-06-19 00:00:00	No	2017-08-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	T04O11	N	CA00540816, CA00540974	B, B	SFY2017-18
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-14 00:00:00	070013342	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-19 00:00:00	2017-06-19 00:00:00	No	2017-08-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	T04O11	N	CA00540816, CA00540974	B, B	SFY2017-18
070000067	INVIGORATE POST ACUTE OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-17 00:00:00	070013344	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-07 00:00:00	2017-07-07 00:00:00	No	2017-08-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	AAGU11	N	None	None	SFY2017-18
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-17 00:00:00	070013345	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-18 00:00:00	2017-06-18 00:00:00	No	2017-08-07 00:00:00	None	B	None	2000	2000	-2000	0	0	None	FR2W11	N	CA00540455	B	SFY2017-18
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-18 00:00:00	070013346	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-14 00:00:00	2017-06-14 00:00:00	No	2017-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KQXF11	N	CA00540779	B	SFY2017-18
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-19 00:00:00	070013355	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-16 00:00:00	2017-06-16 00:00:00	No	2017-08-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	189611	N	CA00540279	B	SFY2017-18
070000476	TUPAZ HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2017-08-02 00:00:00	070013397	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-13 00:00:00	2017-07-13 00:00:00	No	2017-08-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	ISRL11	Y	CA00543891	B	SFY2017-18
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-27 00:00:00	070013398	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-07-06 00:00:00	2017-07-06 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RSSD11	N	CA00543254	B	SFY2017-18
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-08-07 00:00:00	070013408	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-26 00:00:00	2017-07-26 00:00:00	No	2017-08-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	20P111	N	CA00544851	B	SFY2017-18
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2017-08-18 00:00:00	070013420	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-02 00:00:00	2017-08-02 00:00:00	No	2017-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	OPY411	N	CA00546605	B	SFY2017-18
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-08-09 00:00:00	070013421	Closed	Citation	Citation B (HSC 1424)	Other	UNUSUAL OCCURRENCES	2017-07-23 00:00:00	2017-07-23 00:00:00	No	2017-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	UZ4Q11	N	CA00546169	B	SFY2017-18
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-08-10 00:00:00	070013422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-17 00:00:00	2017-01-17 00:00:00	No	2017-08-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VRDN11	N	None	None	SFY2017-18
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-08-10 00:00:00	070013423	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-22 00:00:00	2017-07-22 00:00:00	No	2017-08-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PX9011	N	CA00545367, CA00546115	B, B	SFY2017-18
070000032	CANTERBURY WOODS	LTC	SNF	Skilled Nursing Facility	San Jose	2017-08-15 00:00:00	070013425	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-11 00:00:00	2017-07-11 00:00:00	No	2017-09-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	F5T611	N	CA00543879, CA00544575	B, B	SFY2017-18
220001063	WEBSTER HOUSE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-08-18 00:00:00	070013428	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-05 00:00:00	2017-08-05 00:00:00	No	2017-09-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D2IK11	N	CA00547513	B	SFY2017-18
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2017-09-07 00:00:00	070013463	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-06-27 00:00:00	2017-06-27 00:00:00	No	2017-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y04F11	N	CA00548128	B	SFY2017-18
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2017-08-30 00:00:00	070013465	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-21 00:00:00	2017-05-21 00:00:00	No	2017-09-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VL6R11	N	None	None	SFY2017-18
220001020	IDYLWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-09-13 00:00:00	070013494	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-02 00:00:00	2017-08-02 00:00:00	Yes	2017-10-04 00:00:00	2017-09-19 00:00:00	B	B	2000	1600	0	1600	0	None	YPHU11	N	CA00549356	B	SFY2017-18
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-10-04 00:00:00	070013502	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-05-02 00:00:00	2017-05-02 00:00:00	No	2017-10-25 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	DM8E11	N	CA00552576	B	SFY2017-18
070000042	WINDSOR THE RIDGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-09-21 00:00:00	070013503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-04 00:00:00	2017-09-04 00:00:00	No	2017-10-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DT0W11	N	CA00551471	B	SFY2017-18
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-10-30 00:00:00	070013583	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-10 00:00:00	2017-10-10 00:00:00	No	2017-11-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	XY4011	N	CA00556967	B	SFY2017-18
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-11-03 00:00:00	070013584	Closed	Citation	Citation B (HSC 1424)	Medication	None	2017-10-07 00:00:00	2017-10-07 00:00:00	No	2017-11-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M1VF11	N	CA00556869	B	SFY2017-18
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-11-08 00:00:00	070013585	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-07-18 00:00:00	2017-07-18 00:00:00	No	2017-12-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6PIZ11	N	CA00556744, CA00556753	B, B	SFY2017-18
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-11-15 00:00:00	070013594	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-09 00:00:00	2017-10-09 00:00:00	No	2017-12-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2B8S11	N	CA00557047	B	SFY2017-18
630010977	CIRCLE OF CARE ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2017-11-27 00:00:00	070013622	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-07-24 00:00:00	2017-07-24 00:00:00	No	2017-12-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	DJ2N11	N	None	None	SFY2017-18
070000009	VISTA MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-12-05 00:00:00	070013654	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-16 00:00:00	2017-03-16 00:00:00	Yes	2017-12-27 00:00:00	2017-12-26 00:00:00	B	B	2000	1800	0	1800	0	None	2R4D11	N	None	None	SFY2017-18
220001063	WEBSTER HOUSE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-12-06 00:00:00	070013668	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-11-02 00:00:00	2017-11-02 00:00:00	No	2017-12-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3SIP11	N	CA00561661	B	SFY2017-18
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2017-12-11 00:00:00	070013681	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-26 00:00:00	2017-10-26 00:00:00	No	2018-01-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	E7PC11	N	CA00558628	B	SFY2017-18
070000780	EDEN VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-01-23 00:00:00	070013698	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-09 00:00:00	2017-12-09 00:00:00	No	2018-02-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PMQD11	N	CA00564393	B	SFY2017-18
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-01-02 00:00:00	070013699	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-26 00:00:00	2017-11-26 00:00:00	No	2018-01-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BM6011	N	CA00562363	B	SFY2017-18
070000953	LAWRENCE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2018-01-11 00:00:00	070013707	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-11-28 00:00:00	2017-11-28 00:00:00	No	2018-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	M5XC11	N	CA00562723	B	SFY2017-18
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-01-12 00:00:00	070013723	Closed	Citation	Citation B (HSC 1424)	Other	FAILURE TO REPORT	2017-12-29 00:00:00	2017-12-29 00:00:00	Yes	2018-02-02 00:00:00	2018-01-17 00:00:00	B	B	2000	1400	0	1400	0	None	IDP711	N	CA00567327	B	SFY2017-18
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-01-22 00:00:00	070013749	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-01-11 00:00:00	2018-01-11 00:00:00	No	2018-02-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QQ1T11	N	CA00568936	B	SFY2017-18
070001309	TUPAZ HOME #8	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2018-01-26 00:00:00	070013751	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-19 00:00:00	2017-12-19 00:00:00	No	2018-02-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	7FHP11	N	CA00565820, CA00565947, CA00566443, CA00567267	B, B, B, B	SFY2017-18
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-01-24 00:00:00	070013762	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-27 00:00:00	2017-12-27 00:00:00	No	2018-02-14 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	846T11	N	CA00566718	B	SFY2017-18
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-01-29 00:00:00	070013763	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-02 00:00:00	2018-01-02 00:00:00	No	2018-02-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5DQO11	N	CA00567132	B	SFY2017-18
070000953	LAWRENCE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2018-03-08 00:00:00	070013806	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-12-04 00:00:00	2017-12-04 00:00:00	No	2018-03-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	Y8NQ11	N	CA00572247, CA00573418	B, B	SFY2017-18
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-02-22 00:00:00	070013807	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-21 00:00:00	2018-01-21 00:00:00	No	2018-03-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PRUW11	N	CA00570330, CA00570905	B, B	SFY2017-18
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-02-12 00:00:00	070013808	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-09 00:00:00	2017-10-09 00:00:00	No	2018-03-05 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	C8ZH11	N	CA00566647	B	SFY2017-18
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-02-23 00:00:00	070013840	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-01-29 00:00:00	2018-01-29 00:00:00	No	2018-03-16 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	Y9OW11	N	CA00571506	B	SFY2017-18
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-03-13 00:00:00	070013888	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-02-12 00:00:00	2018-02-12 00:00:00	No	2018-04-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MG1X11	N	CA00573748, CA00575142	B, B	SFY2017-18
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-03-26 00:00:00	070013905	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-04 00:00:00	2017-12-04 00:00:00	No	2018-04-16 00:00:00	None	B	None	2000	6000	0	6000	0	None	D33H11	N	None	None	SFY2017-18
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-03-30 00:00:00	070013938	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-03-13 00:00:00	2018-03-13 00:00:00	No	2018-04-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y6WY11	N	None	None	SFY2017-18
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-03-30 00:00:00	070013939	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-26 00:00:00	2018-01-26 00:00:00	No	2018-04-20 00:00:00	None	B	None	2000	6000	0	6000	0	None	I1PD11	N	CA00573976	B	SFY2017-18
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-04-02 00:00:00	070013952	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-01-22 00:00:00	2018-01-22 00:00:00	No	2018-04-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2EXQ11	N	CA00570270, CA00579638	B, B	SFY2017-18
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-04-03 00:00:00	070013954	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-08 00:00:00	2018-03-08 00:00:00	No	2018-04-24 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	OGTR11	N	CA00577402, CA00577798	B, B	SFY2017-18
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-04-12 00:00:00	070013984	Closed	Citation	Citation B (HSC 1424)	Medication	None	2017-12-11 00:00:00	2017-12-11 00:00:00	No	2018-05-03 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	42H711	N	None	None	SFY2017-18
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-04-20 00:00:00	070013985	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-02 00:00:00	2018-04-02 00:00:00	No	2018-05-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	YNT711	N	None	None	SFY2017-18
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-04-20 00:00:00	070013986	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-04-02 00:00:00	2018-04-02 00:00:00	No	2018-05-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	YNT711	N	None	None	SFY2017-18
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-04-18 00:00:00	070013999	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-04-02 00:00:00	2018-04-02 00:00:00	No	2018-05-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	OKHN11	N	None	None	SFY2017-18
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2018-05-03 00:00:00	070014045	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-04-06 00:00:00	2018-04-06 00:00:00	No	2018-05-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	XDDL11	N	CA00581804, CA00581835	B, B	SFY2017-18
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-05-04 00:00:00	070014047	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-04-18 00:00:00	2018-04-18 00:00:00	Yes	2018-05-25 00:00:00	2018-05-11 00:00:00	B	B	2000	1400	0	1400	0	None	W9LK11	N	CA00583678	B	SFY2017-18
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-05-07 00:00:00	070014050	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-03-26 00:00:00	2018-03-26 00:00:00	No	2018-05-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	E0UD11	N	CA00580385	B	SFY2017-18
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-05-16 00:00:00	070014083	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-04-28 00:00:00	2018-04-28 00:00:00	No	2018-06-06 00:00:00	None	B	None	2000	6000	0	6000	0	None	6UN311	N	CA00584819, CA00585646	B, B	SFY2017-18
630006021	VI AT PALO ALTO	LTC	SNF	Skilled Nursing Facility	San Jose	2018-06-15 00:00:00	070014100	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-09 00:00:00	2018-05-09 00:00:00	No	2018-07-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	R43W11	Y	CA00586347	B	SFY2017-18
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-06-06 00:00:00	070014124	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-14 00:00:00	2018-05-14 00:00:00	No	2018-06-27 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	EOK311	N	CA00586887	B	SFY2017-18
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2018-06-13 00:00:00	070014143	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-29 00:00:00	2018-04-29 00:00:00	No	2018-07-05 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	BD5811	N	CA00588915	B	SFY2017-18
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-06-25 00:00:00	070014184	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-05-28 00:00:00	2018-05-28 00:00:00	No	2018-07-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TUHH11	N	CA00589251, CA00589503	B, B	SFY2017-18
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-07-11 00:00:00	070014230	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-17 00:00:00	2018-05-17 00:00:00	No	2018-08-01 00:00:00	None	B	None	1500	4500	-1575	2925	0	None	43DC11	N	CA00591668	B	SFY2018-19
070000918	AYER HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2018-07-20 00:00:00	070014240	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-08 00:00:00	2018-05-08 00:00:00	No	2018-08-10 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	FIB011	Y	CA00588254	A	SFY2018-19
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-07-17 00:00:00	070014244	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-07-03 00:00:00	2018-07-03 00:00:00	No	2018-08-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z0J311	N	CA00594264	A	SFY2018-19
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-07-18 00:00:00	070014254	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-04 00:00:00	2018-03-04 00:00:00	No	2018-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	64SB11	Y	CA00583435	B	SFY2018-19
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-07-30 00:00:00	070014285	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-01 00:00:00	2018-07-01 00:00:00	No	2018-08-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HJCX11	N	CA00593607, CA00595157	B, A	SFY2018-19
220001030	THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING	LTC	SNF	Skilled Nursing Facility	San Jose	2018-08-02 00:00:00	070014286	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-06-25 00:00:00	2018-06-25 00:00:00	Yes	2018-08-23 00:00:00	2018-08-15 00:00:00	B	B	2000	1300	0	1300	0	None	XZUO11	N	CA00595224	B	SFY2018-19
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-07-31 00:00:00	070014299	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-06-18 00:00:00	2018-06-18 00:00:00	No	2018-08-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TRTD11	N	CA00594003	B	SFY2018-19
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-10-19 00:00:00	070014326	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-06-16 00:00:00	2018-06-16 00:00:00	No	2018-11-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ZKOJ11	Y	CA00591484	B	SFY2018-19
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2018-09-17 00:00:00	070014412	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-10 00:00:00	2018-08-10 00:00:00	No	2018-10-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	3LS011	N	CA00599532	B	SFY2018-19
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-10-05 00:00:00	070014461	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-13 00:00:00	2018-09-13 00:00:00	No	2018-10-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8X3911	N	None	None	SFY2018-19
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-10-10 00:00:00	070014472	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-28 00:00:00	2018-09-28 00:00:00	No	2018-10-31 00:00:00	None	B	None	2000	6000	0	6000	0	None	TKM211	N	CA00605634, CA00605634	A, A	SFY2018-19
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2018-10-16 00:00:00	070014497	Closed	Citation	Citation B (HSC 1424)	Administration	None	2018-06-15 00:00:00	2018-06-15 00:00:00	No	2018-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	9FXH11	N	CA00605005	B	SFY2018-19
070000082	PLUM TREE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-12-07 00:00:00	070014498	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2018-08-20 00:00:00	2018-08-20 00:00:00	Yes	2018-12-31 00:00:00	2018-12-14 00:00:00	AA	AA	100000	75000	0	75000	0	None	73IM11	Y	CA00603886	B	SFY2018-19
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-10-30 00:00:00	070014542	Closed	Citation	Citation B (HSC 1424)	Other	Discharge Planning	2018-10-25 00:00:00	2018-10-25 00:00:00	Yes	2018-11-21 00:00:00	2018-11-07 00:00:00	B	None	2000	2000	0	2000	0	None	DTMR11	N	CA00607756	B	SFY2018-19
220001027	SARATOGA RETIREMENT COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-11-28 00:00:00	070014543	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2018-08-30 00:00:00	2018-08-30 00:00:00	Yes	2018-12-19 00:00:00	2018-12-18 00:00:00	AA	AA	100000	75000	0	75000	0	None	U5UC11	Y	CA00602315	B	SFY2018-19
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2018-11-30 00:00:00	070014567	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-10 00:00:00	2018-10-10 00:00:00	No	2018-12-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MQDQ11	N	CA00608411, CA00608613	B, B	SFY2018-19
630012059	FOREST HILL MANOR HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-12-06 00:00:00	070014606	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-18 00:00:00	2018-11-18 00:00:00	Yes	2018-12-28 00:00:00	2018-12-24 00:00:00	B	B	2000	1600	0	1600	0	None	OUMD11	N	None	None	SFY2018-19
220001020	IDYLWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-12-12 00:00:00	070014608	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-31 00:00:00	2018-10-31 00:00:00	Yes	2019-01-03 00:00:00	2018-12-17 00:00:00	B	B	2000	1500	0	1500	0	None	7OBK11	N	CA00610366	B	SFY2018-19
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2018-12-11 00:00:00	070014617	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-02 00:00:00	2018-11-02 00:00:00	No	2019-01-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	LLNP11	N	CA00610734	B	SFY2018-19
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2018-12-19 00:00:00	070014642	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-12-04 00:00:00	2018-12-04 00:00:00	No	2019-01-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	CL5T11	N	None	None	SFY2018-19
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-01-03 00:00:00	070014643	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-07 00:00:00	2018-10-07 00:00:00	No	2019-01-24 00:00:00	None	B	None	2000	2150	0	2150	0	None	D9HG11	N	CA00607947	B	SFY2018-19
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-01-08 00:00:00	070014669	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-08-08 00:00:00	2018-08-08 00:00:00	No	2019-01-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MKPW11	N	CA00614100	A	SFY2018-19
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2019-01-24 00:00:00	070014727	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-22 00:00:00	2018-10-22 00:00:00	No	2019-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JP2W11	N	CA00610378	B	SFY2018-19
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-01-24 00:00:00	070014728	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-01-02 00:00:00	2019-01-02 00:00:00	No	2019-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4TQ211	N	CA00618198	B	SFY2018-19
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-02-04 00:00:00	070014745	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-02 00:00:00	2019-01-02 00:00:00	Yes	2019-02-25 00:00:00	2019-02-21 00:00:00	B	B	2000	5100	0	0	5100	None	RDTH11	N	CA00618468	B	SFY2018-19
070000076	THE RIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-01-18 00:00:00	070014746	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-05 00:00:00	2018-12-05 00:00:00	No	2019-02-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BL8K11	N	None	None	SFY2018-19
070000076	THE RIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-01-18 00:00:00	070014747	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-17 00:00:00	2018-11-17 00:00:00	No	2019-02-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BL8K11	N	None	None	SFY2018-19
630011211	IN GOOD HANDS HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2019-01-31 00:00:00	070014772	Closed	Citation	Citation B (HSC 1424)	Administration	None	2018-12-06 00:00:00	2018-12-06 00:00:00	No	2019-02-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	8L1P11	N	CA00614906	B	SFY2018-19
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-02-13 00:00:00	070014773	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-26 00:00:00	2018-12-26 00:00:00	No	2019-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HYKM11	N	CA00618988	B	SFY2018-19
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-02-28 00:00:00	070014830	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-17 00:00:00	2018-12-17 00:00:00	No	2019-03-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	26X111	N	CA00617061, CA00617066, CA00617073	A, A, A	SFY2018-19
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-03-05 00:00:00	070014839	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-30 00:00:00	2019-01-30 00:00:00	No	2019-03-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	14TP11	N	CA00623600	B	SFY2018-19
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-03-05 00:00:00	070014848	Closed	Citation	Citation B (HSC 1424)	Other	Discharge (Unsafe)	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-03-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	YQ8P11	N	CA00621152	A	SFY2018-19
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2019-03-19 00:00:00	070014865	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-27 00:00:00	2018-08-27 00:00:00	No	2019-04-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	8BWG11	N	None	None	SFY2018-19
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2019-03-19 00:00:00	070014866	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-03 00:00:00	2019-03-03 00:00:00	No	2019-04-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	8BWG11	N	CA00627942	B	SFY2018-19
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-03-15 00:00:00	070014892	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-02 00:00:00	2019-02-02 00:00:00	No	2019-04-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZZCB11	N	CA00623721	A	SFY2018-19
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-04-02 00:00:00	070014923	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-03-15 00:00:00	2019-03-15 00:00:00	No	2019-04-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WZEB11	N	CA00628924	B	SFY2018-19
070000980	TUPAZ HOME #6	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2019-04-16 00:00:00	070014939	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-29 00:00:00	2019-03-29 00:00:00	No	2019-05-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	U8H011	N	CA00631386	B	SFY2018-19
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-04-18 00:00:00	070014947	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-04-04 00:00:00	2019-04-04 00:00:00	No	2019-05-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DABZ11	N	None	None	SFY2018-19
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-04-24 00:00:00	070014959	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-04-08 00:00:00	2019-04-08 00:00:00	No	2019-05-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D3LM11	N	None	None	SFY2018-19
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-04-24 00:00:00	070014960	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-11 00:00:00	2019-04-11 00:00:00	No	2019-05-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D3LM11	N	None	None	SFY2018-19
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-04-24 00:00:00	070014961	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-11 00:00:00	2019-04-11 00:00:00	No	2019-05-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D3LM11	N	None	None	SFY2018-19
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-05-02 00:00:00	070014971	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-09 00:00:00	2019-03-09 00:00:00	No	2019-05-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PDHI11	N	CA00627927	B	SFY2018-19
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-05-02 00:00:00	070014972	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-15 00:00:00	2019-04-15 00:00:00	No	2019-05-23 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	PDHI11	N	CA00633507	A	SFY2018-19
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2019-05-02 00:00:00	070015002	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-26 00:00:00	2018-11-26 00:00:00	No	2019-05-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	9ID511	N	None	None	SFY2018-19
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-05-16 00:00:00	070015082	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-09 00:00:00	2018-11-09 00:00:00	Yes	2019-06-06 00:00:00	2019-06-03 00:00:00	B	B	2000	1600	0	1600	0	None	7YTW11	Y	CA00614514	B	SFY2018-19
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-05-16 00:00:00	070015086	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-09 00:00:00	2018-11-09 00:00:00	Yes	2019-06-06 00:00:00	2019-06-04 00:00:00	A	A	20000	4000	0	4000	0	None	7YTW11	Y	CA00614514	B	SFY2018-19
070000076	THE RIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-05-28 00:00:00	070015103	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-04-21 00:00:00	2019-04-21 00:00:00	No	2019-06-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4N4X11	N	CA00635050, CA00637595	A, B	SFY2018-19
070000042	WINDSOR THE RIDGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-06-10 00:00:00	070015128	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-05-08 00:00:00	2019-05-08 00:00:00	No	2019-07-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NIUZ11	N	CA00639759	B	SFY2018-19
220001027	SARATOGA RETIREMENT COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-07-03 00:00:00	070015159	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-05-11 00:00:00	2019-05-11 00:00:00	No	2019-07-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	N8T611	N	CA00637398	B	SFY2019-20
070000067	INVIGORATE POST ACUTE OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2019-07-02 00:00:00	070015184	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-07-11 00:00:00	2018-07-11 00:00:00	No	2019-07-23 00:00:00	None	B	None	2000	2000	-2000	0	0	None	BIIO11	N	None	None	SFY2019-20
070000067	INVIGORATE POST ACUTE OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2019-07-02 00:00:00	070015186	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-05 00:00:00	2019-06-05 00:00:00	No	2019-07-23 00:00:00	None	B	None	2000	2000	-2000	0	0	None	BIIO11	N	CA00640439	B	SFY2019-20
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-07-02 00:00:00	070015191	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2019-06-17 00:00:00	2019-06-17 00:00:00	No	2019-07-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	YO5Z11	N	None	None	SFY2019-20
220001063	WEBSTER HOUSE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-07-15 00:00:00	070015228	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2019-06-09 00:00:00	2019-06-09 00:00:00	Yes	2019-08-05 00:00:00	2019-07-19 00:00:00	A	A	20000	14400	-400	14000	0	None	Y5O911	N	CA00641086	B	SFY2019-20
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-07-29 00:00:00	070015239	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-07-15 00:00:00	2019-07-15 00:00:00	Yes	2019-08-19 00:00:00	2019-08-07 00:00:00	B	None	2000	2000	0	2000	0	None	9W9N11	N	None	None	SFY2019-20
070000050	EMPRESS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Jose	2019-07-29 00:00:00	070015245	Closed	Citation	Citation B (HSC 1424)	Other	Readmission	2019-07-09 00:00:00	2019-07-09 00:00:00	No	2019-08-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GUP511	N	CA00645147	B	SFY2019-20
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-08-02 00:00:00	070015248	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-27 00:00:00	2019-05-27 00:00:00	No	2019-08-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2B5B11	N	CA00639888	B	SFY2019-20
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-08-06 00:00:00	070015272	Closed	Citation	Citation B (HSC 1424)	Other	Unsafe Discharge	2019-07-24 00:00:00	2019-07-24 00:00:00	No	2019-08-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B37D11	N	CA00646015, CA00646765	A, B	SFY2019-20
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-08-19 00:00:00	070015282	Closed	Citation	Citation B (HSC 1424)	Other	Pharmacy Services	2018-10-27 00:00:00	2018-10-27 00:00:00	No	2019-09-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MCKX11	N	CA00647579, CA00647579	B, B	SFY2019-20
220001032	THE TERRACES AT LOS ALTOS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	San Jose	2019-08-13 00:00:00	070015304	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-29 00:00:00	2018-12-29 00:00:00	No	2019-09-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	S0O111	N	CA00647850	B	SFY2019-20
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-08-15 00:00:00	070015305	Closed	Citation	Citation B (HSC 1424)	Other	REFUSED TO READMIT	2019-07-05 00:00:00	2019-07-05 00:00:00	No	2019-09-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	NL1111	N	CA00644580, CA00644619, CA00649781	A, A, A	SFY2019-20
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-08-19 00:00:00	070015307	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-06-02 00:00:00	2019-06-02 00:00:00	No	2019-09-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	V38E11	N	None	None	SFY2019-20
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2019-09-03 00:00:00	070015331	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-10 00:00:00	2019-08-10 00:00:00	No	2019-09-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	JC3611	N	CA00649859	B	SFY2019-20
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-09-03 00:00:00	070015357	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-15 00:00:00	2019-08-15 00:00:00	No	2019-09-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KRXY11	N	CA00650758, CA00650855, CA00651120	B, B, B	SFY2019-20
070000067	INVIGORATE POST ACUTE OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2019-09-25 00:00:00	070015369	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-08-30 00:00:00	2019-08-30 00:00:00	No	2019-10-16 00:00:00	None	B	None	2000	2000	-2000	0	0	None	UMXX11	N	CA00652690	B	SFY2019-20
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-09-25 00:00:00	070015410	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-17 00:00:00	2019-07-17 00:00:00	No	2019-10-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	30G311	N	CA00646586, CA00647184	B, B	SFY2019-20
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-10-29 00:00:00	070015481	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-29 00:00:00	2019-07-29 00:00:00	No	2019-11-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	P4JY11	N	None	None	SFY2019-20
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-11-06 00:00:00	070015483	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-16 00:00:00	2019-09-16 00:00:00	No	2019-11-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	S4VW11	N	CA00657285	B	SFY2019-20
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2019-11-05 00:00:00	070015493	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-10-22 00:00:00	2019-10-22 00:00:00	No	2019-11-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	82SE11	N	None	None	SFY2019-20
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2019-11-05 00:00:00	070015494	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-29 00:00:00	2019-04-29 00:00:00	No	2019-11-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	82SE11	N	None	None	SFY2019-20
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2019-11-21 00:00:00	070015509	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-22 00:00:00	2019-10-22 00:00:00	No	2019-12-12 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	8FB011	N	CA00656488	B	SFY2019-20
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-12-05 00:00:00	070015545	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-15 00:00:00	2019-11-15 00:00:00	No	2019-12-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	EN3411	N	CA00663688	A	SFY2019-20
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-12-09 00:00:00	070015557	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-03 00:00:00	2019-05-03 00:00:00	No	2019-12-30 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	CKLU11	N	None	None	SFY2019-20
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-19 00:00:00	070015611	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-11-24 00:00:00	2019-11-24 00:00:00	Yes	2020-03-11 00:00:00	2020-03-05 00:00:00	B	B	2000	1300	0	1300	0	None	3RVP11	N	CA00666658, CA00666827	A, B	SFY2019-20
070000009	VISTA MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-12-24 00:00:00	070015627	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-12-18 00:00:00	2019-12-18 00:00:00	No	2020-01-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O7HP11	N	None	None	SFY2019-20
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2020-01-03 00:00:00	070015628	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-11-28 00:00:00	2019-11-28 00:00:00	No	2020-01-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1U2711	N	None	None	SFY2019-20
070000009	VISTA MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-12-24 00:00:00	070015629	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-03 00:00:00	2019-12-03 00:00:00	No	2020-01-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O7HP11	N	None	None	SFY2019-20
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2020-01-03 00:00:00	070015632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-15 00:00:00	2019-08-15 00:00:00	No	2020-01-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1U2711	N	None	None	SFY2019-20
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2020-01-03 00:00:00	070015633	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-23 00:00:00	2019-11-23 00:00:00	No	2020-01-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1U2711	N	None	None	SFY2019-20
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-01-03 00:00:00	070015650	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-13 00:00:00	2019-12-13 00:00:00	No	2020-01-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	ESXN11	N	CA00668022	B	SFY2019-20
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-01-06 00:00:00	070015659	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-12-04 00:00:00	2019-12-04 00:00:00	Yes	2020-01-27 00:00:00	2020-01-13 00:00:00	B	None	2000	2000	0	2000	0	None	7MQ811	N	CA00668716	B	SFY2019-20
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-05 00:00:00	070015679	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-21 00:00:00	2019-12-21 00:00:00	No	2020-02-26 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	CF9V11	N	CA00669863	B	SFY2019-20
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-03 00:00:00	070015709	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-01-10 00:00:00	2020-01-10 00:00:00	No	2020-02-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2DCM11	N	CA00671048	A	SFY2019-20
220001030	THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING	LTC	SNF	Skilled Nursing Facility	San Jose	2020-01-29 00:00:00	070015710	Closed	Citation	Citation B (HSC 1424)	Medication	None	2020-01-15 00:00:00	2020-01-15 00:00:00	No	2020-02-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	67CM11	N	None	None	SFY2019-20
220001048	CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT	LTC	SNF	Skilled Nursing Facility	San Jose	2020-01-30 00:00:00	070015720	Closed	Citation	Citation B (HSC 1424)	Medication	None	2020-01-19 00:00:00	2020-01-19 00:00:00	No	2020-02-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8F3J11	N	None	None	SFY2019-20
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-26 00:00:00	070015740	Closed	Citation	Citation B (HSC 1424)	Administration	None	2020-01-13 00:00:00	2020-01-13 00:00:00	Yes	2020-03-18 00:00:00	2020-03-09 00:00:00	B	B	2000	1400	0	1400	0	None	YPLM11	N	CA00671175	B	SFY2019-20
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-26 00:00:00	070015746	Closed	Citation	Citation B (HSC 1424)	Other	Laboratory Services	2020-01-25 00:00:00	2020-01-25 00:00:00	No	2020-03-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	YO5E11	N	CA00675548	B	SFY2019-20
070000002	WOODLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-27 00:00:00	070015750	Closed	Citation	Citation B (HSC 1424)	Medication	None	2020-02-13 00:00:00	2020-02-13 00:00:00	No	2020-03-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZMVY11	N	None	None	SFY2019-20
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-26 00:00:00	070015758	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-01-13 00:00:00	2020-01-13 00:00:00	Yes	2020-03-18 00:00:00	2020-03-09 00:00:00	B	B	2000	1400	0	1400	0	None	YPLM11	N	CA00671175	B	SFY2019-20
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-03-09 00:00:00	070015789	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-02-29 00:00:00	2020-02-29 00:00:00	No	2020-03-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0HDB11	N	CA00678592, CA00678623	B, B	SFY2019-20
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2020-03-17 00:00:00	070015797	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-03-02 00:00:00	2020-03-02 00:00:00	No	2020-04-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	E0WG11	N	None	None	SFY2019-20
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-03-17 00:00:00	070015798	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-12-17 00:00:00	2019-12-17 00:00:00	No	2020-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PSGQ11	N	None	None	SFY2019-20
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-03-17 00:00:00	070015811	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-19 00:00:00	2019-12-19 00:00:00	No	2020-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PSGQ11	N	None	None	SFY2019-20
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-03-23 00:00:00	070015812	Closed	Citation	Citation B (HSC 1424)	Other	Preparation for Safe DC	2020-03-06 00:00:00	2020-03-06 00:00:00	No	2020-04-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	LCPY11	N	CA00680089, CA00680352	A, A	SFY2019-20
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-03-23 00:00:00	070015822	Closed	Citation	Citation B (HSC 1424)	Other	Preparation for Safe DC	2020-02-16 00:00:00	2020-02-16 00:00:00	No	2020-04-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	7K2T11	N	CA00680362	A	SFY2019-20
070001130	KCARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2023-05-31 00:00:00	070015881	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-08 00:00:00	2020-05-08 00:00:00	No	2023-06-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2U1T11	Y	CA00688176, CA00688176, CA00689065, CA00689065	B, B, B, B	SFY2022-23
220001054	GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-06-19 00:00:00	070015904	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-06-12 00:00:00	2020-06-12 00:00:00	No	2020-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	VMOF11	N	None	None	SFY2019-20
070000034	CARMEL VALLEY MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2020-07-16 00:00:00	070015929	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-07-08 00:00:00	2020-07-08 00:00:00	No	2020-08-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	D6TU11	N	None	None	SFY2020-21
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-07-20 00:00:00	070015930	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-06-28 00:00:00	2020-06-28 00:00:00	No	2020-08-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	R8N411	N	None	None	SFY2020-21
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-07-20 00:00:00	070015935	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-07-10 00:00:00	2020-07-10 00:00:00	No	2020-08-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	U3J711	N	None	None	SFY2020-21
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-07-22 00:00:00	070015943	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-07-15 00:00:00	2020-07-15 00:00:00	No	2020-08-12 00:00:00	None	B	None	1000	1050	0	1050	0	None	GHCL11	N	None	None	SFY2020-21
630006021	VI AT PALO ALTO	LTC	SNF	Skilled Nursing Facility	San Jose	2020-08-10 00:00:00	070015967	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-07-27 00:00:00	2020-07-27 00:00:00	Yes	2020-08-31 00:00:00	2020-08-25 00:00:00	B	B	1000	1000	0	1000	0	None	W1Z411	N	None	None	SFY2020-21
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-08-10 00:00:00	070015970	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-08-05 00:00:00	2020-08-05 00:00:00	No	2020-08-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	XDD511	N	None	None	SFY2020-21
220001079	HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO	LTC	SNF	Skilled Nursing Facility	San Jose	2020-08-24 00:00:00	070015992	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-08-08 00:00:00	2020-08-08 00:00:00	No	2020-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	M1K411	N	None	None	SFY2020-21
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-08-27 00:00:00	070016000	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-08-13 00:00:00	2020-08-13 00:00:00	No	2020-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	VP2011	N	None	None	SFY2020-21
070000062	WESTLAND HOUSE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-09-23 00:00:00	070016033	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-09-04 00:00:00	2020-09-04 00:00:00	No	2020-10-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	9NDY11	N	None	None	SFY2020-21
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-09-14 00:00:00	070016034	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-08-27 00:00:00	2020-08-27 00:00:00	No	2020-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	7LEL11	N	None	None	SFY2020-21
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-09-23 00:00:00	070016035	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-09-01 00:00:00	2020-09-01 00:00:00	Yes	2020-10-14 00:00:00	2020-10-06 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	None	935411	N	None	None	SFY2020-21
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-09-23 00:00:00	070016036	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-08-27 00:00:00	2020-08-27 00:00:00	No	2020-10-14 00:00:00	None	B	None	1000	3000	0	3000	0	None	PM3X11	N	None	None	SFY2020-21
630006021	VI AT PALO ALTO	LTC	SNF	Skilled Nursing Facility	San Jose	2020-09-28 00:00:00	070016064	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-09-14 00:00:00	2020-09-14 00:00:00	Yes	2020-10-19 00:00:00	2020-10-29 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	None	TPCZ11	N	None	None	SFY2020-21
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-02-10 00:00:00	070016089	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-06-16 00:00:00	2020-06-16 00:00:00	Yes	2022-03-04 00:00:00	2022-02-22 00:00:00	A	None	20000	20000	-7000	13000	0	None	R5XW11	N	CA00696996, CA00697644	B, B	SFY2021-22
070000009	VISTA MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-11-03 00:00:00	070016132	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-10-15 00:00:00	2020-10-15 00:00:00	Yes	2020-11-25 00:00:00	2020-11-17 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	None	Z4FN11	N	None	None	SFY2020-21
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-11-05 00:00:00	070016138	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-10-13 00:00:00	2020-10-13 00:00:00	No	2020-12-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	J4ER11	N	None	None	SFY2020-21
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-11-10 00:00:00	070016140	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-10-16 00:00:00	2020-10-16 00:00:00	No	2020-12-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	GY2F11	N	None	None	SFY2020-21
070000019	AVE MARIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2020-11-09 00:00:00	070016141	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-10-14 00:00:00	2020-10-14 00:00:00	No	2020-12-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	NF8D11	N	None	None	SFY2020-21
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-11-10 00:00:00	070016144	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-10-09 00:00:00	2020-10-09 00:00:00	No	2020-12-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	5YYV11	N	None	None	SFY2020-21
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-11-10 00:00:00	070016145	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-10-09 00:00:00	2020-10-09 00:00:00	No	2020-12-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	W0FR11	N	None	None	SFY2020-21
070000085	INSPIRE BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	San Jose	2020-11-30 00:00:00	070016172	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-10-28 00:00:00	2020-10-28 00:00:00	No	2020-12-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	D1BM11	N	None	None	SFY2020-21
220001054	GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-12-01 00:00:00	070016173	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-11-11 00:00:00	2020-11-11 00:00:00	No	2020-12-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	VUYM11	N	None	None	SFY2020-21
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2021-09-08 00:00:00	070016207	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2020-04-04 00:00:00	2020-04-04 00:00:00	Yes	2021-09-29 00:00:00	2021-09-20 00:00:00	AA	AA	100000	70500	-500	70000	0	None	BJ9611	Y	CA00692112	B	SFY2021-22
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2021-03-19 00:00:00	070016208	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2020-11-18 00:00:00	2020-11-18 00:00:00	No	2021-04-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	7TB911	N	CA00712324	B	SFY2020-21
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-03-12 00:00:00	070016342	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-04-16 00:00:00	2020-04-16 00:00:00	No	2021-04-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OO0811	N	CA00685415	B	SFY2020-21
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-03-12 00:00:00	070016343	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-10-08 00:00:00	2020-10-08 00:00:00	No	2021-04-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HBVW11	N	None	None	SFY2020-21
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-03-19 00:00:00	070016368	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-29 00:00:00	2020-12-29 00:00:00	No	2021-04-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IXC811	N	CA00718427	B	SFY2020-21
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-03-19 00:00:00	070016369	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-09-17 00:00:00	2019-09-17 00:00:00	No	2021-04-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	WJ2N11	N	CA00703969	B	SFY2020-21
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2021-03-24 00:00:00	070016378	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-01 00:00:00	2020-10-01 00:00:00	No	2021-04-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	9BD911	N	CA00716521	B	SFY2020-21
070001362	SHINRAI-ARAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2021-04-13 00:00:00	070016417	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrences	2021-01-07 00:00:00	2021-01-07 00:00:00	No	2021-05-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	DCM111	N	CA00719417	B	SFY2020-21
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-04-20 00:00:00	070016425	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-03 00:00:00	2021-03-03 00:00:00	No	2021-05-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GQMW11	N	CA00727738, CA00727738	A, A	SFY2020-21
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-05-10 00:00:00	070016463	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-14 00:00:00	2021-04-14 00:00:00	No	2021-06-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7YEF11	N	CA00732962, CA00733036	B, B	SFY2020-21
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2021-05-11 00:00:00	070016464	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-02-06 00:00:00	2021-02-06 00:00:00	No	2021-06-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	XVM111	N	CA00724644	B	SFY2020-21
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2021-05-10 00:00:00	070016465	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-04-12 00:00:00	2021-04-12 00:00:00	No	2021-06-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	QKIA11	N	CA00732438, CA00732712	A, A	SFY2020-21
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2021-05-11 00:00:00	070016466	Closed	Citation	Citation B (HSC 1424)	Other	DON	2021-04-23 00:00:00	2021-04-23 00:00:00	No	2021-06-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	XVM111	N	None	None	SFY2020-21
070000096	WESTWOOD POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2021-05-11 00:00:00	070016467	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-04-20 00:00:00	2021-04-20 00:00:00	No	2021-06-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	XVM111	N	None	None	SFY2020-21
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-09-08 00:00:00	070016503	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-02-22 00:00:00	2021-02-22 00:00:00	No	2021-09-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2D5K11	N	None	None	SFY2021-22
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-06-04 00:00:00	070016565	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-03-09 00:00:00	2021-03-09 00:00:00	No	2021-06-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	D28511	N	CA00728497	A	SFY2020-21
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-06-28 00:00:00	070016625	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-06-05 00:00:00	2021-06-05 00:00:00	No	2021-07-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	34RB11	N	None	None	SFY2020-21
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-06-30 00:00:00	070016664	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-05-11 00:00:00	2021-05-11 00:00:00	Yes	2021-07-21 00:00:00	2021-07-06 00:00:00	B	B	2000	1800	0	1800	0	None	YG4C11	N	None	None	SFY2020-21
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2021-06-30 00:00:00	070016666	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-06-07 00:00:00	2021-06-07 00:00:00	No	2021-07-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	170Y11	N	None	None	SFY2020-21
070001089	CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI	LTC	SNF	Skilled Nursing Facility	San Jose	2021-07-27 00:00:00	070016761	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-30 00:00:00	2021-03-30 00:00:00	No	2021-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	H4H011	N	CA00683520	B	SFY2021-22
070000815	CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC DAY H	LTC	PDHRCF	Pediatric Day Health & Respite Care Facility	San Jose	2021-09-17 00:00:00	070016763	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-16 00:00:00	2021-03-16 00:00:00	No	2021-10-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	DCMY11	N	CA00682209	B	SFY2021-22
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2021-07-27 00:00:00	070016764	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-04 00:00:00	2021-04-04 00:00:00	No	2021-08-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PTWQ11	N	None	None	SFY2021-22
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-08-06 00:00:00	070016792	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-07-20 00:00:00	2021-07-20 00:00:00	No	2021-08-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	J24F11	N	None	None	SFY2021-22
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-08-06 00:00:00	070016793	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-24 00:00:00	2021-05-24 00:00:00	No	2021-08-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	J24F11	N	None	None	SFY2021-22
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-08-06 00:00:00	070016795	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-07-20 00:00:00	2021-07-20 00:00:00	No	2021-08-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	J24F11	N	None	None	SFY2021-22
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2021-10-06 00:00:00	070016986	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-30 00:00:00	2020-12-30 00:00:00	Yes	2021-10-27 00:00:00	2021-10-27 00:00:00	A	A	20000	14000	0	14000	0	None	YPL211	N	CA00721730, CA00721809	B, B	SFY2021-22
070000817	TUPAZ HOME #4	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2021-10-14 00:00:00	070017015	Closed	Citation	Citation B (HSC 1424)	Other	COVID Reporting	2021-09-13 00:00:00	2021-09-13 00:00:00	No	2021-11-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	RTG511	N	CA00753558	B	SFY2021-22
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-10-22 00:00:00	070017033	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-10-13 00:00:00	2021-10-13 00:00:00	No	2021-11-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	WFUB11	N	CA00753109, CA00756736	B, B	SFY2021-22
220001030	THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING	LTC	SNF	Skilled Nursing Facility	San Jose	2021-11-05 00:00:00	070017078	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-09-09 00:00:00	2021-09-09 00:00:00	No	2021-12-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	XWV911	N	CA00752300, CA00752737	B, B	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2021-11-23 00:00:00	070017124	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-31 00:00:00	2021-03-31 00:00:00	No	2021-12-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	ZZX111	N	CA00741174, CA00753919, CA00753996, CA00754040	B, A, A, A	SFY2021-22
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-12-24 00:00:00	070017213	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-06 00:00:00	2021-12-06 00:00:00	No	2022-01-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	8B8021	N	None	None	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-01-27 00:00:00	070017295	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-01 00:00:00	2021-09-01 00:00:00	No	2022-02-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	TMGT11	N	CA00731510	B	SFY2021-22
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-02-14 00:00:00	070017352	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-21 00:00:00	2021-06-21 00:00:00	No	2022-03-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	ZK9711	N	CA00741289, CA00741289, CA00752535, CA00752535	B, B, B, B	SFY2021-22
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-02-17 00:00:00	070017356	Closed	Citation	Citation B (HSC 1424)	Other	Admission, T & D	2022-01-27 00:00:00	2022-01-27 00:00:00	No	2022-03-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HTKE11	N	CA00771333	A	SFY2021-22
070000088	WINDSOR SKYLINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-02-17 00:00:00	070017366	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-01-21 00:00:00	2022-01-21 00:00:00	No	2022-03-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	V7GL11	N	CA00763471, CA00770735	B, A	SFY2021-22
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-03-02 00:00:00	070017460	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-03-17 00:00:00	2021-03-17 00:00:00	No	2022-03-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TEZ211	N	CA00729385, CA00729385	B, B	SFY2021-22
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-04-05 00:00:00	070017499	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-25 00:00:00	2020-11-25 00:00:00	Yes	2022-04-26 00:00:00	2022-04-08 00:00:00	B	None	2000	3550	0	3550	0	None	4KFU11	N	CA00714223	B	SFY2021-22
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-04-04 00:00:00	070017537	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-02-10 00:00:00	2022-02-10 00:00:00	Yes	2022-04-25 00:00:00	2022-04-07 00:00:00	B	None	2000	2000	0	2000	0	None	VILM11	N	CA00772290	A	SFY2021-22
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-04-27 00:00:00	070017539	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-07-31 00:00:00	2021-07-31 00:00:00	No	2022-05-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OU3W11	N	CA00746351	B	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-05-23 00:00:00	070017654	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-04-26 00:00:00	2022-04-26 00:00:00	No	2022-06-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	T7PX11	N	None	None	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-05-23 00:00:00	070017656	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-04-18 00:00:00	2022-04-18 00:00:00	No	2022-06-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	T7PX11	N	None	None	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-05-23 00:00:00	070017657	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-04-12 00:00:00	2022-04-12 00:00:00	No	2022-06-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	T7PX11	N	CA00780455, CA00780455, CA00781096, CA00781096	B, B, A, A	SFY2021-22
070000012	LINCOLN GLEN SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Jose	2022-06-02 00:00:00	070017686	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-04-26 00:00:00	2022-04-26 00:00:00	No	2022-06-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	FJRS11	N	None	None	SFY2021-22
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-06-07 00:00:00	070017692	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Readmit	2022-03-24 00:00:00	2022-03-24 00:00:00	No	2022-06-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	L16711	N	CA00782555	B	SFY2021-22
070000043	ALMADEN HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-07-11 00:00:00	070017769	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-05-22 00:00:00	2022-05-22 00:00:00	No	2022-08-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	08GC11	N	CA00785825, CA00786125	B, B	SFY2022-23
070000073	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-07-11 00:00:00	070017774	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-17 00:00:00	2021-07-17 00:00:00	No	2022-08-01 00:00:00	None	B	None	2000	6000	0	6000	0	None	68SG11	N	CA00747458	B	SFY2022-23
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-07-19 00:00:00	070017792	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-06-27 00:00:00	2022-06-27 00:00:00	No	2022-08-09 00:00:00	None	B	None	3000	9000	0	9000	0	None	C5BH11	N	CA00766500, CA00791116	B, A	SFY2022-23
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-08-02 00:00:00	070017866	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-07-14 00:00:00	2022-07-14 00:00:00	No	2022-08-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8RQ011	N	None	None	SFY2022-23
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-08-03 00:00:00	070017870	Closed	Citation	Citation B (HSC 1424)	Other	accidents	2022-07-14 00:00:00	2022-07-14 00:00:00	No	2022-08-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8RQ011	N	CA00793897, CA00794373, CA00794412	B, B, B	SFY2022-23
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-08-25 00:00:00	070017904	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-08-05 00:00:00	2022-08-08 00:00:00	No	2022-09-16 00:00:00	None	B	None	3000	3150	-1050	2100	0	None	9CIJ11	N	CA00798189	A	SFY2022-23
070000086	CREEKSIDE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-09-02 00:00:00	070017959	Closed	Citation	Citation A (HSC 1424)	Other	Sexual Abuse	2022-04-23 00:00:00	2022-04-23 00:00:00	No	2022-09-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	LGUE11	N	CA00782007, CA00782832	A, A	SFY2022-23
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-12-05 00:00:00	070018196	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-07 00:00:00	2022-11-07 00:00:00	No	2022-12-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	7DTP11	N	CA00811561	A	SFY2022-23
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2022-12-05 00:00:00	070018205	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-07-08 00:00:00	2022-07-08 00:00:00	No	2022-12-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	F44I11	N	CA00809358	B	SFY2022-23
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2023-01-19 00:00:00	070018212	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-17 00:00:00	2022-02-17 00:00:00	Yes	2023-02-09 00:00:00	2022-12-20 00:00:00	A	None	25000	25000	-8750	16250	0	None	C19N11	Y	CA00797582	B	SFY2022-23
220001058	VILLA SIENA	LTC	SNF	Skilled Nursing Facility	San Jose	2023-01-18 00:00:00	070018253	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2022-12-09 00:00:00	2022-12-09 00:00:00	No	2023-02-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4O7Q11	N	None	None	SFY2022-23
070000009	VISTA MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-01-19 00:00:00	070018321	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-08-02 00:00:00	2022-08-02 00:00:00	No	2023-02-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2H9911	N	CA00796559, CA00796559	B, B	SFY2022-23
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2023-01-23 00:00:00	070018341	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-06-28 00:00:00	2022-06-28 00:00:00	No	2023-02-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	JB9811	N	CA00813847, CA00813847	A, A	SFY2022-23
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2023-01-23 00:00:00	070018346	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-06-28 00:00:00	2022-06-28 00:00:00	No	2023-02-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	JB9811	N	CA00813847	A	SFY2022-23
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-03-13 00:00:00	070018409	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-26 00:00:00	2022-10-26 00:00:00	No	2023-04-04 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	YSZ011	N	None	None	SFY2022-23
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-03-06 00:00:00	070018410	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-21 00:00:00	2023-01-21 00:00:00	No	2023-03-27 00:00:00	None	B	None	3000	3000	0	3000	0	None	TVJ111	N	CA00822459, CA00822793	B, B	SFY2022-23
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2023-03-06 00:00:00	070018412	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-06 00:00:00	2023-02-06 00:00:00	No	2023-03-27 00:00:00	None	B	None	3000	3000	0	3000	0	None	2X2Y11	N	None	None	SFY2022-23
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-03-30 00:00:00	070018549	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-03-04 00:00:00	2023-03-04 00:00:00	No	2023-04-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WC0J11	N	CA00829688	B	SFY2022-23
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-05-12 00:00:00	070018577	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-29 00:00:00	2022-08-29 00:00:00	Yes	2023-06-05 00:00:00	2023-05-19 00:00:00	B	B	3000	2500	0	2500	0	None	PCC711	N	CA00819547	B	SFY2022-23
630016694	GATEWAY CENTER ICF2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2023-06-14 00:00:00	070018756	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-08 00:00:00	2023-04-08 00:00:00	No	2023-07-06 00:00:00	None	B	None	3000	3000	0	3000	0	None	ZUBH11	N	CA00835773	B	SFY2022-23
220001054	GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-06-09 00:00:00	070018765	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-22 00:00:00	2023-02-22 00:00:00	Yes	2023-06-30 00:00:00	2023-06-15 00:00:00	B	None	3000	3000	0	0	3000	None	XC4M11	N	CA00829774, CA00829774	B, B	SFY2022-23
630016694	GATEWAY CENTER ICF2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2023-06-14 00:00:00	070018780	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-08 00:00:00	2023-04-08 00:00:00	No	2023-07-06 00:00:00	None	B	None	3000	3000	0	3000	0	None	ZUBH11	N	CA00835773, CA00835773	B, B	SFY2022-23
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-07-17 00:00:00	070018891	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-17 00:00:00	2023-03-17 00:00:00	No	2023-08-07 00:00:00	None	B	None	3000	3000	0	0	3000	None	N9MT11	N	CA00832559	B	SFY2023-24
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-08-31 00:00:00	070018929	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-02-24 00:00:00	2023-02-24 00:00:00	No	2023-09-22 00:00:00	None	B	None	3000	3000	0	1950	1050	None	OZM211	N	CA00834969, CA00841567	A, A	SFY2023-24
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-11-09 00:00:00	070018933	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-23 00:00:00	2023-06-23 00:00:00	Yes	2023-12-05 00:00:00	2023-11-13 00:00:00	A	None	25000	25000	0	0	25000	None	4J1M11	N	CA00847292, CA00847307, CA00847682, CA00847682	B, B, A, A	SFY2023-24
070000780	EDEN VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-08-11 00:00:00	070018955	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-15 00:00:00	2022-12-15 00:00:00	No	2023-09-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	9L1311	N	CA00834005	B	SFY2023-24
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2023-11-17 00:00:00	070019080	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-11 00:00:00	2023-03-11 00:00:00	No	2023-12-12 00:00:00	None	B	None	3000	3000	0	3000	0	None	SI4W11	N	CA00843759, CA00843759, CA00851311, CA00851311	B, B, B, B	SFY2023-24
070000003	VASONA CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-03-11 00:00:00	070019088	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-13 00:00:00	2023-08-13 00:00:00	No	2024-04-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	IW0T11	N	CA00856267, CA00856267	B, B	SFY2023-24
070000780	EDEN VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-10-18 00:00:00	070019102	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-04-11 00:00:00	2023-04-11 00:00:00	No	2023-11-08 00:00:00	None	B	None	3000	3000	0	3000	0	None	8RUJ11	N	CA00835473	A	SFY2023-24
630016694	GATEWAY CENTER ICF2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2023-10-18 00:00:00	070019104	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-12 00:00:00	2023-08-12 00:00:00	No	2023-11-08 00:00:00	None	B	None	3000	3000	0	3000	0	None	8P7J11	N	CA00855899	B	SFY2023-24
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2023-12-07 00:00:00	070019198	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-03-19 00:00:00	2023-03-19 00:00:00	No	2023-12-29 00:00:00	None	AA	None	120000	120000	0	120000	0	None	NES511	Y	CA00843156	B	SFY2023-24
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-10-26 00:00:00	070019256	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-08 00:00:00	2023-08-08 00:00:00	No	2023-11-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	162411	N	CA00857900	B	SFY2023-24
070000780	EDEN VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-10-18 00:00:00	070019270	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-11 00:00:00	2023-04-11 00:00:00	No	2023-11-08 00:00:00	None	B	None	3000	3000	0	3000	0	None	8RUJ11	N	CA00835473	A	SFY2023-24
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-11-17 00:00:00	070019339	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Failure to report injury	2023-10-17 00:00:00	2023-10-17 00:00:00	No	2023-12-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QVE811	N	CA00863188, CA00863188, CA00863251, CA00863689	B, B, B, B	SFY2023-24
070000778	THE TERRACES OF LOS GATOS	LTC	SNF	Skilled Nursing Facility	San Jose	2023-11-17 00:00:00	070019358	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-06 00:00:00	2023-06-06 00:00:00	No	2023-12-12 00:00:00	None	B	None	3000	3000	0	3000	0	None	BSU211	N	CA00856597	B	SFY2023-24
070000780	EDEN VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-01-30 00:00:00	070019523	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-29 00:00:00	2023-11-29 00:00:00	No	2024-02-20 00:00:00	None	A	None	25000	25000	0	25000	0	None	KJGU11	Y	CA00873047, CA00873047, CA00873047, CA00873047, CA00873318, CA00873318	A, A, A, A, A, A	SFY2023-24
630012059	FOREST HILL MANOR HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-03-06 00:00:00	070019628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-16 00:00:00	2024-01-16 00:00:00	No	2024-03-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VYST11	N	None	None	SFY2023-24
070000036	WHITE BLOSSOM CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-03-08 00:00:00	070019629	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-09-22 00:00:00	2023-09-22 00:00:00	No	2024-03-29 00:00:00	None	AA	None	120000	120000	0	0	120000	None	7LFN11	Y	CA00862208, CA00862319	A, A	SFY2023-24
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-02-14 00:00:00	070019654	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-08 00:00:00	2023-09-08 00:00:00	No	2024-03-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	99ZV11	N	CA00859829	B	SFY2023-24
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-16 00:00:00	070019693	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-15 00:00:00	2023-02-15 00:00:00	No	2024-05-07 00:00:00	None	B	None	3000	3000	0	0	3000	None	HFPG11	N	CA00857480	B	SFY2023-24
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2024-02-09 00:00:00	070019695	Open	Citation	Citation B (HSC 1424)	Medication	None	2023-09-20 00:00:00	2023-09-20 00:00:00	No	2024-03-01 00:00:00	None	B	None	3000	3000	0	1950	1050	None	CSUZ11	N	CA00861839, CA00861992	B, B	SFY2023-24
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-03-01 00:00:00	070019722	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-26 00:00:00	2024-01-26 00:00:00	No	2024-03-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DT0C11	N	None	None	SFY2023-24
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-02-27 00:00:00	070019723	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2024-01-23 00:00:00	2024-01-23 00:00:00	No	2024-03-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DT0C11	N	None	None	SFY2023-24
070000953	LAWRENCE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2024-02-16 00:00:00	070019754	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-15 00:00:00	2023-12-15 00:00:00	No	2024-03-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	5BMM11	N	CA00875228, CA00876831	B, B	SFY2023-24
070000998	TUPAZ HOME #7	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2024-03-15 00:00:00	070019755	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-04 00:00:00	2023-03-04 00:00:00	Yes	2024-04-05 00:00:00	2024-04-05 00:00:00	A	None	20000	20000	0	0	20000	None	GX9H11	Y	CA00829905	B	SFY2023-24
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-03-22 00:00:00	070019764	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-28 00:00:00	2024-01-28 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	0	0	3000	None	LDCT11	N	CA00885094	B	SFY2023-24
070000057	HERMAN HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-03-22 00:00:00	070019813	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-12 00:00:00	2024-02-12 00:00:00	No	2024-04-15 00:00:00	None	B	None	3000	5150	0	0	5150	None	LDCT11	N	None	None	SFY2023-24
070001309	TUPAZ HOME #8	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2024-03-29 00:00:00	070019815	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-28 00:00:00	2024-02-28 00:00:00	Yes	2024-04-22 00:00:00	2024-04-18 00:00:00	B	None	3000	3000	0	0	3000	None	3TM811	N	None	None	SFY2023-24
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-03 00:00:00	070019829	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-09 00:00:00	2023-06-09 00:00:00	No	2024-04-24 00:00:00	None	A	None	15000	15000	0	0	15000	None	Y1BG11	N	CA00852609	A	SFY2023-24
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-17 00:00:00	070019849	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-06-03 00:00:00	2023-06-03 00:00:00	Yes	2024-06-10 00:00:00	2024-06-07 00:00:00	AA	None	100000	100000	0	0	100000	None	SRRR11	Y	CA00876083	B	SFY2023-24
070000076	THE RIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-06-13 00:00:00	070019851	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-15 00:00:00	2023-06-15 00:00:00	No	2024-07-05 00:00:00	None	B	None	3000	3000	0	0	3000	None	3WYB11	N	CA00851514	A	SFY2023-24
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-03-27 00:00:00	070019852	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-17 00:00:00	2023-06-17 00:00:00	No	2024-04-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	72NT11	N	None	None	SFY2023-24
070001365	HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-05 00:00:00	070019880	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-25 00:00:00	2022-06-25 00:00:00	No	2024-04-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	3OI911	N	None	None	SFY2023-24
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-12 00:00:00	070019891	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-16 00:00:00	2023-04-16 00:00:00	No	2024-05-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	OSVO11	N	CA00836768	B	SFY2023-24
220001054	GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-22 00:00:00	070019917	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-17 00:00:00	2024-02-17 00:00:00	No	2024-05-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7S4P11	N	CA00870437, CA00870680, CA00881961, CA00885373, CA00885687	B, B, B, B, B	SFY2023-24
220001032	THE TERRACES AT LOS ALTOS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-30 00:00:00	070019987	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-02 00:00:00	2024-04-02 00:00:00	No	2024-05-21 00:00:00	None	B	None	3000	3000	0	3000	0	None	1B5X11	N	CA00879248	B	SFY2023-24
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-06 00:00:00	070020005	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-29 00:00:00	2023-04-29 00:00:00	No	2024-05-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	YEW511	N	CA00838453	B	SFY2023-24
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-16 00:00:00	070020009	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-19 00:00:00	2024-02-19 00:00:00	No	2024-05-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	C5U911	N	CA00886175	B	SFY2023-24
070000042	WINDSOR THE RIDGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-17 00:00:00	070020031	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-15 00:00:00	2022-10-15 00:00:00	No	2024-05-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	817N11	N	CA00807582	B	SFY2023-24
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-10 00:00:00	070020041	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-11 00:00:00	2023-12-11 00:00:00	Yes	2024-06-03 00:00:00	2024-05-30 00:00:00	A	None	60000	60200	0	0	60200	None	7IM411	Y	CA00875255, CA00875268	A, A	SFY2023-24
630006021	VI AT PALO ALTO	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-23 00:00:00	070020054	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-06 00:00:00	2023-08-06 00:00:00	Yes	2024-05-14 00:00:00	2024-05-01 00:00:00	A	None	60000	60000	0	0	60000	None	ROQ811	Y	CA00866071	A	SFY2023-24
220001058	VILLA SIENA	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-08 00:00:00	070020057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-19 00:00:00	2024-04-19 00:00:00	No	2024-05-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	5D8B11	N	None	None	SFY2023-24
220001032	THE TERRACES AT LOS ALTOS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-01 00:00:00	070020084	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-02 00:00:00	2024-04-02 00:00:00	No	2024-05-22 00:00:00	None	B	None	3000	3000	0	3000	0	None	1B5X11	N	CA00874909, CA00879248, CA00880063	B, B, B	SFY2023-24
070000066	KATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-17 00:00:00	070020095	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-22 00:00:00	2024-04-22 00:00:00	No	2024-06-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	GHAS11	N	None	None	SFY2023-24
070000062	WESTLAND HOUSE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-22 00:00:00	070020118	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-30 00:00:00	2024-04-30 00:00:00	No	2024-06-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	8KR511	N	None	None	SFY2023-24
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-29 00:00:00	070020151	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-08 00:00:00	2024-03-08 00:00:00	No	2024-06-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DR6E11	N	CA00888801, CA00891006	B, B	SFY2023-24
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2024-06-07 00:00:00	070020198	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-05-08 00:00:00	2024-05-08 00:00:00	No	2024-06-28 00:00:00	None	B	None	3000	3000	0	0	3000	None	Y73411	N	CA00898501, CA00898979	B, B	SFY2023-24
070000868	O'CONNOR HOSPITAL DP/SNF	LTC	SNF	Skilled Nursing Facility	San Jose	2024-06-14 00:00:00	070020207	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-05-15 00:00:00	2024-05-15 00:00:00	No	2024-07-08 00:00:00	None	B	None	3000	3000	0	3000	0	None	H3MW11	N	None	None	SFY2023-24
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2024-06-06 00:00:00	070020226	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2024-05-19 00:00:00	2024-05-19 00:00:00	No	2024-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	43O411	N	CA00901380	B	SFY2023-24
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-06-17 00:00:00	070020234	Open	Citation	Citation A (HSC 1424)	Other	Abuse	2023-12-13 00:00:00	2023-12-13 00:00:00	Yes	2024-07-09 00:00:00	2024-06-20 00:00:00	A	None	60000	60000	0	0	60000	None	12V511	Y	CA00874766, CA00875588	A, A	SFY2023-24
070000031	CAMDEN POSTACUTE CARE, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2024-06-05 00:00:00	070020263	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-19 00:00:00	2024-04-19 00:00:00	No	2024-06-26 00:00:00	None	B	None	3000	3000	0	0	3000	None	T53D11	N	CA00896615	A	SFY2023-24
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-06-26 00:00:00	070020302	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-15 00:00:00	2024-04-15 00:00:00	No	2024-07-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JEB511	N	CA00893301, CA00893751, CA00895005	A, B, B	SFY2023-24
080001107	GROSSMONT HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2000-02-04 00:00:00	080002743	Closed	Citation	Citation AA (HSC 1424)	Medication	None	1999-11-30 00:00:00	None	No	2000-02-28 00:00:00	None	AA	None	20000	20000	-7000	13000	0	080021279	A99999	Y	None	None	SFY1999-00
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-03-24 00:00:00	080002748	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1997-09-14 00:00:00	None	Yes	2001-01-03 00:00:00	2000-03-30 00:00:00	B	B First	1000	1000	-1000	0	0	080021547	A99999	N	None	None	SFY1999-00
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-05-23 00:00:00	080002750	Closed	Citation	Citation B (HSC 1424)	Other	ANTS AND SPRAY	1999-08-05 00:00:00	None	No	2000-06-13 00:00:00	None	B	None	750	750	-262.5	487.5	0	080021785	A99999	N	None	None	SFY1999-00
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-05-23 00:00:00	080002751	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-25 00:00:00	None	No	2000-06-14 00:00:00	None	B	None	500	500	-175	325	0	080021786	A99999	N	None	None	SFY1999-00
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-05-23 00:00:00	080002752	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-08-14 00:00:00	1999-08-20 00:00:00	No	2000-06-15 00:00:00	None	B	None	500	500	-175	325	0	080021787	A99999	N	None	None	SFY1999-00
080000679	THE VILLAS AT POWAY	LTC	SNF	Skilled Nursing Facility	San Diego	2000-06-02 00:00:00	080002753	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-13 00:00:00	None	Yes	2000-12-15 00:00:00	2000-06-22 00:00:00	B	B	1000	1000	0	1000	0	080021817	A99999	N	None	None	SFY1999-00
080000685	CASA DE LAS CAMPANAS	LTC	SNF	Skilled Nursing Facility	San Diego	2000-06-13 00:00:00	080002754	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-15 00:00:00	2000-06-13 00:00:00	No	2000-07-07 00:00:00	None	B	None	650	650	0	650	0	080021822	A99999	N	None	None	SFY1999-00
080000060	THE SHORES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2000-06-14 00:00:00	080002755	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-06 00:00:00	None	No	2000-07-10 00:00:00	None	A	None	8000	8000	-2800	5200	0	080021872	A99999	N	None	None	SFY1999-00
080000060	THE SHORES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2000-06-28 00:00:00	080002756	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-31 00:00:00	None	No	2000-07-26 00:00:00	None	B	None	1000	1000	-350	650	0	080021919	A99999	N	None	None	SFY1999-00
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2000-06-30 00:00:00	080002757	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-21 00:00:00	2000-04-21 00:00:00	No	2000-07-24 00:00:00	None	B	None	1000	1000	-350	650	0	080021920	A99999	N	None	None	SFY1999-00
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-06-30 00:00:00	080002758	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-07 00:00:00	None	No	2000-07-24 00:00:00	None	B	None	1000	1000	-350	650	0	080021921	A99999	N	None	None	SFY1999-00
080000007	BOULDER CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2000-07-11 00:00:00	080002759	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-03-29 00:00:00	None	No	2000-08-04 00:00:00	None	WF	None	150	150	0	150	0	080021933	A99999	None	None	None	SFY2000-01
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-08-09 00:00:00	080002760	Closed	Citation	Citation Retaliation/Discrimination (HSC 1432)	Patient Rights	None	2000-07-17 00:00:00	None	Yes	2000-08-30 00:00:00	2000-08-11 00:00:00	RD	R/D=<$1000	950	950	0	950	0	080022001	A99999	None	None	None	SFY2000-01
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-08-09 00:00:00	080002762	Closed	Citation	Citation Willful Material Omission (HSC 1424(f)(1))	Patient Record	None	2000-07-12 00:00:00	None	Yes	2000-08-30 00:00:00	2000-08-14 00:00:00	WO	WMO=<$1000	950	950	0	950	0	080022002	A99999	None	None	None	SFY2000-01
080000077	AVIARA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-08-15 00:00:00	080002763	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-21 00:00:00	2000-08-15 00:00:00	Yes	2001-05-09 00:00:00	2001-05-09 00:00:00	B	B	1000	1000	0	1000	0	080022031	A99999	N	None	None	SFY2000-01
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-08-30 00:00:00	080002764	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-01 00:00:00	None	No	2000-09-21 00:00:00	None	B	None	1000	1000	-350	650	0	080022061	A99999	N	None	None	SFY2000-01
080000032	GROSSMONT POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2000-08-29 00:00:00	080002765	Closed	Citation	Citation A (HSC 1424)	Dietary	None	2000-05-03 00:00:00	None	Yes	2000-09-21 00:00:00	2000-09-18 00:00:00	A	A	7500	5000	0	5000	0	080022062	A99999	N	None	None	SFY2000-01
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2000-09-29 00:00:00	080002766	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-03 00:00:00	None	No	2000-10-26 00:00:00	None	B	None	900	900	-315	585	0	080022132	A99999	N	None	None	SFY2000-01
080000795	VISTA KNOLL SPECIALIZED CARE FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2000-09-27 00:00:00	080002767	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-18 00:00:00	None	No	2000-10-27 00:00:00	None	B	None	700	700	-245	455	0	080022133	A99999	N	None	None	SFY2000-01
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-10-05 00:00:00	080002768	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2000-08-11 00:00:00	None	Yes	2001-02-06 00:00:00	2000-10-23 00:00:00	B	B	750	750	-600	150	0	080022144	A99999	N	None	None	SFY2000-01
080000283	PALOMAR CONTINUING CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2000-10-06 00:00:00	080002769	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE & RIGHT	2000-09-16 00:00:00	None	No	2000-10-31 00:00:00	None	B	None	900	900	-315	585	0	080022149	A99999	N	None	None	SFY2000-01
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-01-05 00:00:00	080002770	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-12 00:00:00	None	No	2001-01-29 00:00:00	None	B	Drop>Deficiency	1000	3000	0	3000	0	080022678	A99999	N	None	None	SFY2000-01
080000987	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2001-01-12 00:00:00	080002771	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-16 00:00:00	None	No	2001-02-08 00:00:00	None	A	None	5000	5000	0	5000	0	080022693	A99999	N	None	None	SFY2000-01
080000077	AVIARA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-01-09 00:00:00	080002772	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-30 00:00:00	None	No	2001-02-05 00:00:00	None	B	None	1000	3000	0	3000	0	080022700	A99999	N	None	None	SFY2000-01
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-02-01 00:00:00	080002773	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-13 00:00:00	None	No	2001-02-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	080022786	A99999	N	None	None	SFY2000-01
080000795	VISTA KNOLL SPECIALIZED CARE FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2001-04-10 00:00:00	080002775	Closed	Citation	Citation B (HSC 1424)	Other	TRUST FUND SECURITY	2001-02-23 00:00:00	None	No	2001-05-29 00:00:00	None	B	None	900	900	-315	585	0	080023007	A99999	N	None	None	SFY2000-01
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-04-11 00:00:00	080002776	Closed	Citation	Citation B (HSC 1424)	Other	TRUST FUND SECURITY	2001-02-08 00:00:00	None	No	2001-05-25 00:00:00	None	B	B	800	800	-640	160	0	080023008	A99999	N	None	None	SFY2000-01
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-04-17 00:00:00	080002777	Closed	Citation	Citation AA (HSC 1424)	Other	CARE AND ENVIRONMENT	2001-02-14 00:00:00	None	Yes	2001-08-10 00:00:00	2001-08-09 00:00:00	AA	AA	60000	25000	0	25000	0	080023037	A99999	Y	None	None	SFY2000-01
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-04-27 00:00:00	080002778	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-02 00:00:00	None	Yes	2001-05-25 00:00:00	2001-06-13 00:00:00	B	B	800	800	-640	160	0	080023077	A99999	N	None	None	SFY2000-01
080000053	FALLBROOK SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Diego	2001-05-11 00:00:00	080002779	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/FAC REPORTED	2000-11-01 00:00:00	None	No	2001-06-04 00:00:00	None	B	None	900	900	0	900	0	080023105	A99999	N	None	None	SFY2000-01
080000053	FALLBROOK SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Diego	2001-05-11 00:00:00	080002780	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE/FAC REPORTED	2001-03-28 00:00:00	None	Yes	2001-06-04 00:00:00	2001-06-04 00:00:00	A	A	18000	9000	0	9000	0	080023111	A99999	N	None	None	SFY2000-01
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-05-17 00:00:00	080002781	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-09 00:00:00	None	Yes	2001-06-19 00:00:00	2001-06-13 00:00:00	B	B	900	900	-720	180	0	080023130	A99999	N	None	None	SFY2000-01
080000099	VISTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-05-24 00:00:00	080002782	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/FAC REPORTED	2001-04-16 00:00:00	None	No	2001-06-15 00:00:00	None	B	None	825	825	0	825	0	080023137	A99999	N	None	None	SFY2000-01
080000795	VISTA KNOLL SPECIALIZED CARE FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2001-05-24 00:00:00	080002783	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-10 00:00:00	None	No	2001-06-15 00:00:00	None	B	B	1000	1000	-900	100	0	080023150	A99999	N	None	None	SFY2000-01
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-06-01 00:00:00	080002784	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-20 00:00:00	None	No	2001-06-25 00:00:00	None	B	None	900	900	0	900	0	080023179	A99999	N	None	None	SFY2000-01
080000087	LA JOLLA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-06-20 00:00:00	080002785	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/FAC REPORTED	2001-05-19 00:00:00	None	No	2001-07-12 00:00:00	None	B	None	850	850	-297.5	552.5	0	080023270	A99999	N	None	None	SFY2000-01
080000222	OCEAN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-07-27 00:00:00	080002786	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-08 00:00:00	None	No	2001-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	080023318	A99999	N	None	None	SFY2001-02
080000087	LA JOLLA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-07-20 00:00:00	080002787	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-04-16 00:00:00	None	No	2001-08-10 00:00:00	None	A	None	13000	13000	-4550	8450	0	080023321	A99999	N	None	None	SFY2001-02
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-07-19 00:00:00	080002788	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-04 00:00:00	None	No	2001-08-09 00:00:00	None	B	B Trebled	1000	3000	-1500	1500	0	080023327	A99999	N	None	None	SFY2001-02
080000222	OCEAN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-07-30 00:00:00	080002789	Closed	Citation	Citation B (HSC 1424)	Other	PT CARE/ENVIRONMENT	2001-06-19 00:00:00	None	No	2001-08-20 00:00:00	None	B	None	1000	1000	-350	650	0	080023355	A99999	N	None	None	SFY2001-02
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-08-01 00:00:00	080002790	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-02 00:00:00	2001-07-02 00:00:00	Yes	2001-08-23 00:00:00	2001-08-14 00:00:00	B	None	1000	1000	0	1000	0	080023367	A99999	N	None	None	SFY2001-02
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-08-30 00:00:00	080002791	Closed	Citation	Citation B (HSC 1424)	Other	INF CONTROL/LAUNDRY	2001-08-08 00:00:00	None	No	2001-09-21 00:00:00	None	B	None	1000	1000	-350	650	0	080023442	A99999	N	None	None	SFY2001-02
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-08-29 00:00:00	080002792	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-07 00:00:00	2001-07-07 00:00:00	No	2001-09-24 00:00:00	None	B	None	950	950	-332.5	617.5	0	080023457	A99999	N	None	None	SFY2001-02
080001264	LAS VILLAS DE CARLSBAD HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-08-31 00:00:00	080002793	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-15 00:00:00	2001-08-15 00:00:00	No	2001-09-25 00:00:00	None	B	None	900	900	-315	585	0	080023463	A99999	N	None	None	SFY2001-02
080000099	VISTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-09-25 00:00:00	080002794	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/FAC REPORTED	2001-07-10 00:00:00	None	No	2001-10-17 00:00:00	None	B	None	1000	3000	-1050	1950	0	080023516	A99999	N	None	None	SFY2001-02
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-09-27 00:00:00	080002795	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-15 00:00:00	2001-08-15 00:00:00	Yes	2002-03-05 00:00:00	2002-02-13 00:00:00	A	B	19000	14250	0	14250	0	080023451	A99999	N	None	None	SFY2001-02
080000077	AVIARA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-10-05 00:00:00	080002796	Closed	Citation	Citation A (HSC 1424)	Other	CARE/ENVIRONMENT	2001-09-02 00:00:00	None	Yes	2002-02-06 00:00:00	2002-01-11 00:00:00	A	A	19000	19000	0	19000	0	080023546	A99999	N	None	None	SFY2001-02
080000077	AVIARA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-10-05 00:00:00	080002797	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-08-31 00:00:00	None	Yes	2001-11-01 00:00:00	2001-10-11 00:00:00	B	B	1000	1000	0	1000	0	080023560	A99999	N	None	None	SFY2001-02
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-10-23 00:00:00	080002798	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-10 00:00:00	None	No	2001-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	080023609	A99999	N	None	None	SFY2001-02
080000077	AVIARA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-11-06 00:00:00	080002799	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-15 00:00:00	None	Yes	2001-12-06 00:00:00	2001-11-09 00:00:00	B	B	1000	1000	0	1000	0	080023675	A99999	N	None	None	SFY2001-02
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-11-07 00:00:00	080002800	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-31 00:00:00	2001-08-31 00:00:00	No	2001-12-19 00:00:00	None	B	None	1000	1500	0	1500	0	080023552	A99999	N	None	None	SFY2001-02
080000099	VISTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-11-07 00:00:00	080002801	Closed	Citation	Citation A (HSC 1424)	Other	PT CARE/MEDICATION	2001-09-15 00:00:00	None	No	2001-12-03 00:00:00	None	A	None	20000	20000	-7000	13000	0	080023691	A99999	N	None	None	SFY2001-02
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-11-07 00:00:00	080002802	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-30 00:00:00	2001-08-30 00:00:00	No	2001-12-04 00:00:00	None	B	None	1000	2250	0	2250	0	080023552	A99999	N	None	None	SFY2001-02
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-11-07 00:00:00	080002803	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2001-08-30 00:00:00	2001-08-30 00:00:00	No	2001-12-04 00:00:00	None	B	None	1000	2250	0	2250	0	080023552	A99999	N	None	None	SFY2001-02
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-11-15 00:00:00	080002804	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-09 00:00:00	2001-08-09 00:00:00	No	2001-12-12 00:00:00	None	B	None	1000	3000	0	3000	0	080023684	A99999	N	None	None	SFY2001-02
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-12-07 00:00:00	080002805	Closed	Citation	Citation B (HSC 1424)	Other	ADMIN, CARE & RECORD	2001-01-13 00:00:00	None	No	2001-12-31 00:00:00	None	B	None	925	925	-323.75	601.25	0	080023135	A99999	N	None	None	SFY2001-02
080000060	THE SHORES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-12-21 00:00:00	080002806	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2001-11-03 00:00:00	2001-11-03 00:00:00	No	2002-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	080023695	A99999	N	None	None	SFY2001-02
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-01-03 00:00:00	080002807	Closed	Citation	Citation AA (HSC 1424)	Other	ADMIN & PATIENT CARE	2001-10-13 00:00:00	None	Yes	2002-01-30 00:00:00	2002-01-10 00:00:00	AA	AA	95000	52250	0	52250	0	080023590	A99999	Y	None	None	SFY2001-02
080000835	THE DOROTHY AND JOSEPH GOLDBERG HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-01-03 00:00:00	080002808	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-04 00:00:00	2001-10-11 00:00:00	No	2002-01-28 00:00:00	None	B	None	950	950	-332.5	617.5	0	080023701	A99999	N	None	None	SFY2001-02
080000795	VISTA KNOLL SPECIALIZED CARE FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2002-01-04 00:00:00	080002809	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-13 00:00:00	None	No	2002-01-28 00:00:00	None	B	None	1000	1000	-350	650	0	080023804	A99999	N	None	None	SFY2001-02
080000087	LA JOLLA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-01-18 00:00:00	080002810	Closed	Citation	Citation B (HSC 1424)	Other	CARE/RIGHTS	2001-11-15 00:00:00	None	No	2002-02-11 00:00:00	None	B	None	1000	1000	-350	650	0	080023801	A99999	N	None	None	SFY2001-02
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-02-05 00:00:00	080002812	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2001-10-05 00:00:00	2001-10-05 00:00:00	Yes	2002-06-10 00:00:00	2002-02-20 00:00:00	A	B	20000	15000	0	15000	0	080023933	A99999	N	None	None	SFY2001-02
080000099	VISTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2002-02-08 00:00:00	080002813	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-19 00:00:00	2001-08-16 00:00:00	Yes	2002-06-03 00:00:00	2002-05-20 00:00:00	B	B	950	950	0	950	0	080023943	A99999	N	None	None	SFY2001-02
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-03-04 00:00:00	080002815	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-21 00:00:00	2001-11-21 00:00:00	Yes	2002-03-26 00:00:00	2002-03-11 00:00:00	A	B	19000	15000	0	15000	0	080023816	A99999	N	None	None	SFY2001-02
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-03-01 00:00:00	080002816	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE FAC SELF REPOR	2002-01-04 00:00:00	None	No	2002-03-22 00:00:00	None	B	None	1000	1000	-350	650	0	080023885	A99999	N	None	None	SFY2001-02
080000795	VISTA KNOLL SPECIALIZED CARE FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2002-03-05 00:00:00	080002817	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-25 00:00:00	2002-01-25 00:00:00	No	2002-04-02 00:00:00	None	B	None	900	900	-315	585	0	080024012	A99999	N	None	None	SFY2001-02
080000642	REMINGTON CLUB HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-03-06 00:00:00	080002818	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-18 00:00:00	2001-08-18 00:00:00	No	2002-04-05 00:00:00	None	B	None	1000	1000	-350	650	0	080024021	A99999	N	None	None	SFY2001-02
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-04-19 00:00:00	080002819	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-19 00:00:00	None	No	2002-05-13 00:00:00	None	B	None	1000	3000	0	3000	0	080023928	A99999	N	None	None	SFY2001-02
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-04-19 00:00:00	080002820	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-11 00:00:00	None	No	2002-05-13 00:00:00	None	B	None	1000	3000	0	3000	0	080023928	A99999	N	None	None	SFY2001-02
080000060	THE SHORES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2002-04-23 00:00:00	080002821	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-22 00:00:00	2002-02-22 00:00:00	No	2002-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	080024215	A99999	N	None	None	SFY2001-02
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-04-24 00:00:00	080002822	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-21 00:00:00	2002-01-21 00:00:00	No	2002-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	080024228	A99999	N	None	None	SFY2001-02
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-05-07 00:00:00	080002823	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-20 00:00:00	None	No	2002-06-03 00:00:00	None	B	None	900	900	-315	585	0	080024122	A99999	N	None	None	SFY2001-02
080000987	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2002-07-03 00:00:00	080002825	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/FAC SELF REPOR	2002-05-31 00:00:00	None	No	2002-07-30 00:00:00	None	B	None	1000	1000	-350	650	0	080024386	A99999	N	None	None	SFY2002-03
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-07-31 00:00:00	080002826	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-05-05 00:00:00	2002-05-05 00:00:00	No	2002-11-04 00:00:00	None	B	B	1000	1000	0	1000	0	080024487	A99999	N	None	None	SFY2002-03
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2002-08-02 00:00:00	080002827	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE/FAC REPORTED	2002-06-04 00:00:00	None	Yes	2002-08-26 00:00:00	2002-08-08 00:00:00	A	B	15000	8250	0	8250	0	080024662	A99999	N	None	None	SFY2002-03
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-09-11 00:00:00	080002828	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2002-08-05 00:00:00	2002-08-05 00:00:00	Yes	2003-03-11 00:00:00	2003-02-26 00:00:00	A	A	18000	10750	0	10750	0	080024820	A99999	N	None	None	SFY2002-03
080000017	THE ROYAL HOME	LTC	SNF	Skilled Nursing Facility	San Diego	2002-09-12 00:00:00	080002829	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-08-16 00:00:00	None	No	2002-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	080024753	A99999	N	None	None	SFY2002-03
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-09-12 00:00:00	080002830	Closed	Citation	Citation B (HSC 1424)	Other	PATIENTS CARE/RIGHTS	2002-07-02 00:00:00	2002-07-02 00:00:00	Yes	2002-10-03 00:00:00	2002-09-18 00:00:00	B	None	1000	1000	0	1000	0	080024512	A99999	N	None	None	SFY2002-03
080000752	GROSSMONT GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-09-16 00:00:00	080002831	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-08 00:00:00	None	No	2002-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	080024839	A99999	N	None	None	SFY2002-03
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2002-11-22 00:00:00	080002832	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-11 00:00:00	2002-10-11 00:00:00	No	2002-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	080025003	A99999	N	None	None	SFY2002-03
080001502	BAYSHIRE CARLSBAD	LTC	SNF	Skilled Nursing Facility	San Diego	2002-12-06 00:00:00	080002833	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-02 00:00:00	None	No	2003-01-07 00:00:00	None	B	None	1000	1000	-350	650	0	080024771	A99999	N	None	None	SFY2002-03
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-01-21 00:00:00	080002834	Closed	Citation	Citation B (HSC 1424)	Other	RIGHTS/NURSING SVCS	2002-11-14 00:00:00	2002-11-14 00:00:00	Yes	2003-05-27 00:00:00	2003-05-07 00:00:00	B	B	1000	1000	0	1000	0	080025152	A99999	N	None	None	SFY2002-03
080000752	GROSSMONT GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-01-10 00:00:00	080002835	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-25 00:00:00	None	No	2003-02-03 00:00:00	None	B	None	1000	1000	-350	650	0	080025323	A99999	N	None	None	SFY2002-03
080000053	FALLBROOK SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Diego	2003-01-14 00:00:00	080002836	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-08-08 00:00:00	None	No	2003-02-06 00:00:00	None	A	None	18000	18000	-6300	11700	0	080025326	A99999	N	None	None	SFY2002-03
080001264	LAS VILLAS DE CARLSBAD HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-02-20 00:00:00	080002837	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE - FAC SELF RPT	2002-12-18 00:00:00	2002-12-25 00:00:00	No	2003-03-14 00:00:00	None	B	None	1000	1000	-350	650	0	080025280	A99999	N	None	None	SFY2002-03
080000007	BOULDER CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2003-03-26 00:00:00	080002838	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-26 00:00:00	2002-12-26 00:00:00	Yes	2003-04-18 00:00:00	2003-09-16 00:00:00	B	B	1000	750	0	750	0	080025289	A99999	N	None	None	SFY2002-03
080000053	FALLBROOK SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Diego	2003-04-29 00:00:00	080002839	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-01 00:00:00	2002-10-01 00:00:00	No	2003-05-27 00:00:00	None	B	None	1000	1000	-350	650	0	080025325	A99999	N	None	None	SFY2002-03
080000307	LAS VILLAS DEL NORTE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2003-04-28 00:00:00	080002840	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-20 00:00:00	None	No	2003-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	080025406	A99999	N	None	None	SFY2002-03
080000017	THE ROYAL HOME	LTC	SNF	Skilled Nursing Facility	San Diego	2003-04-25 00:00:00	080002841	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-03-10 00:00:00	None	No	2003-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	080025562	A99999	N	None	None	SFY2002-03
080000077	AVIARA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-06-19 00:00:00	080002842	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-19 00:00:00	2003-05-19 00:00:00	Yes	2003-07-15 00:00:00	2003-07-03 00:00:00	B	B	1000	500	0	500	0	080025898	A99999	N	None	None	SFY2002-03
080000835	THE DOROTHY AND JOSEPH GOLDBERG HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-06-26 00:00:00	080002843	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/FACILITY RPT	2003-06-13 00:00:00	None	No	2003-07-21 00:00:00	None	B	None	1000	1000	0	1000	0	080025941	A99999	N	None	None	SFY2002-03
080000001	ENCINITAS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-07-29 00:00:00	080002844	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-09 00:00:00	2003-05-09 00:00:00	Yes	2003-08-22 00:00:00	2003-08-04 00:00:00	B	B	1000	800	0	800	0	080025981	A99999	N	None	None	SFY2003-04
080001692	VI AT LA JOLLA VILLAGE	LTC	SNF	Skilled Nursing Facility	San Diego	2003-09-15 00:00:00	080002845	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE-FAC SELF REPRT	2003-08-14 00:00:00	None	No	2003-10-10 00:00:00	None	B	None	800	800	-280	520	0	080026236	A99999	N	None	None	SFY2003-04
080000077	AVIARA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-10-02 00:00:00	080002846	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-25 00:00:00	2003-08-25 00:00:00	Yes	2003-11-04 00:00:00	2003-10-20 00:00:00	B	B	1000	500	0	500	0	080026228	A99999	N	None	None	SFY2003-04
080000962	THE SPRINGS AT PACIFIC REGENT	LTC	SNF	Skilled Nursing Facility	San Diego	2004-01-08 00:00:00	080002848	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-15 00:00:00	None	No	2004-02-02 00:00:00	None	B	None	800	800	-280	520	0	080026594	A99999	N	None	None	SFY2003-04
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2004-01-20 00:00:00	080002849	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-01-09 00:00:00	2004-01-09 00:00:00	Yes	2004-02-16 00:00:00	2004-01-23 00:00:00	B	B	1000	2700	-700	2000	0	080026666	A99999	N	None	None	SFY2003-04
080000001	ENCINITAS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2004-02-10 00:00:00	080002850	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-09 00:00:00	2004-01-09 00:00:00	Yes	2004-03-05 00:00:00	2004-02-23 00:00:00	B	None	1000	1000	-1000	0	0	080026644	A99999	N	None	None	SFY2003-04
080000053	FALLBROOK SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Diego	2004-03-05 00:00:00	080002851	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-19 00:00:00	None	No	2004-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	080026818	A99999	N	None	None	SFY2003-04
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2004-03-26 00:00:00	080002852	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-23 00:00:00	2004-02-23 00:00:00	Yes	2004-04-21 00:00:00	2004-04-05 00:00:00	B	B	900	1000	0	1000	0	080026897	A99999	N	None	None	SFY2003-04
080000077	AVIARA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2004-03-30 00:00:00	080002853	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-17 00:00:00	2004-03-17 00:00:00	Yes	2004-04-23 00:00:00	2004-04-13 00:00:00	B	B	1000	500	0	500	0	080026909	A99999	N	None	None	SFY2003-04
080000032	GROSSMONT POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2004-04-06 00:00:00	080002854	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-25 00:00:00	2004-02-25 00:00:00	Yes	2005-02-28 00:00:00	2005-02-18 00:00:00	B	B	1000	1000	0	1000	0	080026824	A99999	N	None	None	SFY2003-04
080000987	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2004-05-28 00:00:00	080002855	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-05-01 00:00:00	None	No	2004-06-22 00:00:00	None	B	None	1000	1000	0	1000	0	080027031	A99999	N	None	None	SFY2003-04
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2004-06-03 00:00:00	080002856	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-29 00:00:00	2003-10-29 00:00:00	No	2004-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	080026939	A99999	N	None	None	SFY2003-04
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2004-07-07 00:00:00	080002857	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/FAC. SELF RPT.	2004-06-04 00:00:00	2004-06-04 00:00:00	No	2004-08-03 00:00:00	None	B	None	900	900	-315	585	0	080027106	A99999	N	None	None	SFY2004-05
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2004-09-09 00:00:00	080002859	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-09-03 00:00:00	None	No	2004-09-30 00:00:00	None	B	None	1000	1000	-350	650	0	080027278	A99999	N	None	None	SFY2004-05
080000001	ENCINITAS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2004-11-02 00:00:00	080002860	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-09-24 00:00:00	2004-09-24 00:00:00	Yes	2004-12-02 00:00:00	2004-11-03 00:00:00	A	A	18000	12000	0	12000	0	080027409	A99999	N	None	None	SFY2004-05
080000087	LA JOLLA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2004-12-02 00:00:00	080002861	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-02 00:00:00	2004-12-02 00:00:00	Yes	2004-12-30 00:00:00	2004-12-09 00:00:00	B	B	1000	1	0	1	0	080027263	A99999	N	None	None	SFY2004-05
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2004-12-30 00:00:00	080002862	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-24 00:00:00	2004-11-24 00:00:00	No	2005-01-21 00:00:00	None	B	None	1000	1000	-350	650	0	080027482	A99999	N	None	None	SFY2004-05
080000642	REMINGTON CLUB HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-02-14 00:00:00	080002863	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-08 00:00:00	2005-02-08 00:00:00	Yes	2005-03-10 00:00:00	2005-02-28 00:00:00	B	None	1000	1000	0	1000	0	080027706	A99999	N	None	None	SFY2004-05
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-03-21 00:00:00	080002864	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-02-28 00:00:00	2005-02-28 00:00:00	No	2005-04-12 00:00:00	None	B	None	1000	1000	-350	650	0	080027708	A99999	N	None	None	SFY2004-05
080001264	LAS VILLAS DE CARLSBAD HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-04-15 00:00:00	080002867	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-08-04 00:00:00	None	No	2005-05-09 00:00:00	None	A	None	16000	16000	-5600	10400	0	080027712	A99999	N	None	None	SFY2004-05
080000007	BOULDER CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2005-04-15 00:00:00	080002868	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-02-05 00:00:00	2005-02-05 00:00:00	Yes	2005-05-06 00:00:00	2007-03-23 00:00:00	A	A	20000	13000	0	13000	0	080027713	A99999	N	None	None	SFY2004-05
080001515	BAYSHIRE TORREY PINES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2005-05-03 00:00:00	080002869	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-25 00:00:00	None	No	2005-05-31 00:00:00	None	B	None	950	950	-332.5	617.5	0	080027715	A99999	N	None	None	SFY2004-05
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-05-04 00:00:00	080002870	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-05 00:00:00	2005-04-05 00:00:00	Yes	2005-06-03 00:00:00	2005-05-16 00:00:00	B	B	1000	625	0	625	0	080027716	A99999	N	None	None	SFY2004-05
080000070	ARBOR HILLS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-05-12 00:00:00	080002871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-24 00:00:00	None	Yes	2005-06-08 00:00:00	2005-05-17 00:00:00	B	B	1000	1000	0	1000	0	080027717	A99999	N	None	None	SFY2004-05
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2005-05-19 00:00:00	080002872	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-31 00:00:00	None	No	2005-06-13 00:00:00	None	B	None	700	700	-245	455	0	080027718	A99999	N	None	None	SFY2004-05
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-08-23 00:00:00	080002873	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-04-27 00:00:00	None	Yes	2005-09-19 00:00:00	2005-08-24 00:00:00	A	None	18000	18000	-18000	0	0	080027721	A99999	N	None	None	SFY2005-06
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-08-30 00:00:00	080002874	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-31 00:00:00	2005-07-31 00:00:00	Yes	2005-09-27 00:00:00	2005-09-07 00:00:00	B	B	1000	500	0	500	0	080027722	A99999	N	None	None	SFY2005-06
080000031	COUNTRY MANOR LA MESA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-10-21 00:00:00	080002875	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-15 00:00:00	None	No	2005-11-15 00:00:00	None	B	None	900	900	-315	585	0	080027725	A99999	N	None	None	SFY2005-06
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-12-08 00:00:00	080002876	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-11-15 00:00:00	2005-11-15 00:00:00	No	2006-01-04 00:00:00	None	B	None	1000	1000	-350	650	0	080027727	A99999	N	None	None	SFY2005-06
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-01-12 00:00:00	080002877	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-29 00:00:00	None	No	2006-02-07 00:00:00	None	B	None	1000	1000	0	1000	0	080027728	A99999	N	None	None	SFY2005-06
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-01-24 00:00:00	080002878	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-12-28 00:00:00	2005-12-28 00:00:00	No	2006-02-22 00:00:00	None	B	None	1000	1000	-350	650	0	080027730	A99999	N	None	None	SFY2005-06
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2006-02-03 00:00:00	080002879	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-01-11 00:00:00	None	Yes	2006-03-02 00:00:00	2006-02-15 00:00:00	AA	AA	100000	50000	0	50000	0	080027731	A99999	Y	None	None	SFY2005-06
080000685	CASA DE LAS CAMPANAS	LTC	SNF	Skilled Nursing Facility	San Diego	2006-03-06 00:00:00	080002883	Closed	Citation	Citation A (HSC 1424)	Other	Neglect	2005-12-11 00:00:00	2005-12-11 00:00:00	No	2006-03-27 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	BTW111	N	CA00069937	B	SFY2005-06
080000087	LA JOLLA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-03-07 00:00:00	080002898	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-12-23 00:00:00	2005-12-23 00:00:00	Yes	2007-09-10 00:00:00	2007-08-29 00:00:00	AA	AA	94000	55000	0	55000	0	None	ZHQS11	Y	CA00070251, CA00070284	C, C	SFY2005-06
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-03-30 00:00:00	080002994	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2006-02-04 00:00:00	2006-02-04 00:00:00	No	2006-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	928611	N	CA00071775	B	SFY2005-06
080000962	THE SPRINGS AT PACIFIC REGENT	LTC	SNF	Skilled Nursing Facility	San Diego	2006-04-13 00:00:00	080003027	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-02-07 00:00:00	2006-02-07 00:00:00	No	2006-05-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	9Y1K11	N	CA00074264	B	SFY2005-06
080000222	OCEAN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2006-05-04 00:00:00	080003078	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-04-28 00:00:00	2006-04-28 00:00:00	No	2006-05-30 00:00:00	None	B	None	500	500	-175	325	0	None	OVW611	N	CA00075813	B	SFY2005-06
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-08-09 00:00:00	080003263	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-12-02 00:00:00	2005-12-02 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	EZTH11	N	CA00088893	B	SFY2006-07
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-08-10 00:00:00	080003264	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-15 00:00:00	2006-05-15 00:00:00	No	2006-08-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	BEZM11	N	CA00080719	B	SFY2006-07
080000962	THE SPRINGS AT PACIFIC REGENT	LTC	SNF	Skilled Nursing Facility	San Diego	2006-08-09 00:00:00	080003265	Closed	Citation	Citation B (HSC 1424)	Other	Patient Care/Rights	2006-07-13 00:00:00	2006-07-13 00:00:00	Yes	2006-08-30 00:00:00	2006-08-28 00:00:00	B	B	1000	500	0	500	0	None	2Z1811	N	CA00085681	B	SFY2006-07
080000094	BRADLEY COURT	LTC	SNF	Skilled Nursing Facility	San Diego	2006-08-24 00:00:00	080003305	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-07-15 00:00:00	2006-07-15 00:00:00	No	2006-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	RWQ511	N	CA00087270	A	SFY2006-07
080000470	CASA PALMERA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-09-15 00:00:00	080003339	Closed	Citation	Citation B (HSC 1424)	Other	Pharmacy Services	2006-08-23 00:00:00	2006-08-23 00:00:00	No	2006-10-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	SVEF11	N	None	None	SFY2006-07
080000470	CASA PALMERA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-09-15 00:00:00	080003340	Closed	Citation	Citation B (HSC 1424)	Other	Staff Development/Dietary	2006-08-23 00:00:00	2006-08-23 00:00:00	No	2006-10-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	SVEF11	N	None	None	SFY2006-07
080000470	CASA PALMERA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-09-15 00:00:00	080003341	Closed	Citation	Citation B (HSC 1424)	Other	Pt. Care Policies & Proc.	2006-08-23 00:00:00	2006-08-23 00:00:00	No	2006-10-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	SVEF11	N	None	None	SFY2006-07
080000307	LAS VILLAS DEL NORTE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2006-09-26 00:00:00	080003361	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-04-16 00:00:00	2006-04-16 00:00:00	No	2006-10-19 00:00:00	None	A	None	18000	18000	0	18000	0	None	LV4711	N	CA00088309	B	SFY2006-07
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-10-26 00:00:00	080003450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-03 00:00:00	2006-08-03 00:00:00	No	2006-11-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	77ZS11	Y	CA00080351	B	SFY2006-07
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-10-27 00:00:00	080003454	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-12 00:00:00	2006-10-12 00:00:00	Yes	2006-12-01 00:00:00	2006-11-09 00:00:00	B	B	800	400	0	400	0	None	HTLL11	N	CA00095532	B	SFY2006-07
080000094	BRADLEY COURT	LTC	SNF	Skilled Nursing Facility	San Diego	2006-12-21 00:00:00	080003593	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-10-05 00:00:00	2006-10-05 00:00:00	Yes	2007-01-16 00:00:00	2007-01-09 00:00:00	B	B	1000	3000	0	3000	0	None	F38S11	N	CA00095183	A	SFY2006-07
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2006-12-29 00:00:00	080003613	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-29 00:00:00	2005-11-29 00:00:00	Yes	2007-02-09 00:00:00	2007-01-08 00:00:00	B	B	1000	500	0	500	0	None	KWX211	N	CA00097669	B	SFY2006-07
080000087	LA JOLLA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-02-01 00:00:00	080003674	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-16 00:00:00	2007-01-16 00:00:00	No	2007-02-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	C3PL11	N	CA00102873	C	SFY2006-07
080001264	LAS VILLAS DE CARLSBAD HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-03-05 00:00:00	080003768	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-05 00:00:00	2007-02-05 00:00:00	Yes	2007-03-27 00:00:00	2007-03-05 00:00:00	B	B	1000	1000	0	1000	0	None	CGSK11	N	CA00104837	C	SFY2006-07
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-04-05 00:00:00	080003875	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-02-21 00:00:00	2007-02-21 00:00:00	Yes	2007-12-21 00:00:00	2007-12-17 00:00:00	AA	A	100000	80000	0	80000	0	None	14V411	Y	CA00106369	C	SFY2006-07
080000283	PALOMAR CONTINUING CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2007-04-13 00:00:00	080003894	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-08-11 00:00:00	2004-08-11 00:00:00	Yes	2007-05-04 00:00:00	2007-04-20 00:00:00	A	B	20000	5000	0	5000	0	None	2TQ11	N	CA00052366	B	SFY2006-07
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-04-20 00:00:00	080003908	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-21 00:00:00	2007-03-21 00:00:00	No	2007-05-15 00:00:00	None	B	None	900	900	-315	585	0	None	ZCEL11	N	CA00107320	C	SFY2006-07
080000642	REMINGTON CLUB HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-04-20 00:00:00	080003913	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-13 00:00:00	2006-11-13 00:00:00	No	2007-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	K3OS11	N	CA00107750	C	SFY2006-07
080001515	BAYSHIRE TORREY PINES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2007-05-30 00:00:00	080003994	Closed	Citation	Citation B (HSC 1424)	Other	Abuse Facility Self Repor	2007-05-16 00:00:00	2007-05-16 00:00:00	No	2007-06-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	TOK011	N	CA00113417	C	SFY2006-07
080000962	THE SPRINGS AT PACIFIC REGENT	LTC	SNF	Skilled Nursing Facility	San Diego	2007-05-30 00:00:00	080003995	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-05-20 00:00:00	2007-05-20 00:00:00	No	2007-06-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	H4YX11	N	CA00115438	C	SFY2006-07
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-06-01 00:00:00	080003997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-19 00:00:00	2007-05-19 00:00:00	Yes	2007-06-22 00:00:00	2007-06-08 00:00:00	B	None	1000	1000	0	1000	0	None	8FVL11	N	CA00115167	C	SFY2006-07
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-06-15 00:00:00	080004004	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-24 00:00:00	2007-05-24 00:00:00	Yes	2008-02-26 00:00:00	2008-02-08 00:00:00	A	B	15000	13000	0	13000	0	None	R6X011	Y	CA00112903	C	SFY2006-07
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2007-06-01 00:00:00	080004005	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2007-06-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	3QUS11	N	CA00114325	C	SFY2006-07
080000087	LA JOLLA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-07-18 00:00:00	080004108	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-23 00:00:00	2007-05-23 00:00:00	No	2007-08-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	O1SJ11	N	CA00115710	C	SFY2007-08
080000962	THE SPRINGS AT PACIFIC REGENT	LTC	SNF	Skilled Nursing Facility	San Diego	2007-08-03 00:00:00	080004156	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-07-07 00:00:00	2007-07-07 00:00:00	No	2007-08-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	08L811	N	CA00121491	A	SFY2007-08
080000060	THE SHORES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2007-09-07 00:00:00	080004247	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-25 00:00:00	2007-06-25 00:00:00	No	2007-09-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	PJI211	N	CA00115078	C	SFY2007-08
080000642	REMINGTON CLUB HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-09-07 00:00:00	080004252	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-07-05 00:00:00	2007-07-05 00:00:00	No	2007-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	DPUJ11	N	CA00120862	A	SFY2007-08
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2007-10-19 00:00:00	080004374	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-10-02 00:00:00	2007-10-02 00:00:00	No	2007-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	DBBE11	N	CA00128212	A	SFY2007-08
080000283	PALOMAR CONTINUING CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2007-11-15 00:00:00	080004442	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-25 00:00:00	2007-09-25 00:00:00	Yes	2007-12-10 00:00:00	2007-11-29 00:00:00	A	A	16000	8500	0	8500	0	None	NDR911	N	CA00128538	C	SFY2007-08
080000795	VISTA KNOLL SPECIALIZED CARE FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2007-12-04 00:00:00	080004479	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-08 00:00:00	2007-10-08 00:00:00	No	2007-12-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	TH2Y11	N	CA00129079	C	SFY2007-08
080000922	TOGETHER WE GROW	LTC	PDHRCF	Pediatric Day Health & Respite Care Facility	San Diego	2008-01-24 00:00:00	080004602	Closed	Citation	Citation B (HSC 1424)	Other	Accidents	2007-11-30 00:00:00	2007-11-30 00:00:00	No	2008-02-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	6LQ211	N	CA00134328	C	SFY2007-08
080000222	OCEAN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-01-24 00:00:00	080004608	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-01 00:00:00	2007-11-01 00:00:00	No	2008-02-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	SP8C11	N	CA00132903	C	SFY2007-08
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-01-31 00:00:00	080004630	Closed	Citation	Citation AA (HSC 1424)	Other	Supervision	2007-11-26 00:00:00	2007-11-26 00:00:00	Yes	2008-02-27 00:00:00	2008-02-04 00:00:00	AA	A	100000	95000	0	95000	0	None	SQOZ11	Y	CA00132860	A	SFY2007-08
080000035	RADY CHILDREN'S CONVALESCENT HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2008-02-21 00:00:00	080004704	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-03 00:00:00	2008-01-03 00:00:00	No	2008-03-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	K0CJ11	N	CA00136306	C	SFY2007-08
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-04-11 00:00:00	080004915	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-02 00:00:00	2008-04-02 00:00:00	Yes	2008-05-02 00:00:00	2008-04-14 00:00:00	B	None	1000	1000	0	1000	0	None	DTMQ11	N	CA00145646	C	SFY2007-08
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-06-18 00:00:00	080005161	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-05-27 00:00:00	2008-05-27 00:00:00	No	2008-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	PLG111	N	CA00151967	A	SFY2007-08
080000795	VISTA KNOLL SPECIALIZED CARE FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2008-06-20 00:00:00	080005165	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-11 00:00:00	2008-05-11 00:00:00	No	2008-07-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	FQH511	N	CA00150075	C	SFY2007-08
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-07-30 00:00:00	080005272	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-28 00:00:00	2008-06-28 00:00:00	No	2008-08-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	S81R11	N	CA00155347	A	SFY2008-09
080001264	LAS VILLAS DE CARLSBAD HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-08-14 00:00:00	080005323	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-06-02 00:00:00	2008-06-02 00:00:00	Yes	2008-09-09 00:00:00	2008-08-21 00:00:00	B	None	1000	1000	0	1000	0	None	D0H412	N	None	None	SFY2008-09
080000017	THE ROYAL HOME	LTC	SNF	Skilled Nursing Facility	San Diego	2008-08-14 00:00:00	080005331	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-07-18 00:00:00	2008-07-18 00:00:00	No	2008-09-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	7P7611	N	CA00158895	C	SFY2008-09
080001502	BAYSHIRE CARLSBAD	LTC	SNF	Skilled Nursing Facility	San Diego	2008-09-05 00:00:00	080005397	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-08-23 00:00:00	2008-08-23 00:00:00	No	2008-09-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZOKS11	N	CA00161730	A	SFY2008-09
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-10-01 00:00:00	080005481	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-22 00:00:00	2008-01-22 00:00:00	No	2008-10-24 00:00:00	None	B	None	1000	1750	0	1750	0	None	FO6811	N	CA00161548	C	SFY2008-09
080000099	VISTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-10-07 00:00:00	080005509	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-09-12 00:00:00	2008-09-12 00:00:00	No	2008-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	RO6311	N	CA00164403	A	SFY2008-09
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-10-09 00:00:00	080005516	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-12-30 00:00:00	2007-12-30 00:00:00	Yes	2008-11-03 00:00:00	2008-10-23 00:00:00	B	None	1000	1000	0	1000	0	None	IX6O11	N	CA00164203	A	SFY2008-09
080000307	LAS VILLAS DEL NORTE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-11-07 00:00:00	080005587	Closed	Citation	Citation B (HSC 1424)	Other	INFECTION CONTROL	2008-10-30 00:00:00	2008-10-30 00:00:00	No	2008-12-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	G7ZT11	N	CA00167758	C	SFY2008-09
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-11-06 00:00:00	080005591	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-04 00:00:00	2008-09-04 00:00:00	No	2008-12-02 00:00:00	None	B	None	1000	3000	0	3000	0	None	ZEJH11	N	CA00160901	C	SFY2008-09
080000087	LA JOLLA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-12-12 00:00:00	080005688	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-19 00:00:00	2008-10-19 00:00:00	No	2009-01-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	CE2C11	N	CA00167311	A	SFY2008-09
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-12-18 00:00:00	080005709	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-11-17 00:00:00	2008-11-17 00:00:00	No	2009-01-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	T1LA11	N	None	None	SFY2008-09
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-01-07 00:00:00	080005754	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-11-21 00:00:00	2008-11-21 00:00:00	No	2009-01-28 00:00:00	None	B	None	1000	1050	0	1050	0	None	THQ811	N	CA00170132	C	SFY2008-09
080000307	LAS VILLAS DEL NORTE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-01-20 00:00:00	080005796	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-17 00:00:00	2008-11-17 00:00:00	Yes	2009-02-10 00:00:00	2009-01-21 00:00:00	B	None	1000	1000	-350	650	0	None	7ZDH11	N	CA00169696	C	SFY2008-09
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-02-11 00:00:00	080005875	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-01-08 00:00:00	2009-01-08 00:00:00	No	2009-03-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	X19011	N	CA00174163	C	SFY2008-09
080000810	CARE MERIDIAN	LTC	CLHF	Congregate Living Health Facility	San Diego	2009-02-24 00:00:00	080005876	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-01-29 00:00:00	2009-01-29 00:00:00	Yes	2009-04-03 00:00:00	2009-03-12 00:00:00	B	B	1000	650	0	650	0	None	VUQ811	N	CA00176056	A	SFY2008-09
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-02-25 00:00:00	080005891	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-11-30 00:00:00	2008-11-30 00:00:00	Yes	2009-03-20 00:00:00	2009-03-04 00:00:00	AA	AA	90000	45000	0	45000	0	None	Q34O11	Y	CA00171321	C	SFY2008-09
080000962	THE SPRINGS AT PACIFIC REGENT	LTC	SNF	Skilled Nursing Facility	San Diego	2009-02-26 00:00:00	080005908	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-25 00:00:00	2008-12-25 00:00:00	Yes	2009-03-23 00:00:00	2009-03-13 00:00:00	B	B	1000	650	0	650	0	None	FLPB11	N	CA00174210	C	SFY2008-09
080000053	FALLBROOK SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Diego	2009-03-02 00:00:00	080005915	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-01-22 00:00:00	2009-01-22 00:00:00	No	2009-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	EO9V11	N	CA00175692	H	SFY2008-09
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-03-04 00:00:00	080005919	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2009-01-28 00:00:00	2009-01-28 00:00:00	No	2009-03-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	AYV711	N	CA00176580	A	SFY2008-09
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-03-04 00:00:00	080005920	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-01-29 00:00:00	2009-01-29 00:00:00	No	2009-03-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	AYV711	N	CA00176580	A	SFY2008-09
080000795	VISTA KNOLL SPECIALIZED CARE FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2009-03-04 00:00:00	080005926	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-14 00:00:00	2009-01-14 00:00:00	No	2009-03-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	FS8K11	N	CA00174882	C	SFY2008-09
080000642	REMINGTON CLUB HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-03-18 00:00:00	080005977	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-01-14 00:00:00	2009-01-14 00:00:00	No	2009-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	9NK111	N	CA00174958	C	SFY2008-09
080000099	VISTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-04-08 00:00:00	080006053	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-28 00:00:00	2008-12-28 00:00:00	Yes	2009-04-29 00:00:00	2009-04-14 00:00:00	B	B	1000	500	0	500	0	None	4Q3V11	N	CA00173311	C	SFY2008-09
080000099	VISTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-04-08 00:00:00	080006060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-28 00:00:00	2008-12-28 00:00:00	Yes	2009-04-29 00:00:00	2009-04-14 00:00:00	A	A	20000	13000	0	13000	0	None	4Q3V11	N	CA00173311	C	SFY2008-09
080000099	VISTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-04-15 00:00:00	080006097	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-03-04 00:00:00	2009-03-04 00:00:00	Yes	2009-05-11 00:00:00	2009-04-20 00:00:00	B	B	1000	1050	-400	650	0	None	RQWL11	N	CA00178549	C	SFY2008-09
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-04-29 00:00:00	080006135	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-03-23 00:00:00	2009-03-23 00:00:00	No	2009-05-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	597T11	N	CA00182650	A	SFY2008-09
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-05-07 00:00:00	080006165	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-14 00:00:00	2009-04-14 00:00:00	No	2009-05-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	CMR911	N	CA00184894	C	SFY2008-09
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-05-08 00:00:00	080006166	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-08 00:00:00	2009-03-08 00:00:00	No	2009-06-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	7FGD11	N	CA00180550	C	SFY2008-09
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-05-14 00:00:00	080006186	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-04-11 00:00:00	2009-04-11 00:00:00	Yes	2009-06-09 00:00:00	2009-05-14 00:00:00	B	None	750	800	-262.5	537.5	0	None	X6U211	N	CA00184720	C	SFY2008-09
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-05-27 00:00:00	080006221	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-18 00:00:00	2009-05-18 00:00:00	No	2009-06-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	4D2E11	N	CA00188684	C	SFY2008-09
080000077	AVIARA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-06-09 00:00:00	080006246	Closed	Citation	Citation A (HSC 1424)	Other	PT Neglect/Elopement	2009-05-06 00:00:00	2009-05-06 00:00:00	Yes	2009-07-02 00:00:00	2009-06-17 00:00:00	A	A	16000	16000	0	16000	0	None	OISX11	N	CA00187747, CA00187896	B, C	SFY2008-09
080000077	AVIARA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-06-09 00:00:00	080006270	Closed	Citation	Citation AA (HSC 1424)	Physical Environment	None	2009-05-10 00:00:00	2009-05-10 00:00:00	Yes	2009-07-02 00:00:00	2009-06-17 00:00:00	AA	A	100000	100000	0	100000	0	None	65BB11	Y	CA00187815, CA00187885	A, C	SFY2008-09
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-06-19 00:00:00	080006307	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2008-02-27 00:00:00	2008-02-27 00:00:00	No	2009-07-10 00:00:00	None	B	None	1000	1050	0	1050	0	None	CKBB11	N	CA00188626	C	SFY2008-09
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-07-06 00:00:00	080006349	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-09 00:00:00	2009-05-09 00:00:00	No	2009-07-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	67D511	N	CA00187931	H	SFY2009-10
080000032	GROSSMONT POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-07-06 00:00:00	080006362	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2009-01-12 00:00:00	2009-01-12 00:00:00	Yes	2012-10-01 00:00:00	2012-06-07 00:00:00	A	A	20000	20000	0	0	20000	None	7UVM11	N	CA00176743	C	SFY2009-10
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-07-09 00:00:00	080006380	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-21 00:00:00	2008-12-21 00:00:00	No	2009-08-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	6IKT11	N	CA00190499	C	SFY2009-10
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-07-23 00:00:00	080006413	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-01-15 00:00:00	2009-01-15 00:00:00	No	2009-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	D4SL11	N	CA00194402	C	SFY2009-10
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-07-29 00:00:00	080006423	Closed	Citation	Citation A (HSC 1424)	Medication	None	2009-03-12 00:00:00	2009-03-12 00:00:00	Yes	2009-08-20 00:00:00	2009-08-12 00:00:00	A	A	16000	16000	0	16000	0	None	TS2L11	N	CA00188615	C	SFY2009-10
080000679	THE VILLAS AT POWAY	LTC	SNF	Skilled Nursing Facility	San Diego	2009-08-12 00:00:00	080006455	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-08-05 00:00:00	2009-08-05 00:00:00	Yes	2009-09-02 00:00:00	2009-08-17 00:00:00	B	B	750	375	0	375	0	None	6GKJ11	N	CA00194360	C	SFY2009-10
080001692	VI AT LA JOLLA VILLAGE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-08-25 00:00:00	080006484	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-07-19 00:00:00	2009-07-19 00:00:00	No	2009-09-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	KD8T11	N	CA00197497	C	SFY2009-10
080001515	BAYSHIRE TORREY PINES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-08-25 00:00:00	080006486	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-07-24 00:00:00	2009-07-24 00:00:00	No	2009-09-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	8CKZ11	N	CA00197527	C	SFY2009-10
080000685	CASA DE LAS CAMPANAS	LTC	SNF	Skilled Nursing Facility	San Diego	2009-09-03 00:00:00	080006531	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-29 00:00:00	2009-07-29 00:00:00	Yes	2009-09-29 00:00:00	2009-09-03 00:00:00	B	B	1000	1000	0	1000	0	None	6MIN11	N	CA00196580	C	SFY2009-10
080000053	FALLBROOK SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Diego	2009-09-08 00:00:00	080006541	Closed	Citation	Citation AA (HSC 1424)	Other	Accidents	2009-06-08 00:00:00	2009-06-08 00:00:00	No	2009-09-30 00:00:00	None	AA	None	90000	90000	-31500	58500	0	None	I6J511	Y	CA00191586	C	SFY2009-10
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-09-25 00:00:00	080006571	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	Call light system	2009-08-13 00:00:00	2009-08-13 00:00:00	No	2009-10-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	S2EN11	N	CA00197043	C	SFY2009-10
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-11-10 00:00:00	080006668	Closed	Citation	Citation A (HSC 1424)	Medication	None	2009-07-17 00:00:00	2009-07-17 00:00:00	Yes	2012-06-14 00:00:00	2009-11-16 00:00:00	A	A	20000	20000	0	20000	0	None	TIJQ11	N	CA00195438	H	SFY2009-10
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-11-05 00:00:00	080006689	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-24 00:00:00	2009-10-24 00:00:00	Yes	2009-12-01 00:00:00	2009-11-06 00:00:00	B	B	1000	500	0	500	0	None	G2IS11	N	CA00206160	A	SFY2009-10
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-11-13 00:00:00	080006706	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2009-10-24 00:00:00	2009-10-24 00:00:00	Yes	2009-12-09 00:00:00	2009-11-30 00:00:00	B	B	1000	750	0	750	0	None	V0Y711	N	CA00206231	C	SFY2009-10
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-11-13 00:00:00	080006714	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2009-10-24 00:00:00	2009-10-24 00:00:00	No	2009-12-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	IBDJ11	N	CA00206233	C	SFY2009-10
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-11-13 00:00:00	080006715	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2009-10-28 00:00:00	2009-10-28 00:00:00	No	2009-12-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	GFRL11	N	CA00206514	A	SFY2009-10
080000307	LAS VILLAS DEL NORTE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-11-18 00:00:00	080006718	Closed	Citation	Citation B (HSC 1424)	Other	abuse	2009-10-13 00:00:00	2009-10-13 00:00:00	Yes	2009-12-11 00:00:00	2009-11-18 00:00:00	B	B	1000	500	0	500	0	None	YMNE11	N	CA00204265	C	SFY2009-10
080001515	BAYSHIRE TORREY PINES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-11-23 00:00:00	080006725	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-29 00:00:00	2009-10-29 00:00:00	No	2009-12-16 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	NI0D11	N	CA00207001	C	SFY2009-10
080000052	RANCHO VISTA	LTC	SNF	Skilled Nursing Facility	San Diego	2009-12-01 00:00:00	080006738	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2009-08-24 00:00:00	2009-08-24 00:00:00	Yes	2009-12-22 00:00:00	2012-06-06 00:00:00	A	A	16000	16000	0	0	16000	None	IWYL11	N	CA00200409	C	SFY2009-10
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-01-05 00:00:00	080006874	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-06 00:00:00	2009-10-06 00:00:00	No	2010-02-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	JNQT11	N	CA00203887	C	SFY2009-10
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-02-03 00:00:00	080006919	Closed	Citation	Citation AA (HSC 1424)	Other	Accidents & Supervision	2009-11-07 00:00:00	2009-11-07 00:00:00	Yes	2010-09-28 00:00:00	2010-09-10 00:00:00	AA	AA	100000	100000	0	100000	0	None	IGZ911	Y	CA00207618	C	SFY2009-10
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-02-03 00:00:00	080006960	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-11 00:00:00	2009-10-11 00:00:00	No	2010-02-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q89V11	N	CA00205909	B	SFY2009-10
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-02-03 00:00:00	080006961	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-10-11 00:00:00	2009-10-11 00:00:00	No	2010-02-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q89V11	N	CA00205909	B	SFY2009-10
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-02-05 00:00:00	080006972	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-11-27 00:00:00	2009-11-27 00:00:00	No	2010-03-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	NLT311	N	CA00209752	H	SFY2009-10
080000222	OCEAN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-03-10 00:00:00	080007040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-24 00:00:00	2010-02-24 00:00:00	No	2010-04-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	O17K11	N	CA00216032	C	SFY2009-10
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-03-19 00:00:00	080007058	Closed	Citation	Citation B (HSC 1424)	Other	Quality of Care/Treatment	2009-10-23 00:00:00	2009-10-23 00:00:00	No	2010-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	7YDB11	N	CA00206213	C	SFY2009-10
630009562	CENTER FOR DISCOVERY LA JOLLA	LTC	CLHF	Congregate Living Health Facility	San Diego	2010-04-22 00:00:00	080007153	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2010-01-12 00:00:00	2010-01-12 00:00:00	No	2010-05-20 00:00:00	None	B	None	1000	1700	-350	1350	0	None	PN1C11	N	CA00212744	C	SFY2009-10
630009562	CENTER FOR DISCOVERY LA JOLLA	LTC	CLHF	Congregate Living Health Facility	San Diego	2010-04-22 00:00:00	080007154	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-03 00:00:00	2010-02-03 00:00:00	No	2010-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	PN1C11	N	CA00212744	C	SFY2009-10
630009562	CENTER FOR DISCOVERY LA JOLLA	LTC	CLHF	Congregate Living Health Facility	San Diego	2010-04-22 00:00:00	080007155	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-05 00:00:00	2010-02-05 00:00:00	No	2010-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	PN1C11	N	CA00212744	C	SFY2009-10
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-04-26 00:00:00	080007164	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-12-09 00:00:00	2009-12-09 00:00:00	No	2010-05-17 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	Q0J411	N	CA00209829	C	SFY2009-10
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-06-23 00:00:00	080007325	Closed	Citation	Citation A (HSC 1424)	Other	Infection Control	2010-05-26 00:00:00	2010-05-26 00:00:00	No	2010-07-16 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	6UN111	N	None	None	SFY2009-10
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-06-24 00:00:00	080007330	Closed	Citation	Citation B (HSC 1424)	Other	Nursing Services	2009-10-01 00:00:00	2009-10-01 00:00:00	No	2010-07-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	F18M11	N	CA00218074	C	SFY2009-10
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-07-20 00:00:00	080007384	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-03-21 00:00:00	2010-03-21 00:00:00	Yes	2010-08-10 00:00:00	2010-07-28 00:00:00	A	A	20000	20000	0	20000	0	None	5G2S11	N	CA00222619	C	SFY2010-11
080000077	AVIARA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-09-23 00:00:00	080007594	Closed	Citation	Citation B (HSC 1424)	Other	Policies & Procedures	2010-06-18 00:00:00	2010-06-18 00:00:00	No	2010-10-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	LYJL11	N	CA00232878	B	SFY2010-11
080000283	PALOMAR CONTINUING CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2010-10-07 00:00:00	080007615	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-27 00:00:00	2010-08-27 00:00:00	No	2010-10-29 00:00:00	None	A	None	15000	15400	-5250	10150	0	None	WZ5011	N	CA00240878	B	SFY2010-11
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-10-12 00:00:00	080007624	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-09-25 00:00:00	2010-09-25 00:00:00	No	2010-11-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	1ONS11	N	CA00243937	B	SFY2010-11
080000017	THE ROYAL HOME	LTC	SNF	Skilled Nursing Facility	San Diego	2010-10-14 00:00:00	080007640	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-17 00:00:00	2010-09-17 00:00:00	No	2010-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	3GKY11	N	CA00243542	B	SFY2010-11
080001708	MONTECATINI	LTC	CLHF	Congregate Living Health Facility	San Diego	2010-11-19 00:00:00	080007709	Closed	Citation	Citation B (HSC 1424)	Other	PHARMACEUDICAL SERVICES	2010-09-22 00:00:00	2010-09-22 00:00:00	No	2010-12-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	KMRY11	N	CA00236428	B	SFY2010-11
080001708	MONTECATINI	LTC	CLHF	Congregate Living Health Facility	San Diego	2010-11-19 00:00:00	080007710	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICES	2010-09-22 00:00:00	2010-09-22 00:00:00	No	2010-12-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	KMRY11	N	CA00236428	B	SFY2010-11
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-12-03 00:00:00	080007751	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-11 00:00:00	2010-10-11 00:00:00	No	2010-12-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZU7311	N	CA00245451	B	SFY2010-11
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-01-11 00:00:00	080007837	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-13 00:00:00	2010-10-13 00:00:00	No	2011-02-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	RIIQ11	N	CA00246813	B	SFY2010-11
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-02-04 00:00:00	080007920	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-09 00:00:00	2010-11-09 00:00:00	No	2011-02-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	K9I811	N	CA00249905	B	SFY2010-11
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-03-16 00:00:00	080008021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-02 00:00:00	2011-02-02 00:00:00	No	2011-04-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	K3E511	N	CA00257773	B	SFY2010-11
080000070	ARBOR HILLS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-03-16 00:00:00	080008032	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2010-06-21 00:00:00	2010-06-21 00:00:00	Yes	2011-04-07 00:00:00	2014-03-27 00:00:00	WF	Dismissed by Court	350	0	0	0	0	None	F2V113	None	CA00215464	C	SFY2010-11
080000642	REMINGTON CLUB HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-04-14 00:00:00	080008151	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-08 00:00:00	2011-01-08 00:00:00	No	2011-05-05 00:00:00	None	B	None	1000	1050	0	1050	0	None	PLP711	N	CA00255758	C	SFY2010-11
080000053	FALLBROOK SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Diego	2011-04-20 00:00:00	080008171	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-03-28 00:00:00	2011-03-28 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	TWKD11	N	CA00264351	B	SFY2010-11
080000090	VALLE VISTA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-04-28 00:00:00	080008203	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-02-25 00:00:00	2011-02-25 00:00:00	Yes	2014-04-07 00:00:00	2014-03-20 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	None	Q36M11	N	CA00259827	C	SFY2010-11
080000090	VALLE VISTA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-04-28 00:00:00	080008207	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-02-25 00:00:00	2011-02-25 00:00:00	Yes	2011-05-19 00:00:00	2014-03-20 00:00:00	B	B	1000	1000	-1000	0	0	None	Q36M11	N	CA00259827	C	SFY2010-11
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-06-02 00:00:00	080008285	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-03-15 00:00:00	2011-03-15 00:00:00	No	2011-06-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	6G5F11	N	CA00262650	B	SFY2010-11
080000307	LAS VILLAS DEL NORTE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-06-09 00:00:00	080008287	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-19 00:00:00	2011-04-19 00:00:00	Yes	2011-06-30 00:00:00	2011-06-09 00:00:00	B	None	1000	1000	0	1000	0	None	42MX11	N	CA00266685, CA00267440	B, B	SFY2010-11
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-06-16 00:00:00	080008299	Closed	Citation	Citation B (HSC 1424)	Other	ACCIDENTS	2011-04-02 00:00:00	2011-04-02 00:00:00	No	2011-07-08 00:00:00	None	B	None	1000	1650	-350	1300	0	None	RXQU11	Y	CA00264702, CA00264704	H, B	SFY2010-11
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-06-29 00:00:00	080008340	Closed	Citation	Citation A (HSC 1424)	Other	Accidents	2010-03-21 00:00:00	2010-03-21 00:00:00	Yes	2011-07-21 00:00:00	2013-03-19 00:00:00	A	A	20000	20000	0	20000	0	None	9P3I11	N	CA00249801	B	SFY2010-11
080000014	REDWOOD TERRACE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-06-29 00:00:00	080008343	Closed	Citation	Citation A (HSC 1424)	Other	ACCIDENTS	2011-05-26 00:00:00	2011-05-26 00:00:00	Yes	2011-07-21 00:00:00	2011-07-18 00:00:00	A	A	18000	18000	0	18000	0	None	TENI11	N	None	None	SFY2010-11
080000642	REMINGTON CLUB HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-06-30 00:00:00	080008351	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-11-20 00:00:00	2010-11-20 00:00:00	No	2011-07-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	V0M911	N	CA00252590, CA00252838	B, B	SFY2010-11
080000099	VISTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-07-14 00:00:00	080008381	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-12-04 00:00:00	2010-12-04 00:00:00	Yes	2011-08-04 00:00:00	2011-07-19 00:00:00	B	B	1000	1227.5	-350	877.5	0	None	5OD911	Y	CA00264607	B	SFY2011-12
080001515	BAYSHIRE TORREY PINES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-08-03 00:00:00	080008430	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-25 00:00:00	2011-06-25 00:00:00	Yes	2011-08-24 00:00:00	2011-08-12 00:00:00	B	B	1000	1000	0	1000	0	None	82GK11	N	CA00274313, CA00274316	B, B	SFY2011-12
080000059	LAKESIDE SPECIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-08-04 00:00:00	080008439	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-07-20 00:00:00	2011-07-20 00:00:00	No	2011-08-25 00:00:00	None	B	None	500	500	-175	325	0	None	G9EH11	N	CA00277377	C	SFY2011-12
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-08-30 00:00:00	080008515	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-07-21 00:00:00	2011-07-21 00:00:00	No	2011-09-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	N3UD11	N	CA00277249	B	SFY2011-12
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-10-17 00:00:00	080008643	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-29 00:00:00	2010-12-29 00:00:00	No	2011-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	MU5N11	N	CA00254562	B	SFY2011-12
080000692	CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-10-26 00:00:00	080008672	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-08-09 00:00:00	2011-08-09 00:00:00	No	2011-11-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	CF6X11	N	CA00279174	B	SFY2011-12
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-11-01 00:00:00	080008689	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-04 00:00:00	2011-08-04 00:00:00	Yes	2013-02-13 00:00:00	2013-01-23 00:00:00	A	A	20000	10000	0	10000	0	None	WHD311	N	CA00278325	A	SFY2011-12
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-11-10 00:00:00	080008740	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2011-03-30 00:00:00	2011-03-30 00:00:00	No	2011-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	XP3M11	N	CA00264181	B	SFY2011-12
080000685	CASA DE LAS CAMPANAS	LTC	SNF	Skilled Nursing Facility	San Diego	2011-11-22 00:00:00	080008765	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-05 00:00:00	2011-06-05 00:00:00	Yes	2011-12-15 00:00:00	2011-11-22 00:00:00	B	B	1000	650	0	650	0	None	5LZ311	N	CA00271977	B	SFY2011-12
080000090	VALLE VISTA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-12-12 00:00:00	080008801	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-18 00:00:00	2011-10-18 00:00:00	No	2012-01-04 00:00:00	None	B	None	1000	1050	-350	700	0	None	TJUQ11	N	CA00287031	B	SFY2011-12
080000962	THE SPRINGS AT PACIFIC REGENT	LTC	SNF	Skilled Nursing Facility	San Diego	2011-12-12 00:00:00	080008805	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-15 00:00:00	2011-03-15 00:00:00	No	2012-01-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	HHOS11	N	CA00262450	B	SFY2011-12
080000060	THE SHORES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2012-02-17 00:00:00	080009027	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-30 00:00:00	2011-06-30 00:00:00	No	2012-03-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	KCHC11	N	CA00274760, CA00274766	B, B	SFY2011-12
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2012-02-17 00:00:00	080009028	Closed	Citation	Citation B (HSC 1424)	Medication	None	2012-02-08 00:00:00	2012-02-08 00:00:00	No	2012-03-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	RKZW11	N	CA00298999	A	SFY2011-12
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2012-03-20 00:00:00	080009159	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-01-02 00:00:00	2012-01-02 00:00:00	No	2012-04-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	B6Q311	N	CA00294904, CA00295114	A, B	SFY2011-12
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2012-05-17 00:00:00	080009310	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-12-13 00:00:00	2011-12-13 00:00:00	No	2012-06-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	1RH911	N	CA00293943	B	SFY2011-12
080000835	THE DOROTHY AND JOSEPH GOLDBERG HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2012-06-21 00:00:00	080009370	Closed	Citation	Citation B (HSC 1424)	Other	Not following P&P on Abus	2012-03-15 00:00:00	2012-03-15 00:00:00	No	2012-07-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	GMFE11	N	CA00310367	B	SFY2011-12
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2013-02-01 00:00:00	080009727	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-05-30 00:00:00	2012-05-30 00:00:00	No	2013-02-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KKDZ11	N	CA00313908	B	SFY2012-13
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2013-03-13 00:00:00	080009783	Closed	Citation	Citation AA (HSC 1424)	Dietary	None	2012-10-29 00:00:00	2012-10-29 00:00:00	Yes	2013-04-04 00:00:00	2013-03-27 00:00:00	AA	A	100000	90000	0	90000	0	None	9EL211	Y	CA00331193	A	SFY2012-13
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2013-04-17 00:00:00	080009842	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-02-20 00:00:00	2013-02-20 00:00:00	Yes	2013-05-08 00:00:00	2013-04-24 00:00:00	B	B	2000	1800	0	1800	0	None	14N311	N	CA00344441, CA00344531	C, C	SFY2012-13
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2013-10-02 00:00:00	080010173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-09-04 00:00:00	2013-09-04 00:00:00	No	2013-10-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GFKW11	N	CA00352776	B	SFY2013-14
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2013-11-26 00:00:00	080010278	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-10-14 00:00:00	2013-10-14 00:00:00	Yes	2013-12-19 00:00:00	2013-12-03 00:00:00	B	B	2000	2000	0	2000	0	None	82DL11	N	CA00373436	B	SFY2013-14
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2013-12-19 00:00:00	080010344	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-07-21 00:00:00	2013-07-21 00:00:00	No	2014-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HL8W11	N	CA00362772, CA00363169	C, B	SFY2013-14
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2014-02-13 00:00:00	080010451	Closed	Citation	Citation A (HSC 1424)	Patient Record	None	2013-11-21 00:00:00	2013-11-21 00:00:00	Yes	2014-03-07 00:00:00	2014-02-21 00:00:00	A	A	20000	16000	0	16000	0	None	D6TF11	N	CA00377568	B	SFY2013-14
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2014-05-01 00:00:00	080010680	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-12-07 00:00:00	2013-12-07 00:00:00	Yes	2014-05-22 00:00:00	2014-05-14 00:00:00	B	B	1200	0	0	0	0	None	Z2X911	N	CA00379669	B	SFY2013-14
080000030	ESCONDIDO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2014-05-01 00:00:00	080010694	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-03-07 00:00:00	2014-03-07 00:00:00	Yes	2014-05-22 00:00:00	2014-05-14 00:00:00	B	B	2000	0	0	0	0	None	5MRR11	N	CA00390434, CA00391963	B, B	SFY2013-14
080001515	BAYSHIRE TORREY PINES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2014-07-01 00:00:00	080010839	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2014-07-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VRQX11	N	None	None	SFY2014-15
080000032	GROSSMONT POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2014-09-30 00:00:00	080011035	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-26 00:00:00	2014-03-26 00:00:00	Yes	2014-10-21 00:00:00	2014-10-17 00:00:00	B	None	2000	2000	0	2000	0	None	QY8W11	N	CA00392751	B	SFY2014-15
080000052	RANCHO VISTA	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-17 00:00:00	080011187	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-21 00:00:00	2014-07-21 00:00:00	No	2015-03-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ES0Q11	N	CA00406600	B	SFY2014-15
080000007	BOULDER CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-05 00:00:00	080011251	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-09-30 00:00:00	2013-09-30 00:00:00	Yes	2015-02-27 00:00:00	2015-02-17 00:00:00	A	None	20000	20000	0	20000	0	None	EX0X11	N	CA00371817	B	SFY2014-15
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-06 00:00:00	080011255	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-09-10 00:00:00	2014-09-10 00:00:00	Yes	2015-03-02 00:00:00	2015-02-27 00:00:00	B	B	2000	1300	-300	1000	0	None	5FO411	N	CA00413400	B	SFY2014-15
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-06 00:00:00	080011257	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-07-23 00:00:00	2014-07-23 00:00:00	Yes	2015-03-02 00:00:00	2015-02-27 00:00:00	B	B	2000	2100	-1100	1000	0	None	K4YL11	N	None	None	SFY2014-15
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-06 00:00:00	080011258	Closed	Citation	Citation B (HSC 1424)	Administration	None	2014-09-08 00:00:00	2014-09-08 00:00:00	Yes	2015-03-02 00:00:00	2015-02-27 00:00:00	B	B	2000	2050	-1050	1000	0	None	K4YL11	N	None	None	SFY2014-15
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-06 00:00:00	080011259	Closed	Citation	Citation B (HSC 1424)	Administration	None	2014-09-08 00:00:00	2014-09-08 00:00:00	Yes	2015-03-02 00:00:00	2015-02-27 00:00:00	B	B	2000	3300	-300	3000	0	None	K4YL11	N	None	None	SFY2014-15
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-06 00:00:00	080011260	Closed	Citation	Citation B (HSC 1424)	Administration	None	2014-08-01 00:00:00	2014-08-01 00:00:00	Yes	2015-03-02 00:00:00	2015-02-27 00:00:00	B	B	2000	1350	-350	1000	0	None	K4YL11	N	None	None	SFY2014-15
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-06 00:00:00	080011261	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-09-09 00:00:00	2014-09-09 00:00:00	Yes	2015-03-02 00:00:00	2015-02-27 00:00:00	A	A	20000	15000	0	15000	0	None	QS5P11	N	CA00414885, CA00414923	B, B	SFY2014-15
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-06 00:00:00	080011262	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-15 00:00:00	2014-03-15 00:00:00	Yes	2015-03-02 00:00:00	2015-02-27 00:00:00	A	B	20000	20000	0	20000	0	None	K4YL11	N	None	None	SFY2014-15
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-06 00:00:00	080011263	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/facility not report	2014-07-04 00:00:00	2014-07-04 00:00:00	Yes	2015-03-02 00:00:00	2015-02-27 00:00:00	A	A	20000	15350	-350	15000	0	None	K4YL11	N	None	None	SFY2014-15
080000059	LAKESIDE SPECIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-03-06 00:00:00	080011307	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-11-12 00:00:00	2014-11-12 00:00:00	No	2015-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	D3GJ11	N	CA00424833	B	SFY2014-15
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-07-14 00:00:00	080011611	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-05-14 00:00:00	2015-05-14 00:00:00	No	2015-08-04 00:00:00	None	B	None	2000	2400	0	2400	0	None	J1YP11	N	None	None	SFY2015-16
080000052	RANCHO VISTA	LTC	SNF	Skilled Nursing Facility	San Diego	2015-08-05 00:00:00	080011648	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-21 00:00:00	2015-04-21 00:00:00	No	2015-08-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XHHI11	N	None	None	SFY2015-16
080000962	THE SPRINGS AT PACIFIC REGENT	LTC	SNF	Skilled Nursing Facility	San Diego	2015-11-03 00:00:00	080011803	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-08 00:00:00	2015-08-08 00:00:00	No	2015-11-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D2BQ11	N	CA00454059	A	SFY2015-16
080000307	LAS VILLAS DEL NORTE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2015-12-11 00:00:00	080011883	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-08-04 00:00:00	2015-08-04 00:00:00	No	2016-01-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	60IU11	N	CA00453174	A	SFY2015-16
080000307	LAS VILLAS DEL NORTE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2015-12-11 00:00:00	080011884	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-05 00:00:00	2015-10-05 00:00:00	No	2016-01-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XOG211	N	CA00460841	B	SFY2015-16
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2015-12-29 00:00:00	080011922	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-10-09 00:00:00	2015-10-09 00:00:00	No	2016-01-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	4Y6B11	N	CA00462089	A	SFY2015-16
080000089	LA PALOMA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2016-02-04 00:00:00	080012010	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-08 00:00:00	2015-09-08 00:00:00	No	2016-02-26 00:00:00	None	B	None	2000	2550	-700	1850	0	None	GPWG11	N	CA00457970	A	SFY2015-16
080000307	LAS VILLAS DEL NORTE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2016-05-05 00:00:00	080012219	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-03-17 00:00:00	2016-03-17 00:00:00	No	2016-05-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2HY711	N	CA00475453, CA00475453	B, B	SFY2015-16
080001515	BAYSHIRE TORREY PINES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2016-06-16 00:00:00	080012326	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-05-06 00:00:00	2016-05-06 00:00:00	No	2016-07-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	DMPX11	N	CA00487069	B	SFY2015-16
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2017-01-19 00:00:00	080012896	Closed	Citation	Citation A (HSC 1424)	Medication	None	2016-08-26 00:00:00	2016-08-26 00:00:00	No	2017-02-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8TK911	N	CA00501920	B	SFY2016-17
080000795	VISTA KNOLL SPECIALIZED CARE FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2017-01-25 00:00:00	080012899	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-02 00:00:00	2016-12-02 00:00:00	No	2017-02-15 00:00:00	None	A	None	20000	21500	-7000	14500	0	None	55X711	N	None	None	SFY2016-17
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2017-11-30 00:00:00	080013648	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-03 00:00:00	2017-07-03 00:00:00	No	2017-12-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WQ5N11	N	CA00542388	B	SFY2017-18
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2017-12-05 00:00:00	080013660	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-04 00:00:00	2017-06-04 00:00:00	No	2017-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	50BH11	Y	CA00539510, CA00539510	B, B	SFY2017-18
080000007	BOULDER CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2018-03-27 00:00:00	080013928	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-08-08 00:00:00	2017-08-08 00:00:00	No	2018-04-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PN7N11	N	CA00547579, CA00547579	B, B	SFY2017-18
080001515	BAYSHIRE TORREY PINES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2018-05-22 00:00:00	080014077	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-13 00:00:00	2017-12-13 00:00:00	No	2018-06-13 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	KENT11	Y	CA00564817, CA00564817, CA00565444, CA00565444	B, B, B, B	SFY2017-18
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2018-06-11 00:00:00	080014130	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-01-28 00:00:00	2018-01-28 00:00:00	No	2018-07-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SCSP11	N	CA00571883	A	SFY2017-18
080000099	VISTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2018-07-02 00:00:00	080014193	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-02-07 00:00:00	2018-02-07 00:00:00	No	2018-07-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0JTT11	N	CA00573067	A	SFY2018-19
090000105	SOMERSET SUBACUTE AND CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2000-02-25 00:00:00	090002744	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-12-07 00:00:00	None	No	2000-03-20 00:00:00	None	B	None	900	900	-315	585	0	090021421	A99999	N	None	None	SFY1999-00
090001130	CONTINENTAL REHAB HOSPITAL OF SAN DIEGO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2000-03-03 00:00:00	090002745	Closed	Citation	Citation B (HSC 1424)	Other	DECUBITUS ULCERS	1999-06-26 00:00:00	None	No	2000-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	090021456	A99999	N	None	None	SFY1999-00
090000027	ALVARADO CONVALESCENT & REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Diego	2000-03-06 00:00:00	090002746	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-20 00:00:00	None	No	2000-03-29 00:00:00	None	B	None	500	500	-175	325	0	090021457	A99999	N	None	None	SFY1999-00
090000065	BALBOA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-03-13 00:00:00	090002747	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-05 00:00:00	None	Yes	2000-04-10 00:00:00	2000-03-24 00:00:00	A	A	10000	7000	0	7000	0	090021495	A99999	N	None	None	SFY1999-00
090000042	WINDSOR GARDENS CONVALESCENT CENTER OF SAN DIEGO	LTC	SNF	Skilled Nursing Facility	San Diego	2000-04-17 00:00:00	090002749	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-23 00:00:00	None	No	2000-05-09 00:00:00	None	B	None	800	800	-280	520	0	090021673	A99999	N	None	None	SFY1999-00
090000324	VILLA CORONADO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2000-06-29 00:00:00	090002750	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-05-10 00:00:00	None	No	2000-07-24 00:00:00	None	B	None	1000	1000	-350	650	0	090021864	A99999	N	None	None	SFY1999-00
090000082	LUTH GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2000-07-05 00:00:00	090002751	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-12 00:00:00	None	No	2000-07-31 00:00:00	None	B	None	650	650	-227.5	422.5	0	090021869	A99999	N	None	None	SFY2000-01
090000102	AMAYA SPRINGS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-07-18 00:00:00	090002753	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-11 00:00:00	2000-04-11 00:00:00	No	2000-08-09 00:00:00	None	B	None	500	500	0	500	0	090021924	A99999	N	None	None	SFY2000-01
090001340	MOUNTAIN SHADOWS COMMUNITY HOMES - OAK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2000-07-25 00:00:00	090002755	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-30 00:00:00	None	No	2000-08-17 00:00:00	None	B	None	750	750	-262.5	487.5	0	090021955	A99999	N	None	None	SFY2000-01
090000112	HOME OF GUIDING HANDS UNIT #6	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2000-09-08 00:00:00	090002756	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-10 00:00:00	2000-04-10 00:00:00	No	2000-10-02 00:00:00	None	B	None	700	700	-245	455	0	090022103	A99999	N	None	None	SFY2000-01
090001342	MOUNTAIN SHADOWS COMMUNITY HOMES - ELM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2000-09-20 00:00:00	090002757	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-06 00:00:00	2000-07-06 00:00:00	No	2000-11-28 00:00:00	None	B	None	650	650	-227.5	422.5	0	090022156	A99999	N	None	None	SFY2000-01
090000115	FRASER INTERMEDIATE CARE	LTC	ICF	Intermediate Care Facility	San Diego	2000-09-22 00:00:00	090002758	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-12 00:00:00	None	Yes	2001-02-05 00:00:00	2000-10-10 00:00:00	B	B	700	700	0	700	0	090022166	A99999	N	None	None	SFY2000-01
090000119	MOUNT VERNON GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2000-10-11 00:00:00	090002759	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-02 00:00:00	2000-07-02 00:00:00	No	2000-11-02 00:00:00	None	B	None	500	500	-175	325	0	090022181	A99999	N	None	None	SFY2000-01
090000071	LEMON GROVE CARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-11-20 00:00:00	090002760	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-06 00:00:00	None	No	2000-12-18 00:00:00	None	A	A	8000	8000	-6000	2000	0	090022299	A99999	N	None	None	SFY2000-01
090001239	VIEW POINTE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2000-12-08 00:00:00	090002761	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-18 00:00:00	2000-10-18 00:00:00	No	2001-01-08 00:00:00	None	B	None	350	350	0	350	0	090022366	A99999	N	None	None	SFY2000-01
090000076	JACOB HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-12-15 00:00:00	090002762	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT TRUST ACCNT.	2000-08-29 00:00:00	None	No	2001-01-10 00:00:00	None	B	None	1000	1000	-350	650	0	090022371	A99999	N	None	None	SFY2000-01
090000061	GOLDEN HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2000-12-21 00:00:00	090002763	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2000-11-23 00:00:00	2000-11-23 00:00:00	No	2001-01-18 00:00:00	None	B	None	900	900	0	900	0	090022394	A99999	N	None	None	SFY2000-01
090000041	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-12-27 00:00:00	090002764	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-21 00:00:00	None	No	2001-01-22 00:00:00	None	B	None	1000	1000	-350	650	0	090022400	A99999	N	None	None	SFY2000-01
090000324	VILLA CORONADO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2001-06-04 00:00:00	090002766	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-21 00:00:00	2001-04-21 00:00:00	No	2001-06-29 00:00:00	None	B	None	800	800	-280	520	0	090022905	A99999	N	None	None	SFY2000-01
090000324	VILLA CORONADO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2001-07-02 00:00:00	090002767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-01 00:00:00	2001-06-01 00:00:00	No	2001-07-24 00:00:00	None	B	None	900	900	-315	585	0	090022992	A99999	N	None	None	SFY2001-02
090001032	GREENCASTLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2001-07-02 00:00:00	090002768	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-02 00:00:00	None	No	2001-07-25 00:00:00	None	B	None	500	500	-175	325	0	090022993	A99999	N	None	None	SFY2001-02
090000028	VILLA LAS PALMAS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-08-30 00:00:00	090002770	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-06-22 00:00:00	2001-06-22 00:00:00	No	2001-10-12 00:00:00	None	AA	AA	80000	80000	-28000	52000	0	090023090	A99999	Y	None	None	SFY2001-02
090001316	MILLER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2001-08-17 00:00:00	090002772	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2001-06-17 00:00:00	2001-06-17 00:00:00	No	2001-09-10 00:00:00	None	B	None	800	800	-280	520	0	090023151	A99999	N	None	None	SFY2001-02
090000959	HOME OF GUIDING HANDS UNIT #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2001-08-17 00:00:00	090002774	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-07-19 00:00:00	2001-07-19 00:00:00	No	2001-09-10 00:00:00	None	B	None	550	550	-192.5	357.5	0	090023154	A99999	N	None	None	SFY2001-02
090000324	VILLA CORONADO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2001-08-17 00:00:00	090002775	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-08-01 00:00:00	2001-08-01 00:00:00	No	2001-09-10 00:00:00	None	B	None	1000	1000	-350	650	0	090023155	A99999	N	None	None	SFY2001-02
090000076	JACOB HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-08-30 00:00:00	090002776	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-17 00:00:00	2001-07-17 00:00:00	No	2001-10-10 00:00:00	None	B	None	700	700	-245	455	0	090023166	A99999	N	None	None	SFY2001-02
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-09-14 00:00:00	090002777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-29 00:00:00	2001-06-29 00:00:00	No	2001-10-10 00:00:00	None	B	None	1000	1000	-350	650	0	090023172	A99999	N	None	None	SFY2001-02
090000140	PRYOR STREET GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2001-09-27 00:00:00	090002778	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-26 00:00:00	2001-08-26 00:00:00	No	2001-10-19 00:00:00	None	B	None	600	600	-210	390	0	090023278	A99999	N	None	None	SFY2001-02
090000103	HOME OF GUIDING HANDS UNIT - #10	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2001-10-19 00:00:00	090002780	Closed	Citation	Citation B (HSC 1424)	Other	CLIENT CARE	2001-09-07 00:00:00	2001-09-07 00:00:00	No	2001-11-14 00:00:00	None	B	None	500	500	-175	325	0	090023343	A99999	N	None	None	SFY2001-02
090000318	MOUNTAIN SHADOWS COMMUNITY HOMES - ORANGE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2001-10-24 00:00:00	090002781	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-22 00:00:00	2001-10-22 00:00:00	No	2001-11-19 00:00:00	None	B	None	850	850	-297.5	552.5	0	090023353	A99999	N	None	None	SFY2001-02
090000996	FRIENDSHIP VILLA AMISTAD	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2001-11-07 00:00:00	090002782	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-05 00:00:00	2001-11-05 00:00:00	No	2001-12-03 00:00:00	None	B	None	700	700	-245	455	0	090023338	A99999	N	None	None	SFY2001-02
090000120	ANZA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2001-11-07 00:00:00	090002783	Closed	Citation	Citation A (HSC 1424)	Other	CLIENT CARE	2001-08-31 00:00:00	2001-08-31 00:00:00	No	2001-12-03 00:00:00	None	A	None	8000	8000	-2800	5200	0	090023228	A99999	N	None	None	SFY2001-02
090000115	FRASER INTERMEDIATE CARE	LTC	ICF	Intermediate Care Facility	San Diego	2001-11-13 00:00:00	090002784	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-05-13 00:00:00	2001-05-13 00:00:00	No	2001-12-11 00:00:00	None	A	None	18000	18000	-6300	11700	0	090023408	A99999	N	None	None	SFY2001-02
090000083	BRIGHTON PLACE SPRING VALLEY	LTC	SNF	Skilled Nursing Facility	San Diego	2001-12-06 00:00:00	090002786	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-01-01 00:00:00	2001-01-01 00:00:00	No	2002-01-02 00:00:00	None	B	None	800	800	-280	520	0	090023412	A99999	N	None	None	SFY2001-02
090000282	MOUNTAIN SHADOWS COMMUNITY HOMES - PALM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-01-17 00:00:00	090002787	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-21 00:00:00	2001-12-21 00:00:00	No	2002-02-11 00:00:00	None	B	None	950	950	-332.5	617.5	0	090023545	A99999	N	None	None	SFY2001-02
090000134	MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-02-06 00:00:00	090002788	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-08 00:00:00	2002-01-08 00:00:00	No	2002-03-06 00:00:00	None	B	None	550	550	-192.5	357.5	0	090023583	A99999	N	None	None	SFY2001-02
090000029	ARROYO VISTA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-02-13 00:00:00	090002789	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-23 00:00:00	2002-01-23 00:00:00	No	2002-03-12 00:00:00	None	B	None	900	900	-315	585	0	090023619	A99999	N	None	None	SFY2001-02
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2002-02-22 00:00:00	090002790	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-02-01 00:00:00	2002-02-01 00:00:00	No	2002-03-28 00:00:00	None	B	None	950	950	-332.5	617.5	0	090023677	A99999	N	None	None	SFY2001-02
090000065	BALBOA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-02-21 00:00:00	090002791	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-26 00:00:00	None	No	2002-03-25 00:00:00	None	B	None	700	700	0	700	0	090023634	A99999	N	None	None	SFY2001-02
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2002-02-22 00:00:00	090002792	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-01-31 00:00:00	2002-01-31 00:00:00	No	2002-03-28 00:00:00	None	B	None	950	950	-332.5	617.5	0	090023677	A99999	N	None	None	SFY2001-02
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2002-02-22 00:00:00	090002793	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-01-31 00:00:00	2002-01-31 00:00:00	No	2002-03-28 00:00:00	None	B	None	950	950	-332.5	617.5	0	090023677	A99999	N	None	None	SFY2001-02
090000029	ARROYO VISTA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-02-26 00:00:00	090002794	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-07 00:00:00	2002-02-26 00:00:00	No	2002-03-25 00:00:00	None	B	None	900	900	0	900	0	090023661	A99999	N	None	None	SFY2001-02
090000082	LUTH GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-03-01 00:00:00	090002795	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-01-08 00:00:00	2002-01-08 00:00:00	No	2002-03-22 00:00:00	None	A	None	8500	8500	-2975	5525	0	090023595	A99999	N	None	None	SFY2001-02
090000029	ARROYO VISTA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-03-07 00:00:00	090002797	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-28 00:00:00	2002-01-28 00:00:00	No	2002-04-02 00:00:00	None	B	None	900	900	-315	585	0	090023669	A99999	N	None	None	SFY2001-02
090000010	PARADISE VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-03-14 00:00:00	090002799	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-02-19 00:00:00	2002-02-19 00:00:00	No	2002-04-05 00:00:00	None	B	None	850	850	-297.5	552.5	0	090023749	A99999	N	None	None	SFY2001-02
090000029	ARROYO VISTA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-04-18 00:00:00	090002800	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-31 00:00:00	2002-03-31 00:00:00	No	2002-05-09 00:00:00	None	B	None	900	2700	-945	1755	0	090023801	A99999	N	None	None	SFY2001-02
090000083	BRIGHTON PLACE SPRING VALLEY	LTC	SNF	Skilled Nursing Facility	San Diego	2002-05-02 00:00:00	090002801	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-06 00:00:00	2002-03-06 00:00:00	No	2002-05-29 00:00:00	None	B	None	1000	1000	-350	650	0	090023735	A99999	N	None	None	SFY2001-02
090000018	EDGEMOOR HOSPITAL DP/SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2002-05-30 00:00:00	090002802	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-03 00:00:00	2002-04-03 00:00:00	No	2002-06-20 00:00:00	None	A	None	8000	8000	-2800	5200	0	090023805	A99999	Y	None	None	SFY2001-02
090000277	MOUNTAIN SHADOWS COMMUNITY HOMES - ASH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-06-07 00:00:00	090002803	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-05 00:00:00	2002-06-05 00:00:00	No	2002-06-28 00:00:00	None	B	None	500	500	0	500	0	090023995	A99999	N	None	None	SFY2001-02
090000134	MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-06-12 00:00:00	090002804	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-19 00:00:00	2002-05-19 00:00:00	No	2002-07-03 00:00:00	None	B	None	550	1650	-577.5	1072.5	0	090023997	A99999	N	None	None	SFY2001-02
090000112	HOME OF GUIDING HANDS UNIT #6	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-07-23 00:00:00	090002805	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-06-01 00:00:00	2002-06-01 00:00:00	No	2002-08-13 00:00:00	None	A	None	9000	9000	-3150	5850	0	090024022	A99999	N	None	None	SFY2002-03
090000055	FRIENDSHIP HOMES	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-07-23 00:00:00	090002806	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-09 00:00:00	2002-06-09 00:00:00	No	2002-08-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	090024053	A99999	N	None	None	SFY2002-03
090000282	MOUNTAIN SHADOWS COMMUNITY HOMES - PALM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-08-15 00:00:00	090002808	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-16 00:00:00	2002-06-16 00:00:00	No	2002-09-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	090024082	A99999	N	None	None	SFY2002-03
090000745	MONTGOMERY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-08-20 00:00:00	090002809	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-17 00:00:00	2002-07-17 00:00:00	No	2002-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	090024269	A99999	N	None	None	SFY2002-03
090000317	MOUNTAIN SHADOWS COMMUNITY HOMES - MAPLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-08-20 00:00:00	090002810	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-09 00:00:00	2002-07-09 00:00:00	No	2002-09-11 00:00:00	None	B	None	900	900	0	900	0	090024242	A99999	N	None	None	SFY2002-03
090000028	VILLA LAS PALMAS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-09-19 00:00:00	090002811	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-27 00:00:00	2002-07-27 00:00:00	No	2002-10-10 00:00:00	None	B	None	1000	1000	-350	650	0	090024389	A99999	N	None	None	SFY2002-03
090000057	LA MESA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-09-20 00:00:00	090002812	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-13 00:00:00	2002-08-13 00:00:00	No	2002-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	090024426	A99999	N	None	None	SFY2002-03
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2002-09-26 00:00:00	090002813	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-28 00:00:00	2002-08-28 00:00:00	No	2002-10-18 00:00:00	None	B	None	900	900	-315	585	0	090024408	A99999	N	None	None	SFY2002-03
090001576	CUMBRE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-10-07 00:00:00	090002814	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-10 00:00:00	2002-08-10 00:00:00	No	2002-10-29 00:00:00	None	B	None	1000	1000	-350	650	0	090024348	A99999	N	None	None	SFY2002-03
090000042	WINDSOR GARDENS CONVALESCENT CENTER OF SAN DIEGO	LTC	SNF	Skilled Nursing Facility	San Diego	2002-10-11 00:00:00	090002815	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-19 00:00:00	2002-09-19 00:00:00	No	2002-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	090024496	A99999	N	None	None	SFY2002-03
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2002-10-16 00:00:00	090002816	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-16 00:00:00	None	No	2002-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	090024483	A99999	N	None	None	SFY2002-03
090000114	JACK CLOSE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-10-17 00:00:00	090002817	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-11 00:00:00	None	No	2002-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	090024490	A99999	N	None	None	SFY2002-03
090000139	SWEDELIUS GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-10-22 00:00:00	090002818	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-02 00:00:00	None	No	2002-11-19 00:00:00	None	B	None	950	950	0	950	0	090024485	A99999	N	None	None	SFY2002-03
090000097	VERBECK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-11-05 00:00:00	090002820	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-09-22 00:00:00	None	No	2002-11-27 00:00:00	None	A	None	2000	2000	-700	1300	0	090024518	A99999	N	None	None	SFY2002-03
090000076	JACOB HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-11-19 00:00:00	090002821	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-09-28 00:00:00	2002-09-28 00:00:00	Yes	2002-12-10 00:00:00	2002-12-10 00:00:00	B	B	250	950	0	950	0	090024530	A99999	N	None	None	SFY2002-03
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2002-11-22 00:00:00	090002822	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-07-05 00:00:00	None	No	2002-12-17 00:00:00	None	B	None	1000	1550	-350	1200	0	090024621	A99999	N	None	None	SFY2002-03
090000139	SWEDELIUS GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-12-26 00:00:00	090002823	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-21 00:00:00	None	No	2003-01-17 00:00:00	None	B	None	1000	1000	-350	650	0	090024637	A99999	N	None	None	SFY2002-03
090000065	BALBOA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-02-13 00:00:00	090002824	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-09-11 00:00:00	None	Yes	2003-03-07 00:00:00	2003-02-20 00:00:00	B	B	900	750	0	750	0	090024833	A99999	N	None	None	SFY2002-03
090001105	ALVARADO HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2003-02-20 00:00:00	090002825	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-01-14 00:00:00	None	No	2003-03-13 00:00:00	None	B	None	950	950	-332.5	617.5	0	090024924	A99999	N	None	None	SFY2002-03
090000034	PARKSIDE HEALTH AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-02-20 00:00:00	090002826	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-14 00:00:00	None	No	2003-03-13 00:00:00	None	B	None	700	700	-245	455	0	090024836	A99999	N	None	None	SFY2002-03
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2003-04-03 00:00:00	090002827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-04 00:00:00	2003-03-04 00:00:00	No	2003-04-24 00:00:00	None	B	None	1000	1000	-350	650	0	090025086	A99999	N	None	None	SFY2002-03
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2003-04-10 00:00:00	090002828	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-14 00:00:00	2003-04-10 00:00:00	No	2003-05-01 00:00:00	None	B	None	900	900	-315	585	0	090025167	A99999	N	None	None	SFY2002-03
090000018	EDGEMOOR HOSPITAL DP/SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2003-05-07 00:00:00	090002829	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-11 00:00:00	2003-05-07 00:00:00	No	2003-05-29 00:00:00	None	A	None	14000	14000	-4900	9100	0	090025136	A99999	N	None	None	SFY2002-03
090001576	CUMBRE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2003-05-09 00:00:00	090002830	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-10-21 00:00:00	2002-10-21 00:00:00	No	2003-06-02 00:00:00	None	B	None	1000	1000	-350	650	0	090025184	A99999	N	None	None	SFY2002-03
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2003-05-20 00:00:00	090002831	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-23 00:00:00	None	No	2003-06-11 00:00:00	None	B	None	900	900	-315	585	0	090025333	A99999	N	None	None	SFY2002-03
090000280	MOUNTAIN SHADOWS COMMUNITY HOMES- CREPE MYRTLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2003-08-07 00:00:00	090002832	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-20 00:00:00	2003-07-20 00:00:00	No	2003-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	090025612	A99999	N	None	None	SFY2003-04
090000065	BALBOA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-10-30 00:00:00	090002833	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-22 00:00:00	2003-09-22 00:00:00	Yes	2003-11-21 00:00:00	2003-11-10 00:00:00	B	B	900	700	0	700	0	090025918	A99999	N	None	None	SFY2003-04
090000139	SWEDELIUS GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-03-26 00:00:00	090002834	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-02-21 00:00:00	2004-03-26 00:00:00	No	2004-04-19 00:00:00	None	B	None	950	950	0	950	0	090026396	A99999	N	None	None	SFY2003-04
090001105	ALVARADO HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2004-05-03 00:00:00	090002835	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-14 00:00:00	2004-03-14 00:00:00	No	2004-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	090026675	A99999	N	None	None	SFY2003-04
090000082	LUTH GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-05-26 00:00:00	090002836	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-19 00:00:00	2004-04-19 00:00:00	No	2004-06-17 00:00:00	None	B	None	950	950	-332.5	617.5	0	090026766	A99999	N	None	None	SFY2003-04
090000729	CORTE MARIA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-05-26 00:00:00	090002837	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-07 00:00:00	2004-05-07 00:00:00	No	2004-06-17 00:00:00	None	B	None	950	950	-332.5	617.5	0	090026767	A99999	N	None	None	SFY2003-04
090001571	PINE DRIVE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-05-27 00:00:00	090002838	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-12 00:00:00	2004-04-12 00:00:00	No	2004-06-18 00:00:00	None	B	None	1000	1000	-350	650	0	090026771	A99999	N	None	None	SFY2003-04
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2004-06-18 00:00:00	090002839	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-20 00:00:00	2004-05-20 00:00:00	No	2004-07-12 00:00:00	None	B	None	1000	1600	-350	1250	0	090026829	A99999	N	None	None	SFY2003-04
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2004-06-18 00:00:00	090002841	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-05-21 00:00:00	2004-05-21 00:00:00	No	2004-07-12 00:00:00	None	B	None	1000	2750	-350	2400	0	090026838	A99999	N	None	None	SFY2003-04
090001556	REGINAS COURT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-07-15 00:00:00	090002842	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-21 00:00:00	2004-05-21 00:00:00	No	2004-08-05 00:00:00	None	B	None	1000	1000	-350	650	0	090026770	A99999	N	None	None	SFY2004-05
090000312	MOUNTAIN SHADOWS COMMUNITY HOMES - LEMON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-08-02 00:00:00	090002843	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-23 00:00:00	2004-04-23 00:00:00	No	2004-08-23 00:00:00	None	B	None	1000	1000	-350	650	0	090026947	A99999	N	None	None	SFY2004-05
090000067	IMPERIAL MANOR	LTC	SNF	Skilled Nursing Facility	San Diego	2004-09-13 00:00:00	090002844	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-06 00:00:00	2004-08-06 00:00:00	No	2004-10-04 00:00:00	None	B	None	900	900	-315	585	0	090027063	A99999	N	None	None	SFY2004-05
090001340	MOUNTAIN SHADOWS COMMUNITY HOMES - OAK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-09-27 00:00:00	090002845	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-29 00:00:00	2004-08-29 00:00:00	No	2004-10-19 00:00:00	None	B	None	1000	1000	-350	650	0	090027095	A99999	N	None	None	SFY2004-05
090000123	LA COSTA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-09-27 00:00:00	090002846	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-20 00:00:00	2004-08-20 00:00:00	No	2004-10-19 00:00:00	None	B	None	1000	1000	-350	650	0	090027096	A99999	N	None	None	SFY2004-05
090000065	BALBOA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-02-24 00:00:00	090002847	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-17 00:00:00	2005-01-17 00:00:00	Yes	2005-03-17 00:00:00	2005-02-28 00:00:00	B	None	850	850	-850	0	0	090027461	A99999	N	None	None	SFY2004-05
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2005-03-07 00:00:00	090002848	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-05 00:00:00	2005-01-05 00:00:00	No	2005-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	090027462	A99999	N	None	None	SFY2004-05
090000101	HOME OF GUIDING HANDS LOS RANCHITOS WAY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2005-03-08 00:00:00	090002849	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-24 00:00:00	2005-01-24 00:00:00	No	2005-03-29 00:00:00	None	B	None	850	850	-297.5	552.5	0	090027463	A99999	N	None	None	SFY2004-05
090001576	CUMBRE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2005-03-25 00:00:00	090002850	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-17 00:00:00	2005-02-17 00:00:00	No	2005-04-18 00:00:00	None	B	None	1000	1000	-350	650	0	090027464	A99999	N	None	None	SFY2004-05
090000324	VILLA CORONADO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2005-04-14 00:00:00	090002851	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-12-01 00:00:00	2004-12-01 00:00:00	No	2005-05-05 00:00:00	None	A	None	18000	18000	-6300	11700	0	090027465	A99999	Y	None	None	SFY2004-05
090000029	ARROYO VISTA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-05-12 00:00:00	090002852	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-04 00:00:00	2005-03-04 00:00:00	No	2005-06-03 00:00:00	None	B	None	1000	1000	-350	650	0	090027466	A99999	N	None	None	SFY2004-05
090000310	WINDMILL VIEW	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2005-05-12 00:00:00	090002853	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-03-10 00:00:00	2005-03-10 00:00:00	No	2005-06-03 00:00:00	None	B	None	950	950	-332.5	617.5	0	090027467	A99999	N	None	None	SFY2004-05
090000315	MOUNTAIN SHADOWS COMMUNITY HOMES - TANGELO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2005-07-01 00:00:00	090002854	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-06-08 00:00:00	2005-06-08 00:00:00	No	2005-07-25 00:00:00	None	B	None	750	750	-262.5	487.5	0	090027468	A99999	N	None	None	SFY2005-06
090001336	VIA MINDANAO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2005-08-05 00:00:00	090002855	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-20 00:00:00	2005-03-20 00:00:00	No	2005-08-26 00:00:00	None	B	None	900	900	0	900	0	090027469	A99999	N	None	None	SFY2005-06
090000071	LEMON GROVE CARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2005-10-18 00:00:00	090002856	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-07-31 00:00:00	2005-07-31 00:00:00	No	2005-11-08 00:00:00	None	B	None	700	700	-245	455	0	090027470	A99999	N	None	None	SFY2005-06
090000055	FRIENDSHIP HOMES	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-01-05 00:00:00	090002857	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-11-07 00:00:00	2005-11-07 00:00:00	No	2006-01-27 00:00:00	None	B	None	950	950	-332.5	617.5	0	090027471	A99999	N	None	None	SFY2005-06
090000055	FRIENDSHIP HOMES	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-01-17 00:00:00	090002858	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-11-10 00:00:00	2005-11-10 00:00:00	No	2006-02-07 00:00:00	None	B	None	975	975	-341.25	633.75	0	090027472	A99999	N	None	None	SFY2005-06
090000055	FRIENDSHIP HOMES	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-01-17 00:00:00	090002859	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-17 00:00:00	2005-11-17 00:00:00	No	2006-02-07 00:00:00	None	B	None	1000	1000	-350	650	0	090027473	A99999	N	None	None	SFY2005-06
090001471	KASEY'S HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-04-06 00:00:00	090003001	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-09 00:00:00	2006-03-09 00:00:00	No	2006-04-27 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	R3O111	N	None	None	SFY2005-06
090000485	WASHINGTON STREET GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-04-12 00:00:00	090003020	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-06 00:00:00	2006-03-06 00:00:00	No	2006-05-09 00:00:00	None	B	None	900	900	-315	585	0	None	DIP211	N	CA00074234	B	SFY2005-06
090000140	PRYOR STREET GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-04-12 00:00:00	090003025	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-03 00:00:00	2006-03-03 00:00:00	No	2006-05-03 00:00:00	None	B	None	900	900	-315	585	0	None	CZ2B11	N	CA00073997	B	SFY2005-06
090000028	VILLA LAS PALMAS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-06-09 00:00:00	090003133	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-02-22 00:00:00	2006-02-22 00:00:00	Yes	2006-06-30 00:00:00	2006-06-20 00:00:00	AA	A	90000	40000	0	40000	0	None	W7KV11	Y	CA00073170	B	SFY2005-06
090000218	SANTANA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-06-13 00:00:00	090003156	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-05-17 00:00:00	2006-05-17 00:00:00	No	2006-07-05 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	NGG411	N	CA00081023	B	SFY2005-06
090001338	MARBLEHEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-07-11 00:00:00	090003198	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-01-05 00:00:00	2006-01-05 00:00:00	Yes	2006-08-01 00:00:00	2006-07-13 00:00:00	AA	Dismissed by Court	25000	0	0	0	0	None	MP5F11	Y	None	None	SFY2006-07
090000009	REO VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-08-09 00:00:00	090003259	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-14 00:00:00	2006-07-14 00:00:00	Yes	2006-08-30 00:00:00	2006-08-11 00:00:00	B	B	800	400	0	400	0	None	T0TS11	N	CA00086820	B	SFY2006-07
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2006-08-18 00:00:00	090003298	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-16 00:00:00	2006-06-16 00:00:00	No	2006-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	GEG211	N	CA00086705	C	SFY2006-07
090000729	CORTE MARIA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-09-01 00:00:00	090003316	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-31 00:00:00	2006-07-31 00:00:00	No	2006-09-25 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	D5T711	N	CA00088759	B	SFY2006-07
090000324	VILLA CORONADO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2006-09-27 00:00:00	090003372	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-05 00:00:00	2006-06-05 00:00:00	No	2006-10-19 00:00:00	None	B	None	900	900	-315	585	0	None	ZFG411	N	CA00082731	B	SFY2006-07
090000277	MOUNTAIN SHADOWS COMMUNITY HOMES - ASH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-10-18 00:00:00	090003424	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-02 00:00:00	2006-09-02 00:00:00	No	2006-11-08 00:00:00	None	B	None	800	800	-280	520	0	None	UJ6S11	N	CA00091989	B	SFY2006-07
090000055	FRIENDSHIP HOMES	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-11-03 00:00:00	090003465	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-30 00:00:00	2006-07-30 00:00:00	Yes	2006-11-29 00:00:00	2006-11-17 00:00:00	B	B	800	400	0	400	0	None	Z53C11	N	CA00088577	B	SFY2006-07
090000475	CASTLE MANOR NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-11-08 00:00:00	090003468	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-03-25 00:00:00	2006-03-25 00:00:00	Yes	2006-12-04 00:00:00	2006-11-15 00:00:00	A	A	15000	15000	0	15000	0	None	E0TI11	N	CA00076504	B	SFY2006-07
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-11-17 00:00:00	090003495	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-03 00:00:00	2006-10-03 00:00:00	No	2006-12-12 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	06XV11	N	CA00094984	B	SFY2006-07
090000046	UNIVERSITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-12-20 00:00:00	090003589	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-03 00:00:00	2006-11-03 00:00:00	No	2007-01-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	3OI811	N	CA00097803	B	SFY2006-07
090000277	MOUNTAIN SHADOWS COMMUNITY HOMES - ASH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-12-29 00:00:00	090003611	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-06-13 00:00:00	2006-06-13 00:00:00	No	2007-01-22 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	PV8S11	N	CA00083694	B	SFY2006-07
090000083	BRIGHTON PLACE SPRING VALLEY	LTC	SNF	Skilled Nursing Facility	San Diego	2007-01-11 00:00:00	090003631	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-21 00:00:00	2006-11-21 00:00:00	No	2007-02-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	3OBI11	N	CA00099828	B	SFY2006-07
090000714	CB/FORTUNA GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2007-01-12 00:00:00	090003634	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-08 00:00:00	2006-12-08 00:00:00	No	2007-02-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	OKTM11	N	CA00100889	B	SFY2006-07
090000054	FREDERICKA MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-01-18 00:00:00	090003647	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-08-02 00:00:00	2006-08-02 00:00:00	No	2007-02-08 00:00:00	None	B	None	900	900	-315	585	0	None	8LTJ11	N	CA00102813	C	SFY2006-07
090001471	KASEY'S HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2007-03-20 00:00:00	090003817	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-12-06 00:00:00	2006-12-06 00:00:00	No	2007-04-10 00:00:00	None	B	None	900	900	-315	585	0	None	7QFH11	N	CA00100687	B	SFY2006-07
090000051	BRIGHTON PLACE SAN DIEGO	LTC	SNF	Skilled Nursing Facility	San Diego	2007-05-01 00:00:00	090003926	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-27 00:00:00	2007-02-27 00:00:00	No	2007-05-22 00:00:00	None	B	None	600	600	0	600	0	None	MXRE11	N	CA00107785	B	SFY2006-07
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2007-06-08 00:00:00	090004025	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-20 00:00:00	2007-04-20 00:00:00	No	2007-06-29 00:00:00	None	B	None	950	3500	-997.5	2502.5	0	None	YWUM11	N	CA00112681	C	SFY2006-07
090000091	EAST 15TH STREET GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2007-08-27 00:00:00	090004208	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-11 00:00:00	2007-08-11 00:00:00	No	2007-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	THZH11	N	CA00123149	C	SFY2007-08
090000729	CORTE MARIA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2007-10-05 00:00:00	090004326	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-13 00:00:00	2007-09-13 00:00:00	No	2007-10-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	8F8Q11	N	CA00126364	B	SFY2007-08
090000018	EDGEMOOR HOSPITAL DP/SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2007-10-19 00:00:00	090004364	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-26 00:00:00	2007-07-26 00:00:00	Yes	2007-11-09 00:00:00	2007-10-19 00:00:00	B	None	700	700	0	700	0	None	MFOY11	N	CA00121583	C	SFY2007-08
090001471	KASEY'S HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2007-11-13 00:00:00	090004440	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-09-25 00:00:00	2007-09-25 00:00:00	Yes	2007-12-06 00:00:00	2007-11-26 00:00:00	B	B	850	425	0	425	0	None	SS5O11	N	None	None	SFY2007-08
090000028	VILLA LAS PALMAS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-12-14 00:00:00	090004518	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-29 00:00:00	2007-05-29 00:00:00	Yes	2008-01-08 00:00:00	2008-01-08 00:00:00	B	None	850	1350	0	1350	0	None	HO6611	N	None	None	SFY2007-08
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-12-20 00:00:00	090004525	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-04 00:00:00	2007-10-04 00:00:00	No	2008-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	L2U611	N	CA00129715	B	SFY2007-08
090000071	LEMON GROVE CARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-01-10 00:00:00	090004571	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-30 00:00:00	2007-10-30 00:00:00	Yes	2008-02-01 00:00:00	2008-01-18 00:00:00	B	B	1000	500	0	500	0	None	0WXT11	N	CA00130877	B	SFY2007-08
090000057	LA MESA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-02-06 00:00:00	090004659	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-11 00:00:00	2007-12-11 00:00:00	No	2008-02-29 00:00:00	None	B	None	900	900	-315	585	0	None	N85C11	N	CA00136476	B	SFY2007-08
090000046	UNIVERSITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-02-15 00:00:00	090004698	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-18 00:00:00	2007-11-18 00:00:00	No	2008-03-10 00:00:00	None	B	None	600	600	-210	390	0	None	QWT511	N	CA00132560	C	SFY2007-08
090000028	VILLA LAS PALMAS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-07-01 00:00:00	090004754	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-03 00:00:00	2007-10-03 00:00:00	No	2008-07-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	QGKV11	N	CA00133976, CA00134080	C, C	SFY2008-09
090000011	THE PAVILION AT OCEAN POINT	LTC	SNF	Skilled Nursing Facility	San Diego	2008-03-10 00:00:00	090004763	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-11-09 00:00:00	2007-11-09 00:00:00	Yes	2008-04-01 00:00:00	2008-03-11 00:00:00	B	B	1000	750	0	750	0	None	LWVX11	N	CA00139542	C	SFY2007-08
090000018	EDGEMOOR HOSPITAL DP/SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2008-05-09 00:00:00	090005010	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-23 00:00:00	2007-12-23 00:00:00	Yes	2008-06-02 00:00:00	2008-05-09 00:00:00	B	B	950	475	0	475	0	None	3J2011	N	CA00136598	C	SFY2007-08
090000218	SANTANA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2008-05-30 00:00:00	090005092	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-04-24 00:00:00	2008-04-24 00:00:00	No	2008-06-20 00:00:00	None	B	None	900	900	-315	585	0	None	898G11	N	CA00147618	C	SFY2007-08
090000018	EDGEMOOR HOSPITAL DP/SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2008-06-26 00:00:00	090005186	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-04 00:00:00	2007-12-04 00:00:00	Yes	2008-07-18 00:00:00	2012-03-15 00:00:00	A	B	10000	10000	0	10000	0	None	P4OZ11	N	CA00134208	C	SFY2007-08
090000071	LEMON GROVE CARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-07-16 00:00:00	090005230	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-27 00:00:00	2007-06-27 00:00:00	No	2008-08-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z6DK11	N	CA00118881	C	SFY2008-09
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-09-24 00:00:00	090005462	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-04 00:00:00	2008-07-04 00:00:00	No	2008-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	NDZQ11	N	None	None	SFY2008-09
090000102	AMAYA SPRINGS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-09-25 00:00:00	090005464	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-05-18 00:00:00	2008-05-18 00:00:00	No	2008-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	IWCD11	N	CA00150822	C	SFY2008-09
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-10-30 00:00:00	090005564	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-25 00:00:00	2008-08-25 00:00:00	No	2008-12-02 00:00:00	None	B	None	1000	1250	0	1250	0	None	VM1H11	N	CA00162432	C	SFY2008-09
090000004	HILLCREST HEIGHTS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-11-17 00:00:00	090005612	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-16 00:00:00	2008-02-16 00:00:00	Yes	2008-12-15 00:00:00	2008-12-09 00:00:00	B	B	600	300	0	300	0	None	MTDC11	N	CA00141398	C	SFY2008-09
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-12-03 00:00:00	090005658	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-24 00:00:00	2008-04-24 00:00:00	No	2009-01-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	91V611	Y	CA00148208	C	SFY2008-09
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-12-03 00:00:00	090005659	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2008-04-24 00:00:00	2008-04-24 00:00:00	No	2008-12-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	91V611	N	CA00148208	C	SFY2008-09
090000128	LETICIA GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2008-12-05 00:00:00	090005670	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-10-10 00:00:00	2008-10-10 00:00:00	No	2009-01-01 00:00:00	None	B	None	800	800	0	800	0	None	PJXO11	N	CA00166653	C	SFY2008-09
090000071	LEMON GROVE CARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-12-17 00:00:00	090005704	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-03-31 00:00:00	2008-03-31 00:00:00	Yes	2009-01-09 00:00:00	2008-12-29 00:00:00	AA	B	80000	80000	0	80000	0	None	4K1N11	Y	CA00145400	B	SFY2008-09
090000011	THE PAVILION AT OCEAN POINT	LTC	SNF	Skilled Nursing Facility	San Diego	2009-03-11 00:00:00	090005944	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-27 00:00:00	2008-07-27 00:00:00	No	2009-04-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	QBIH11	N	CA00158376, CA00158610	C, C	SFY2008-09
090000064	HILLCREST MANOR SANITARIUM	LTC	SNF	Skilled Nursing Facility	San Diego	2009-05-12 00:00:00	090006174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-12 00:00:00	2009-03-12 00:00:00	No	2009-06-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	8XPU11	N	CA00180819	C	SFY2008-09
090000134	MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2009-05-13 00:00:00	090006180	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-02-01 00:00:00	2009-02-01 00:00:00	No	2009-06-04 00:00:00	None	B	None	800	800	-280	520	0	None	GVLU11	N	CA00176681	C	SFY2008-09
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-05-22 00:00:00	090006207	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-13 00:00:00	2009-03-13 00:00:00	No	2009-06-15 00:00:00	None	B	None	800	800	-280	520	0	None	E8M911	N	CA00181188	B	SFY2008-09
090000058	FRIENDSHIP MANOR NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-08-07 00:00:00	090006446	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-12 00:00:00	2009-06-12 00:00:00	No	2009-08-28 00:00:00	None	B	None	900	900	-315	585	0	None	WSTF11	N	CA00192310	C	SFY2009-10
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2009-09-23 00:00:00	090006574	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-06-12 00:00:00	2009-06-12 00:00:00	No	2009-10-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	LN3H11	N	CA00191326	C	SFY2009-10
090000041	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-09-25 00:00:00	090006584	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-13 00:00:00	2009-08-13 00:00:00	No	2009-10-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	GBAD11	N	CA00198713	C	SFY2009-10
090000028	VILLA LAS PALMAS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-11-24 00:00:00	090006730	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-22 00:00:00	2009-08-22 00:00:00	No	2009-12-17 00:00:00	None	B	None	600	600	-210	390	0	None	67CQ11	N	CA00199442	C	SFY2009-10
090000074	COTTONWOOD CANYON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-04-20 00:00:00	090007145	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-01-14 00:00:00	2010-01-14 00:00:00	No	2010-05-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	70XL11	N	CA00221578	B	SFY2009-10
090000004	HILLCREST HEIGHTS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-04-22 00:00:00	090007148	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-12-31 00:00:00	2005-12-31 00:00:00	No	2010-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	CUWO11	N	CA00211441	C	SFY2009-10
090000061	GOLDEN HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-04-26 00:00:00	090007156	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-21 00:00:00	2009-02-21 00:00:00	Yes	2010-05-17 00:00:00	2010-05-04 00:00:00	B	B	1000	850	0	850	0	None	2JZG11	N	CA00178729, CA00178968	C, C	SFY2009-10
090000061	GOLDEN HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-04-26 00:00:00	090007166	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-02-21 00:00:00	2009-02-21 00:00:00	Yes	2010-05-17 00:00:00	2010-05-04 00:00:00	B	B	1000	850	0	850	0	None	2JZG11	N	CA00178729, CA00178968	C, C	SFY2009-10
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-05-10 00:00:00	090007195	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-09 00:00:00	2010-02-09 00:00:00	No	2010-06-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	L38D11	N	CA00218281, CA00218299, CA00218807	C, C, C	SFY2009-10
090000117	SAN DIEGO INTERMEDIATE CARE CENTER	LTC	ICF	Intermediate Care Facility	San Diego	2010-07-16 00:00:00	090007390	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-06-09 00:00:00	2010-06-09 00:00:00	No	2010-08-09 00:00:00	None	B	None	1000	1500	-350	1150	0	None	CZ8U11	N	None	None	SFY2010-11
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-07-16 00:00:00	090007395	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-12-26 00:00:00	2009-12-26 00:00:00	No	2010-08-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	XHTQ11	N	CA00212754	B	SFY2010-11
090000416	SHARP CHULA VISTA MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2010-09-07 00:00:00	090007548	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-23 00:00:00	2010-04-23 00:00:00	No	2010-09-28 00:00:00	None	B	None	500	500	-175	325	0	None	0F7V11	N	CA00226467	C	SFY2010-11
090000071	LEMON GROVE CARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-09-16 00:00:00	090007578	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-06 00:00:00	2010-07-06 00:00:00	Yes	2010-10-07 00:00:00	2010-09-16 00:00:00	B	B	1000	650	0	650	0	None	8FSR11	N	CA00234929	C	SFY2010-11
090000083	BRIGHTON PLACE SPRING VALLEY	LTC	SNF	Skilled Nursing Facility	San Diego	2010-11-12 00:00:00	090007713	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-03 00:00:00	2010-08-03 00:00:00	Yes	2010-12-07 00:00:00	2010-11-16 00:00:00	B	B	1000	650	0	650	0	None	VMJS11	N	CA00239917	C	SFY2010-11
090000083	BRIGHTON PLACE SPRING VALLEY	LTC	SNF	Skilled Nursing Facility	San Diego	2010-12-30 00:00:00	090007805	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-30 00:00:00	2010-04-30 00:00:00	Yes	2011-01-21 00:00:00	2011-01-13 00:00:00	B	B	1000	650	0	650	0	None	V02N11	N	CA00229362	C	SFY2010-11
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-01-07 00:00:00	090007821	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-23 00:00:00	2009-12-23 00:00:00	No	2011-01-31 00:00:00	None	B	None	1000	1000	0	1000	0	None	WNGI11	N	CA00220117	C	SFY2010-11
090001571	PINE DRIVE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2011-02-14 00:00:00	090007931	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-01 00:00:00	2010-09-01 00:00:00	No	2011-03-08 00:00:00	None	B	None	500	500	-175	325	0	None	RN8C11	N	CA00241518	C	SFY2010-11
090000771	ORIENTE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2011-03-15 00:00:00	090008029	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-26 00:00:00	2010-07-26 00:00:00	No	2011-04-06 00:00:00	None	B	None	800	800	-280	520	0	None	E41511	N	CA00238739	B	SFY2010-11
090000771	ORIENTE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2011-03-15 00:00:00	090008030	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-27 00:00:00	2010-07-27 00:00:00	No	2011-04-06 00:00:00	None	B	None	700	700	-245	455	0	None	E41511	N	CA00238739	B	SFY2010-11
090000138	HELIX	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2011-04-11 00:00:00	090008123	Closed	Citation	Citation B (HSC 1424)	Other	Staff Training	2010-12-24 00:00:00	2010-12-24 00:00:00	No	2011-05-02 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	DY4U11	N	CA00253544	C	SFY2010-11
090000134	MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2011-04-20 00:00:00	090008169	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-04-07 00:00:00	2010-04-07 00:00:00	No	2011-05-11 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	SX5711	Y	CA00224516	C	SFY2010-11
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2011-05-20 00:00:00	090008266	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-14 00:00:00	2010-12-14 00:00:00	No	2011-06-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	TXNZ11	N	CA00252359	C	SFY2010-11
090000324	VILLA CORONADO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2011-07-06 00:00:00	090008362	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-05-02 00:00:00	2011-05-02 00:00:00	No	2011-07-27 00:00:00	None	B	None	900	900	-315	585	0	None	ETHQ11	N	CA00268274	C	SFY2011-12
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-07-26 00:00:00	090008398	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-02 00:00:00	2011-02-02 00:00:00	No	2011-08-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	6RCD11	N	CA00257297	C	SFY2011-12
090000011	THE PAVILION AT OCEAN POINT	LTC	SNF	Skilled Nursing Facility	San Diego	2011-08-17 00:00:00	090008480	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-04-26 00:00:00	2011-04-26 00:00:00	No	2011-09-07 00:00:00	None	B	None	900	900	0	900	0	None	PUD111	N	CA00267462	B	SFY2011-12
090000051	BRIGHTON PLACE SAN DIEGO	LTC	SNF	Skilled Nursing Facility	San Diego	2011-08-26 00:00:00	090008509	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-30 00:00:00	2011-05-30 00:00:00	No	2011-09-19 00:00:00	None	B	None	800	800	-280	520	0	None	0TWH11	N	CA00276478	C	SFY2011-12
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2011-08-26 00:00:00	090008512	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2011-07-29 00:00:00	2011-07-29 00:00:00	No	2011-09-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	C70411	Y	CA00280290	C	SFY2011-12
090000074	COTTONWOOD CANYON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-08-31 00:00:00	090008521	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-12-01 00:00:00	2010-12-01 00:00:00	Yes	2011-09-22 00:00:00	2011-09-15 00:00:00	B	B	1000	1000	0	1000	0	None	HM2J11	N	CA00251223	C	SFY2011-12
090000310	WINDMILL VIEW	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2011-09-01 00:00:00	090008526	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-06-19 00:00:00	2010-06-19 00:00:00	No	2011-09-23 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	BN6O11	N	CA00257406	B	SFY2011-12
090000067	IMPERIAL MANOR	LTC	SNF	Skilled Nursing Facility	San Diego	2011-10-25 00:00:00	090008656	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-05-19 00:00:00	2011-05-19 00:00:00	No	2011-11-16 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	KYBE11	N	CA00276644	C	SFY2011-12
090000051	BRIGHTON PLACE SAN DIEGO	LTC	SNF	Skilled Nursing Facility	San Diego	2011-11-17 00:00:00	090008753	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-02-16 00:00:00	2010-02-16 00:00:00	No	2011-12-12 00:00:00	None	B	None	750	750	0	750	0	None	7FMP11	N	CA00223254	C	SFY2011-12
090000727	ANJA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2011-12-29 00:00:00	090008860	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-08-10 00:00:00	2011-08-10 00:00:00	No	2012-01-23 00:00:00	None	B	None	500	500	-175	325	0	None	O5NY11	N	CA00279063	C	SFY2011-12
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-12-29 00:00:00	090008861	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-02 00:00:00	2011-03-02 00:00:00	No	2012-01-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	HWJR11	N	CA00261124	C	SFY2011-12
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2012-03-20 00:00:00	090009016	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2012-01-31 00:00:00	2012-01-31 00:00:00	No	2012-04-10 00:00:00	None	A	None	10000	10000	-10000	0	0	None	NSY123	N	None	None	SFY2011-12
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2012-03-20 00:00:00	090009017	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2012-01-31 00:00:00	2012-01-31 00:00:00	No	2012-04-10 00:00:00	None	A	None	10000	10000	-10000	0	0	None	NSY123	N	None	None	SFY2011-12
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2012-03-08 00:00:00	090009097	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-12-31 00:00:00	2010-12-31 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	2350	-2350	0	0	None	IC8211	N	CA00283815	C	SFY2011-12
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2012-06-07 00:00:00	090009355	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-02 00:00:00	2011-03-02 00:00:00	No	2012-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	UNR811	N	CA00261153	C	SFY2011-12
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2012-06-07 00:00:00	090009356	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-03-04 00:00:00	2011-03-04 00:00:00	No	2012-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	YX2211	N	CA00263177	C	SFY2011-12
090000061	GOLDEN HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2012-08-02 00:00:00	090009427	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-10-18 00:00:00	2011-10-18 00:00:00	No	2012-08-23 00:00:00	None	B	None	750	750	0	750	0	None	CZNW11	N	CA00295364	B	SFY2012-13
630010892	FAIRWAY COURT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2012-08-21 00:00:00	090009450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-18 00:00:00	2012-03-18 00:00:00	Yes	2012-09-12 00:00:00	2012-09-04 00:00:00	B	B	750	375	0	375	0	None	EI9B11	N	CA00303653	B	SFY2012-13
090000312	MOUNTAIN SHADOWS COMMUNITY HOMES - LEMON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2012-09-05 00:00:00	090009474	Open	Citation	Citation B (HSC 1424)	Staffing	None	2012-04-30 00:00:00	2012-04-30 00:00:00	Yes	2012-09-26 00:00:00	2012-09-14 00:00:00	B	None	750	750	0	0	750	None	XN4D11	N	CA00308784	B	SFY2012-13
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2012-09-06 00:00:00	090009478	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-29 00:00:00	2011-12-29 00:00:00	No	2012-09-27 00:00:00	None	B	None	1500	1500	0	1500	0	None	M9RZ11	N	CA00294597	B	SFY2012-13
090000065	BALBOA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2012-09-11 00:00:00	090009486	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-06-18 00:00:00	2012-06-18 00:00:00	No	2012-10-02 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	CQT811	N	CA00314713, CA00314713	B, B	SFY2012-13
090000011	THE PAVILION AT OCEAN POINT	LTC	SNF	Skilled Nursing Facility	San Diego	2012-10-17 00:00:00	090009562	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-30 00:00:00	2011-10-30 00:00:00	No	2012-11-07 00:00:00	None	B	None	750	750	0	750	0	None	8JII11	N	CA00289568	B	SFY2012-13
090001316	MILLER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2012-11-20 00:00:00	090009614	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-03-23 00:00:00	2012-03-23 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	SHZH11	N	CA00304294	B	SFY2012-13
090000140	PRYOR STREET GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2013-03-22 00:00:00	090009796	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-02-06 00:00:00	2013-02-06 00:00:00	No	2013-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	11CJ11	N	CA00342723	B	SFY2012-13
090000134	MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2013-05-31 00:00:00	090009926	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-03-07 00:00:00	2013-03-07 00:00:00	No	2013-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	RUPV11	N	CA00346206, CA00346461, CA00347921, CA00347930	C, B, B, B	SFY2012-13
090000042	WINDSOR GARDENS CONVALESCENT CENTER OF SAN DIEGO	LTC	SNF	Skilled Nursing Facility	San Diego	2013-10-01 00:00:00	090010170	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2012-11-18 00:00:00	2012-11-18 00:00:00	Yes	2013-10-22 00:00:00	2013-10-04 00:00:00	B	None	1800	1800	0	0	1800	None	433K11	N	CA00334565	B	SFY2013-14
090000011	THE PAVILION AT OCEAN POINT	LTC	SNF	Skilled Nursing Facility	San Diego	2014-01-31 00:00:00	090010181	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-01-16 00:00:00	2013-01-16 00:00:00	No	2014-02-24 00:00:00	None	B	None	1500	1500	-525	975	0	None	N18M11	N	CA00341514	B	SFY2013-14
090000107	SOUTH BAY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2013-11-07 00:00:00	090010183	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-01-09 00:00:00	2013-01-09 00:00:00	No	2013-12-03 00:00:00	None	B	None	1600	1900	-560	1340	0	None	FKDW11	N	CA00339708, CA00340037	B, B	SFY2013-14
090000277	MOUNTAIN SHADOWS COMMUNITY HOMES - ASH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2014-03-28 00:00:00	090010419	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-01-04 00:00:00	2014-01-04 00:00:00	No	2014-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	VRVV11	N	CA00382681	B	SFY2013-14
090000003	MAGNOLIA POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2014-10-09 00:00:00	090010914	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-02-03 00:00:00	2014-02-03 00:00:00	No	2014-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	OLD111	N	CA00387566	B	SFY2014-15
090000102	AMAYA SPRINGS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-12 00:00:00	090011000	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2014-07-02 00:00:00	2014-07-02 00:00:00	No	2015-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WIWM11	N	CA00403402, CA00403527	A, A	SFY2014-15
090000018	EDGEMOOR HOSPITAL DP/SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2014-10-10 00:00:00	090011003	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-30 00:00:00	2010-05-30 00:00:00	No	2014-10-31 00:00:00	None	B	None	1000	1000	0	1000	0	None	EPK811	N	CA00233761	C	SFY2014-15
090000034	PARKSIDE HEALTH AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-27 00:00:00	090011283	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-02-22 00:00:00	2014-02-22 00:00:00	No	2015-03-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WQOZ11	N	CA00388961	C	SFY2014-15
090000311	MOUNTAIN SHADOWS COMMUNITY HOMES - SPRUCE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2015-04-24 00:00:00	090011414	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-02-22 00:00:00	2015-02-22 00:00:00	No	2015-05-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	13Y111	N	CA00433225	B	SFY2014-15
090000312	MOUNTAIN SHADOWS COMMUNITY HOMES - LEMON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2015-06-30 00:00:00	090011586	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-17 00:00:00	2015-04-17 00:00:00	No	2015-07-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	I7IB11	N	CA00439260	A	SFY2014-15
090000039	MISSION HILLS POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2015-11-24 00:00:00	090011869	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-26 00:00:00	2015-10-26 00:00:00	No	2015-12-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	9ZR111	N	CA00452724	B	SFY2015-16
090000714	CB/FORTUNA GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2016-04-21 00:00:00	090012185	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-11-04 00:00:00	2015-11-04 00:00:00	No	2016-05-12 00:00:00	None	B	None	500	500	-175	325	0	None	ID9J11	N	CA00464779	B	SFY2015-16
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2016-11-22 00:00:00	090012381	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-01 00:00:00	2015-01-01 00:00:00	No	2016-12-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HLAG11	N	CA00429012	C	SFY2016-17
090000119	MOUNT VERNON GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2016-10-13 00:00:00	090012650	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-05-27 00:00:00	2016-05-27 00:00:00	No	2016-11-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	4XZ511	N	CA00490091	A	SFY2016-17
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2016-12-21 00:00:00	090012723	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-10-18 00:00:00	2014-10-18 00:00:00	No	2017-01-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	KMB011	N	CA00417388	A	SFY2016-17
090001556	REGINAS COURT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2016-12-16 00:00:00	090012735	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-05-28 00:00:00	2016-05-28 00:00:00	No	2017-01-10 00:00:00	None	B	None	600	600	-210	390	0	None	6EKN11	N	CA00490779	A	SFY2016-17
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2017-01-13 00:00:00	090012881	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-17 00:00:00	2016-06-17 00:00:00	No	2017-02-06 00:00:00	None	B	None	800	800	-280	520	0	None	83Y211	N	None	None	SFY2016-17
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2017-01-13 00:00:00	090012882	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-06 00:00:00	2016-04-06 00:00:00	No	2017-02-06 00:00:00	None	B	None	700	700	-245	455	0	None	83Y211	N	None	None	SFY2016-17
090000061	GOLDEN HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2017-04-13 00:00:00	090013028	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-10-04 00:00:00	2016-10-04 00:00:00	No	2017-05-04 00:00:00	None	B	None	1600	1600	-560	1040	0	None	FLSB11	N	CA00506003	B	SFY2016-17
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2017-08-16 00:00:00	090013030	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-17 00:00:00	2016-05-17 00:00:00	No	2017-09-07 00:00:00	None	A	None	6000	6000	0	6000	0	None	LM5Y11	Y	CA00488668, CA00488668, CA00488668, CA00488668	A, A, A, A	SFY2017-18
090000054	FREDERICKA MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2017-08-31 00:00:00	090013189	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-15 00:00:00	2016-09-15 00:00:00	No	2017-09-22 00:00:00	None	B	None	800	800	-280	520	0	None	5U8R11	N	CA00503161	B	SFY2017-18
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2017-05-24 00:00:00	090013196	Closed	Citation	Citation B (HSC 1424)	Physical Environment	Accidents	2016-09-20 00:00:00	2016-09-20 00:00:00	No	2017-06-15 00:00:00	None	B	None	1200	1200	0	1200	0	None	N2VH11	N	CA00503895	B	SFY2016-17
090000104	VICTORIA POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2017-05-31 00:00:00	090013233	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-06 00:00:00	2017-01-06 00:00:00	No	2017-06-21 00:00:00	None	B	None	1200	1200	-420	780	0	None	HT9L11	N	CA00517275	B	SFY2016-17
090000009	REO VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-02-21 00:00:00	090013462	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-15 00:00:00	2015-10-15 00:00:00	No	2019-03-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	YD7B11	Y	CA00462036	A	SFY2018-19
090000218	SANTANA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2018-07-24 00:00:00	090014263	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-27 00:00:00	2017-01-27 00:00:00	No	2018-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	85FG11	N	CA00565177	B	SFY2018-19
090000324	VILLA CORONADO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2018-10-24 00:00:00	090014511	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-04-28 00:00:00	2017-04-28 00:00:00	No	2018-11-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	7D8811	N	CA00533322, CA00535940	B, B	SFY2018-19
100000002	UNIVERSITY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-01-11 00:00:00	100001993	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-12 00:00:00	None	No	2000-02-04 00:00:00	None	B	None	1000	3200	0	3200	0	100013790	A99999	N	None	None	SFY1999-00
100000002	UNIVERSITY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-01-11 00:00:00	100001994	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-12 00:00:00	None	Yes	2000-02-03 00:00:00	2000-08-21 00:00:00	A	A	10000	8200	-200	8000	0	100013791	A99999	N	None	None	SFY1999-00
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-01-25 00:00:00	100001996	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-02 00:00:00	None	No	2000-02-15 00:00:00	None	A	A	8000	8000	-5840	2160	0	100013836	A99999	N	None	None	SFY1999-00
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2000-01-27 00:00:00	100001998	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-12 00:00:00	None	Yes	2000-02-21 00:00:00	2000-02-02 00:00:00	A	A	8000	5500	0	5500	0	100013849	A99999	N	None	None	SFY1999-00
100000003	FAIRMONT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-03-08 00:00:00	100002001	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-17 00:00:00	None	Yes	2000-03-29 00:00:00	2000-03-16 00:00:00	A	A	10000	6000	0	6000	0	100013953	A99999	N	None	None	SFY1999-00
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-03-09 00:00:00	100002002	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-11 00:00:00	None	No	2000-04-03 00:00:00	None	A	None	8000	24000	-8400	15600	0	100013959	A99999	N	None	None	SFY1999-00
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-03-29 00:00:00	100002006	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-17 00:00:00	None	No	2000-04-26 00:00:00	None	A	None	8000	8000	-2800	5200	0	100013996	A99999	N	None	None	SFY1999-00
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-03-29 00:00:00	100002007	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT ABUSE	2000-03-02 00:00:00	None	No	2000-04-19 00:00:00	None	B	None	900	900	0	900	0	100013997	A99999	N	None	None	SFY1999-00
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-04-20 00:00:00	100002011	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-25 00:00:00	None	No	2000-05-11 00:00:00	None	A	None	4000	4000	-1400	2600	0	100014070	A99999	N	None	None	SFY1999-00
100000051	ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Stockton	2000-04-25 00:00:00	100002012	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-12 00:00:00	None	Yes	2000-05-25 00:00:00	2000-12-11 00:00:00	A	B	8000	5000	0	5000	0	100014071	A99999	N	None	None	SFY1999-00
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2000-05-03 00:00:00	100002016	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-06-10 00:00:00	None	Yes	2000-05-29 00:00:00	2000-05-15 00:00:00	A	A	8000	8000	-6000	2000	0	100014124	A99999	N	None	None	SFY1999-00
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-05-17 00:00:00	100002018	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-09 00:00:00	None	No	2000-06-13 00:00:00	None	B	None	1000	1000	-350	650	0	100014146	A99999	N	None	None	SFY1999-00
100000834	RCCA - BRENTFORD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2000-05-18 00:00:00	100002019	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-10 00:00:00	2000-04-27 00:00:00	Yes	2000-06-14 00:00:00	2000-06-07 00:00:00	A	A	9000	7000	0	7000	0	100014154	A99999	N	None	None	SFY1999-00
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-06-01 00:00:00	100002023	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-10 00:00:00	None	Yes	2000-07-14 00:00:00	2000-06-19 00:00:00	A	A	8000	8000	-5840	2160	0	100014239	A99999	N	None	None	SFY1999-00
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-06-29 00:00:00	100002027	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-01 00:00:00	None	Yes	2000-08-03 00:00:00	2000-07-17 00:00:00	A	B	10000	1000	0	1000	0	100014288	A99999	N	None	None	SFY1999-00
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-06-29 00:00:00	100002028	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-03 00:00:00	None	Yes	2000-08-03 00:00:00	2000-07-14 00:00:00	B	B	1000	500	0	500	0	100014295	A99999	N	None	None	SFY1999-00
100000097	SAYLOR LANE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-07-19 00:00:00	100002030	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-29 00:00:00	None	No	2000-08-11 00:00:00	None	A	B	5000	6000	0	6000	0	100014333	A99999	N	None	None	SFY2000-01
100001449	WRS INC., ELLIOT PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2000-08-02 00:00:00	100002032	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-14 00:00:00	None	No	2000-08-28 00:00:00	None	B	None	1000	1000	0	1000	0	100014365	A99999	N	None	None	SFY2000-01
100001676	UNIVERSITY RETIREMENT COMMUNITY AT DAVIS	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-08-15 00:00:00	100002033	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-07-15 00:00:00	2000-07-15 00:00:00	Yes	2000-09-08 00:00:00	2000-08-30 00:00:00	A	A	4000	4000	0	4000	0	100014412	A99999	N	None	None	SFY2000-01
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-08-23 00:00:00	100002034	Closed	Citation	Citation A (HSC 1424)	Other	NEGLECT/ABUSE	2000-06-06 00:00:00	None	Yes	2000-09-14 00:00:00	2000-09-11 00:00:00	A	B	8000	6000	0	6000	0	100014438	A99999	N	None	None	SFY2000-01
100000036	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2000-09-20 00:00:00	100002035	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-05-22 00:00:00	None	No	2000-10-11 00:00:00	None	B	None	500	500	-175	325	0	100014537	A99999	N	None	None	SFY2000-01
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-09-22 00:00:00	100002036	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-05 00:00:00	None	No	2000-10-16 00:00:00	None	B	None	1000	1000	0	1000	0	100014542	A99999	N	None	None	SFY2000-01
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2000-09-27 00:00:00	100002038	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-22 00:00:00	None	Yes	2000-10-18 00:00:00	2000-10-10 00:00:00	B	B Trebled	1000	3000	-1500	1500	0	100014557	A99999	N	None	None	SFY2000-01
100001453	WRS INC., MARSHALL PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2000-10-18 00:00:00	100002039	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-18 00:00:00	None	No	2000-11-08 00:00:00	None	A	None	9000	9000	-3150	5850	0	100014655	A99999	N	None	None	SFY2000-01
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-10-25 00:00:00	100002040	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-04 00:00:00	None	No	2000-11-15 00:00:00	None	A	None	8000	8000	-2800	5200	0	100014665	A99999	N	None	None	SFY2000-01
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-11-02 00:00:00	100002042	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-18 00:00:00	2000-03-18 00:00:00	Yes	2001-06-20 00:00:00	2001-06-06 00:00:00	A	A	10000	10250	0	10250	0	100014720	A99999	N	None	None	SFY2000-01
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-11-07 00:00:00	100002047	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-25 00:00:00	None	No	2000-11-28 00:00:00	None	B	None	1000	1000	-350	650	0	100014739	A99999	N	None	None	SFY2000-01
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2000-11-20 00:00:00	100002048	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-05 00:00:00	2000-09-29 00:00:00	No	2000-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	100014762	A99999	N	None	None	SFY2000-01
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2001-01-16 00:00:00	100002053	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-25 00:00:00	None	Yes	2001-02-06 00:00:00	2001-01-23 00:00:00	A	Drop>Deficiency	10000	8000	0	8000	0	100014229	A99999	N	None	None	SFY2000-01
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-01-18 00:00:00	100002054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-05 00:00:00	None	No	2001-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	100014747	A99999	N	None	None	SFY2000-01
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-01-18 00:00:00	100002055	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-05-19 00:00:00	None	No	2001-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	100014747	A99999	N	None	None	SFY2000-01
100000017	BETHANY HOME SOCIETY SAN JOAQUIN COUNTY	LTC	SNF	Skilled Nursing Facility	Stockton	2001-01-31 00:00:00	100002056	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-10 00:00:00	2000-07-10 00:00:00	Yes	2001-06-11 00:00:00	2001-02-22 00:00:00	B	B	500	550	0	550	0	100015110	A99999	N	None	None	SFY2000-01
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-01-31 00:00:00	100002057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-20 00:00:00	None	Yes	2001-02-23 00:00:00	2001-06-12 00:00:00	B	B	600	650	-480	170	0	100015111	A99999	N	None	None	SFY2000-01
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-02-02 00:00:00	100002058	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-18 00:00:00	None	No	2001-02-27 00:00:00	None	B	None	900	900	-315	585	0	100015118	A99999	N	None	None	SFY2000-01
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-02-02 00:00:00	100002059	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-14 00:00:00	None	No	2001-02-27 00:00:00	None	B	None	1000	1000	-350	650	0	100015118	A99999	N	None	None	SFY2000-01
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-06 00:00:00	100002060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-05 00:00:00	None	No	2001-03-01 00:00:00	None	A	None	16000	16000	-5600	10400	0	100015123	A99999	N	None	None	SFY2000-01
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-06 00:00:00	100002061	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE, FAILURE TO RP	2001-01-04 00:00:00	None	No	2001-03-01 00:00:00	None	B	None	600	600	-210	390	0	100015119	A99999	N	None	None	SFY2000-01
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-06 00:00:00	100002062	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-05 00:00:00	None	No	2001-03-01 00:00:00	None	A	None	16000	16000	-5600	10400	0	100015123	A99999	N	None	None	SFY2000-01
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-06 00:00:00	100002063	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-15 00:00:00	None	No	2001-03-01 00:00:00	None	B	None	600	600	-210	390	0	100015119	A99999	N	None	None	SFY2000-01
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-13 00:00:00	100002064	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-10 00:00:00	None	No	2001-03-07 00:00:00	None	B	None	800	800	-280	520	0	100015058	A99999	N	None	None	SFY2000-01
100000055	GARDEN CITY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-03-06 00:00:00	100002066	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-28 00:00:00	None	No	2001-03-27 00:00:00	None	B	None	900	900	0	900	0	100015099	A99999	N	None	None	SFY2000-01
100000092	RANCHO SECO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-23 00:00:00	100002067	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-10 00:00:00	None	No	2001-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	100015149	A99999	N	None	None	SFY2000-01
100001639	RCCA - WAWONA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-03-07 00:00:00	100002069	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-23 00:00:00	None	Yes	2001-08-15 00:00:00	2001-06-26 00:00:00	B	B	800	400	0	400	0	100015126	A99999	N	None	None	SFY2000-01
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-03-14 00:00:00	100002070	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE, MEDS	2000-04-07 00:00:00	None	No	2001-04-04 00:00:00	None	A	None	16000	16000	0	16000	0	100015228	A99999	N	None	None	SFY2000-01
100000051	ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Stockton	2001-04-16 00:00:00	100002071	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-01-28 00:00:00	None	Yes	2001-05-07 00:00:00	2001-04-28 00:00:00	AA	A	60000	50000	0	50000	0	100015302	A99999	Y	None	None	SFY2000-01
100000056	LODI HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-04-18 00:00:00	100002072	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-01-15 00:00:00	None	No	2001-05-09 00:00:00	None	A	None	16000	16000	-16000	0	0	100015183	A99999	N	None	None	SFY2000-01
100000029	LODI CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-05-01 00:00:00	100002073	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-30 00:00:00	None	No	2001-05-22 00:00:00	None	A	B	8000	1000	0	1000	0	100015279	A99999	N	None	None	SFY2000-01
100000056	LODI HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-05-02 00:00:00	100002074	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-14 00:00:00	None	No	2001-05-23 00:00:00	None	B	None	900	900	-900	0	0	100015364	A99999	N	None	None	SFY2000-01
100000029	LODI CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-05-01 00:00:00	100002075	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-30 00:00:00	None	Yes	2001-05-22 00:00:00	2001-05-15 00:00:00	B	Drop>Deficiency	800	1000	0	1000	0	100015279	A99999	N	None	None	SFY2000-01
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2001-06-05 00:00:00	100002076	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-04 00:00:00	2001-04-04 00:00:00	Yes	2001-07-06 00:00:00	2001-06-13 00:00:00	B	B	1000	750	0	750	0	100015450	A99999	N	None	None	SFY2000-01
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2001-06-05 00:00:00	100002077	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-19 00:00:00	None	Yes	2001-07-09 00:00:00	2001-06-13 00:00:00	B	B	900	800	0	800	0	100015322	A99999	N	None	None	SFY2000-01
100001433	RCCA - WESTWOOD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-06-05 00:00:00	100002078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-19 00:00:00	None	No	2001-07-03 00:00:00	None	B	None	1000	1000	0	1000	0	100015214	A99999	N	None	None	SFY2000-01
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-06-06 00:00:00	100002079	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-03 00:00:00	None	No	2001-06-25 00:00:00	None	B	None	1000	1000	0	1000	0	100015303	A99999	N	None	None	SFY2000-01
100001249	WRS INC., SQUAW PROGRAM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-06-07 00:00:00	100002080	Closed	Citation	Citation B (HSC 1424)	Other	OTHER	2001-05-02 00:00:00	None	No	2001-06-28 00:00:00	None	B	B	800	800	0	800	0	100015421	A99999	N	None	None	SFY2000-01
100000051	ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Stockton	2001-06-12 00:00:00	100002082	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-19 00:00:00	None	No	2001-07-06 00:00:00	None	B	None	900	900	-315	585	0	100015337	A99999	N	None	None	SFY2000-01
100000061	GARDENS HEALTHCARE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-06-13 00:00:00	100002083	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-23 00:00:00	None	No	2001-07-05 00:00:00	None	B	None	900	900	-315	585	0	100015255	A99999	N	None	None	SFY2000-01
100000061	GARDENS HEALTHCARE	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-06-13 00:00:00	100002084	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE & NEGLECT	2001-03-18 00:00:00	None	No	2001-07-05 00:00:00	None	B	B	900	900	0	900	0	100015263	A99999	N	None	None	SFY2000-01
100000055	GARDEN CITY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-07-13 00:00:00	100002085	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-18 00:00:00	None	No	2001-08-03 00:00:00	None	B	None	1000	1000	0	1000	0	100015180	A99999	N	None	None	SFY2001-02
100000055	GARDEN CITY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-07-13 00:00:00	100002086	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-31 00:00:00	2001-02-01 00:00:00	No	2001-08-03 00:00:00	None	B	None	800	800	0	800	0	100015180	A99999	N	None	None	SFY2001-02
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-07-19 00:00:00	100002087	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-02 00:00:00	None	No	2001-08-09 00:00:00	None	B	None	600	600	-210	390	0	100015471	A99999	N	None	None	SFY2001-02
100001481	RCCA - PHOENIX	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-09-06 00:00:00	100002089	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE	2001-05-17 00:00:00	None	Yes	2002-02-18 00:00:00	2002-02-05 00:00:00	A	B	8500	5000	0	5000	0	100015543	A99999	N	None	None	SFY2001-02
100001445	MACIEL PROGRAM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-08-03 00:00:00	100002092	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-11 00:00:00	None	No	2001-08-24 00:00:00	None	B	None	900	900	0	900	0	100015584	A99999	N	None	None	SFY2001-02
100001453	WRS INC., MARSHALL PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-08-27 00:00:00	100002093	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-20 00:00:00	None	No	2001-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	100015660	A99999	N	None	None	SFY2001-02
100001455	WRS INC. NORTH PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-08-27 00:00:00	100002094	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-20 00:00:00	None	No	2001-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	100015661	A99999	N	None	None	SFY2001-02
100001246	WRS INC., GUM PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-08-27 00:00:00	100002095	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-20 00:00:00	None	No	2001-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	100015662	A99999	N	None	None	SFY2001-02
100001249	WRS INC., SQUAW PROGRAM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-08-27 00:00:00	100002096	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-20 00:00:00	None	No	2001-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	100015663	A99999	N	None	None	SFY2001-02
100001451	WRS INC. EVERGREEN PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-08-27 00:00:00	100002097	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-20 00:00:00	None	No	2001-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	100015664	A99999	N	None	None	SFY2001-02
100001449	WRS INC., ELLIOT PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-08-27 00:00:00	100002098	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-20 00:00:00	None	No	2001-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	100015665	A99999	N	None	None	SFY2001-02
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-08-28 00:00:00	100002099	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/ABUSE	2001-06-01 00:00:00	None	No	2001-09-26 00:00:00	None	B	None	900	900	-315	585	0	100015680	A99999	N	None	None	SFY2001-02
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-08-28 00:00:00	100002101	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-14 00:00:00	None	No	2001-09-19 00:00:00	None	B	None	1000	1000	-350	650	0	100015682	A99999	N	None	None	SFY2001-02
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-09-06 00:00:00	100002103	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-28 00:00:00	None	Yes	2001-10-05 00:00:00	2001-09-26 00:00:00	B	B	800	600	0	600	0	100015716	A99999	N	None	None	SFY2001-02
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2001-09-07 00:00:00	100002104	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-23 00:00:00	None	No	2001-09-28 00:00:00	None	B	None	900	900	-315	585	0	100015505	A99999	N	None	None	SFY2001-02
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2001-09-11 00:00:00	100002105	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-15 00:00:00	None	Yes	2001-10-02 00:00:00	2001-09-17 00:00:00	B	B Trebled	1000	1500	0	1500	0	100015669	A99999	N	None	None	SFY2001-02
100000027	RIVER BEND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-09-17 00:00:00	100002106	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-05-09 00:00:00	None	No	2001-10-09 00:00:00	None	B	None	800	800	-280	520	0	100015767	A99999	N	None	None	SFY2001-02
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2001-09-19 00:00:00	100002107	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-04-11 00:00:00	None	Yes	2001-10-15 00:00:00	2001-09-19 00:00:00	A	Dismissed by Court	18000	0	0	0	0	100015771	A99999	N	None	None	SFY2001-02
100000051	ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Stockton	2001-09-19 00:00:00	100002108	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-07 00:00:00	None	No	2001-10-11 00:00:00	None	B	None	800	2400	-840	1560	0	100015772	A99999	N	None	None	SFY2001-02
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-09-26 00:00:00	100002109	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-13 00:00:00	None	Yes	2001-10-25 00:00:00	2001-10-04 00:00:00	A	A	15000	15000	-11250	3750	0	100015784	A99999	N	None	None	SFY2001-02
100000051	ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Stockton	2001-10-01 00:00:00	100002110	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-21 00:00:00	None	No	2001-10-23 00:00:00	None	A	None	15000	15000	-5250	9750	0	100015791	A99999	N	None	None	SFY2001-02
100001641	ESTRELLA'S ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2001-10-12 00:00:00	100002111	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-08-15 00:00:00	None	No	2001-11-02 00:00:00	None	B	None	500	500	-175	325	0	100015844	A99999	N	None	None	SFY2001-02
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2001-10-23 00:00:00	100002113	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-01-17 00:00:00	None	Yes	2001-11-22 00:00:00	2001-10-26 00:00:00	A	A	18000	10750	0	10750	0	100015885	A99999	N	None	None	SFY2001-02
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2001-10-23 00:00:00	100002114	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-16 00:00:00	None	No	2001-11-22 00:00:00	None	A	B	5000	3250	0	3250	0	100015896	A99999	N	None	None	SFY2001-02
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2001-10-23 00:00:00	100002115	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-22 00:00:00	None	Yes	2001-11-22 00:00:00	2001-10-31 00:00:00	A	A	15000	10750	0	10750	0	100015897	A99999	N	None	None	SFY2001-02
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-23 00:00:00	100002116	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE/MEDS	2000-11-02 00:00:00	None	No	2001-12-12 00:00:00	None	A	A	15000	15000	-10950	4050	0	100015901	A99999	N	None	None	SFY2001-02
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-24 00:00:00	100002117	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-09-09 00:00:00	None	Yes	2001-11-27 00:00:00	2001-11-13 00:00:00	A	A	15000	8607	0	8607	0	100015907	A99999	N	None	None	SFY2001-02
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-24 00:00:00	100002119	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-08 00:00:00	None	No	2001-11-15 00:00:00	None	B	None	800	800	-280	520	0	100015908	A99999	N	None	None	SFY2001-02
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-11-28 00:00:00	100002122	Closed	Citation	Citation B (HSC 1424)	Other	RETALIATION	2001-10-05 00:00:00	None	No	2001-12-19 00:00:00	None	B	None	1000	1000	-350	650	0	100016007	A99999	N	None	None	SFY2001-02
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-12-10 00:00:00	100002124	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-01 00:00:00	None	Yes	2002-01-07 00:00:00	2002-01-07 00:00:00	A	A	16000	9181	0	9181	0	100016025	A99999	N	None	None	SFY2001-02
100000055	GARDEN CITY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2001-12-20 00:00:00	100002128	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-04 00:00:00	None	No	2002-01-14 00:00:00	None	A	None	17000	17000	-5950	11050	0	100015951	A99999	N	None	None	SFY2001-02
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-01-29 00:00:00	100002129	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-25 00:00:00	None	No	2002-02-21 00:00:00	None	A	None	16000	16000	-5600	10400	0	100015176	A99999	N	None	None	SFY2001-02
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-01-17 00:00:00	100002131	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-29 00:00:00	None	No	2002-02-14 00:00:00	None	B	None	800	800	-280	520	0	100016110	A99999	N	None	None	SFY2001-02
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-01-29 00:00:00	100002132	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-21 00:00:00	None	No	2002-02-21 00:00:00	None	A	None	17000	17000	-5950	11050	0	100015862	A99999	N	None	None	SFY2001-02
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-02-01 00:00:00	100002133	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-15 00:00:00	None	No	2002-03-04 00:00:00	None	B	None	900	900	-315	585	0	100016191	A99999	N	None	None	SFY2001-02
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-02-15 00:00:00	100002134	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-03 00:00:00	None	Yes	2002-03-12 00:00:00	2002-02-21 00:00:00	A	Dismissed by Court	18000	0	0	0	0	100015999	A99999	N	None	None	SFY2001-02
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-02-14 00:00:00	100002135	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-31 00:00:00	None	No	2002-03-08 00:00:00	None	B	None	900	900	-315	585	0	100016229	A99999	N	None	None	SFY2001-02
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-02-22 00:00:00	100002136	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-02 00:00:00	None	No	2002-03-19 00:00:00	None	B	None	1000	1000	-350	650	0	100016230	A99999	N	None	None	SFY2001-02
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-03-01 00:00:00	100002137	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-31 00:00:00	None	No	2002-03-28 00:00:00	None	B	None	900	900	0	900	0	100016265	A99999	N	None	None	SFY2001-02
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-03-07 00:00:00	100002138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-22 00:00:00	None	Yes	2002-03-28 00:00:00	2002-03-25 00:00:00	B	B	600	334	0	334	0	100016277	A99999	N	None	None	SFY2001-02
100000034	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-03-07 00:00:00	100002139	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-01-22 00:00:00	None	Yes	2002-03-29 00:00:00	2002-03-12 00:00:00	A	A	16000	10000	0	10000	0	100016288	A99999	N	None	None	SFY2001-02
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2002-03-14 00:00:00	100002140	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-19 00:00:00	None	Yes	2002-07-03 00:00:00	2002-03-19 00:00:00	B	B	1000	1000	0	1000	0	100016289	A99999	N	None	None	SFY2001-02
100001453	WRS INC., MARSHALL PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2002-03-26 00:00:00	100002146	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2001-07-03 00:00:00	None	No	2002-04-17 00:00:00	None	B	None	1000	1000	-350	650	0	100016373	A99999	N	None	None	SFY2001-02
100001249	WRS INC., SQUAW PROGRAM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2002-03-26 00:00:00	100002147	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2001-09-07 00:00:00	None	No	2002-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	100016374	A99999	N	None	None	SFY2001-02
100001455	WRS INC. NORTH PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2002-03-26 00:00:00	100002148	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2001-07-02 00:00:00	None	No	2002-04-17 00:00:00	None	B	None	1000	1000	0	1000	0	100016375	A99999	N	None	None	SFY2001-02
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-03-28 00:00:00	100002149	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-03 00:00:00	None	No	2002-04-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	100015412	A99999	N	None	None	SFY2001-02
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-03-29 00:00:00	100002150	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-01-09 00:00:00	None	Yes	2002-04-25 00:00:00	2002-04-10 00:00:00	A	A	20000	12500	0	12500	0	100016140	A99999	N	None	None	SFY2001-02
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-04-03 00:00:00	100002152	Closed	Citation	Citation B (HSC 1424)	Other	VERBAL ABUSE	2002-02-13 00:00:00	None	No	2002-04-30 00:00:00	None	B	None	800	800	-280	520	0	100016403	A99999	N	None	None	SFY2001-02
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-04-05 00:00:00	100002154	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-14 00:00:00	None	No	2002-04-26 00:00:00	None	B	None	1000	1000	0	1000	0	100016436	A99999	N	None	None	SFY2001-02
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-04-12 00:00:00	100002155	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-30 00:00:00	None	No	2002-05-03 00:00:00	None	B	None	800	800	-280	520	0	100016451	A99999	N	None	None	SFY2001-02
100000058	TRACY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-04-25 00:00:00	100002156	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-02-15 00:00:00	None	No	2002-05-17 00:00:00	None	A	None	14000	14000	-4900	9100	0	100016249	A99999	N	None	None	SFY2001-02
100001455	WRS INC. NORTH PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2002-05-03 00:00:00	100002157	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2001-12-12 00:00:00	None	No	2002-05-24 00:00:00	None	AA	None	22000	22000	-7700	14300	0	100016053	A99999	Y	None	None	SFY2001-02
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-05-14 00:00:00	100002160	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-25 00:00:00	None	No	2002-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	100016518	A99999	N	None	None	SFY2001-02
100000100	STOLLWOOD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-06-04 00:00:00	100002161	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-01-31 00:00:00	None	Yes	2002-06-28 00:00:00	2002-06-19 00:00:00	B	B	900	1	0	1	0	100016354	A99999	N	None	None	SFY2001-02
100001166	CARCIDO'S ICF/DD-H #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2002-06-04 00:00:00	100002162	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-08 00:00:00	None	No	2002-06-28 00:00:00	None	B	None	600	600	-210	390	0	100016570	A99999	N	None	None	SFY2001-02
100000962	CAPITAL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-06-04 00:00:00	100002163	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-29 00:00:00	None	Yes	2002-09-18 00:00:00	2002-09-04 00:00:00	A	A	16000	16238	0	16238	0	100016440	A99999	N	None	None	SFY2001-02
100001453	WRS INC., MARSHALL PROGRAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2002-07-19 00:00:00	100002164	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-04 00:00:00	None	No	2002-08-09 00:00:00	None	B	None	1000	1000	-350	650	0	100016450	A99999	N	None	None	SFY2002-03
100000017	BETHANY HOME SOCIETY SAN JOAQUIN COUNTY	LTC	SNF	Skilled Nursing Facility	Stockton	2002-07-25 00:00:00	100002165	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-07-01 00:00:00	None	No	2002-08-21 00:00:00	None	A	None	12000	12000	-4200	7800	0	100016781	A99999	N	None	None	SFY2002-03
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-07-25 00:00:00	100002166	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-06-22 00:00:00	None	Yes	2002-08-23 00:00:00	2002-08-07 00:00:00	A	A	16000	9181	0	9181	0	100016686	A99999	N	None	None	SFY2002-03
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-07-30 00:00:00	100002167	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-05-24 00:00:00	None	Yes	2002-08-30 00:00:00	2002-08-16 00:00:00	A	A	18000	39000	0	39000	0	100016666	A99999	N	None	None	SFY2002-03
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-08-07 00:00:00	100002168	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-05-15 00:00:00	None	Yes	2002-09-06 00:00:00	2002-08-14 00:00:00	A	A	19000	10903	0	10903	0	100016805	A99999	N	None	None	SFY2002-03
100000524	CASA DEL MAR #4	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2002-08-02 00:00:00	100002170	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-05-01 00:00:00	None	Yes	2002-11-13 00:00:00	2002-10-31 00:00:00	A	B	10000	6500	0	6500	0	100016537	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-14 00:00:00	100002171	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-05-25 00:00:00	None	No	2002-09-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	100016875	A99999	N	None	None	SFY2002-03
100001505	DUKE FACILITIES, INC. #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2002-08-15 00:00:00	100002172	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-01 00:00:00	None	No	2002-09-11 00:00:00	None	B	None	500	500	-175	325	0	100016869	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-14 00:00:00	100002173	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-26 00:00:00	None	No	2002-09-09 00:00:00	None	B	None	1000	1000	-350	650	0	100016663	A99999	N	None	None	SFY2002-03
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-09-05 00:00:00	100002174	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-06-29 00:00:00	None	No	2002-10-03 00:00:00	None	B	None	1000	1000	-350	650	0	100016932	A99999	N	None	None	SFY2002-03
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-09-09 00:00:00	100002175	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-08-21 00:00:00	None	No	2002-10-18 00:00:00	None	A	B	18000	6000	0	6000	0	100016926	A99999	N	None	None	SFY2002-03
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2002-09-12 00:00:00	100002177	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-26 00:00:00	None	No	2002-10-04 00:00:00	None	B	None	800	800	0	800	0	100017008	A99999	N	None	None	SFY2002-03
100001535	MEADOWOOD A HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-09-13 00:00:00	100002178	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-25 00:00:00	None	No	2002-10-08 00:00:00	None	B	None	600	600	-210	390	0	100016804	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-09-25 00:00:00	100002179	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-29 00:00:00	None	No	2002-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	100016827	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-09-25 00:00:00	100002180	Closed	Citation	Citation A (HSC 1424)	Other	PR,C	2002-08-01 00:00:00	None	No	2002-11-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	100016938	A99999	N	None	None	SFY2002-03
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-10-11 00:00:00	100002181	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-12 00:00:00	None	Yes	2002-11-06 00:00:00	2002-10-17 00:00:00	B	B	1000	350	0	350	0	100016895	A99999	N	None	None	SFY2002-03
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-10-11 00:00:00	100002182	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-21 00:00:00	None	Yes	2002-11-08 00:00:00	2002-10-16 00:00:00	A	Drop>Deficiency	20000	5000	0	5000	0	100016734	A99999	N	None	None	SFY2002-03
100000851	VINTAGE FAIRE NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-10-21 00:00:00	100002183	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-31 00:00:00	None	No	2002-11-08 00:00:00	None	B	None	800	800	-280	520	0	100016958	A99999	N	None	None	SFY2002-03
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-10-21 00:00:00	100002184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-24 00:00:00	None	No	2002-11-18 00:00:00	None	B	None	800	800	-280	520	0	100016783	A99999	N	None	None	SFY2002-03
100001445	MACIEL PROGRAM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2002-11-01 00:00:00	100002185	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-01-30 00:00:00	None	No	2002-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	100016385	A99999	N	None	None	SFY2002-03
100000100	STOLLWOOD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-11-01 00:00:00	100002186	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-03 00:00:00	None	Yes	2002-12-02 00:00:00	2002-11-20 00:00:00	A	A	18000	10000	0	10000	0	100016507	A99999	N	None	None	SFY2002-03
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-11-05 00:00:00	100002187	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-06-06 00:00:00	None	No	2002-12-02 00:00:00	None	A	B	18000	12600	0	12600	0	100016896	A99999	N	None	None	SFY2002-03
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-11-14 00:00:00	100002188	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-07-13 00:00:00	None	Yes	2002-12-10 00:00:00	2002-01-21 00:00:00	A	A Trebled	20000	34430	0	34430	0	100016858	A99999	N	None	None	SFY2002-03
100000031	CASA DE MODESTO	LTC	SNF	Skilled Nursing Facility	Fresno	2002-11-18 00:00:00	100002189	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-22 00:00:00	None	No	2002-12-13 00:00:00	None	A	None	15000	15000	-5250	9750	0	100017153	A99999	N	None	None	SFY2002-03
100000035	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Stockton	2002-11-14 00:00:00	100002190	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-23 00:00:00	None	Yes	2003-03-12 00:00:00	2002-12-03 00:00:00	B	B	500	500	0	500	0	100017093	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-11-15 00:00:00	100002191	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-08-20 00:00:00	None	No	2002-12-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	100017058	A99999	N	None	None	SFY2002-03
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2002-11-15 00:00:00	100002192	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-06-09 00:00:00	None	No	2002-12-13 00:00:00	None	A	A	16000	8000	0	8000	0	100016679	A99999	N	None	None	SFY2002-03
100000104	VIENNA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-11-21 00:00:00	100002193	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-10-20 00:00:00	None	Yes	2002-12-16 00:00:00	2002-12-04 00:00:00	B	B	600	600	0	600	0	100017202	A99999	N	None	None	SFY2002-03
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-12-05 00:00:00	100002194	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-29 00:00:00	None	No	2003-01-15 00:00:00	None	B	None	1000	1000	-350	650	0	100016825	A99999	N	None	None	SFY2002-03
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-12-27 00:00:00	100002195	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-15 00:00:00	None	Yes	2003-01-28 00:00:00	2002-12-31 00:00:00	A	A	15000	15000	0	15000	0	100016506	A99999	N	None	None	SFY2002-03
100000175	CASA DEL MAR #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2003-01-02 00:00:00	100002197	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-05 00:00:00	None	No	2003-01-30 00:00:00	None	B	None	700	700	-245	455	0	100017160	A99999	N	None	None	SFY2002-03
100001154	RCCA - LA ALMENDRA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2003-02-13 00:00:00	100002200	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE SELF REPORTED	2002-11-09 00:00:00	None	No	2003-03-11 00:00:00	None	B	None	500	500	-175	325	0	100017370	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-02-21 00:00:00	100002202	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-04 00:00:00	None	No	2003-03-19 00:00:00	None	B	None	1000	3000	0	3000	0	100017227	A99999	N	None	None	SFY2002-03
100001482	RCCA - GREEN PARK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2003-02-26 00:00:00	100002203	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-14 00:00:00	None	No	2003-03-19 00:00:00	None	B	None	1000	1000	-350	650	0	100017109	A99999	N	None	None	SFY2002-03
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-03-04 00:00:00	100002204	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-27 00:00:00	None	No	2003-04-04 00:00:00	None	B	None	800	800	-280	520	0	100017418	A99999	N	None	None	SFY2002-03
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-03-06 00:00:00	100002206	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-01 00:00:00	None	No	2003-04-09 00:00:00	None	B	None	500	500	-175	325	0	100017422	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-03-07 00:00:00	100002207	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-06-11 00:00:00	None	No	2003-04-03 00:00:00	None	A	None	20000	20000	-7000	13000	0	100016641	A99999	N	None	None	SFY2002-03
100000851	VINTAGE FAIRE NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2003-03-20 00:00:00	100002208	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-10 00:00:00	None	No	2003-04-21 00:00:00	None	B	None	500	500	0	500	0	100017616	A99999	N	None	None	SFY2002-03
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2003-03-21 00:00:00	100002209	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-06-17 00:00:00	None	Yes	2003-04-17 00:00:00	2003-03-25 00:00:00	A	B	15000	1000	0	1000	0	100016846	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-03-25 00:00:00	100002210	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-06-24 00:00:00	None	Yes	2003-04-18 00:00:00	2003-04-16 00:00:00	AA	A	85000	8500	0	8500	0	100016696	A99999	Y	None	None	SFY2002-03
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2003-04-03 00:00:00	100002211	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-05 00:00:00	None	No	2003-04-28 00:00:00	None	B	None	800	800	-280	520	0	100017680	A99999	N	None	None	SFY2002-03
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-04-03 00:00:00	100002212	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-31 00:00:00	2002-10-31 00:00:00	Yes	2003-05-06 00:00:00	2003-04-30 00:00:00	B	B	800	250	0	250	0	100017189	A99999	N	None	None	SFY2002-03
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-04-08 00:00:00	100002213	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-10 00:00:00	None	Yes	2003-05-09 00:00:00	2003-04-21 00:00:00	B	B	800	446	0	446	0	100017508	A99999	N	None	None	SFY2002-03
100000201	PRESIDENT JOHN ADAMS MANOR III - FALCONER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2003-04-15 00:00:00	100002214	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-04 00:00:00	None	Yes	2003-06-09 00:00:00	2003-05-14 00:00:00	B	B	500	500	0	500	0	100017768	A99999	N	None	None	SFY2002-03
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-05-06 00:00:00	100002216	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-27 00:00:00	None	No	2003-06-05 00:00:00	None	B	None	800	800	-280	520	0	100017561	A99999	N	None	None	SFY2002-03
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-05-13 00:00:00	100002218	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-07 00:00:00	None	No	2003-06-20 00:00:00	None	B	None	800	800	-280	520	0	100017743	A99999	N	None	None	SFY2002-03
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2003-05-22 00:00:00	100002219	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-29 00:00:00	None	No	2003-06-17 00:00:00	None	B	None	800	800	-280	520	0	100017221	A99999	N	None	None	SFY2002-03
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2003-05-22 00:00:00	100002220	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-29 00:00:00	None	No	2003-06-17 00:00:00	None	A	None	15000	15000	-5250	9750	0	100017221	A99999	N	None	None	SFY2002-03
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-06-05 00:00:00	100002221	Closed	Citation	Citation B (HSC 1424)	Other	GENERAL MAINTENANCE	2003-05-14 00:00:00	None	No	2003-07-07 00:00:00	None	B	None	800	800	-280	520	0	100017976	A99999	N	None	None	SFY2002-03
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-06-06 00:00:00	100002222	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-10 00:00:00	None	Yes	2003-07-07 00:00:00	2003-06-18 00:00:00	B	B	900	516	0	516	0	100017329	A99999	N	None	None	SFY2002-03
100001433	RCCA - WESTWOOD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2003-06-06 00:00:00	100002223	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-25 00:00:00	None	No	2003-06-27 00:00:00	None	B	None	800	800	-280	520	0	100017885	A99999	N	None	None	SFY2002-03
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-07-03 00:00:00	100002225	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-04 00:00:00	None	Yes	2003-07-31 00:00:00	2003-07-08 00:00:00	A	A	15000	5000	0	5000	0	100017468	A99999	N	None	None	SFY2003-04
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2003-07-25 00:00:00	100002227	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-06 00:00:00	None	No	2003-08-19 00:00:00	None	B	None	900	900	0	900	0	100018060	A99999	N	None	None	SFY2003-04
100000082	HARVEST CROSSING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2003-07-25 00:00:00	100002228	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-18 00:00:00	None	Yes	2004-01-09 00:00:00	2004-01-08 00:00:00	A	A	10000	10000	-10000	0	0	100017677	A99999	Y	None	None	SFY2003-04
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-08-22 00:00:00	100002229	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-14 00:00:00	None	No	2003-09-22 00:00:00	None	B	None	800	800	-280	520	0	100018102	A99999	N	None	None	SFY2003-04
100001681	RCCA - DUTRA PLACE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2003-08-26 00:00:00	100002230	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-02-17 00:00:00	None	Yes	2003-09-22 00:00:00	2003-08-29 00:00:00	B	B	500	500	0	500	0	100018291	A99999	N	None	None	SFY2003-04
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-08-26 00:00:00	100002231	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-15 00:00:00	None	No	2003-09-23 00:00:00	None	B	None	1000	1000	0	1000	0	100018185	A99999	N	None	None	SFY2003-04
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-09-04 00:00:00	100002232	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-08-27 00:00:00	None	Yes	2003-10-02 00:00:00	2003-09-10 00:00:00	A	Dismissed by Court	16000	0	0	0	0	100018266	A99999	N	None	None	SFY2003-04
100001639	RCCA - WAWONA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2003-09-16 00:00:00	100002234	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-07-13 00:00:00	None	Yes	2003-10-21 00:00:00	2003-09-22 00:00:00	A	B	9000	6000	0	6000	0	100018275	A99999	N	None	None	SFY2003-04
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2003-09-19 00:00:00	100002235	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-18 00:00:00	None	Yes	2003-10-27 00:00:00	2003-09-30 00:00:00	B	B	500	287	0	287	0	100018306	A99999	N	None	None	SFY2003-04
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-09-29 00:00:00	100002236	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-20 00:00:00	None	No	2003-10-28 00:00:00	None	B	None	1000	1000	-350	650	0	100018395	A99999	N	None	None	SFY2003-04
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-09-30 00:00:00	100002237	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-26 00:00:00	None	No	2003-10-30 00:00:00	None	B	None	1000	1000	0	1000	0	100018429	A99999	N	None	None	SFY2003-04
100001484	RCCA - LEQUEL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2003-10-14 00:00:00	100002238	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-30 00:00:00	None	No	2003-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	100018363	A99999	N	None	None	SFY2003-04
100000029	LODI CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-10-22 00:00:00	100002240	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-08-05 00:00:00	None	Yes	2003-12-02 00:00:00	2003-11-06 00:00:00	AA	AA	80000	35000	0	35000	0	100018320	A99999	Y	None	None	SFY2003-04
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2003-10-23 00:00:00	100002241	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-19 00:00:00	None	Yes	2003-12-11 00:00:00	2003-10-28 00:00:00	B	B	800	400	0	400	0	100018166	A99999	N	None	None	SFY2003-04
100000170	ALTA'S ICF, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2003-11-19 00:00:00	100002243	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-28 00:00:00	None	No	2003-12-17 00:00:00	None	B	None	800	800	-280	520	0	100018268	A99999	N	None	None	SFY2003-04
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2003-11-21 00:00:00	100002244	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-14 00:00:00	None	No	2003-12-26 00:00:00	None	B	None	800	800	-280	520	0	100017877	A99999	N	None	None	SFY2003-04
100000058	TRACY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2003-11-26 00:00:00	100002246	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-05 00:00:00	None	No	2003-12-26 00:00:00	None	B	None	1000	1000	-350	650	0	100018583	A99999	N	None	None	SFY2003-04
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-12-17 00:00:00	100002247	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-16 00:00:00	None	Yes	2004-01-16 00:00:00	2004-01-08 00:00:00	B	B	900	900	0	900	0	100018647	A99999	N	None	None	SFY2003-04
100000021	CASA COLOMA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-12-23 00:00:00	100002248	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-12-09 00:00:00	None	Yes	2004-01-23 00:00:00	2004-01-14 00:00:00	A	A	18000	2000	0	2000	0	100018591	A99999	N	None	None	SFY2003-04
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-12-30 00:00:00	100002249	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-16 00:00:00	None	No	2004-01-22 00:00:00	None	B	None	1000	1000	0	1000	0	100018336	A99999	N	None	None	SFY2003-04
100000962	CAPITAL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-01-02 00:00:00	100002250	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-30 00:00:00	None	No	2004-02-03 00:00:00	None	B	None	800	800	0	800	0	100017961	A99999	N	None	None	SFY2003-04
100000851	VINTAGE FAIRE NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2004-02-03 00:00:00	100002251	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-30 00:00:00	None	No	2004-03-08 00:00:00	None	A	A	18000	3000	0	3000	0	100018534	A99999	N	None	None	SFY2003-04
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2004-02-25 00:00:00	100002252	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-16 00:00:00	None	No	2004-03-19 00:00:00	None	B	None	800	800	-280	520	0	100018885	A99999	N	None	None	SFY2003-04
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-03-11 00:00:00	100002253	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-08 00:00:00	None	No	2004-04-12 00:00:00	None	A	None	18000	18000	-6300	11700	0	100018500	A99999	N	None	None	SFY2003-04
100001804	MY FRIENDS PEDIATRIC DAY HEALTH CARE CENTER II	LTC	PDHRCF	Pediatric Day Health & Respite Care Facility	Sacramento	2004-03-15 00:00:00	100002255	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-02-18 00:00:00	None	No	2004-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	100018959	A99999	N	None	None	SFY2003-04
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2004-03-17 00:00:00	100002256	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-03 00:00:00	None	No	2004-05-03 00:00:00	None	B	None	1000	1000	-350	650	0	100018734	A99999	N	None	None	SFY2003-04
100000039	WINDSOR HAMPTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2004-03-19 00:00:00	100002257	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-03 00:00:00	None	Yes	2004-04-15 00:00:00	2004-04-01 00:00:00	B	B	800	400	0	400	0	100018845	A99999	N	None	None	SFY2003-04
100001639	RCCA - WAWONA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2004-03-23 00:00:00	100002258	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-01 00:00:00	None	No	2004-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	100018985	A99999	N	None	None	SFY2003-04
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2004-03-24 00:00:00	100002259	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-01 00:00:00	None	No	2004-04-15 00:00:00	None	B	None	800	800	-280	520	0	100019032	A99999	N	None	None	SFY2003-04
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-04-28 00:00:00	100002261	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-02-10 00:00:00	None	No	2004-05-24 00:00:00	None	A	None	18000	18000	-6300	11700	0	100018973	A99999	N	None	None	SFY2003-04
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-05-20 00:00:00	100002262	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-16 00:00:00	None	No	2004-06-16 00:00:00	None	B	None	1000	1000	-350	650	0	100018336	A99999	N	None	None	SFY2003-04
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2004-07-19 00:00:00	100002264	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-01-06 00:00:00	None	Yes	2004-08-23 00:00:00	2004-07-21 00:00:00	A	B	18000	18000	0	18000	0	100018810	A99999	N	None	None	SFY2004-05
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-07-27 00:00:00	100002265	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-05 00:00:00	None	No	2004-08-17 00:00:00	None	B	None	1000	1000	0	1000	0	100019313	A99999	N	None	None	SFY2004-05
100001681	RCCA - DUTRA PLACE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2004-08-04 00:00:00	100002268	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-07-11 00:00:00	None	Yes	2004-08-31 00:00:00	2004-08-10 00:00:00	B	B	1000	500	0	500	0	100019390	A99999	N	None	None	SFY2004-05
100001681	RCCA - DUTRA PLACE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2004-08-04 00:00:00	100002269	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-11 00:00:00	None	Yes	2004-08-31 00:00:00	2004-08-10 00:00:00	B	B	1000	500	0	500	0	100019390	A99999	N	None	None	SFY2004-05
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-09-03 00:00:00	100002270	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-03-20 00:00:00	None	Yes	2004-10-12 00:00:00	2004-09-15 00:00:00	A	None	18000	18000	0	18000	0	100019496	A99999	N	None	None	SFY2004-05
100000814	WAGNER HEIGHTS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2004-09-16 00:00:00	100002271	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-30 00:00:00	None	No	2004-10-15 00:00:00	None	B	None	500	500	-175	325	0	100018556	A99999	N	None	None	SFY2004-05
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-10-19 00:00:00	100002272	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-22 00:00:00	None	No	2004-11-09 00:00:00	None	B	None	800	800	-280	520	0	100019472	A99999	N	None	None	SFY2004-05
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-10-19 00:00:00	100002273	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-22 00:00:00	None	No	2004-11-09 00:00:00	None	B	None	800	800	-280	520	0	100019472	A99999	N	None	None	SFY2004-05
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-10-21 00:00:00	100002274	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-27 00:00:00	None	No	2004-11-12 00:00:00	None	B	None	500	500	-175	325	0	100019610	A99999	N	None	None	SFY2004-05
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2004-10-28 00:00:00	100002275	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-12 00:00:00	None	No	2004-11-19 00:00:00	None	B	None	1000	3000	-1050	1950	0	100019653	A99999	N	None	None	SFY2004-05
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2004-11-10 00:00:00	100002276	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-25 00:00:00	None	Yes	2004-12-20 00:00:00	2004-11-17 00:00:00	B	B	700	350	0	350	0	100019680	A99999	N	None	None	SFY2004-05
100001639	RCCA - WAWONA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2004-11-10 00:00:00	100002277	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-18 00:00:00	None	Yes	2004-12-14 00:00:00	2004-11-18 00:00:00	B	B	1000	500	0	500	0	100019652	A99999	N	None	None	SFY2004-05
100001482	RCCA - GREEN PARK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2004-11-17 00:00:00	100002278	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-08-13 00:00:00	None	No	2004-12-17 00:00:00	None	A	None	9000	9000	-3150	5850	0	100019493	A99999	N	None	None	SFY2004-05
100001299	RCCA - FARNELL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2004-11-18 00:00:00	100002279	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-13 00:00:00	None	No	2004-12-22 00:00:00	None	B	None	500	500	-175	325	0	100019662	A99999	N	CA00020033, CA00020212	B, B	SFY2004-05
100000962	CAPITAL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-12-13 00:00:00	100002280	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-05-04 00:00:00	None	Yes	2005-01-13 00:00:00	2004-12-17 00:00:00	AA	A	80000	100000	0	100000	0	100019764	A99999	Y	None	None	SFY2004-05
100001482	RCCA - GREEN PARK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2004-12-22 00:00:00	100002281	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-20 00:00:00	None	No	2005-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	100019793	A99999	N	None	None	SFY2004-05
100001639	RCCA - WAWONA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2005-02-03 00:00:00	100002282	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-12-11 00:00:00	None	Yes	2005-03-16 00:00:00	2005-02-14 00:00:00	B	B	1000	500	0	500	0	100019907	A99999	N	None	None	SFY2004-05
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2005-02-04 00:00:00	100002283	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-12-10 00:00:00	None	No	2005-02-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	100019894	A99999	N	None	None	SFY2004-05
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2005-03-07 00:00:00	100002284	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE-NOT REPORTED	2004-12-04 00:00:00	None	Yes	2005-03-28 00:00:00	2005-03-14 00:00:00	B	B	1000	400	0	400	0	100019796	A99999	N	None	None	SFY2004-05
100000015	CRESCENT COURT NURSING HOME	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-03-29 00:00:00	100002285	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-21 00:00:00	None	No	2005-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	100019940	A99999	N	CA00036558	C	SFY2004-05
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2005-04-13 00:00:00	100002286	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-12-16 00:00:00	None	Yes	2006-11-08 00:00:00	2006-11-01 00:00:00	A	A	17000	4000	0	4000	0	100019788	A99999	N	None	None	SFY2004-05
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2005-04-14 00:00:00	100002287	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-24 00:00:00	None	No	2005-05-05 00:00:00	None	B	None	900	900	-315	585	0	100019942	A99999	N	None	None	SFY2004-05
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-04-15 00:00:00	100002288	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-11 00:00:00	None	No	2005-05-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	100019943	A99999	N	None	None	SFY2004-05
100000048	WINDSOR ELK GROVE CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-05-04 00:00:00	100002289	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-14 00:00:00	None	Yes	2005-06-03 00:00:00	2005-05-06 00:00:00	B	B	800	440	0	440	0	100019947	A99999	N	None	None	SFY2004-05
100000032	BROOKSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2005-05-10 00:00:00	100002290	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-11-15 00:00:00	None	No	2005-06-01 00:00:00	None	B	None	800	800	-280	520	0	100019948	A99999	N	None	None	SFY2004-05
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2005-05-11 00:00:00	100002291	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-21 00:00:00	None	Yes	2005-06-14 00:00:00	2005-05-18 00:00:00	B	B	800	400	0	400	0	100019949	A99999	N	None	None	SFY2004-05
100000100	STOLLWOOD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-05-16 00:00:00	100002292	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE-NOT REPORTED	2004-11-24 00:00:00	None	No	2005-06-07 00:00:00	None	B	None	800	800	-280	520	0	100019950	A99999	N	None	None	SFY2004-05
100000029	LODI CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-06-01 00:00:00	100002293	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-01-08 00:00:00	None	Yes	2005-06-22 00:00:00	2005-06-20 00:00:00	A	A	18000	9000	0	9000	0	100019891	A99999	N	None	None	SFY2004-05
100000057	GREENHAVEN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-06-02 00:00:00	100002294	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-06 00:00:00	None	No	2005-06-29 00:00:00	None	B	None	800	800	-280	520	0	100019954	A99999	N	None	None	SFY2004-05
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-06-07 00:00:00	100002295	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-05-17 00:00:00	None	No	2005-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	100019955	A99999	N	None	None	SFY2004-05
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-06-22 00:00:00	100002296	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-17 00:00:00	None	No	2005-07-19 00:00:00	None	B	None	800	800	-280	520	0	100019959	A99999	N	None	None	SFY2004-05
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2005-06-23 00:00:00	100002297	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-15 00:00:00	None	No	2005-07-15 00:00:00	None	B	None	800	850	-280	570	0	100019961	A99999	N	None	None	SFY2004-05
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-10-14 00:00:00	100002299	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-09 00:00:00	None	Yes	2005-11-17 00:00:00	2005-11-04 00:00:00	B	None	1000	1000	0	1000	0	100019965	A99999	N	CA00075767	B	SFY2005-06
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2005-11-18 00:00:00	100002300	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-24 00:00:00	None	Yes	2005-12-19 00:00:00	2005-11-23 00:00:00	B	B	1000	500	0	500	0	100019967	A99999	N	None	None	SFY2005-06
100001681	RCCA - DUTRA PLACE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2005-11-29 00:00:00	100002301	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-17 00:00:00	None	No	2006-01-09 00:00:00	None	B	None	1000	1000	0	1000	0	100019968	A99999	N	None	None	SFY2005-06
100000042	RIVER VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2006-01-11 00:00:00	100002302	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-05 00:00:00	None	No	2006-02-02 00:00:00	None	B	None	1000	1000	-350	650	0	100019971	A99999	N	None	None	SFY2005-06
100001639	RCCA - WAWONA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2006-01-11 00:00:00	100002303	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-06 00:00:00	None	No	2006-02-02 00:00:00	None	B	None	1000	1000	-350	650	0	100019972	A99999	N	None	None	SFY2005-06
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-01-13 00:00:00	100002304	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-08-03 00:00:00	2005-08-03 00:00:00	No	2006-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	100019973	A99999	N	CA00057033	A	SFY2005-06
080000068	KEARNY MESA CONVALESCENT AND NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Diego	2018-12-20 00:00:00	100014664	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-05-26 00:00:00	2018-05-26 00:00:00	No	2019-01-11 00:00:00	None	B	None	800	800	0	800	0	None	EQCN11	N	CA00588800	B	SFY2018-19
090000029	ARROYO VISTA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2018-12-20 00:00:00	100014665	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-25 00:00:00	2018-09-25 00:00:00	No	2019-01-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	OJKN11	N	None	None	SFY2018-19
080001515	BAYSHIRE TORREY PINES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2019-02-01 00:00:00	100014778	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-01-13 00:00:00	2018-01-13 00:00:00	No	2019-02-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QAEQ11	N	CA00570024, CA00570024	B, B	SFY2018-19
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2019-02-15 00:00:00	100014821	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-04-06 00:00:00	2018-04-06 00:00:00	No	2019-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MMEK11	N	CA00587851, CA00587851	B, B	SFY2018-19
080000059	LAKESIDE SPECIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-06-03 00:00:00	100015120	Closed	Citation	Citation B (HSC 1424)	Other	FAILURE TO REPORT	2018-12-14 00:00:00	2018-12-14 00:00:00	No	2019-06-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	WW6G11	N	CA00616158	B	SFY2018-19
090000107	SOUTH BAY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2019-06-12 00:00:00	100015125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-14 00:00:00	2018-05-14 00:00:00	No	2019-07-03 00:00:00	None	B	None	1500	1900	-525	1375	0	None	89NE11	N	CA00587473	B	SFY2018-19
090000065	BALBOA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-06-12 00:00:00	100015136	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-14 00:00:00	2019-05-14 00:00:00	No	2019-07-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8Q3V11	N	CA00614451, CA00614451	B, B	SFY2018-19
090000745	MONTGOMERY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2019-06-24 00:00:00	100015174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-11-19 00:00:00	2018-11-19 00:00:00	No	2019-07-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	DVUJ11	N	CA00611333	B	SFY2018-19
090000034	PARKSIDE HEALTH AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-06-25 00:00:00	100015195	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-07-08 00:00:00	2018-07-08 00:00:00	No	2019-07-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1SF111	N	CA00594013, CA00594606	B, B	SFY2018-19
090000051	BRIGHTON PLACE SAN DIEGO	LTC	SNF	Skilled Nursing Facility	San Diego	2019-07-17 00:00:00	100015225	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-04-26 00:00:00	2019-04-26 00:00:00	No	2019-08-07 00:00:00	None	B	None	800	800	-280	520	0	None	5ZCM11	N	CA00635280	A	SFY2019-20
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-09-12 00:00:00	100015386	Closed	Citation	Citation B (HSC 1424)	Other	REFUSAL TO READMIT	2018-08-31 00:00:00	2018-08-31 00:00:00	No	2019-10-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	EH1O11	N	CA00645126	B	SFY2019-20
090000009	REO VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-10-07 00:00:00	100015443	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-09 00:00:00	2019-02-09 00:00:00	No	2019-10-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	103U11	N	CA00623726	B	SFY2019-20
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2019-11-05 00:00:00	100015511	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-28 00:00:00	2019-08-28 00:00:00	No	2019-11-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OPGD11	N	CA00652451	B	SFY2019-20
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-11-15 00:00:00	100015538	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-03 00:00:00	2019-04-03 00:00:00	No	2019-12-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H30L11	N	CA00638766, CA00638766	B, B	SFY2019-20
090000018	EDGEMOOR HOSPITAL DP/SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2019-11-26 00:00:00	100015547	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-04-24 00:00:00	2019-04-24 00:00:00	No	2019-12-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	NPHC11	N	CA00635020	B	SFY2019-20
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2020-01-09 00:00:00	100015634	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-27 00:00:00	2019-07-27 00:00:00	No	2020-01-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6GQF11	N	CA00631673, CA00631673	A, A	SFY2019-20
080000962	THE SPRINGS AT PACIFIC REGENT	LTC	SNF	Skilled Nursing Facility	San Diego	2020-01-24 00:00:00	100015705	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-12 00:00:00	2019-12-12 00:00:00	No	2020-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GOF111	N	CA00623049	B	SFY2019-20
090000057	LA MESA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2020-01-24 00:00:00	100015713	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-05 00:00:00	2019-09-05 00:00:00	No	2020-02-14 00:00:00	None	B	None	1500	1500	-525	975	0	None	F94L11	N	CA00653266	B	SFY2019-20
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2020-01-29 00:00:00	100015716	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-11-30 00:00:00	2019-11-30 00:00:00	No	2020-02-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MDAV11	N	CA00665823	B	SFY2019-20
090000029	ARROYO VISTA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2021-01-07 00:00:00	100016225	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-03-05 00:00:00	2020-03-05 00:00:00	No	2021-01-29 00:00:00	None	B	None	1200	1200	-420	780	0	None	P78V11	N	CA00698464	B	SFY2020-21
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2021-05-18 00:00:00	100016510	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-19 00:00:00	2019-06-19 00:00:00	No	2021-06-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4CFS11	N	CA00643512	A	SFY2020-21
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2021-05-24 00:00:00	100016538	Open	Citation	Citation A (HSC 1424)	Other	ABUSE POLICY	2020-01-13 00:00:00	2020-01-13 00:00:00	Yes	2021-06-15 00:00:00	2021-06-07 00:00:00	A	None	16000	16000	0	0	16000	None	LXYP11	N	CA00671254	A	SFY2020-21
090000118	HILLDALE HABILITATION CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2021-09-29 00:00:00	100016831	Closed	Citation	Citation B (HSC 1424)	Other	nursing services	2019-06-05 00:00:00	2019-06-05 00:00:00	No	2021-10-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OPBI11	Y	CA00640707	B	SFY2021-22
090000029	ARROYO VISTA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2021-09-29 00:00:00	100016966	Closed	Citation	Citation B (HSC 1424)	Other	Discharge Process	2020-07-27 00:00:00	2020-07-27 00:00:00	No	2021-10-20 00:00:00	None	B	None	1500	1500	0	1500	0	None	KV6E11	N	CA00698995, CA00698995, CA00698995, CA00698995, CA00698995	B, B, B, B, B	SFY2021-22
090000118	HILLDALE HABILITATION CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2021-12-23 00:00:00	100017223	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-04-08 00:00:00	2020-04-08 00:00:00	No	2022-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SIQ111	N	CA00684264	B	SFY2021-22
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2022-06-13 00:00:00	100017706	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-11-19 00:00:00	2021-11-19 00:00:00	No	2022-07-05 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	QZO611	Y	CA00762107, CA00762107	B, B	SFY2021-22
090000011	THE PAVILION AT OCEAN POINT	LTC	SNF	Skilled Nursing Facility	San Diego	2022-08-04 00:00:00	100017873	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-03-11 00:00:00	2021-03-11 00:00:00	No	2022-08-25 00:00:00	None	B	None	1400	1400	0	1400	0	None	XJFX11	N	CA00728691, CA00729084	B, B	SFY2022-23
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2022-09-16 00:00:00	100017993	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2021-07-12 00:00:00	2021-07-12 00:00:00	No	2022-10-07 00:00:00	None	B	None	1500	1500	-525	975	0	None	Z46M11	N	None	None	SFY2022-23
090000042	WINDSOR GARDENS CONVALESCENT CENTER OF SAN DIEGO	LTC	SNF	Skilled Nursing Facility	San Diego	2022-10-21 00:00:00	100018096	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-20 00:00:00	2022-09-20 00:00:00	No	2022-11-14 00:00:00	None	B	None	1400	1400	-490	910	0	None	KM0M11	N	CA00804097, CA00804097	B, B	SFY2022-23
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-01-24 00:00:00	100018347	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-26 00:00:00	2022-01-26 00:00:00	No	2023-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M16611	N	CA00770723, CA00770982	A, B	SFY2022-23
090000729	CORTE MARIA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2023-02-06 00:00:00	100018372	Closed	Citation	Citation B (HSC 1424)	Other	ftr elopement	2022-08-28 00:00:00	2022-08-28 00:00:00	No	2023-02-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	37IM11	N	CA00801764	B	SFY2022-23
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-05-09 00:00:00	100018727	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-01 00:00:00	2023-02-01 00:00:00	No	2023-05-31 00:00:00	None	B	None	2400	2400	-840	1560	0	None	QNO811	N	CA00824692	B	SFY2022-23
080000094	BRADLEY COURT	LTC	SNF	Skilled Nursing Facility	San Diego	2023-05-10 00:00:00	100018731	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-20 00:00:00	2020-02-20 00:00:00	No	2023-06-01 00:00:00	None	A	None	20000	20000	0	20000	0	None	BF1411	Y	CA00677267, CA00677267	B, B	SFY2022-23
090000009	REO VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-06-27 00:00:00	100018900	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-13 00:00:00	2023-04-13 00:00:00	No	2023-07-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Y8LQ11	N	CA00836331	B	SFY2022-23
090000105	SOMERSET SUBACUTE AND CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2023-06-30 00:00:00	100018916	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-26 00:00:00	2023-03-26 00:00:00	No	2023-07-24 00:00:00	None	A	None	51000	51200	-17850	33350	0	None	JSFX11	N	CA00835079, CA00835079, CA00835079	B, B, B	SFY2022-23
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2023-07-14 00:00:00	100018951	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-10-29 00:00:00	2022-10-29 00:00:00	No	2023-08-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DI0T11	N	CA00838299	B	SFY2023-24
090000071	LEMON GROVE CARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-08-18 00:00:00	100019077	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-16 00:00:00	2022-09-16 00:00:00	No	2023-09-11 00:00:00	None	A	None	20000	20100	-7000	13000	100	None	Q68H11	Y	CA00842213, CA00842213, CA00842213, CA00842213, CA00842213, CA00842213, CA00842213	B, B, B, B, B, B, B	SFY2023-24
090000074	COTTONWOOD CANYON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-08-31 00:00:00	100019110	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-06-18 00:00:00	2023-06-18 00:00:00	No	2023-09-22 00:00:00	None	B	None	1500	1500	-525	975	0	None	OVM611	N	CA00846283	B	SFY2023-24
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-09-15 00:00:00	100019157	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-07-30 00:00:00	2023-07-30 00:00:00	No	2023-10-06 00:00:00	None	B	None	2700	2700	-945	1755	0	None	4H5111	N	CA00853135	B	SFY2023-24
090000315	MOUNTAIN SHADOWS COMMUNITY HOMES - TANGELO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2023-09-14 00:00:00	100019161	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-30 00:00:00	2022-01-30 00:00:00	No	2023-10-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WCZU11	Y	CA00771793, CA00771793, CA00772038, CA00772038	B, B, B, B	SFY2023-24
080001751	GLENBROOK	LTC	SNF	Skilled Nursing Facility	San Diego	2023-09-28 00:00:00	100019204	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-05 00:00:00	2021-03-05 00:00:00	No	2023-10-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MDQ611	Y	CA00777833, CA00777833	B, B	SFY2023-24
090000128	LETICIA GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2023-10-24 00:00:00	100019293	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-30 00:00:00	2023-07-30 00:00:00	No	2023-11-15 00:00:00	None	B	None	1000	1150	-350	650	150	None	5FOI11	N	CA00855381	B	SFY2023-24
630003961	SAVA HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2023-10-26 00:00:00	100019297	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-05-16 00:00:00	2021-05-16 00:00:00	No	2023-11-17 00:00:00	None	B	None	1200	1200	0	1200	0	None	PJRY11	N	CA00737519, CA00737522, CA00737837	A, A, B	SFY2023-24
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2023-10-26 00:00:00	100019298	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-01-27 00:00:00	2022-01-27 00:00:00	No	2023-11-17 00:00:00	None	B	None	1200	1200	-420	780	0	None	T25L11	N	CA00771168	B	SFY2023-24
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2023-10-31 00:00:00	100019319	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-08-24 00:00:00	2023-08-24 00:00:00	No	2023-11-22 00:00:00	None	AA	None	96000	97200	0	0	97200	None	4S4T11	Y	CA00857677, CA00857677, CA00857677	B, B, B	SFY2023-24
090000009	REO VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-11-15 00:00:00	100019361	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-17 00:00:00	2023-08-17 00:00:00	No	2023-12-08 00:00:00	None	B	None	3000	9000	0	9000	0	None	VS7A11	N	CA00861244	B	SFY2023-24
090000416	SHARP CHULA VISTA MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2023-12-01 00:00:00	100019406	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-09 00:00:00	2023-11-09 00:00:00	No	2023-12-22 00:00:00	None	B	None	2100	2100	-735	1365	0	None	GCLN11	N	None	None	SFY2023-24
090000071	LEMON GROVE CARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-03-12 00:00:00	100019853	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-13 00:00:00	2024-01-13 00:00:00	No	2024-04-02 00:00:00	None	B	None	2400	2400	-840	1560	0	None	RDLK11	N	CA00879730	B	SFY2023-24
090000071	LEMON GROVE CARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-03-12 00:00:00	100019857	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-13 00:00:00	2024-01-13 00:00:00	No	2024-04-02 00:00:00	None	B	None	2400	2400	0	2400	0	None	RDLK11	N	CA00879730	B	SFY2023-24
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-03-21 00:00:00	100019888	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-31 00:00:00	2024-01-31 00:00:00	No	2024-04-12 00:00:00	None	A	None	20000	20000	0	20000	0	None	I6O311	N	CA00885029	B	SFY2023-24
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-03-21 00:00:00	100019889	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-07 00:00:00	2023-11-07 00:00:00	No	2024-04-12 00:00:00	None	B	None	800	800	0	800	0	None	I6O311	N	None	None	SFY2023-24
090000006	MOUNT MIGUEL COVENANT VILLAGE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2024-03-22 00:00:00	100019895	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-06 00:00:00	2024-01-06 00:00:00	No	2024-04-15 00:00:00	None	B	None	1800	1800	0	1800	0	None	2EZC11	N	CA00878704	B	SFY2023-24
090000028	VILLA LAS PALMAS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-04-03 00:00:00	100019948	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-11-30 00:00:00	2023-11-30 00:00:00	No	2024-04-24 00:00:00	None	AA	None	96000	96000	-33600	62400	0	None	0WGK11	N	CA00879084	B	SFY2023-24
080000059	LAKESIDE SPECIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-04-22 00:00:00	100020039	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-17 00:00:00	2024-02-17 00:00:00	No	2024-05-13 00:00:00	None	B	None	2800	2800	-980	1820	0	None	5Y3811	N	CA00885596	B	SFY2023-24
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2024-05-08 00:00:00	100020115	Closed	Citation	Citation A (HSC 1424)	Patient Record	None	2022-07-20 00:00:00	2022-07-20 00:00:00	No	2024-05-30 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	KBSV11	N	CA00794706	B	SFY2023-24
080000694	VILLA RANCHO BERNARDO CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-05-09 00:00:00	100020120	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-06 00:00:00	2021-12-06 00:00:00	No	2024-05-31 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UE9I11	N	None	None	SFY2023-24
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2024-05-07 00:00:00	100020123	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-09 00:00:00	2022-06-09 00:00:00	No	2024-05-29 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	G40Z11	N	CA00788349	B	SFY2023-24
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2024-05-24 00:00:00	100020229	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-13 00:00:00	2024-04-13 00:00:00	No	2024-06-17 00:00:00	None	B	None	3000	3000	0	3000	0	None	JCMD11	N	None	None	SFY2023-24
090000083	BRIGHTON PLACE SPRING VALLEY	LTC	SNF	Skilled Nursing Facility	San Diego	2024-06-25 00:00:00	100020353	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-26 00:00:00	2023-10-26 00:00:00	No	2024-07-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	X45T11	N	None	None	SFY2023-24
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-13 00:00:00	110001430	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-10 00:00:00	1999-11-10 00:00:00	No	2000-02-04 00:00:00	None	B	None	1000	1000	-350	650	0	110010638	A99999	N	None	None	SFY1999-00
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-20 00:00:00	110001434	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	1999-11-29 00:00:00	1999-12-29 00:00:00	No	2000-02-17 00:00:00	None	B	None	500	500	-175	325	0	110010646	A99999	N	None	None	SFY1999-00
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-28 00:00:00	110001440	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-26 00:00:00	None	No	2000-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	110010662	A99999	N	None	None	SFY1999-00
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-02-24 00:00:00	110001718	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-06-24 00:00:00	2000-01-06 00:00:00	No	2000-03-20 00:00:00	None	B	None	1000	1400	-350	1050	0	110012242	A99999	N	None	None	SFY1999-00
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-02-24 00:00:00	110001719	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-01 00:00:00	2000-01-01 00:00:00	No	2000-03-20 00:00:00	None	B	None	800	800	-280	520	0	110012242	A99999	N	None	None	SFY1999-00
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-10 00:00:00	110001722	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-05 00:00:00	None	No	2000-04-03 00:00:00	None	B	None	800	800	-280	520	0	110012302	A99999	N	None	None	SFY1999-00
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-16 00:00:00	110001726	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-05-15 00:00:00	1999-05-15 00:00:00	No	2000-04-10 00:00:00	None	A	None	8000	8000	0	8000	0	110012318	A99999	N	None	None	SFY1999-00
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-16 00:00:00	110001727	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-08 00:00:00	1999-10-09 00:00:00	No	2000-04-10 00:00:00	None	A	None	8000	8000	-2800	5200	0	110012320	A99999	N	None	None	SFY1999-00
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-21 00:00:00	110001728	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-03-06 00:00:00	2000-01-08 00:00:00	No	2000-04-11 00:00:00	None	A	None	7000	7000	-2450	4550	0	110012336	A99999	N	None	None	SFY1999-00
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-21 00:00:00	110001729	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-11 00:00:00	None	No	2000-04-11 00:00:00	None	A	None	5000	5000	-1750	3250	0	110012336	A99999	N	None	None	SFY1999-00
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-21 00:00:00	110001731	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-08 00:00:00	2000-03-08 00:00:00	No	2000-04-11 00:00:00	None	B	None	1000	1000	0	1000	0	110012339	A99999	N	None	None	SFY1999-00
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-07-25 00:00:00	110001765	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-07 00:00:00	1999-10-08 00:00:00	Yes	2000-08-17 00:00:00	2000-08-07 00:00:00	A	A	10000	7500	0	7500	0	110012890	A99999	N	None	None	SFY2000-01
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-07-31 00:00:00	110001767	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-16 00:00:00	None	Yes	2000-08-21 00:00:00	2000-08-07 00:00:00	A	A	5000	5000	0	5000	0	110012911	A99999	N	None	None	SFY2000-01
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-12 00:00:00	110001775	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-01 00:00:00	2000-01-31 00:00:00	No	2000-10-09 00:00:00	None	B	None	1000	1000	-350	650	0	110013033	A99999	N	None	None	SFY2000-01
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-10-19 00:00:00	110001787	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-10 00:00:00	2000-03-10 00:00:00	No	2000-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	110013304	A99999	N	None	None	SFY2000-01
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-10-27 00:00:00	110001796	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-01-01 00:00:00	2000-01-02 00:00:00	Yes	2000-11-22 00:00:00	2000-11-01 00:00:00	A	A	10000	10000	-7500	2500	0	110013355	A99999	N	None	None	SFY2000-01
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-12-08 00:00:00	110001807	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-01 00:00:00	2000-03-01 00:00:00	No	2001-01-03 00:00:00	None	B	None	1000	1000	-350	650	0	110013585	A99999	N	None	None	SFY2000-01
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-12-08 00:00:00	110001808	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-14 00:00:00	2000-04-14 00:00:00	Yes	2000-12-29 00:00:00	2000-12-15 00:00:00	B	None	1000	1000	-1000	0	0	110013587	A99999	N	None	None	SFY2000-01
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-12-08 00:00:00	110001809	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-09-03 00:00:00	None	No	2001-01-05 00:00:00	None	B	None	1000	1000	-350	650	0	110013588	A99999	N	None	None	SFY2000-01
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-12-15 00:00:00	110001813	Closed	Citation	Citation A (HSC 1424)	Administration	None	2000-10-09 00:00:00	2000-10-10 00:00:00	No	2001-01-11 00:00:00	None	A	None	10000	10000	-3500	6500	0	110013639	A99999	N	None	None	SFY2000-01
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-12-20 00:00:00	110001814	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-07-22 00:00:00	None	Yes	2001-01-10 00:00:00	2001-06-25 00:00:00	A	A	7500	7500	-5625	1875	0	110013674	A99999	N	None	None	SFY2000-01
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-02-13 00:00:00	110001828	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-07 00:00:00	2000-07-31 00:00:00	No	2001-03-12 00:00:00	None	B	None	800	800	-280	520	0	110013962	A99999	N	None	None	SFY2000-01
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-02-08 00:00:00	110001829	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-24 00:00:00	2000-05-27 00:00:00	Yes	2001-03-05 00:00:00	2001-02-20 00:00:00	A	A	14500	10875	0	10875	0	110013969	A99999	N	None	None	SFY2000-01
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-22 00:00:00	110001832	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-20 00:00:00	2000-06-20 00:00:00	Yes	2001-04-12 00:00:00	2001-03-23 00:00:00	A	A	12000	7500	0	7500	0	110014095	A99999	N	None	None	SFY2000-01
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-22 00:00:00	110001833	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-31 00:00:00	2001-01-01 00:00:00	No	2001-04-17 00:00:00	None	B	None	1000	1000	0	1000	0	110014097	A99999	N	None	None	SFY2000-01
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-27 00:00:00	110001834	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-09-13 00:00:00	2000-09-13 00:00:00	No	2001-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	110014107	A99999	N	None	None	SFY2000-01
110000760	THE MEADOWS OF NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-04-06 00:00:00	110001835	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-02-25 00:00:00	None	No	2001-04-27 00:00:00	None	B	None	800	800	-280	520	0	110014143	A99999	N	None	None	SFY2000-01
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-04-20 00:00:00	110001838	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-11 00:00:00	None	Yes	2001-05-14 00:00:00	2001-05-18 00:00:00	B	None	800	800	0	800	0	110014172	A99999	N	None	None	SFY2000-01
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-05-24 00:00:00	110001839	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-30 00:00:00	None	No	2001-06-15 00:00:00	None	B	None	750	750	-262.5	487.5	0	110014572	A99999	N	None	None	SFY2000-01
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-05-30 00:00:00	110001840	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-03 00:00:00	None	Yes	2002-08-28 00:00:00	2002-08-23 00:00:00	A	A	16000	3816.79	0	3816.79	0	110014589	A99999	N	None	None	SFY2000-01
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-05-30 00:00:00	110001841	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-05 00:00:00	2000-10-05 00:00:00	No	2001-06-20 00:00:00	None	A	None	16000	16000	-5600	10400	0	110014593	A99999	N	None	None	SFY2000-01
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-06-11 00:00:00	110001843	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-06 00:00:00	None	No	2001-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	110014634	A99999	N	None	None	SFY2000-01
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-06-18 00:00:00	110001846	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2001-01-25 00:00:00	2001-03-16 00:00:00	No	2001-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	110014658	A99999	N	None	None	SFY2000-01
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-06 00:00:00	110001848	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-18 00:00:00	2000-12-19 00:00:00	No	2001-07-27 00:00:00	None	B	None	700	700	-245	455	0	110014689	A99999	N	None	None	SFY2001-02
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-27 00:00:00	110001850	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-03 00:00:00	2001-07-11 00:00:00	No	2001-08-20 00:00:00	None	B	None	800	800	-280	520	0	110014804	A99999	N	None	None	SFY2001-02
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-31 00:00:00	110001851	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-20 00:00:00	2000-07-20 00:00:00	No	2001-08-24 00:00:00	None	B	None	1000	1000	0	1000	0	110014811	A99999	N	None	None	SFY2001-02
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-01 00:00:00	110001852	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-01-14 00:00:00	2000-10-02 00:00:00	Yes	2001-08-27 00:00:00	2000-11-01 00:00:00	AA	AA	80000	80000	-28000	52000	0	110014818	A99999	Y	None	None	SFY2001-02
110001210	DOCTORS MEDICAL CENTER - SAN PABLO/PINOLE D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-10 00:00:00	110001862	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-14 00:00:00	None	No	2000-02-08 00:00:00	None	A	None	10000	10000	-3500	6500	0	110015111	A99999	N	None	None	SFY1999-00
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-05 00:00:00	110001865	Closed	Citation	Citation B (HSC 1424)	Other	MEDICATION	2001-04-10 00:00:00	2001-05-07 00:00:00	No	2001-10-29 00:00:00	None	B	None	1000	1000	-350	650	0	110014522	A99999	N	None	None	SFY2001-02
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-09 00:00:00	110001866	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2001-07-16 00:00:00	2001-07-16 00:00:00	No	2001-11-06 00:00:00	None	B	None	800	800	-280	520	0	110015245	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001867	Closed	Citation	Citation B (HSC 1424)	Other	ADMIN, PATIENT CARE	2001-07-16 00:00:00	2001-08-30 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	Dismissed by Court	1000	0	0	0	0	110015293	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001868	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-07-18 00:00:00	2001-07-20 00:00:00	No	2001-11-09 00:00:00	None	B	None	1000	1000	-350	650	0	110015294	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001869	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-17 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015295	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001870	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-17 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015296	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-17 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015297	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001872	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-18 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015298	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001873	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-18 00:00:00	Yes	2001-11-21 00:00:00	2001-10-30 00:00:00	B	B	1000	579	0	579	0	110015299	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001874	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-18 00:00:00	Yes	2002-01-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015300	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001875	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-23 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015301	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001876	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-18 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015302	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001877	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-16 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015304	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001878	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-17 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015305	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001879	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-20 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015303	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001880	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-19 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015307	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001881	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-18 00:00:00	2001-07-19 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015308	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001882	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-19 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015309	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001883	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-23 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015310	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001884	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-23 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015311	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001885	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-20 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015312	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-20 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015313	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001887	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-20 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	578	0	578	0	110015314	A99999	N	None	None	SFY2001-02
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-23 00:00:00	110001888	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-23 00:00:00	2001-06-23 00:00:00	No	2001-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	110015317	A99999	N	None	None	SFY2001-02
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-25 00:00:00	110001889	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-08 00:00:00	2001-01-08 00:00:00	Yes	2001-11-20 00:00:00	2001-11-09 00:00:00	B	B	1000	650	0	650	0	110015339	A99999	N	None	None	SFY2001-02
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-25 00:00:00	110001890	Closed	Citation	Citation B (HSC 1424)	Other	PT. RIGHT, TRANSFER	2000-12-27 00:00:00	2000-12-27 00:00:00	No	2001-11-20 00:00:00	None	B	None	800	800	0	800	0	110015340	A99999	N	None	None	SFY2001-02
110000686	SUTTER MEDICAL CENTER OF SANTA ROSA-CHANATE CAMPUS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-16 00:00:00	110001893	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-06 00:00:00	1999-11-02 00:00:00	No	2001-12-11 00:00:00	None	A	None	10000	10000	-3500	6500	0	110014670	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001894	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-19 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001895	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-19 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001896	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-19 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001897	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-19 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-29 00:00:00	110001898	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-17 00:00:00	2000-11-16 00:00:00	No	2001-12-24 00:00:00	None	A	None	8000	8000	-2800	5200	0	110014473	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001899	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-19 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001900	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-19 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001901	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-19 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001902	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-01-02 00:00:00	2002-07-19 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-05 00:00:00	110001903	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-24 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-05 00:00:00	110001904	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-12 00:00:00	2002-07-02 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001913	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001914	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001915	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001916	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001917	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-12 00:00:00	2002-07-24 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001918	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001919	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001920	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-16 00:00:00	2001-12-28 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001921	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001922	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001923	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-19 00:00:00	2001-12-28 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-05 00:00:00	110001924	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-12 00:00:00	2002-07-24 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001925	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-12 00:00:00	2002-07-24 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001926	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-01-17 00:00:00	2002-07-15 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000760	THE MEADOWS OF NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-05 00:00:00	110001927	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-07 00:00:00	2000-07-07 00:00:00	No	2001-12-28 00:00:00	None	B	None	1000	1000	-350	650	0	110015470	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001928	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001929	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-07-15 00:00:00	2002-07-03 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001930	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-07-22 00:00:00	2002-07-03 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001931	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-19 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001932	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-07-31 00:00:00	2002-07-03 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001933	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-07-16 00:00:00	2002-07-03 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001934	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-07-15 00:00:00	2002-07-03 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001935	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-07-16 00:00:00	2002-07-03 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001936	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-07-15 00:00:00	2002-07-03 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001937	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001938	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001939	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-12 00:00:00	2002-07-24 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001941	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-19 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001942	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-25 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001943	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-03 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001944	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-05 00:00:00	2002-07-19 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001945	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-07-31 00:00:00	2002-07-03 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001946	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001947	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-07-15 00:00:00	2002-07-03 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001948	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-07-23 00:00:00	2002-07-03 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001949	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-26 00:00:00	2002-08-09 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001950	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-22 00:00:00	2002-07-29 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001951	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-23 00:00:00	2002-08-09 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001952	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-23 00:00:00	2002-08-08 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001953	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-01-02 00:00:00	2001-12-28 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001954	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-22 00:00:00	2002-08-05 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001955	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-26 00:00:00	2002-08-09 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001956	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-19 00:00:00	2002-07-29 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001957	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-19 00:00:00	2002-07-29 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-11 00:00:00	110001958	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	2001-04-20 00:00:00	Yes	2002-08-15 00:00:00	2002-07-30 00:00:00	B	B	1000	500	0	500	0	110015221	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-07 00:00:00	110001959	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-11 00:00:00	1999-12-09 00:00:00	No	2001-12-31 00:00:00	None	A	None	18000	18000	-6300	11700	0	110014896	A99999	N	None	None	SFY2001-02
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-14 00:00:00	110001960	Closed	Citation	Citation A (HSC 1424)	Other	MEDICATION, PT. CARE	2001-01-29 00:00:00	2001-01-31 00:00:00	Yes	2002-01-10 00:00:00	2001-12-27 00:00:00	A	A	16000	8000	0	8000	0	110013929	A99999	N	None	None	SFY2001-02
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-18 00:00:00	110001961	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-03 00:00:00	2001-05-03 00:00:00	No	2002-01-16 00:00:00	None	B	None	1000	1000	0	1000	0	110015147	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-21 00:00:00	110001962	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-25 00:00:00	2000-11-25 00:00:00	Yes	2002-01-14 00:00:00	2002-01-03 00:00:00	B	B	1000	500	0	500	0	110013999	A99999	N	None	None	SFY2001-02
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-21 00:00:00	110001963	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-25 00:00:00	2001-02-25 00:00:00	No	2002-01-17 00:00:00	None	B	None	1000	1000	-350	650	0	110014531	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-21 00:00:00	110001964	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-12 00:00:00	2001-01-19 00:00:00	Yes	2002-01-14 00:00:00	2002-01-03 00:00:00	B	B Trebled	1000	1500	0	1500	0	110013987	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-28 00:00:00	110001965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-06 00:00:00	2000-11-06 00:00:00	Yes	2002-08-29 00:00:00	2002-08-12 00:00:00	B	B	1000	500	0	500	0	110014487	A99999	N	None	None	SFY2001-02
110000064	HEART OF NAPA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-31 00:00:00	110001966	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-10 00:00:00	2001-04-10 00:00:00	Yes	2002-08-29 00:00:00	2002-08-12 00:00:00	B	B	1000	500	0	500	0	110015545	A99999	N	None	None	SFY2001-02
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-01-09 00:00:00	110001967	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-12 00:00:00	2000-03-16 00:00:00	Yes	2002-02-05 00:00:00	2002-01-31 00:00:00	A	B	15000	750	0	750	0	110015555	A99999	N	None	None	SFY2001-02
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-25 00:00:00	110001970	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-03 00:00:00	2001-11-03 00:00:00	No	2002-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	110015512	A99999	N	None	None	SFY2001-02
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-25 00:00:00	110001971	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-17 00:00:00	2000-07-17 00:00:00	Yes	2002-05-20 00:00:00	2002-05-02 00:00:00	B	B	1000	238.55	0	238.55	0	110015870	A99999	N	None	None	SFY2001-02
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-29 00:00:00	110001972	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-08 00:00:00	2000-10-08 00:00:00	No	2002-05-23 00:00:00	None	B	None	1000	1000	-350	650	0	110014603	A99999	N	None	None	SFY2001-02
110000016	CRESTWOOD MANOR VALLEJO	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-29 00:00:00	110001973	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-06 00:00:00	2000-05-06 00:00:00	No	2002-05-23 00:00:00	None	B	None	800	800	-280	520	0	110014474	A99999	N	None	None	SFY2001-02
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-17 00:00:00	110001974	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-21 00:00:00	2001-06-21 00:00:00	No	2002-06-11 00:00:00	None	B	None	1000	1000	-350	650	0	110014669	A99999	N	None	None	SFY2001-02
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-06-12 00:00:00	110001975	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-07-13 00:00:00	1999-07-13 00:00:00	No	2002-07-09 00:00:00	None	B	None	1000	1000	-350	650	0	110015291	A99999	N	None	None	SFY2001-02
110000016	CRESTWOOD MANOR VALLEJO	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-06-13 00:00:00	110001976	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-05-15 00:00:00	2002-05-15 00:00:00	Yes	2002-12-17 00:00:00	2002-12-03 00:00:00	B	Drop>Deficiency	1000	800	0	800	0	110015920	A99999	N	None	None	SFY2001-02
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-06-18 00:00:00	110001977	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-06 00:00:00	2002-03-06 00:00:00	No	2002-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	110015772	A99999	N	None	None	SFY2001-02
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-06-20 00:00:00	110001979	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-11 00:00:00	2001-12-11 00:00:00	No	2002-07-16 00:00:00	None	B	None	1000	1000	-350	650	0	110015981	A99999	N	None	None	SFY2001-02
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-12 00:00:00	110001982	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-18 00:00:00	2000-05-08 00:00:00	No	2002-08-05 00:00:00	None	B	None	800	800	-280	520	0	110014716	A99999	N	None	None	SFY2002-03
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-17 00:00:00	110001983	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-04 00:00:00	2002-07-17 00:00:00	No	2002-08-09 00:00:00	None	B	None	800	800	-280	520	0	110015601	A99999	N	None	None	SFY2002-03
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-19 00:00:00	110001984	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-19 00:00:00	2002-01-19 00:00:00	No	2002-08-12 00:00:00	None	B	None	1000	1000	-350	650	0	110015632	A99999	N	None	None	SFY2002-03
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-19 00:00:00	110001985	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-10 00:00:00	2002-03-10 00:00:00	No	2002-08-12 00:00:00	None	B	None	800	800	-280	520	0	110015773	A99999	N	None	None	SFY2002-03
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-19 00:00:00	110001986	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-24 00:00:00	2001-08-24 00:00:00	Yes	2002-08-21 00:00:00	2002-08-02 00:00:00	B	B	800	500	0	500	0	110015396	A99999	N	None	None	SFY2002-03
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-25 00:00:00	110001987	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-06 00:00:00	2002-01-06 00:00:00	No	2002-08-19 00:00:00	None	B	None	1000	1000	-350	650	0	110015614	A99999	N	None	None	SFY2002-03
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-30 00:00:00	110001988	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-03 00:00:00	2001-09-19 00:00:00	No	2002-08-23 00:00:00	None	B	None	1000	1000	-350	650	0	110015374	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-31 00:00:00	110001989	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-13 00:00:00	2001-10-13 00:00:00	Yes	2002-08-21 00:00:00	2002-08-12 00:00:00	B	B	1000	238.55	0	238.55	0	110016161	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-31 00:00:00	110001990	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-03 00:00:00	2001-09-03 00:00:00	Yes	2002-08-21 00:00:00	2002-08-12 00:00:00	B	B	1000	238.55	0	238.55	0	110015332	A99999	N	None	None	SFY2002-03
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-05 00:00:00	110001991	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-04 00:00:00	2001-03-04 00:00:00	Yes	2002-08-23 00:00:00	2002-08-12 00:00:00	A	B	16000	16000	0	16000	0	110014890	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-08 00:00:00	110001994	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-03 00:00:00	2000-07-08 00:00:00	Yes	2002-08-29 00:00:00	2002-08-30 00:00:00	A	A	20000	4770.99	0	4770.99	0	110013884	A99999	N	None	None	SFY2002-03
110000016	CRESTWOOD MANOR VALLEJO	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-13 00:00:00	110001995	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-02-14 00:00:00	2002-02-14 00:00:00	Yes	2002-09-09 00:00:00	2002-08-21 00:00:00	AA	A	75000	70000	0	70000	0	110015673	A99999	Y	None	None	SFY2002-03
110000016	CRESTWOOD MANOR VALLEJO	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-16 00:00:00	110001996	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-01 00:00:00	2001-08-01 00:00:00	Yes	2002-09-12 00:00:00	2002-08-26 00:00:00	B	B	1000	1000	0	1000	0	110014861	A99999	N	None	None	SFY2002-03
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-03 00:00:00	110001997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-18 00:00:00	2002-03-18 00:00:00	No	2002-09-24 00:00:00	None	B	None	1000	1000	-350	650	0	110015766	A99999	N	None	None	SFY2002-03
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	110001998	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-24 00:00:00	2000-02-24 00:00:00	No	2002-09-26 00:00:00	None	B	None	800	800	-280	520	0	110015150	A99999	N	None	None	SFY2002-03
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	110001999	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-14 00:00:00	2001-02-14 00:00:00	No	2002-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	110014058	A99999	N	None	None	SFY2002-03
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	110002000	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-12 00:00:00	2001-01-12 00:00:00	No	2002-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	110013990	A99999	N	None	None	SFY2002-03
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	110002001	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-15 00:00:00	2001-11-15 00:00:00	No	2002-09-26 00:00:00	None	B	None	800	800	-280	520	0	110015412	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	110002002	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-30 00:00:00	2000-10-30 00:00:00	Yes	2002-09-26 00:00:00	2002-09-17 00:00:00	B	B	800	600	0	600	0	110014602	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-13 00:00:00	110002003	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-02 00:00:00	2001-08-02 00:00:00	Yes	2002-10-04 00:00:00	2002-09-25 00:00:00	B	B	800	500	0	500	0	110014873	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-13 00:00:00	110002004	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-27 00:00:00	2001-08-27 00:00:00	Yes	2002-10-04 00:00:00	2002-09-25 00:00:00	A	A	18000	10000	0	10000	0	110015181	A99999	N	None	None	SFY2002-03
110000702	HEALDSBURG HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-12 00:00:00	110002005	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-08-26 00:00:00	2002-08-26 00:00:00	No	2002-10-03 00:00:00	None	B	None	1000	1000	-350	650	0	110016316	A99999	N	None	None	SFY2002-03
110000055	ROBERTS NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-18 00:00:00	110002006	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-27 00:00:00	2002-03-27 00:00:00	Yes	2003-05-02 00:00:00	2002-10-11 00:00:00	A	A	18000	18000	0	18000	0	110016323	A99999	N	None	None	SFY2002-03
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-03 00:00:00	110002007	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-28 00:00:00	2002-01-28 00:00:00	No	2002-10-25 00:00:00	None	B	None	800	800	-280	520	0	110015718	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-04 00:00:00	110002008	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-07-15 00:00:00	2002-07-15 00:00:00	Yes	2002-10-28 00:00:00	2002-10-14 00:00:00	B	B	1000	500	0	500	0	110016389	A99999	N	None	None	SFY2002-03
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-28 00:00:00	110002009	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-06-27 00:00:00	2002-06-27 00:00:00	No	2002-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	110016070	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-28 00:00:00	110002010	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-27 00:00:00	2001-11-27 00:00:00	Yes	2002-11-19 00:00:00	2002-11-18 00:00:00	B	B	1000	238.55	0	238.55	0	110015484	A99999	N	None	None	SFY2002-03
110000035	EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-11-14 00:00:00	110002011	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-22 00:00:00	2001-11-22 00:00:00	Yes	2002-12-11 00:00:00	2002-11-27 00:00:00	B	B	800	550	0	550	0	110015463	A99999	N	None	None	SFY2002-03
110000686	SUTTER MEDICAL CENTER OF SANTA ROSA-CHANATE CAMPUS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-03 00:00:00	110002012	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-06 00:00:00	2001-02-06 00:00:00	No	2003-01-27 00:00:00	None	B	None	750	750	-262.5	487.5	0	110013988	A99999	N	None	None	SFY2002-03
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-09 00:00:00	110002013	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-11 00:00:00	2002-07-11 00:00:00	No	2003-02-04 00:00:00	None	B	None	1000	1000	-350	650	0	110016275	A99999	N	None	None	SFY2002-03
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-14 00:00:00	110002014	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-02 00:00:00	2002-01-02 00:00:00	Yes	2003-02-04 00:00:00	2003-01-21 00:00:00	B	B	1000	400	0	400	0	110015575	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-14 00:00:00	110002015	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-21 00:00:00	2001-10-21 00:00:00	Yes	2003-02-10 00:00:00	2003-01-21 00:00:00	B	B	1000	600	0	600	0	110015576	A99999	N	None	None	SFY2002-03
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-15 00:00:00	110002016	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-14 00:00:00	2001-08-14 00:00:00	Yes	2003-02-11 00:00:00	2003-02-03 00:00:00	B	B	1000	557	0	557	0	110015290	A99999	N	None	None	SFY2002-03
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-16 00:00:00	110002017	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-05-02 00:00:00	2002-05-02 00:00:00	No	2003-02-11 00:00:00	None	B	None	1000	1000	-350	650	0	110015886	A99999	N	None	None	SFY2002-03
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-16 00:00:00	110002018	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-17 00:00:00	2002-07-17 00:00:00	No	2003-02-11 00:00:00	None	B	None	800	800	-280	520	0	110016143	A99999	N	None	None	SFY2002-03
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-16 00:00:00	110002019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-27 00:00:00	2001-03-27 00:00:00	No	2003-02-11 00:00:00	None	B	None	1000	1000	-350	650	0	110015196	A99999	N	None	None	SFY2002-03
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-16 00:00:00	110002020	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-01 00:00:00	2001-11-01 00:00:00	No	2003-02-11 00:00:00	None	B	None	1000	1000	-350	650	0	110015429	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-17 00:00:00	110002021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-01 00:00:00	2002-06-01 00:00:00	Yes	2003-02-11 00:00:00	2003-01-17 00:00:00	B	B	1000	650	0	650	0	110015998	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-17 00:00:00	110002022	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-01 00:00:00	2002-06-01 00:00:00	Yes	2003-02-11 00:00:00	2003-01-29 00:00:00	B	B	1000	650	0	650	0	110015998	A99999	N	None	None	SFY2002-03
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-24 00:00:00	110002023	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-29 00:00:00	2002-03-29 00:00:00	Yes	2003-02-21 00:00:00	2003-01-30 00:00:00	B	B	1000	557	0	557	0	110015867	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-23 00:00:00	110002024	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-30 00:00:00	2001-07-30 00:00:00	Yes	2003-02-14 00:00:00	2003-02-13 00:00:00	B	B	1000	238.55	0	238.55	0	110014874	A99999	N	None	None	SFY2002-03
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-30 00:00:00	110002025	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-22 00:00:00	2002-11-22 00:00:00	No	2003-02-24 00:00:00	None	B	None	750	750	0	750	0	110016520	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-29 00:00:00	110002026	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-17 00:00:00	2001-04-17 00:00:00	Yes	2003-02-21 00:00:00	2003-02-21 00:00:00	B	B	1000	238.55	0	238.55	0	110014681	A99999	N	None	None	SFY2002-03
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-02-05 00:00:00	110002027	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-10 00:00:00	2002-03-13 00:00:00	No	2003-03-05 00:00:00	None	B	None	1000	1000	-350	650	0	110015946	A99999	N	None	None	SFY2002-03
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-02-05 00:00:00	110002028	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-30 00:00:00	2002-06-30 00:00:00	No	2003-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	110016205	A99999	N	None	None	SFY2002-03
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-02-05 00:00:00	110002029	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-06 00:00:00	2002-10-06 00:00:00	No	2003-03-04 00:00:00	None	A	A	18000	10329	0	10329	0	110016588	A99999	N	None	None	SFY2002-03
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-02-20 00:00:00	110002030	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-09-30 00:00:00	2002-09-30 00:00:00	No	2003-03-13 00:00:00	None	B	None	1000	1000	0	1000	0	110016388	A99999	N	None	None	SFY2002-03
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-07 00:00:00	110002031	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-07 00:00:00	2001-12-07 00:00:00	Yes	2003-03-28 00:00:00	2003-03-28 00:00:00	A	A	20000	11477	0	11477	0	110015879	A99999	N	None	None	SFY2002-03
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-14 00:00:00	110002032	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-08-10 00:00:00	2002-08-10 00:00:00	Yes	2003-04-08 00:00:00	2003-03-28 00:00:00	A	A	16000	9181	0	9181	0	110016270	A99999	N	None	None	SFY2002-03
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-14 00:00:00	110002033	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-09-07 00:00:00	2001-09-07 00:00:00	Yes	2003-04-08 00:00:00	2003-03-28 00:00:00	A	A	14000	8034	0	8034	0	110015723	A99999	N	None	None	SFY2002-03
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-18 00:00:00	110002034	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-13 00:00:00	2002-10-13 00:00:00	Yes	2003-04-14 00:00:00	2003-03-28 00:00:00	A	A	20000	11477	0	11477	0	110016519	A99999	N	None	None	SFY2002-03
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-20 00:00:00	110002035	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-22 00:00:00	2001-06-22 00:00:00	Yes	2003-04-15 00:00:00	2003-06-11 00:00:00	B	B	1000	574	0	574	0	110015764	A99999	N	None	None	SFY2002-03
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-25 00:00:00	110002036	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-04-15 00:00:00	2001-04-15 00:00:00	No	2003-04-21 00:00:00	None	A	A	12000	6886	0	6886	0	110014190	A99999	N	None	None	SFY2002-03
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-25 00:00:00	110002037	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-30 00:00:00	2002-03-30 00:00:00	Yes	2003-04-16 00:00:00	2003-06-27 00:00:00	A	A	18000	10329	0	10329	0	110015838	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-03 00:00:00	110002038	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-15 00:00:00	2001-12-15 00:00:00	Yes	2003-04-28 00:00:00	2003-04-16 00:00:00	B	B	1000	238.55	0	238.55	0	110015724	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-03 00:00:00	110002039	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-07-26 00:00:00	2001-07-26 00:00:00	Yes	2003-04-28 00:00:00	2003-04-16 00:00:00	B	B	1000	238.55	0	238.55	0	110015724	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-03 00:00:00	110002040	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-01-30 00:00:00	2003-01-30 00:00:00	Yes	2003-04-28 00:00:00	2003-04-16 00:00:00	B	B	800	190.84	0	190.84	0	110016749	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-03 00:00:00	110002041	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-07 00:00:00	2003-01-07 00:00:00	Yes	2003-04-28 00:00:00	2003-04-16 00:00:00	B	B	1000	238.55	0	238.55	0	110016698	A99999	N	None	None	SFY2002-03
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-08 00:00:00	110002042	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-28 00:00:00	2002-11-28 00:00:00	No	2003-05-01 00:00:00	None	A	None	15000	15000	-5250	9750	0	110016788	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-15 00:00:00	110002043	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-15 00:00:00	2001-07-15 00:00:00	Yes	2003-05-06 00:00:00	2003-04-23 00:00:00	B	B	1000	238.55	0	238.55	0	110015338	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-15 00:00:00	110002044	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-27 00:00:00	2001-07-31 00:00:00	Yes	2003-05-06 00:00:00	2003-04-24 00:00:00	B	B	1000	238.55	0	238.55	0	110015338	A99999	N	None	None	SFY2002-03
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-16 00:00:00	110002045	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-29 00:00:00	2002-10-29 00:00:00	Yes	2003-05-19 00:00:00	2003-04-24 00:00:00	B	Drop>Deficiency	1000	557	0	557	0	110016843	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-21 00:00:00	110002046	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-10 00:00:00	2002-01-19 00:00:00	Yes	2003-05-12 00:00:00	2003-04-24 00:00:00	A	A	20000	10000	0	10000	0	110015790	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-24 00:00:00	110002047	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-03 00:00:00	2001-02-03 00:00:00	Yes	2003-05-19 00:00:00	2003-05-02 00:00:00	A	B	10000	6000	0	6000	0	110016971	A99999	N	None	None	SFY2002-03
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-29 00:00:00	110002048	Closed	Citation	Citation A (HSC 1424)	Medication	None	2002-07-31 00:00:00	2002-07-31 00:00:00	Yes	2003-05-20 00:00:00	2003-05-17 00:00:00	A	A	16000	2000	0	2000	0	110016973	A99999	N	None	None	SFY2002-03
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-05-06 00:00:00	110002049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-23 00:00:00	2003-02-23 00:00:00	No	2003-06-03 00:00:00	None	B	None	800	800	-280	520	0	110016983	A99999	N	None	None	SFY2002-03
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-05-09 00:00:00	110002050	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-09 00:00:00	2002-11-09 00:00:00	No	2003-06-02 00:00:00	None	B	None	1000	1000	-350	650	0	110016997	A99999	N	None	None	SFY2002-03
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-05-06 00:00:00	110002051	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-28 00:00:00	2002-08-28 00:00:00	No	2003-05-30 00:00:00	None	B	None	1000	1000	0	1000	0	110016258	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-05-09 00:00:00	110002052	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-31 00:00:00	2002-01-31 00:00:00	Yes	2003-06-02 00:00:00	2003-05-13 00:00:00	B	B	1000	238.55	0	238.55	0	110015802	A99999	N	None	None	SFY2002-03
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-06-05 00:00:00	110002055	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-27 00:00:00	2003-02-27 00:00:00	No	2003-06-30 00:00:00	None	B	B Trebled	1000	1721	0	1721	0	110017099	A99999	N	None	None	SFY2002-03
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-06-10 00:00:00	110002056	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-16 00:00:00	2001-11-16 00:00:00	Yes	2003-07-01 00:00:00	2003-06-18 00:00:00	A	A	18000	4293.89	0	4293.89	0	110015864	A99999	N	None	None	SFY2002-03
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-06-09 00:00:00	110002057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-18 00:00:00	2003-02-18 00:00:00	No	2003-06-30 00:00:00	None	B	None	750	750	-262.5	487.5	0	110016839	A99999	N	None	None	SFY2002-03
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-18 00:00:00	110002058	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-29 00:00:00	2003-04-29 00:00:00	No	2003-08-11 00:00:00	None	B	None	1000	1000	-350	650	0	110017021	A99999	N	None	None	SFY2003-04
110000055	ROBERTS NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-22 00:00:00	110002059	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-08 00:00:00	2003-03-08 00:00:00	No	2003-08-13 00:00:00	None	A	None	12000	36000	-12600	23400	0	110017190	A99999	N	None	None	SFY2003-04
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-22 00:00:00	110002060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-07 00:00:00	2003-01-07 00:00:00	No	2003-08-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	110016742	A99999	N	None	None	SFY2003-04
110000035	EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-24 00:00:00	110002061	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-13 00:00:00	2002-07-13 00:00:00	Yes	2003-08-19 00:00:00	2003-07-29 00:00:00	B	B	1000	750	-150	600	0	110016163	A99999	N	None	None	SFY2003-04
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-13 00:00:00	110002062	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-14 00:00:00	2003-05-27 00:00:00	No	2003-09-09 00:00:00	None	B	B	1000	574	0	574	0	110017087	A99999	N	None	None	SFY2003-04
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-13 00:00:00	110002064	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-24 00:00:00	2003-03-24 00:00:00	Yes	2003-09-09 00:00:00	2003-08-25 00:00:00	B	B	1000	500	0	500	0	110016886	A99999	N	None	None	SFY2003-04
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-21 00:00:00	110002065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-26 00:00:00	2003-03-26 00:00:00	Yes	2003-09-12 00:00:00	2003-11-05 00:00:00	B	B	1000	574	0	574	0	110016982	A99999	N	None	None	SFY2003-04
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-20 00:00:00	110002066	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-01-17 00:00:00	2002-01-17 00:00:00	Yes	2003-09-15 00:00:00	2003-09-11 00:00:00	A	A	16000	10000	0	10000	0	110016356	A99999	N	None	None	SFY2003-04
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-22 00:00:00	110002067	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-03 00:00:00	2003-01-03 00:00:00	Yes	2003-09-15 00:00:00	2003-09-04 00:00:00	B	B	1000	238.55	0	238.55	0	110017270	A99999	N	None	None	SFY2003-04
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-28 00:00:00	110002068	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-27 00:00:00	2003-03-27 00:00:00	No	2003-09-23 00:00:00	None	B	B	1000	557	0	557	0	110016963	A99999	N	None	None	SFY2003-04
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-11 00:00:00	110002069	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-17 00:00:00	2003-06-17 00:00:00	No	2003-10-06 00:00:00	None	B	None	800	800	-280	520	0	110017143	A99999	N	None	None	SFY2003-04
110000035	EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-17 00:00:00	110002070	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-10 00:00:00	2003-08-10 00:00:00	Yes	2003-10-14 00:00:00	2003-09-26 00:00:00	B	B	1000	1000	0	1000	0	110017273	A99999	N	None	None	SFY2003-04
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-25 00:00:00	110002071	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-24 00:00:00	2003-06-24 00:00:00	Yes	2003-10-16 00:00:00	2003-10-03 00:00:00	B	B	1000	400	0	400	0	110017305	A99999	N	None	None	SFY2003-04
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-10-02 00:00:00	110002072	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-21 00:00:00	2003-05-21 00:00:00	No	2003-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	110017294	A99999	N	None	None	SFY2003-04
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-13 00:00:00	110002091	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-16 00:00:00	2000-12-09 00:00:00	No	2001-04-03 00:00:00	None	B	None	1000	1000	-350	650	0	110017461	A99999	N	None	None	SFY2000-01
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-06-11 00:00:00	110002092	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-31 00:00:00	2000-10-31 00:00:00	No	2001-07-02 00:00:00	None	B	None	1000	1850	-350	1500	0	110017476	A99999	N	None	None	SFY2000-01
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-17 00:00:00	110002093	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-04 00:00:00	2001-08-22 00:00:00	No	2001-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	110017486	A99999	N	None	None	SFY2001-02
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-02-20 00:00:00	110002094	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-05 00:00:00	2002-02-07 00:00:00	No	2002-03-19 00:00:00	None	B	None	500	1500	-525	975	0	110017491	A99999	N	None	None	SFY2001-02
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-03-21 00:00:00	110002095	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-22 00:00:00	2002-02-19 00:00:00	No	2002-04-16 00:00:00	None	B	None	1000	3000	-1050	1950	0	110017492	A99999	N	None	None	SFY2001-02
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-22 00:00:00	110002096	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-20 00:00:00	2002-02-27 00:00:00	No	2002-05-15 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	110017500	A99999	N	None	None	SFY2001-02
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-06-05 00:00:00	110002121	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-20 00:00:00	2000-04-20 00:00:00	No	2001-06-26 00:00:00	None	B	None	1000	1000	0	1000	0	110017626	A99999	N	None	None	SFY2000-01
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-28 00:00:00	110002123	Closed	Citation	Citation AA (HSC 1424)	Other	PATIENT CARE/DIETARY	2000-09-05 00:00:00	2000-09-20 00:00:00	Yes	2004-01-22 00:00:00	2004-01-07 00:00:00	AA	A	65000	25000	0	25000	0	110017635	A99999	Y	None	None	SFY2001-02
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-06-21 00:00:00	110002124	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-27 00:00:00	2002-04-27 00:00:00	No	2002-07-15 00:00:00	None	B	None	1000	1000	-350	650	0	110017663	A99999	N	None	None	SFY2001-02
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	110002125	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-19 00:00:00	2002-08-07 00:00:00	No	2002-09-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	110017671	A99999	N	None	None	SFY2002-03
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	110002126	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-30 00:00:00	2002-08-03 00:00:00	No	2002-09-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	110017672	A99999	N	None	None	SFY2002-03
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-02-05 00:00:00	110002127	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-18 00:00:00	2002-11-18 00:00:00	No	2003-02-28 00:00:00	None	B	None	500	500	-175	325	0	110017690	A99999	N	None	None	SFY2002-03
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-10-06 00:00:00	110002128	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-27 00:00:00	2003-02-27 00:00:00	No	2003-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	110017304	A99999	N	None	None	SFY2003-04
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-10-09 00:00:00	110002129	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-13 00:00:00	2003-09-13 00:00:00	No	2003-11-03 00:00:00	None	B	None	1000	1000	-350	650	0	110017739	A99999	N	None	None	SFY2003-04
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-10-28 00:00:00	110002130	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-05-28 00:00:00	2003-05-28 00:00:00	Yes	2003-11-24 00:00:00	2003-10-30 00:00:00	A	A Trebled	20000	34430	0	34430	0	110017184	A99999	N	None	None	SFY2003-04
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-10-30 00:00:00	110002131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-02 00:00:00	2003-07-02 00:00:00	Yes	2003-11-25 00:00:00	2003-11-05 00:00:00	B	B Trebled	1000	1721	0	1721	0	110017185	A99999	N	None	None	SFY2003-04
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-03 00:00:00	110002132	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-05-26 00:00:00	2003-05-26 00:00:00	Yes	2003-11-26 00:00:00	2004-02-18 00:00:00	A	A	13000	2000	0	2000	0	110017178	A99999	N	None	None	SFY2003-04
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-06 00:00:00	110002133	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-02-05 00:00:00	2003-02-05 00:00:00	Yes	2003-12-04 00:00:00	2003-12-01 00:00:00	A	A	20000	7800	0	7800	0	110016799	A99999	N	None	None	SFY2003-04
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-06 00:00:00	110002134	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-02 00:00:00	2003-10-02 00:00:00	Yes	2003-12-04 00:00:00	2003-11-12 00:00:00	B	B Trebled	1000	1721	0	1721	0	110017736	A99999	N	None	None	SFY2003-04
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-06 00:00:00	110002135	Closed	Citation	Citation A (HSC 1424)	Medication	None	2003-03-21 00:00:00	2003-03-21 00:00:00	Yes	2003-12-04 00:00:00	2003-12-01 00:00:00	A	A	20000	7800	0	7800	0	110016898	A99999	N	None	None	SFY2003-04
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-06 00:00:00	110002136	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-05-08 00:00:00	2003-05-08 00:00:00	No	2003-12-02 00:00:00	None	A	None	14000	14000	-4900	9100	0	110017078	A99999	N	None	None	SFY2003-04
110000016	CRESTWOOD MANOR VALLEJO	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-06 00:00:00	110002137	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-12 00:00:00	2003-07-12 00:00:00	Yes	2003-12-04 00:00:00	2003-11-11 00:00:00	B	B	800	400	0	400	0	110017193	A99999	N	None	None	SFY2003-04
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-10 00:00:00	110002138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-19 00:00:00	2002-10-19 00:00:00	Yes	2003-12-08 00:00:00	2003-11-12 00:00:00	B	B	1000	574	0	574	0	110016800	A99999	N	None	None	SFY2003-04
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-07 00:00:00	110002139	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-09-22 00:00:00	2003-09-22 00:00:00	Yes	2003-12-04 00:00:00	2003-11-12 00:00:00	B	B	1000	574	0	574	0	110017359	A99999	N	None	None	SFY2003-04
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-14 00:00:00	110002140	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-15 00:00:00	2003-09-15 00:00:00	Yes	2003-12-11 00:00:00	2003-11-24 00:00:00	B	B	1000	500	0	500	0	110017823	A99999	N	None	None	SFY2003-04
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-14 00:00:00	110002141	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2003-09-15 00:00:00	2003-09-15 00:00:00	No	2003-12-19 00:00:00	None	B	None	1000	1000	-350	650	0	110017823	A99999	N	None	None	SFY2003-04
110000035	EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-19 00:00:00	110002142	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-24 00:00:00	2003-09-24 00:00:00	Yes	2003-12-12 00:00:00	2003-11-20 00:00:00	A	A	20000	20000	0	20000	0	110017717	A99999	N	None	None	SFY2003-04
110000055	ROBERTS NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-25 00:00:00	110002143	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-05-31 00:00:00	2003-05-31 00:00:00	No	2003-12-18 00:00:00	None	A	None	18000	18000	-6300	11700	0	110017245	A99999	N	None	None	SFY2003-04
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-26 00:00:00	110002144	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-11 00:00:00	2003-11-11 00:00:00	Yes	2004-03-09 00:00:00	2004-05-18 00:00:00	B	B	1000	450	0	450	0	110017843	A99999	N	None	None	SFY2003-04
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-12-02 00:00:00	110002145	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-05 00:00:00	2003-10-05 00:00:00	No	2003-12-23 00:00:00	None	B	None	1000	1000	0	1000	0	110017737	A99999	N	None	None	SFY2003-04
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-12-12 00:00:00	110002146	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-25 00:00:00	2003-09-25 00:00:00	Yes	2004-01-07 00:00:00	2003-12-17 00:00:00	B	B	1000	500	0	500	0	110017715	A99999	N	None	None	SFY2003-04
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-12-18 00:00:00	110002147	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-13 00:00:00	2003-06-13 00:00:00	Yes	2004-01-14 00:00:00	2004-01-05 00:00:00	A	A	18000	4293.89	0	4293.89	0	110017265	A99999	N	None	None	SFY2003-04
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-12-18 00:00:00	110002148	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-11-17 00:00:00	2003-11-17 00:00:00	No	2004-01-14 00:00:00	None	A	A	18000	10329	0	10329	0	110017857	A99999	N	None	None	SFY2003-04
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-12-31 00:00:00	110002149	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-16 00:00:00	2003-07-16 00:00:00	No	2004-01-23 00:00:00	None	B	None	1000	1000	-350	650	0	110017308	A99999	N	None	None	SFY2003-04
110000016	CRESTWOOD MANOR VALLEJO	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-01-09 00:00:00	110002150	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-09-22 00:00:00	2003-09-22 00:00:00	Yes	2003-02-05 00:00:00	2004-01-12 00:00:00	AA	AA	100000	25000	0	25000	0	110017719	A99999	Y	None	None	SFY2003-04
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-10 00:00:00	110002171	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-10 00:00:00	1999-11-11 00:00:00	Yes	2000-03-31 00:00:00	2000-03-23 00:00:00	A	A	8000	5000	0	5000	0	110018042	A99999	N	None	None	SFY1999-00
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-05-31 00:00:00	110002172	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-09-27 00:00:00	2000-10-25 00:00:00	Yes	2002-09-23 00:00:00	2001-06-04 00:00:00	A	A	20000	13000	0	13000	0	110018052	A99999	N	None	None	SFY2000-01
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-25 00:00:00	110002173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-14 00:00:00	2000-09-24 00:00:00	Yes	2001-11-16 00:00:00	2001-10-31 00:00:00	B	B	1000	500	0	500	0	110018058	A99999	N	None	None	SFY2001-02
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-17 00:00:00	110002174	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-14 00:00:00	2003-07-14 00:00:00	Yes	2003-08-07 00:00:00	2003-07-18 00:00:00	B	B	750	487.5	0	487.5	0	110018075	A99999	N	None	None	SFY2003-04
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-01-16 00:00:00	110002175	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-08-27 00:00:00	2003-08-27 00:00:00	Yes	2004-02-09 00:00:00	2003-01-26 00:00:00	A	A	18000	4293.89	0	4293.89	0	110017283	A99999	N	None	None	SFY2003-04
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-01-22 00:00:00	110002176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-22 00:00:00	2003-10-07 00:00:00	Yes	2004-02-18 00:00:00	2004-02-09 00:00:00	B	B	1000	750	0	750	0	110017766	A99999	N	None	None	SFY2003-04
110000035	EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-01-30 00:00:00	110002177	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-07 00:00:00	2003-11-07 00:00:00	Yes	2004-02-25 00:00:00	2004-02-09 00:00:00	B	B	1000	600	0	600	0	110017830	A99999	N	None	None	SFY2003-04
110000035	EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-01-30 00:00:00	110002178	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-07 00:00:00	2003-11-07 00:00:00	Yes	2004-02-25 00:00:00	2004-02-09 00:00:00	B	B	1000	600	0	600	0	110017830	A99999	N	None	None	SFY2003-04
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-01-29 00:00:00	110002179	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-31 00:00:00	2002-12-31 00:00:00	Yes	2004-02-23 00:00:00	2004-02-09 00:00:00	B	B	1000	238.55	0	238.55	0	110017104	A99999	N	None	None	SFY2003-04
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-02-05 00:00:00	110002180	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-12-18 00:00:00	2003-12-18 00:00:00	Yes	2004-03-03 00:00:00	2004-02-17 00:00:00	A	A	18000	12000	0	12000	0	110018134	A99999	N	None	None	SFY2003-04
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-02-06 00:00:00	110002181	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-11 00:00:00	2003-10-11 00:00:00	No	2004-03-04 00:00:00	None	B	None	1000	3000	-1050	1950	0	110017768	A99999	N	None	None	SFY2003-04
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-02-19 00:00:00	110002182	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-28 00:00:00	2003-05-28 00:00:00	No	2004-03-16 00:00:00	None	B	None	1000	3000	-1050	1950	0	110017282	A99999	N	None	None	SFY2003-04
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-02-19 00:00:00	110002183	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-03 00:00:00	2003-09-03 00:00:00	No	2004-03-15 00:00:00	None	B	None	1000	1000	-350	650	0	110017303	A99999	N	None	None	SFY2003-04
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-02-27 00:00:00	110002184	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-01 00:00:00	2003-11-01 00:00:00	No	2004-03-23 00:00:00	None	B	None	800	800	0	800	0	110017814	A99999	N	None	None	SFY2003-04
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-04 00:00:00	110002185	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-22 00:00:00	2003-06-22 00:00:00	No	2004-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	110017263	A99999	N	None	None	SFY2003-04
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-17 00:00:00	110002186	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-23 00:00:00	2003-09-23 00:00:00	Yes	2004-04-13 00:00:00	2004-04-01 00:00:00	A	A	18000	7000	0	7000	0	110017362	A99999	N	None	None	SFY2003-04
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-19 00:00:00	110002187	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-14 00:00:00	2003-11-14 00:00:00	No	2004-04-14 00:00:00	None	B	None	1000	1000	0	1000	0	110017835	A99999	N	None	None	SFY2003-04
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-19 00:00:00	110002188	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-07-24 00:00:00	2003-07-24 00:00:00	Yes	2004-04-12 00:00:00	2004-03-30 00:00:00	A	A	14000	6000	0	6000	0	110017310	A99999	N	None	None	SFY2003-04
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-23 00:00:00	110002189	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-28 00:00:00	2003-12-28 00:00:00	Yes	2004-04-14 00:00:00	2004-03-25 00:00:00	B	B	1000	750	0	750	0	110018113	A99999	N	None	None	SFY2003-04
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-04-06 00:00:00	110002190	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-28 00:00:00	2004-01-28 00:00:00	No	2004-04-27 00:00:00	None	B	None	1000	1000	0	1000	0	110018224	A99999	N	None	None	SFY2003-04
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-04-30 00:00:00	110002191	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-04 00:00:00	2004-04-04 00:00:00	No	2004-05-21 00:00:00	None	B	None	1000	1000	-350	650	0	110018345	A99999	N	None	None	SFY2003-04
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-05-19 00:00:00	110002192	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-02-11 00:00:00	2004-02-11 00:00:00	No	2004-06-10 00:00:00	None	B	None	1000	1000	-350	650	0	110018395	A99999	N	None	None	SFY2003-04
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-05-24 00:00:00	110002193	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-05 00:00:00	2003-06-05 00:00:00	Yes	2004-06-15 00:00:00	2004-06-08 00:00:00	A	A	15000	6000	0	6000	0	110017130	A99999	N	None	None	SFY2003-04
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-05-24 00:00:00	110002194	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2003-06-05 00:00:00	2003-06-05 00:00:00	Yes	2004-06-15 00:00:00	2004-06-08 00:00:00	B	B	1000	1000	-869	131	0	110017131	A99999	N	None	None	SFY2003-04
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-05-24 00:00:00	110002195	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-28 00:00:00	2003-06-28 00:00:00	Yes	2004-06-15 00:00:00	2004-06-08 00:00:00	A	A	20000	6000	0	6000	0	110017179	A99999	N	None	None	SFY2003-04
110000083	MARLINDA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-05-27 00:00:00	110002196	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-28 00:00:00	2004-02-28 00:00:00	Yes	2004-06-18 00:00:00	2004-06-17 00:00:00	B	B	1000	1000	-1000	0	0	110018405	A99999	N	None	None	SFY2003-04
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-05-27 00:00:00	110002197	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-20 00:00:00	2004-02-20 00:00:00	No	2004-06-18 00:00:00	None	B	None	1000	1000	-350	650	0	110018212	A99999	N	None	None	SFY2003-04
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-05-28 00:00:00	110002198	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-13 00:00:00	2003-08-13 00:00:00	No	2004-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	110017761	A99999	N	None	None	SFY2003-04
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-07-19 00:00:00	110002199	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-28 00:00:00	2004-04-28 00:00:00	No	2004-08-09 00:00:00	None	B	None	1000	3000	-1050	1950	0	110018348	A99999	N	None	None	SFY2004-05
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-12 00:00:00	110002200	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-01-03 00:00:00	2004-01-03 00:00:00	Yes	2004-09-07 00:00:00	2004-08-26 00:00:00	A	A	20000	24550	-50	24500	0	110017957	A99999	N	None	None	SFY2004-05
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-12 00:00:00	110002201	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-22 00:00:00	2004-02-22 00:00:00	No	2004-09-07 00:00:00	None	B	None	1000	1000	-350	650	0	110018517	A99999	N	None	None	SFY2004-05
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-12 00:00:00	110002202	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-02-22 00:00:00	2004-02-22 00:00:00	No	2004-09-07 00:00:00	None	B	None	1000	1000	-350	650	0	110017957	A99999	N	None	None	SFY2004-05
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-18 00:00:00	110002203	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-05-04 00:00:00	2004-05-04 00:00:00	Yes	2004-09-09 00:00:00	2004-08-25 00:00:00	B	B	1000	1500	0	1500	0	110018524	A99999	N	None	None	SFY2004-05
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-18 00:00:00	110002204	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-04 00:00:00	2004-05-04 00:00:00	Yes	2004-09-09 00:00:00	2004-08-31 00:00:00	B	B	1000	1500	0	1500	0	110018525	A99999	N	None	None	SFY2004-05
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-24 00:00:00	110002205	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1996-02-24 00:00:00	1996-02-24 00:00:00	No	2004-09-14 00:00:00	None	B	None	1000	1000	-1000	0	0	110016525	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-27 00:00:00	110002206	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-05-27 00:00:00	2004-05-27 00:00:00	Yes	2004-09-23 00:00:00	2004-09-03 00:00:00	B	B	1000	650	0	650	0	110018546	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-27 00:00:00	110002207	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-05-24 00:00:00	2004-05-24 00:00:00	Yes	2004-09-23 00:00:00	2004-09-03 00:00:00	B	B	1000	500	0	500	0	110018548	A99999	N	None	None	SFY2004-05
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-30 00:00:00	110002208	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-06 00:00:00	2004-02-06 00:00:00	Yes	2004-10-01 00:00:00	2004-09-07 00:00:00	B	B	1000	1500	0	1500	0	110018553	A99999	N	None	None	SFY2004-05
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-09-09 00:00:00	110002209	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-06 00:00:00	2003-07-06 00:00:00	No	2004-09-30 00:00:00	None	B	None	800	800	-280	520	0	110018560	A99999	N	None	None	SFY2004-05
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-09-17 00:00:00	110002210	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-08 00:00:00	2004-04-08 00:00:00	No	2004-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	110018572	A99999	N	None	None	SFY2004-05
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-09-20 00:00:00	110002211	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-11 00:00:00	2004-01-11 00:00:00	No	2004-12-22 00:00:00	None	B	None	1000	1000	-350	650	0	110018175	A99999	N	None	None	SFY2004-05
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-09-17 00:00:00	110002212	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-30 00:00:00	2003-05-30 00:00:00	No	2004-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	110018577	A99999	N	None	None	SFY2004-05
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-09-30 00:00:00	110002213	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-27 00:00:00	2004-05-27 00:00:00	No	2004-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	110018599	A99999	N	None	None	SFY2004-05
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-05 00:00:00	110002214	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-05-31 00:00:00	2004-05-31 00:00:00	No	2004-11-02 00:00:00	None	B	None	800	800	-280	520	0	110018602	A99999	N	None	None	SFY2004-05
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-07 00:00:00	110002215	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-07-30 00:00:00	2004-07-30 00:00:00	Yes	2004-10-28 00:00:00	2004-10-12 00:00:00	B	B	1000	500	0	500	0	110018607	A99999	N	None	None	SFY2004-05
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-26 00:00:00	110002216	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-06-23 00:00:00	2004-06-23 00:00:00	Yes	2004-11-18 00:00:00	2004-11-08 00:00:00	A	A	18000	11700	0	11700	0	110018497	A99999	N	None	None	SFY2004-05
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-26 00:00:00	110002217	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-06-23 00:00:00	2004-06-23 00:00:00	No	2004-11-22 00:00:00	None	B	None	1000	1000	-350	650	0	110018641	A99999	N	None	None	SFY2004-05
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-26 00:00:00	110002218	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-26 00:00:00	2004-06-26 00:00:00	No	2004-11-18 00:00:00	None	B	None	800	800	-280	520	0	110018611	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-28 00:00:00	110002219	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-24 00:00:00	2004-05-24 00:00:00	Yes	2004-12-01 00:00:00	2004-11-08 00:00:00	B	B	1000	400	0	400	0	110018647	A99999	N	None	None	SFY2004-05
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-29 00:00:00	110002220	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-21 00:00:00	2004-07-21 00:00:00	Yes	2004-11-29 00:00:00	2004-11-08 00:00:00	B	B Trebled	1000	1800	0	1800	0	110018652	A99999	N	None	None	SFY2004-05
110000760	THE MEADOWS OF NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-12-01 00:00:00	110002221	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-03 00:00:00	2004-07-03 00:00:00	Yes	2004-12-24 00:00:00	2004-12-02 00:00:00	B	B	1000	500	0	500	0	110018472	A99999	N	None	None	SFY2004-05
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-12-03 00:00:00	110002222	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-12 00:00:00	2004-07-12 00:00:00	No	2004-12-31 00:00:00	None	B	None	1000	1000	0	1000	0	110018484	A99999	N	None	None	SFY2004-05
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-12-14 00:00:00	110002223	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-07 00:00:00	2004-05-07 00:00:00	No	2005-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	110018716	A99999	N	None	None	SFY2004-05
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-12-20 00:00:00	110002224	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-07 00:00:00	2004-02-07 00:00:00	No	2005-01-10 00:00:00	None	B	None	1000	1000	0	1000	0	110018173	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-12-20 00:00:00	110002225	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-01-11 00:00:00	2004-01-16 00:00:00	Yes	2005-01-18 00:00:00	2005-01-03 00:00:00	AA	AA	80000	20000	0	20000	0	110018443	A99999	Y	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-01-06 00:00:00	110002226	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-12-02 00:00:00	2004-12-02 00:00:00	Yes	2005-02-01 00:00:00	2005-01-11 00:00:00	B	B	1000	550	0	550	0	110018718	A99999	N	None	None	SFY2004-05
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-01-14 00:00:00	110002227	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-06 00:00:00	2004-07-06 00:00:00	No	2005-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	110018467	A99999	N	None	None	SFY2004-05
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-01-14 00:00:00	110002228	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-06-17 00:00:00	2004-06-17 00:00:00	Yes	2005-02-10 00:00:00	2005-02-03 00:00:00	A	A	18000	6600	0	6600	0	110018449	A99999	N	None	None	SFY2004-05
110000054	NAZARETH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-01-14 00:00:00	110002229	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-23 00:00:00	2004-09-23 00:00:00	Yes	2005-02-10 00:00:00	2005-02-01 00:00:00	B	B	1000	2000	0	2000	0	110018595	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-02-18 00:00:00	110002230	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-02 00:00:00	2004-09-02 00:00:00	Yes	2005-03-14 00:00:00	2005-03-01 00:00:00	B	B	1000	600	0	600	0	110018559	A99999	N	None	None	SFY2004-05
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-02-18 00:00:00	110002231	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-08-25 00:00:00	2004-08-25 00:00:00	No	2005-03-14 00:00:00	None	A	None	18000	18000	-6300	11700	0	110018609	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-25 00:00:00	110002233	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-07-09 00:00:00	2004-07-09 00:00:00	Yes	2005-04-18 00:00:00	2005-03-28 00:00:00	A	A	20000	7500	0	7500	0	110018808	A99999	N	None	None	SFY2004-05
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-25 00:00:00	110002234	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-08-06 00:00:00	2004-08-06 00:00:00	Yes	2005-04-18 00:00:00	2005-03-25 00:00:00	A	A	18000	10000	0	10000	0	110018690	A99999	N	None	None	SFY2004-05
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-07-15 00:00:00	110002235	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-15 00:00:00	2005-01-15 00:00:00	No	2005-08-09 00:00:00	None	B	None	800	2400	-840	1560	0	110018811	A99999	N	None	None	SFY2005-06
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-07-15 00:00:00	110002236	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-19 00:00:00	2005-01-19 00:00:00	No	2005-08-09 00:00:00	None	B	None	1000	3000	-1050	1950	0	110018772	A99999	N	None	None	SFY2005-06
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-08-01 00:00:00	110002237	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-31 00:00:00	2004-12-31 00:00:00	Yes	2005-08-25 00:00:00	2005-08-16 00:00:00	B	B	800	600	0	600	0	110018746	A99999	N	None	None	SFY2005-06
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-09-27 00:00:00	110002238	Closed	Citation	Citation A (HSC 1424)	Other	C,PR	2004-09-14 00:00:00	2004-09-14 00:00:00	Yes	2006-11-03 00:00:00	2006-10-19 00:00:00	A	B	16000	16000	0	16000	0	110018815	A99999	N	None	None	SFY2005-06
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-11-21 00:00:00	110002239	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-18 00:00:00	2005-07-18 00:00:00	No	2005-12-19 00:00:00	None	B	None	1000	3000	-1050	1950	0	110018817	A99999	N	None	None	SFY2005-06
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-11-29 00:00:00	110002240	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-02-25 00:00:00	2005-02-25 00:00:00	Yes	2005-12-20 00:00:00	2005-12-02 00:00:00	B	B	1000	650	0	650	0	110018818	A99999	N	None	None	SFY2005-06
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-11-29 00:00:00	110002241	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-25 00:00:00	2005-02-25 00:00:00	Yes	2005-12-20 00:00:00	2005-12-02 00:00:00	B	B	1000	600	0	600	0	110018818	A99999	N	None	None	SFY2005-06
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-11-29 00:00:00	110002242	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-03-05 00:00:00	2005-03-05 00:00:00	Yes	2005-12-20 00:00:00	2005-12-02 00:00:00	B	B	1000	650	0	650	0	110018819	A99999	N	None	None	SFY2005-06
110000035	EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-12-20 00:00:00	110002243	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-15 00:00:00	2005-09-15 00:00:00	Yes	2006-01-25 00:00:00	2005-12-28 00:00:00	B	B	1000	600	0	600	0	110018822	A99999	N	None	None	SFY2005-06
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-12-29 00:00:00	110002244	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-25 00:00:00	2005-01-25 00:00:00	No	2006-01-23 00:00:00	None	B	None	1000	1000	-350	650	0	110018825	A99999	N	None	None	SFY2005-06
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-03-02 00:00:00	110002882	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-12-08 00:00:00	2004-12-08 00:00:00	No	2006-04-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	26P211	N	CA00037175	B	SFY2005-06
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-03-07 00:00:00	110002895	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-05-08 00:00:00	2005-05-08 00:00:00	Yes	2006-03-28 00:00:00	2006-03-09 00:00:00	A	A	12000	12000	0	12000	0	None	SRDX11	N	CA00047621	A	SFY2005-06
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-03-13 00:00:00	110002897	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-01-17 00:00:00	2006-01-17 00:00:00	No	2006-04-04 00:00:00	None	B	None	600	600	-210	390	0	None	U2DB11	N	CA00070836	A	SFY2005-06
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-03-09 00:00:00	110002910	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-08-11 00:00:00	2005-08-11 00:00:00	Yes	2011-04-28 00:00:00	2011-05-05 00:00:00	A	A	20000	13000	0	13000	0	None	DCHU11	N	CA00058332	B	SFY2005-06
010000059	NORTHVINE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-16 00:00:00	110002912	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-07 00:00:00	2005-06-07 00:00:00	No	2006-07-10 00:00:00	None	B	None	500	500	-175	325	0	None	Q0VO11	N	CA00051283	A	SFY2005-06
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-13 00:00:00	110002928	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-06 00:00:00	2006-03-06 00:00:00	Yes	2007-01-05 00:00:00	2006-12-20 00:00:00	B	B	1000	550	0	550	0	None	UBBE11	N	CA00074273	A	SFY2006-07
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-03-16 00:00:00	110002933	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-19 00:00:00	2005-04-19 00:00:00	No	2006-04-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	01XU11	N	CA00050369	A	SFY2005-06
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-28 00:00:00	110002937	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-12-06 00:00:00	2005-12-06 00:00:00	Yes	2006-07-20 00:00:00	2006-07-20 00:00:00	A	None	18000	18000	0	18000	0	None	C2D111	N	CA00067733	B	SFY2005-06
010000679	GRAND CHALET	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-04-03 00:00:00	110002962	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-03-09 00:00:00	2006-03-09 00:00:00	No	2006-04-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	CKTP11	N	CA00075148	B	SFY2005-06
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-05-02 00:00:00	110003009	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-07 00:00:00	2005-01-07 00:00:00	No	2006-05-23 00:00:00	None	B	None	800	2400	-840	1560	0	None	FUG311	N	CA00056115	B	SFY2005-06
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-09-19 00:00:00	110003033	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-02-19 00:00:00	2006-02-19 00:00:00	Yes	2006-10-11 00:00:00	2006-09-27 00:00:00	A	A	18000	9000	0	9000	0	None	SEZO11	N	CA00072930	B	SFY2006-07
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-27 00:00:00	110003042	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-09 00:00:00	2006-01-09 00:00:00	No	2006-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	5Q9C11	N	CA00070503	B	SFY2005-06
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-04-26 00:00:00	110003053	Closed	Citation	Citation B (HSC 1424)	Other	abuse reporting	2005-10-14 00:00:00	2005-10-14 00:00:00	No	2006-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	EZ0V11	N	CA00064741	A	SFY2005-06
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-05-05 00:00:00	110003057	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-30 00:00:00	2005-03-30 00:00:00	No	2006-05-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	A8BP11	N	CA00044135	A	SFY2005-06
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-05-04 00:00:00	110003058	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-07-11 00:00:00	2005-07-11 00:00:00	Yes	2006-05-25 00:00:00	2006-05-08 00:00:00	A	None	18000	18000	0	18000	0	None	BNW511	N	CA00055223	B	SFY2005-06
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-23 00:00:00	110003061	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-07-17 00:00:00	2005-07-17 00:00:00	No	2006-07-17 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	S87Q11	N	CA00055847	B	SFY2005-06
010000059	NORTHVINE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-08-30 00:00:00	110003066	Closed	Citation	Citation A (HSC 1424)	Medication	None	2006-04-01 00:00:00	2006-04-01 00:00:00	No	2006-09-21 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	34KD11	N	CA00076603, CA00077283	B, B	SFY2006-07
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-10-20 00:00:00	110003077	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-14 00:00:00	2005-01-14 00:00:00	No	2006-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	U40K11	N	CA00048755	A	SFY2006-07
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-28 00:00:00	110003111	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-06-21 00:00:00	2005-06-21 00:00:00	Yes	2006-07-20 00:00:00	2006-07-20 00:00:00	A	None	16000	16000	0	16000	0	None	M9ZW11	N	CA00054191	B	SFY2005-06
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-07 00:00:00	110003116	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-03 00:00:00	2005-11-03 00:00:00	Yes	2006-06-28 00:00:00	2006-06-09 00:00:00	B	B	1000	500	0	500	0	None	5KSV11	N	CA00065638	A	SFY2005-06
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-27 00:00:00	110003122	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-05 00:00:00	2005-08-05 00:00:00	No	2006-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	LYPN11	N	CA00057473	B	SFY2005-06
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-07-07 00:00:00	110003140	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-25 00:00:00	2006-05-25 00:00:00	No	2006-07-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	JZWE11	N	CA00081881	B	SFY2006-07
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-10-20 00:00:00	110003141	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-14 00:00:00	2006-01-14 00:00:00	No	2006-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	U40K11	N	CA00048755	A	SFY2006-07
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-10-20 00:00:00	110003142	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-07 00:00:00	2005-05-07 00:00:00	No	2006-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	U40K11	N	CA00048755	A	SFY2006-07
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-27 00:00:00	110003143	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-18 00:00:00	2005-06-18 00:00:00	No	2006-07-19 00:00:00	None	B	None	900	900	-315	585	0	None	OT9T11	N	CA00052295	A	SFY2005-06
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-28 00:00:00	110003144	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-07-14 00:00:00	2005-07-14 00:00:00	Yes	2006-07-20 00:00:00	2006-07-18 00:00:00	A	A	18000	11500	0	11500	0	None	9H3511	N	CA00055436	A	SFY2005-06
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-08 00:00:00	110003146	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-28 00:00:00	2005-01-28 00:00:00	No	2006-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	F78611	N	CA00038079	A	SFY2005-06
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-27 00:00:00	110003159	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-06-12 00:00:00	2005-06-12 00:00:00	Yes	2006-07-19 00:00:00	2006-07-10 00:00:00	A	A	20000	20000	-17371	2629	0	None	5L8H11	Y	CA00051666	B	SFY2005-06
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-08-16 00:00:00	110003165	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-05-09 00:00:00	2005-05-09 00:00:00	Yes	2006-09-08 00:00:00	2006-08-16 00:00:00	A	None	18000	18000	0	18000	0	None	LET511	N	CA00052356, CA00054374	B, B	SFY2006-07
010000059	NORTHVINE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-16 00:00:00	110003169	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-07 00:00:00	2005-06-07 00:00:00	No	2006-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	8ZHJ11	N	CA00051283	A	SFY2005-06
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-09-14 00:00:00	110003191	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-05-02 00:00:00	2006-05-02 00:00:00	No	2006-10-05 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	1W3I11	N	CA00079809	B	SFY2006-07
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-10-13 00:00:00	110003208	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-07 00:00:00	2006-06-07 00:00:00	No	2006-11-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	2SSE11	N	CA00083764	A	SFY2006-07
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-08-23 00:00:00	110003216	Closed	Citation	Citation A (HSC 1424)	Other	C,M	2005-09-22 00:00:00	2005-09-22 00:00:00	No	2006-09-14 00:00:00	None	A	None	18000	18050	-6300	11750	0	None	18I911	N	CA00061890, CA00063419	B, B	SFY2006-07
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-07-26 00:00:00	110003226	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-12 00:00:00	2005-08-12 00:00:00	No	2006-08-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	HCJX11	N	CA00058921	B	SFY2006-07
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-08-31 00:00:00	110003228	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-05-19 00:00:00	2005-05-19 00:00:00	Yes	2012-01-19 00:00:00	2012-01-05 00:00:00	A	A	18000	7800	-300	7500	0	None	HBLE11	N	CA00052147	A	SFY2006-07
010000089	NEW HAVEN - ICF-DD -H, INCORPORATED	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-11-28 00:00:00	110003229	Closed	Citation	Citation B (HSC 1424)	Other	c,ab,pr	2005-11-24 00:00:00	2005-11-24 00:00:00	No	2006-12-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	9SHU11	N	CA00066833	A	SFY2006-07
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-11-28 00:00:00	110003248	Closed	Citation	Citation A (HSC 1424)	Other	C, PE	2006-07-19 00:00:00	2006-07-19 00:00:00	Yes	2006-12-19 00:00:00	2006-11-29 00:00:00	A	A	16000	7500	0	7500	0	None	C6NX11	N	CA00087741	A	SFY2006-07
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-08-03 00:00:00	110003251	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-08 00:00:00	2006-06-08 00:00:00	No	2006-08-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	D8E211	N	CA00083397	A	SFY2006-07
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-08-04 00:00:00	110003254	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-06-29 00:00:00	2005-06-29 00:00:00	Yes	2006-08-25 00:00:00	2006-08-08 00:00:00	A	A	16000	6000	0	6000	0	None	P1Q911	N	CA00053631	B	SFY2006-07
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-10-12 00:00:00	110003266	Closed	Citation	Citation B (HSC 1424)	Other	C, P	2006-07-18 00:00:00	2006-07-18 00:00:00	No	2006-11-02 00:00:00	None	B	None	800	800	-280	520	0	None	3ZYF11	N	CA00087030	A	SFY2006-07
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-11-15 00:00:00	110003267	Closed	Citation	Citation B (HSC 1424)	Other	pr, c	2006-06-11 00:00:00	2006-06-11 00:00:00	Yes	2006-12-08 00:00:00	2006-11-22 00:00:00	B	None	1000	1000	-1000	0	0	None	F8G011	N	CA00083311	A	SFY2006-07
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-03-26 00:00:00	110003274	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-21 00:00:00	2006-06-21 00:00:00	No	2007-04-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	RUNW11	N	CA00088611	B	SFY2006-07
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-03-26 00:00:00	110003275	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-05 00:00:00	2006-08-05 00:00:00	No	2007-04-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	RUNW11	N	CA00088588	B	SFY2006-07
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-01 00:00:00	110003276	Closed	Citation	Citation A (HSC 1424)	Medication	None	2006-04-18 00:00:00	2006-04-18 00:00:00	No	2006-12-22 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	U0EJ11	N	CA00078887, CA00080681	B, B	SFY2006-07
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-10-04 00:00:00	110003289	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-08 00:00:00	2005-11-08 00:00:00	No	2006-10-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	KZNB11	N	CA00065570	A	SFY2006-07
010000620	MUSTARD SEED	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-08-23 00:00:00	110003307	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2006-06-02 00:00:00	2006-06-02 00:00:00	No	2006-09-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	MF5F11	N	CA00082648	B	SFY2006-07
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-11-30 00:00:00	110003315	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-27 00:00:00	2006-08-27 00:00:00	No	2006-12-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	VSO811	N	CA00091303	A	SFY2006-07
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-09-27 00:00:00	110003374	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-09 00:00:00	2005-12-09 00:00:00	No	2006-10-19 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	139I11	N	CA00067756	A	SFY2006-07
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-10-06 00:00:00	110003380	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-03-03 00:00:00	2005-03-03 00:00:00	No	2006-10-30 00:00:00	None	B	None	900	900	-315	585	0	None	PRSM11	N	CA00040667	B	SFY2006-07
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-04-26 00:00:00	110003381	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-17 00:00:00	2006-09-17 00:00:00	No	2007-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	BM7R11	N	CA00093575	B	SFY2006-07
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-10-13 00:00:00	110003417	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-06-07 00:00:00	2006-06-07 00:00:00	No	2006-11-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	2SSE11	N	CA00083764	A	SFY2006-07
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-10-17 00:00:00	110003419	Closed	Citation	Citation B (HSC 1424)	Other	c, pr	2006-04-27 00:00:00	2006-04-27 00:00:00	Yes	2006-11-07 00:00:00	2006-10-19 00:00:00	B	B	1000	650	0	650	0	None	VIVF11	N	CA00079270	A	SFY2006-07
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-01 00:00:00	110003421	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-01-25 00:00:00	2006-01-25 00:00:00	No	2006-12-22 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	YLL511	N	CA00071254	B	SFY2006-07
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-10-20 00:00:00	110003433	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-24 00:00:00	2006-07-24 00:00:00	Yes	2006-11-13 00:00:00	2006-11-08 00:00:00	B	B	900	450	0	450	0	None	4FN711	N	CA00087961	B	SFY2006-07
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-05-31 00:00:00	110003445	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-19 00:00:00	2006-10-19 00:00:00	No	2007-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	LVEO11	N	CA00095909	B	SFY2006-07
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-05-31 00:00:00	110003446	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-14 00:00:00	2006-10-14 00:00:00	No	2007-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	LVEO11	N	CA00095909	B	SFY2006-07
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-05-31 00:00:00	110003447	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-10-14 00:00:00	2006-10-14 00:00:00	No	2007-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	LVEO11	N	CA00095909	B	SFY2006-07
630001741	SANTA LUCIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-12-08 00:00:00	110003449	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-21 00:00:00	2006-10-21 00:00:00	No	2007-01-02 00:00:00	None	B	None	800	800	-280	520	0	None	WBKB11	N	CA00096405	A	SFY2006-07
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-01 00:00:00	110003451	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-09-15 00:00:00	2006-09-15 00:00:00	No	2006-12-22 00:00:00	None	A	None	14000	14000	-4900	9100	0	None	8XFB11	N	CA00093446	B	SFY2006-07
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-20 00:00:00	110003458	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-01-14 00:00:00	2006-01-14 00:00:00	Yes	2007-01-12 00:00:00	2006-12-28 00:00:00	A	A	18000	18000	0	18000	0	None	CJ1Z11	N	CA00071352	A	SFY2006-07
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-05-31 00:00:00	110003474	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-09-05 00:00:00	2006-09-05 00:00:00	No	2007-06-22 00:00:00	None	B	None	800	800	0	800	0	None	G96R11	N	CA00092849	A	SFY2006-07
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-03-08 00:00:00	110003498	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-27 00:00:00	2006-10-27 00:00:00	Yes	2007-03-29 00:00:00	2007-03-19 00:00:00	B	B	1000	1000	-500	500	0	None	PC2I11	N	CA00096936	A	SFY2006-07
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-26 00:00:00	110003501	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-10-14 00:00:00	2006-10-14 00:00:00	Yes	2007-08-16 00:00:00	2007-07-30 00:00:00	A	A	20000	10000	0	10000	0	None	T2ZP11	N	CA00095695	B	SFY2007-08
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-06-20 00:00:00	110003504	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-10-21 00:00:00	2006-10-21 00:00:00	No	2007-07-16 00:00:00	None	A	A	18000	18350	-15984	2366	0	None	YX7X11	N	CA00097129	B	SFY2006-07
010000164	MILESTONES OF DEVELOPMENT #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-03-01 00:00:00	110003513	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-29 00:00:00	2006-09-29 00:00:00	No	2007-03-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	QGUZ11	N	CA00094967	B	SFY2006-07
010000089	NEW HAVEN - ICF-DD -H, INCORPORATED	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-11-28 00:00:00	110003520	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-11-24 00:00:00	2005-11-24 00:00:00	No	2006-12-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	9SHU11	N	CA00066833	A	SFY2006-07
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-26 00:00:00	110003521	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-10 00:00:00	2005-05-10 00:00:00	No	2007-01-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	DEPK11	N	CA00047640	B	SFY2006-07
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-08 00:00:00	110003523	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-07 00:00:00	2006-01-07 00:00:00	No	2007-01-02 00:00:00	None	B	None	900	900	-315	585	0	None	ZV7T11	N	CA00070004	B	SFY2006-07
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-27 00:00:00	110003524	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-02-21 00:00:00	2005-02-21 00:00:00	No	2007-01-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	69QS11	N	CA00040592	B	SFY2006-07
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-11-30 00:00:00	110003527	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-03-05 00:00:00	2006-03-05 00:00:00	No	2006-12-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	DR3711	N	CA00074920, CA00074920	A, A	SFY2006-07
010000052	PETALUMA POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-01 00:00:00	110003532	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-28 00:00:00	2005-09-28 00:00:00	Yes	2013-11-01 00:00:00	2006-12-16 00:00:00	B	B	1000	1000	0	1000	0	None	KFCZ11	N	CA00062339	A	SFY2006-07
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-01-31 00:00:00	110003534	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-06-11 00:00:00	2005-06-11 00:00:00	Yes	2011-08-17 00:00:00	2011-11-10 00:00:00	A	A	20000	8000	0	8000	0	None	QFJ411	N	CA00062351, CA00064241	B, B	SFY2006-07
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-08 00:00:00	110003539	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-29 00:00:00	2005-09-29 00:00:00	No	2007-01-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	HRU311	N	CA00062497	B	SFY2006-07
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-04-26 00:00:00	110003545	Closed	Citation	Citation A (HSC 1424)	Other	A, C, P	2006-11-11 00:00:00	2006-11-11 00:00:00	Yes	2007-05-17 00:00:00	2007-05-01 00:00:00	A	A	18000	8000	0	8000	0	None	EG7C11	N	CA00098370	C	SFY2006-07
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-28 00:00:00	110003554	Closed	Citation	Citation A (HSC 1424)	Other	c,m	2006-07-08 00:00:00	2006-07-08 00:00:00	No	2007-01-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	SDWI11	N	CA00086098	B	SFY2006-07
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-12 00:00:00	110003569	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-31 00:00:00	2006-07-31 00:00:00	No	2007-01-04 00:00:00	None	B	None	800	800	-280	520	0	None	JQTF11	N	CA00058240	B	SFY2006-07
010000022	FRIENDS HOUSE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-20 00:00:00	110003574	Closed	Citation	Citation B (HSC 1424)	Other	C, AB	2006-09-06 00:00:00	2006-09-06 00:00:00	No	2007-01-12 00:00:00	None	B	None	800	800	-280	520	0	None	VCEQ11	N	CA00092718, CA00092780, CA00093660, CA00094337	A, H, B, A	SFY2006-07
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-06 00:00:00	110003575	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-02 00:00:00	2006-11-02 00:00:00	No	2007-07-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	67NK11	N	CA00097756	A	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-06-06 00:00:00	110003576	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-24 00:00:00	2006-10-24 00:00:00	No	2007-06-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	E5BM11	N	CA00097833	A	SFY2006-07
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-01-03 00:00:00	110003577	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-02 00:00:00	2005-11-02 00:00:00	No	2007-01-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	KNUQ11	N	CA00064908	B	SFY2006-07
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-26 00:00:00	110003588	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2006-06-15 00:00:00	2006-06-15 00:00:00	No	2007-01-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	SPUH11	N	CA00083818	A	SFY2006-07
630000561	TWIN RESIDENTIAL	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-12-19 00:00:00	110003590	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-12-05 00:00:00	2006-12-05 00:00:00	No	2007-01-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	SBJU11	N	None	None	SFY2006-07
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-27 00:00:00	110003592	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-27 00:00:00	2006-01-27 00:00:00	No	2007-01-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	HEBC11	N	CA00071432	A	SFY2006-07
630001741	SANTA LUCIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-02-01 00:00:00	110003615	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-12-12 00:00:00	2006-12-12 00:00:00	Yes	2008-05-28 00:00:00	2007-02-12 00:00:00	A	A	10000	6500	0	6500	0	None	ZW1H11	N	CA00101055	B	SFY2006-07
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-01-31 00:00:00	110003620	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2006-04-01 00:00:00	2006-04-01 00:00:00	Yes	2007-02-21 00:00:00	2007-02-16 00:00:00	A	A	20000	20000	-17371	2629	0	None	8NOV11	N	CA00076549	B	SFY2006-07
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-01-31 00:00:00	110003635	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-20 00:00:00	2006-08-20 00:00:00	Yes	2007-02-21 00:00:00	2007-02-16 00:00:00	A	A	18000	18000	-15634	2366	0	None	504Y11	N	CA00090881	A	SFY2006-07
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-01-26 00:00:00	110003648	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2006-05-24 00:00:00	2006-05-24 00:00:00	No	2007-02-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	925B11	N	None	None	SFY2006-07
010000907	GREENFIELDS II ICF-DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-06-13 00:00:00	110003651	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-02 00:00:00	2007-01-02 00:00:00	No	2007-07-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	K24711	N	CA00102559	A	SFY2006-07
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-01-26 00:00:00	110003652	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-01-17 00:00:00	2006-01-17 00:00:00	Yes	2011-10-03 00:00:00	2011-09-19 00:00:00	A	A	18000	6000	-2500	3500	0	None	925B11	N	None	None	SFY2006-07
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-02-09 00:00:00	110003670	Closed	Citation	Citation A (HSC 1424)	Other	c, m	2005-10-13 00:00:00	2005-10-13 00:00:00	Yes	2011-11-18 00:00:00	2011-10-28 00:00:00	A	A	18000	6000	-2500	3500	0	None	2UQ911	N	CA00065376	A	SFY2006-07
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-04-10 00:00:00	110003677	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-08 00:00:00	2006-12-08 00:00:00	Yes	2007-05-01 00:00:00	2007-04-25 00:00:00	B	B	1000	650	0	650	0	None	7ELG11	N	CA00103479	B	SFY2006-07
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-05-15 00:00:00	110003678	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-01 00:00:00	2007-01-01 00:00:00	No	2007-06-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	RVBB11	N	CA00103196	B	SFY2006-07
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-02-05 00:00:00	110003679	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-05 00:00:00	2005-06-05 00:00:00	No	2007-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	PVL811	N	CA00051700	A	SFY2006-07
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-11-01 00:00:00	110003694	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-30 00:00:00	2006-12-30 00:00:00	Yes	2007-11-28 00:00:00	2007-11-14 00:00:00	B	None	800	800	-280	520	0	None	N25C11	N	CA00102578	B	SFY2007-08
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-11-01 00:00:00	110003695	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-30 00:00:00	2006-12-30 00:00:00	Yes	2007-11-28 00:00:00	2007-11-14 00:00:00	B	None	800	800	-280	520	0	None	N25C11	N	CA00102578	B	SFY2007-08
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-09-11 00:00:00	110003712	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-19 00:00:00	2007-01-19 00:00:00	Yes	2007-10-02 00:00:00	2007-09-20 00:00:00	A	A	18000	9000	0	9000	0	None	88BI11	N	CA00104337	B	SFY2007-08
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-03-16 00:00:00	110003782	Closed	Citation	Citation A (HSC 1424)	Other	pc, m	2006-06-01 00:00:00	2006-06-01 00:00:00	No	2007-04-06 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	HE0911	N	CA00082370	B	SFY2006-07
630001741	SANTA LUCIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-06-29 00:00:00	110003789	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-03-05 00:00:00	2007-03-05 00:00:00	No	2007-07-23 00:00:00	None	B	None	900	900	0	900	0	None	LJSD11	N	CA00108963	B	SFY2006-07
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-03-14 00:00:00	110003798	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-08-23 00:00:00	2006-08-23 00:00:00	No	2007-04-04 00:00:00	None	B	None	1000	1000	-1000	0	0	None	YHXI11	N	None	None	SFY2006-07
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-03-14 00:00:00	110003799	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-08-23 00:00:00	2006-08-23 00:00:00	No	2007-04-04 00:00:00	None	B	None	1000	1000	-1000	0	0	None	X18J11	N	None	None	SFY2006-07
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-03-14 00:00:00	110003801	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-08-23 00:00:00	2006-08-23 00:00:00	No	2007-04-04 00:00:00	None	B	None	1000	1000	-1000	0	0	None	23SV11	N	None	None	SFY2006-07
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-03-14 00:00:00	110003802	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-08-23 00:00:00	2006-08-23 00:00:00	No	2007-04-04 00:00:00	None	B	None	1000	1000	-1000	0	0	None	23SV11	N	None	None	SFY2006-07
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-06-25 00:00:00	110003834	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-03-04 00:00:00	2007-03-04 00:00:00	Yes	2007-07-17 00:00:00	2007-06-27 00:00:00	AA	AA	100000	100000	-84920.68	15079.32	0	None	TNO811	Y	CA00108782	B	SFY2006-07
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-05-31 00:00:00	110003846	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-02-22 00:00:00	2007-02-22 00:00:00	No	2007-06-21 00:00:00	None	B	None	1000	1000	-1000	0	0	None	BVRB11	N	CA00106819, CA00107010	B, B	SFY2006-07
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-24 00:00:00	110003853	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2007-03-06 00:00:00	2007-03-06 00:00:00	No	2007-09-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	1Z0H11	N	CA00109226	A	SFY2007-08
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-16 00:00:00	110003860	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-03-10 00:00:00	2006-03-10 00:00:00	Yes	2010-02-09 00:00:00	2010-02-02 00:00:00	AA	AA	100000	58000	0	58000	0	None	0IP611	Y	CA00074799, CA00078508	A, B	SFY2007-08
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-09 00:00:00	110003867	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-03-28 00:00:00	2007-03-28 00:00:00	No	2007-08-30 00:00:00	None	A	A Trebled	20000	60000	-52113	7887	0	None	8QED11	N	CA00110575	B	SFY2007-08
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-04-09 00:00:00	110003880	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-21 00:00:00	2007-01-21 00:00:00	No	2007-04-30 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	PXIN11	N	CA00104474	B	SFY2006-07
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-07 00:00:00	110003881	Closed	Citation	Citation A (HSC 1424)	Other	Medication, Patient Care	2006-10-05 00:00:00	2006-10-05 00:00:00	Yes	2011-08-29 00:00:00	2011-08-04 00:00:00	A	A	20000	11370	-2300	9070	0	None	8LY011	N	CA00096963	B	SFY2007-08
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-25 00:00:00	110003884	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-03-28 00:00:00	2007-03-28 00:00:00	No	2007-08-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	5OF711	N	CA00110894	B	SFY2007-08
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-05-10 00:00:00	110003889	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-05-01 00:00:00	2006-05-01 00:00:00	Yes	2007-06-01 00:00:00	2007-05-16 00:00:00	A	A	18000	10000	0	10000	0	None	8NQY11	N	CA00079724, CA00083279	B, B	SFY2006-07
010000087	BUTLER VALLEY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-05-10 00:00:00	110003902	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-01 00:00:00	2006-08-01 00:00:00	No	2007-06-01 00:00:00	None	B	None	500	500	0	500	0	None	F6MU11	N	CA00090179	B	SFY2006-07
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-05-10 00:00:00	110003907	Closed	Citation	Citation A (HSC 1424)	Other	a,c	2005-04-20 00:00:00	2005-04-20 00:00:00	Yes	2007-06-01 00:00:00	2007-05-16 00:00:00	A	A	18000	9500	0	9500	0	None	V7CB11	N	CA00063130	B	SFY2006-07
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-05-11 00:00:00	110003914	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-14 00:00:00	2006-06-14 00:00:00	Yes	2007-06-04 00:00:00	2007-05-15 00:00:00	A	A	15000	6000	0	6000	0	None	TE5211	N	CA00087934	B	SFY2006-07
010000086	BAYBERRY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-07-26 00:00:00	110003915	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-04-11 00:00:00	2007-04-11 00:00:00	Yes	2007-08-16 00:00:00	2007-08-03 00:00:00	A	B	8000	5200	0	5200	0	None	0UXZ11	N	CA00111841	A	SFY2007-08
010000029	HEALDSBURG SENIOR LIVING COMMUNITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-14 00:00:00	110003918	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-04-13 00:00:00	2007-04-13 00:00:00	Yes	2011-08-17 00:00:00	2011-08-08 00:00:00	A	A	18000	8000	0	8000	0	None	2O6N11	N	CA00112132	B	SFY2007-08
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-06-25 00:00:00	110003937	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-04 00:00:00	2006-06-04 00:00:00	Yes	2011-10-03 00:00:00	2011-09-19 00:00:00	A	A	18000	6000	-2500	3500	0	None	XUOZ11	N	CA00082614	A	SFY2006-07
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-24 00:00:00	110003952	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-13 00:00:00	2007-03-13 00:00:00	No	2007-09-17 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	1Z0H11	N	CA00109226	A	SFY2007-08
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-05-21 00:00:00	110003965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-28 00:00:00	2006-04-28 00:00:00	Yes	2008-04-30 00:00:00	2007-05-23 00:00:00	B	B	1000	650	0	650	0	None	L2EE11	N	CA00081755	B	SFY2006-07
010000864	CROSSROADS II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-11-07 00:00:00	110003968	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-10 00:00:00	2007-05-10 00:00:00	Yes	2011-12-01 00:00:00	2011-10-18 00:00:00	A	A	9000	5850	0	5850	0	None	2D5211	N	CA00114518, CA00114622	B, B	SFY2007-08
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-06-08 00:00:00	110003970	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-06-22 00:00:00	2006-06-22 00:00:00	Yes	2007-06-29 00:00:00	2007-06-11 00:00:00	AA	AA	80000	70000	0	70000	0	None	JK8T11	Y	CA00082829	B	SFY2006-07
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-09 00:00:00	110003977	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-25 00:00:00	2006-11-25 00:00:00	No	2007-08-30 00:00:00	None	B	None	1000	1600	-350	1250	0	None	1FQK11	N	CA00104273	B	SFY2007-08
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-25 00:00:00	110003982	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-09 00:00:00	2006-10-09 00:00:00	No	2007-08-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z7E511	N	CA00096227	A	SFY2007-08
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-12 00:00:00	110003999	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-05-11 00:00:00	2007-05-11 00:00:00	No	2007-08-02 00:00:00	None	B	None	900	900	-315	585	0	None	LFZE11	N	CA00114673	B	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-06-06 00:00:00	110004017	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-01 00:00:00	2006-10-01 00:00:00	No	2007-06-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	6HCL11	N	CA00094585	A	SFY2006-07
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-06-09 00:00:00	110004026	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-12-23 00:00:00	2006-12-23 00:00:00	No	2007-06-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZESN11	Y	None	None	SFY2006-07
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-29 00:00:00	110004059	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-06 00:00:00	2007-06-06 00:00:00	No	2008-02-22 00:00:00	None	A	None	18000	18000	0	18000	0	None	LHRM11	N	CA00116852	B	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-13 00:00:00	110004060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-25 00:00:00	2007-06-25 00:00:00	Yes	2011-08-19 00:00:00	2011-08-12 00:00:00	A	B	18000	10800	0	10800	0	None	D7WF11	N	CA00118706	B	SFY2007-08
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-25 00:00:00	110004075	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-28 00:00:00	2007-03-28 00:00:00	No	2007-08-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	5OF711	N	CA00110894	B	SFY2007-08
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-12-19 00:00:00	110004085	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-25 00:00:00	2007-06-25 00:00:00	No	2008-01-11 00:00:00	None	B	None	800	800	0	800	0	None	IBLW11	N	CA00118648, CA00118861	B, C	SFY2007-08
010000029	HEALDSBURG SENIOR LIVING COMMUNITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-12 00:00:00	110004086	Closed	Citation	Citation B (HSC 1424)	Other	c, pe	2007-03-08 00:00:00	2007-03-08 00:00:00	Yes	2007-08-02 00:00:00	2007-07-27 00:00:00	B	B	1000	500	0	500	0	None	QY2X11	N	CA00111006	B	SFY2007-08
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-12-19 00:00:00	110004087	Closed	Citation	Citation B (HSC 1424)	Other	c, ab, pr	2007-06-24 00:00:00	2007-06-24 00:00:00	No	2008-01-11 00:00:00	None	B	None	800	800	0	800	0	None	55J911	N	CA00118646, CA00118720	A, C	SFY2007-08
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-24 00:00:00	110004123	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-07-13 00:00:00	2007-07-13 00:00:00	No	2007-08-14 00:00:00	None	B	B	1000	1000	-869	131	0	None	BZSL11	N	CA00120688	A	SFY2007-08
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-30 00:00:00	110004130	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-03-16 00:00:00	2007-03-16 00:00:00	No	2007-08-20 00:00:00	None	B	B	1000	1000	-869	131	0	None	VEM611	N	CA00120873	B	SFY2007-08
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-24 00:00:00	110004131	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-05-16 00:00:00	2007-05-16 00:00:00	No	2007-09-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	HV0611	N	CA00114787	A	SFY2007-08
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-14 00:00:00	110004132	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-09-07 00:00:00	2006-09-07 00:00:00	Yes	2007-09-05 00:00:00	2007-08-21 00:00:00	A	A	18000	8000	0	8000	0	None	TEYZ11	N	CA00067567	B	SFY2007-08
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-08-09 00:00:00	110004138	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-07-12 00:00:00	2007-07-12 00:00:00	No	2007-08-30 00:00:00	None	B	None	1000	1000	-1000	0	0	None	4V7R11	N	None	None	SFY2007-08
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-14 00:00:00	110004139	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-09-07 00:00:00	2006-09-07 00:00:00	Yes	2007-09-05 00:00:00	2007-08-21 00:00:00	A	A	18000	8000	0	8000	0	None	TEYZ11	N	CA00067567	B	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-31 00:00:00	110004140	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-19 00:00:00	2007-07-19 00:00:00	No	2008-02-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	YC4T11	N	CA00121034	B	SFY2007-08
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-02 00:00:00	110004153	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-29 00:00:00	2007-07-29 00:00:00	No	2007-08-23 00:00:00	None	B	B	1000	1000	-869	131	0	None	3Y9011	N	CA00121761	B	SFY2007-08
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-03-05 00:00:00	110004168	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-12 00:00:00	2007-05-12 00:00:00	No	2008-03-26 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	0D5911	N	CA00114795, CA00114795	B, B	SFY2007-08
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-31 00:00:00	110004194	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-10 00:00:00	2006-08-10 00:00:00	No	2007-09-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	ECK011	N	CA00089824	A	SFY2007-08
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-24 00:00:00	110004204	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-10 00:00:00	2006-08-10 00:00:00	No	2007-09-17 00:00:00	None	B	None	800	800	-280	520	0	None	SXDJ11	N	CA00093740	B	SFY2007-08
010000086	BAYBERRY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-09-20 00:00:00	110004206	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-08-05 00:00:00	2007-08-05 00:00:00	No	2007-10-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	P92I11	N	CA00122596	B	SFY2007-08
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-24 00:00:00	110004213	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-01 00:00:00	2007-03-01 00:00:00	No	2007-09-17 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	1Z0H11	N	CA00109226	A	SFY2007-08
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-31 00:00:00	110004222	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-08-16 00:00:00	2006-08-16 00:00:00	Yes	2007-09-24 00:00:00	2007-09-17 00:00:00	AA	A	100000	75000	0	75000	0	None	TRO311	Y	CA00090407	A	SFY2007-08
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-09-11 00:00:00	110004228	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-17 00:00:00	2007-01-17 00:00:00	Yes	2007-10-02 00:00:00	2007-09-20 00:00:00	B	B	1000	500	0	500	0	None	88BI11	N	CA00104337	B	SFY2007-08
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-09-11 00:00:00	110004229	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-01-17 00:00:00	2007-01-17 00:00:00	Yes	2007-10-02 00:00:00	2007-09-20 00:00:00	B	B	1000	500	0	500	0	None	88BI11	N	CA00104337	B	SFY2007-08
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-03 00:00:00	110004236	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-02-04 00:00:00	2007-02-04 00:00:00	No	2008-06-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	RMMQ11	N	CA00105691	A	SFY2007-08
010000970	DEVON DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2008-02-14 00:00:00	110004276	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-08-11 00:00:00	2007-08-11 00:00:00	No	2008-03-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	D95N11	N	CA00124327	B	SFY2007-08
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-13 00:00:00	110004284	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-07-21 00:00:00	2007-07-21 00:00:00	Yes	2011-08-31 00:00:00	2011-08-08 00:00:00	A	B	18000	9000	0	9000	0	None	ZWVC11	N	None	None	SFY2007-08
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-28 00:00:00	110004301	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-13 00:00:00	2006-10-13 00:00:00	No	2008-02-20 00:00:00	None	B	None	1000	1150	-350	800	0	None	ZH5D11	N	CA00122041	B	SFY2007-08
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-28 00:00:00	110004302	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2006-10-13 00:00:00	2006-10-13 00:00:00	No	2008-02-20 00:00:00	None	B	None	1000	1150	-350	800	0	None	ZH5D11	N	CA00122041	B	SFY2007-08
010000864	CROSSROADS II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-11-15 00:00:00	110004306	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-25 00:00:00	2006-05-25 00:00:00	No	2007-12-11 00:00:00	None	B	None	800	800	-280	520	0	None	94VY11	N	None	None	SFY2007-08
010001005	ALDERSLY SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-12-20 00:00:00	110004324	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-12 00:00:00	2007-09-12 00:00:00	Yes	2011-09-20 00:00:00	2011-09-06 00:00:00	A	A	18000	9000	0	9000	0	None	SL3811	Y	CA00126952	B	SFY2007-08
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-21 00:00:00	110004327	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2007-09-18 00:00:00	2007-09-18 00:00:00	No	2008-03-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y5NQ11	N	None	None	SFY2007-08
010000657	ESTES HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-10-10 00:00:00	110004335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-29 00:00:00	2007-07-29 00:00:00	No	2007-10-31 00:00:00	None	B	None	1000	1000	0	1000	0	None	JNY611	N	CA00121712	B	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-25 00:00:00	110004339	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-07-13 00:00:00	2007-07-13 00:00:00	Yes	2011-10-03 00:00:00	2008-03-13 00:00:00	A	A	18000	4000	0	4000	0	None	3ECY11	N	CA00120306	B	SFY2007-08
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-10-26 00:00:00	110004355	Closed	Citation	Citation B (HSC 1424)	Other	C, S, AB	2007-08-16 00:00:00	2007-08-16 00:00:00	Yes	2007-11-19 00:00:00	2007-11-07 00:00:00	B	B	1000	650	0	650	0	None	ED0G11	N	CA00123695	A	SFY2007-08
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-14 00:00:00	110004372	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-23 00:00:00	2007-05-23 00:00:00	No	2008-03-17 00:00:00	None	A	None	18000	18000	0	18000	0	None	3G8611	N	CA00119287	C	SFY2007-08
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-10-18 00:00:00	110004373	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-16 00:00:00	2006-10-16 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	SFK911	N	CA00097288, CA00097464	B, B	SFY2007-08
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-10-26 00:00:00	110004384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-16 00:00:00	2007-08-16 00:00:00	Yes	2007-11-19 00:00:00	2007-11-07 00:00:00	B	B	1000	650	0	650	0	None	ED0G11	N	CA00123695	A	SFY2007-08
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-10-26 00:00:00	110004385	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-16 00:00:00	2007-08-16 00:00:00	Yes	2007-11-19 00:00:00	2007-11-07 00:00:00	B	B	1000	650	0	650	0	None	ED0G11	N	CA00123695	A	SFY2007-08
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-11-01 00:00:00	110004387	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-12-27 00:00:00	2006-12-27 00:00:00	No	2007-11-27 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	NDI311	N	CA00102046	A	SFY2007-08
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-31 00:00:00	110004389	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-21 00:00:00	2007-09-21 00:00:00	No	2008-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	GDPI11	N	CA00127005, CA00127064, CA00127097	A, A, A	SFY2007-08
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-10-24 00:00:00	110004390	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-02 00:00:00	2006-10-02 00:00:00	No	2007-11-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z9Q511	N	None	None	SFY2007-08
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-10-24 00:00:00	110004391	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-10-01 00:00:00	2006-10-01 00:00:00	No	2007-11-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z9Q511	N	None	None	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-25 00:00:00	110004406	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-19 00:00:00	2007-05-19 00:00:00	Yes	2011-11-07 00:00:00	2011-10-21 00:00:00	A	B	18000	6850	0	6850	0	None	O2CL11	N	CA00115210	B	SFY2007-08
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-11-29 00:00:00	110004407	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-09 00:00:00	2007-09-09 00:00:00	No	2007-12-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	GBPE11	N	CA00125990	B	SFY2007-08
010000022	FRIENDS HOUSE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-04-07 00:00:00	110004431	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-05-23 00:00:00	2007-05-23 00:00:00	Yes	2011-08-22 00:00:00	2011-08-05 00:00:00	A	A	18000	18000	0	18000	0	None	T5GG11	N	CA00131570	B	SFY2007-08
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-11-09 00:00:00	110004434	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-26 00:00:00	2006-10-26 00:00:00	No	2007-12-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	LX5I11	N	CA00104413	B	SFY2007-08
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-09 00:00:00	110004439	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-23 00:00:00	2007-10-23 00:00:00	No	2008-07-02 00:00:00	None	B	None	900	900	0	900	0	None	IT5911	N	CA00130384, CA00130642	B, B	SFY2007-08
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-12-12 00:00:00	110004503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-27 00:00:00	2007-04-27 00:00:00	No	2008-01-04 00:00:00	None	B	None	800	800	-280	520	0	None	O9S611	N	CA00113569	A	SFY2007-08
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-03 00:00:00	110004509	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-25 00:00:00	2007-06-25 00:00:00	No	2008-07-01 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	77WD11	N	CA00130724, CA00130724	B, B	SFY2007-08
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-05-05 00:00:00	110004547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-13 00:00:00	2007-12-13 00:00:00	No	2008-05-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	2QSE11	N	CA00133639	B	SFY2007-08
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-17 00:00:00	110004554	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-29 00:00:00	2007-12-29 00:00:00	No	2008-07-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	35J911	N	CA00136419	B	SFY2007-08
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-05-07 00:00:00	110004555	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-11-19 00:00:00	2007-11-19 00:00:00	No	2008-05-29 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	1Q3M11	N	CA00132714	B	SFY2007-08
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-17 00:00:00	110004567	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-30 00:00:00	2007-11-30 00:00:00	No	2008-07-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	EMVW11	N	CA00133911, CA00133992	A, A	SFY2007-08
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-08-21 00:00:00	110004570	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-17 00:00:00	2007-12-17 00:00:00	Yes	2008-09-16 00:00:00	2008-08-26 00:00:00	B	B	1000	500	0	500	0	None	YGF711	N	CA00135343	B	SFY2008-09
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-10 00:00:00	110004573	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2008-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	8BY811	N	CA00114409	A	SFY2007-08
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-29 00:00:00	110004610	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-24 00:00:00	2007-08-24 00:00:00	No	2008-02-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	LXDD11	N	CA00124331, CA00124335	A, A	SFY2007-08
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-18 00:00:00	110004612	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-27 00:00:00	2007-12-27 00:00:00	No	2008-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	T2SZ11	N	CA00136110	B	SFY2007-08
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-07-28 00:00:00	110004617	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-11-29 00:00:00	2007-11-29 00:00:00	No	2008-08-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	GD4H11	N	CA00133517, CA00133532	A, A	SFY2008-09
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-29 00:00:00	110004622	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-03 00:00:00	2007-02-03 00:00:00	No	2008-02-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	JIUU11	N	CA00119315	A	SFY2007-08
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-06 00:00:00	110004624	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-08 00:00:00	2007-06-08 00:00:00	Yes	2008-03-03 00:00:00	2008-02-15 00:00:00	A	A	20000	10000	0	10000	0	None	ITIO11	N	None	None	SFY2007-08
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-30 00:00:00	110004626	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-10-16 00:00:00	2007-10-16 00:00:00	No	2008-07-25 00:00:00	None	A	None	20000	20000	0	20000	0	None	7LLC11	N	CA00129620, CA00129657, CA00130019	B, B, B	SFY2007-08
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-31 00:00:00	110004628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-04 00:00:00	2007-06-04 00:00:00	No	2008-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	PZZN11	N	CA00116771	B	SFY2007-08
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-09-22 00:00:00	110004641	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-17 00:00:00	2007-06-17 00:00:00	No	2008-10-17 00:00:00	None	A	None	9000	9000	-3150	5850	0	None	61KU11	N	CA00120414	B	SFY2008-09
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-05-07 00:00:00	110004650	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-29 00:00:00	2007-12-29 00:00:00	Yes	2011-09-19 00:00:00	2011-08-30 00:00:00	A	A	18000	11700	0	11700	0	None	CZC811	N	CA00138295	B	SFY2007-08
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-06 00:00:00	110004651	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-22 00:00:00	2007-08-22 00:00:00	Yes	2011-11-30 00:00:00	2011-11-11 00:00:00	A	A	18000	12000	0	12000	0	None	7Z4S11	N	CA00124362	B	SFY2007-08
010000431	PETALUMA ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2008-03-27 00:00:00	110004658	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-28 00:00:00	2008-01-28 00:00:00	Yes	2011-12-15 00:00:00	2008-03-28 00:00:00	A	A	6000	6000	0	6000	0	None	CP0311	N	CA00139358	A	SFY2007-08
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-07 00:00:00	110004667	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-10-05 00:00:00	2006-10-05 00:00:00	Yes	2011-08-29 00:00:00	2011-08-04 00:00:00	A	A	20000	9070	0	9070	0	None	8LY011	N	CA00096963	B	SFY2007-08
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-07 00:00:00	110004670	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-10-05 00:00:00	2006-10-05 00:00:00	Yes	2011-08-29 00:00:00	2011-08-04 00:00:00	A	A	20000	9070	0	9070	0	None	8LY011	N	CA00096963	B	SFY2007-08
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-05 00:00:00	110004674	Closed	Citation	Citation B (HSC 1424)	Other	Patient Care, Medication	2007-12-27 00:00:00	2007-12-27 00:00:00	No	2008-07-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	72Q411	N	CA00137247	B	SFY2007-08
110000002	CALISTOGA GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-04-15 00:00:00	110004681	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-25 00:00:00	2007-05-25 00:00:00	No	2008-05-06 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	306W11	N	CA00120566	B	SFY2007-08
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-05 00:00:00	110004692	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-11 00:00:00	2007-12-11 00:00:00	Yes	2009-04-01 00:00:00	2009-03-13 00:00:00	A	A	20000	8000	0	8000	0	None	HBVN11	Y	CA00134384	A	SFY2008-09
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-02 00:00:00	110004693	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-11 00:00:00	2007-12-11 00:00:00	No	2008-10-28 00:00:00	None	A	None	10000	10000	0	10000	0	None	PL3P11	N	CA00133392	B	SFY2008-09
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-20 00:00:00	110004703	Closed	Citation	Citation B (HSC 1424)	Other	Patient Rights, Care	2007-10-06 00:00:00	2007-10-06 00:00:00	No	2008-03-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	LFH511	N	CA00129592	A	SFY2007-08
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-09-23 00:00:00	110004721	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-19 00:00:00	2007-09-19 00:00:00	No	2008-10-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	EKYH11	N	CA00127738	B	SFY2008-09
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-11-21 00:00:00	110004742	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-02-18 00:00:00	2008-02-18 00:00:00	Yes	2008-12-26 00:00:00	2008-11-26 00:00:00	A	None	18000	18000	0	18000	0	None	IO9111	N	CA00141484	B	SFY2008-09
010000998	ABLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2008-07-08 00:00:00	110004753	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-02-29 00:00:00	2008-02-29 00:00:00	No	2008-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	HSL811	N	CA00142510	B	SFY2008-09
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-21 00:00:00	110004804	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-03-01 00:00:00	2007-03-01 00:00:00	No	2008-11-17 00:00:00	None	A	None	18000	18000	0	18000	0	None	LXYJ11	N	CA00127471	B	SFY2008-09
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-12 00:00:00	110004806	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-14 00:00:00	2008-03-14 00:00:00	No	2008-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	YFTD11	N	CA00144114	A	SFY2007-08
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-12 00:00:00	110004807	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-14 00:00:00	2008-03-14 00:00:00	No	2008-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	YFTD11	N	CA00144114	A	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-09-04 00:00:00	110004810	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-09 00:00:00	2008-03-09 00:00:00	No	2008-09-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	QRQ311	N	CA00143422	A	SFY2008-09
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-05-05 00:00:00	110004832	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-09-14 00:00:00	2006-09-14 00:00:00	No	2008-05-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	P8BL11	N	CA00140868	B	SFY2007-08
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-09-25 00:00:00	110004837	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-06 00:00:00	2008-03-06 00:00:00	No	2008-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	HO2F11	N	CA00143312, CA00143491, CA00143497	B, B, A	SFY2008-09
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-08-20 00:00:00	110004847	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-21 00:00:00	2008-03-21 00:00:00	Yes	2008-09-15 00:00:00	2008-08-27 00:00:00	B	B	1000	500	0	500	0	None	W4GQ11	N	CA00144494	A	SFY2008-09
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-04-09 00:00:00	110004861	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-02 00:00:00	2007-05-02 00:00:00	Yes	2008-05-01 00:00:00	2008-04-09 00:00:00	A	A	20000	10000	0	10000	0	None	ITI011	N	None	None	SFY2007-08
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-08-21 00:00:00	110004862	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-23 00:00:00	2007-08-23 00:00:00	No	2008-09-16 00:00:00	None	A	None	20000	20000	0	20000	0	None	DUQK11	N	CA00124471, CA00141046, CA00141211	B, B, B	SFY2008-09
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-20 00:00:00	110004883	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-22 00:00:00	2007-12-22 00:00:00	Yes	2009-02-12 00:00:00	2009-01-26 00:00:00	A	A	18000	9000	0	9000	0	None	DSO211	N	CA00136645	B	SFY2008-09
010000487	MAYETTE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2008-09-25 00:00:00	110004887	Closed	Citation	Citation B (HSC 1424)	Other	Admin / Patient Care	2007-07-02 00:00:00	2007-07-02 00:00:00	No	2008-10-20 00:00:00	None	B	None	1000	1050	0	1050	0	None	IV6Z11	N	CA00138585	A	SFY2008-09
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-04-22 00:00:00	110004933	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-08 00:00:00	2008-02-08 00:00:00	No	2008-05-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	30RM11	N	CA00140354	A	SFY2007-08
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-24 00:00:00	110004935	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-02 00:00:00	2008-01-02 00:00:00	Yes	2008-11-18 00:00:00	2008-10-28 00:00:00	B	B	1000	1800	-1300	500	0	None	O01211	N	CA00135390	B	SFY2008-09
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-07-30 00:00:00	110004941	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-24 00:00:00	2008-01-24 00:00:00	Yes	2008-08-25 00:00:00	2008-08-05 00:00:00	B	None	1000	1000	0	1000	0	None	DDGO11	N	CA00138709	A	SFY2008-09
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-04-18 00:00:00	110004943	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-12-10 00:00:00	2007-12-10 00:00:00	Yes	2008-05-09 00:00:00	2008-04-22 00:00:00	B	B Trebled	1000	1500	0	1500	0	None	WCTQ11	N	CA00134629	A	SFY2007-08
010000679	GRAND CHALET	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2008-10-30 00:00:00	110004953	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-03 00:00:00	2008-04-03 00:00:00	No	2008-11-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	FXH111	N	None	None	SFY2008-09
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-04-24 00:00:00	110004957	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-08 00:00:00	2006-03-08 00:00:00	No	2008-05-15 00:00:00	None	B	None	500	500	-175	325	0	None	268L11	N	CA00074405, CA00074408	A, A	SFY2007-08
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-12-18 00:00:00	110004963	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-11 00:00:00	2008-04-11 00:00:00	No	2009-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	BJ8I11	N	CA00147009, CA00147764	A, B	SFY2008-09
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-12-18 00:00:00	110004964	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-14 00:00:00	2008-04-14 00:00:00	No	2009-01-09 00:00:00	None	B	None	800	800	-280	520	0	None	BJ8I11	N	CA00147009, CA00147764	A, B	SFY2008-09
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-05-05 00:00:00	110004980	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-09-14 00:00:00	2006-09-14 00:00:00	No	2008-05-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	P8BL11	N	CA00140868	B	SFY2007-08
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-05-08 00:00:00	110004992	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2008-02-10 00:00:00	2008-02-10 00:00:00	No	2008-06-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	JZOY11	N	CA00142218	B	SFY2007-08
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-07-18 00:00:00	110004999	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	INKE11	N	CA00148083	A	SFY2008-09
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-05-08 00:00:00	110005004	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-13 00:00:00	2008-03-13 00:00:00	No	2008-05-30 00:00:00	None	B	None	800	800	-280	520	0	None	CTES11	N	CA00143837	A	SFY2007-08
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-21 00:00:00	110005047	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-04-17 00:00:00	2008-04-17 00:00:00	No	2008-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	4PC311	N	CA00154031	A	SFY2008-09
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-12-23 00:00:00	110005099	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-27 00:00:00	2008-05-27 00:00:00	No	2009-01-16 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	1VMB11	N	CA00151932	B	SFY2008-09
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-13 00:00:00	110005114	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-24 00:00:00	2008-05-24 00:00:00	No	2009-05-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	CRM511	N	CA00151692	B	SFY2008-09
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-12-19 00:00:00	110005127	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-05-10 00:00:00	2008-05-10 00:00:00	No	2009-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	C5WJ11	N	CA00151966	B	SFY2008-09
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-23 00:00:00	110005139	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-08 00:00:00	2008-02-08 00:00:00	No	2009-05-14 00:00:00	None	B	None	800	800	-280	520	0	None	UJ0B11	N	CA00152591, CA00152636	A, A	SFY2008-09
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-17 00:00:00	110005149	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-30 00:00:00	2007-11-30 00:00:00	No	2008-07-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	EMVW11	N	CA00133911, CA00133992	A, A	SFY2007-08
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-11-10 00:00:00	110005163	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-25 00:00:00	2008-05-25 00:00:00	No	2008-12-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	UROO11	N	CA00150303	B	SFY2008-09
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-07-21 00:00:00	110005164	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-22 00:00:00	2008-01-22 00:00:00	Yes	2008-08-11 00:00:00	2008-07-24 00:00:00	B	None	1000	1000	0	1000	0	None	V5O311	N	CA00138644	B	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-08-01 00:00:00	110005173	Closed	Citation	Citation A (HSC 1424)	Other	medication, patient care	2007-03-18 00:00:00	2007-03-18 00:00:00	Yes	2012-01-19 00:00:00	2008-08-13 00:00:00	A	A	20000	20050	0	20050	0	None	1ZNC11	N	CA00111244	B	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-17 00:00:00	110005240	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-11-22 00:00:00	2007-11-22 00:00:00	No	2009-04-14 00:00:00	None	A	None	19000	19000	-6650	12350	0	None	5WFG11	Y	CA00137558, CA00155047	B, B	SFY2008-09
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-07 00:00:00	110005243	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-01 00:00:00	2008-07-01 00:00:00	No	2009-04-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	VU2L11	N	CA00156160	B	SFY2008-09
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-21 00:00:00	110005260	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-25 00:00:00	2007-10-25 00:00:00	Yes	2009-02-16 00:00:00	2009-01-23 00:00:00	B	B	1000	650	0	650	0	None	NFTS11	N	CA00157727	A	SFY2008-09
110000016	CRESTWOOD MANOR VALLEJO	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-07-29 00:00:00	110005265	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-10-16 00:00:00	2007-10-16 00:00:00	Yes	2008-08-20 00:00:00	2008-07-30 00:00:00	AA	AA	100000	65000	0	65000	0	None	U3BH11	Y	CA00129313	A	SFY2008-09
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-10-19 00:00:00	110005291	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-19 00:00:00	2008-07-19 00:00:00	Yes	2009-11-09 00:00:00	2009-10-26 00:00:00	A	A	18000	11700	0	11700	0	None	V0LJ11	N	CA00157650	B	SFY2009-10
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-14 00:00:00	110005292	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-02 00:00:00	2008-07-02 00:00:00	Yes	2009-05-05 00:00:00	2009-05-20 00:00:00	B	None	1000	1000	0	1000	0	None	9MGU11	N	CA00157154, CA00157618	B, B	SFY2008-09
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-09-01 00:00:00	110005332	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-29 00:00:00	2008-07-29 00:00:00	Yes	2011-11-18 00:00:00	2011-10-27 00:00:00	A	A	18000	11700	0	11700	0	None	Y1FN11	N	CA00158675	B	SFY2009-10
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-20 00:00:00	110005336	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-21 00:00:00	2008-05-21 00:00:00	No	2009-02-10 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	F5YU11	N	CA00152848	B	SFY2008-09
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-21 00:00:00	110005337	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-04 00:00:00	2008-06-04 00:00:00	No	2008-11-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	EG7M11	N	CA00152813	B	SFY2008-09
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-15 00:00:00	110005346	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-09 00:00:00	2008-03-09 00:00:00	No	2008-11-05 00:00:00	None	B	None	800	800	-280	520	0	None	2TBN11	N	CA00144083	A	SFY2008-09
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-09-29 00:00:00	110005352	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-12-31 00:00:00	2007-12-31 00:00:00	No	2008-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	C61G11	N	CA00136364	A	SFY2008-09
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-02 00:00:00	110005353	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-27 00:00:00	2008-03-27 00:00:00	No	2009-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	C5SN11	N	CA00147297	B	SFY2008-09
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-30 00:00:00	110005359	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-08-21 00:00:00	2008-08-21 00:00:00	Yes	2009-02-27 00:00:00	2009-02-05 00:00:00	A	A	12000	7000	0	7000	0	None	SVZQ11	N	CA00160779	A	SFY2008-09
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-15 00:00:00	110005406	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-20 00:00:00	2007-01-20 00:00:00	Yes	2008-11-07 00:00:00	2008-10-16 00:00:00	A	A	18000	10000	0	10000	0	None	Y4R911	N	CA00105232	A	SFY2008-09
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-05 00:00:00	110005410	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-11 00:00:00	2007-12-11 00:00:00	Yes	2009-04-01 00:00:00	2009-03-13 00:00:00	A	A	20000	8000	0	8000	0	None	N3C311	Y	CA00161995	A	SFY2008-09
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-09-23 00:00:00	110005412	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-09-19 00:00:00	2007-09-19 00:00:00	No	2008-10-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	EKYH11	N	CA00127738	B	SFY2008-09
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-13 00:00:00	110005420	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-23 00:00:00	2008-01-23 00:00:00	No	2009-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	BYNT11	N	CA00138653	A	SFY2008-09
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-11-21 00:00:00	110005424	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-23 00:00:00	2008-05-23 00:00:00	No	2008-12-19 00:00:00	None	A	None	10000	10000	0	10000	0	None	9NIT11	N	CA00151713	B	SFY2008-09
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-01 00:00:00	110005427	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2008-04-24 00:00:00	2008-04-24 00:00:00	No	2008-10-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	0L9B11	N	CA00146764	B	SFY2008-09
010000907	GREENFIELDS II ICF-DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2008-09-23 00:00:00	110005432	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-10-29 00:00:00	2007-10-29 00:00:00	No	2008-10-16 00:00:00	None	A	A	9000	5850	0	5850	0	None	DD7L11	N	CA00131055	B	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-21 00:00:00	110005434	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-25 00:00:00	2008-03-25 00:00:00	No	2008-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	4PC311	N	CA00148975	A	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-01 00:00:00	110005450	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-21 00:00:00	2008-06-21 00:00:00	Yes	2011-12-06 00:00:00	2011-11-10 00:00:00	A	A	18000	11700	0	11700	0	None	SCQ611	N	CA00154383, CA00154587, CA00162708	B, B, B	SFY2008-09
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-09-26 00:00:00	110005457	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	SKXQ11	N	CA00147993	A	SFY2008-09
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-29 00:00:00	110005472	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2008-08-28 00:00:00	2008-08-28 00:00:00	No	2008-11-20 00:00:00	None	B	None	900	900	-315	585	0	None	RU0K11	N	CA00160425	B	SFY2008-09
110000621	JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-05 00:00:00	110005488	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-30 00:00:00	2008-09-30 00:00:00	No	2009-01-27 00:00:00	None	B	None	900	900	-315	585	0	None	5R2D11	N	CA00164776	A	SFY2008-09
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-10 00:00:00	110005510	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-02-07 00:00:00	2008-02-07 00:00:00	Yes	2008-11-04 00:00:00	2008-10-20 00:00:00	B	B	1000	500	0	500	0	None	J5FP11	N	CA00140581	A	SFY2008-09
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-10 00:00:00	110005511	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-07 00:00:00	2008-02-07 00:00:00	Yes	2008-11-04 00:00:00	2008-10-21 00:00:00	B	B	1000	500	0	500	0	None	J5FP11	N	CA00140581	A	SFY2008-09
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-16 00:00:00	110005528	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-19 00:00:00	2007-09-19 00:00:00	Yes	2008-11-10 00:00:00	2008-10-21 00:00:00	B	B	1000	500	0	500	0	None	ZMBC11	N	CA00127031	B	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-02-12 00:00:00	110005541	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-08-07 00:00:00	2008-08-07 00:00:00	No	2009-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	C1GN11	N	CA00156220	B	SFY2008-09
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-24 00:00:00	110005542	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-10-05 00:00:00	2007-10-05 00:00:00	No	2008-11-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z7LS11	N	CA00128701	B	SFY2008-09
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-31 00:00:00	110005547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-23 00:00:00	2008-07-23 00:00:00	No	2008-12-01 00:00:00	None	B	None	900	900	-315	585	0	None	M8XW11	N	CA00158060	A	SFY2008-09
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-02-27 00:00:00	110005549	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-27 00:00:00	2008-03-27 00:00:00	No	2009-03-23 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	C3S811	Y	CA00145710	A	SFY2008-09
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-11-04 00:00:00	110005554	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-02 00:00:00	2008-01-02 00:00:00	No	2008-11-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	46S311	N	CA00140436	A	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-11-03 00:00:00	110005560	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-16 00:00:00	2007-09-16 00:00:00	No	2008-12-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	QHEF11	N	CA00126677	A	SFY2008-09
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-12-17 00:00:00	110005617	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-28 00:00:00	2008-05-28 00:00:00	No	2009-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	WYF811	N	CA00151998	A	SFY2008-09
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-11-26 00:00:00	110005621	Closed	Citation	Citation A (HSC 1424)	Other	Patient Care/Medication	2008-09-14 00:00:00	2008-09-14 00:00:00	No	2008-12-26 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	XHWE11	N	CA00163601, CA00163904	B, B	SFY2008-09
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-02-11 00:00:00	110005633	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-18 00:00:00	2008-11-18 00:00:00	No	2009-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	HMY011	N	CA00169263	B	SFY2008-09
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-09-01 00:00:00	110005647	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-21 00:00:00	2008-11-21 00:00:00	No	2009-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	7UOC11	N	CA00170045, CA00170045	A, A	SFY2009-10
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-14 00:00:00	110005653	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-11-11 00:00:00	2008-11-11 00:00:00	Yes	2009-05-05 00:00:00	2009-04-20 00:00:00	A	A	18000	11700	0	11700	0	None	X17W11	N	CA00169165	B	SFY2008-09
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-09-02 00:00:00	110005684	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-27 00:00:00	2008-08-27 00:00:00	Yes	2009-09-28 00:00:00	2009-09-23 00:00:00	B	B	1000	1000	-1000	0	0	None	XN7111	N	CA00161370	A	SFY2009-10
010000679	GRAND CHALET	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2008-12-26 00:00:00	110005692	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-07-07 00:00:00	2008-07-07 00:00:00	No	2009-01-16 00:00:00	None	B	None	1000	2200	-350	1850	0	None	Z9CH11	N	None	None	SFY2008-09
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-12-23 00:00:00	110005697	Closed	Citation	Citation A (HSC 1424)	Other	Patient Care/Medication	2008-04-23 00:00:00	2008-04-23 00:00:00	No	2009-01-19 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	HX9H11	N	CA00148235	A	SFY2008-09
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-12-18 00:00:00	110005698	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-04 00:00:00	2008-04-04 00:00:00	No	2009-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	RWQD11	N	CA00150074	A	SFY2008-09
010000792	CROSSROADS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2008-12-19 00:00:00	110005701	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-01 00:00:00	2008-12-01 00:00:00	No	2009-01-12 00:00:00	None	B	None	800	800	-280	520	0	None	EJ1L11	N	CA00171412	A	SFY2008-09
010000029	HEALDSBURG SENIOR LIVING COMMUNITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-02-05 00:00:00	110005714	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-14 00:00:00	2008-12-14 00:00:00	Yes	2011-12-01 00:00:00	2009-02-19 00:00:00	A	A	16000	16000	0	16000	0	None	MNV011	N	CA00172029, CA00172141	A, A	SFY2008-09
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-05 00:00:00	110005741	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-12 00:00:00	2007-11-12 00:00:00	Yes	2009-01-26 00:00:00	2009-01-21 00:00:00	B	None	1000	1000	0	1000	0	None	S39H11	N	CA00162172	B	SFY2008-09
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-05 00:00:00	110005742	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-29 00:00:00	2008-07-29 00:00:00	Yes	2009-01-26 00:00:00	2009-01-21 00:00:00	B	None	1000	1000	0	1000	0	None	S39H11	N	CA00158515	A	SFY2008-09
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-07 00:00:00	110005756	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-10 00:00:00	2008-03-10 00:00:00	Yes	2009-02-02 00:00:00	2009-01-09 00:00:00	B	B	1000	650	0	650	0	None	KA1411	N	CA00146558	A	SFY2008-09
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-07 00:00:00	110005757	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-10 00:00:00	2008-03-10 00:00:00	Yes	2009-02-02 00:00:00	2009-01-09 00:00:00	B	B	1000	650	0	650	0	None	KA1411	N	CA00146558	A	SFY2008-09
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-08 00:00:00	110005759	Closed	Citation	Citation B (HSC 1424)	Other	Patient Care/Medication	2008-12-25 00:00:00	2008-12-25 00:00:00	No	2009-06-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	ELRB11	N	CA00173032	B	SFY2008-09
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-07 00:00:00	110005760	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-30 00:00:00	2008-04-30 00:00:00	Yes	2009-02-02 00:00:00	2009-01-09 00:00:00	B	B	1000	750	0	750	0	None	7JUO11	N	CA00148804	B	SFY2008-09
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-27 00:00:00	110005761	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-18 00:00:00	2008-10-18 00:00:00	No	2009-02-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	YDU611	N	CA00166968	A	SFY2008-09
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-02-05 00:00:00	110005765	Open	Citation	Citation B (HSC 1424)	Administration	None	2008-12-25 00:00:00	2008-12-25 00:00:00	Yes	2009-03-05 00:00:00	2009-02-25 00:00:00	B	None	1000	1000	0	0	1000	None	9Z3111	N	CA00173671	A	SFY2008-09
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-13 00:00:00	110005766	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-06 00:00:00	2008-12-06 00:00:00	Yes	2010-02-08 00:00:00	2010-01-25 00:00:00	B	B	1000	650	0	650	0	None	Q1VX11	N	CA00171368	A	SFY2009-10
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-30 00:00:00	110005770	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-12 00:00:00	2008-01-12 00:00:00	No	2009-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	R1JW11	N	CA00139357	A	SFY2008-09
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-27 00:00:00	110005771	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-18 00:00:00	2008-12-18 00:00:00	No	2009-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	QSMX11	N	CA00173255	B	SFY2008-09
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-16 00:00:00	110005774	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-28 00:00:00	2007-06-28 00:00:00	No	2009-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	44LX11	N	CA00119531	B	SFY2008-09
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-16 00:00:00	110005775	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-04 00:00:00	2007-07-04 00:00:00	No	2009-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	44LX11	N	CA00119531	B	SFY2008-09
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-06-05 00:00:00	110005784	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-25 00:00:00	2008-12-25 00:00:00	No	2009-06-29 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	B8KJ11	N	CA00173798	B	SFY2008-09
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-27 00:00:00	110005819	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-02 00:00:00	2008-12-02 00:00:00	No	2009-02-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	CY9V11	N	CA00170954	B	SFY2008-09
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-27 00:00:00	110005820	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-10-18 00:00:00	2008-10-18 00:00:00	No	2009-02-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	YDU611	N	CA00166968	A	SFY2008-09
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-05 00:00:00	110005833	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-24 00:00:00	2008-07-24 00:00:00	Yes	2009-05-27 00:00:00	2009-05-21 00:00:00	B	B Trebled	1000	2450	-950	1500	0	None	UCHO11	N	CA00158303	A	SFY2008-09
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-26 00:00:00	110005842	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-04 00:00:00	2008-07-04 00:00:00	Yes	2011-11-30 00:00:00	2011-11-09 00:00:00	A	B	18000	18000	0	18000	0	None	9TLS11	N	CA00156129	B	SFY2008-09
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-06 00:00:00	110005860	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-31 00:00:00	2007-01-31 00:00:00	No	2009-03-30 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	2XGK11	N	CA00105687	B	SFY2008-09
010000998	ABLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-03-12 00:00:00	110005861	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-30 00:00:00	2009-01-30 00:00:00	No	2009-04-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	W2OL11	N	CA00176634	A	SFY2008-09
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-10-13 00:00:00	110005862	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-15 00:00:00	2008-12-15 00:00:00	Yes	2009-11-03 00:00:00	2009-10-26 00:00:00	B	None	1000	1000	0	1000	0	None	G0LS11	N	None	None	SFY2009-10
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-02-18 00:00:00	110005869	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-06 00:00:00	2009-01-06 00:00:00	Yes	2009-03-11 00:00:00	2009-03-05 00:00:00	B	B	1000	500	0	500	0	None	DV2I11	N	CA00174301	A	SFY2008-09
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-02-26 00:00:00	110005870	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-05-17 00:00:00	2008-05-17 00:00:00	No	2009-03-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	8STP11	N	CA00176016	B	SFY2008-09
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-17 00:00:00	110005892	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-01-20 00:00:00	2009-01-20 00:00:00	Yes	2011-11-17 00:00:00	2011-11-02 00:00:00	A	B	16000	16000	0	16000	0	None	3CWW11	N	CA00174894	B	SFY2008-09
010000086	BAYBERRY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-03-05 00:00:00	110005894	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-08 00:00:00	2008-12-08 00:00:00	No	2009-03-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	YZN711	N	CA00171308	A	SFY2008-09
010000029	HEALDSBURG SENIOR LIVING COMMUNITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-02 00:00:00	110005903	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-21 00:00:00	2008-09-21 00:00:00	Yes	2009-03-23 00:00:00	2009-03-09 00:00:00	B	B	1000	500	0	500	0	None	6PWN11	N	CA00164179	A	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-01 00:00:00	110005909	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-20 00:00:00	2008-03-20 00:00:00	No	2009-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZTF511	N	CA00144559	A	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-11 00:00:00	110005916	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-12-02 00:00:00	2008-12-02 00:00:00	No	2009-04-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	OEWH11	N	CA00171852	A	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-04 00:00:00	110005923	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2009-01-26 00:00:00	2009-01-26 00:00:00	Yes	2009-03-26 00:00:00	2009-03-10 00:00:00	B	B	1000	500	0	500	0	None	11DW11	N	CA00176440	B	SFY2008-09
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-26 00:00:00	110005929	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-16 00:00:00	2008-12-16 00:00:00	Yes	2012-07-16 00:00:00	2012-07-03 00:00:00	A	B	18000	9000	0	9000	0	None	CK6L11	N	CA00177646	B	SFY2009-10
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-12 00:00:00	110005936	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-06 00:00:00	2009-02-06 00:00:00	No	2010-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	2EUM11	N	CA00177408	B	SFY2009-10
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-02 00:00:00	110005937	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-10 00:00:00	2009-02-10 00:00:00	No	2009-04-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	DMCZ11	N	CA00179376	A	SFY2008-09
010000597	COOPER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-04-14 00:00:00	110005963	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-11 00:00:00	2009-01-11 00:00:00	No	2009-05-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	N2YY11	N	CA00174786	B	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-06-09 00:00:00	110005983	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-18 00:00:00	2009-02-18 00:00:00	Yes	2011-11-21 00:00:00	2011-11-03 00:00:00	A	A	20000	13000	0	13000	0	None	VGMT11	Y	CA00178957, CA00178957	B, B	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-21 00:00:00	110005984	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-12 00:00:00	2008-10-12 00:00:00	Yes	2009-08-11 00:00:00	2009-07-27 00:00:00	B	B	1000	500	0	500	0	None	PE6311	N	CA00178744	B	SFY2009-10
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-06-09 00:00:00	110005985	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-01-27 00:00:00	2009-01-27 00:00:00	Yes	2011-11-18 00:00:00	2011-10-28 00:00:00	A	A	20000	13000	0	13000	0	None	VGMT11	N	CA00178957	B	SFY2008-09
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-04-20 00:00:00	110006000	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-18 00:00:00	2009-03-18 00:00:00	No	2009-05-11 00:00:00	None	B	None	1000	2100	-2100	0	0	None	DDN411	N	CA00177025	B	SFY2008-09
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-02 00:00:00	110006008	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-26 00:00:00	2008-03-26 00:00:00	No	2009-05-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	O10Q11	N	CA00145114, CA00145116	A, A	SFY2008-09
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-09-17 00:00:00	110006017	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-01-17 00:00:00	2009-01-17 00:00:00	No	2009-10-13 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	T0Z411	N	CA00176403	B	SFY2009-10
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-05 00:00:00	110006018	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-24 00:00:00	2008-07-24 00:00:00	Yes	2009-05-27 00:00:00	2009-05-18 00:00:00	B	B	1000	500	0	500	0	None	UCHO11	N	CA00158303	A	SFY2008-09
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-23 00:00:00	110006025	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-15 00:00:00	2009-01-15 00:00:00	Yes	2009-05-18 00:00:00	2009-05-11 00:00:00	B	None	1000	1000	0	1000	0	None	2YFQ11	N	CA00175083	A	SFY2008-09
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-23 00:00:00	110006026	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-15 00:00:00	2009-01-15 00:00:00	Yes	2009-05-18 00:00:00	2009-05-11 00:00:00	B	None	1000	1000	0	1000	0	None	2YFQ11	N	CA00175083	A	SFY2008-09
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-12-22 00:00:00	110006027	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-08-15 00:00:00	2010-08-15 00:00:00	No	2011-01-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	F0OD11	N	CA00240748, CA00240748	B, B	SFY2010-11
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-02 00:00:00	110006028	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-21 00:00:00	2008-08-21 00:00:00	Yes	2009-04-27 00:00:00	2009-04-08 00:00:00	B	B	1000	650	0	650	0	None	6HVX11	N	CA00161017	A	SFY2008-09
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-02 00:00:00	110006029	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-26 00:00:00	2008-06-26 00:00:00	Yes	2009-04-27 00:00:00	2009-04-07 00:00:00	B	B	1000	530	0	530	0	None	Z5Y311	N	CA00155180	B	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-02 00:00:00	110006030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-16 00:00:00	2008-06-16 00:00:00	No	2009-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	LV7411	N	CA00153952	A	SFY2008-09
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-13 00:00:00	110006036	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-28 00:00:00	2008-12-28 00:00:00	No	2010-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	IE6G11	N	CA00176854	B	SFY2009-10
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-16 00:00:00	110006037	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-02 00:00:00	2008-11-02 00:00:00	No	2009-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	LL6Y11	N	CA00168300	B	SFY2008-09
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-22 00:00:00	110006046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-26 00:00:00	2008-12-26 00:00:00	No	2010-02-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	P9DZ11	N	CA00179496, CA00181170	B, B	SFY2009-10
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-23 00:00:00	110006047	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-16 00:00:00	2008-06-16 00:00:00	No	2009-05-14 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	QBXF11	N	CA00158691	B	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-12 00:00:00	110006049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-17 00:00:00	2009-03-17 00:00:00	No	2009-06-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	VVHR11	N	CA00183630	A	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-20 00:00:00	110006050	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-03-17 00:00:00	2009-03-17 00:00:00	Yes	2009-06-16 00:00:00	2009-05-26 00:00:00	A	None	20000	20000	0	20000	0	None	KJHS11	N	CA00183663	A	SFY2008-09
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-21 00:00:00	110006064	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-12 00:00:00	2009-01-12 00:00:00	No	2009-05-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	7G0K11	N	CA00174661	B	SFY2008-09
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-16 00:00:00	110006082	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-05-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	UD9K11	N	CA00159936	B	SFY2008-09
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-16 00:00:00	110006083	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-05-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	UD9K11	N	CA00159936	B	SFY2008-09
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-15 00:00:00	110006096	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-28 00:00:00	2009-03-28 00:00:00	No	2009-05-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	N6FW11	N	CA00183131	B	SFY2008-09
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-24 00:00:00	110006098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-15 00:00:00	2008-05-15 00:00:00	No	2009-05-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	O8G911	Y	CA00156087	B	SFY2008-09
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-24 00:00:00	110006099	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-15 00:00:00	2008-05-15 00:00:00	No	2009-05-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	O8G911	N	CA00156087	B	SFY2008-09
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-09 00:00:00	110006104	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-24 00:00:00	2008-06-24 00:00:00	No	2009-08-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	820I11	N	CA00150780	B	SFY2009-10
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-09 00:00:00	110006123	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-13 00:00:00	2009-04-13 00:00:00	No	2010-04-30 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	Z9CE11	N	CA00184892	B	SFY2009-10
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-24 00:00:00	110006134	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-19 00:00:00	2009-04-19 00:00:00	No	2009-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	0EHH11	N	CA00185669	A	SFY2009-10
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-01 00:00:00	110006141	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-27 00:00:00	2008-12-27 00:00:00	No	2009-05-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	PIBI11	N	CA00173092	A	SFY2008-09
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-01 00:00:00	110006142	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-10 00:00:00	2009-02-10 00:00:00	Yes	2009-05-26 00:00:00	2009-05-06 00:00:00	B	B	1000	650	0	650	0	None	3FD611	N	CA00177597	A	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-30 00:00:00	110006145	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-09 00:00:00	2007-09-09 00:00:00	No	2009-05-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	KNUL11	N	CA00169960	B	SFY2008-09
010000022	FRIENDS HOUSE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-15 00:00:00	110006154	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-28 00:00:00	2009-02-28 00:00:00	Yes	2012-07-12 00:00:00	2010-06-29 00:00:00	A	A	18000	18000	0	18000	0	None	DE4411	N	CA00179788	B	SFY2009-10
010001124	MONTE VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-07-01 00:00:00	110006160	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-24 00:00:00	2008-12-24 00:00:00	No	2009-07-22 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	06PV11	Y	CA00173231	B	SFY2009-10
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-11 00:00:00	110006169	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-15 00:00:00	2008-07-15 00:00:00	No	2009-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	GLDN11	N	CA00157904	A	SFY2008-09
630010921	CROSSROADS III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-06-11 00:00:00	110006170	Closed	Citation	Citation B (HSC 1424)	Other	Patient Care/Admission	2008-08-26 00:00:00	2008-08-26 00:00:00	Yes	2009-07-06 00:00:00	2009-06-26 00:00:00	B	Dismissed by Court	1000	0	0	0	0	None	3HX411	N	CA00185583	A	SFY2008-09
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-11 00:00:00	110006171	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-07-15 00:00:00	2008-07-15 00:00:00	No	2009-06-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	GLDN11	N	CA00157904	A	SFY2008-09
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-29 00:00:00	110006183	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-24 00:00:00	2009-03-24 00:00:00	Yes	2010-01-22 00:00:00	2010-01-04 00:00:00	B	B	1000	500	0	500	0	None	MEVX11	N	CA00185031	A	SFY2009-10
010000052	PETALUMA POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-18 00:00:00	110006189	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-01 00:00:00	2008-07-01 00:00:00	Yes	2010-01-12 00:00:00	2010-01-06 00:00:00	A	None	18000	18000	0	18000	0	None	UQ2711	N	CA00155750	B	SFY2009-10
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-26 00:00:00	110006205	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-30 00:00:00	2009-04-30 00:00:00	Yes	2014-04-07 00:00:00	2010-02-02 00:00:00	B	B	1000	1000	0	1000	0	None	WT9U11	N	CA00186275	B	SFY2009-10
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-06-17 00:00:00	110006219	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-30 00:00:00	2008-08-30 00:00:00	No	2009-07-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	R7AM11	N	CA00162300	A	SFY2008-09
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-10-07 00:00:00	110006224	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-25 00:00:00	2009-04-25 00:00:00	No	2009-10-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	YGK011	N	CA00186138, CA00186153	B, B	SFY2009-10
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-06-08 00:00:00	110006225	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-17 00:00:00	2007-08-17 00:00:00	Yes	2009-06-29 00:00:00	2009-06-10 00:00:00	A	A	18000	11700	0	11700	0	None	A2QI11	N	CA00123824	B	SFY2008-09
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-30 00:00:00	110006233	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-07 00:00:00	2008-11-07 00:00:00	No	2009-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	H93U11	N	CA00164464, CA00169153, CA00169290	B, A, A	SFY2009-10
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-30 00:00:00	110006234	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-07 00:00:00	2008-11-07 00:00:00	No	2009-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	H93U11	N	CA00164464, CA00169153, CA00169290, CA00169290	B, A, A, A	SFY2009-10
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-06-08 00:00:00	110006245	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-27 00:00:00	2009-04-27 00:00:00	No	2009-07-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	TUPI11	N	CA00186135	A	SFY2008-09
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-11-23 00:00:00	110006248	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-30 00:00:00	2009-04-30 00:00:00	Yes	2009-12-16 00:00:00	2009-12-04 00:00:00	B	B	1000	650	0	650	0	None	7L9I11	N	CA00187569	B	SFY2009-10
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-09-28 00:00:00	110006265	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-13 00:00:00	2008-07-13 00:00:00	Yes	2009-10-20 00:00:00	2009-10-02 00:00:00	A	A	18000	11700	0	11700	0	None	FCFR11	N	CA00162894	A	SFY2009-10
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-15 00:00:00	110006269	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-12 00:00:00	2009-05-12 00:00:00	No	2009-08-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	VLY811	N	CA00188355	B	SFY2009-10
010000449	MEADOWVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-07-09 00:00:00	110006280	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-02 00:00:00	2009-06-02 00:00:00	No	2009-08-03 00:00:00	None	B	None	800	800	-280	520	0	None	F0QY11	N	CA00191125	A	SFY2009-10
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-22 00:00:00	110006284	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-11-03 00:00:00	2008-11-03 00:00:00	Yes	2010-01-14 00:00:00	2009-12-24 00:00:00	A	A	16000	7000	0	7000	0	None	PAGI11	N	CA00168967	A	SFY2009-10
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-08-12 00:00:00	110006303	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-04 00:00:00	2008-12-04 00:00:00	No	2009-09-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	UI4N11	N	CA00171155	A	SFY2009-10
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-27 00:00:00	110006304	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-01 00:00:00	2008-12-01 00:00:00	No	2009-08-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	E8H811	N	CA00170980	A	SFY2009-10
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-16 00:00:00	110006310	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-04 00:00:00	2009-06-04 00:00:00	Yes	2010-01-08 00:00:00	2009-12-31 00:00:00	B	None	1000	1000	0	1000	0	None	9S9M11	N	CA00191988	B	SFY2009-10
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-16 00:00:00	110006326	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-29 00:00:00	2009-04-29 00:00:00	Yes	2010-01-13 00:00:00	2009-12-31 00:00:00	B	None	1000	1000	0	1000	0	None	GLL011	N	CA00192885	B	SFY2009-10
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-18 00:00:00	110006341	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-29 00:00:00	2009-05-29 00:00:00	No	2010-01-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	7US811	N	CA00190281	A	SFY2009-10
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-01 00:00:00	110006342	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-11-19 00:00:00	2008-11-19 00:00:00	Yes	2009-07-29 00:00:00	2009-07-08 00:00:00	B	B	1000	500	0	500	0	None	ZYUL11	N	CA00170808	B	SFY2009-10
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-19 00:00:00	110006350	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-11-24 00:00:00	2008-11-24 00:00:00	Yes	2011-12-05 00:00:00	2011-11-10 00:00:00	A	A	18000	12000	0	12000	0	None	87RD11	N	CA00170313	B	SFY2009-10
010000596	ROBERTS ROAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-07-28 00:00:00	110006378	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-03 00:00:00	2009-07-03 00:00:00	Yes	2009-08-20 00:00:00	2009-08-11 00:00:00	B	None	1000	1000	-1000	0	0	None	QCHU11	N	CA00193865	A	SFY2009-10
010000596	ROBERTS ROAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-07-28 00:00:00	110006379	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Abuse/Facility Not Report	2009-07-03 00:00:00	2009-07-03 00:00:00	Yes	2009-08-20 00:00:00	2009-08-11 00:00:00	B	None	1000	1000	-1000	0	0	None	QCHU11	N	CA00193865	A	SFY2009-10
010000029	HEALDSBURG SENIOR LIVING COMMUNITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-08-07 00:00:00	110006397	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-19 00:00:00	2009-05-19 00:00:00	Yes	2009-08-28 00:00:00	2009-08-07 00:00:00	B	B	1000	500	0	500	0	None	JEBS11	N	CA00189066	A	SFY2009-10
010000782	PARADISE HOME DONCASTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-07-29 00:00:00	110006400	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-14 00:00:00	2008-10-14 00:00:00	No	2009-08-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	WBGO11	N	CA00166314	A	SFY2009-10
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-24 00:00:00	110006406	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-23 00:00:00	2009-05-23 00:00:00	No	2009-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	JXK111	N	CA00189749	A	SFY2009-10
010001143	PARADISE VALLEY ICF DDH, INC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-09-28 00:00:00	110006407	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-15 00:00:00	2009-02-15 00:00:00	No	2009-10-22 00:00:00	None	A	None	10000	10950	-3500	7450	0	None	G45311	N	CA00178003, CA00178609	B, B	SFY2009-10
010000029	HEALDSBURG SENIOR LIVING COMMUNITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-10-13 00:00:00	110006408	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-30 00:00:00	2009-05-30 00:00:00	Yes	2009-11-03 00:00:00	2009-11-03 00:00:00	B	B	1000	500	0	500	0	None	GV7S11	N	CA00194707	A	SFY2009-10
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-24 00:00:00	110006415	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-18 00:00:00	2009-04-18 00:00:00	No	2009-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	0EHH11	N	CA00185669	A	SFY2009-10
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-08 00:00:00	110006428	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-23 00:00:00	2008-10-23 00:00:00	Yes	2009-12-30 00:00:00	2009-12-10 00:00:00	B	B	1000	500	0	500	0	None	MOR011	N	CA00167496	B	SFY2009-10
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-18 00:00:00	110006437	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-11 00:00:00	2008-10-11 00:00:00	Yes	2010-01-12 00:00:00	2009-12-21 00:00:00	B	B	1000	650	0	650	0	None	5SQF11	N	CA00166258	B	SFY2009-10
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-07 00:00:00	110006443	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-25 00:00:00	2009-07-25 00:00:00	Yes	2009-12-29 00:00:00	2009-12-11 00:00:00	B	B	1000	450	0	450	0	None	GMNW11	N	CA00196667	A	SFY2009-10
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-26 00:00:00	110006471	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-07 00:00:00	2009-08-07 00:00:00	Yes	2010-02-16 00:00:00	2010-02-16 00:00:00	B	None	1000	1000	0	1000	0	None	CM5611	N	CA00197832	B	SFY2009-10
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-02-11 00:00:00	110006472	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-07-22 00:00:00	2009-07-22 00:00:00	Yes	2011-11-18 00:00:00	2011-11-03 00:00:00	A	A	20000	10000	0	10000	0	None	5QPI11	N	CA00196133, CA00197834, CA00197834, CA00200206	B, B, B, B	SFY2009-10
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-02-11 00:00:00	110006497	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-08-22 00:00:00	2009-08-22 00:00:00	Yes	2011-12-01 00:00:00	2011-11-09 00:00:00	A	A	20000	10000	0	10000	0	None	Y9YO11	N	CA00199417	A	SFY2009-10
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-09-03 00:00:00	110006520	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-24 00:00:00	2009-05-24 00:00:00	No	2009-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	0GLJ11	N	CA00189698	B	SFY2009-10
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-03-17 00:00:00	110006550	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-08-23 00:00:00	2009-08-23 00:00:00	Yes	2010-04-08 00:00:00	2010-03-23 00:00:00	B	B	1000	500	0	500	0	None	WYXG11	N	CA00199695	C	SFY2009-10
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-02-11 00:00:00	110006552	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-13 00:00:00	2009-06-13 00:00:00	Yes	2010-03-04 00:00:00	2010-02-23 00:00:00	B	B	1000	650	0	650	0	None	JDOJ11	N	CA00191919	B	SFY2009-10
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-09-24 00:00:00	110006575	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-01 00:00:00	2009-06-01 00:00:00	No	2009-10-16 00:00:00	None	B	None	1000	3000	0	3000	0	None	PR8G11	N	CA00190506	A	SFY2009-10
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-10-25 00:00:00	110006580	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-19 00:00:00	2009-09-19 00:00:00	No	2010-11-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	9GYJ11	Y	CA00202450	B	SFY2010-11
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-15 00:00:00	110006594	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-21 00:00:00	2009-07-21 00:00:00	No	2010-05-10 00:00:00	None	B	None	800	800	-280	520	0	None	D3SW11	N	CA00196134	B	SFY2009-10
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-10-09 00:00:00	110006601	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-18 00:00:00	2009-08-18 00:00:00	No	2009-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	OJ1K11	N	CA00198624	C	SFY2009-10
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-10-08 00:00:00	110006602	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-21 00:00:00	2009-08-21 00:00:00	No	2009-10-30 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	28LL11	N	CA00199396	A	SFY2009-10
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-16 00:00:00	110006614	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-08 00:00:00	2009-10-08 00:00:00	Yes	2010-01-12 00:00:00	2009-12-30 00:00:00	A	A	18000	0	0	0	0	None	J5IE11	N	CA00204254	A	SFY2009-10
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-10-21 00:00:00	110006621	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-02 00:00:00	2009-07-02 00:00:00	No	2009-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	HJIF11	N	CA00193902	A	SFY2009-10
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-10-21 00:00:00	110006633	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-27 00:00:00	2008-05-27 00:00:00	Yes	2009-11-16 00:00:00	2009-10-28 00:00:00	B	None	1000	1000	0	1000	0	None	4IIE11	N	CA00151629	A	SFY2009-10
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-11-04 00:00:00	110006644	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-04 00:00:00	2008-05-04 00:00:00	Yes	2011-12-06 00:00:00	2011-11-14 00:00:00	A	A	18000	10000	0	10000	0	None	FKSR11	N	CA00147832	B	SFY2009-10
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-11-04 00:00:00	110006645	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-04 00:00:00	2008-05-04 00:00:00	Yes	2009-11-30 00:00:00	2009-11-19 00:00:00	B	B	1000	530	0	530	0	None	FKSR11	N	CA00147832	B	SFY2009-10
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-11-04 00:00:00	110006646	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-04 00:00:00	2008-03-04 00:00:00	Yes	2011-12-14 00:00:00	2009-11-19 00:00:00	A	A	18000	0	0	0	0	None	FKSR11	N	CA00147832	B	SFY2009-10
010000431	PETALUMA ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-04-16 00:00:00	110006647	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-10 00:00:00	2009-10-10 00:00:00	No	2010-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	IG9311	N	CA00205463	A	SFY2009-10
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-22 00:00:00	110006657	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-14 00:00:00	2009-04-14 00:00:00	No	2010-02-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	XY9511	N	CA00185002	B	SFY2009-10
010000622	SARATOGA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-01-27 00:00:00	110006694	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-01 00:00:00	2009-11-01 00:00:00	No	2010-02-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	2WIC11	N	CA00206777	B	SFY2009-10
010000022	FRIENDS HOUSE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-11-24 00:00:00	110006722	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-19 00:00:00	2009-10-19 00:00:00	Yes	2009-12-17 00:00:00	2009-11-30 00:00:00	A	A	16000	16000	0	16000	0	None	S65711	N	None	None	SFY2009-10
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-15 00:00:00	110006752	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-24 00:00:00	2009-06-24 00:00:00	Yes	2010-05-06 00:00:00	2010-04-23 00:00:00	B	B	1000	530	0	530	0	None	FMR211	N	CA00193265	A	SFY2009-10
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-08 00:00:00	110006753	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-10-23 00:00:00	2008-10-23 00:00:00	Yes	2009-12-30 00:00:00	2009-12-10 00:00:00	B	B	1000	500	0	500	0	None	MOR011	N	CA00167496	B	SFY2009-10
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-10-20 00:00:00	110006754	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-08-30 00:00:00	2009-08-30 00:00:00	No	2010-11-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	R48611	N	CA00200508	C	SFY2010-11
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-16 00:00:00	110006760	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-04-29 00:00:00	2009-04-29 00:00:00	Yes	2010-01-08 00:00:00	2009-12-31 00:00:00	B	None	1000	1000	0	1000	0	None	GLL011	N	CA00192885	B	SFY2009-10
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-16 00:00:00	110006763	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-01-02 00:00:00	2009-01-02 00:00:00	Yes	2010-01-12 00:00:00	2009-12-30 00:00:00	B	None	1000	1000	0	1000	0	None	FK7S11	N	CA00200051	B	SFY2009-10
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-12 00:00:00	110006783	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-11-30 00:00:00	2009-11-30 00:00:00	No	2010-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	817Q11	N	None	None	SFY2009-10
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-12 00:00:00	110006785	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-10-31 00:00:00	2008-10-31 00:00:00	Yes	2011-12-01 00:00:00	2011-11-10 00:00:00	A	B	20000	22000	0	22000	0	None	A68611	N	CA00168061	B	SFY2009-10
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-03-10 00:00:00	110006794	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-01 00:00:00	2009-08-01 00:00:00	No	2010-04-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	W3D911	N	CA00199062	C	SFY2009-10
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-14 00:00:00	110006807	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-10-28 00:00:00	2009-10-28 00:00:00	No	2010-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	PJQW11	N	CA00207900	B	SFY2009-10
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-14 00:00:00	110006808	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-28 00:00:00	2009-10-28 00:00:00	No	2010-05-05 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	PJQW11	N	CA00207900	B	SFY2009-10
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-29 00:00:00	110006851	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-10-12 00:00:00	2009-10-12 00:00:00	No	2010-02-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	72MX11	N	None	None	SFY2009-10
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-11-04 00:00:00	110006872	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-12-12 00:00:00	2009-12-12 00:00:00	No	2010-11-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	S6DV11	N	CA00211760	A	SFY2010-11
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-08-19 00:00:00	110006873	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2009-12-18 00:00:00	2009-12-18 00:00:00	No	2010-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	5WB211	N	CA00211865	A	SFY2010-11
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-15 00:00:00	110006877	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-10 00:00:00	2009-11-10 00:00:00	Yes	2010-05-06 00:00:00	2010-04-29 00:00:00	B	None	1000	1000	0	1000	0	None	0ZFU11	N	CA00207953	B	SFY2009-10
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-20 00:00:00	110006878	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-02 00:00:00	2009-12-02 00:00:00	No	2010-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	MKBW11	N	CA00209561	B	SFY2009-10
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-07-16 00:00:00	110006879	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-08-04 00:00:00	2009-08-04 00:00:00	No	2010-08-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	TD7011	N	CA00198047	C	SFY2010-11
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-07-16 00:00:00	110006880	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-08-04 00:00:00	2009-08-04 00:00:00	No	2010-08-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	TD7011	N	CA00198047	C	SFY2010-11
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-12 00:00:00	110006894	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-06 00:00:00	2009-02-06 00:00:00	No	2010-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	2EUM11	N	CA00177408	B	SFY2009-10
010000622	SARATOGA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-01-27 00:00:00	110006895	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-09 00:00:00	2009-10-09 00:00:00	No	2010-02-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	ES5F11	N	CA00204647	B	SFY2009-10
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-21 00:00:00	110006900	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-06-07 00:00:00	2009-06-07 00:00:00	Yes	2012-10-10 00:00:00	2012-09-19 00:00:00	A	A	18000	12000	0	12000	0	None	EBED11	N	CA00191184	B	SFY2009-10
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-14 00:00:00	110006901	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-25 00:00:00	2009-08-25 00:00:00	Yes	2010-05-07 00:00:00	2010-04-14 00:00:00	B	B	1000	650	0	650	0	None	FWIZ11	N	CA00199628	C	SFY2009-10
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-25 00:00:00	110006929	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-17 00:00:00	2009-09-17 00:00:00	Yes	2010-02-18 00:00:00	2010-02-05 00:00:00	B	None	1000	1000	0	1000	0	None	6KVQ11	N	CA00201985	A	SFY2009-10
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-02-19 00:00:00	110006930	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-23 00:00:00	2009-10-23 00:00:00	Yes	2012-10-26 00:00:00	2012-10-15 00:00:00	A	B	20000	15000	0	15000	0	None	EHF911	Y	CA00206130	A	SFY2009-10
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-20 00:00:00	110006931	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-10 00:00:00	2008-11-10 00:00:00	Yes	2010-02-10 00:00:00	2010-01-26 00:00:00	B	None	1000	1000	0	1000	0	None	1SQK11	N	None	None	SFY2009-10
010000998	ABLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-09-08 00:00:00	110006934	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-07 00:00:00	2009-12-07 00:00:00	Yes	2010-09-29 00:00:00	2010-09-15 00:00:00	B	B	1000	1950	0	1950	0	None	L10I11	N	CA00210728, CA00210728	B, B	SFY2010-11
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-01-19 00:00:00	110006944	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-16 00:00:00	2009-11-16 00:00:00	Yes	2011-02-09 00:00:00	2011-01-19 00:00:00	B	B	1000	650	0	650	0	None	INZV11	N	CA00208327	B	SFY2010-11
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-02-11 00:00:00	110006968	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-08-07 00:00:00	2009-08-07 00:00:00	No	2010-03-12 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	NMVM11	N	CA00197975	B	SFY2009-10
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-11-04 00:00:00	110006973	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-12-12 00:00:00	2009-12-12 00:00:00	No	2010-11-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	S6DV11	N	CA00211760	A	SFY2010-11
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-03-23 00:00:00	110006991	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-18 00:00:00	2009-11-18 00:00:00	Yes	2010-04-16 00:00:00	2010-04-09 00:00:00	B	None	1000	1000	0	1000	0	None	9NM911	N	CA00209479	A	SFY2009-10
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-02-17 00:00:00	110006993	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-08-21 00:00:00	2009-08-21 00:00:00	Yes	2010-03-10 00:00:00	2010-02-18 00:00:00	B	B	1000	500	0	500	0	None	0NPZ11	N	CA00199847, CA00199847, CA00199929, CA00199929	B, B, C, C	SFY2009-10
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-02-17 00:00:00	110006994	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-21 00:00:00	2009-08-21 00:00:00	Yes	2010-03-10 00:00:00	2010-02-23 00:00:00	B	B	1000	500	0	500	0	None	0NPZ11	N	CA00199847, CA00199929	B, C	SFY2009-10
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-20 00:00:00	110007001	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-29 00:00:00	2009-12-29 00:00:00	No	2010-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	E58C11	N	CA00214139	B	SFY2009-10
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-02-19 00:00:00	110007005	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-08 00:00:00	2009-02-08 00:00:00	Yes	2010-03-22 00:00:00	2010-02-22 00:00:00	B	None	1000	1000	0	1000	0	None	ERG511	N	CA00177333, CA00177333	B, B	SFY2009-10
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-01-19 00:00:00	110007019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-02 00:00:00	2009-08-02 00:00:00	Yes	2014-09-03 00:00:00	2011-01-31 00:00:00	B	B	1000	1000	-1000	0	0	None	H3T311	N	CA00197252	B	SFY2010-11
010000431	PETALUMA ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-04-16 00:00:00	110007029	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-10-10 00:00:00	2009-10-10 00:00:00	No	2010-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	IG9311	N	CA00205463	A	SFY2009-10
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-10-27 00:00:00	110007031	Closed	Citation	Citation B (HSC 1424)	Patient Care	Admin. & Patient Care	2009-06-09 00:00:00	2009-06-09 00:00:00	Yes	2010-11-18 00:00:00	2010-11-12 00:00:00	B	B	1000	650	0	650	0	None	LUH311	N	CA00191495	A	SFY2010-11
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-09-08 00:00:00	110007054	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-02-11 00:00:00	2010-02-11 00:00:00	Yes	2010-10-06 00:00:00	2010-09-29 00:00:00	B	None	1000	1000	0	1000	0	None	VPFO11	N	CA00220623	B	SFY2010-11
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-12-16 00:00:00	110007111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-26 00:00:00	2009-11-26 00:00:00	Yes	2012-01-10 00:00:00	2011-12-20 00:00:00	B	B	1000	1145	-300	845	0	None	TW0511	N	CA00209610	A	SFY2011-12
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-11-30 00:00:00	110007112	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-24 00:00:00	2010-03-24 00:00:00	Yes	2013-06-05 00:00:00	2011-01-06 00:00:00	A	A	18000	18000	0	18000	0	None	EFTG11	N	CA00223232	B	SFY2010-11
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-07-15 00:00:00	110007114	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-03-13 00:00:00	2010-03-13 00:00:00	No	2010-08-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	OWIK11	N	CA00222235	A	SFY2010-11
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-14 00:00:00	110007123	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-25 00:00:00	2009-08-25 00:00:00	Yes	2010-05-07 00:00:00	2010-04-14 00:00:00	B	B	1000	650	0	650	0	None	FWIZ11	N	CA00199628	C	SFY2009-10
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-08-24 00:00:00	110007146	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-29 00:00:00	2010-03-29 00:00:00	Yes	2010-09-20 00:00:00	2010-09-17 00:00:00	B	None	1000	1000	0	1000	0	None	HDLQ11	N	CA00223569	B	SFY2010-11
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-08-18 00:00:00	110007159	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-03 00:00:00	2009-12-03 00:00:00	No	2010-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y75F11	N	CA00210242	B	SFY2010-11
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-07-29 00:00:00	110007167	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-16 00:00:00	2010-04-16 00:00:00	Yes	2013-08-19 00:00:00	2013-07-29 00:00:00	B	None	1000	1000	-350	650	0	None	5PHQ11	N	CA00224167, CA00225709, CA00228718	A, C, B	SFY2013-14
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-06-21 00:00:00	110007227	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-12-28 00:00:00	2009-12-28 00:00:00	No	2010-07-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZWNI11	N	CA00213458	A	SFY2009-10
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-03-01 00:00:00	110007234	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2009-12-06 00:00:00	2009-12-06 00:00:00	Yes	2011-03-22 00:00:00	2011-03-14 00:00:00	A	B	20000	10000	0	10000	0	None	SB5W11	N	CA00210526	A	SFY2010-11
010000970	DEVON DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-10-18 00:00:00	110007244	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-29 00:00:00	2010-01-29 00:00:00	No	2010-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	KKMB11	N	CA00215518	B	SFY2010-11
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-07-05 00:00:00	110007292	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-31 00:00:00	2010-05-31 00:00:00	No	2012-07-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	LZC611	N	CA00231079	A	SFY2012-13
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-10-26 00:00:00	110007293	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-03-04 00:00:00	2010-03-04 00:00:00	No	2010-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	PIXW11	N	CA00220403, CA00220459	A, A	SFY2010-11
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-10-26 00:00:00	110007294	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-03-04 00:00:00	2010-03-04 00:00:00	No	2010-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	PIXW11	N	CA00220403, CA00220459	A, A	SFY2010-11
010000792	CROSSROADS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-11-05 00:00:00	110007300	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-02-15 00:00:00	2010-02-15 00:00:00	Yes	2010-12-01 00:00:00	2010-11-15 00:00:00	B	B	1000	650	0	650	0	None	H30W11	N	CA00223731	A	SFY2010-11
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-06-15 00:00:00	110007301	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-01-12 00:00:00	2010-01-12 00:00:00	No	2010-07-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	J4BG11	N	CA00214798	A	SFY2009-10
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-06-15 00:00:00	110007302	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-12 00:00:00	2010-01-12 00:00:00	No	2010-07-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	J4BG11	N	CA00214798	A	SFY2009-10
010000585	FIFTY-O-ONE PARKHURST	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-07-20 00:00:00	110007307	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-17 00:00:00	2010-03-17 00:00:00	No	2010-08-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	ST8S11	N	CA00222706, CA00224292	A, B	SFY2010-11
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-03-17 00:00:00	110007358	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-06-21 00:00:00	2010-06-21 00:00:00	Yes	2011-04-08 00:00:00	2011-04-05 00:00:00	B	None	1000	1000	0	1000	0	None	OUBG11	N	CA00233220	A	SFY2010-11
010000792	CROSSROADS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-11-05 00:00:00	110007359	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-29 00:00:00	2010-05-29 00:00:00	Yes	2010-12-02 00:00:00	2010-11-15 00:00:00	B	B	1000	650	0	650	0	None	P55J11	N	CA00230718	A	SFY2010-11
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-07-15 00:00:00	110007362	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-20 00:00:00	2010-03-20 00:00:00	No	2010-08-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	OWIK11	N	CA00222235	A	SFY2010-11
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-09-28 00:00:00	110007473	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-30 00:00:00	2010-07-30 00:00:00	No	2010-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	TQ8F11	N	CA00237857	A	SFY2010-11
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-08-31 00:00:00	110007504	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-16 00:00:00	2010-05-16 00:00:00	No	2010-09-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	S44311	N	CA00228958, CA00231751	B, B	SFY2010-11
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-08-31 00:00:00	110007505	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-25 00:00:00	2010-05-25 00:00:00	No	2010-09-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	R0U311	N	CA00230072	B	SFY2010-11
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-12-23 00:00:00	110007506	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-09-02 00:00:00	2009-09-02 00:00:00	Yes	2011-01-13 00:00:00	2010-12-29 00:00:00	B	B	1000	650	0	650	0	None	W75U11	N	CA00200836	B	SFY2010-11
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-09-21 00:00:00	110007508	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-09 00:00:00	2010-03-09 00:00:00	Yes	2010-10-12 00:00:00	2010-09-21 00:00:00	B	B	1000	650	0	650	0	None	V47W11	N	CA00220597, CA00230968, CA00231940	B, B, B	SFY2010-11
010000792	CROSSROADS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-11-05 00:00:00	110007512	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-02-15 00:00:00	2010-02-15 00:00:00	Yes	2010-12-01 00:00:00	2010-11-15 00:00:00	B	B	1000	650	0	650	0	None	H30W11	N	CA00223731	A	SFY2010-11
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-09-14 00:00:00	110007549	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-17 00:00:00	2010-02-17 00:00:00	No	2010-10-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	43BI11	N	CA00218642	A	SFY2010-11
010000679	GRAND CHALET	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-09-27 00:00:00	110007550	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-24 00:00:00	2010-08-24 00:00:00	No	2010-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	LRMR11	N	CA00239220	B	SFY2010-11
630010921	CROSSROADS III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-10-05 00:00:00	110007571	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-08-10 00:00:00	2010-08-10 00:00:00	No	2010-10-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	PML911	N	CA00238454	A	SFY2010-11
010000792	CROSSROADS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-11-05 00:00:00	110007576	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-29 00:00:00	2010-05-29 00:00:00	Yes	2010-12-01 00:00:00	2010-11-15 00:00:00	B	B	1000	650	0	650	0	None	P55J11	N	CA00230718	A	SFY2010-11
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-10-21 00:00:00	110007582	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-09-09 00:00:00	2010-09-09 00:00:00	Yes	2010-11-12 00:00:00	2010-10-28 00:00:00	B	B	1000	530	0	530	0	None	7IHD11	N	CA00242382	A	SFY2010-11
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-09-22 00:00:00	110007583	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-04-10 00:00:00	2010-04-10 00:00:00	Yes	2010-10-13 00:00:00	2010-10-05 00:00:00	B	None	1000	3000	0	3000	0	None	EPI811	N	CA00225083	A	SFY2010-11
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-09-22 00:00:00	110007584	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-04-10 00:00:00	2010-04-10 00:00:00	Yes	2010-10-13 00:00:00	2010-10-05 00:00:00	B	None	1000	3000	0	3000	0	None	EPI811	N	CA00225083	A	SFY2010-11
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-10-20 00:00:00	110007585	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-12 00:00:00	2009-07-12 00:00:00	No	2010-11-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	NWPI11	N	CA00200212	C	SFY2010-11
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-10-19 00:00:00	110007586	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-15 00:00:00	2010-08-15 00:00:00	Yes	2012-11-09 00:00:00	2012-10-25 00:00:00	A	A	20000	12000	0	12000	0	None	HWSE11	N	CA00240708	B	SFY2012-13
630010921	CROSSROADS III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-10-05 00:00:00	110007600	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-08-03 00:00:00	2010-08-03 00:00:00	No	2010-10-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	PML911	N	None	None	SFY2010-11
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-10-21 00:00:00	110007655	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-21 00:00:00	2009-07-21 00:00:00	Yes	2010-11-12 00:00:00	2010-10-28 00:00:00	B	B	1000	530	0	530	0	None	1SER11	N	CA00195958	A	SFY2010-11
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-12-17 00:00:00	110007660	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-13 00:00:00	2010-05-13 00:00:00	Yes	2011-01-07 00:00:00	2010-12-23 00:00:00	A	A	20000	13000	0	13000	0	None	DCKY11	N	CA00230264	B	SFY2010-11
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-10-21 00:00:00	110007661	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-21 00:00:00	2010-07-21 00:00:00	Yes	2010-11-16 00:00:00	2010-10-28 00:00:00	B	B	1000	530	0	530	0	None	1SER11	N	CA00195958	A	SFY2010-11
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-09-04 00:00:00	110007663	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-20 00:00:00	2010-09-20 00:00:00	No	2012-09-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	NIDL11	N	CA00244624	B	SFY2012-13
010001128	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	Santa Rosa	2011-05-10 00:00:00	110007672	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-10 00:00:00	2010-01-10 00:00:00	Yes	2011-06-01 00:00:00	2011-05-19 00:00:00	B	B	1000	650	0	650	0	None	P27V11	N	CA00214147	C	SFY2010-11
110000016	CRESTWOOD MANOR VALLEJO	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-03-10 00:00:00	110007700	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-07 00:00:00	2010-04-07 00:00:00	Yes	2011-04-01 00:00:00	2011-03-17 00:00:00	B	B	1000	750	0	750	0	None	W1Z111	N	CA00224594	A	SFY2010-11
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-12-23 00:00:00	110007707	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-07-27 00:00:00	2010-07-27 00:00:00	Yes	2011-01-13 00:00:00	2010-12-29 00:00:00	B	B	1000	1950	0	1950	0	None	7UM611	N	CA00238258	A	SFY2010-11
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-12-23 00:00:00	110007708	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-27 00:00:00	2010-07-27 00:00:00	Yes	2011-01-13 00:00:00	2010-12-29 00:00:00	B	B	1000	650	0	650	0	None	7UM611	N	CA00238258	A	SFY2010-11
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-05-25 00:00:00	110007752	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-09-16 00:00:00	2010-09-16 00:00:00	Yes	2013-06-06 00:00:00	2013-05-17 00:00:00	A	A	19000	15000	0	15000	0	None	TEFJ11	N	CA00242993, CA00243131	A, A	SFY2010-11
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-08-10 00:00:00	110007800	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-26 00:00:00	2010-11-26 00:00:00	No	2011-08-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	TO3K11	N	CA00250531	A	SFY2011-12
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-03-29 00:00:00	110007832	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-15 00:00:00	2010-06-15 00:00:00	No	2011-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	TY9E11	N	CA00232343	B	SFY2010-11
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-04-13 00:00:00	110007849	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-01-08 00:00:00	2011-01-08 00:00:00	No	2011-05-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	0QBC11	N	CA00255094	A	SFY2010-11
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-04-19 00:00:00	110007851	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-28 00:00:00	2009-10-28 00:00:00	No	2011-05-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	W98L11	N	CA00208376	B	SFY2010-11
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-04-05 00:00:00	110007912	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-02 00:00:00	2010-11-02 00:00:00	No	2011-04-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	DPPZ11	N	CA00248099	A	SFY2010-11
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-04-21 00:00:00	110007916	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-03-17 00:00:00	2010-03-17 00:00:00	No	2011-05-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	D35D11	N	CA00221627	A	SFY2010-11
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-03-03 00:00:00	110007941	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-10-13 00:00:00	2009-10-13 00:00:00	No	2011-03-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	EHFQ11	N	CA00204791	A	SFY2010-11
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-12-07 00:00:00	110007964	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-17 00:00:00	2010-03-17 00:00:00	No	2012-12-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	I5HC11	N	CA00257346	B	SFY2012-13
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-03-17 00:00:00	110007965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-08 00:00:00	2010-07-08 00:00:00	No	2011-04-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	0F8411	N	CA00234986	B	SFY2010-11
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-05-10 00:00:00	110007966	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-08-06 00:00:00	2010-08-06 00:00:00	Yes	2011-06-01 00:00:00	2011-05-12 00:00:00	B	B	1000	1000	0	1000	0	None	OC9Q11	N	CA00237750, CA00238078	B, B	SFY2010-11
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-08-03 00:00:00	110007972	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-02-18 00:00:00	2011-02-18 00:00:00	No	2011-08-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	QHUS11	N	CA00259642	A	SFY2011-12
110000030	HEARTWOOD AVENUE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-05-10 00:00:00	110007980	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-27 00:00:00	2010-09-27 00:00:00	Yes	2011-06-01 00:00:00	2011-05-27 00:00:00	B	B	1000	650	0	650	0	None	MOMT11	N	CA00248548	A	SFY2010-11
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-05-11 00:00:00	110007981	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-20 00:00:00	2010-10-20 00:00:00	Yes	2011-06-02 00:00:00	2011-05-25 00:00:00	B	B	1000	1000	0	1000	0	None	GT3D11	N	CA00247206, CA00247666	A, B	SFY2010-11
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-04-27 00:00:00	110007996	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-25 00:00:00	2010-10-25 00:00:00	No	2011-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	EWJK11	N	CA00247433	B	SFY2010-11
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-07-20 00:00:00	110007999	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-11-17 00:00:00	2010-11-17 00:00:00	No	2011-08-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	9R6Z11	N	CA00249863	A	SFY2011-12
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-04-21 00:00:00	110008031	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-21 00:00:00	2010-12-21 00:00:00	No	2011-05-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	T2P911	N	CA00253106	B	SFY2010-11
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-03-29 00:00:00	110008038	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-03 00:00:00	2009-07-03 00:00:00	No	2011-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	XBFH11	N	CA00193944	B	SFY2010-11
010000643	PATHWAYS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2011-04-22 00:00:00	110008070	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-03-07 00:00:00	2011-03-07 00:00:00	No	2011-05-13 00:00:00	None	B	None	1000	1350	-350	1000	0	None	WZVO11	N	None	None	SFY2010-11
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-10-27 00:00:00	110008190	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2011-04-16 00:00:00	2011-04-16 00:00:00	Yes	2013-06-05 00:00:00	2011-11-04 00:00:00	A	A	18000	18000	0	18000	0	None	PQXC11	Y	CA00266254, CA00266416, CA00266416, CA00285434	A, A, A, B	SFY2011-12
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-11-02 00:00:00	110008200	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-04-22 00:00:00	2011-04-22 00:00:00	Yes	2013-11-01 00:00:00	2011-11-16 00:00:00	A	A	16000	15500	0	15500	0	None	J5ZZ11	N	CA00260660, CA00262107, CA00262787	A, B, B	SFY2011-12
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-05-25 00:00:00	110008229	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-16 00:00:00	2010-09-16 00:00:00	Yes	2011-06-16 00:00:00	2011-06-08 00:00:00	B	B	1000	650	0	650	0	None	TEFJ11	N	CA00242993, CA00243131	A, A	SFY2010-11
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-05-17 00:00:00	110008237	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-26 00:00:00	2010-02-26 00:00:00	Yes	2011-06-08 00:00:00	2011-05-31 00:00:00	B	None	1000	1000	0	1000	0	None	ED0711	N	CA00228443	B	SFY2010-11
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-02-29 00:00:00	110008291	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-06-03 00:00:00	2011-06-03 00:00:00	Yes	2012-03-21 00:00:00	2012-03-02 00:00:00	B	None	1000	1000	-1000	0	0	None	EUJX11	N	CA00246859	A	SFY2011-12
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-07-07 00:00:00	110008325	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-14 00:00:00	2011-06-14 00:00:00	No	2011-07-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	EHO711	N	None	None	SFY2011-12
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-09-30 00:00:00	110008359	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-06-27 00:00:00	2011-06-27 00:00:00	No	2011-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	BU5011	N	None	None	SFY2011-12
010000052	PETALUMA POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-01-03 00:00:00	110008387	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-01-27 00:00:00	2011-01-27 00:00:00	No	2014-01-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	IPNM11	N	CA00256178	B	SFY2013-14
010000998	ABLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2011-07-28 00:00:00	110008396	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-06-10 00:00:00	2010-06-10 00:00:00	No	2011-08-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	34I911	N	CA00232793	B	SFY2011-12
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-09-20 00:00:00	110008445	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-08-16 00:00:00	2010-08-16 00:00:00	No	2011-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	X4NL11	N	CA00239673	A	SFY2011-12
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-09-20 00:00:00	110008446	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-08-14 00:00:00	2010-08-14 00:00:00	No	2011-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	X8XZ11	N	CA00239725	A	SFY2011-12
010000970	DEVON DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2011-09-14 00:00:00	110008460	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-07-29 00:00:00	2011-07-29 00:00:00	No	2011-10-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	MPMN11	N	CA00277332	A	SFY2011-12
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-05-30 00:00:00	110008463	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-07-11 00:00:00	2011-07-11 00:00:00	No	2012-06-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	POAP11	N	CA00277148	A	SFY2011-12
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-09-20 00:00:00	110008479	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-08-15 00:00:00	2010-08-15 00:00:00	No	2011-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	RMV411	N	CA00239525	A	SFY2011-12
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-09-16 00:00:00	110008556	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-02-23 00:00:00	2010-02-23 00:00:00	No	2011-10-07 00:00:00	None	A	None	17000	17000	-5950	11050	0	None	YWHJ11	N	CA00219568	B	SFY2011-12
010000480	VELMA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2011-10-26 00:00:00	110008562	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-06-28 00:00:00	2011-06-28 00:00:00	No	2011-11-17 00:00:00	None	B	None	1000	1000	0	0	1000	None	3CY611	N	CA00274270	A	SFY2011-12
010000998	ABLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2011-10-31 00:00:00	110008587	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2011-08-30 00:00:00	2011-08-30 00:00:00	No	2011-11-22 00:00:00	None	A	None	6000	6000	-2100	3900	0	None	83TC11	N	CA00281757	B	SFY2011-12
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-05-16 00:00:00	110008617	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2011-08-08 00:00:00	2011-08-08 00:00:00	Yes	2013-06-07 00:00:00	2013-05-31 00:00:00	AA	AA	100000	65000	0	65000	0	None	6MV911	Y	CA00278625	B	SFY2012-13
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-11-14 00:00:00	110008625	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-09-10 00:00:00	2010-09-10 00:00:00	No	2011-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	6DVO11	N	CA00242388	A	SFY2011-12
110000760	THE MEADOWS OF NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-12-01 00:00:00	110008626	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-08-29 00:00:00	2011-08-29 00:00:00	No	2011-12-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	T2RZ11	N	None	None	SFY2011-12
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-01-12 00:00:00	110008655	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-12-17 00:00:00	2010-12-17 00:00:00	No	2012-02-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	RR4C11	N	CA00252921, CA00286841	A, B	SFY2011-12
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-12-19 00:00:00	110008661	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-23 00:00:00	2011-03-23 00:00:00	Yes	2012-01-11 00:00:00	2012-01-10 00:00:00	B	None	1000	1000	0	1000	0	None	D4YV11	N	CA00263381	B	SFY2011-12
010000052	PETALUMA POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-12-07 00:00:00	110008712	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-10-25 00:00:00	2011-10-25 00:00:00	No	2011-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	66IN11	N	None	None	SFY2011-12
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-01 00:00:00	110008780	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-19 00:00:00	2011-10-19 00:00:00	Yes	2012-03-22 00:00:00	2012-03-20 00:00:00	B	None	1000	1000	0	0	1000	None	LRK411	N	CA00288693	A	SFY2011-12
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-01-12 00:00:00	110008786	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-12-17 00:00:00	2010-12-17 00:00:00	No	2012-02-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	RR4C11	N	CA00252921, CA00286841	A, B	SFY2011-12
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-05-02 00:00:00	110008823	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-15 00:00:00	2010-11-15 00:00:00	No	2012-05-23 00:00:00	None	B	B	1000	500	0	500	0	None	MUR211	N	CA00251720	B	SFY2011-12
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-10-15 00:00:00	110008824	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-11-25 00:00:00	2011-11-25 00:00:00	No	2012-11-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	12JO11	N	CA00291450, CA00291521	B, B	SFY2012-13
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-05-02 00:00:00	110008826	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-12-10 00:00:00	2010-12-10 00:00:00	No	2012-05-23 00:00:00	None	B	B	1000	500	0	500	0	None	6LI111	N	CA00251925	B	SFY2011-12
010001124	MONTE VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2012-08-08 00:00:00	110008845	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-05-27 00:00:00	2011-05-27 00:00:00	No	2012-08-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	JI5511	N	CA00271384	A	SFY2012-13
010001124	MONTE VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2012-08-08 00:00:00	110008846	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	AB Abuse/Facility Not Rep	2011-05-27 00:00:00	2011-05-27 00:00:00	No	2012-08-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	JI5511	N	CA00271384	A	SFY2012-13
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-08 00:00:00	110008866	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-25 00:00:00	2011-10-25 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ2R11	N	None	None	SFY2011-12
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-08 00:00:00	110008867	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-25 00:00:00	2011-10-25 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ2R11	N	None	None	SFY2011-12
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-08 00:00:00	110008868	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-25 00:00:00	2011-10-25 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ2R11	N	None	None	SFY2011-12
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-08 00:00:00	110008869	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-25 00:00:00	2011-10-25 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ2R11	N	None	None	SFY2011-12
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-08 00:00:00	110008870	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-25 00:00:00	2011-10-25 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ2R11	N	None	None	SFY2011-12
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-08 00:00:00	110008871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-25 00:00:00	2011-10-25 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ2R11	N	None	None	SFY2011-12
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-08 00:00:00	110008872	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-25 00:00:00	2011-10-25 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ2R11	N	None	None	SFY2011-12
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-08 00:00:00	110008873	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2011-10-31 00:00:00	2011-10-31 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ2R11	N	None	None	SFY2011-12
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-08 00:00:00	110008874	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2011-10-31 00:00:00	2011-10-31 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ2R11	N	None	None	SFY2011-12
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-02-29 00:00:00	110008884	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	AB Abuse/Fac Not Self Rep	2011-10-07 00:00:00	2011-10-07 00:00:00	Yes	2012-03-21 00:00:00	2012-03-02 00:00:00	B	None	1000	1000	-1000	0	0	None	EUJX11	N	CA00246859	A	SFY2011-12
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-08 00:00:00	110008952	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2011-10-31 00:00:00	2011-10-31 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ2R11	N	None	None	SFY2011-12
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-08 00:00:00	110008953	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-10-31 00:00:00	2011-10-31 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ2R11	N	None	None	SFY2011-12
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-04-27 00:00:00	110008977	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-13 00:00:00	2012-01-13 00:00:00	Yes	2012-05-18 00:00:00	2012-05-16 00:00:00	B	None	1000	1000	0	1000	0	None	RW8Q11	N	CA00296216	B	SFY2011-12
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-14 00:00:00	110009098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-18 00:00:00	2010-12-18 00:00:00	No	2012-04-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	VLCF11	Y	None	None	SFY2011-12
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-01 00:00:00	110009120	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-15 00:00:00	2012-02-15 00:00:00	Yes	2012-06-22 00:00:00	2012-06-08 00:00:00	B	None	2000	2000	-2000	0	0	None	STR811	N	CA00297398	B	SFY2011-12
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-01 00:00:00	110009121	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-12 00:00:00	2012-01-12 00:00:00	Yes	2012-06-22 00:00:00	2012-06-08 00:00:00	B	None	2000	2000	-2000	0	0	None	STR811	N	CA00296082, CA00296086	B, B	SFY2011-12
630010921	CROSSROADS III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2015-03-13 00:00:00	110009175	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-01-13 00:00:00	2012-01-13 00:00:00	Yes	2015-04-06 00:00:00	2015-03-19 00:00:00	B	None	2000	2300	-2300	0	0	None	RWEQ11	N	CA00296099, CA00296102	A, A	SFY2014-15
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-05-30 00:00:00	110009217	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-03-12 00:00:00	2012-03-12 00:00:00	No	2012-06-20 00:00:00	None	B	None	1000	15600	-350	15250	0	None	Q99K11	N	None	None	SFY2011-12
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-05-30 00:00:00	110009218	Open	Citation	Citation B (HSC 1424)	Administration	None	2012-03-12 00:00:00	2012-03-12 00:00:00	Yes	2012-06-20 00:00:00	2012-06-15 00:00:00	B	None	1000	1000	0	0	1000	None	Q99K11	N	None	None	SFY2011-12
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-05-30 00:00:00	110009220	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-03-12 00:00:00	2012-03-12 00:00:00	No	2012-06-20 00:00:00	None	B	None	1000	18200	-350	17850	0	None	Q99K11	N	None	None	SFY2011-12
010000572	VICTORIA DRIVE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2012-10-11 00:00:00	110009251	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-08 00:00:00	2011-11-08 00:00:00	No	2012-11-01 00:00:00	None	B	None	600	600	0	0	600	None	KEUH11	N	CA00287585, CA00288372	B, B	SFY2012-13
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-05-16 00:00:00	110009252	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-20 00:00:00	2012-04-20 00:00:00	No	2012-06-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	91T511	N	None	None	SFY2011-12
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-05-30 00:00:00	110009253	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-08-09 00:00:00	2011-08-09 00:00:00	No	2012-06-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	Y66O11	N	CA00281026, CA00281026, CA00281031	A, A, A	SFY2011-12
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-12-12 00:00:00	110009258	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-17 00:00:00	2011-08-17 00:00:00	No	2014-01-06 00:00:00	None	A	A	20000	19500	0	19500	0	None	WF6711	N	CA00278426	B	SFY2013-14
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-09-19 00:00:00	110009281	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-03-09 00:00:00	2012-03-09 00:00:00	No	2012-10-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	83R411	N	CA00303075	A	SFY2012-13
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-19 00:00:00	110009291	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-30 00:00:00	2012-04-30 00:00:00	No	2012-07-11 00:00:00	None	B	None	1000	1000	-1000	0	0	None	N7V911	N	None	None	SFY2011-12
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-19 00:00:00	110009294	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-30 00:00:00	2012-04-30 00:00:00	No	2012-07-11 00:00:00	None	B	None	1000	1000	-1000	0	0	None	N7V911	N	None	None	SFY2011-12
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-19 00:00:00	110009295	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-30 00:00:00	2012-04-30 00:00:00	No	2012-07-11 00:00:00	None	B	None	1000	1000	-1000	0	0	None	N7V911	N	None	None	SFY2011-12
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-19 00:00:00	110009296	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2012-04-30 00:00:00	2012-04-30 00:00:00	No	2012-07-11 00:00:00	None	B	None	1000	1000	-1000	0	0	None	N7V911	N	None	None	SFY2011-12
010000076	SUMMERFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-04 00:00:00	110009311	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-15 00:00:00	2011-02-15 00:00:00	No	2012-06-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6Y7F11	N	CA00259335	A	SFY2011-12
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-12-07 00:00:00	110009322	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-19 00:00:00	2010-03-19 00:00:00	No	2012-12-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	I5HC11	N	CA00257346	B	SFY2012-13
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-13 00:00:00	110009335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-16 00:00:00	2011-07-16 00:00:00	No	2012-07-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	W3YO11	N	CA00279514	B	SFY2011-12
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-15 00:00:00	110009336	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-05-17 00:00:00	2012-05-17 00:00:00	No	2012-07-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	J45811	N	None	None	SFY2011-12
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-11-20 00:00:00	110009357	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-04-16 00:00:00	2012-04-16 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	UP8T11	N	None	None	SFY2012-13
010000646	GENEVIE DREAM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2014-03-27 00:00:00	110009367	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-27 00:00:00	2012-02-27 00:00:00	No	2014-04-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	IJN711	N	CA00300903, CA00301507	B, A	SFY2013-14
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-04-10 00:00:00	110009374	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-21 00:00:00	2011-09-21 00:00:00	No	2013-05-01 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	ZXHR11	N	None	None	SFY2012-13
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-07-13 00:00:00	110009395	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-03 00:00:00	2012-01-03 00:00:00	Yes	2012-08-03 00:00:00	2012-07-19 00:00:00	B	B	1000	850	0	850	0	None	CI4T11	N	CA00294316	B	SFY2012-13
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-08-16 00:00:00	110009412	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-07-16 00:00:00	2012-07-16 00:00:00	No	2012-09-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	SN7K11	N	None	None	SFY2012-13
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-02-15 00:00:00	110009476	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-25 00:00:00	2011-11-25 00:00:00	No	2013-03-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	SVRC11	N	CA00292637	A	SFY2012-13
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-02-15 00:00:00	110009477	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-11-25 00:00:00	2011-11-25 00:00:00	No	2013-03-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	SVRC11	N	CA00292637	A	SFY2012-13
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-12-19 00:00:00	110009547	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-10-09 00:00:00	2010-10-09 00:00:00	Yes	2013-01-11 00:00:00	2012-12-20 00:00:00	B	None	1000	1000	-1000	0	0	None	L6WH11	N	CA00254388	A	SFY2012-13
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-10-22 00:00:00	110009561	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-10-02 00:00:00	2012-10-02 00:00:00	No	2012-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	581V11	N	None	None	SFY2012-13
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-11-20 00:00:00	110009576	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-10-09 00:00:00	2012-10-09 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	DLX811	N	None	None	SFY2012-13
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-12-04 00:00:00	110009582	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-10-12 00:00:00	2012-10-12 00:00:00	No	2012-12-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9ETU11	N	CA00331179	H	SFY2012-13
630010921	CROSSROADS III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2012-12-06 00:00:00	110009593	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2011-11-22 00:00:00	2011-11-22 00:00:00	Yes	2012-12-28 00:00:00	2012-12-12 00:00:00	A	None	10000	10000	0	10000	0	None	N0RN11	N	CA00290656	B	SFY2012-13
010000646	GENEVIE DREAM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2014-03-13 00:00:00	110009619	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-17 00:00:00	2010-11-17 00:00:00	No	2014-04-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	74K211	N	CA00249933	B	SFY2013-14
110000233	VALLEY OF THE MOON POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-12-06 00:00:00	110009620	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-11-16 00:00:00	2012-11-16 00:00:00	No	2012-12-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	PG5Q11	N	None	None	SFY2012-13
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-12-19 00:00:00	110009677	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-11-30 00:00:00	2012-11-30 00:00:00	No	2013-01-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	69W011	N	None	None	SFY2012-13
010000864	CROSSROADS II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2013-01-10 00:00:00	110009687	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-02-01 00:00:00	2011-02-01 00:00:00	No	2013-02-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	J3OU11	N	CA00258548, CA00295822	A, H	SFY2012-13
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-02-06 00:00:00	110009712	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-01-08 00:00:00	2013-01-08 00:00:00	No	2013-02-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	VHOX11	N	None	None	SFY2012-13
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-12-30 00:00:00	110009715	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-12-15 00:00:00	2012-12-15 00:00:00	No	2014-01-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2Z5J11	N	CA00336364	B	SFY2013-14
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-02-21 00:00:00	110009717	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-02-09 00:00:00	2011-02-09 00:00:00	No	2013-03-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	LSZ011	N	CA00259561	A	SFY2012-13
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-02-21 00:00:00	110009718	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-10-09 00:00:00	2011-10-09 00:00:00	No	2013-03-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	LSZ011	N	CA00259561	A	SFY2012-13
110000702	HEALDSBURG HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-01-24 00:00:00	110009753	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2012-06-05 00:00:00	2012-06-05 00:00:00	No	2014-02-14 00:00:00	None	AA	None	50000	50000	-17500	32500	0	None	IB9G11	Y	CA00314658	C	SFY2013-14
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-04-25 00:00:00	110009855	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-04 00:00:00	2010-08-04 00:00:00	Yes	2013-05-16 00:00:00	2013-04-29 00:00:00	A	A	20000	18000	0	18000	0	None	D5FU11	N	CA00264590	B	SFY2012-13
010001128	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	Santa Rosa	2014-09-05 00:00:00	110009925	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-04-05 00:00:00	2013-04-05 00:00:00	No	2014-09-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	1TDM11	N	None	None	SFY2014-15
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-04-01 00:00:00	110009966	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-04-02 00:00:00	2013-04-02 00:00:00	Yes	2014-04-22 00:00:00	2014-04-16 00:00:00	A	A	20000	7000	0	7000	0	None	LMNO11	N	None	None	SFY2013-14
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-04-01 00:00:00	110009967	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-05-03 00:00:00	2013-05-03 00:00:00	Yes	2014-04-22 00:00:00	2014-04-16 00:00:00	A	A	20000	7000	0	7000	0	None	LMNO11	N	CA00353315	B	SFY2013-14
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-07-16 00:00:00	110009981	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-06-08 00:00:00	2013-06-08 00:00:00	No	2013-08-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	NO5Z11	N	CA00357817	A	SFY2013-14
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-04-01 00:00:00	110009983	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-04-29 00:00:00	2013-04-29 00:00:00	Yes	2014-04-22 00:00:00	2014-04-16 00:00:00	A	A	20000	6000	0	6000	0	None	LMNO11	N	None	None	SFY2013-14
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-10-10 00:00:00	110010028	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-07-23 00:00:00	2013-07-23 00:00:00	No	2013-10-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	6LQP11	N	CA00362749	B	SFY2013-14
010000998	ABLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2013-12-17 00:00:00	110010047	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-06-01 00:00:00	2011-06-01 00:00:00	No	2014-01-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	H2SR11	N	CA00271524, CA00271605	A, A	SFY2013-14
010000801	DANNY'S PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2013-12-30 00:00:00	110010091	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-02-03 00:00:00	2013-02-03 00:00:00	No	2014-01-22 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	J80F11	N	CA00343590	B	SFY2013-14
010000428	LAKEVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2014-03-10 00:00:00	110010096	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2013-06-27 00:00:00	2013-06-27 00:00:00	No	2014-04-01 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	1WCB11	N	CA00360105	A	SFY2013-14
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-03-04 00:00:00	110010198	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-16 00:00:00	2011-09-16 00:00:00	No	2014-03-25 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	INM411	N	CA00283725	B	SFY2013-14
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-07-03 00:00:00	110010226	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-07-28 00:00:00	2013-07-28 00:00:00	Yes	2014-07-25 00:00:00	2014-07-08 00:00:00	A	A	20000	10000	0	10000	0	None	DF9111	N	CA00366311	A	SFY2014-15
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-03-11 00:00:00	110010480	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-12-27 00:00:00	2013-12-27 00:00:00	No	2014-04-02 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2UMO11	N	CA00382091	C	SFY2013-14
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-03-28 00:00:00	110010481	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-01-08 00:00:00	2014-01-08 00:00:00	No	2014-04-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	HJ0D11	N	CA00384202, CA00386272	B, A	SFY2013-14
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-07-30 00:00:00	110010516	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-06 00:00:00	2014-02-06 00:00:00	Yes	2014-08-20 00:00:00	2014-08-11 00:00:00	A	B	20000	10000	0	10000	0	None	5OC111	N	CA00386154	B	SFY2014-15
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-03-25 00:00:00	110010548	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-03-07 00:00:00	2014-03-07 00:00:00	No	2014-04-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	IW5W11	N	None	None	SFY2013-14
010000657	ESTES HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2014-04-04 00:00:00	110010557	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-30 00:00:00	2011-11-30 00:00:00	No	2014-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	3HZB11	N	CA00291467	A	SFY2013-14
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-03-27 00:00:00	110010572	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-01-15 00:00:00	2012-01-15 00:00:00	No	2014-04-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	W7PB11	N	CA00296252	B	SFY2013-14
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-05-15 00:00:00	110010573	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-06-23 00:00:00	2012-06-23 00:00:00	No	2014-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	VPHK11	N	CA00315382	A	SFY2013-14
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-09-16 00:00:00	110010655	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-07-02 00:00:00	2012-07-02 00:00:00	No	2014-10-07 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	P3QU11	N	CA00322798	B	SFY2014-15
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-10-24 00:00:00	110010719	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-03 00:00:00	2014-02-03 00:00:00	No	2014-11-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	USMI11	N	CA00386463	A	SFY2014-15
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-06-16 00:00:00	110010758	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-01-23 00:00:00	2013-01-23 00:00:00	No	2014-07-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	UX6F11	N	CA00341128, CA00341144	B, B	SFY2013-14
010000161	MILESTONES OF DEVELOPMENT #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2017-05-25 00:00:00	110010848	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-04-10 00:00:00	2014-04-10 00:00:00	No	2017-06-16 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	GP4N11	N	CA00394559	B	SFY2016-17
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-08-06 00:00:00	110010849	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-06-17 00:00:00	2014-06-17 00:00:00	Yes	2014-08-27 00:00:00	2014-08-12 00:00:00	A	A	20000	13000	0	13000	0	None	2DKG11	N	CA00399671	B	SFY2014-15
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-10-02 00:00:00	110010869	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-05-21 00:00:00	2014-05-21 00:00:00	No	2014-10-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	99CQ11	N	CA00399468	A	SFY2014-15
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-07-25 00:00:00	110010871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-01-10 00:00:00	2014-01-10 00:00:00	No	2014-08-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	0OTT11	N	CA00383433	A	SFY2014-15
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-08-14 00:00:00	110010873	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-05-12 00:00:00	2014-05-12 00:00:00	Yes	2014-09-05 00:00:00	2014-08-25 00:00:00	B	None	2000	2000	0	0	2000	None	PIH511	N	CA00403400	A	SFY2014-15
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-09-26 00:00:00	110010906	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-07-21 00:00:00	2014-07-21 00:00:00	No	2014-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	553511	N	CA00406549	A	SFY2014-15
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-10-01 00:00:00	110010928	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-06-09 00:00:00	2014-06-09 00:00:00	No	2014-10-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	VXL911	N	CA00401525	B	SFY2014-15
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-01-27 00:00:00	110010946	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-05 00:00:00	2014-08-05 00:00:00	No	2015-02-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2ULI11	N	CA00409158	B	SFY2014-15
010000022	FRIENDS HOUSE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-09-19 00:00:00	110010984	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-27 00:00:00	2014-05-27 00:00:00	No	2014-10-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UK9V11	N	None	None	SFY2014-15
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-12-23 00:00:00	110011033	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-06-19 00:00:00	2014-06-19 00:00:00	No	2015-01-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	P8QR11	N	CA00403344	B	SFY2014-15
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-10-13 00:00:00	110011047	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-09-21 00:00:00	2014-09-21 00:00:00	No	2014-11-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	G6HR11	N	CA00326850, CA00327530	B, B	SFY2014-15
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-10-09 00:00:00	110011054	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-08-20 00:00:00	2012-08-20 00:00:00	No	2014-10-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	J5B111	N	CA00322737, CA00322742	A, A	SFY2014-15
110000053	PINER'S NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-10-15 00:00:00	110011062	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-11-23 00:00:00	2013-11-23 00:00:00	Yes	2014-11-05 00:00:00	2014-11-04 00:00:00	A	A	18000	8750	-1750	7000	0	None	0FLK11	N	CA00378243	B	SFY2014-15
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-01-13 00:00:00	110011099	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-09-14 00:00:00	2014-09-14 00:00:00	No	2015-02-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ABPS11	Y	CA00413271	B	SFY2014-15
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-11-18 00:00:00	110011120	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-05-03 00:00:00	2011-05-03 00:00:00	No	2014-12-11 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	7QKK11	N	CA00269632	B	SFY2014-15
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-01-27 00:00:00	110011158	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-08-05 00:00:00	2014-08-05 00:00:00	No	2015-02-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2ULI11	N	CA00409158	B	SFY2014-15
110000233	VALLEY OF THE MOON POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-12-30 00:00:00	110011192	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2015-01-22 00:00:00	None	A	None	20000	20750	0	20750	0	None	QWH911	N	CA00405185	B	SFY2014-15
110000233	VALLEY OF THE MOON POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-12-30 00:00:00	110011193	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-04-05 00:00:00	2013-04-05 00:00:00	No	2015-01-22 00:00:00	None	A	None	20000	20750	0	20750	0	None	H3DN11	N	CA00350047	C	SFY2014-15
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-05-15 00:00:00	110011216	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-26 00:00:00	2012-08-26 00:00:00	No	2015-06-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	030I11	N	CA00323422	B	SFY2014-15
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-02-11 00:00:00	110011264	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-08-17 00:00:00	2014-08-17 00:00:00	No	2015-03-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	PCOK11	N	CA00411173	B	SFY2014-15
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-04-01 00:00:00	110011267	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-08 00:00:00	2014-08-08 00:00:00	No	2015-04-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	880J11	N	CA00409335	B	SFY2014-15
010000022	FRIENDS HOUSE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-03-10 00:00:00	110011273	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-02-26 00:00:00	2013-02-26 00:00:00	No	2015-04-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	F74511	N	CA00346278	B	SFY2014-15
010001128	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	Santa Rosa	2015-07-02 00:00:00	110011284	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-01 00:00:00	2015-02-01 00:00:00	Yes	2015-07-23 00:00:00	2015-07-21 00:00:00	A	A	10000	6500	0	6500	0	None	M9BT11	N	CA00430701	B	SFY2015-16
110000760	THE MEADOWS OF NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-07-08 00:00:00	110011290	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-21 00:00:00	2014-02-21 00:00:00	Yes	2015-07-29 00:00:00	2015-07-24 00:00:00	A	A	20000	20000	0	20000	0	None	D0FY11	N	CA00388682	B	SFY2015-16
010000976	SUNRISE II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2015-03-27 00:00:00	110011332	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-12 00:00:00	2015-02-12 00:00:00	Yes	2015-04-20 00:00:00	2015-04-14 00:00:00	B	B	2000	1300	0	1300	0	None	I7EZ11	N	CA00431401	A	SFY2014-15
010001139	GREENFIELDS III ICF-DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2015-04-23 00:00:00	110011340	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-07-01 00:00:00	2014-07-01 00:00:00	No	2015-05-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	M85Z11	N	CA00404302	B	SFY2014-15
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-04-01 00:00:00	110011341	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-30 00:00:00	2014-04-30 00:00:00	No	2015-04-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RVEL11	N	CA00397038	A	SFY2014-15
010000076	SUMMERFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-05-05 00:00:00	110011361	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-09-02 00:00:00	2014-09-02 00:00:00	No	2015-05-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	WOY611	N	CA00411904	B	SFY2014-15
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-08-27 00:00:00	110011426	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-08-10 00:00:00	2013-08-10 00:00:00	No	2015-09-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	BI8P11	N	CA00365444, CA00367586, CA00400294	B, B, B	SFY2015-16
010001128	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	Santa Rosa	2015-07-02 00:00:00	110011436	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-06 00:00:00	2015-03-06 00:00:00	No	2015-07-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	JC4T11	N	CA00434137	C	SFY2015-16
110000621	JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-10-22 00:00:00	110011473	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-12-06 00:00:00	2014-12-06 00:00:00	No	2015-11-13 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	GOIW11	N	CA00425299	B	SFY2015-16
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-08-27 00:00:00	110011502	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-08-10 00:00:00	2013-08-10 00:00:00	No	2015-09-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BI8P11	N	CA00365444, CA00367586, CA00400294	B, B, B	SFY2015-16
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-06-16 00:00:00	110011503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-21 00:00:00	2015-03-21 00:00:00	No	2015-07-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NJHS11	N	CA00436041, CA00436463	B, B	SFY2014-15
110000233	VALLEY OF THE MOON POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-08-25 00:00:00	110011509	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-12-28 00:00:00	2014-12-28 00:00:00	No	2015-09-16 00:00:00	None	A	None	20000	20000	0	20000	0	None	R2CH11	N	CA00425451, CA00425451	B, B	SFY2015-16
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-09-18 00:00:00	110011524	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-13 00:00:00	2015-05-13 00:00:00	No	2015-10-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	CPD211	N	None	None	SFY2015-16
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-08-11 00:00:00	110011542	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-16 00:00:00	2014-08-16 00:00:00	No	2015-09-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RNNF11	N	CA00409766	B	SFY2015-16
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-07-02 00:00:00	110011588	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-05-31 00:00:00	2013-05-31 00:00:00	No	2015-07-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CVSN11	N	CA00357111, CA00357317	B, B	SFY2015-16
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-09-09 00:00:00	110011594	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-01-02 00:00:00	2015-01-02 00:00:00	No	2015-09-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	813011	N	CA00427099	A	SFY2015-16
010000974	SUNRISE I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2016-10-20 00:00:00	110011695	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-28 00:00:00	2015-04-28 00:00:00	No	2016-11-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O5TP11	N	CA00440917	C	SFY2016-17
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-10-27 00:00:00	110011771	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-05-15 00:00:00	2015-05-15 00:00:00	No	2015-11-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CPD211	N	None	None	SFY2015-16
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-11-10 00:00:00	110011788	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-10-03 00:00:00	2015-10-03 00:00:00	No	2015-12-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	N4GW11	N	CA00460759	A	SFY2015-16
630001741	SANTA LUCIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2015-11-16 00:00:00	110011800	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-11 00:00:00	2015-09-11 00:00:00	Yes	2015-12-09 00:00:00	2015-11-20 00:00:00	B	B	2000	1300	0	1300	0	None	1XT011	N	CA00458076	B	SFY2015-16
630001741	SANTA LUCIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2015-11-16 00:00:00	110011801	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-11 00:00:00	2015-09-11 00:00:00	Yes	2015-12-09 00:00:00	2015-11-20 00:00:00	B	B	2000	1300	0	1300	0	None	1XT011	N	CA00458076	B	SFY2015-16
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-10-10 00:00:00	110011805	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-29 00:00:00	2015-08-29 00:00:00	No	2016-10-31 00:00:00	None	A	None	20000	20000	0	20000	0	None	V1YU11	N	CA00456430	B	SFY2016-17
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-10-10 00:00:00	110011806	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-09-01 00:00:00	2015-09-01 00:00:00	No	2016-10-31 00:00:00	None	A	None	20000	20000	0	20000	0	None	V1YU11	N	CA00456745	B	SFY2016-17
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-10-10 00:00:00	110011807	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-04-14 00:00:00	2015-04-14 00:00:00	No	2016-10-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	V1YU11	N	CA00439154	B	SFY2016-17
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-10-10 00:00:00	110011808	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-04-14 00:00:00	2015-04-14 00:00:00	No	2016-10-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	V1YU11	N	CA00439154	B	SFY2016-17
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-10-10 00:00:00	110011820	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-14 00:00:00	2015-08-14 00:00:00	No	2016-10-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	V1YU11	N	None	None	SFY2016-17
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-10-10 00:00:00	110011821	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-15 00:00:00	2015-08-15 00:00:00	No	2016-10-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	V1YU11	N	None	None	SFY2016-17
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-10-10 00:00:00	110011822	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-16 00:00:00	2015-08-16 00:00:00	No	2016-10-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	V1YU11	N	None	None	SFY2016-17
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-11-09 00:00:00	110011827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-08-08 00:00:00	2015-08-08 00:00:00	Yes	2015-12-03 00:00:00	2015-11-13 00:00:00	B	B	2000	1300	0	1300	0	None	4FMQ11	N	CA00365443	B	SFY2015-16
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-11-24 00:00:00	110011830	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-04-09 00:00:00	2013-04-09 00:00:00	No	2015-12-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LX0B11	N	CA00350419	A	SFY2015-16
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-12-18 00:00:00	110011872	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2013-06-23 00:00:00	2013-06-23 00:00:00	Yes	2016-01-11 00:00:00	2015-12-21 00:00:00	A	None	18000	18000	0	0	18000	None	2KNW11	Y	CA00356817	B	SFY2015-16
010000029	HEALDSBURG SENIOR LIVING COMMUNITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-07-10 00:00:00	110011875	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-10-22 00:00:00	2014-10-22 00:00:00	No	2018-07-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	4ZFF11	N	CA00417913, CA00417913, CA00431704, CA00431704, CA00432881, CA00432881, CA00445951, CA00445951, CA00446900, CA00446900	H, H, H, H, H, H, H, H, H, H	SFY2018-19
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-12-23 00:00:00	110011877	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-09-19 00:00:00	2013-09-19 00:00:00	Yes	2016-01-15 00:00:00	2016-01-06 00:00:00	A	None	20000	20000	-20000	0	0	None	TDG911	N	CA00370648	B	SFY2015-16
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-03-23 00:00:00	110011896	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-10-06 00:00:00	2014-10-06 00:00:00	Yes	2016-04-14 00:00:00	2016-03-29 00:00:00	B	None	2000	2000	0	0	2000	None	CL8711	N	CA00415483, CA00415487, CA00415724	B, B, A	SFY2015-16
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-04-05 00:00:00	110011899	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-10-03 00:00:00	2015-10-03 00:00:00	No	2016-04-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KNNB11	N	None	None	SFY2015-16
110000621	JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-01-20 00:00:00	110011925	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-11-09 00:00:00	2014-11-09 00:00:00	No	2016-02-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C8TE11	N	CA00420246	B	SFY2015-16
010000029	HEALDSBURG SENIOR LIVING COMMUNITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-02-05 00:00:00	110011937	Closed	Citation	Citation B (HSC 1424)	Administration	None	2015-12-18 00:00:00	2015-12-18 00:00:00	No	2016-02-29 00:00:00	None	B	None	500	500	-175	325	0	None	07UM11	N	None	None	SFY2015-16
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-03-08 00:00:00	110011954	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-08 00:00:00	2014-07-08 00:00:00	Yes	2016-03-29 00:00:00	2016-03-22 00:00:00	A	A	20000	15000	0	15000	0	None	2YDK11	N	CA00404802, CA00407096	B, A	SFY2015-16
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-03-08 00:00:00	110011956	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-06-23 00:00:00	2014-06-23 00:00:00	Yes	2016-03-29 00:00:00	2016-03-22 00:00:00	A	A	20000	15000	0	15000	0	None	2YDK11	N	CA00406254, CA00407666	B, B	SFY2015-16
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-03-03 00:00:00	110011974	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-11-16 00:00:00	2015-11-16 00:00:00	No	2016-03-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IIDI11	N	CA00465881	C	SFY2015-16
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-06-16 00:00:00	110011981	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-11-19 00:00:00	2013-11-19 00:00:00	No	2016-07-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	6S5Q11	Y	CA00377713	B	SFY2015-16
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-03-28 00:00:00	110011994	Closed	Citation	Citation B (HSC 1424)	Medication	None	2015-04-20 00:00:00	2015-04-20 00:00:00	No	2016-04-19 00:00:00	None	B	None	2000	2200	-700	1500	0	None	XGTZ11	N	CA00442033	B	SFY2015-16
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-05-24 00:00:00	110012000	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-06-08 00:00:00	2015-06-08 00:00:00	No	2016-06-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JU1411	N	CA00445958	B	SFY2015-16
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-03-30 00:00:00	110012028	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-10-22 00:00:00	2015-10-22 00:00:00	No	2016-04-21 00:00:00	None	A	None	20000	20000	0	20000	0	None	QKN411	N	CA00463071	B	SFY2015-16
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-03-09 00:00:00	110012047	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-12-14 00:00:00	2013-12-14 00:00:00	No	2016-03-30 00:00:00	None	A	None	20000	20400	-7000	13400	0	None	H4AB11	N	CA00380547, CA00382184	B, B	SFY2015-16
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-12-29 00:00:00	110012048	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-11-16 00:00:00	2013-11-16 00:00:00	No	2017-01-23 00:00:00	None	A	None	20000	20000	0	20000	0	None	8RYX11	N	CA00377968	B	SFY2016-17
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-09-22 00:00:00	110012051	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-09 00:00:00	2015-07-09 00:00:00	No	2016-10-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	8SSQ11	N	CA00475759	C	SFY2016-17
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-06-29 00:00:00	110012069	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2015-12-22 00:00:00	2015-12-22 00:00:00	No	2016-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	S0H011	N	CA00468762	B	SFY2015-16
110000621	JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-11-01 00:00:00	110012138	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-06 00:00:00	2015-06-06 00:00:00	No	2017-11-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	U56W11	N	CA00448194	B	SFY2017-18
010001128	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	Santa Rosa	2016-06-16 00:00:00	110012228	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-15 00:00:00	2016-04-15 00:00:00	No	2016-07-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZBSF11	N	CA00486193	A	SFY2015-16
010000998	ABLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2016-05-24 00:00:00	110012237	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-12-26 00:00:00	2015-12-26 00:00:00	No	2016-06-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	VKL711	N	CA00470100	A	SFY2015-16
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-06-13 00:00:00	110012256	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-27 00:00:00	2016-04-27 00:00:00	Yes	2016-07-05 00:00:00	2016-06-20 00:00:00	A	B	20000	20000	0	20000	0	None	P6CJ11	N	CA00486369	B	SFY2015-16
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-06-15 00:00:00	110012260	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-05-07 00:00:00	2016-05-07 00:00:00	No	2016-07-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IC4011	N	CA00487484	A	SFY2015-16
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-06-23 00:00:00	110012282	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-05-05 00:00:00	2016-05-05 00:00:00	No	2016-07-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	3KPQ11	N	CA00487306	A	SFY2015-16
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-09-16 00:00:00	110012316	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-07 00:00:00	2015-07-07 00:00:00	No	2016-10-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X36711	N	CA00451724	B	SFY2016-17
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-07-29 00:00:00	110012375	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-06 00:00:00	2016-04-06 00:00:00	Yes	2016-08-19 00:00:00	2016-08-19 00:00:00	A	A	20000	13000	0	13000	0	None	1BC911	N	CA00485090	B	SFY2016-17
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-10-25 00:00:00	110012382	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2015-04-01 00:00:00	2015-04-01 00:00:00	Yes	2016-11-16 00:00:00	2016-10-31 00:00:00	AA	A	100000	32279.04	0	32279.04	0	None	N0ZZ11	Y	CA00437790, CA00437985	A, C	SFY2016-17
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-06-01 00:00:00	110012392	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-04-17 00:00:00	2015-04-17 00:00:00	No	2017-06-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ENC411	N	CA00453698, CA00453698	C, C	SFY2016-17
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-08-16 00:00:00	110012467	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-02 00:00:00	2015-12-02 00:00:00	Yes	2016-09-07 00:00:00	2016-08-19 00:00:00	A	A	20000	14000	0	14000	0	None	95ZV11	N	CA00468724	B	SFY2016-17
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-08-16 00:00:00	110012472	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-05 00:00:00	2015-12-05 00:00:00	Yes	2016-09-07 00:00:00	2016-08-22 00:00:00	A	A	20000	14000	0	14000	0	None	95ZV11	N	CA00468724	B	SFY2016-17
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-09-07 00:00:00	110012498	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-14 00:00:00	2016-04-14 00:00:00	Yes	2016-09-28 00:00:00	2016-09-13 00:00:00	A	A	20000	13000	0	13000	0	None	845R11	N	CA00484596, CA00485294	B, B	SFY2016-17
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-09-07 00:00:00	110012499	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-14 00:00:00	2016-07-14 00:00:00	Yes	2016-09-28 00:00:00	2016-09-15 00:00:00	A	A	20000	13000	0	13000	0	None	845R11	N	None	None	SFY2016-17
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-08-17 00:00:00	110012502	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-06 00:00:00	2015-02-06 00:00:00	No	2016-09-08 00:00:00	None	B	None	2000	2250	-700	1550	0	None	LSSS11	N	CA00430534	B	SFY2016-17
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-09-15 00:00:00	110012513	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-11-13 00:00:00	2015-11-13 00:00:00	No	2016-10-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OUQ811	N	CA00465980, CA00465980	B, B	SFY2016-17
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-09-21 00:00:00	110012518	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-15 00:00:00	2016-07-15 00:00:00	No	2016-10-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	J5KT11	N	None	None	SFY2016-17
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-06-15 00:00:00	110012540	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-03-03 00:00:00	2016-03-03 00:00:00	No	2021-07-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	F3XU11	N	CA00478858	B	SFY2020-21
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-09-13 00:00:00	110012555	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-08-15 00:00:00	2016-08-15 00:00:00	No	2016-10-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	1BC912	N	CA00485090	B	SFY2016-17
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-12-28 00:00:00	110012568	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-04-03 00:00:00	2013-04-03 00:00:00	Yes	2017-01-20 00:00:00	2017-01-03 00:00:00	A	B	20000	2000	0	2000	0	None	I45V11	N	CA00358074	B	SFY2016-17
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-01-31 00:00:00	110012609	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-19 00:00:00	2015-07-19 00:00:00	No	2017-02-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	PCMM11	Y	CA00451719	B	SFY2016-17
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-10-18 00:00:00	110012613	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-08-07 00:00:00	2016-08-07 00:00:00	No	2016-11-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	845R12	N	CA00498171	C	SFY2016-17
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-01-18 00:00:00	110012614	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-09-05 00:00:00	2016-09-05 00:00:00	Yes	2017-02-08 00:00:00	2017-01-20 00:00:00	A	A	20000	13000	0	13000	0	None	845R12	N	CA00498171, CA00500097	C, C	SFY2016-17
010000985	THE TAMALPAIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-12-12 00:00:00	110012664	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-05 00:00:00	2015-07-05 00:00:00	Yes	2017-01-04 00:00:00	2017-01-12 00:00:00	B	None	2000	2000	0	2000	0	None	NYYG11	N	CA00449414, CA00452459	C, B	SFY2016-17
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-11-29 00:00:00	110012731	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-18 00:00:00	2014-03-18 00:00:00	No	2016-12-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	1G5R11	N	CA00395650	B	SFY2016-17
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-12-28 00:00:00	110012744	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-26 00:00:00	2016-08-26 00:00:00	Yes	2017-01-20 00:00:00	2017-01-06 00:00:00	A	A	20000	14000	0	14000	0	None	LSI111	N	CA00501015, CA00501261, CA00501261	B, B, B	SFY2016-17
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2020-03-13 00:00:00	110012745	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2015-08-06 00:00:00	2015-08-06 00:00:00	No	2020-04-06 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	J15711	N	CA00455113	B	SFY2019-20
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-12-13 00:00:00	110012748	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-11-30 00:00:00	2013-11-30 00:00:00	No	2017-01-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HH2D11	N	CA00495143	A	SFY2016-17
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-12-28 00:00:00	110012774	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-22 00:00:00	2016-07-22 00:00:00	No	2017-01-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OUBI11	N	CA00496739	B	SFY2016-17
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-01-13 00:00:00	110012818	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-14 00:00:00	2016-06-14 00:00:00	No	2017-02-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	XOJI11	N	None	None	SFY2016-17
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-01-13 00:00:00	110012819	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-10 00:00:00	2016-08-10 00:00:00	No	2017-02-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	XOJI11	N	None	None	SFY2016-17
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-06 00:00:00	110012861	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-04 00:00:00	2016-04-04 00:00:00	No	2017-02-28 00:00:00	None	A	None	20000	21100	-7000	14100	0	None	2S1G11	N	CA00483494	C	SFY2016-17
010000585	FIFTY-O-ONE PARKHURST	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2017-01-18 00:00:00	110012865	Closed	Citation	Citation B (HSC 1424)	Medication	None	2016-04-08 00:00:00	2016-04-08 00:00:00	No	2017-02-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CWW911	N	CA00483994	B	SFY2016-17
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-28 00:00:00	110012902	Closed	Citation	Citation A (HSC 1424)	Staffing	None	2016-10-26 00:00:00	2016-10-26 00:00:00	Yes	2017-03-21 00:00:00	2017-03-07 00:00:00	A	A	20000	14000	0	14000	0	None	G9FK11	N	None	None	SFY2016-17
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-28 00:00:00	110012903	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-25 00:00:00	2016-10-25 00:00:00	Yes	2017-03-21 00:00:00	2017-03-07 00:00:00	A	A	20000	14000	0	14000	0	None	G9FK11	N	None	None	SFY2016-17
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-28 00:00:00	110012904	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-22 00:00:00	2016-05-22 00:00:00	Yes	2017-03-21 00:00:00	2017-03-07 00:00:00	A	A	20000	14000	0	14000	0	None	G9FK11	N	None	None	SFY2016-17
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-28 00:00:00	110012905	Closed	Citation	Citation A (HSC 1424)	Administration	None	2016-05-22 00:00:00	2016-05-22 00:00:00	Yes	2017-03-21 00:00:00	2017-03-07 00:00:00	A	A	20000	14000	0	14000	0	None	G9FK11	N	None	None	SFY2016-17
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-07 00:00:00	110012906	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-12 00:00:00	2016-08-12 00:00:00	No	2017-03-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	FJ8X11	N	None	None	SFY2016-17
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-16 00:00:00	110012907	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-09-16 00:00:00	2016-09-16 00:00:00	Yes	2017-03-10 00:00:00	2017-03-02 00:00:00	A	A	20000	13000	0	13000	0	None	BBN311	N	CA00503478	B	SFY2016-17
110000760	THE MEADOWS OF NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-28 00:00:00	110012915	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-04 00:00:00	2016-04-04 00:00:00	No	2017-03-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BJKS11	N	CA00484343	B	SFY2016-17
110000760	THE MEADOWS OF NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-28 00:00:00	110012917	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-31 00:00:00	2016-10-31 00:00:00	No	2017-03-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	T3C111	N	CA00509070	A	SFY2016-17
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-03-14 00:00:00	110012936	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-02 00:00:00	2016-09-02 00:00:00	No	2017-04-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	G9FK11	N	None	None	SFY2016-17
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-28 00:00:00	110012991	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-26 00:00:00	2016-08-26 00:00:00	Yes	2017-03-21 00:00:00	2017-03-07 00:00:00	A	A	20000	14000	0	14000	0	None	G9FK11	N	None	None	SFY2016-17
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-03-16 00:00:00	110012994	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-02-14 00:00:00	2017-02-14 00:00:00	No	2017-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2S1G12	N	CA00483494	C	SFY2016-17
010000066	BROADWAY VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-08-24 00:00:00	110012996	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-13 00:00:00	2017-02-13 00:00:00	No	2017-09-15 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	W1WE11	N	CA00522613	B	SFY2017-18
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-28 00:00:00	110012997	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-12 00:00:00	2016-08-12 00:00:00	Yes	2017-03-21 00:00:00	2017-03-07 00:00:00	A	A	20000	14000	0	14000	0	None	G9FK11	N	None	None	SFY2016-17
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-28 00:00:00	110012998	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-16 00:00:00	2016-08-16 00:00:00	Yes	2017-03-21 00:00:00	2017-03-07 00:00:00	A	A	20000	14000	0	14000	0	None	G9FK11	N	None	None	SFY2016-17
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-28 00:00:00	110012999	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-24 00:00:00	2016-05-24 00:00:00	Yes	2017-03-21 00:00:00	2017-03-07 00:00:00	A	A	20000	14000	0	14000	0	None	G9FK11	N	None	None	SFY2016-17
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-02-21 00:00:00	110013023	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2016-10-21 00:00:00	2016-10-21 00:00:00	Yes	2024-03-13 00:00:00	2024-02-27 00:00:00	AA	None	100000	100000	0	0	100000	None	SURI11	Y	CA00511845	B	SFY2023-24
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-12-27 00:00:00	110013047	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-30 00:00:00	2016-06-30 00:00:00	No	2018-01-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6DUC11	N	CA00495503	H	SFY2017-18
010000029	HEALDSBURG SENIOR LIVING COMMUNITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-03-30 00:00:00	110013071	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-08 00:00:00	2016-07-08 00:00:00	No	2017-04-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	GYFL11	N	None	None	SFY2016-17
010000037	CLOVERDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-06-01 00:00:00	110013108	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-19 00:00:00	2017-03-19 00:00:00	No	2017-06-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0L1T11	N	CA00527304	A	SFY2016-17
010001005	ALDERSLY SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-12-14 00:00:00	110013127	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-03-09 00:00:00	2014-03-09 00:00:00	No	2018-01-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	PS4J11	N	CA00390571	B	SFY2017-18
010000998	ABLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2017-05-12 00:00:00	110013134	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-07 00:00:00	2016-11-07 00:00:00	No	2017-06-05 00:00:00	None	A	None	6000	18000	-6300	11700	0	None	UWMS11	N	CA00509218	B	SFY2016-17
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-05-30 00:00:00	110013184	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-25 00:00:00	2016-12-25 00:00:00	No	2017-06-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	QZNA11	N	None	None	SFY2016-17
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-09-14 00:00:00	110013194	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-02 00:00:00	2017-01-02 00:00:00	No	2018-10-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	YIV511	N	CA00518676	B	SFY2018-19
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-09-14 00:00:00	110013195	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-05 00:00:00	2017-01-05 00:00:00	No	2018-10-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	P2H811	Y	CA00518672	B	SFY2018-19
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-07-20 00:00:00	110013307	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-04-09 00:00:00	2017-04-09 00:00:00	No	2017-08-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	5D9F11	N	CA00530177, CA00530182	A, A	SFY2017-18
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-11-28 00:00:00	110013326	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-03-21 00:00:00	2017-03-21 00:00:00	No	2017-12-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LFWG11	N	CA00527537, CA00527891	C, B	SFY2017-18
010000047	NORTHBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-08-28 00:00:00	110013413	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-27 00:00:00	2016-09-27 00:00:00	No	2017-09-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NRPS11	N	None	None	SFY2017-18
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-08-29 00:00:00	110013447	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-13 00:00:00	2015-11-13 00:00:00	No	2017-09-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FHER11	N	CA00458007	B	SFY2017-18
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-08-03 00:00:00	110013449	Closed	Citation	Citation A (HSC 1424)	Medication	None	2017-02-01 00:00:00	2017-02-01 00:00:00	Yes	2018-08-24 00:00:00	2018-08-20 00:00:00	A	A	20000	15000	0	15000	0	None	E1WP11	Y	CA00526940, CA00526940, CA00526940	B, B, B	SFY2018-19
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-06-18 00:00:00	110013457	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-23 00:00:00	2016-09-23 00:00:00	No	2018-07-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	E4YG11	N	CA00504572, CA00504575	H, H	SFY2017-18
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-07-19 00:00:00	110013517	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-09 00:00:00	2017-02-09 00:00:00	No	2018-08-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	KE3X11	Y	CA00528995, CA00528995, CA00534293, CA00534293, CA00534293, CA00534293	C, C, B, B, B, B	SFY2018-19
010001031	STONEHAVEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2017-11-14 00:00:00	110013592	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-01-16 00:00:00	2014-01-16 00:00:00	No	2017-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	LQFN11	N	CA00384510	B	SFY2017-18
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-07-19 00:00:00	110013619	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-09 00:00:00	2017-02-09 00:00:00	No	2018-08-09 00:00:00	None	A	None	20000	20000	0	20000	0	None	KE3X11	Y	CA00528995, CA00534293, CA00534293, CA00534293	C, B, B, B	SFY2018-19
010000620	MUSTARD SEED	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2018-01-24 00:00:00	110013703	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-05 00:00:00	2017-06-05 00:00:00	No	2018-02-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	BW5S11	N	None	None	SFY2017-18
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-03-16 00:00:00	110013766	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-17 00:00:00	2017-08-17 00:00:00	No	2018-04-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NVQ111	N	CA00549124, CA00549124	C, C	SFY2017-18
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-03-16 00:00:00	110013767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-17 00:00:00	2017-08-17 00:00:00	No	2018-04-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NVQ111	N	CA00549124, CA00549124	C, C	SFY2017-18
010000427	ADULTS IN COMMUNITY TRANSITIONS- ACT 1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2018-03-26 00:00:00	110013822	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-10-30 00:00:00	2017-10-30 00:00:00	No	2018-04-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O8OP11	N	CA00559514, CA00559514, CA00559514	B, B, B	SFY2017-18
010000427	ADULTS IN COMMUNITY TRANSITIONS- ACT 1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2018-03-26 00:00:00	110013824	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-10-30 00:00:00	2017-10-30 00:00:00	No	2018-04-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O8OP11	N	CA00559514, CA00559514, CA00559514, CA00559514	B, B, B, B	SFY2017-18
010000703	BAIRD HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2018-03-02 00:00:00	110013832	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-18 00:00:00	2018-01-18 00:00:00	No	2018-03-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FCVI11	N	CA00570414	E	SFY2017-18
010001140	ARBOL RESIDENCES OF SANTA ROSA	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-06-18 00:00:00	110013899	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-06-23 00:00:00	2016-06-23 00:00:00	No	2018-07-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ECNO11	N	CA00493136, CA00493136	C, C	SFY2017-18
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-04-03 00:00:00	110013921	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-02-19 00:00:00	2018-02-19 00:00:00	No	2018-04-24 00:00:00	None	B	None	2000	2000	-2000	0	0	None	JZL911	N	CA00574833	A	SFY2017-18
010000020	FIRCREST CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-04-03 00:00:00	110013922	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-02-17 00:00:00	2018-02-17 00:00:00	No	2018-04-24 00:00:00	None	B	None	2000	2000	-2000	0	0	None	JZL911	N	CA00574833, CA00574833, CA00574833	A, A, A	SFY2017-18
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-06-05 00:00:00	110013978	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-04 00:00:00	2018-03-04 00:00:00	No	2018-06-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O8ON11	N	CA00576466, CA00576466	B, B	SFY2017-18
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-07-19 00:00:00	110014016	Closed	Citation	Citation A (HSC 1424)	Dietary	Dietary	2015-07-09 00:00:00	2015-07-09 00:00:00	No	2018-08-09 00:00:00	None	A	None	20000	20000	0	20000	0	None	DSUR11	N	CA00450065	C	SFY2018-19
010000585	FIFTY-O-ONE PARKHURST	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2018-09-13 00:00:00	110014035	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-09-25 00:00:00	2016-09-25 00:00:00	No	2018-10-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	S0IJ11	N	CA00504534	A	SFY2018-19
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-07-05 00:00:00	110014173	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2018-07-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	QSWF11	N	CA00580409	B	SFY2018-19
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-07-05 00:00:00	110014174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2018-07-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	QSWF11	N	CA00580409, CA00580409	B, B	SFY2018-19
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-09-21 00:00:00	110014265	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	Post Ombudsman Info	2018-04-14 00:00:00	2018-04-14 00:00:00	No	2018-10-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R1PO11	N	None	None	SFY2018-19
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-09-21 00:00:00	110014266	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	Post Ombudsman Info	2018-05-03 00:00:00	2018-05-03 00:00:00	No	2018-10-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R1PO11	N	None	None	SFY2018-19
110000467	VACAVILLE CONVALESCENT AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-09-21 00:00:00	110014267	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	Post Ombudsman Info	2018-05-06 00:00:00	2018-05-06 00:00:00	No	2018-10-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R1PO11	N	None	None	SFY2018-19
010000079	HILLCREST POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-11-20 00:00:00	110014288	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-01 00:00:00	2018-07-01 00:00:00	No	2018-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	L1OD11	N	CA00593793	B	SFY2018-19
110000053	PINER'S NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-10-22 00:00:00	110014306	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-04-25 00:00:00	2018-04-25 00:00:00	No	2018-11-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ODJ411	N	None	None	SFY2018-19
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-12-11 00:00:00	110014363	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-30 00:00:00	2017-01-30 00:00:00	No	2019-01-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	T2VD11	N	CA00519197	B	SFY2018-19
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-01-29 00:00:00	110014366	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-18 00:00:00	2016-05-18 00:00:00	Yes	2019-02-19 00:00:00	2019-02-15 00:00:00	A	B	20000	15000	0	15000	0	None	0WG111	Y	CA00489444	B	SFY2018-19
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-12-07 00:00:00	110014524	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Post-Ombudsman Info	2018-07-25 00:00:00	2018-07-25 00:00:00	No	2018-12-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	YDHM11	N	CA00594499, CA00594499	B, B	SFY2018-19
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-04-03 00:00:00	110014564	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-06 00:00:00	2018-10-06 00:00:00	No	2019-04-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GY1411	N	CA00606968, CA00606968, CA00607010, CA00607010	A, A, A, A	SFY2018-19
010001001	MILES - CENTER ROAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2018-12-13 00:00:00	110014647	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-02 00:00:00	2018-01-02 00:00:00	No	2019-01-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	8FY911	N	CA00567708, CA00567717	B, B	SFY2018-19
010000864	CROSSROADS II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2019-08-29 00:00:00	110014677	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-07 00:00:00	2016-12-07 00:00:00	No	2019-09-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	DC4Q11	N	CA00513418	H	SFY2019-20
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-02-21 00:00:00	110014741	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-09-10 00:00:00	2018-09-10 00:00:00	No	2019-03-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	80F911	N	CA00603236	B	SFY2018-19
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-02-15 00:00:00	110014797	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-14 00:00:00	2018-06-14 00:00:00	No	2019-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NHUL11	N	CA00590999	A	SFY2018-19
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-08 00:00:00	110014877	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-08-17 00:00:00	2018-08-17 00:00:00	No	2021-04-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	E9CK11	N	CA00556925, CA00594648, CA00594648	B, B, B	SFY2020-21
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-08 00:00:00	110014878	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-08-16 00:00:00	2018-08-16 00:00:00	No	2021-04-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	E9CK11	N	CA00556925, CA00556925, CA00594648, CA00594648	B, B, B, B	SFY2020-21
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-09-10 00:00:00	110014886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-30 00:00:00	2018-11-30 00:00:00	No	2021-10-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	9DQ311	N	CA00615201, CA00615562	B, B	SFY2021-22
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-05-29 00:00:00	110014895	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-11 00:00:00	2018-08-11 00:00:00	No	2019-06-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	WQKY11	N	CA00602802	B	SFY2018-19
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-05-29 00:00:00	110014932	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-03 00:00:00	2018-08-03 00:00:00	No	2019-06-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	Z5SI11	N	CA00599094	B	SFY2018-19
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-07 00:00:00	110015142	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-12 00:00:00	2018-12-12 00:00:00	No	2019-08-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z25911	N	CA00586915, CA00609895	C, C	SFY2019-20
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-07 00:00:00	110015143	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z25911	N	CA00586915, CA00609895	C, C	SFY2019-20
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-07 00:00:00	110015144	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z25911	N	CA00586915, CA00609895	C, C	SFY2019-20
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-07 00:00:00	110015145	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z25911	N	CA00586915, CA00609895	C, C	SFY2019-20
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-07 00:00:00	110015146	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z25911	N	CA00586915, CA00609895	C, C	SFY2019-20
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-07 00:00:00	110015147	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z25911	N	CA00586915, CA00609895	C, C	SFY2019-20
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-07 00:00:00	110015148	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z25911	N	CA00586915, CA00609895	C, C	SFY2019-20
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-07 00:00:00	110015149	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z25911	N	CA00586915, CA00609895	C, C	SFY2019-20
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-07 00:00:00	110015150	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z25911	N	CA00586915, CA00609895	C, C	SFY2019-20
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-07 00:00:00	110015151	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2019-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z25911	N	CA00586915, CA00609895	C, C	SFY2019-20
010001005	ALDERSLY SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-09 00:00:00	110015152	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-01-17 00:00:00	2019-01-17 00:00:00	No	2019-08-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	QVGX11	N	None	None	SFY2019-20
010001005	ALDERSLY SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-09 00:00:00	110015153	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-01-17 00:00:00	2019-01-17 00:00:00	No	2019-08-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	QVGX11	N	None	None	SFY2019-20
010001005	ALDERSLY SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-08-09 00:00:00	110015154	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-01-17 00:00:00	2019-01-17 00:00:00	No	2019-08-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	QVGX11	N	None	None	SFY2019-20
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-07-12 00:00:00	110015192	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-08-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	JCIP11	N	CA00636978, CA00636978	B, B	SFY2019-20
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-07-26 00:00:00	110015203	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-02-20 00:00:00	2019-02-20 00:00:00	No	2022-08-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	4IC111	Y	CA00626655	B	SFY2022-23
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-10-04 00:00:00	110015274	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-04-12 00:00:00	2019-04-12 00:00:00	No	2019-10-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C02Q11	N	None	None	SFY2019-20
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-10-04 00:00:00	110015275	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-04-12 00:00:00	2019-04-12 00:00:00	No	2019-10-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C02Q11	N	None	None	SFY2019-20
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-12-23 00:00:00	110015276	Closed	Citation	Citation B (HSC 1424)	Administration	None	2019-03-28 00:00:00	2019-03-28 00:00:00	No	2020-01-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	POMP11	N	None	None	SFY2019-20
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-09-17 00:00:00	110015299	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-13 00:00:00	2018-10-13 00:00:00	No	2019-10-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	40NG11	N	CA00607985	A	SFY2019-20
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-10-10 00:00:00	110015325	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-24 23:59:00	2019-04-24 23:59:00	No	2019-10-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	QCZQ11	N	CA00638989, CA00638989	B, B	SFY2019-20
010000022	FRIENDS HOUSE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-09-20 00:00:00	110015343	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-06-01 00:00:00	2019-06-01 00:00:00	No	2019-10-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BUNK11	N	None	None	SFY2019-20
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-11-14 00:00:00	110015440	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-12 00:00:00	2018-12-12 00:00:00	Yes	2019-12-05 00:00:00	2019-12-04 00:00:00	A	A	20000	14000	6000	20000	0	None	EM0Z11	N	None	None	SFY2019-20
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-10-22 00:00:00	110015441	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-23 00:00:00	2019-03-23 00:00:00	No	2019-11-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	C75411	N	CA00630522, CA00630522, CA00630522, CA00630522	B, B, B, B	SFY2019-20
010000080	UKIAH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-12-17 00:00:00	110015496	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-01-10 00:00:00	2019-01-10 00:00:00	No	2020-01-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KWOZ11	N	CA00623470	C	SFY2019-20
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-11-14 00:00:00	110015499	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2019-03-08 00:00:00	2019-03-08 00:00:00	No	2019-12-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	EM0Z11	N	None	None	SFY2019-20
630010921	CROSSROADS III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2021-03-26 00:00:00	110015609	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-20 00:00:00	2018-12-20 00:00:00	No	2021-04-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	72M611	N	CA00616887, CA00616887, CA00617317, CA00617317	B, B, C, C	SFY2020-21
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-26 00:00:00	110015667	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-08-26 00:00:00	2019-08-26 00:00:00	No	2021-05-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PMM711	N	CA00652253	B	SFY2020-21
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-28 00:00:00	110015668	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Abuse/Facility Not Report	2019-08-26 00:00:00	2019-08-26 00:00:00	No	2021-05-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PMM711	N	CA00652253	B	SFY2020-21
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-07-09 00:00:00	110015683	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Facility Not Report	2019-07-29 00:00:00	2019-07-29 00:00:00	No	2021-07-30 00:00:00	None	A	None	20000	20000	0	20000	0	None	1HI911	N	CA00648105, CA00649914, CA00650584	A, B, A	SFY2021-22
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-02-03 00:00:00	110015725	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-02-21 23:59:00	2019-02-21 23:59:00	No	2021-02-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	4QYE11	N	CA00632415	A	SFY2020-21
110000233	VALLEY OF THE MOON POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-03-23 00:00:00	110015777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-16 00:00:00	2019-10-16 00:00:00	No	2021-04-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6EQH11	N	None	None	SFY2020-21
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2020-07-21 00:00:00	110015918	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-07 00:00:00	2016-09-07 00:00:00	No	2020-08-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	WD1311	N	CA00531933	B	SFY2020-21
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-07-01 00:00:00	110016048	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-12-09 00:00:00	2019-12-09 00:00:00	No	2021-07-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	8NEX11	N	None	None	SFY2021-22
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-05-26 00:00:00	110016049	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-12-13 00:00:00	2019-12-13 00:00:00	No	2021-06-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	8NEX11	N	None	None	SFY2020-21
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-15 00:00:00	110016050	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-10-18 00:00:00	2019-10-18 00:00:00	No	2021-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HT8U11	N	None	None	SFY2020-21
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-15 00:00:00	110016051	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-10-18 00:00:00	2019-10-18 00:00:00	No	2021-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HT8U11	N	None	None	SFY2020-21
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-15 00:00:00	110016052	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-10-17 00:00:00	2019-10-17 00:00:00	No	2021-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HT8U11	N	None	None	SFY2020-21
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-15 00:00:00	110016053	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-10-21 00:00:00	2019-10-21 00:00:00	No	2021-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HT8U11	N	None	None	SFY2020-21
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-06-03 00:00:00	110016057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-01 00:00:00	2019-03-01 00:00:00	No	2021-06-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BQOR11	N	CA00626902, CA00626902, CA00633467	B, B, B	SFY2020-21
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-07-29 00:00:00	110016072	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-07-29 23:59:00	2020-07-29 23:59:00	No	2021-08-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IOXG11	N	None	None	SFY2021-22
110000053	PINER'S NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-02-11 00:00:00	110016082	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-04-25 00:00:00	2020-04-25 00:00:00	No	2021-03-05 00:00:00	None	A	None	20000	20000	0	20000	0	None	W6UJ11	N	CA00686586	C	SFY2020-21
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-01-12 00:00:00	110016088	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-04-22 00:00:00	2020-04-22 00:00:00	No	2021-02-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RSUJ11	N	CA00686110	A	SFY2020-21
110000863	LAUREL CREEK HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-01-13 00:00:00	110016125	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-07 00:00:00	2019-06-07 00:00:00	No	2021-02-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	DVT411	N	CA00641545	A	SFY2020-21
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-05-05 00:00:00	110016180	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-06 00:00:00	2020-10-06 00:00:00	No	2021-05-26 00:00:00	None	A	None	20000	20000	0	20000	0	None	ZJ9W11	N	CA00702089	B	SFY2020-21
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-03-22 00:00:00	110016267	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-05 00:00:00	2021-01-05 00:00:00	No	2024-04-15 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	LDX311	N	CA00719657, CA00720286, CA00720325, CA00720403, CA00721088	B, A, A, A, B	SFY2023-24
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-03-22 00:00:00	110016269	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-05 00:00:00	2021-01-05 00:00:00	No	2024-04-15 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	LDX311	N	CA00721338, CA00721338	B, B	SFY2023-24
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-03-22 00:00:00	110016270	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-05 00:00:00	2021-01-05 00:00:00	No	2024-04-15 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	LDX311	N	CA00720355	A	SFY2023-24
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-21 00:00:00	110016331	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-08-15 00:00:00	2018-08-15 00:00:00	No	2021-05-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z1HB11	N	CA00603417, CA00607058	E, B	SFY2020-21
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-03-25 00:00:00	110016354	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-26 00:00:00	2018-12-26 00:00:00	No	2021-04-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	WE2911	N	CA00660593	B	SFY2020-21
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-03-26 00:00:00	110016361	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-11-21 00:00:00	2019-11-21 00:00:00	No	2021-04-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Y09W11	N	CA00672007, CA00672007	B, B	SFY2020-21
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-03-26 00:00:00	110016362	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-06-29 00:00:00	2020-06-29 00:00:00	No	2021-04-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	EMWQ11	N	CA00695149	B	SFY2020-21
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-02-28 00:00:00	110016434	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-10 00:00:00	2021-01-10 00:00:00	No	2022-03-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZDGV11	Y	CA00721043, CA00721048	B, B	SFY2021-22
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-05-28 00:00:00	110016512	Closed	Citation	Citation A (HSC 1424)	Medication	None	2019-01-22 00:00:00	2019-01-22 00:00:00	No	2021-06-21 00:00:00	None	A	None	20000	20000	0	20000	0	None	8PMH11	N	CA00622285, CA00622285, CA00622752	E, E, B	SFY2020-21
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-06-03 00:00:00	110016539	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-11-22 00:00:00	2019-11-22 00:00:00	No	2021-06-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	CZ0U11	N	CA00665247, CA00665247	B, B	SFY2020-21
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-06-15 00:00:00	110016550	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-08-23 00:00:00	2019-08-23 00:00:00	No	2021-07-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	VZNF11	Y	CA00654903, CA00654903, CA00656915, CA00656915, CA00658085, CA00658085, CA00658180, CA00658180	B, B, B, B, B, B, B, B	SFY2020-21
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-06-15 00:00:00	110016551	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-08-27 00:00:00	2019-08-27 00:00:00	No	2021-07-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	VZNF11	Y	CA00654903, CA00654903, CA00656915, CA00656915, CA00658085, CA00658085, CA00658180, CA00658180	B, B, B, B, B, B, B, B	SFY2020-21
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-06-15 00:00:00	110016552	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-08-14 00:00:00	2019-08-14 00:00:00	No	2021-07-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	VZNF11	Y	CA00654903, CA00654903, CA00656915, CA00656915, CA00658085, CA00658085, CA00658180, CA00658180	B, B, B, B, B, B, B, B	SFY2020-21
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-06-15 00:00:00	110016553	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-09-05 00:00:00	2019-09-05 00:00:00	No	2021-07-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	VZNF11	Y	CA00654903, CA00654903, CA00656915, CA00656915, CA00658085, CA00658085, CA00658180, CA00658180	B, B, B, B, B, B, B, B	SFY2020-21
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-06-15 00:00:00	110016591	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-02-04 00:00:00	2019-02-04 00:00:00	No	2021-07-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QVXQ11	N	CA00627861, CA00627861	A, A	SFY2020-21
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-10-20 00:00:00	110016826	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-04-16 00:00:00	2019-04-16 00:00:00	No	2021-11-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	B63L11	N	CA00634057	A	SFY2021-22
010000005	RIDGEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-02-28 00:00:00	110016845	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-04-26 00:00:00	2021-04-26 00:00:00	No	2022-03-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	FHWC11	N	CA00734453	B	SFY2021-22
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-09-10 00:00:00	110016863	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-03 00:00:00	2017-04-03 00:00:00	No	2021-10-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	61P911	Y	CA00536680	B	SFY2021-22
010000026	APPLE VALLEY POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-10-19 00:00:00	110016983	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-04 00:00:00	2020-06-04 00:00:00	No	2021-11-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6ZO611	N	CA00691524	C	SFY2021-22
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-03-21 00:00:00	110017032	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-07-14 00:00:00	2021-07-14 00:00:00	No	2022-04-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EKZR11	N	CA00747683	A	SFY2021-22
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-02-18 00:00:00	110017056	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-03-18 00:00:00	2021-03-18 00:00:00	No	2022-03-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	R0PG11	N	CA00746731	B	SFY2021-22
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-02-22 00:00:00	110017068	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-01 00:00:00	2019-04-01 00:00:00	No	2022-03-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	BDD211	N	CA00644661	B	SFY2021-22
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-07-26 00:00:00	110017082	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-10 00:00:00	2019-09-10 00:00:00	No	2022-08-16 00:00:00	None	A	None	20000	23100	0	23100	0	None	SM8511	N	CA00654972	B	SFY2022-23
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-02-07 00:00:00	110017083	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-08-28 00:00:00	2019-08-28 00:00:00	No	2022-03-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	SM8511	N	CA00654972, CA00654972	B, B	SFY2021-22
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-02-07 00:00:00	110017084	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-08-27 00:00:00	2019-08-27 00:00:00	No	2022-03-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	SM8511	N	CA00654972	B	SFY2021-22
010000029	HEALDSBURG SENIOR LIVING COMMUNITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-01-06 00:00:00	110017206	Open	Citation	Citation A (HSC 1424)	Administration	None	2021-11-15 00:00:00	2021-11-15 00:00:00	No	2022-01-28 00:00:00	None	A	None	20000	20000	0	0	20000	None	5CKL11	N	None	None	SFY2021-22
010000029	HEALDSBURG SENIOR LIVING COMMUNITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-01-06 00:00:00	110017208	Open	Citation	Citation A (HSC 1424)	Patient Care	Abuse/No Self-Report	2021-11-15 00:00:00	2021-11-15 00:00:00	No	2022-01-28 00:00:00	None	A	None	20000	20000	0	0	20000	None	5CKL11	N	None	None	SFY2021-22
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-02-22 00:00:00	110017348	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-01 00:00:00	2019-04-01 00:00:00	No	2022-03-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	BDD211	N	CA00644661, CA00644661	B, B	SFY2021-22
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-12-18 00:00:00	110017392	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-11-30 00:00:00	2020-11-30 00:00:00	No	2024-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	GT2C11	N	CA00715300	B	SFY2023-24
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-12-18 00:00:00	110017393	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-12-05 00:00:00	2020-12-05 00:00:00	No	2024-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	GT2C11	N	CA00715300	B	SFY2023-24
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-12-18 00:00:00	110017394	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-11-13 00:00:00	2020-11-13 00:00:00	No	2024-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	GT2C11	N	CA00715300	B	SFY2023-24
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-12-18 00:00:00	110017395	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-03-05 00:00:00	2021-03-05 00:00:00	No	2024-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	HD3R11	N	CA00728528	B	SFY2023-24
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-12-18 00:00:00	110017396	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-02-28 00:00:00	2021-02-28 00:00:00	No	2024-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	HD3R11	N	CA00728528, CA00728528, CA00728528	B, B, B	SFY2023-24
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-12-18 00:00:00	110017397	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-02-12 00:00:00	2021-02-12 00:00:00	No	2024-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	HD3R11	N	CA00728528, CA00728528, CA00728528	B, B, B	SFY2023-24
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-03-11 00:00:00	110017484	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-05-20 00:00:00	2020-05-20 00:00:00	No	2022-04-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JGWU11	N	CA00689647	A	SFY2021-22
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-03-23 00:00:00	110017508	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-10-25 00:00:00	2021-10-25 00:00:00	No	2022-04-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	A0R511	N	CA00758738, CA00759035	B, B	SFY2021-22
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-03-23 00:00:00	110017509	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-10-25 00:00:00	2021-10-25 00:00:00	No	2022-04-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	A0R511	N	CA00758738, CA00759035	B, B	SFY2021-22
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-05-25 00:00:00	110017525	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-06 00:00:00	2018-09-06 00:00:00	No	2022-06-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5KZ311	Y	CA00638373	B	SFY2021-22
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-05-09 00:00:00	110017609	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-01-20 00:00:00	2020-01-20 00:00:00	No	2022-05-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	00WX11	N	CA00672952	B	SFY2021-22
010000864	CROSSROADS II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2022-07-01 00:00:00	110017658	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-05 00:00:00	2022-02-05 00:00:00	No	2022-07-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VBF711	N	CA00772394, CA00772394, CA00772394	E, E, E	SFY2022-23
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-08-03 00:00:00	110017794	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-05-21 00:00:00	2020-05-21 00:00:00	No	2022-08-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	V03511	N	CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170	B, B, B, B, B, B, B	SFY2022-23
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-08-03 00:00:00	110017795	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-10-21 00:00:00	2021-10-21 00:00:00	No	2022-08-24 00:00:00	None	B	None	2000	2950	0	2950	0	None	V03511	N	CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170	B, B, B, B, B, B, B, B	SFY2022-23
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-09-16 00:00:00	110017885	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-24 00:00:00	2022-02-24 00:00:00	No	2022-10-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UE7211	N	CA00782613	A	SFY2022-23
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-11-22 00:00:00	110018082	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-03-01 00:00:00	2022-03-01 00:00:00	No	2022-12-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y4D511	N	CA00782592, CA00782592	A, A	SFY2022-23
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-05-03 00:00:00	110019467	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-01-20 00:00:00	2022-01-20 00:00:00	No	2024-05-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	D4XT11	N	CA00772661, CA00772661	A, A	SFY2023-24
120000339	LOYD'S LIBERTY HOMES, INC. - NEWPORT HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2000-01-06 00:00:00	120001357	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-11-10 00:00:00	1999-11-10 00:00:00	No	2000-02-01 00:00:00	None	B	None	800	800	-280	520	0	120013410	A99999	N	None	None	SFY1999-00
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-01-06 00:00:00	120001358	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1999-06-13 00:00:00	None	Yes	2000-02-01 00:00:00	2000-01-27 00:00:00	AA	A	25000	15000	0	15000	0	120013416	A99999	Y	None	None	SFY1999-00
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-02-08 00:00:00	120001364	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-23 00:00:00	1999-10-23 00:00:00	Yes	2000-03-13 00:00:00	2000-02-16 00:00:00	B	B	1000	1000	0	1000	0	120013520	A99999	N	None	None	SFY1999-00
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-02-25 00:00:00	120001367	Closed	Citation	Citation AA (HSC 1424)	Other	NEGLECT	1999-12-08 00:00:00	1999-12-08 00:00:00	Yes	2000-03-27 00:00:00	2000-03-13 00:00:00	AA	B	23000	17500	0	17500	0	120013563	A99999	Y	None	None	SFY1999-00
120000390	LOYD'S LIBERTY HOMES, INC. - WOODLAKE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2000-02-28 00:00:00	120001368	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-16 00:00:00	1999-12-16 00:00:00	No	2000-03-20 00:00:00	None	B	None	600	600	-210	390	0	120013571	A99999	N	None	None	SFY1999-00
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-02-28 00:00:00	120001369	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-07 00:00:00	1999-12-07 00:00:00	No	2000-03-24 00:00:00	None	B	None	800	800	-280	520	0	120013572	A99999	N	None	None	SFY1999-00
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-03-14 00:00:00	120001372	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-04 00:00:00	2000-02-04 00:00:00	Yes	2000-04-10 00:00:00	2000-03-27 00:00:00	B	Dismissed by Court	1000	0	0	0	0	120013639	A99999	N	None	None	SFY1999-00
120000323	BELLA SERA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-03-22 00:00:00	120001373	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-25 00:00:00	1999-12-25 00:00:00	No	2000-04-18 00:00:00	None	B	None	200	200	-70	130	0	120013676	A99999	N	None	None	SFY1999-00
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-04-13 00:00:00	120001374	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE & ABUSE	1999-09-03 00:00:00	1999-09-03 00:00:00	Yes	2000-05-09 00:00:00	2000-04-24 00:00:00	B	B	1000	1000	0	1000	0	120013743	A99999	N	None	None	SFY1999-00
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-04-24 00:00:00	120001376	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-10 00:00:00	None	No	2000-05-23 00:00:00	None	B	None	1000	1000	0	1000	0	120013800	A99999	N	None	None	SFY1999-00
120001082	MERCY WESTSIDE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-05-03 00:00:00	120001377	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-24 00:00:00	2000-02-24 00:00:00	No	2000-06-08 00:00:00	None	B	None	1000	1000	-350	650	0	120013829	A99999	N	None	None	SFY1999-00
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-05-26 00:00:00	120001381	Closed	Citation	Citation B (HSC 1424)	Other	PT CARE/RIGHTS	2000-03-06 00:00:00	2000-03-06 00:00:00	Yes	2000-06-23 00:00:00	2000-06-14 00:00:00	B	B	1000	1000	0	1000	0	120013926	A99999	N	None	None	SFY1999-00
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-05-30 00:00:00	120001382	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-22 00:00:00	2000-02-22 00:00:00	No	2000-06-26 00:00:00	None	B	None	800	800	0	800	0	120013933	A99999	N	None	None	SFY1999-00
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-08-30 00:00:00	120001393	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-28 00:00:00	2000-05-28 00:00:00	No	2000-09-29 00:00:00	None	B	None	1000	1000	-350	650	0	120014269	A99999	N	None	None	SFY2000-01
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-09-06 00:00:00	120001394	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-06 00:00:00	2000-05-06 00:00:00	No	2000-10-06 00:00:00	None	B	None	900	900	0	900	0	120014280	A99999	N	None	None	SFY2000-01
120000976	LOYD'S LIBERTY HOMES, INC. - CASWELL HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2000-10-05 00:00:00	120001397	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-18 00:00:00	None	No	2000-10-27 00:00:00	None	B	None	600	600	-210	390	0	120014357	A99999	N	None	None	SFY2000-01
120000369	ROSEWOOD HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-10-12 00:00:00	120001399	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-22 00:00:00	None	No	2000-11-09 00:00:00	None	B	None	850	850	-297.5	552.5	0	120014375	A99999	N	None	None	SFY2000-01
120000573	SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-12-01 00:00:00	120001401	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-12 00:00:00	None	No	2001-01-10 00:00:00	None	B	None	600	650	0	650	0	120014507	A99999	N	None	None	SFY2000-01
120001082	MERCY WESTSIDE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-12-05 00:00:00	120001403	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-09-19 00:00:00	2000-09-19 00:00:00	No	2000-12-26 00:00:00	None	B	None	1000	1000	-350	650	0	120014529	A99999	N	None	None	SFY2000-01
120000339	LOYD'S LIBERTY HOMES, INC. - NEWPORT HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2000-12-14 00:00:00	120001404	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-31 00:00:00	None	No	2001-01-17 00:00:00	None	B	None	1000	3000	-1050	1950	0	120014555	A99999	N	None	None	SFY2000-01
120001037	HIGHER GROUND HOMES, INC. #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2001-01-12 00:00:00	120001435	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-13 00:00:00	2000-12-13 00:00:00	No	2001-02-14 00:00:00	None	B	None	600	600	-210	390	0	120014636	A99999	N	None	None	SFY2000-01
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-03-06 00:00:00	120001445	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-22 00:00:00	None	Yes	2001-03-27 00:00:00	2001-09-21 00:00:00	A	B	12000	6000	0	6000	0	120014814	A99999	N	None	None	SFY2000-01
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-03-28 00:00:00	120001448	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-22 00:00:00	2000-11-22 00:00:00	Yes	2001-04-26 00:00:00	2001-09-21 00:00:00	A	B	18000	9000	0	9000	0	120014920	A99999	N	None	None	SFY2000-01
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-04-06 00:00:00	120001450	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-10 00:00:00	None	No	2001-05-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	120014963	A99999	N	None	None	SFY2000-01
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-05-22 00:00:00	120001453	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-16 00:00:00	None	No	2001-06-13 00:00:00	None	B	B	1000	1000	0	1000	0	120015088	A99999	N	None	None	SFY2000-01
120001402	DELTA HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-04-13 00:00:00	120001457	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-23 00:00:00	2000-04-13 00:00:00	No	2000-05-09 00:00:00	None	B	None	1000	1000	0	1000	0	120015171	A99999	N	None	None	SFY1999-00
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-07-19 00:00:00	120001524	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-21 00:00:00	2000-01-21 00:00:00	No	2000-08-09 00:00:00	None	B	None	1000	1000	-350	650	0	120015487	A99999	N	None	None	SFY2000-01
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-06-04 00:00:00	120001525	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-01 00:00:00	None	No	2001-06-25 00:00:00	None	B	B	300	300	0	300	0	120015492	A99999	N	None	None	SFY2000-01
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-06-15 00:00:00	120001526	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-15 00:00:00	None	No	2001-07-09 00:00:00	None	A	A	2000	2000	0	2000	0	120015505	A99999	N	None	None	SFY2000-01
120000323	BELLA SERA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-06-15 00:00:00	120001528	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-21 00:00:00	None	Yes	2001-07-06 00:00:00	2001-06-25 00:00:00	A	B	10000	5573	0	5573	0	120015508	A99999	N	None	None	SFY2000-01
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-06-15 00:00:00	120001529	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-07 00:00:00	None	Yes	2001-07-09 00:00:00	2001-06-22 00:00:00	A	B	20000	20000	0	20000	0	120015509	A99999	Y	None	None	SFY2000-01
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-07-02 00:00:00	120001530	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-01-16 00:00:00	None	No	2001-07-24 00:00:00	None	B	None	500	500	-175	325	0	120015537	A99999	N	None	None	SFY2001-02
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-07-12 00:00:00	120001531	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-18 00:00:00	None	No	2001-08-02 00:00:00	None	B	None	500	500	-175	325	0	120015556	A99999	N	None	None	SFY2001-02
120001082	MERCY WESTSIDE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-07-23 00:00:00	120001532	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-13 00:00:00	None	No	2001-08-13 00:00:00	None	B	None	1000	1000	0	1000	0	120015576	A99999	N	None	None	SFY2001-02
120000399	ADVENTIST HEALTH DELANO D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-07-20 00:00:00	120001533	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-25 00:00:00	None	No	2001-08-10 00:00:00	None	B	None	500	500	-175	325	0	120015573	A99999	N	None	None	SFY2001-02
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-10-15 00:00:00	120001535	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-04-23 00:00:00	None	No	2001-11-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	120015650	A99999	N	None	None	SFY2001-02
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-10-17 00:00:00	120001536	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-04 00:00:00	None	No	2001-11-07 00:00:00	None	B	None	300	300	0	300	0	120015689	A99999	N	None	None	SFY2001-02
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-10-19 00:00:00	120001537	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-24 00:00:00	2001-09-24 00:00:00	No	2001-11-09 00:00:00	None	B	None	1000	1000	-350	650	0	120015719	A99999	N	None	None	SFY2001-02
120000903	LOYD'S LIBERTY HOMES, INC. - JOELYLE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2001-10-30 00:00:00	120001538	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-07 00:00:00	None	Yes	2002-03-01 00:00:00	2002-02-21 00:00:00	A	B	10000	10000	0	10000	0	120015641	A99999	N	None	None	SFY2001-02
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-11-06 00:00:00	120001539	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-31 00:00:00	2000-12-31 00:00:00	No	2001-11-30 00:00:00	None	B	None	2000	2300	-700	1600	0	120015783	A99999	N	None	None	SFY2001-02
120000369	ROSEWOOD HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-11-21 00:00:00	120001540	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-07 00:00:00	2001-11-07 00:00:00	No	2001-12-14 00:00:00	None	B	None	700	700	-245	455	0	120015811	A99999	N	None	None	SFY2001-02
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-12-20 00:00:00	120001541	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-04 00:00:00	None	No	2002-01-15 00:00:00	None	B	None	1000	1000	0	1000	0	120015796	A99999	N	None	None	SFY2001-02
120000399	ADVENTIST HEALTH DELANO D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-12-24 00:00:00	120001542	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-08 00:00:00	None	No	2002-01-16 00:00:00	None	B	None	500	500	0	500	0	120015898	A99999	N	None	None	SFY2001-02
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-12-31 00:00:00	120001543	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-12 00:00:00	None	Yes	2002-04-10 00:00:00	2001-12-31 00:00:00	B	B	500	550	0	550	0	120015896	A99999	N	None	None	SFY2001-02
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-01-03 00:00:00	120001544	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-22 00:00:00	None	No	2002-01-25 00:00:00	None	B	None	1000	1000	0	1000	0	120015821	A99999	N	None	None	SFY2001-02
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-02-19 00:00:00	120001546	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-06 00:00:00	2002-02-06 00:00:00	Yes	2002-03-12 00:00:00	2002-03-06 00:00:00	B	Drop>Deficiency	500	750	0	750	0	120015970	A99999	N	None	None	SFY2001-02
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-02-20 00:00:00	120001547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-14 00:00:00	None	No	2002-03-13 00:00:00	None	B	None	300	300	-105	195	0	120015753	A99999	N	None	None	SFY2001-02
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-02-25 00:00:00	120001548	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-01 00:00:00	None	No	2002-03-18 00:00:00	None	B	None	500	1500	-525	975	0	120015926	A99999	N	None	None	SFY2001-02
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-03-21 00:00:00	120001549	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-12 00:00:00	None	No	2002-04-12 00:00:00	None	B	None	500	500	-175	325	0	120016036	A99999	N	None	None	SFY2001-02
120000369	ROSEWOOD HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-04-16 00:00:00	120001550	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-15 00:00:00	None	Yes	2002-07-24 00:00:00	2002-07-10 00:00:00	B	B	500	300	0	300	0	120016040	A99999	N	None	None	SFY2001-02
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-05-14 00:00:00	120001551	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-02-08 00:00:00	None	No	2002-06-05 00:00:00	None	B	None	500	500	-175	325	0	120016003	A99999	N	None	None	SFY2001-02
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-06-17 00:00:00	120001554	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-28 00:00:00	None	No	2002-07-16 00:00:00	None	B	None	500	500	-175	325	0	120016151	A99999	N	None	None	SFY2001-02
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-07-03 00:00:00	120001555	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-04-15 00:00:00	2002-04-29 00:00:00	No	2002-07-29 00:00:00	None	B	None	500	500	-175	325	0	120016107	A99999	N	None	None	SFY2002-03
120000325	VALLEY VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-07-10 00:00:00	120001556	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-28 00:00:00	None	Yes	2003-03-06 00:00:00	2003-02-21 00:00:00	B	B	1000	1050	0	1050	0	120016033	A99999	N	None	None	SFY2002-03
120000323	BELLA SERA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-07-17 00:00:00	120001557	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-03 00:00:00	None	No	2002-08-13 00:00:00	None	B	None	300	300	-105	195	0	120016222	A99999	N	None	None	SFY2002-03
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-07-17 00:00:00	120001558	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-29 00:00:00	None	No	2002-08-12 00:00:00	None	B	None	300	300	-105	195	0	120016108	A99999	N	None	None	SFY2002-03
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-09-10 00:00:00	120001559	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-11 00:00:00	None	No	2002-10-09 00:00:00	None	B	None	500	500	-175	325	0	120016324	A99999	N	None	None	SFY2002-03
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-09-26 00:00:00	120001561	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-08 00:00:00	None	No	2002-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	120016331	A99999	N	None	None	SFY2002-03
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-09-26 00:00:00	120001562	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-13 00:00:00	None	No	2002-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	120016325	A99999	N	None	None	SFY2002-03
120001431	WESTGATE GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-04-19 00:00:00	120001592	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-31 00:00:00	2000-12-31 00:00:00	No	2001-05-10 00:00:00	None	B	None	900	900	-315	585	0	120016726	A99999	N	None	None	SFY2000-01
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-09-15 00:00:00	120001611	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-10 00:00:00	2000-04-10 00:00:00	No	2000-10-09 00:00:00	None	B	None	100	100	0	100	0	120016974	A99999	N	None	None	SFY2000-01
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-02-13 00:00:00	120001637	Closed	Citation	Citation A (HSC 1424)	Other	REQUIRED SERVICES	2000-07-09 00:00:00	2000-07-09 00:00:00	Yes	2001-05-31 00:00:00	2001-02-15 00:00:00	A	A	10000	10000	0	10000	0	120017111	A99999	Y	None	None	SFY2000-01
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-09-26 00:00:00	120001638	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-11 00:00:00	2002-07-11 00:00:00	No	2002-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	120017132	A99999	N	None	None	SFY2002-03
120001448	KAWEAH DELTA DISTRICT HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-03-12 00:00:00	120001641	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLET	2001-05-09 00:00:00	2001-05-09 00:00:00	No	2002-04-09 00:00:00	None	B	None	500	500	-175	325	0	120017270	A99999	N	None	None	SFY2001-02
120001460	MEMORIAL HOSPITAL AT EXETER D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-05-02 00:00:00	120001649	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-24 00:00:00	2000-11-29 00:00:00	No	2001-05-29 00:00:00	None	B	None	500	500	-175	325	0	120017419	A99999	N	None	None	SFY2000-01
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-11-06 00:00:00	120001665	Closed	Citation	Citation B (HSC 1424)	Other	PHYSICAL/MENTAL ABUS	2000-07-24 00:00:00	2000-07-24 00:00:00	No	2000-12-01 00:00:00	None	B	None	1000	1000	-350	650	0	120017525	A99999	N	None	None	SFY2000-01
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-08-24 00:00:00	120001685	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-06-03 00:00:00	2000-06-03 00:00:00	No	2000-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	120017809	A99999	N	None	None	SFY2000-01
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-02-15 00:00:00	120001686	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICES	2000-12-24 00:00:00	2000-12-24 00:00:00	No	2001-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	120017816	A99999	N	None	None	SFY2000-01
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-06-13 00:00:00	120001705	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICE	2000-07-01 00:00:00	None	Yes	2002-05-08 00:00:00	2002-04-25 00:00:00	B	B	1000	1000	0	1000	0	120017962	A99999	N	None	None	SFY2000-01
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-01-13 00:00:00	120001720	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-29 00:00:00	1999-12-29 00:00:00	Yes	2000-02-04 00:00:00	2000-01-31 00:00:00	B	None	1000	1000	0	1000	0	120018067	A99999	N	None	None	SFY1999-00
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-02-13 00:00:00	120001721	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-08 00:00:00	2000-09-08 00:00:00	No	2001-03-08 00:00:00	None	B	None	500	500	0	500	0	120018074	A99999	N	None	None	SFY2000-01
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-04-24 00:00:00	120001722	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-16 00:00:00	2001-01-16 00:00:00	No	2001-05-16 00:00:00	None	B	None	1000	1000	0	1000	0	120018077	A99999	N	None	None	SFY2000-01
120001507	GAITHER'S FAMILY HOME 3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2002-07-17 00:00:00	120001738	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-08 00:00:00	2002-05-08 00:00:00	No	2002-08-23 00:00:00	None	B	None	1000	1000	-350	650	0	120018392	A99999	N	None	None	SFY2002-03
120001526	LINDSAY GARDENS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-05-14 00:00:00	120001741	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICE-GEN	2002-03-19 00:00:00	2002-03-19 00:00:00	Yes	2002-06-07 00:00:00	2002-05-14 00:00:00	B	None	1000	1000	0	1000	0	120018577	A99999	N	None	None	SFY2001-02
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-10-03 00:00:00	120001742	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-11 00:00:00	None	No	2002-10-29 00:00:00	None	B	None	1000	1000	-350	650	0	120016409	A99999	N	None	None	SFY2002-03
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-10-03 00:00:00	120001743	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-29 00:00:00	None	No	2002-10-25 00:00:00	None	B	None	1000	1000	-350	650	0	120016412	A99999	N	None	None	SFY2002-03
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-10-15 00:00:00	120001744	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-05 00:00:00	None	Yes	2002-11-06 00:00:00	2002-10-17 00:00:00	B	B	1000	650	0	650	0	120016374	A99999	N	None	None	SFY2002-03
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-10-17 00:00:00	120001745	Closed	Citation	Citation B (HSC 1424)	Other	PT CARE / PT RIGHTS	2002-08-08 00:00:00	None	No	2002-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	120017841	A99999	N	None	None	SFY2002-03
120001477	LINWOOD MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-10-24 00:00:00	120001746	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-27 00:00:00	None	No	2002-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	120018825	A99999	N	None	None	SFY2002-03
120001477	LINWOOD MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-12-04 00:00:00	120001747	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-23 00:00:00	None	No	2002-12-31 00:00:00	None	B	None	500	500	-175	325	0	120018952	A99999	N	None	None	SFY2002-03
120001544	SIERRA VISTA RESIDENTIAL CARE HOME #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2003-01-23 00:00:00	120001748	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-11-10 00:00:00	None	Yes	2003-02-18 00:00:00	2003-02-13 00:00:00	A	B	10000	5000	0	5000	0	120019214	A99999	N	None	None	SFY2002-03
120001532	ADAMS HOUSE - SANTA CLARA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2003-03-10 00:00:00	120001749	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-06 00:00:00	None	No	2003-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	120019298	A99999	N	None	None	SFY2002-03
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2003-03-11 00:00:00	120001750	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-06 00:00:00	None	Yes	2003-07-18 00:00:00	2002-03-20 00:00:00	B	B	500	500	0	500	0	120019061	A99999	N	None	None	SFY2002-03
120001433	BETHESDA LUTHERAN COMMUNITIES - SAN LUCIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2003-04-17 00:00:00	120001751	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-07 00:00:00	None	No	2003-05-12 00:00:00	None	B	None	300	450	0	450	0	120019344	A99999	N	None	None	SFY2002-03
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2003-04-21 00:00:00	120001752	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2003-02-26 00:00:00	None	No	2003-05-13 00:00:00	None	A	None	10000	10000	-3500	6500	0	120019354	A99999	N	None	None	SFY2002-03
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2003-04-22 00:00:00	120001753	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-18 00:00:00	None	No	2003-05-15 00:00:00	None	B	None	1000	1000	-350	650	0	120019408	A99999	N	None	None	SFY2002-03
120001505	MORGAN'S TLC - LINDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2003-05-08 00:00:00	120001754	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-11 00:00:00	None	No	2003-06-05 00:00:00	None	B	None	300	300	-105	195	0	120019527	A99999	N	None	None	SFY2002-03
120001515	BETHESDA LUTHERAN COMMUNITIES-BELLEVIEW	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2003-06-16 00:00:00	120001755	Closed	Citation	Citation A (HSC 1424)	Medication	None	2002-09-07 00:00:00	None	Yes	2003-10-17 00:00:00	2003-06-17 00:00:00	A	A	2000	2000	0	2000	0	120018452	A99999	N	None	None	SFY2002-03
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2003-07-17 00:00:00	120001756	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-23 00:00:00	None	No	2003-08-11 00:00:00	None	B	None	500	500	-175	325	0	120019355	A99999	N	None	None	SFY2003-04
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2003-08-20 00:00:00	120001757	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-19 00:00:00	None	No	2003-09-11 00:00:00	None	B	None	300	900	-315	585	0	120019852	A99999	N	None	None	SFY2003-04
120001435	BETHESDA LUTHERAN COMMUNITIES-MATHEW	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2003-10-22 00:00:00	120001758	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-10-09 00:00:00	None	No	2002-11-18 00:00:00	None	B	None	300	300	0	300	0	120020034	A99999	N	None	None	SFY2003-04
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2003-10-24 00:00:00	120001759	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-24 00:00:00	None	No	2003-11-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	120019777	A99999	N	None	None	SFY2003-04
120000976	LOYD'S LIBERTY HOMES, INC. - CASWELL HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2003-12-18 00:00:00	120001760	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-22 00:00:00	None	No	2004-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	120019725	A99999	N	None	None	SFY2003-04
120000382	LOYD'S LIBERTY HOMES, INC. - PANORAMA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2003-12-18 00:00:00	120001761	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-18 00:00:00	None	No	2004-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	120020128	A99999	N	None	None	SFY2003-04
120001477	LINWOOD MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2003-12-31 00:00:00	120001762	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-10-22 00:00:00	None	No	2004-01-26 00:00:00	None	B	None	1000	1000	-350	650	0	120020080	A99999	N	None	None	SFY2003-04
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2003-12-31 00:00:00	120001763	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-05 00:00:00	None	No	2004-01-23 00:00:00	None	B	None	1000	1000	-350	650	0	120019773	A99999	N	None	None	SFY2003-04
120001435	BETHESDA LUTHERAN COMMUNITIES-MATHEW	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2004-01-23 00:00:00	120001764	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-04 00:00:00	None	No	2004-02-19 00:00:00	None	B	None	500	500	-175	325	0	120020052	A99999	N	None	None	SFY2003-04
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-02-04 00:00:00	120001765	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/RIGHTS	2003-12-02 00:00:00	None	No	2004-03-03 00:00:00	None	B	None	1000	1000	-350	650	0	120020180	A99999	N	None	None	SFY2003-04
120001477	LINWOOD MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-02-05 00:00:00	120001766	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-12-20 00:00:00	None	No	2004-03-03 00:00:00	None	B	None	1000	1000	-350	650	0	120020227	A99999	N	None	None	SFY2003-04
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-02-11 00:00:00	120001767	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-09-03 00:00:00	None	No	2004-03-08 00:00:00	None	B	None	1000	1000	-350	650	0	120020340	A99999	N	None	None	SFY2003-04
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2004-02-17 00:00:00	120001768	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-23 00:00:00	None	No	2004-03-15 00:00:00	None	B	None	500	500	-175	325	0	120020223	A99999	N	None	None	SFY2003-04
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-02-17 00:00:00	120001769	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-23 00:00:00	None	No	2004-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	120020060	A99999	N	None	None	SFY2003-04
120001449	KAWEAH HEALTH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-02-20 00:00:00	120001770	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-08-20 00:00:00	None	Yes	2004-06-07 00:00:00	2004-05-18 00:00:00	A	A	20000	16500	0	16500	0	120020375	A99999	N	None	None	SFY2003-04
120001421	GATEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-03-03 00:00:00	120001771	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-07 00:00:00	None	Yes	2004-03-24 00:00:00	2004-03-03 00:00:00	B	Drop>Deficiency	300	0	0	0	0	120020333	A99999	N	None	None	SFY2003-04
120001449	KAWEAH HEALTH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-03-10 00:00:00	120001772	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-23 00:00:00	None	Yes	2004-07-20 00:00:00	2004-03-29 00:00:00	A	A	20000	20000	0	20000	0	120019921	A99999	Y	None	None	SFY2003-04
120001507	GAITHER'S FAMILY HOME 3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2004-03-11 00:00:00	120001773	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-21 00:00:00	2004-02-22 00:00:00	No	2004-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	120020381	A99999	N	None	None	SFY2003-04
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-03-29 00:00:00	120001774	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-19 00:00:00	None	No	2004-04-20 00:00:00	None	B	None	1000	1000	0	1000	0	120020217	A99999	N	None	None	SFY2003-04
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-04-01 00:00:00	120001775	Closed	Citation	Citation B (HSC 1424)	Other	PT. CARE/MEDICATION	2003-10-28 00:00:00	None	No	2004-04-26 00:00:00	None	B	None	1000	1300	-350	950	0	120020177	A99999	N	None	None	SFY2003-04
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-04-01 00:00:00	120001776	Closed	Citation	Citation B (HSC 1424)	Other	PT CARE/MEDICATION	2003-10-28 00:00:00	None	No	2004-04-26 00:00:00	None	B	None	1000	1300	-350	950	0	120020177	A99999	N	None	None	SFY2003-04
120001431	WESTGATE GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-04-07 00:00:00	120001777	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-08-20 00:00:00	None	No	2004-05-03 00:00:00	None	B	None	500	500	-175	325	0	120020472	A99999	N	None	None	SFY2003-04
120000406	MERCY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-04-09 00:00:00	120001778	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-18 00:00:00	None	No	2004-05-17 00:00:00	None	B	None	500	500	-175	325	0	120020479	A99999	N	None	None	SFY2003-04
120001566	JAN & GAIL'S CARE HOME 4	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2004-04-16 00:00:00	120001779	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-01-19 00:00:00	None	No	2004-05-25 00:00:00	None	B	None	300	300	-105	195	0	120020486	A99999	N	None	None	SFY2003-04
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-04-29 00:00:00	120001780	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-16 00:00:00	None	Yes	2004-05-20 00:00:00	2004-04-29 00:00:00	B	B	1000	500	0	500	0	120020353	A99999	N	None	None	SFY2003-04
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-05-06 00:00:00	120001781	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-07 00:00:00	None	No	2004-05-27 00:00:00	None	B	None	600	600	-210	390	0	120020525	A99999	N	None	None	SFY2003-04
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-05-06 00:00:00	120001782	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-12 00:00:00	None	No	2004-05-27 00:00:00	None	B	None	1000	1000	0	1000	0	120020526	A99999	N	None	None	SFY2003-04
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2004-05-17 00:00:00	120001783	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2003-11-14 00:00:00	None	No	2004-06-10 00:00:00	None	B	None	1000	1000	-350	650	0	120020136	A99999	N	None	None	SFY2003-04
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-05-28 00:00:00	120001784	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2003-06-23 00:00:00	None	No	2004-06-22 00:00:00	None	B	None	1000	1000	-350	650	0	120019775	A99999	N	None	None	SFY2003-04
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-07-20 00:00:00	120001785	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-07-08 00:00:00	None	No	2004-08-13 00:00:00	None	B	None	1000	1000	-350	650	0	120020637	A99999	N	None	None	SFY2004-05
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-07-26 00:00:00	120001786	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-10 00:00:00	None	No	2004-08-18 00:00:00	None	B	None	1000	1000	-350	650	0	120020645	A99999	N	None	None	SFY2004-05
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-08-11 00:00:00	120001788	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-21 00:00:00	None	No	2004-09-03 00:00:00	None	B	None	1000	1000	-350	650	0	120019681	A99999	N	None	None	SFY2004-05
120000573	SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-08-11 00:00:00	120001789	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-08-27 00:00:00	None	No	2004-09-01 00:00:00	None	B	None	1000	1000	-350	650	0	120019878	A99999	N	None	None	SFY2004-05
120000573	SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-08-11 00:00:00	120001790	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE/RIGHTS	2003-08-27 00:00:00	None	No	2004-09-01 00:00:00	None	A	None	10000	10000	-3500	6500	0	120019878	A99999	N	None	None	SFY2004-05
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-08-19 00:00:00	120001791	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-22 00:00:00	None	No	2004-09-10 00:00:00	None	B	None	500	500	0	500	0	120020667	A99999	N	None	None	SFY2004-05
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-08-20 00:00:00	120001792	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-07-30 00:00:00	None	Yes	2006-11-28 00:00:00	2004-08-25 00:00:00	A	A	16000	16000	0	16000	0	120019865	A99999	N	None	None	SFY2004-05
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-08-23 00:00:00	120001793	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-02-03 00:00:00	None	No	2004-09-24 00:00:00	None	B	None	300	300	-105	195	0	120020330	A99999	N	None	None	SFY2004-05
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-08-23 00:00:00	120001794	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-02 00:00:00	None	No	2004-09-24 00:00:00	None	B	None	300	300	-105	195	0	120020330	A99999	N	None	None	SFY2004-05
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-09-02 00:00:00	120001795	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-26 00:00:00	None	No	2004-09-28 00:00:00	None	B	None	600	1800	0	1800	0	120020683	A99999	N	None	None	SFY2004-05
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-09-10 00:00:00	120001796	Closed	Citation	Citation B (HSC 1424)	Other	ADMIN/TRANSFER/DISCH	2004-01-15 00:00:00	None	No	2004-10-04 00:00:00	None	B	None	300	300	-105	195	0	120020355	A99999	N	None	None	SFY2004-05
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-11-08 00:00:00	120001797	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-10-09 00:00:00	None	No	2004-12-02 00:00:00	None	A	None	5000	5000	-1750	3250	0	120020026	A99999	N	None	None	SFY2004-05
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-11-08 00:00:00	120001798	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2003-12-02 00:00:00	None	Yes	2004-12-08 00:00:00	2004-11-12 00:00:00	A	B	5000	5000	0	5000	0	120020766	A99999	N	None	None	SFY2004-05
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-11-08 00:00:00	120001799	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2003-12-21 00:00:00	None	No	2004-12-08 00:00:00	None	B	Drop>Deficiency	500	0	0	0	0	120020766	A99999	N	None	None	SFY2004-05
120001011	LOYD'S LIBERTY HOMES, INC. - HOLLY OAK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2004-11-16 00:00:00	120001800	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-03-15 00:00:00	None	Yes	2004-12-10 00:00:00	2004-11-22 00:00:00	A	A	10000	10000	0	10000	0	120020775	A99999	N	None	None	SFY2004-05
120001402	DELTA HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-11-17 00:00:00	120001801	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-15 00:00:00	2004-10-25 00:00:00	No	2004-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	120020778	A99999	N	None	None	SFY2004-05
120000369	ROSEWOOD HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-01 00:00:00	120001802	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-04 00:00:00	None	No	2004-12-24 00:00:00	None	B	None	1000	1000	-350	650	0	120020792	A99999	N	None	None	SFY2004-05
120001421	GATEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-03 00:00:00	120001803	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-28 00:00:00	None	Yes	2004-12-24 00:00:00	2004-12-03 00:00:00	B	B	750	375	0	375	0	120020794	A99999	N	None	None	SFY2004-05
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-14 00:00:00	120001804	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-03-11 00:00:00	None	Yes	2005-01-11 00:00:00	2004-12-16 00:00:00	B	B	1000	500	0	500	0	120020810	A99999	N	None	None	SFY2004-05
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-14 00:00:00	120001805	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-11 00:00:00	None	Yes	2005-01-11 00:00:00	2004-12-16 00:00:00	B	B	1000	500	0	500	0	120020810	A99999	N	None	None	SFY2004-05
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-15 00:00:00	120001806	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-31 00:00:00	None	Yes	2005-01-05 00:00:00	2004-12-22 00:00:00	B	B	1000	650	0	650	0	120020236	A99999	N	None	None	SFY2004-05
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-15 00:00:00	120001807	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-01-01 00:00:00	None	Yes	2005-01-05 00:00:00	2004-12-22 00:00:00	B	B	500	325	0	325	0	120020236	A99999	N	None	None	SFY2004-05
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-16 00:00:00	120001808	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-02 00:00:00	None	No	2005-01-10 00:00:00	None	B	None	1000	1000	-350	650	0	120020318	A99999	N	None	None	SFY2004-05
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-16 00:00:00	120001809	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-02 00:00:00	None	No	2005-01-10 00:00:00	None	B	None	1000	1000	-350	650	0	120020318	A99999	N	None	None	SFY2004-05
120000339	LOYD'S LIBERTY HOMES, INC. - NEWPORT HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2004-12-16 00:00:00	120001810	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-18 00:00:00	None	No	2005-01-10 00:00:00	None	B	None	1000	1000	-350	650	0	120020814	A99999	N	None	None	SFY2004-05
120000573	SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-28 00:00:00	120001811	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-17 00:00:00	None	No	2005-01-19 00:00:00	None	B	None	1000	1000	-350	650	0	120020337	A99999	N	None	None	SFY2004-05
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-30 00:00:00	120001812	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-05 00:00:00	None	No	2005-01-24 00:00:00	None	B	None	750	750	-262.5	487.5	0	120020836	A99999	N	None	None	SFY2004-05
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-30 00:00:00	120001813	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-05 00:00:00	None	No	2005-01-24 00:00:00	None	B	None	750	750	-262.5	487.5	0	120020836	A99999	N	None	None	SFY2004-05
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-01-13 00:00:00	120001814	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-26 00:00:00	None	No	2005-02-11 00:00:00	None	B	None	1000	1000	-350	650	0	120020870	A99999	N	None	None	SFY2004-05
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-01-13 00:00:00	120001815	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-07 00:00:00	None	No	2005-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	120020871	A99999	N	None	None	SFY2004-05
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-01-20 00:00:00	120001816	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-08 00:00:00	None	No	2005-02-10 00:00:00	None	B	None	500	500	-175	325	0	120020102	A99999	N	None	None	SFY2004-05
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-01-20 00:00:00	120001817	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-08 00:00:00	None	No	2005-02-10 00:00:00	None	B	None	500	500	-175	325	0	120020102	A99999	N	None	None	SFY2004-05
120000369	ROSEWOOD HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-03-11 00:00:00	120001818	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-31 00:00:00	None	No	2005-04-04 00:00:00	None	B	None	1000	1000	-350	650	0	120020442	A99999	N	None	None	SFY2004-05
120001544	SIERRA VISTA RESIDENTIAL CARE HOME #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2005-04-12 00:00:00	120001819	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-12-19 00:00:00	None	No	2005-05-03 00:00:00	None	B	None	1000	1000	-350	650	0	120020910	A99999	N	None	None	SFY2004-05
120000976	LOYD'S LIBERTY HOMES, INC. - CASWELL HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2005-04-12 00:00:00	120001820	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-18 00:00:00	None	No	2005-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	120020430	A99999	N	None	None	SFY2004-05
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-04-25 00:00:00	120001821	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-09 00:00:00	None	Yes	2005-05-17 00:00:00	2005-05-02 00:00:00	B	None	1000	1000	0	1000	0	120020913	A99999	N	None	None	SFY2004-05
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-05-05 00:00:00	120001822	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-04-12 00:00:00	None	Yes	2005-06-01 00:00:00	2005-05-24 00:00:00	A	B	20000	10000	0	10000	0	120020915	A99999	N	None	None	SFY2004-05
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-06-27 00:00:00	120001823	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-13 00:00:00	None	No	2005-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	120020111	A99999	N	None	None	SFY2004-05
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-07-22 00:00:00	120001824	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-30 00:00:00	None	Yes	2005-08-12 00:00:00	2005-08-08 00:00:00	B	B	1000	500	0	500	0	120020918	A99999	N	None	None	SFY2005-06
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-08-03 00:00:00	120001825	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-19 00:00:00	None	No	2005-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	120020920	A99999	N	None	None	SFY2005-06
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-08-03 00:00:00	120001826	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-22 00:00:00	None	No	2005-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	120020358	A99999	N	None	None	SFY2005-06
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-08-03 00:00:00	120001827	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-01-25 00:00:00	None	No	2005-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	120020358	A99999	N	None	None	SFY2005-06
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-08-03 00:00:00	120001828	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-02-16 00:00:00	None	No	2005-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	120020921	A99999	N	None	None	SFY2005-06
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-08-03 00:00:00	120001829	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-03-04 00:00:00	None	Yes	2005-08-26 00:00:00	2005-08-04 00:00:00	A	A	10000	5100	-100	5000	0	120020922	A99999	N	None	None	SFY2005-06
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-09-20 00:00:00	120001830	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-03-08 00:00:00	None	No	2005-10-17 00:00:00	None	B	None	300	300	-105	195	0	120020926	A99999	N	None	None	SFY2005-06
120000323	BELLA SERA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-09-21 00:00:00	120001831	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-06-02 00:00:00	None	No	2005-10-17 00:00:00	None	B	None	500	500	-175	325	0	120020927	A99999	N	None	None	SFY2005-06
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-10-06 00:00:00	120001832	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-28 00:00:00	None	No	2005-11-01 00:00:00	None	B	None	300	300	-105	195	0	120020930	A99999	N	None	None	SFY2005-06
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-10-06 00:00:00	120001833	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-03-05 00:00:00	2005-03-05 00:00:00	Yes	2008-02-19 00:00:00	2008-02-22 00:00:00	A	B	10000	3000	0	3000	0	120020931	A99999	N	None	None	SFY2005-06
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-10-06 00:00:00	120001834	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-15 00:00:00	None	Yes	2005-11-09 00:00:00	2005-10-19 00:00:00	B	B	1000	500	0	500	0	120020932	A99999	N	None	None	SFY2005-06
120000826	LOYD'S LIBERTY HOMES, INC. - IRONWOOD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2005-10-11 00:00:00	120001835	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-08-12 00:00:00	None	No	2005-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	120020933	A99999	N	None	None	SFY2005-06
120000826	LOYD'S LIBERTY HOMES, INC. - IRONWOOD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2005-10-11 00:00:00	120001836	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-12 00:00:00	None	No	2005-11-02 00:00:00	None	B	None	1000	2050	-350	1700	0	120020933	A99999	N	None	None	SFY2005-06
120000530	POSITIVE DIRECTIONS # 3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2005-10-14 00:00:00	120001837	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-18 00:00:00	None	No	2005-11-09 00:00:00	None	B	None	500	500	-175	325	0	120020934	A99999	N	None	None	SFY2005-06
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-11-14 00:00:00	120001838	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-03-02 00:00:00	None	No	2005-12-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	120020939	A99999	N	None	None	SFY2005-06
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-01-05 00:00:00	120001839	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-20 00:00:00	None	No	2006-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	120021011	A99999	N	None	None	SFY2005-06
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-01-18 00:00:00	120001840	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-30 00:00:00	None	No	2006-02-10 00:00:00	None	B	None	500	500	-175	325	0	120021012	A99999	N	None	None	SFY2005-06
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-01-19 00:00:00	120001841	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-19 00:00:00	None	Yes	2006-02-10 00:00:00	2006-01-20 00:00:00	B	B	1000	500	0	500	0	120021013	A99999	N	None	None	SFY2005-06
120000503	POSITIVE DIRECTIONS # 2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-01-19 00:00:00	120001842	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-13 00:00:00	None	No	2006-02-10 00:00:00	None	B	None	300	450	-105	345	0	120021014	A99999	N	None	None	SFY2005-06
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-02-01 00:00:00	120001843	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-18 00:00:00	None	No	2006-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	120021018	A99999	N	None	None	SFY2005-06
120000325	VALLEY VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-02-02 00:00:00	120001844	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2006-01-08 00:00:00	None	No	2006-02-28 00:00:00	None	B	None	500	500	0	500	0	120021019	A99999	N	None	None	SFY2005-06
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-02-14 00:00:00	120001845	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-27 00:00:00	2005-12-27 00:00:00	No	2006-03-08 00:00:00	None	B	None	1000	1000	-350	650	0	120021022	A99999	N	CA00068988	B	SFY2005-06
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-02-15 00:00:00	120001846	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-28 00:00:00	2004-02-28 00:00:00	No	2006-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	120021024	A99999	N	CA00018958	B	SFY2005-06
120001517	BETHESDA LUTHERAN COMMUNITIES-SUMMIT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-02-16 00:00:00	120001847	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-02-23 00:00:00	2005-02-23 00:00:00	No	2006-03-10 00:00:00	None	B	None	500	500	-175	325	0	120021025	A99999	N	CA00040156	C	SFY2005-06
120001517	BETHESDA LUTHERAN COMMUNITIES-SUMMIT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-02-16 00:00:00	120001848	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-24 00:00:00	2005-02-24 00:00:00	No	2006-03-10 00:00:00	None	B	None	500	500	-175	325	0	120021025	A99999	N	CA00039870	C	SFY2005-06
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-02-21 00:00:00	120001849	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-09 00:00:00	2004-04-09 00:00:00	No	2006-03-14 00:00:00	None	B	None	1000	1000	-350	650	0	120021026	A99999	N	CA00023178, CA00023178	D, D	SFY2005-06
120000323	BELLA SERA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-02-22 00:00:00	120001850	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-19 00:00:00	2003-11-19 00:00:00	Yes	2006-04-03 00:00:00	2006-03-09 00:00:00	B	B	1000	1000	0	1000	0	120021027	A99999	N	CA00023878	C	SFY2005-06
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-07-07 00:00:00	120002917	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-03 00:00:00	2005-07-03 00:00:00	No	2006-07-28 00:00:00	None	B	None	600	600	-210	390	0	None	4GPE11	N	None	None	SFY2006-07
120001402	DELTA HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-03-10 00:00:00	120002921	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-19 00:00:00	2005-02-19 00:00:00	Yes	2006-04-03 00:00:00	2006-03-10 00:00:00	B	B	500	250	0	250	0	None	T54E11	N	CA00039610	C	SFY2005-06
120001477	LINWOOD MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-03-15 00:00:00	120002927	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-25 00:00:00	2005-06-25 00:00:00	No	2006-04-10 00:00:00	None	B	None	600	600	-210	390	0	None	7W6311	N	CA00053402	C	SFY2005-06
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-05-15 00:00:00	120002958	Closed	Citation	Citation Retaliation/Discrimination (HSC 1432)	Other	Wrongful Termination	2006-01-04 00:00:00	2006-01-04 00:00:00	Yes	2006-06-06 00:00:00	2006-05-17 00:00:00	RD	R/D First	10000	10000	-8686	1314	0	None	G9W011	None	CA00070190	B	SFY2005-06
120001451	KAWEAH HEALTH MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-04-10 00:00:00	120002968	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-06-30 00:00:00	2005-06-30 00:00:00	No	2006-05-01 00:00:00	None	B	None	500	500	-175	325	0	None	GPHJ11	N	CA00054049	C	SFY2005-06
120001451	KAWEAH HEALTH MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-04-10 00:00:00	120002969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-30 00:00:00	2005-06-30 00:00:00	No	2006-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	GPHJ11	N	CA00054049	C	SFY2005-06
120001564	DE BOER HOME #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-08-25 00:00:00	120003062	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-06-01 00:00:00	2005-06-01 00:00:00	No	2006-09-18 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	0P8K11	N	CA00050287	B	SFY2006-07
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-07-11 00:00:00	120003075	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-06 00:00:00	2005-10-06 00:00:00	Yes	2006-08-01 00:00:00	2006-07-11 00:00:00	B	None	400	400	0	400	0	None	SLO211	N	CA00054218	C	SFY2006-07
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-05-18 00:00:00	120003076	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-07-06 00:00:00	2005-07-06 00:00:00	Yes	2006-06-09 00:00:00	2006-05-18 00:00:00	A	None	5000	5000	0	5000	0	None	SLO211	N	CA00063739	B	SFY2005-06
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-10-04 00:00:00	120003119	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-04-21 00:00:00	2006-04-21 00:00:00	No	2006-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	KM4211	N	CA00078911	C	SFY2006-07
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-07-12 00:00:00	120003190	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-15 00:00:00	2006-01-15 00:00:00	No	2006-08-02 00:00:00	None	B	None	1000	2100	-350	1750	0	None	T1P111	N	CA00070323	B	SFY2006-07
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-10-17 00:00:00	120003202	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-18 00:00:00	2005-09-18 00:00:00	Yes	2006-11-07 00:00:00	2009-07-15 00:00:00	A	B	20000	10350	-350	10000	0	None	FOXR11	N	CA00061750	B	SFY2006-07
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-08-04 00:00:00	120003203	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-10-18 00:00:00	2005-10-18 00:00:00	No	2006-08-25 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	F3FL11	Y	CA00064070	B	SFY2006-07
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-08-23 00:00:00	120003212	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-22 00:00:00	2005-12-22 00:00:00	No	2006-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZQ3D11	N	CA00069013	B	SFY2006-07
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-09-20 00:00:00	120003255	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-23 00:00:00	2005-08-23 00:00:00	No	2006-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	M0BB11	N	CA00059324	C	SFY2006-07
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-08-15 00:00:00	120003273	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-27 00:00:00	2005-10-27 00:00:00	No	2006-09-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	HTCV11	N	CA00064551	B	SFY2006-07
120001549	MELENDEZ FAMILY HOME, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-11-07 00:00:00	120003287	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-07-01 00:00:00	2005-07-01 00:00:00	No	2006-12-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2TDX11	N	CA00053819	A	SFY2006-07
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-08-23 00:00:00	120003295	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-22 00:00:00	2005-12-22 00:00:00	No	2006-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZQ3D11	N	CA00069003	B	SFY2006-07
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-08-23 00:00:00	120003296	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-20 00:00:00	2005-12-20 00:00:00	No	2006-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZQ3D11	N	CA00069020	B	SFY2006-07
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-10-03 00:00:00	120003357	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-09 00:00:00	2006-04-09 00:00:00	No	2006-10-25 00:00:00	None	B	None	1000	1650	-350	1300	0	None	ILCO11	N	CA00077728	C	SFY2006-07
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-10-03 00:00:00	120003358	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-09 00:00:00	2006-04-09 00:00:00	No	2006-10-25 00:00:00	None	B	None	1000	1650	-350	1300	0	None	ILCO11	N	CA00077728	C	SFY2006-07
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-03-15 00:00:00	120003369	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-01-10 00:00:00	2006-01-10 00:00:00	No	2007-04-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	TXL911	N	CA00072842	D	SFY2006-07
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-10-05 00:00:00	120003377	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-16 00:00:00	2005-01-16 00:00:00	No	2006-10-27 00:00:00	None	B	None	1000	1600	-350	1250	0	None	5HB311	N	CA00037590	C	SFY2006-07
120000462	BETHESDA LUTHERAN COMMUNITIES-PERRIS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-11-07 00:00:00	120003398	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-29 00:00:00	2005-05-29 00:00:00	No	2006-12-01 00:00:00	None	B	None	1000	1300	-350	950	0	None	B3XE11	N	CA00050318	C	SFY2006-07
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-11-08 00:00:00	120003423	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-09-02 00:00:00	2005-09-02 00:00:00	Yes	2006-12-04 00:00:00	2006-11-08 00:00:00	B	B	1000	500	0	500	0	None	JXKW11	N	CA00060750, CA00062716	C, B	SFY2006-07
120001564	DE BOER HOME #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-11-13 00:00:00	120003457	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-22 00:00:00	2006-06-22 00:00:00	No	2006-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	7PS111	N	CA00084423	A	SFY2006-07
120001522	RIVER WALK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-11-06 00:00:00	120003466	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-04 00:00:00	2006-08-04 00:00:00	Yes	2006-11-30 00:00:00	2006-11-06 00:00:00	B	None	1000	1000	0	1000	0	None	XJN911	N	CA00089162	D	SFY2006-07
120001549	MELENDEZ FAMILY HOME, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-11-07 00:00:00	120003470	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-07-01 00:00:00	2005-07-01 00:00:00	No	2006-12-01 00:00:00	None	B	None	500	500	-175	325	0	None	2TDX11	N	CA00053819	A	SFY2006-07
120001522	RIVER WALK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-12-04 00:00:00	120003477	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-19 00:00:00	2006-01-19 00:00:00	Yes	2006-12-26 00:00:00	2006-12-04 00:00:00	B	None	1000	1000	0	1000	0	None	49CV11	N	CA00070616	A	SFY2006-07
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-01-25 00:00:00	120003479	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-10-29 00:00:00	2005-10-29 00:00:00	Yes	2007-02-15 00:00:00	2007-01-26 00:00:00	A	A	20000	15000	0	15000	0	None	C1HF11	N	CA00064871	B	SFY2006-07
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-07-03 00:00:00	120003541	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-11-01 00:00:00	2006-11-01 00:00:00	No	2007-07-25 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	1HJB11	N	CA00097764	B	SFY2007-08
120001564	DE BOER HOME #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2007-03-22 00:00:00	120003542	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-10-29 00:00:00	2006-10-29 00:00:00	No	2007-04-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	GFC211	N	CA00097173, CA00097174	B, B	SFY2006-07
120001431	WESTGATE GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-08-03 00:00:00	120003543	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-08-04 00:00:00	2006-08-04 00:00:00	Yes	2007-08-24 00:00:00	2007-08-09 00:00:00	AA	A	100000	20000	0	20000	0	None	FUHI11	Y	CA00089394	A	SFY2007-08
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-12-19 00:00:00	120003544	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-07-05 00:00:00	2006-07-05 00:00:00	Yes	2008-01-11 00:00:00	2008-01-08 00:00:00	A	A	20000	10000	0	10000	0	None	LS2Z11	N	CA00085606	A	SFY2007-08
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-12-15 00:00:00	120003552	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-03 00:00:00	2006-11-03 00:00:00	No	2007-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	MNI811	N	CA00097766	B	SFY2006-07
120000884	LOYD'S LIBERTY HOMES, INC. - DAGGETT HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2007-03-08 00:00:00	120003553	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-07-23 00:00:00	2006-07-23 00:00:00	No	2007-04-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	D7F011	N	CA00087682	B	SFY2006-07
120000369	ROSEWOOD HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-04-25 00:00:00	120003584	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-12 00:00:00	2005-07-12 00:00:00	No	2007-05-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	J5Y511	N	CA00058474	C	SFY2006-07
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-04-11 00:00:00	120003617	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-02-15 00:00:00	2006-02-15 00:00:00	No	2007-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	IVKP11	N	CA00076683	C	SFY2006-07
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-04-11 00:00:00	120003618	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-15 00:00:00	2006-02-15 00:00:00	No	2007-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	IVKP11	N	CA00076683	C	SFY2006-07
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-04-11 00:00:00	120003619	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-02-15 00:00:00	2006-02-15 00:00:00	Yes	2007-05-02 00:00:00	2007-04-18 00:00:00	A	A	20000	10000	0	10000	0	None	IVXP11	N	CA00076683	C	SFY2006-07
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-01-17 00:00:00	120003621	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-19 00:00:00	2006-12-19 00:00:00	Yes	2007-02-07 00:00:00	2007-01-17 00:00:00	B	None	1000	1000	0	1000	0	None	NRFE11	N	CA00101983	B	SFY2006-07
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-02-02 00:00:00	120003666	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-12-09 00:00:00	2006-12-09 00:00:00	No	2007-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	029711	N	CA00100966	B	SFY2006-07
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-03-28 00:00:00	120003844	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-06 00:00:00	2006-11-06 00:00:00	No	2007-04-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	BL1L11	N	CA00104533	A	SFY2006-07
630003241	STEELE'S VISIONS - HATCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2007-06-21 00:00:00	120003929	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-03-26 00:00:00	2007-03-26 00:00:00	No	2007-07-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y9FB11	N	CA00110620	C	SFY2006-07
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-06-13 00:00:00	120003930	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-07 00:00:00	2007-01-07 00:00:00	No	2007-07-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	X6F211	N	CA00103063	B	SFY2006-07
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-07-02 00:00:00	120004010	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-01-13 00:00:00	2007-01-13 00:00:00	No	2007-07-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	FB8O11	N	CA00103805	C	SFY2007-08
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-06-12 00:00:00	120004018	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-17 00:00:00	2006-07-17 00:00:00	No	2007-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	T74K11	N	CA00086849	B	SFY2006-07
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-08-02 00:00:00	120004110	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-06 00:00:00	2007-04-06 00:00:00	No	2007-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	KZ3R11	N	CA00111310	A	SFY2007-08
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-01-29 00:00:00	120004149	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-23 00:00:00	2007-04-23 00:00:00	No	2008-02-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	1BBN11	N	CA00113129	B	SFY2007-08
120000323	BELLA SERA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-08-22 00:00:00	120004177	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-03 00:00:00	2007-04-03 00:00:00	No	2007-09-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	XCIN11	N	CA00111117	D	SFY2007-08
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-11-07 00:00:00	120004185	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-26 00:00:00	2007-06-26 00:00:00	Yes	2009-08-31 00:00:00	2009-08-19 00:00:00	A	A	20000	13000	0	13000	0	None	ZP2U11	N	CA00118810	B	SFY2007-08
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-11-07 00:00:00	120004186	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-07-16 00:00:00	2007-07-16 00:00:00	Yes	2009-08-26 00:00:00	2009-08-19 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	ZP2U11	N	CA00118810	B	SFY2007-08
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-11-07 00:00:00	120004192	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-26 00:00:00	2007-06-26 00:00:00	Yes	2007-12-14 00:00:00	2007-11-20 00:00:00	B	B	1000	650	0	650	0	None	ZP2U11	N	CA00118810	B	SFY2007-08
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-02-23 00:00:00	120004220	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-29 00:00:00	2007-07-29 00:00:00	No	2011-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	QJ5411	N	CA00121754, CA00121771	B, B	SFY2010-11
120000406	MERCY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-11-08 00:00:00	120004260	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-03-24 00:00:00	2007-03-24 00:00:00	No	2008-01-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OXH311	N	CA00110435	C	SFY2007-08
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-10-31 00:00:00	120004268	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-05-29 00:00:00	2007-05-29 00:00:00	Yes	2007-11-26 00:00:00	2007-10-31 00:00:00	B	B	1000	1000	-869	131	0	None	3HHW11	N	CA00118857	A	SFY2007-08
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-10-31 00:00:00	120004269	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-06-27 00:00:00	2007-06-27 00:00:00	Yes	2007-11-26 00:00:00	2007-10-31 00:00:00	B	B	1000	1000	-869	131	0	None	3HHW11	N	CA00118857	A	SFY2007-08
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-12-11 00:00:00	120004357	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-27 00:00:00	2007-09-27 00:00:00	Yes	2008-01-08 00:00:00	2007-12-19 00:00:00	B	B	1000	650	0	650	0	None	R3S811	N	CA00127992	B	SFY2007-08
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-10-31 00:00:00	120004358	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-03 00:00:00	2007-02-03 00:00:00	No	2007-11-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	6YDU11	N	CA00106037	B	SFY2007-08
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-10-31 00:00:00	120004359	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-20 00:00:00	2006-09-20 00:00:00	No	2007-11-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	PIMT11	N	CA00093606	B	SFY2007-08
120000893	LOYD'S LIBERTY HOMES, INC. - HALIFAX HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2007-11-21 00:00:00	120004402	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-05 00:00:00	2007-08-05 00:00:00	No	2008-02-07 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	QINT11	N	CA00122312	A	SFY2007-08
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-10-31 00:00:00	120004403	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-09-02 00:00:00	2007-09-02 00:00:00	No	2007-11-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	IQ9U11	N	CA00125387	C	SFY2007-08
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-07-02 00:00:00	120004404	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-10-01 00:00:00	2006-10-01 00:00:00	Yes	2008-07-24 00:00:00	2008-07-02 00:00:00	AA	AA	100000	100000	-86841.68	13158.32	0	None	ZKSJ11	Y	CA00119691	D	SFY2008-09
120000390	LOYD'S LIBERTY HOMES, INC. - WOODLAKE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2007-12-11 00:00:00	120004412	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-03-12 00:00:00	2007-03-12 00:00:00	No	2008-01-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	KT2G11	N	CA00109550	B	SFY2007-08
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-12-11 00:00:00	120004413	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-27 00:00:00	2007-09-27 00:00:00	Yes	2008-01-08 00:00:00	2007-12-19 00:00:00	B	Dismissed by Court	1000	0	0	0	0	None	R3S811	N	CA00127992	B	SFY2007-08
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-09-18 00:00:00	120004436	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-04 00:00:00	2006-08-04 00:00:00	Yes	2008-10-10 00:00:00	2008-10-03 00:00:00	A	B	20000	5000	0	5000	0	None	KN2W11	N	CA00089242	C	SFY2008-09
120000464	BETHESDA LUTHERAN COMMUNITIES-LAKE SUPERIOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2007-12-11 00:00:00	120004485	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-06-04 00:00:00	2007-06-04 00:00:00	No	2008-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	NO8911	N	CA00117642, CA00117655, CA00117666, CA00117679, CA00119335	D, D, D, D, C	SFY2007-08
120000464	BETHESDA LUTHERAN COMMUNITIES-LAKE SUPERIOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2007-12-11 00:00:00	120004486	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-04 00:00:00	2007-06-04 00:00:00	No	2008-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	NO8911	N	CA00117642, CA00117655, CA00117666, CA00117679, CA00119335	D, D, D, D, C	SFY2007-08
120001431	WESTGATE GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-01-29 00:00:00	120004492	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-20 00:00:00	2007-09-20 00:00:00	No	2008-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	ODHC11	N	CA00127011	C	SFY2007-08
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-01-24 00:00:00	120004550	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-12 00:00:00	2007-01-12 00:00:00	Yes	2008-02-25 00:00:00	2008-02-15 00:00:00	A	A	20000	10000	0	10000	0	None	9UW211	N	CA00103782	B	SFY2007-08
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-01-24 00:00:00	120004552	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-04-01 00:00:00	2007-04-01 00:00:00	No	2008-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	4IYQ11	N	CA00111113	C	SFY2007-08
120000893	LOYD'S LIBERTY HOMES, INC. - HALIFAX HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2008-03-27 00:00:00	120004556	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-21 00:00:00	2007-12-21 00:00:00	No	2008-04-23 00:00:00	None	B	None	1000	1500	-350	1150	0	None	84B811	N	CA00135765	A	SFY2007-08
120001515	BETHESDA LUTHERAN COMMUNITIES-BELLEVIEW	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2008-08-06 00:00:00	120004557	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-05 00:00:00	2007-08-05 00:00:00	No	2008-08-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	0DR111	N	CA00122493	C	SFY2008-09
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-03-27 00:00:00	120004568	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-30 00:00:00	2007-06-30 00:00:00	No	2008-04-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	90QQ11	N	CA00119144	C	SFY2007-08
120001402	DELTA HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-03-27 00:00:00	120004569	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2008-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	V96G11	N	CA00114255	C	SFY2007-08
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-06-09 00:00:00	120004583	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-02-25 00:00:00	2006-02-25 00:00:00	No	2008-06-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	VL5911	N	CA00135225	B	SFY2007-08
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-04-02 00:00:00	120004714	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2007-12-18 00:00:00	2007-12-18 00:00:00	Yes	2008-04-23 00:00:00	2009-07-13 00:00:00	A	A	10000	9500	0	9500	0	None	RQQE11	N	CA00135217, CA00135224, CA00135408	B, B, B	SFY2007-08
120000406	MERCY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-07-23 00:00:00	120004796	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-08-21 00:00:00	2007-08-21 00:00:00	No	2008-08-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	PPLJ11	N	CA00124638	A	SFY2008-09
120000840	WHITE LANE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2008-03-27 00:00:00	120004828	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-29 00:00:00	2007-04-29 00:00:00	No	2008-04-23 00:00:00	None	B	None	1000	1650	-350	1300	0	None	2F3Z11	N	CA00113299	C	SFY2007-08
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-08-20 00:00:00	120004849	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-11 00:00:00	2008-03-11 00:00:00	No	2008-09-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	9C7R11	N	CA00143652	C	SFY2008-09
120000464	BETHESDA LUTHERAN COMMUNITIES-LAKE SUPERIOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2008-07-23 00:00:00	120004975	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-11 00:00:00	2007-09-11 00:00:00	No	2008-08-21 00:00:00	None	B	None	1000	1300	-350	950	0	None	EO2911	N	CA00126145	C	SFY2008-09
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-06-13 00:00:00	120005031	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-01 00:00:00	2007-01-01 00:00:00	No	2008-07-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	58WC11	N	CA00146840	B	SFY2007-08
120000976	LOYD'S LIBERTY HOMES, INC. - CASWELL HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2008-06-25 00:00:00	120005120	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-18 00:00:00	2008-04-18 00:00:00	No	2008-07-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	MLP811	N	CA00147513	C	SFY2007-08
120000976	LOYD'S LIBERTY HOMES, INC. - CASWELL HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2008-06-25 00:00:00	120005121	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-04-18 00:00:00	2008-04-18 00:00:00	No	2008-07-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	MLP811	N	CA00147513	C	SFY2007-08
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-03-19 00:00:00	120005171	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-27 00:00:00	2007-09-27 00:00:00	Yes	2013-12-20 00:00:00	2009-03-19 00:00:00	B	B	1000	1000	0	1000	0	None	ODWV11	N	CA00127769, CA00127931	A, C	SFY2008-09
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-07-17 00:00:00	120005216	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-12-16 00:00:00	2006-12-16 00:00:00	Yes	2008-08-07 00:00:00	2009-07-13 00:00:00	AA	A	100000	75000	0	75000	0	None	IGLP11	Y	CA00114822	B	SFY2008-09
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2008-08-20 00:00:00	120005329	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-21 00:00:00	2008-05-21 00:00:00	No	2008-09-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	LLH611	N	CA00151382	B	SFY2008-09
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-10-28 00:00:00	120005345	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-16 00:00:00	2007-12-16 00:00:00	No	2008-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	84UK11	N	CA00135154	B	SFY2008-09
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-10-20 00:00:00	120005389	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-06-01 00:00:00	2008-06-01 00:00:00	No	2008-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	BOPR11	N	CA00152572	B	SFY2008-09
120000656	LOYD'S LIBERTY HOMES, INC. - ALTAVILLE LANE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2008-10-20 00:00:00	120005390	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-06-21 00:00:00	2008-06-21 00:00:00	No	2008-11-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	BRNH11	N	CA00154518	B	SFY2008-09
120000656	LOYD'S LIBERTY HOMES, INC. - ALTAVILLE LANE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2008-10-20 00:00:00	120005391	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-06-21 00:00:00	2008-06-21 00:00:00	No	2008-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	BRNH11	N	CA00154518	B	SFY2008-09
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-07-07 00:00:00	120005521	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-16 00:00:00	2008-07-16 00:00:00	Yes	2009-08-03 00:00:00	2009-07-07 00:00:00	B	B	1000	650	0	650	0	None	NGXE11	N	CA00157232	A	SFY2009-10
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-07-07 00:00:00	120005523	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-28 00:00:00	2008-04-28 00:00:00	No	2009-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	GG6E11	N	CA00148452	A	SFY2009-10
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-18 00:00:00	120006206	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-02-14 00:00:00	2009-02-14 00:00:00	No	2010-09-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	CDYU11	N	CA00177972	B	SFY2010-11
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2009-10-01 00:00:00	120006208	Closed	Citation	Citation B (HSC 1424)	Patient Rights	ABUSE	2008-12-22 00:00:00	2008-12-22 00:00:00	No	2009-10-26 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	NWWT11	N	CA00172800	B	SFY2009-10
120001534	NEW HORIZONS - LEILA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2009-06-10 00:00:00	120006250	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-22 00:00:00	2008-12-22 00:00:00	No	2009-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	R1OM11	N	CA00173081	C	SFY2008-09
120001534	NEW HORIZONS - LEILA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2009-06-10 00:00:00	120006251	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-22 00:00:00	2008-12-22 00:00:00	No	2009-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	R1OM11	N	CA00173081	C	SFY2008-09
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-06-10 00:00:00	120006252	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-10-13 00:00:00	2008-10-13 00:00:00	No	2009-07-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	VLLW11	N	CA00166512	B	SFY2008-09
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-06-10 00:00:00	120006279	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-13 00:00:00	2008-10-13 00:00:00	No	2009-07-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	VLLW11	N	CA00166512	B	SFY2008-09
120000382	LOYD'S LIBERTY HOMES, INC. - PANORAMA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2009-09-01 00:00:00	120006332	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-26 00:00:00	2007-06-26 00:00:00	No	2009-09-24 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	WOGI11	N	CA00118806	B	SFY2009-10
120001477	LINWOOD MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-07-21 00:00:00	120006339	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-07 00:00:00	2008-07-07 00:00:00	No	2009-08-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	FY0011	N	CA00158676	A	SFY2009-10
120001477	LINWOOD MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-07-21 00:00:00	120006340	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-07-07 00:00:00	2008-07-07 00:00:00	No	2009-08-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	FY0011	N	CA00158676	A	SFY2009-10
120001429	BETHESDA LUTHERAN COMMUNITIES-BELMONT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2010-12-15 00:00:00	120006343	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-03 00:00:00	2008-02-03 00:00:00	No	2011-01-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	MOI511	N	CA00139794	B	SFY2010-11
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-04-13 00:00:00	120006445	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-06-27 00:00:00	2009-06-27 00:00:00	Yes	2011-05-04 00:00:00	2011-04-13 00:00:00	A	B	10000	7200	-700	6500	0	None	SNV311	N	CA00193515	B	SFY2010-11
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2009-08-26 00:00:00	120006448	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-04-18 00:00:00	2009-04-18 00:00:00	Yes	2009-09-21 00:00:00	2009-09-16 00:00:00	AA	AA	25000	25000	0	25000	0	None	YOE111	Y	CA00184889	B	SFY2009-10
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-09-23 00:00:00	120006556	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-05-29 00:00:00	2008-05-29 00:00:00	No	2009-10-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	H9H111	N	CA00152653	B	SFY2009-10
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-09-23 00:00:00	120006560	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-06-02 00:00:00	2008-06-02 00:00:00	No	2009-10-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	H9H111	N	CA00152542	B	SFY2009-10
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-03-02 00:00:00	120006570	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-10-19 00:00:00	2008-10-19 00:00:00	Yes	2010-09-16 00:00:00	2010-08-16 00:00:00	AA	A	100000	40000	0	40000	0	None	FZ5911	Y	CA00166813	C	SFY2009-10
120000369	ROSEWOOD HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-02-23 00:00:00	120006612	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-09-05 00:00:00	2009-09-05 00:00:00	No	2011-03-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	1GY011	N	CA00201131	B	SFY2010-11
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-01-19 00:00:00	120006727	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-12-15 00:00:00	2007-12-15 00:00:00	Yes	2010-10-01 00:00:00	2010-09-10 00:00:00	AA	A	100000	35650	-650	35000	0	None	UPK611	Y	CA00135552	B	SFY2009-10
120001435	BETHESDA LUTHERAN COMMUNITIES-MATHEW	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2010-10-13 00:00:00	120006728	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-27 00:00:00	2009-07-27 00:00:00	No	2010-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	VVEH11	N	CA00196448, CA00197019	B, B	SFY2010-11
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-18 00:00:00	120006729	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-23 00:00:00	2009-08-23 00:00:00	No	2010-09-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	N2CZ11	N	CA00199684	B	SFY2010-11
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-04-13 00:00:00	120006875	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-04 00:00:00	2008-12-04 00:00:00	Yes	2013-03-08 00:00:00	2011-04-13 00:00:00	A	A	20000	20750	0	20750	0	None	G1QS11	Y	CA00172788, CA00265355	B, B	SFY2010-11
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-11 00:00:00	120006898	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-13 00:00:00	2009-10-13 00:00:00	Yes	2010-09-07 00:00:00	2010-08-11 00:00:00	B	B	1000	650	0	650	0	None	VYCP11	N	CA00208441	B	SFY2010-11
120000903	LOYD'S LIBERTY HOMES, INC. - JOELYLE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2011-01-26 00:00:00	120007047	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-14 00:00:00	2008-12-14 00:00:00	No	2011-02-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	S11G11	N	CA00172077	B	SFY2010-11
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-11 00:00:00	120007239	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-04-09 00:00:00	2010-04-09 00:00:00	No	2010-09-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	C3T411	N	CA00224990	B	SFY2010-11
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-18 00:00:00	120007240	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-03-24 00:00:00	2010-03-24 00:00:00	No	2010-09-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	TIG811	N	CA00223405	C	SFY2010-11
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-11 00:00:00	120007242	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-03-03 00:00:00	2010-03-03 00:00:00	Yes	2010-09-07 00:00:00	2010-08-11 00:00:00	B	B	1000	650	0	650	0	None	0I5X11	N	CA00220788	C	SFY2010-11
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-11 00:00:00	120007243	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-03 00:00:00	2010-03-03 00:00:00	Yes	2010-09-07 00:00:00	2010-08-11 00:00:00	B	B	1000	650	0	650	0	None	0I5X11	N	CA00220788	C	SFY2010-11
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-12-01 00:00:00	120007282	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-02-10 00:00:00	2010-02-10 00:00:00	No	2010-12-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	KOXP11	N	CA00217932	B	SFY2010-11
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-07-29 00:00:00	120007380	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-01-19 00:00:00	2009-01-19 00:00:00	Yes	2013-03-08 00:00:00	2013-02-21 00:00:00	A	A	20000	15000	0	15000	0	None	0IKT11	N	CA00178330	B	SFY2010-11
120000325	VALLEY VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-06 00:00:00	120007407	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-06-23 00:00:00	2009-06-23 00:00:00	Yes	2011-01-04 00:00:00	2010-12-20 00:00:00	AA	A	100000	20000	0	20000	0	None	WJXM11	Y	CA00194032	B	SFY2010-11
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2010-08-25 00:00:00	120007408	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-14 00:00:00	2010-02-14 00:00:00	No	2010-09-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	UCH511	N	CA00218243	B	SFY2010-11
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-09-01 00:00:00	120007409	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-18 00:00:00	2010-03-18 00:00:00	No	2010-09-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	JS9311	N	CA00222143	C	SFY2010-11
120001526	LINDSAY GARDENS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-18 00:00:00	120007410	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-01-22 00:00:00	2010-01-22 00:00:00	No	2010-09-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	MQ8X11	N	CA00215539	C	SFY2010-11
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-12-01 00:00:00	120007411	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-07 00:00:00	2010-01-07 00:00:00	No	2010-12-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q48P11	N	CA00213980	B	SFY2010-11
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-12-15 00:00:00	120007459	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-06-16 00:00:00	2010-06-16 00:00:00	No	2011-01-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	N1BD11	N	CA00231611	C	SFY2010-11
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2011-04-20 00:00:00	120007496	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-18 00:00:00	2009-09-18 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	1DP611	N	CA00202735	A	SFY2010-11
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2011-04-20 00:00:00	120007497	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-09-18 00:00:00	2009-09-18 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	1DP611	N	CA00202735	A	SFY2010-11
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-09-15 00:00:00	120007523	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-02-15 00:00:00	2010-02-15 00:00:00	Yes	2010-10-06 00:00:00	2010-09-15 00:00:00	B	B	1000	650	0	650	0	None	XL1711	N	CA00222393	B	SFY2010-11
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-05-04 00:00:00	120007524	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-04-04 00:00:00	2010-04-04 00:00:00	No	2011-05-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	7MNK11	N	CA00225058	B	SFY2010-11
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-04-27 00:00:00	120007551	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-30 00:00:00	2010-01-30 00:00:00	No	2011-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	1PS711	N	CA00216694	B	SFY2010-11
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-10-04 00:00:00	120007559	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-20 00:00:00	2010-04-20 00:00:00	No	2010-10-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	N62C11	N	CA00226140	B	SFY2010-11
120001552	LOYD'S LIBERTY HOMES, INC. - 'A' STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2011-01-26 00:00:00	120007763	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2007-10-23 00:00:00	2007-10-23 00:00:00	No	2011-02-16 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	VN2811	N	CA00137214, CA00138404, CA00157991	C, B, C	SFY2010-11
120001526	LINDSAY GARDENS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-04-20 00:00:00	120007775	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-04-08 00:00:00	2010-04-08 00:00:00	No	2011-05-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	4NEK11	N	CA00224816	C	SFY2010-11
120000339	LOYD'S LIBERTY HOMES, INC. - NEWPORT HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2011-01-12 00:00:00	120007778	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-10-10 00:00:00	2008-10-10 00:00:00	No	2011-02-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	07FD11	N	CA00166606	C	SFY2010-11
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-01-25 00:00:00	120007779	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-07-27 00:00:00	2010-07-27 00:00:00	Yes	2013-03-08 00:00:00	2011-01-25 00:00:00	A	B	20000	1000	0	1000	0	None	I2FK11	N	CA00237202	C	SFY2010-11
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-03-16 00:00:00	120007780	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-04-01 00:00:00	2009-04-01 00:00:00	No	2011-04-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	UUHP11	N	CA00184845	B	SFY2010-11
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-04-27 00:00:00	120007784	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-21 00:00:00	2010-10-21 00:00:00	No	2011-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	V81E11	N	CA00246933	B	SFY2010-11
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2011-04-20 00:00:00	120007813	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-02-17 00:00:00	2010-02-17 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	UTJK11	N	CA00219099	A	SFY2010-11
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2011-04-20 00:00:00	120007814	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-02-17 00:00:00	2010-02-17 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	UTJK11	N	CA00219099	A	SFY2010-11
120000323	BELLA SERA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-03-16 00:00:00	120007815	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-06-10 00:00:00	2010-06-10 00:00:00	No	2011-04-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	KH7X11	N	CA00232673	B	SFY2010-11
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2011-04-20 00:00:00	120007818	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-02-17 00:00:00	2010-02-17 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	UTJK11	N	CA00219519	A	SFY2010-11
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2011-04-20 00:00:00	120007819	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-02-17 00:00:00	2010-02-17 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	UTJK11	N	CA00219519	A	SFY2010-11
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-02-23 00:00:00	120007820	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-16 00:00:00	2009-04-16 00:00:00	Yes	2011-03-16 00:00:00	2011-02-24 00:00:00	B	None	1000	1000	-350	650	0	None	8GRJ11	N	CA00185177, CA00185223	B, B	SFY2010-11
120000325	VALLEY VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-02-23 00:00:00	120007823	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-02-19 00:00:00	2010-02-19 00:00:00	Yes	2013-03-08 00:00:00	2011-03-15 00:00:00	A	A	20000	20000	0	20000	0	None	KHZH11	N	CA00219376	B	SFY2010-11
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-03-16 00:00:00	120007824	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-04-11 00:00:00	2009-04-11 00:00:00	No	2011-04-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	B8F211	N	CA00186599	B	SFY2010-11
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2011-01-12 00:00:00	120007826	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-08 00:00:00	2010-03-08 00:00:00	No	2011-02-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	G1G711	N	CA00219261	B	SFY2010-11
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-03-16 00:00:00	120007827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-11 00:00:00	2009-04-11 00:00:00	No	2011-04-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	B8F211	N	CA00186599	B	SFY2010-11
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-05-04 00:00:00	120007829	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-27 00:00:00	2008-06-27 00:00:00	Yes	2011-05-25 00:00:00	2011-05-04 00:00:00	A	None	20000	20000	-7000	13000	0	None	BM0T11	N	CA00154566	B	SFY2010-11
120000399	ADVENTIST HEALTH DELANO D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-05-04 00:00:00	120007847	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-11-05 00:00:00	2009-11-05 00:00:00	No	2011-05-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	N1EA11	N	CA00207834	C	SFY2010-11
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-04-13 00:00:00	120007865	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-23 00:00:00	2008-01-23 00:00:00	Yes	2011-05-04 00:00:00	2013-04-24 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	E56111	N	CA00138659, CA00138988	B, B	SFY2010-11
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-04-13 00:00:00	120007889	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-12-11 00:00:00	2010-12-11 00:00:00	No	2011-05-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	8VQK11	N	CA00253107	B	SFY2010-11
630012057	GRAND OAKS CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-05-04 00:00:00	120007890	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-08 00:00:00	2010-06-08 00:00:00	No	2011-05-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	ER8X11	N	CA00232092	C	SFY2010-11
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-09-16 00:00:00	120007933	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-07 00:00:00	2009-09-07 00:00:00	No	2013-10-07 00:00:00	None	B	None	1000	1700	0	1700	0	None	DDFT11	N	CA00201096	B	SFY2013-14
120001511	NEW HORIZONS 'B'	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2012-03-07 00:00:00	120007951	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-11-03 00:00:00	2010-11-03 00:00:00	No	2012-03-28 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	GUVM11	N	CA00248028	B	SFY2011-12
120000464	BETHESDA LUTHERAN COMMUNITIES-LAKE SUPERIOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2012-06-13 00:00:00	120008044	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-11 00:00:00	2008-04-11 00:00:00	No	2012-07-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	NZ1511	N	CA00146612	B	SFY2011-12
120000464	BETHESDA LUTHERAN COMMUNITIES-LAKE SUPERIOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2012-06-13 00:00:00	120008046	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-04-11 00:00:00	2008-04-11 00:00:00	No	2012-07-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	NZ1511	N	CA00146612	B	SFY2011-12
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2012-11-20 00:00:00	120008944	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-30 00:00:00	2009-06-30 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	XCRK11	N	CA00197034	B	SFY2012-13
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2012-11-20 00:00:00	120008945	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-04 00:00:00	2009-06-04 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	XCRK11	N	CA00195776	B	SFY2012-13
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2012-11-20 00:00:00	120008946	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-04 00:00:00	2009-06-04 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	XCRK11	N	CA00194533	A	SFY2012-13
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2012-11-20 00:00:00	120008947	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-30 00:00:00	2009-06-30 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	XCRK11	N	CA00197130	B	SFY2012-13
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2012-11-20 00:00:00	120008949	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-07 00:00:00	2009-06-07 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	XCRK11	N	CA00194532	A	SFY2012-13
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2012-11-20 00:00:00	120008950	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-30 00:00:00	2009-06-30 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	XCRK11	N	CA00196703	B	SFY2012-13
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-02-21 00:00:00	120008976	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-13 00:00:00	2011-12-13 00:00:00	No	2012-03-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	XGKD11	N	CA00292912	B	SFY2011-12
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-09-16 00:00:00	120008991	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-02-05 00:00:00	2011-02-05 00:00:00	No	2013-10-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	GLXZ11	N	CA00258263	B	SFY2013-14
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-02-28 00:00:00	120009041	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-20 00:00:00	2010-03-20 00:00:00	No	2012-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	HVE611	N	CA00223487	B	SFY2011-12
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-07-18 00:00:00	120009044	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-30 00:00:00	2011-08-30 00:00:00	Yes	2013-08-08 00:00:00	2013-08-07 00:00:00	A	B	20000	20000	0	20000	0	None	DS0U11	N	CA00283688	B	SFY2013-14
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2012-11-20 00:00:00	120009060	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-30 00:00:00	2009-06-30 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	XCRK11	N	CA00197130	B	SFY2012-13
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2012-07-20 00:00:00	120009100	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-12-14 00:00:00	2011-12-14 00:00:00	Yes	2012-08-10 00:00:00	2012-07-30 00:00:00	A	B	10000	9500	0	9500	0	None	XZWG11	N	CA00295920, CA00296015	C, B	SFY2012-13
120001431	WESTGATE GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-06-11 00:00:00	120009134	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-07-10 00:00:00	2011-07-10 00:00:00	No	2012-07-02 00:00:00	None	B	None	1000	1600	-350	1250	0	None	LQAF11	N	None	None	SFY2011-12
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-06-13 00:00:00	120009136	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-09-23 00:00:00	2011-09-23 00:00:00	No	2012-07-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	FKOV11	N	CA00284704	C	SFY2011-12
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-06-13 00:00:00	120009137	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-09-23 00:00:00	2011-09-23 00:00:00	No	2012-07-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	FKOV11	N	CA00285056	B	SFY2011-12
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-06-13 00:00:00	120009141	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-09-24 00:00:00	2011-09-24 00:00:00	No	2012-07-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	FKOV11	N	CA00284701	C	SFY2011-12
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-06-13 00:00:00	120009142	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-09-18 00:00:00	2011-09-18 00:00:00	No	2012-07-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	FKOV11	N	CA00284535	C	SFY2011-12
960001152	CAPISTRANO DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-03-16 00:00:00	120009144	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-07 00:00:00	2012-02-07 00:00:00	No	2012-04-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	QOF011	N	None	None	SFY2011-12
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-10-03 00:00:00	120009285	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-07-18 00:00:00	2010-07-18 00:00:00	No	2012-10-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	6D9K11	N	CA00235923, CA00235926	C, C	SFY2012-13
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-09-16 00:00:00	120009509	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-01-23 00:00:00	2012-01-23 00:00:00	No	2013-10-07 00:00:00	None	B	None	2000	2650	0	2650	0	None	PKO111	N	None	None	SFY2013-14
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-11-28 00:00:00	120009512	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-30 00:00:00	2010-01-30 00:00:00	Yes	2012-12-19 00:00:00	2013-02-03 00:00:00	B	None	1000	1900	0	1900	0	None	06DQ11	N	CA00216661	B	SFY2012-13
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-10-03 00:00:00	120009537	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-01-22 00:00:00	2011-01-22 00:00:00	No	2012-10-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	LQRG11	N	CA00256581	B	SFY2012-13
630011298	STEELE'S QUALITY LIVING - VASSAR	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2013-10-23 00:00:00	120010125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-09 00:00:00	2012-08-09 00:00:00	No	2013-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	WSFX11	N	CA00321104	B	SFY2013-14
120000662	POSITIVE DIRECTIONS, INC. #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2013-12-18 00:00:00	120010126	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-09-06 00:00:00	2012-09-06 00:00:00	No	2014-01-09 00:00:00	None	A	None	8000	8000	0	8000	0	None	0LTF11	N	CA00324825	B	SFY2013-14
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-09-16 00:00:00	120010127	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-12-12 00:00:00	2012-12-12 00:00:00	Yes	2013-10-07 00:00:00	2013-09-16 00:00:00	B	None	2000	2000	0	2000	0	None	W98B11	N	CA00335158	B	SFY2013-14
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-11 00:00:00	120010167	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-18 00:00:00	2011-03-18 00:00:00	No	2014-03-05 00:00:00	None	A	None	5000	5000	0	5000	0	None	WZUZ11	N	CA00264891	B	SFY2013-14
630003241	STEELE'S VISIONS - HATCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2013-10-23 00:00:00	120010168	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-04-28 00:00:00	2012-04-28 00:00:00	No	2013-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	GIXF11	N	CA00308658	B	SFY2013-14
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-01-29 00:00:00	120010169	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-07-10 00:00:00	2012-07-10 00:00:00	Yes	2014-02-20 00:00:00	2014-01-29 00:00:00	B	None	2000	2000	-700	1300	0	None	1E5911	N	CA00318847	C	SFY2013-14
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-10-23 00:00:00	120010176	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-07-26 00:00:00	2012-07-26 00:00:00	No	2013-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5ZQJ11	N	CA00323837	B	SFY2013-14
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-10-23 00:00:00	120010212	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-10-02 00:00:00	2013-10-02 00:00:00	Yes	2013-11-14 00:00:00	2013-11-12 00:00:00	B	None	2000	2000	0	0	2000	None	8NSR11	N	CA00371956, CA00372072	A, B	SFY2013-14
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-01-16 00:00:00	120010345	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-31 00:00:00	2010-08-31 00:00:00	Yes	2014-02-07 00:00:00	2014-01-16 00:00:00	B	None	1000	1000	0	1000	0	None	L7EZ11	N	CA00241326	B	SFY2013-14
120000559	POSITIVE DIRECTIONS #6	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2014-02-24 00:00:00	120010370	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-07-23 00:00:00	2013-07-23 00:00:00	Yes	2014-03-17 00:00:00	2014-03-03 00:00:00	B	B	1000	1000	0	1000	0	None	JDS511	N	CA00363187	B	SFY2013-14
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-01-23 00:00:00	120010393	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-04-25 00:00:00	2012-04-25 00:00:00	No	2014-02-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NQ1E11	N	CA00308665	B	SFY2013-14
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-05 00:00:00	120010404	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-10-19 00:00:00	2011-10-19 00:00:00	No	2014-02-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MG1511	N	CA00301662	B	SFY2013-14
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-01-28 00:00:00	120010405	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-06-11 00:00:00	2013-06-11 00:00:00	No	2014-02-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q4CY11	N	CA00358183	B	SFY2013-14
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-12 00:00:00	120010407	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-06-02 00:00:00	2012-06-02 00:00:00	Yes	2014-03-06 00:00:00	2014-02-12 00:00:00	B	None	2000	2000	-700	1300	0	None	88H711	N	CA00312976	B	SFY2013-14
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-01-28 00:00:00	120010409	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-06-22 00:00:00	2013-06-22 00:00:00	No	2014-02-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZC7M11	N	CA00359505	B	SFY2013-14
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-05 00:00:00	120010412	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-07-16 00:00:00	2012-07-16 00:00:00	No	2014-02-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SV8N11	N	CA00318142	B	SFY2013-14
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-01-29 00:00:00	120010413	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-09-18 00:00:00	2011-09-18 00:00:00	No	2014-02-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JEWX11	N	CA00284100	C	SFY2013-14
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-05 00:00:00	120010416	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-09-28 00:00:00	2012-09-28 00:00:00	No	2014-02-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QDNV11	N	CA00327509	A	SFY2013-14
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-11 00:00:00	120010422	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-05-13 00:00:00	2012-05-13 00:00:00	No	2014-03-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KTS911	N	None	None	SFY2013-14
120001544	SIERRA VISTA RESIDENTIAL CARE HOME #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2014-02-06 00:00:00	120010423	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-05-13 00:00:00	2012-05-13 00:00:00	No	2014-02-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	SD3Z11	N	CA00310408	B	SFY2013-14
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-06 00:00:00	120010424	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-06-27 00:00:00	2013-06-27 00:00:00	No	2014-02-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U7YY11	N	CA00360019	B	SFY2013-14
630013665	RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-10 00:00:00	120010430	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-08-12 00:00:00	2013-08-12 00:00:00	No	2014-03-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	H59X11	N	CA00368787	B	SFY2013-14
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-19 00:00:00	120010453	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-04-19 00:00:00	2013-04-19 00:00:00	Yes	2014-03-12 00:00:00	2014-02-19 00:00:00	A	None	20000	20000	-7000	13000	0	None	PPPD11	Y	CA00351759	B	SFY2013-14
120001431	WESTGATE GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-04-08 00:00:00	120010455	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-12-08 00:00:00	2012-12-08 00:00:00	Yes	2014-04-29 00:00:00	2014-04-11 00:00:00	A	None	5000	5000	-1750	3250	0	None	J10F11	N	CA00336600	B	SFY2013-14
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-26 00:00:00	120010479	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-01-22 00:00:00	2013-01-22 00:00:00	No	2014-03-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2HE211	N	CA00354962	C	SFY2013-14
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-03-26 00:00:00	120010482	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-09-24 00:00:00	2012-09-24 00:00:00	Yes	2014-04-17 00:00:00	2014-04-03 00:00:00	A	A	10000	6500	0	6500	0	None	XTRD11	N	CA00327025	B	SFY2013-14
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-26 00:00:00	120010486	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2013-05-14 00:00:00	2013-05-14 00:00:00	Yes	2014-03-19 00:00:00	2014-02-26 00:00:00	A	None	10000	10000	0	10000	0	None	M5UD11	N	CA00354441	A	SFY2013-14
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-25 00:00:00	120010491	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-12-04 00:00:00	2013-12-04 00:00:00	Yes	2014-03-18 00:00:00	2014-02-25 00:00:00	B	None	2000	2000	-700	1300	0	None	3QQT11	N	CA00379540, CA00379701	B, B	SFY2013-14
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-03-12 00:00:00	120010512	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-05-26 00:00:00	2013-05-26 00:00:00	Yes	2014-04-03 00:00:00	2014-04-02 00:00:00	A	A	20000	15000	0	15000	0	None	RZKZ11	N	CA00356241	A	SFY2013-14
630012057	GRAND OAKS CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-03-06 00:00:00	120010515	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-07-02 00:00:00	2012-07-02 00:00:00	No	2014-03-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	G40C11	N	CA00317596	B	SFY2013-14
120000901	LOYD'S LIBERTY HOMES, INC. - COLONY OAK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2014-03-24 00:00:00	120010532	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-04-18 00:00:00	2011-04-18 00:00:00	No	2014-04-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	KSZE11	Y	CA00266486, CA00266758	C, C	SFY2013-14
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-03-20 00:00:00	120010542	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-09-22 00:00:00	2012-09-22 00:00:00	Yes	2014-04-11 00:00:00	2014-03-28 00:00:00	B	None	2000	2000	0	2000	0	None	RYG211	N	CA00326858	A	SFY2013-14
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-03-24 00:00:00	120010546	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-01-08 00:00:00	2013-01-08 00:00:00	Yes	2014-04-15 00:00:00	2014-04-10 00:00:00	A	A	20000	14200	-1200	13000	0	None	D1PF11	Y	CA00342404	B	SFY2013-14
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-04-01 00:00:00	120010559	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-08-13 00:00:00	2012-08-13 00:00:00	Yes	2014-04-22 00:00:00	2014-04-11 00:00:00	A	A	10000	11450	-1450	10000	0	None	535P11	Y	CA00325484	B	SFY2013-14
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-03-26 00:00:00	120010562	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-04-10 00:00:00	2012-04-10 00:00:00	Yes	2014-04-17 00:00:00	2014-03-26 00:00:00	B	None	2000	2000	0	2000	0	None	OYJH11	N	CA00321936	B	SFY2013-14
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-05-08 00:00:00	120010617	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-08-13 00:00:00	2012-08-13 00:00:00	Yes	2014-05-30 00:00:00	2014-05-08 00:00:00	A	B	20000	10000	0	10000	0	None	3XXW11	Y	CA00379117	B	SFY2013-14
120000323	BELLA SERA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-05-06 00:00:00	120010662	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-11-16 00:00:00	2013-11-16 00:00:00	No	2014-05-28 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	I2VI11	N	CA00377495	B	SFY2013-14
120000323	BELLA SERA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-05-06 00:00:00	120010681	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2013-11-16 00:00:00	2013-11-16 00:00:00	No	2014-05-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	INFC11	N	CA00378863	A	SFY2013-14
120000323	BELLA SERA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-05-06 00:00:00	120010682	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-11-16 00:00:00	2013-11-16 00:00:00	No	2014-05-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	INFC11	N	CA00378863	A	SFY2013-14
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-08-04 00:00:00	120010847	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-08-25 00:00:00	2014-08-11 00:00:00	A	A	20000	15000	0	15000	0	None	YOS411	N	CA00394815, CA00396406	B, B	SFY2014-15
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-08-04 00:00:00	120010870	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-23 00:00:00	2014-02-23 00:00:00	Yes	2014-08-25 00:00:00	2014-08-11 00:00:00	A	A	20000	10000	0	10000	0	None	R3QR11	N	CA00390374	B	SFY2014-15
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-03-02 00:00:00	120011037	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-12 00:00:00	2014-07-12 00:00:00	No	2015-03-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	5CS411	N	CA00405318	B	SFY2014-15
120001519	BETHESDA LUTHERAN COMMUNITIES-WESTFIELD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2014-12-22 00:00:00	120011039	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-16 00:00:00	2014-07-16 00:00:00	No	2015-01-13 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	E4YA11	N	CA00405895, CA00406879	B, B	SFY2014-15
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-10-08 00:00:00	120011044	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-14 00:00:00	2014-07-14 00:00:00	Yes	2014-10-29 00:00:00	2014-10-08 00:00:00	A	B	20000	10000	0	10000	0	None	06T811	N	CA00405695	B	SFY2014-15
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-10-27 00:00:00	120011078	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-09-14 00:00:00	2014-09-14 00:00:00	No	2014-11-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	KJOG11	N	CA00413458	B	SFY2014-15
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-02-04 00:00:00	120011224	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-09-05 00:00:00	2014-09-05 00:00:00	Yes	2015-02-26 00:00:00	2015-02-04 00:00:00	A	None	10000	10000	0	10000	0	None	IS6W11	N	CA00412107	B	SFY2014-15
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-02-03 00:00:00	120011240	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-12-17 00:00:00	2014-12-17 00:00:00	Yes	2015-02-25 00:00:00	2015-02-03 00:00:00	A	B	20000	17500	0	17500	0	None	FIU511	N	CA00423606	A	SFY2014-15
120000826	LOYD'S LIBERTY HOMES, INC. - IRONWOOD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2015-02-18 00:00:00	120011271	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-18 00:00:00	2015-01-18 00:00:00	No	2015-03-11 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	W2LY11	N	CA00427720	B	SFY2014-15
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-03-18 00:00:00	120011331	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-11-07 00:00:00	2014-11-07 00:00:00	No	2015-04-09 00:00:00	None	A	None	20000	20000	0	20000	0	None	QL5811	N	CA00419504	C	SFY2014-15
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-04-06 00:00:00	120011359	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-10-20 00:00:00	2014-10-20 00:00:00	Yes	2015-04-27 00:00:00	2015-04-23 00:00:00	A	A	20000	10000	0	10000	0	None	XCF911	N	None	None	SFY2014-15
120000399	ADVENTIST HEALTH DELANO D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-05-05 00:00:00	120011410	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-07 00:00:00	2015-02-07 00:00:00	No	2015-05-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	QBHK11	N	CA00430725	B	SFY2014-15
120000399	ADVENTIST HEALTH DELANO D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-05-05 00:00:00	120011425	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-02-07 00:00:00	2015-02-07 00:00:00	No	2015-05-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	QBHK11	N	CA00430725	B	SFY2014-15
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-05-12 00:00:00	120011437	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-06-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	23VF11	N	CA00431338	B	SFY2014-15
120001421	GATEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-06-15 00:00:00	120011440	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-12-31 00:00:00	2014-12-31 00:00:00	No	2015-07-06 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	88R711	N	CA00425689	B	SFY2014-15
120001421	GATEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-06-15 00:00:00	120011441	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-12-31 00:00:00	2014-12-31 00:00:00	No	2015-07-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	88R711	N	CA00425689	B	SFY2014-15
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-06-02 00:00:00	120011468	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-02-16 00:00:00	2015-02-16 00:00:00	No	2015-06-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	XCF913	N	None	None	SFY2014-15
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-06-22 00:00:00	120011478	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-03-11 00:00:00	2015-03-11 00:00:00	No	2015-07-13 00:00:00	None	A	None	10000	10000	0	10000	0	None	0P7Y11	N	CA00434858, CA00435200	B, B	SFY2014-15
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-06-16 00:00:00	120011525	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-23 00:00:00	2015-03-23 00:00:00	No	2015-07-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	WC7D11	N	None	None	SFY2014-15
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-06-23 00:00:00	120011566	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-14 00:00:00	2015-02-14 00:00:00	No	2015-07-14 00:00:00	None	A	None	20000	20000	0	20000	0	None	PTLS11	N	CA00431684	B	SFY2014-15
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-08-03 00:00:00	120011581	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-04-04 00:00:00	2015-04-04 00:00:00	No	2015-08-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	25RO11	N	CA00443986	B	SFY2015-16
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-08-17 00:00:00	120011608	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-06-18 00:00:00	2015-06-18 00:00:00	No	2015-09-08 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	WPH911	N	CA00447466	B	SFY2015-16
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-08-25 00:00:00	120011622	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-06-24 00:00:00	2015-06-24 00:00:00	Yes	2015-09-16 00:00:00	2015-08-25 00:00:00	A	B	20000	7000	0	7000	0	None	KNSN11	N	CA00448272	B	SFY2015-16
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-07-21 00:00:00	120011625	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-16 00:00:00	2015-05-16 00:00:00	No	2015-08-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4CY311	N	CA00445181	B	SFY2015-16
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-09-08 00:00:00	120011661	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-05-28 00:00:00	2015-05-28 00:00:00	Yes	2015-09-29 00:00:00	2015-09-08 00:00:00	A	A	20000	18000	0	18000	0	None	FN8T11	N	CA00448521	B	SFY2015-16
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-09-14 00:00:00	120011662	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-02 00:00:00	2015-07-02 00:00:00	No	2015-10-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	O90P11	N	CA00449026, CA00449026, CA00449026	B, B, B	SFY2015-16
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-09-14 00:00:00	120011664	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-05-27 00:00:00	2015-05-27 00:00:00	No	2015-10-05 00:00:00	None	A	None	20000	20000	0	20000	0	None	7Z7V11	N	CA00444452	B	SFY2015-16
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-09-14 00:00:00	120011683	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-06 00:00:00	2015-07-06 00:00:00	No	2015-10-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	HNG611	N	CA00449511	B	SFY2015-16
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-09-15 00:00:00	120011715	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-20 00:00:00	2015-08-20 00:00:00	No	2015-10-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DMR411	N	CA00455190	B	SFY2015-16
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-11-02 00:00:00	120011778	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-18 00:00:00	2015-08-18 00:00:00	Yes	2015-11-24 00:00:00	2015-11-20 00:00:00	A	B	20000	12000	0	12000	0	None	FW0U11	N	CA00455206	B	SFY2015-16
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-11-09 00:00:00	120011779	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-05-05 00:00:00	2015-05-05 00:00:00	No	2015-12-03 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	4O5611	N	CA00442217, CA00442593	A, B	SFY2015-16
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-11-09 00:00:00	120011780	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-05 00:00:00	2015-05-05 00:00:00	No	2015-12-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4O5611	N	CA00442217, CA00442593	A, B	SFY2015-16
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-11-16 00:00:00	120011795	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-10-03 00:00:00	2015-10-03 00:00:00	No	2015-12-09 00:00:00	None	B	None	2000	6000	0	6000	0	None	W1T511	N	CA00460539, CA00461316, CA00461481	B, B, B	SFY2015-16
630013665	RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-12-28 00:00:00	120011861	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-10-12 00:00:00	2015-10-12 00:00:00	Yes	2016-01-18 00:00:00	2016-01-15 00:00:00	A	A	20000	14000	0	14000	0	None	FY6211	N	CA00461729	B	SFY2015-16
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-12-17 00:00:00	120011906	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-26 00:00:00	2015-10-26 00:00:00	Yes	2016-01-08 00:00:00	2015-12-28 00:00:00	B	B	2000	1300	0	1300	0	None	E1PW11	N	None	None	SFY2015-16
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-12-18 00:00:00	120011908	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-26 00:00:00	2015-10-26 00:00:00	Yes	2016-01-11 00:00:00	2015-12-31 00:00:00	B	B	2000	1300	0	1300	0	None	E1PW11	N	None	None	SFY2015-16
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-12-29 00:00:00	120011910	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-10-29 00:00:00	2015-10-29 00:00:00	No	2016-01-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	QE7X11	N	CA00463762	B	SFY2015-16
120001505	MORGAN'S TLC - LINDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2016-01-06 00:00:00	120011920	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-22 00:00:00	2015-11-22 00:00:00	No	2016-01-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	938N11	N	CA00466702	B	SFY2015-16
120001505	MORGAN'S TLC - LINDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2016-01-06 00:00:00	120011921	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-11-22 00:00:00	2015-11-22 00:00:00	No	2016-01-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	938N11	N	CA00466702	B	SFY2015-16
120001495	TRANQUILITY HOMES, INC	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2016-02-29 00:00:00	120011939	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-22 00:00:00	2015-12-22 00:00:00	No	2016-03-21 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	NKD611	N	CA00469693	A	SFY2015-16
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-01-29 00:00:00	120011967	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-12-05 00:00:00	2015-12-05 00:00:00	No	2016-02-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	7OHF11	N	CA00468199	B	SFY2015-16
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-01-29 00:00:00	120011977	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-12-11 00:00:00	2015-12-11 00:00:00	No	2016-02-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	0YR211	N	CA00468877	B	SFY2015-16
630004101	BETHESDA LUTHERAN COMMUNITIES - WREN I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2016-02-10 00:00:00	120011978	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-08-20 00:00:00	2015-08-20 00:00:00	No	2016-03-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	737N11	N	CA00455132	B	SFY2015-16
120001495	TRANQUILITY HOMES, INC	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2016-02-29 00:00:00	120011996	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-24 00:00:00	2015-12-24 00:00:00	No	2016-03-21 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	Y1EA11	N	CA00470191	A	SFY2015-16
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-02-22 00:00:00	120012021	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-11 00:00:00	2015-12-11 00:00:00	No	2016-03-14 00:00:00	None	A	None	20000	60000	0	60000	0	None	KD4O11	N	CA00468784	B	SFY2015-16
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-02-22 00:00:00	120012022	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-12-24 00:00:00	2015-12-24 00:00:00	No	2016-03-14 00:00:00	None	B	None	2000	6000	0	6000	0	None	U31K11	N	CA00470196	B	SFY2015-16
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-02-29 00:00:00	120012023	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-11-28 00:00:00	2015-11-28 00:00:00	No	2016-03-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JP5U11	N	CA00468001	B	SFY2015-16
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-02-29 00:00:00	120012035	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-12 00:00:00	2016-01-12 00:00:00	No	2016-03-21 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	7J0E11	N	CA00472245, CA00472245	A, A	SFY2015-16
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-03-01 00:00:00	120012036	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-18 00:00:00	2015-12-18 00:00:00	No	2016-03-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	O9RB11	N	CA00469778	B	SFY2015-16
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-03-14 00:00:00	120012066	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-02-10 00:00:00	2016-02-10 00:00:00	Yes	2016-04-05 00:00:00	2016-04-01 00:00:00	B	None	2000	2000	0	2000	0	None	H82C11	N	CA00476049, CA00476497	A, A	SFY2015-16
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-03-16 00:00:00	120012085	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-02-26 00:00:00	2016-02-26 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	DFUG11	N	CA00477955, CA00477958	B, A	SFY2015-16
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-03-16 00:00:00	120012086	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-02-22 00:00:00	2016-02-22 00:00:00	No	2016-04-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	NM8711	N	CA00477299	A	SFY2015-16
630013665	RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-03-21 00:00:00	120012123	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-07 00:00:00	2016-01-07 00:00:00	No	2016-04-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	HBYL11	N	CA00471688	B	SFY2015-16
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-04-18 00:00:00	120012162	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-02-16 00:00:00	2016-02-16 00:00:00	No	2016-05-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VJ6211	N	CA00475454	B	SFY2015-16
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-04-19 00:00:00	120012164	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-03-04 00:00:00	2016-03-04 00:00:00	No	2016-05-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	032T11	N	CA00479742	B	SFY2015-16
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-05-23 00:00:00	120012180	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-16 00:00:00	2016-02-16 00:00:00	Yes	2016-06-14 00:00:00	2016-05-23 00:00:00	A	B	20000	15000	0	15000	0	None	TS5C12	N	None	None	SFY2015-16
120000369	ROSEWOOD HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-05-09 00:00:00	120012211	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-03-10 00:00:00	2016-03-10 00:00:00	No	2016-05-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	654411	N	CA00479889	B	SFY2015-16
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-05-06 00:00:00	120012222	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-02 00:00:00	2016-04-02 00:00:00	No	2016-05-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	UM9G11	N	CA00484180	A	SFY2015-16
120000369	ROSEWOOD HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-06-06 00:00:00	120012235	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-07 00:00:00	2016-04-07 00:00:00	Yes	2016-06-27 00:00:00	2016-06-06 00:00:00	A	None	20000	20000	-7000	13000	0	None	GCFY11	N	CA00483500	B	SFY2015-16
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-06-06 00:00:00	120012265	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-23 00:00:00	2016-03-23 00:00:00	Yes	2016-06-27 00:00:00	2016-06-06 00:00:00	A	None	20000	20000	-7000	13000	0	None	I7GI11	N	CA00482011	A	SFY2015-16
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-06-06 00:00:00	120012266	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-03-23 00:00:00	2016-03-23 00:00:00	Yes	2016-06-27 00:00:00	2016-06-07 00:00:00	B	None	2000	2000	0	2000	0	None	I7GI11	N	CA00482011	A	SFY2015-16
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-06-06 00:00:00	120012293	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-22 00:00:00	2016-03-22 00:00:00	Yes	2016-06-27 00:00:00	2016-06-06 00:00:00	A	A	20000	18000	0	18000	0	None	K69M11	N	CA00481496	A	SFY2015-16
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-07-06 00:00:00	120012372	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-05-01 00:00:00	2016-05-01 00:00:00	No	2016-07-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	4QWX11	N	CA00486563	A	SFY2016-17
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-07-18 00:00:00	120012379	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-24 00:00:00	2016-05-24 00:00:00	No	2016-08-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	T5HJ11	N	CA00489707	B	SFY2016-17
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-07-18 00:00:00	120012380	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-12 00:00:00	2016-04-12 00:00:00	No	2016-08-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	RM2E11	N	CA00484187	B	SFY2016-17
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-07-25 00:00:00	120012398	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-05-21 00:00:00	2016-05-21 00:00:00	No	2016-08-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UV4V11	N	CA00489076	B	SFY2016-17
120000325	VALLEY VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-08-15 00:00:00	120012461	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2015-12-01 00:00:00	2015-12-01 00:00:00	Yes	2016-09-06 00:00:00	2016-08-15 00:00:00	B	B	2000	1000	0	1000	0	None	HW9W11	N	CA00488018	B	SFY2016-17
120000325	VALLEY VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-08-15 00:00:00	120012463	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-12-01 00:00:00	2015-12-01 00:00:00	Yes	2016-09-06 00:00:00	2016-08-15 00:00:00	B	B	2000	1000	0	1000	0	None	HW9W11	N	CA00488018	B	SFY2016-17
120000325	VALLEY VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-08-15 00:00:00	120012465	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-27 00:00:00	2016-04-27 00:00:00	Yes	2016-09-06 00:00:00	2016-08-15 00:00:00	B	B	2000	1000	0	1000	0	None	HW9W11	N	CA00488561	A	SFY2016-17
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-08-08 00:00:00	120012485	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-06-15 00:00:00	2016-06-15 00:00:00	No	2016-08-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	MTG011	N	CA00492006	B	SFY2016-17
120000903	LOYD'S LIBERTY HOMES, INC. - JOELYLE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2016-08-23 00:00:00	120012514	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-10 00:00:00	2016-04-10 00:00:00	No	2016-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	8CC211	N	CA00490510	B	SFY2016-17
630013665	RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-08-31 00:00:00	120012527	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-01 00:00:00	2016-07-01 00:00:00	No	2016-09-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	HXUT11	N	CA00494021	B	SFY2016-17
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-09-22 00:00:00	120012551	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-01 00:00:00	2016-08-01 00:00:00	No	2016-10-13 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	CL1E11	N	CA00497615	B	SFY2016-17
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-10-11 00:00:00	120012608	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-08-31 00:00:00	2016-08-31 00:00:00	No	2016-11-01 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	TGE911	N	CA00501306	B	SFY2016-17
120000399	ADVENTIST HEALTH DELANO D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-11-01 00:00:00	120012699	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-12 00:00:00	2016-10-12 00:00:00	No	2016-11-23 00:00:00	None	B	None	2000	2350	0	2350	0	None	0B7411	N	None	None	SFY2016-17
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-11-21 00:00:00	120012740	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2016-09-26 00:00:00	2016-09-26 00:00:00	Yes	2016-12-14 00:00:00	2016-12-09 00:00:00	A	A	20000	20000	0	20000	0	None	THX511	N	CA00504460	A	SFY2016-17
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-11-22 00:00:00	120012754	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2016-09-27 00:00:00	2016-09-27 00:00:00	Yes	2016-12-15 00:00:00	2016-12-07 00:00:00	B	B	2000	1500	0	1500	0	None	LZTA11	N	CA00504709	A	SFY2016-17
120000325	VALLEY VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-12-01 00:00:00	120012757	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-10-13 00:00:00	2016-10-13 00:00:00	Yes	2016-12-22 00:00:00	2016-12-22 00:00:00	B	B	2000	6000	0	6000	0	None	T1O911	N	CA00507151	B	SFY2016-17
120001037	HIGHER GROUND HOMES, INC. #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2017-01-10 00:00:00	120012857	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-11-12 00:00:00	2016-11-12 00:00:00	No	2017-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	JUGI11	N	CA00510493	C	SFY2016-17
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-03-07 00:00:00	120012980	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-15 00:00:00	2017-01-15 00:00:00	Yes	2017-03-28 00:00:00	2017-03-13 00:00:00	B	B	2000	2000	0	2000	0	None	M1ZO11	N	CA00518534	B	SFY2016-17
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-03-15 00:00:00	120013008	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-08 00:00:00	2017-01-08 00:00:00	Yes	2017-04-06 00:00:00	2017-03-15 00:00:00	A	None	20000	20000	0	20000	0	None	1RY411	N	CA00517343, CA00517433	A, A	SFY2016-17
120001477	LINWOOD MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-04-11 00:00:00	120013095	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-30 00:00:00	2016-06-30 00:00:00	No	2017-05-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3NR911	N	CA00522436	B	SFY2016-17
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-07-07 00:00:00	120013119	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-02-21 00:00:00	2017-02-21 00:00:00	No	2017-07-28 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	ENR611	Y	CA00524016	A	SFY2017-18
120000530	POSITIVE DIRECTIONS # 3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2017-05-10 00:00:00	120013167	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-19 00:00:00	2017-01-19 00:00:00	No	2017-06-01 00:00:00	None	B	None	2000	2250	-700	1550	0	None	0YN111	N	CA00519150	B	SFY2016-17
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-06-27 00:00:00	120013271	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-11 00:00:00	2017-04-11 00:00:00	Yes	2017-07-19 00:00:00	2017-07-10 00:00:00	A	A	20000	18000	0	18000	0	None	474M11	N	CA00530757	B	SFY2016-17
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-07-10 00:00:00	120013313	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-15 00:00:00	2017-02-15 00:00:00	No	2017-07-31 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	DW6I11	N	CA00522934, CA00522966, CA00523631	B, B, A	SFY2017-18
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-07-10 00:00:00	120013318	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-15 00:00:00	2017-02-15 00:00:00	No	2017-07-31 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	DW6I11	N	CA00522934, CA00522966, CA00523631	B, B, A	SFY2017-18
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-07-10 00:00:00	120013319	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-02-15 00:00:00	2017-02-15 00:00:00	No	2017-07-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DW6I11	N	CA00522966	B	SFY2017-18
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-08-07 00:00:00	120013405	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-08 00:00:00	2017-06-08 00:00:00	No	2017-08-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	THMN11	N	None	None	SFY2017-18
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-11-15 00:00:00	120013600	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-12 00:00:00	2017-10-12 00:00:00	No	2017-12-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MLCW11	N	CA00556448	B	SFY2017-18
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-11-16 00:00:00	120013615	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-06-03 00:00:00	2017-06-03 00:00:00	Yes	2017-12-11 00:00:00	2017-11-27 00:00:00	B	B	2000	1800	0	1800	0	None	Z7CH11	N	CA00539141	A	SFY2017-18
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-11-29 00:00:00	120013637	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-08-26 00:00:00	2017-08-26 00:00:00	No	2017-12-20 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	C4GH11	N	CA00549988	B	SFY2017-18
630013665	RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-11-30 00:00:00	120013652	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-10-09 00:00:00	2017-10-09 00:00:00	No	2017-12-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	QHV411	N	CA00557698	B	SFY2017-18
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-12-05 00:00:00	120013657	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-09-07 00:00:00	2017-09-07 00:00:00	No	2017-12-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	M2R511	N	CA00551806	B	SFY2017-18
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-01-19 00:00:00	120013700	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-08-29 00:00:00	2017-08-29 00:00:00	Yes	2018-02-09 00:00:00	2018-01-19 00:00:00	AA	A	100000	80000	0	80000	0	None	I4UH11	Y	CA00550513, CA00551075	B, B	SFY2017-18
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-02-22 00:00:00	120013754	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-02 00:00:00	2017-10-02 00:00:00	No	2018-03-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	FQ3711	N	None	None	SFY2017-18
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-03-22 00:00:00	120013863	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-11-14 00:00:00	2017-11-14 00:00:00	Yes	2018-04-12 00:00:00	2018-03-22 00:00:00	B	B	2000	2000	0	2000	0	None	MDX911	N	CA00561183, CA00561846	A, A	SFY2017-18
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-03-22 00:00:00	120013864	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-11-14 00:00:00	2017-11-14 00:00:00	Yes	2018-04-12 00:00:00	2018-03-22 00:00:00	B	B	2000	6550	-550	6000	0	None	MDX911	N	CA00561183, CA00561846	A, A	SFY2017-18
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-04-11 00:00:00	120013917	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-03-19 00:00:00	2018-03-19 00:00:00	Yes	2018-05-02 00:00:00	2018-04-11 00:00:00	B	None	2000	2000	0	2000	0	None	RETK11	N	CA00571789	A	SFY2017-18
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-05-09 00:00:00	120014049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-23 00:00:00	2018-01-23 00:00:00	No	2018-05-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	3HML11	N	None	None	SFY2017-18
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-06-11 00:00:00	120014107	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-29 00:00:00	2018-03-29 00:00:00	No	2018-07-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	3HML12	N	None	None	SFY2017-18
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-07-17 00:00:00	120014233	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-04-14 00:00:00	2018-04-14 00:00:00	No	2018-08-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CCTO11	N	CA00582806	B	SFY2018-19
630013665	RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-07-18 00:00:00	120014234	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-04-24 00:00:00	2018-04-24 00:00:00	No	2018-08-08 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	2UHO11	N	CA00584169, CA00586170	B, B	SFY2018-19
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-10-16 00:00:00	120014455	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-08-20 00:00:00	2018-08-20 00:00:00	No	2018-11-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	WHJ811	N	CA00600423, CA00600423, CA00600423, CA00600423, CA00602053, CA00602053	B, B, B, B, B, B	SFY2018-19
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-10-22 00:00:00	120014486	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-09-05 00:00:00	2018-09-05 00:00:00	No	2018-11-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H75G11	N	CA00602438, CA00602438, CA00602438, CA00602438, CA00602438, CA00602647	A, A, A, A, A, B	SFY2018-19
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-10-30 00:00:00	120014512	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-15 00:00:00	2018-06-15 00:00:00	No	2018-11-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EIQZ11	N	CA00600215	B	SFY2018-19
120001449	KAWEAH HEALTH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-11-19 00:00:00	120014571	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-29 00:00:00	2018-10-29 00:00:00	No	2018-12-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	UYWF11	N	CA00609833	B	SFY2018-19
630013665	RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-01-25 00:00:00	120014697	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-22 00:00:00	2018-03-22 00:00:00	Yes	2019-02-15 00:00:00	2019-02-19 00:00:00	A	None	20000	20000	0	0	20000	None	CI4K11	Y	CA00606569	C	SFY2018-19
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-01-18 00:00:00	120014706	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-09 00:00:00	2018-11-09 00:00:00	Yes	2019-02-08 00:00:00	2019-01-25 00:00:00	A	None	20000	20000	0	20000	0	None	TRZ511	N	CA00612807	A	SFY2018-19
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-02-08 00:00:00	120014723	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-14 00:00:00	2018-11-14 00:00:00	No	2019-03-01 00:00:00	None	A	None	20000	20000	0	20000	0	None	IT1C11	N	CA00612202, CA00612202, CA00612222, CA00612358	B, B, B, B	SFY2018-19
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-03-26 00:00:00	120014729	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-09 00:00:00	2018-12-09 00:00:00	No	2019-04-16 00:00:00	None	A	None	20000	20000	0	20000	0	None	SM2R11	N	CA00615148, CA00615148, CA00615651, CA00615651	B, B, B, B	SFY2018-19
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-02-22 00:00:00	120014774	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-04 00:00:00	2018-10-04 00:00:00	No	2019-03-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VS8Z11	N	CA00615328	B	SFY2018-19
120000559	POSITIVE DIRECTIONS #6	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2019-02-22 00:00:00	120014775	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-12 00:00:00	2018-12-12 00:00:00	No	2019-03-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OOEK11	N	None	None	SFY2018-19
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-03-26 00:00:00	120014868	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-02-01 00:00:00	2019-02-01 00:00:00	No	2019-04-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	C0HF11	N	CA00622716	A	SFY2018-19
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-05-28 00:00:00	120015003	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-03-27 00:00:00	2019-03-27 00:00:00	Yes	2019-06-18 00:00:00	2019-08-16 00:00:00	B	None	2000	2000	0	2000	0	None	MQF711	N	CA00630497	A	SFY2018-19
630012057	GRAND OAKS CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-06-26 00:00:00	120015117	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2019-01-17 00:00:00	2019-01-17 00:00:00	Yes	2019-07-17 00:00:00	2019-07-16 00:00:00	A	A	20000	20000	0	3302.74	16697.26	None	7GT811	N	CA00621042	B	SFY2018-19
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-08-14 00:00:00	120015249	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-24 00:00:00	2019-05-24 00:00:00	No	2019-09-04 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	WBGZ11	N	CA00639091	B	SFY2019-20
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-11-13 00:00:00	120015447	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-17 00:00:00	2019-09-17 00:00:00	No	2019-12-04 00:00:00	None	A	None	20000	20000	0	20000	0	None	ZW5L11	N	CA00655277, CA00655277	A, A	SFY2019-20
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-11-13 00:00:00	120015458	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-17 00:00:00	2019-09-17 00:00:00	No	2019-12-04 00:00:00	None	A	None	20000	20000	0	20000	0	None	ZW5L11	N	CA00655277, CA00655277	A, A	SFY2019-20
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-12-05 00:00:00	120015516	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-08-06 00:00:00	2019-08-06 00:00:00	No	2019-12-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	62TP11	N	CA00648916, CA00648916, CA00648916	B, B, B	SFY2019-20
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-12-05 00:00:00	120015517	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-08-06 00:00:00	2019-08-06 00:00:00	No	2019-12-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	62TP11	N	CA00648916, CA00648916, CA00648916	B, B, B	SFY2019-20
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-12-05 00:00:00	120015519	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-14 00:00:00	2019-09-14 00:00:00	No	2019-12-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OMLU11	N	CA00655143	B	SFY2019-20
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-12-31 00:00:00	120015548	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-04 00:00:00	2019-09-04 00:00:00	Yes	2020-01-21 00:00:00	2020-01-13 00:00:00	A	A	20000	20000	0	20000	0	None	PUYH11	N	CA00653171	B	SFY2019-20
120000325	VALLEY VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2020-01-06 00:00:00	120015569	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-24 00:00:00	2019-09-24 00:00:00	No	2020-01-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	YPPM11	N	CA00656212, CA00656212, CA00656212	B, B, B	SFY2019-20
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2020-02-21 00:00:00	120015595	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2019-08-31 00:00:00	2019-08-31 00:00:00	Yes	2020-03-13 00:00:00	2020-03-13 00:00:00	AA	AA	100000	40050	-50	40000	0	None	OSBC11	Y	CA00652990, CA00652990, CA00661315, CA00661315, CA00661315	B, B, B, B, B	SFY2019-20
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2020-09-08 00:00:00	120015652	Closed	Citation	Citation A (HSC 1424)	Patient Rights	Abuse	2019-10-29 00:00:00	2019-10-29 00:00:00	Yes	2020-09-29 00:00:00	2020-09-28 00:00:00	A	B	20000	20000	0	20000	0	None	1J2411	N	CA00661145, CA00661145, CA00661489, CA00661489, CA00661489	C, C, B, B, B	SFY2020-21
120000369	ROSEWOOD HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2020-09-09 00:00:00	120015783	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-10-29 00:00:00	2019-10-29 00:00:00	Yes	2020-09-30 00:00:00	2020-09-30 00:00:00	A	A	20000	14000	0	14000	0	None	231M11	N	CA00664826, CA00664826	A, A	SFY2020-21
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2020-09-09 00:00:00	120015813	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-10 00:00:00	2020-02-10 00:00:00	No	2020-09-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	7Q0711	N	None	None	SFY2020-21
120001429	BETHESDA LUTHERAN COMMUNITIES-BELMONT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2020-10-23 00:00:00	120016092	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-15 00:00:00	2020-05-15 00:00:00	No	2020-11-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	SXZE11	N	CA00688822, CA00688822	B, B	SFY2020-21
630013061	STEELE'S VISIONS - TERRACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2021-01-11 00:00:00	120016199	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-03-04 00:00:00	2020-03-04 00:00:00	No	2021-02-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6XUU11	N	CA00679678	A	SFY2020-21
630013061	STEELE'S VISIONS - TERRACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2021-01-11 00:00:00	120016200	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-03-04 00:00:00	2020-03-04 00:00:00	No	2021-02-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6XUU11	N	CA00679678, CA00679678	A, A	SFY2020-21
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-03-12 00:00:00	120016228	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-05 00:00:00	2020-11-05 00:00:00	No	2021-04-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	NB8011	N	CA00712466, CA00712466, CA00714047, CA00714047, CA00714047, CA00714047, CA00719040	B, B, B, B, B, B, B	SFY2020-21
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-03-03 00:00:00	120016289	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-25 00:00:00	2020-06-25 00:00:00	No	2021-03-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	DEP611	N	CA00694019, CA00694019	A, A	SFY2020-21
120001517	BETHESDA LUTHERAN COMMUNITIES-SUMMIT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2021-02-18 00:00:00	120016290	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-20 00:00:00	2020-08-20 00:00:00	No	2021-03-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	P1QT11	N	CA00702178, CA00702248, CA00702248, CA00705421, CA00705421	B, B, B, B, B	SFY2020-21
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-04-06 00:00:00	120016305	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-10 00:00:00	2021-01-10 00:00:00	No	2021-04-27 00:00:00	None	A	None	20000	20000	0	20000	0	None	1FS611	Y	CA00721644, CA00721644	B, B	SFY2020-21
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-03-26 00:00:00	120016315	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-05 00:00:00	2020-11-05 00:00:00	Yes	2021-04-19 00:00:00	2021-03-31 00:00:00	A	B	20000	50000	0	50000	0	None	O3EA11	N	CA00712071	B	SFY2020-21
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-04-07 00:00:00	120016320	Closed	Citation	Citation A (HSC 1424)	Dietary	None	2020-07-01 00:00:00	2020-07-01 00:00:00	No	2021-04-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	N5FE11	N	CA00699266, CA00699266, CA00699960, CA00699960, CA00699960	B, B, A, A, A	SFY2020-21
120001466	SIERRA VIEW MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-04-07 00:00:00	120016350	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-11-21 00:00:00	2019-11-21 00:00:00	No	2021-04-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0I3U11	N	CA00723189, CA00724065	A, B	SFY2020-21
120001526	LINDSAY GARDENS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-04-02 00:00:00	120016351	Closed	Citation	Citation B (HSC 1424)	Patient Care	Infection Control	2020-06-30 00:00:00	2020-06-30 00:00:00	No	2021-04-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PKIZ11	N	None	None	SFY2020-21
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-04-08 00:00:00	120016364	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-04-16 00:00:00	2020-04-16 00:00:00	Yes	2021-04-29 00:00:00	2021-04-29 00:00:00	A	None	20000	20000	0	0	20000	None	JD6V11	Y	CA00685016, CA00685016, CA00686073, CA00686073, CA00686073	A, A, B, B, B	SFY2020-21
120001402	DELTA HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-04-08 00:00:00	120016394	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2020-08-07 00:00:00	2020-08-07 00:00:00	No	2021-04-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	556111	N	None	None	SFY2020-21
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-15 00:00:00	120016452	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-06-25 00:00:00	2020-06-25 00:00:00	Yes	2021-11-05 00:00:00	2021-10-19 00:00:00	A	B	20000	20000	0	20000	0	None	47SN11	N	None	None	SFY2021-22
120001528	KELLY & SCOTT'S CARE HOME INC. #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2021-05-24 00:00:00	120016454	Closed	Citation	Citation A (HSC 1424)	Patient Care	Governing Body	2021-02-27 00:00:00	2021-02-27 00:00:00	No	2021-06-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	GKKP11	N	CA00727257, CA00727257	B, B	SFY2020-21
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-05-19 00:00:00	120016491	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-01-07 00:00:00	2021-01-07 00:00:00	No	2021-06-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	4L0R11	N	CA00727560, CA00727560	A, A	SFY2020-21
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-07-23 00:00:00	120016524	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-02-12 00:00:00	2021-02-12 00:00:00	No	2021-08-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KW6111	N	CA00725496, CA00725496	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-06-02 00:00:00	120016525	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2021-01-27 00:00:00	2021-01-27 00:00:00	No	2021-06-23 00:00:00	None	B	None	2000	3450	0	3450	0	None	090E11	N	CA00720752, CA00720752, CA00720752, CA00720752	B, B, B, B	SFY2020-21
120001431	WESTGATE GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-06-23 00:00:00	120016526	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2021-02-25 00:00:00	2021-02-25 00:00:00	No	2021-07-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UZ9911	N	CA00726924, CA00726924, CA00727054, CA00727054	B, B, B, B	SFY2020-21
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-06-30 00:00:00	120016569	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-05-10 00:00:00	2021-05-10 00:00:00	No	2021-07-21 00:00:00	None	B	None	2000	2400	0	2400	0	None	CL1911	N	CA00736424	A	SFY2020-21
120001526	LINDSAY GARDENS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-07-16 00:00:00	120016612	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-18 00:00:00	2021-03-18 00:00:00	No	2021-08-06 00:00:00	None	A	None	20000	20000	0	20000	0	None	4OQ311	N	None	None	SFY2021-22
630012057	GRAND OAKS CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-07-16 00:00:00	120016613	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-17 00:00:00	2021-03-17 00:00:00	Yes	2021-08-06 00:00:00	2021-07-26 00:00:00	A	A	20000	15000	0	15000	0	None	33GD11	N	CA00730408, CA00730408	B, B	SFY2021-22
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-08-13 00:00:00	120016749	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-05-05 00:00:00	2021-05-05 00:00:00	No	2021-09-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SSHD11	N	CA00738920	B	SFY2021-22
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-08-20 00:00:00	120016809	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-06-04 00:00:00	2021-06-04 00:00:00	No	2021-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6NOL11	N	None	None	SFY2021-22
630012057	GRAND OAKS CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-09-03 00:00:00	120016841	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-05 00:00:00	2021-03-05 00:00:00	No	2021-09-27 00:00:00	None	B	None	2000	2000	-700	1700	-400	None	760011	N	CA00737276, CA00738058, CA00738089, CA00738089	B, B, A, A	SFY2021-22
630012057	GRAND OAKS CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-09-03 00:00:00	120016843	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-03-05 00:00:00	2021-03-05 00:00:00	Yes	2021-09-27 00:00:00	2021-09-08 00:00:00	B	None	2000	2000	0	0	2000	None	760011	N	CA00737276, CA00737276, CA00738058, CA00738058, CA00738089, CA00738089, CA00738089	B, B, B, B, A, A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-09-15 00:00:00	120016847	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2021-07-09 00:00:00	2021-07-09 00:00:00	No	2021-10-06 00:00:00	None	A	None	20000	21250	-7000	14250	0	None	8MOR11	N	CA00740970, CA00740970, CA00740970, CA00740970, CA00740970, CA00740970, CA00740970, CA00740970, CA00741513, CA00741513, CA00741513, CA00741526, CA00741526, CA00741526, CA00742052, CA00742052, CA00743586, CA00743586	A, A, A, A, A, A, A, A, B, B, B, B, B, B, A, A, A, A	SFY2021-22
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-25 00:00:00	120016850	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-07-13 00:00:00	2021-07-13 00:00:00	No	2021-11-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	FZXN11	N	CA00744035, CA00744035	A, A	SFY2021-22
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-25 00:00:00	120016851	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-07-13 00:00:00	2021-07-13 00:00:00	No	2021-11-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	FZXN11	N	CA00744035, CA00744035, CA00744035	A, A, A	SFY2021-22
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-08 00:00:00	120016906	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-13 00:00:00	2021-06-13 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	M8FO11	N	CA00740116, CA00740329	B, B	SFY2021-22
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-08 00:00:00	120016907	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2021-06-13 00:00:00	2021-06-13 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	M8FO11	N	CA00740116, CA00740116, CA00740329, CA00740329	B, B, B, B	SFY2021-22
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-08 00:00:00	120016909	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-13 00:00:00	2021-06-13 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	M8FO11	N	CA00740116, CA00740116, CA00740329, CA00740329	B, B, B, B	SFY2021-22
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-11-05 00:00:00	120016947	Closed	Citation	Citation A (HSC 1424)	Patient Rights	Patient Abuse	2021-06-15 00:00:00	2021-06-15 00:00:00	No	2021-12-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MG4Q11	N	CA00740342	B	SFY2021-22
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-15 00:00:00	120016964	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-07-06 00:00:00	2021-07-06 00:00:00	No	2021-11-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	MPKO11	N	CA00743118, CA00743118, CA00743831	B, B, B	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-11-24 00:00:00	120017051	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-05 00:00:00	2021-08-05 00:00:00	No	2021-12-17 00:00:00	None	B	None	2000	6200	-2100	4100	0	None	QRLV11	N	CA00747449, CA00747449, CA00747449, CA00747449, CA00747449, CA00747449, CA00747506, CA00747506, CA00747506, CA00747506, CA00747506, CA00747832, CA00747832	A, A, A, A, A, A, A, A, A, A, A, A, A	SFY2021-22
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-12-28 00:00:00	120017102	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-10 00:00:00	2021-09-10 00:00:00	No	2022-01-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TWH911	N	CA00752497	B	SFY2021-22
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-12-13 00:00:00	120017103	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-08-31 00:00:00	2021-08-31 00:00:00	No	2022-01-03 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ZXM911	N	CA00750801	A	SFY2021-22
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-12-03 00:00:00	120017104	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-09-08 00:00:00	2021-09-08 00:00:00	Yes	2021-12-24 00:00:00	2021-12-07 00:00:00	A	A	20000	13000	0	13000	0	None	7W5911	N	CA00751846, CA00751846	B, B	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-12-28 00:00:00	120017105	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-17 00:00:00	2021-09-17 00:00:00	No	2022-01-19 00:00:00	None	B	None	2000	3400	0	3400	0	None	DLEU11	N	CA00754176	B	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-12-28 00:00:00	120017180	Closed	Citation	Citation B (HSC 1424)	Dietary	Dietary	2021-08-18 00:00:00	2021-08-18 00:00:00	No	2022-01-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	IWD411	N	CA00751292	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-12-28 00:00:00	120017181	Open	Citation	Citation A (HSC 1424)	Medication	None	2021-08-18 00:00:00	2021-08-18 00:00:00	No	2022-01-19 00:00:00	None	A	None	20000	20000	0	0	20000	None	IWD411	N	CA00751290, CA00751290, CA00751290	A, A, A	SFY2021-22
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-12-30 00:00:00	120017182	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-21 00:00:00	2021-08-21 00:00:00	No	2022-01-21 00:00:00	None	B	None	2000	2450	-700	1750	0	None	FV7911	N	CA00748002	B	SFY2021-22
120001477	LINWOOD MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-11 00:00:00	120017260	Closed	Citation	Citation A (HSC 1424)	Other	Abuse	2021-08-10 00:00:00	2021-08-10 00:00:00	No	2022-03-07 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	RZ7T11	N	CA00752054, CA00752054	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-07 00:00:00	120017296	Open	Citation	Citation B (HSC 1424)	Medication	None	2021-11-29 00:00:00	2021-11-29 00:00:00	No	2022-03-01 00:00:00	None	B	None	2000	2000	0	0	2000	None	CZT311	N	CA00764181	B	SFY2021-22
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-04 00:00:00	120017297	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-11-24 00:00:00	2021-11-24 00:00:00	No	2022-02-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	14R011	N	CA00762519	B	SFY2021-22
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-03-08 00:00:00	120017307	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-11-03 00:00:00	2021-11-03 00:00:00	Yes	2022-03-29 00:00:00	2022-03-11 00:00:00	A	None	20000	20000	0	0	20000	None	EP2W11	N	CA00758388	B	SFY2021-22
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-03-18 00:00:00	120017357	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-08-29 00:00:00	2021-08-29 00:00:00	Yes	2022-04-11 00:00:00	2022-04-11 00:00:00	A	None	20000	20000	0	0	20000	None	Y6EC11	N	CA00750496	B	SFY2021-22
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-03-11 00:00:00	120017359	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-11-17 00:00:00	2021-11-17 00:00:00	Yes	2022-04-04 00:00:00	2022-03-15 00:00:00	A	None	20000	20000	0	15328.74	4671.26	None	IHGT11	N	CA00760712	B	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-23 00:00:00	120017373	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-02 00:00:00	2022-02-02 00:00:00	Yes	2022-03-16 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-23 00:00:00	120017374	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-04 00:00:00	2022-02-04 00:00:00	Yes	2022-03-16 00:00:00	2022-03-17 00:00:00	B	None	3000	3750	0	0	3750	None	VCWU11	N	CA00773858	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-24 00:00:00	120017378	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-02 00:00:00	2022-02-02 00:00:00	Yes	2022-03-17 00:00:00	2022-03-17 00:00:00	B	None	3000	3750	0	0	3750	None	RVLE11	N	CA00773860	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-24 00:00:00	120017379	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-17 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	RVLE11	N	CA00773860	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-23 00:00:00	120017380	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-16 00:00:00	2022-03-17 00:00:00	B	None	3000	3550	0	0	3550	None	T4WN11	N	CA00773847	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-24 00:00:00	120017384	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-07 00:00:00	2022-02-07 00:00:00	Yes	2022-03-17 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-03-01 00:00:00	120017385	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-22 00:00:00	2022-03-17 00:00:00	B	None	3000	3550	0	0	3550	None	T4WN11	N	CA00773847	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017386	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017387	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3000	0	0	3000	None	T4WN11	N	CA00773847	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-24 00:00:00	120017388	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-17 00:00:00	2022-03-17 00:00:00	B	None	3000	3900	0	0	3900	None	T4WN11	N	CA00773847	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017389	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3900	0	0	3900	None	T4WN11	N	CA00773847	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-24 00:00:00	120017390	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-17 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-24 00:00:00	120017391	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-17 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-24 00:00:00	120017398	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-02 00:00:00	2022-02-02 00:00:00	Yes	2022-03-17 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	80BE11	N	CA00774099, CA00774099	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017399	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-02 00:00:00	2022-02-02 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	80BE11	N	CA00774099, CA00774099	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017401	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017402	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017403	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3750	0	0	3750	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017404	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3750	0	0	3750	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017405	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-07 00:00:00	2022-02-07 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017406	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-09 00:00:00	2022-02-09 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017407	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-07 00:00:00	2022-02-07 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017408	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-07 00:00:00	2022-02-07 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	VCWU11	N	CA00773858, CA00773858	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-28 00:00:00	120017409	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-07 00:00:00	2022-02-07 00:00:00	Yes	2022-03-21 00:00:00	2022-03-17 00:00:00	B	None	3000	3650	0	0	3650	None	VCWU11	N	CA00773858	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-28 00:00:00	120017410	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-21 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	VCWU11	N	CA00773858, CA00773858	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-28 00:00:00	120017411	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-21 00:00:00	2022-03-17 00:00:00	B	None	3000	3650	0	0	3650	None	VCWU11	N	CA00773858, CA00773858	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-28 00:00:00	120017412	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-07 00:00:00	2022-02-07 00:00:00	Yes	2022-03-21 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	VCWU11	N	CA00773858	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017413	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	VCWU11	N	CA00773858, CA00773858	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-28 00:00:00	120017414	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-21 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	VCWU11	N	CA00773858	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-28 00:00:00	120017415	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-21 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	VCWU11	N	CA00773858, CA00773858	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017416	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	VCWU11	N	CA00773858, CA00773858	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-03-01 00:00:00	120017417	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-22 00:00:00	2022-03-17 00:00:00	B	None	3000	3550	0	0	3550	None	VCWU11	N	CA00773858, CA00773858	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017418	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3000	0	0	3000	None	VCWU11	N	CA00773858, CA00773858	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017419	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-18 00:00:00	2022-03-18 00:00:00	B	None	3000	3700	0	0	3700	None	VCWU11	N	CA00773858, CA00773858	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017425	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-04 00:00:00	2022-02-04 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3000	0	0	3000	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017426	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3000	0	0	3000	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017427	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017428	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-04 00:00:00	2022-02-04 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3000	0	0	3000	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017429	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-04 00:00:00	2022-02-04 00:00:00	No	2022-03-18 00:00:00	None	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017430	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-02 00:00:00	2022-02-02 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017431	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017432	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-04 00:00:00	2022-02-04 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017433	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017434	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-07 00:00:00	2022-02-07 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3000	0	0	3000	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017435	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017436	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017437	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-04 00:00:00	2022-02-04 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3000	0	0	3000	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017438	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-07 00:00:00	2022-02-07 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-03-11 00:00:00	120017441	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2022-02-07 00:00:00	2022-02-07 00:00:00	Yes	2022-04-04 00:00:00	2022-03-28 00:00:00	A	A	25000	15000	0	15000	0	None	4JZX11	N	CA00774374	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017442	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-03 00:00:00	2022-02-03 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017443	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-02 00:00:00	2022-02-02 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3750	0	0	3750	None	VCWU11	N	CA00773858	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-03-01 00:00:00	120017444	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-04 00:00:00	2022-02-04 00:00:00	Yes	2022-03-22 00:00:00	2022-03-17 00:00:00	B	None	3000	3550	0	0	3550	None	VCWU11	N	CA00773858	A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-02-25 00:00:00	120017445	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-07 00:00:00	2022-02-07 00:00:00	Yes	2022-03-18 00:00:00	2022-03-17 00:00:00	B	None	3000	3700	0	0	3700	None	T4WN11	N	CA00773847, CA00773847	A, A	SFY2021-22
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-03-15 00:00:00	120017467	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2022-02-08 00:00:00	2022-02-08 00:00:00	Yes	2022-04-06 00:00:00	2022-03-16 00:00:00	A	A	25000	15000	0	15000	0	None	QDOW11	N	CA00774703	A	SFY2021-22
120001522	RIVER WALK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-04-04 00:00:00	120017486	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-10 00:00:00	2021-12-10 00:00:00	Yes	2022-04-25 00:00:00	2022-04-14 00:00:00	A	None	20000	20000	0	0	20000	None	XG2C11	N	CA00764364	B	SFY2021-22
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-04-07 00:00:00	120017501	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-01 00:00:00	2021-12-01 00:00:00	No	2022-04-28 00:00:00	None	A	None	20000	24600	-7000	17600	0	None	LEN111	N	CA00763526, CA00763526, CA00764138, CA00764138	A, A, B, B	SFY2021-22
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-04-07 00:00:00	120017533	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-11-10 00:00:00	2021-11-10 00:00:00	Yes	2022-04-28 00:00:00	2022-04-14 00:00:00	A	A	20000	20750	-1750	19000	0	None	57HE11	N	CA00760863, CA00762130	B, B	SFY2021-22
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-06-03 00:00:00	120017626	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-16 00:00:00	2021-12-16 00:00:00	No	2022-06-24 00:00:00	None	A	None	20000	20000	0	20000	0	None	7KLE11	N	CA00763582	B	SFY2021-22
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-06-23 00:00:00	120017652	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-02 00:00:00	2022-02-02 00:00:00	Yes	2022-07-15 00:00:00	2022-06-24 00:00:00	A	None	25000	25000	0	0	25000	None	PK7Q11	N	CA00772623, CA00772623, CA00772717, CA00772717	B, B, B, B	SFY2021-22
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-08-12 00:00:00	120017666	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-28 00:00:00	2022-01-28 00:00:00	No	2022-09-02 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	FENH11	N	CA00771097, CA00771097	A, A	SFY2022-23
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-07-28 00:00:00	120017720	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-03-20 00:00:00	2022-03-20 00:00:00	No	2022-08-18 00:00:00	None	B	None	3000	3000	0	3000	0	None	4I5111	N	CA00777573	B	SFY2022-23
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-09-02 00:00:00	120017740	Closed	Citation	Citation A (HSC 1424)	Other	Dietary	2021-08-10 00:00:00	2021-08-10 00:00:00	No	2022-09-26 00:00:00	None	A	None	20000	20000	0	20000	0	None	QLFB11	N	CA00747221	B	SFY2022-23
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-08-26 00:00:00	120017799	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-27 00:00:00	2021-12-27 00:00:00	No	2022-09-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MNDT11	N	CA00767205, CA00767205	B, B	SFY2022-23
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-09-02 00:00:00	120017878	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-22 00:00:00	2022-04-22 00:00:00	No	2022-09-26 00:00:00	None	A	None	25000	25000	0	25000	0	None	OF7S11	N	CA00781713, CA00781713, CA00781713, CA00781713, CA00781713	A, A, A, A, A	SFY2022-23
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-10-03 00:00:00	120017943	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-21 00:00:00	2021-11-21 00:00:00	No	2022-10-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8HK811	N	CA00765566	B	SFY2022-23
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-10-03 00:00:00	120017944	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-11-30 00:00:00	2021-11-30 00:00:00	No	2022-10-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8HK811	N	CA00765566	B	SFY2022-23
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-10-07 00:00:00	120017949	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-22 00:00:00	2022-04-22 00:00:00	No	2022-10-28 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	Z9IC11	N	CA00782070	B	SFY2022-23
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-10-31 00:00:00	120018008	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-03 00:00:00	2022-07-03 00:00:00	No	2022-11-22 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	9XUS11	N	CA00791697, CA00792917	B, B	SFY2022-23
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-10-17 00:00:00	120018034	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-09-22 00:00:00	2022-09-22 00:00:00	No	2022-11-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DMXN11	N	CA00799359	A	SFY2022-23
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-10-17 00:00:00	120018041	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-08-05 00:00:00	2022-08-05 00:00:00	No	2022-11-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	C3MS11	N	CA00797504, CA00797504, CA00797563, CA00797563	A, A, A, A	SFY2022-23
120000695	KERN VALLEY HEALTHCARE DISTRICT D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-12-22 00:00:00	120018157	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-24 00:00:00	2022-07-24 00:00:00	No	2023-01-13 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	SQ5E11	N	CA00795224	B	SFY2022-23
120001522	RIVER WALK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-02-07 00:00:00	120018175	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-17 00:00:00	2022-10-17 00:00:00	No	2023-03-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	IQU211	N	CA00807529, CA00807529	B, B	SFY2022-23
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-12-23 00:00:00	120018176	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2022-08-09 00:00:00	2022-08-09 00:00:00	No	2023-01-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U2RI11	N	CA00797392, CA00797392	B, B	SFY2022-23
120001421	GATEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-01-12 00:00:00	120018257	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-12 00:00:00	2022-11-12 00:00:00	No	2023-02-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BNHM11	N	CA00810998, CA00810998, CA00810998, CA00810998, CA00811880, CA00811880	A, A, A, A, B, B	SFY2022-23
120001526	LINDSAY GARDENS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-02-06 00:00:00	120018351	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-28 00:00:00	2022-10-28 00:00:00	No	2023-02-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	H6VD11	N	CA00809304, CA00809304	A, A	SFY2022-23
120001395	BROOKDALE RIVERWALK SNF (CA)	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-04-17 00:00:00	120018448	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-26 00:00:00	2022-10-26 00:00:00	No	2023-05-08 00:00:00	None	A	None	30000	30000	-10500	19500	0	None	LBWL11	N	CA00809209	B	SFY2022-23
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-04-26 00:00:00	120018449	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-21 00:00:00	2022-10-21 00:00:00	No	2023-05-17 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	HMMF11	N	CA00808725, CA00808725	B, B	SFY2022-23
630017642	KERN RIVER TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-05-04 00:00:00	120018461	Open	Citation	Citation B (HSC 1424)	Administration	None	2022-10-13 00:00:00	2022-10-13 00:00:00	Yes	2023-05-25 00:00:00	2023-05-17 00:00:00	B	None	3000	3000	0	0	3000	None	T3RK11	N	CA00806685, CA00807358	B, B	SFY2022-23
630017642	KERN RIVER TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-04-07 00:00:00	120018464	Closed	Citation	Citation B (HSC 1424)	Administration	None	2022-10-13 00:00:00	2022-10-13 00:00:00	Yes	2023-04-28 00:00:00	2023-04-28 00:00:00	B	None	3000	3000	-3000	0	0	None	T3RK11	N	CA00806685, CA00807358	B, B	SFY2022-23
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-05-02 00:00:00	120018502	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-15 00:00:00	2023-01-15 00:00:00	No	2023-05-23 00:00:00	None	A	None	25000	75000	0	0	75000	None	EJBT11	N	CA00821698, CA00821698	B, B	SFY2022-23
120001431	WESTGATE GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-04-13 00:00:00	120018548	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-24 00:00:00	2023-01-24 00:00:00	No	2023-05-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7LBB11	N	CA00821519, CA00821519	B, B	SFY2022-23
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-04-12 00:00:00	120018555	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-12-04 00:00:00	2022-12-04 00:00:00	No	2023-05-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2K0Z11	N	CA00814769, CA00814769, CA00814769, CA00815127, CA00815127, CA00815190, CA00815190	A, A, A, B, B, A, A	SFY2022-23
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-04-12 00:00:00	120018556	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-20 00:00:00	2022-11-20 00:00:00	No	2023-05-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	XX2511	N	CA00813512, CA00813768	A, A	SFY2022-23
630016201	BASQUE SUBACUTE	LTC	CLHF	Congregate Living Health Facility	Bakersfield	2023-04-21 00:00:00	120018612	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-03-24 00:00:00	2023-03-24 00:00:00	No	2023-05-12 00:00:00	None	B	None	1000	1000	-1000	0	0	None	QPZX11	N	None	None	SFY2022-23
630016201	BASQUE SUBACUTE	LTC	CLHF	Congregate Living Health Facility	Bakersfield	2023-04-27 00:00:00	120018614	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-03-14 00:00:00	2023-03-14 00:00:00	Yes	2023-05-18 00:00:00	2023-05-17 00:00:00	B	None	1000	1000	-1000	0	0	None	QPZX11	N	None	None	SFY2022-23
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-05-24 00:00:00	120018666	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-07 00:00:00	2023-03-07 00:00:00	No	2023-06-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WMDC11	N	CA00831361	B	SFY2022-23
630016201	BASQUE SUBACUTE	LTC	CLHF	Congregate Living Health Facility	Bakersfield	2023-05-17 00:00:00	120018690	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-03-13 00:00:00	2023-03-13 00:00:00	Yes	2023-06-08 00:00:00	2023-05-17 00:00:00	B	None	1000	1000	-1000	0	0	None	QPZX11	N	None	None	SFY2022-23
630017518	MACAU SUBACUTE	LTC	CLHF	Congregate Living Health Facility	Bakersfield	2023-06-13 00:00:00	120018692	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-03-10 00:00:00	2023-03-10 00:00:00	No	2023-07-05 00:00:00	None	B	None	1000	1000	-1000	0	0	None	20L911	N	CA00830974	B	SFY2022-23
630017518	MACAU SUBACUTE	LTC	CLHF	Congregate Living Health Facility	Bakersfield	2023-05-23 00:00:00	120018693	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-03-10 00:00:00	2023-03-10 00:00:00	No	2023-06-14 00:00:00	None	WF	None	3000	3000	-3000	0	0	None	20L911	N	CA00830974, CA00830974	B, B	SFY2022-23
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-05-16 00:00:00	120018721	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-17 00:00:00	2023-02-17 00:00:00	No	2023-06-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Y6EZ11	N	CA00827600	B	SFY2022-23
630017518	MACAU SUBACUTE	LTC	CLHF	Congregate Living Health Facility	Bakersfield	2023-06-06 00:00:00	120018779	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2022-06-03 00:00:00	2022-06-03 00:00:00	No	2023-06-27 00:00:00	None	B	None	1000	1000	-1000	0	0	None	7VJG11	N	None	None	SFY2022-23
630016201	BASQUE SUBACUTE	LTC	CLHF	Congregate Living Health Facility	Bakersfield	2023-06-14 00:00:00	120018801	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-10 00:00:00	2023-02-10 00:00:00	No	2023-07-06 00:00:00	None	B	None	1000	1000	-1000	0	0	None	W6NP11	N	CA00827232, CA00827232, CA00827232	B, B, B	SFY2022-23
630016201	BASQUE SUBACUTE	LTC	CLHF	Congregate Living Health Facility	Bakersfield	2023-06-14 00:00:00	120018802	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-10 00:00:00	2023-02-10 00:00:00	No	2023-07-06 00:00:00	None	B	None	1000	1000	-1000	0	0	None	W6NP11	N	CA00827232, CA00827232	B, B	SFY2022-23
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-06-21 00:00:00	120018811	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-03 00:00:00	2023-04-03 00:00:00	No	2023-07-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	G8L311	N	CA00834011	B	SFY2022-23
120001408	TULARE HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-06-21 00:00:00	120018834	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-25 00:00:00	2023-04-25 00:00:00	No	2023-07-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	GB4F11	N	CA00836285, CA00836314	B, B	SFY2022-23
630012057	GRAND OAKS CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-07-18 00:00:00	120018882	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-09 00:00:00	2023-03-09 00:00:00	No	2023-08-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	6LV111	N	CA00830905, CA00830905	B, B	SFY2023-24
630012057	GRAND OAKS CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-07-19 00:00:00	120018886	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-03 00:00:00	2023-04-03 00:00:00	No	2023-08-09 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	6LV111	N	CA00834577	B	SFY2023-24
120000826	LOYD'S LIBERTY HOMES, INC. - IRONWOOD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2023-07-11 00:00:00	120018909	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-22 00:00:00	2023-03-22 00:00:00	No	2023-08-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WDD411	N	CA00836879, CA00836879	B, B	SFY2023-24
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-10-17 00:00:00	120018958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-10 00:00:00	2023-04-10 00:00:00	No	2023-11-07 00:00:00	None	B	None	3000	3000	0	3000	0	None	0MJI11	N	CA00839572	B	SFY2023-24
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-08-15 00:00:00	120018959	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-23 00:00:00	2023-06-23 00:00:00	No	2023-09-06 00:00:00	None	B	None	3000	3000	0	3000	0	None	N5Z011	N	CA00847025	A	SFY2023-24
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-08-29 00:00:00	120019036	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-24 00:00:00	2023-06-24 00:00:00	No	2023-09-20 00:00:00	None	B	None	3000	3750	0	0	3750	None	XCD811	N	CA00847700, CA00847701	B, B	SFY2023-24
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-09-21 00:00:00	120019051	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-06 00:00:00	2023-07-06 00:00:00	No	2023-10-12 00:00:00	None	B	None	3000	4300	-1050	1950	1300	None	IBFM11	N	CA00848779, CA00848779	A, A	SFY2023-24
120001449	KAWEAH HEALTH SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-10-03 00:00:00	120019053	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-26 00:00:00	2023-04-26 00:00:00	No	2023-10-24 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	WPOM11	N	CA00839179	B	SFY2023-24
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-09-06 00:00:00	120019075	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-08 00:00:00	2023-06-08 00:00:00	No	2023-09-27 00:00:00	None	B	None	3000	3000	0	3000	0	None	QHYJ11	N	CA00844621	B	SFY2023-24
120000339	LOYD'S LIBERTY HOMES, INC. - NEWPORT HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2023-09-19 00:00:00	120019117	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-06-13 00:00:00	2023-06-13 00:00:00	No	2023-10-10 00:00:00	None	B	None	3000	3000	0	3000	0	None	X8UO11	N	CA00845943	B	SFY2023-24
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-10-25 00:00:00	120019134	Closed	Citation	Citation A (HSC 1424)	Other	Free of Accident Hazards/	2023-07-04 00:00:00	2023-07-04 00:00:00	No	2023-11-16 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	RK0G11	N	CA00848742, CA00848874	B, B	SFY2023-24
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-11-08 00:00:00	120019150	Closed	Citation	Citation A (HSC 1424)	Other	Inappropriate Discharge	2023-07-22 00:00:00	2023-07-22 00:00:00	No	2023-12-04 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	QXI211	N	CA00852144	B	SFY2023-24
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-12-20 00:00:00	120019365	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-22 00:00:00	2023-07-22 00:00:00	No	2024-01-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OGVF11	N	CA00851896, CA00852696	B, B	SFY2023-24
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-12-12 00:00:00	120019431	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-30 00:00:00	2023-08-30 00:00:00	No	2024-01-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	T2A711	N	CA00861826, CA00862904, CA00862905	B, B, B	SFY2023-24
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-12-15 00:00:00	120019437	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-10-09 00:00:00	2023-10-09 00:00:00	No	2024-01-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	XQKL11	N	CA00864641	A	SFY2023-24
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-01-16 00:00:00	120019454	Closed	Citation	Citation A (HSC 1424)	Other	Accident-Fall With Injury	2023-08-27 00:00:00	2023-08-27 00:00:00	No	2024-02-06 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	XRSO11	N	CA00860098	B	SFY2023-24
120000390	LOYD'S LIBERTY HOMES, INC. - WOODLAKE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2024-01-12 00:00:00	120019511	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-10 00:00:00	2023-09-10 00:00:00	No	2024-02-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	XPRW11	N	CA00860702	A	SFY2023-24
630017642	KERN RIVER TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-04-16 00:00:00	120019780	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Abusefailtoreport/prevent	2023-09-19 00:00:00	2023-09-19 00:00:00	No	2024-05-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FUEH11	N	CA00866219, CA00866384	A, A	SFY2023-24
630017642	KERN RIVER TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-03-12 00:00:00	120019784	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-19 00:00:00	2023-09-19 00:00:00	No	2024-04-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	FUEH11	N	CA00866219, CA00866384	A, A	SFY2023-24
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-03-15 00:00:00	120019794	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-02 00:00:00	2023-11-02 00:00:00	No	2024-04-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Q8YQ11	N	CA00871548, CA00873414, CA00878046	B, B, B	SFY2023-24
120000399	ADVENTIST HEALTH DELANO D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-03-15 00:00:00	120019795	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-09 00:00:00	2023-11-09 00:00:00	No	2024-04-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CUXL11	N	CA00869208, CA00869208, CA00880306	A, A, B	SFY2023-24
630017642	KERN RIVER TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-03-12 00:00:00	120019809	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-25 00:00:00	2023-09-25 00:00:00	No	2024-04-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	FUEH11	N	CA00863371, CA00863371	B, B	SFY2023-24
630017642	KERN RIVER TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-03-12 00:00:00	120019814	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-21 00:00:00	2023-09-21 00:00:00	No	2024-04-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	FUEH11	N	CA00863045	A	SFY2023-24
120000840	WHITE LANE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2024-04-22 00:00:00	120019912	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-07 00:00:00	2023-12-07 00:00:00	No	2024-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	SRJ411	N	CA00873904	B	SFY2023-24
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-04-19 00:00:00	120020007	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-19 00:00:00	2023-11-19 00:00:00	No	2024-05-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CP3911	N	CA00871467	B	SFY2023-24
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2024-05-22 00:00:00	120020094	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-17 00:00:00	2024-02-17 00:00:00	No	2024-06-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D21P11	N	CA00885600	A	SFY2023-24
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2024-05-22 00:00:00	120020174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-17 00:00:00	2024-02-17 00:00:00	No	2024-06-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D21P11	N	CA00885600	A	SFY2023-24
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2024-05-22 00:00:00	120020175	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-17 00:00:00	2024-02-17 00:00:00	No	2024-06-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D21P11	N	CA00885600	A	SFY2023-24
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2024-05-22 00:00:00	120020176	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-17 00:00:00	2024-02-17 00:00:00	No	2024-06-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D21P11	N	CA00885600	A	SFY2023-24
120000684	LOYD'S LIBERTY HOMES, INC. - KROLL WAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2024-05-22 00:00:00	120020177	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-17 00:00:00	2024-02-17 00:00:00	No	2024-06-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D21P11	N	CA00885600	A	SFY2023-24
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-05-29 00:00:00	120020184	Closed	Citation	Citation B (HSC 1424)	Other	Admission, Discharge, Tra	2024-02-08 00:00:00	2024-02-08 00:00:00	No	2024-06-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Z58Q11	N	CA00883849	A	SFY2023-24
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-06-05 00:00:00	120020246	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-25 00:00:00	2024-03-25 00:00:00	No	2024-06-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	AS9T11	N	CA00888149, CA00888732	B, B	SFY2023-24
120000373	ARVIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-06-27 00:00:00	120020311	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-07 00:00:00	2024-04-07 00:00:00	No	2024-07-19 00:00:00	None	B	None	3000	3000	0	0	3000	None	Y65011	N	CA00892606, CA00893504, CA00893504	B, B, B	SFY2023-24
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-06-27 00:00:00	120020331	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-24 00:00:00	2023-12-24 00:00:00	No	2024-07-19 00:00:00	None	B	None	3000	3000	0	0	3000	None	KYO011	N	CA00886507	A	SFY2023-24
140000121	WILLOW PASS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	1999-08-11 00:00:00	140002391	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-07-09 00:00:00	None	Yes	1999-09-07 00:00:00	1999-08-13 00:00:00	B	None	600	600	-600	0	0	140010297	A99999	N	None	None	SFY1999-00
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	1999-08-25 00:00:00	140002409	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-04-16 00:00:00	1999-05-18 00:00:00	No	1999-09-21 00:00:00	None	B	None	1000	1000	-1000	0	0	140010353	A99999	N	None	None	SFY1999-00
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	1999-08-25 00:00:00	140002410	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-04-29 00:00:00	1999-05-18 00:00:00	No	1999-09-21 00:00:00	None	B	None	1000	1000	-1000	0	0	140010353	A99999	N	None	None	SFY1999-00
140000121	WILLOW PASS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	1999-10-13 00:00:00	140002440	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-02 00:00:00	1999-09-03 00:00:00	No	1999-11-10 00:00:00	None	B	None	600	600	-600	0	0	140010601	A99999	N	None	None	SFY1999-00
140000121	WILLOW PASS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	1999-11-22 00:00:00	140002454	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-03 00:00:00	1999-10-10 00:00:00	No	1999-12-17 00:00:00	None	B	None	600	1800	-1800	0	0	140010777	A99999	N	None	None	SFY1999-00
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	1999-12-03 00:00:00	140002461	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-04-06 00:00:00	1999-08-01 00:00:00	No	2000-01-03 00:00:00	None	A	None	8000	8000	-8000	0	0	140010857	A99999	N	None	None	SFY1999-00
140000038	GREENRIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-27 00:00:00	140002479	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1999-10-25 00:00:00	None	No	2000-02-22 00:00:00	None	AA	None	25000	25700	0	25700	0	140011196	A99999	Y	None	None	SFY1999-00
140000769	ALTA BATES SUMMIT MEDICAL CENTER-SUMMIT CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2000-02-09 00:00:00	140002484	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-20 00:00:00	None	No	2000-03-03 00:00:00	None	B	None	750	750	-262.5	487.5	0	140011267	A99999	N	None	None	SFY1999-00
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-02-10 00:00:00	140002485	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-14 00:00:00	1999-08-18 00:00:00	Yes	2000-03-14 00:00:00	2000-02-18 00:00:00	A	A	7000	7000	-5110	1890	0	140011272	A99999	N	None	None	SFY1999-00
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-02-11 00:00:00	140002487	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-30 00:00:00	None	No	2000-03-08 00:00:00	None	B	B	1000	1000	-900	100	0	140011320	A99999	N	None	None	SFY1999-00
140001126	TICE VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-02-16 00:00:00	140002488	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-08 00:00:00	2000-01-11 00:00:00	No	2000-03-17 00:00:00	None	B	None	1000	1000	0	1000	0	140011331	A99999	N	None	None	SFY1999-00
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-01 00:00:00	140002490	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-07-07 00:00:00	None	No	2000-03-27 00:00:00	None	B	None	750	750	-262.5	487.5	0	140011395	A99999	N	None	None	SFY1999-00
140000759	BAYWOOD COURT D/P SNF OF EDEN HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-02 00:00:00	140002491	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-08-18 00:00:00	None	No	2000-03-29 00:00:00	None	B	None	800	800	0	800	0	140011409	A99999	N	None	None	SFY1999-00
140000759	BAYWOOD COURT D/P SNF OF EDEN HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-02 00:00:00	140002493	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	1999-12-01 00:00:00	None	No	2000-03-30 00:00:00	None	B	None	1000	1000	0	1000	0	140011423	A99999	N	None	None	SFY1999-00
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-17 00:00:00	140002498	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-05-17 00:00:00	None	Yes	2000-04-14 00:00:00	2000-03-27 00:00:00	A	A	6000	6000	-4380	1620	0	140011474	A99999	N	None	None	SFY1999-00
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-23 00:00:00	140002500	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-21 00:00:00	1999-12-27 00:00:00	Yes	2000-04-18 00:00:00	2000-04-11 00:00:00	A	A Trebled	8000	24000	-16520	7480	0	140011496	A99999	N	None	None	SFY1999-00
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-05 00:00:00	140002507	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-06-28 00:00:00	1999-10-08 00:00:00	No	2000-05-01 00:00:00	None	A	None	8000	24000	-24000	0	0	140011550	A99999	N	None	None	SFY1999-00
140000009	ELM MANOR CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-05 00:00:00	140002508	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-21 00:00:00	None	Yes	2000-04-28 00:00:00	2000-04-17 00:00:00	A	A	7500	6000	0	6000	0	140011552	A99999	N	None	None	SFY1999-00
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-05 00:00:00	140002509	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-24 00:00:00	None	Yes	2000-04-28 00:00:00	2000-04-14 00:00:00	A	A	8000	4000	0	4000	0	140011553	A99999	N	None	None	SFY1999-00
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-14 00:00:00	140002511	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-01-09 00:00:00	None	Yes	2000-05-09 00:00:00	2000-04-21 00:00:00	AA	A	25000	14000	0	14000	0	140011598	A99999	Y	None	None	SFY1999-00
140000507	ALTA BATES SUMMIT MEDICAL CENTER-HERRICK CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-08 00:00:00	140002516	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1999-10-11 00:00:00	None	No	2000-05-31 00:00:00	None	AA	None	20000	20000	-7000	13000	0	140011679	A99999	Y	None	None	SFY1999-00
140000051	LA CASA VIA TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-11 00:00:00	140002517	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-30 00:00:00	None	No	2000-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	140011702	A99999	N	None	None	SFY1999-00
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-15 00:00:00	140002518	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-19 00:00:00	None	No	2000-06-07 00:00:00	None	B	None	900	900	-315	585	0	140011709	A99999	N	None	None	SFY1999-00
140000038	GREENRIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-25 00:00:00	140002520	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-06 00:00:00	None	No	2000-06-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	140011746	A99999	N	None	None	SFY1999-00
140000051	LA CASA VIA TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-25 00:00:00	140002521	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-23 00:00:00	2000-04-03 00:00:00	No	2000-06-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	140011747	A99999	N	None	None	SFY1999-00
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-31 00:00:00	140002525	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-04-13 00:00:00	None	Yes	2000-06-23 00:00:00	2000-06-13 00:00:00	B	B	1000	612	0	612	0	140011764	A99999	N	None	None	SFY1999-00
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-31 00:00:00	140002527	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-13 00:00:00	None	No	2000-06-27 00:00:00	None	B	None	1000	1000	-1000	0	0	140011771	A99999	N	None	None	SFY1999-00
140000051	LA CASA VIA TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-06-07 00:00:00	140002528	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-21 00:00:00	None	No	2000-06-30 00:00:00	None	A	None	10000	30000	-10500	19500	0	140011796	A99999	N	None	None	SFY1999-00
140000130	DANVILLE POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	East Bay	2000-08-18 00:00:00	140002537	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-16 00:00:00	1999-11-17 00:00:00	Yes	2001-05-25 00:00:00	2000-08-22 00:00:00	A	A	5000	5050	0	5050	0	140012062	A99999	N	None	None	SFY2000-01
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-08-21 00:00:00	140002538	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-03-14 00:00:00	2000-03-31 00:00:00	No	2000-09-13 00:00:00	None	B	None	750	750	-262.5	487.5	0	140012068	A99999	N	None	None	SFY2000-01
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-08-21 00:00:00	140002539	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-05-15 00:00:00	2000-05-16 00:00:00	No	2000-09-13 00:00:00	None	WF	None	750	750	-262.5	487.5	0	140012069	A99999	None	None	None	SFY2000-01
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-08-29 00:00:00	140002542	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-27 00:00:00	None	No	2000-09-19 00:00:00	None	A	None	8000	8000	-2800	5200	0	140012121	A99999	N	None	None	SFY2000-01
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-07 00:00:00	140002548	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-07-01 00:00:00	None	Yes	2000-10-02 00:00:00	2000-10-02 00:00:00	A	A Trebled	8000	24000	-16520	7480	0	140012175	A99999	N	None	None	SFY2000-01
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-13 00:00:00	140002550	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2000-04-10 00:00:00	None	No	2000-10-04 00:00:00	None	A	B	6000	3200	0	3200	0	140012215	A99999	N	None	None	SFY2000-01
140000121	WILLOW PASS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-18 00:00:00	140002551	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-13 00:00:00	None	No	2000-10-13 00:00:00	None	B	None	1000	1000	-1000	0	0	140012216	A99999	N	None	None	SFY2000-01
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-15 00:00:00	140002552	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-11 00:00:00	None	No	2000-10-12 00:00:00	None	A	None	10000	10600	-3500	7100	0	140012218	A99999	N	None	None	SFY2000-01
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-15 00:00:00	140002553	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-16 00:00:00	None	No	2000-10-12 00:00:00	None	A	None	6000	6700	-2100	4600	0	140012220	A99999	N	None	None	SFY2000-01
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-15 00:00:00	140002554	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2000-02-03 00:00:00	None	No	2000-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	140012239	A99999	N	None	None	SFY2000-01
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-18 00:00:00	140002555	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-25 00:00:00	None	No	2000-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	140012240	A99999	N	None	None	SFY2000-01
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-18 00:00:00	140002556	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-04 00:00:00	None	No	2000-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	140012246	A99999	N	None	None	SFY2000-01
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-21 00:00:00	140002558	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-25 00:00:00	2000-03-06 00:00:00	No	2000-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	140012258	A99999	N	None	None	SFY2000-01
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-20 00:00:00	140002559	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-01-28 00:00:00	None	No	2000-10-13 00:00:00	None	B	None	750	750	-262.5	487.5	0	140012264	A99999	N	None	None	SFY2000-01
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-20 00:00:00	140002560	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-31 00:00:00	2000-01-28 00:00:00	No	2000-10-13 00:00:00	None	B	None	600	600	-210	390	0	140012266	A99999	N	None	None	SFY2000-01
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-20 00:00:00	140002561	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-01-28 00:00:00	None	No	2000-10-13 00:00:00	None	B	None	600	600	-210	390	0	140012271	A99999	N	None	None	SFY2000-01
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-21 00:00:00	140002562	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-03-17 00:00:00	2000-05-04 00:00:00	Yes	2000-10-20 00:00:00	2000-10-19 00:00:00	A	A	7500	3500	0	3500	0	140012274	A99999	N	None	None	SFY2000-01
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-21 00:00:00	140002563	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-15 00:00:00	2000-01-10 00:00:00	No	2000-10-17 00:00:00	None	A	B	5000	3250	0	3250	0	140012276	A99999	N	None	None	SFY2000-01
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-10-10 00:00:00	140002567	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1998-12-09 00:00:00	1999-11-02 00:00:00	No	2000-11-06 00:00:00	None	A	None	10000	10000	0	10000	0	140012360	A99999	N	None	None	SFY2000-01
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-10-05 00:00:00	140002568	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-15 00:00:00	2000-05-16 00:00:00	No	2000-11-06 00:00:00	None	A	None	5000	5000	-1750	3250	0	140012364	A99999	N	None	None	SFY2000-01
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-10-19 00:00:00	140002571	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-30 00:00:00	1999-12-24 00:00:00	No	2000-11-14 00:00:00	None	A	None	5000	5000	-1750	3250	0	140012441	A99999	N	None	None	SFY2000-01
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2000-10-23 00:00:00	140002573	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-30 00:00:00	None	No	2000-11-17 00:00:00	None	B	None	500	500	0	500	0	140012450	A99999	N	None	None	SFY2000-01
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-01-24 00:00:00	140002586	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-26 00:00:00	None	No	2001-02-20 00:00:00	None	B	B	1000	1000	-900	100	0	140012900	A99999	N	None	None	SFY2000-01
140000138	CREEKSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-01-26 00:00:00	140002588	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-27 00:00:00	None	Yes	2001-02-27 00:00:00	2001-02-05 00:00:00	A	A	7000	7000	-5110	1890	0	140012919	A99999	N	None	None	SFY2000-01
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-06-05 00:00:00	140002605	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-11 00:00:00	2000-12-31 00:00:00	Yes	2001-06-28 00:00:00	2001-06-22 00:00:00	A	A	15000	15000	-10950	4050	0	140012976	A99999	N	None	None	SFY2000-01
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-06-05 00:00:00	140002606	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-01-20 00:00:00	2001-02-12 00:00:00	Yes	2001-06-28 00:00:00	2001-06-22 00:00:00	A	A	15000	15000	-10950	4050	0	140013523	A99999	N	None	None	SFY2000-01
140000138	CREEKSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-06-22 00:00:00	140002607	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-21 00:00:00	None	Yes	2001-07-24 00:00:00	2001-06-25 00:00:00	A	A Trebled	7000	21000	-14897	6103	0	140013194	A99999	N	None	None	SFY2000-01
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-02 00:00:00	140002608	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-17 00:00:00	None	Yes	2001-08-31 00:00:00	2001-08-22 00:00:00	A	B	10000	5000	0	5000	0	140013737	A99999	N	None	None	SFY2001-02
140001277	SANTA ROSA MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-04-11 00:00:00	140002612	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/ABUSE	2000-03-12 00:00:00	None	Yes	2000-05-02 00:00:00	2000-04-27 00:00:00	B	B	1000	1000	0	1000	0	140013895	A99999	N	None	None	SFY1999-00
140001277	SANTA ROSA MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-12-15 00:00:00	140002613	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-16 00:00:00	None	No	2001-01-05 00:00:00	None	A	None	5000	5000	-1750	3250	0	140013897	A99999	N	None	None	SFY2000-01
140001278	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-21 00:00:00	140002615	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-01-13 00:00:00	2000-01-22 00:00:00	No	2000-10-19 00:00:00	None	AA	None	25000	25000	-8750	16250	0	140013924	A99999	Y	None	None	SFY2000-01
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-24 00:00:00	140002616	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-05-30 00:00:00	None	Yes	2001-09-20 00:00:00	2001-08-24 00:00:00	AA	A	60000	37100	0	37100	0	140013970	A99999	Y	None	None	SFY2001-02
140000078	TAMPICO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-25 00:00:00	140002617	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-21 00:00:00	None	No	2002-02-20 00:00:00	None	A	None	15000	15000	-5250	9750	0	140014260	A99999	N	None	None	SFY2001-02
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-02-28 00:00:00	140002618	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-07 00:00:00	None	No	2002-03-25 00:00:00	None	A	A	15000	9750	0	9750	0	140013487	A99999	N	None	None	SFY2001-02
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-02-28 00:00:00	140002619	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-02 00:00:00	None	No	2002-03-25 00:00:00	None	A	A	12500	8125	0	8125	0	140014308	A99999	N	None	None	SFY2001-02
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-04 00:00:00	140002620	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-24 00:00:00	None	No	2002-04-02 00:00:00	None	B	B	600	390	0	390	0	140014314	A99999	N	None	None	SFY2001-02
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-04 00:00:00	140002621	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-15 00:00:00	None	No	2002-03-25 00:00:00	None	B	None	750	750	-262.5	487.5	0	140014316	A99999	N	None	None	SFY2001-02
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-04 00:00:00	140002622	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-01 00:00:00	None	No	2002-04-02 00:00:00	None	B	B	1000	650	0	650	0	140014319	A99999	N	None	None	SFY2001-02
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-06-14 00:00:00	140002623	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-04 00:00:00	2001-11-04 00:00:00	No	2002-07-10 00:00:00	None	B	None	600	600	-210	390	0	140014568	A99999	N	None	None	SFY2001-02
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2002-06-17 00:00:00	140002624	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-08 00:00:00	2001-12-08 00:00:00	No	2002-07-11 00:00:00	None	B	None	600	600	0	600	0	140014569	A99999	N	None	None	SFY2001-02
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-07-17 00:00:00	140002625	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-25 00:00:00	None	No	2002-08-12 00:00:00	None	B	None	600	600	-210	390	0	140013973	A99999	N	None	None	SFY2002-03
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-07-19 00:00:00	140002626	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-21 00:00:00	None	No	2002-08-09 00:00:00	None	A	None	15000	15000	-5250	9750	0	140013996	A99999	N	None	None	SFY2002-03
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-07-22 00:00:00	140002627	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-06 00:00:00	None	Yes	2002-08-20 00:00:00	2002-07-26 00:00:00	A	A	15000	3500	0	3500	0	140014669	A99999	N	None	None	SFY2002-03
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-08-12 00:00:00	140002628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-03 00:00:00	None	No	2002-09-09 00:00:00	None	B	None	750	750	-262.5	487.5	0	140013437	A99999	N	None	None	SFY2002-03
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-08-20 00:00:00	140002629	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-07 00:00:00	None	No	2002-09-13 00:00:00	None	B	None	750	750	0	750	0	140014498	A99999	N	None	None	SFY2002-03
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-08-22 00:00:00	140002630	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-22 00:00:00	None	No	2002-09-18 00:00:00	None	B	None	500	500	-500	0	0	140014789	A99999	N	None	None	SFY2002-03
140000121	WILLOW PASS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-10-04 00:00:00	140002631	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-06 00:00:00	None	No	2002-11-01 00:00:00	None	B	None	750	750	0	750	0	140014288	A99999	N	None	None	SFY2002-03
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-11-08 00:00:00	140002632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-21 00:00:00	None	Yes	2002-12-10 00:00:00	2002-11-19 00:00:00	B	B	750	750	0	750	0	140014605	A99999	N	None	None	SFY2002-03
140000121	WILLOW PASS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-11-22 00:00:00	140002633	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-27 00:00:00	None	No	2002-12-23 00:00:00	None	B	None	700	700	0	700	0	140014001	A99999	N	None	None	SFY2002-03
140000038	GREENRIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-12-02 00:00:00	140002634	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-26 00:00:00	None	No	2002-12-30 00:00:00	None	B	None	600	600	0	600	0	140015053	A99999	N	None	None	SFY2002-03
140001291	AVONDALE VILLA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-30 00:00:00	140002659	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-10 00:00:00	None	No	2000-06-23 00:00:00	None	B	None	750	750	-262.5	487.5	0	140015130	A99999	N	None	None	SFY1999-00
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-02-14 00:00:00	140002660	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-21 00:00:00	None	Yes	2003-03-18 00:00:00	2003-02-25 00:00:00	B	None	700	700	0	700	0	140015297	A99999	N	None	None	SFY2002-03
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-03-04 00:00:00	140002661	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-30 00:00:00	None	No	2003-04-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	140015345	A99999	N	None	None	SFY2002-03
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-03-04 00:00:00	140002662	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-31 00:00:00	None	No	2003-04-01 00:00:00	None	B	None	500	500	-175	325	0	140015346	A99999	N	None	None	SFY2002-03
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-03-10 00:00:00	140002663	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-27 00:00:00	None	No	2003-04-08 00:00:00	None	B	None	700	700	-245	455	0	140015366	A99999	N	None	None	SFY2002-03
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-03-20 00:00:00	140002664	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-09-12 00:00:00	None	Yes	2003-04-15 00:00:00	2003-03-26 00:00:00	AA	AA	75000	30000	0	30000	0	140015371	A99999	Y	None	None	SFY2002-03
140001278	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-20 00:00:00	140002665	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2002-12-12 00:00:00	None	No	2003-04-14 00:00:00	None	A	None	5000	5000	-1750	3250	0	140015375	A99999	N	None	None	SFY2002-03
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-03-21 00:00:00	140002666	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-20 00:00:00	None	Yes	2003-04-16 00:00:00	2003-04-08 00:00:00	B	None	700	1800	0	1800	0	140015394	A99999	N	None	None	SFY2002-03
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-03-21 00:00:00	140002667	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-06-13 00:00:00	None	No	2003-04-16 00:00:00	None	B	None	1000	1000	-350	650	0	140015395	A99999	N	None	None	SFY2002-03
140000574	ALHAMBRA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-01 00:00:00	140002668	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-05 00:00:00	None	No	2003-04-24 00:00:00	None	B	None	600	600	-210	390	0	140015417	A99999	N	None	None	SFY2002-03
140000121	WILLOW PASS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-04 00:00:00	140002669	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-29 00:00:00	2001-05-03 00:00:00	No	2003-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	140015425	A99999	N	None	None	SFY2002-03
140000759	BAYWOOD COURT D/P SNF OF EDEN HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-04 00:00:00	140002670	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-28 00:00:00	None	No	2003-04-29 00:00:00	None	B	None	500	500	-175	325	0	140015426	A99999	N	None	None	SFY2002-03
140000023	BAYBERRY SKILLED NURSING & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-03 00:00:00	140002671	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-01-23 00:00:00	2001-02-12 00:00:00	Yes	2003-04-28 00:00:00	2003-04-03 00:00:00	A	A	10000	10000	0	10000	0	140015427	A99999	N	None	None	SFY2002-03
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-11 00:00:00	140002672	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-16 00:00:00	None	No	2003-05-07 00:00:00	None	B	None	600	600	-210	390	0	140015435	A99999	N	None	None	SFY2002-03
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-11 00:00:00	140002673	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-20 00:00:00	None	No	2003-05-02 00:00:00	None	B	None	600	600	-210	390	0	140015440	A99999	N	None	None	SFY2002-03
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-29 00:00:00	140002674	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-13 00:00:00	None	No	2003-05-20 00:00:00	None	A	None	10000	10000	-3500	6500	0	140015496	A99999	N	None	None	SFY2002-03
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-05-01 00:00:00	140002675	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-12 00:00:00	2002-12-29 00:00:00	No	2003-05-22 00:00:00	None	A	None	15000	15000	-5250	9750	0	140015509	A99999	N	None	None	SFY2002-03
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-05-06 00:00:00	140002676	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-05 00:00:00	None	Yes	2003-09-16 00:00:00	2003-05-19 00:00:00	B	B	500	500	0	500	0	140015515	A99999	N	None	None	SFY2002-03
140001126	TICE VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-05-28 00:00:00	140002677	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-28 00:00:00	None	Yes	2003-06-23 00:00:00	2003-06-04 00:00:00	A	A	20000	12000	0	12000	0	140015580	A99999	N	None	None	SFY2002-03
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-06-23 00:00:00	140002678	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-28 00:00:00	None	No	2003-07-22 00:00:00	None	B	None	500	500	-175	325	0	140015630	A99999	N	None	None	SFY2002-03
140000078	TAMPICO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-06-24 00:00:00	140002679	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-24 00:00:00	None	No	2003-07-21 00:00:00	None	B	None	1000	1000	-350	650	0	140015634	A99999	N	None	None	SFY2002-03
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-07-09 00:00:00	140002680	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-25 00:00:00	None	No	2003-08-01 00:00:00	None	B	None	1000	1000	-350	650	0	140015673	A99999	N	None	None	SFY2003-04
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2003-07-24 00:00:00	140002681	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-09 00:00:00	None	Yes	2004-01-30 00:00:00	2003-08-05 00:00:00	B	B	1000	1000	0	1000	0	140015732	A99999	N	None	None	SFY2003-04
140000136	CONCORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-08-06 00:00:00	140002682	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-04 00:00:00	2003-06-04 00:00:00	Yes	2003-08-29 00:00:00	2003-08-15 00:00:00	B	B	1000	1000	0	1000	0	140015773	A99999	N	None	None	SFY2003-04
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-08-15 00:00:00	140002683	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-06 00:00:00	None	No	2003-09-08 00:00:00	None	B	None	600	1800	-630	1170	0	140015808	A99999	N	None	None	SFY2003-04
140000122	THE VINEYARDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-08-25 00:00:00	140002684	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-06 00:00:00	None	No	2003-09-23 00:00:00	None	B	None	1000	1000	-350	650	0	140015840	A99999	N	None	None	SFY2003-04
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-09-10 00:00:00	140002685	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-30 00:00:00	None	No	2003-10-09 00:00:00	None	B	None	600	1800	-630	1170	0	140015893	A99999	N	None	None	SFY2003-04
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-09-10 00:00:00	140002686	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-21 00:00:00	None	No	2003-10-09 00:00:00	None	B	None	600	1800	-630	1170	0	140015894	A99999	N	None	None	SFY2003-04
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2003-10-06 00:00:00	140002687	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-12 00:00:00	None	No	2003-10-31 00:00:00	None	B	None	900	900	0	900	0	140015982	A99999	N	None	None	SFY2003-04
140000769	ALTA BATES SUMMIT MEDICAL CENTER-SUMMIT CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2003-10-10 00:00:00	140002688	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-23 00:00:00	None	No	2003-11-10 00:00:00	None	B	None	1000	1000	-350	650	0	140015988	A99999	N	None	None	SFY2003-04
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-10-15 00:00:00	140002689	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-28 00:00:00	None	Yes	2004-02-03 00:00:00	2003-10-20 00:00:00	B	B	1000	1000	0	1000	0	140015992	A99999	N	None	None	SFY2003-04
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-10-20 00:00:00	140002690	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-22 00:00:00	None	No	2003-11-10 00:00:00	None	B	None	1000	1000	-350	650	0	140016009	A99999	N	None	None	SFY2003-04
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-10-24 00:00:00	140002691	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-30 00:00:00	None	Yes	2003-11-24 00:00:00	2003-10-28 00:00:00	A	A	10000	3500	0	3500	0	140016016	A99999	N	None	None	SFY2003-04
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-01-22 00:00:00	140002692	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-11-04 00:00:00	None	No	2004-02-25 00:00:00	None	B	None	600	600	-210	390	0	140016187	A99999	N	None	None	SFY2003-04
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-02-25 00:00:00	140002693	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-06 00:00:00	None	Yes	2007-11-08 00:00:00	2004-03-08 00:00:00	B	B	1000	1000	0	1000	0	140016257	A99999	N	None	None	SFY2003-04
140001314	NEW WAY ICF/DD-H #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-08-21 00:00:00	140002698	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-06-03 00:00:00	2001-06-06 00:00:00	Yes	2002-01-30 00:00:00	2002-01-14 00:00:00	A	B	10000	7500	0	7500	0	140016374	A99999	N	None	None	SFY2001-02
140001314	NEW WAY ICF/DD-H #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-09-12 00:00:00	140002699	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-07-24 00:00:00	None	No	2003-10-08 00:00:00	None	B	None	500	500	-175	325	0	140016385	A99999	N	None	None	SFY2003-04
140001316	YOSEMITE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-03-11 00:00:00	140002700	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-01 00:00:00	2001-12-31 00:00:00	No	2002-04-10 00:00:00	None	B	None	500	500	-175	325	0	140016415	A99999	N	None	None	SFY2001-02
140001316	YOSEMITE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-04-25 00:00:00	140002701	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-11 00:00:00	None	No	2002-05-21 00:00:00	None	B	None	500	1500	-525	975	0	140016418	A99999	N	None	None	SFY2001-02
140001320	GLACIER WAY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2000-09-06 00:00:00	140002708	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2000-03-26 00:00:00	None	Yes	2001-01-05 00:00:00	2000-12-18 00:00:00	AA	A	25000	16250	0	16250	0	140016499	A99999	Y	None	None	SFY2000-01
140001332	HAPPY VALLEY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-03-20 00:00:00	140002719	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-02-19 00:00:00	None	No	2003-04-16 00:00:00	None	B	None	500	500	-175	325	0	140016727	A99999	N	None	None	SFY2002-03
140001338	WINGS I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2000-01-14 00:00:00	140002721	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-28 00:00:00	1999-09-29 00:00:00	Yes	2000-02-04 00:00:00	2001-03-20 00:00:00	A	Drop>Deficiency	6000	1000	0	1000	0	140016797	A99999	N	None	None	SFY1999-00
140001342	HAPPY VALLEY ICF/DD-H #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-08-27 00:00:00	140002722	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-16 00:00:00	2001-05-16 00:00:00	No	2001-09-18 00:00:00	None	B	None	500	500	-175	325	0	140016853	A99999	N	None	None	SFY2001-02
140001344	PUTNAM ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-05-15 00:00:00	140002723	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-08 00:00:00	None	Yes	2001-09-25 00:00:00	2001-05-25 00:00:00	B	B	250	250	0	250	0	140016872	A99999	N	None	None	SFY2000-01
140001344	PUTNAM ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-12-19 00:00:00	140002724	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-21 00:00:00	2003-10-24 00:00:00	No	2004-01-14 00:00:00	None	B	B	700	700	0	700	0	140016886	A99999	N	None	None	SFY2003-04
140001346	MEADOWBROOK CIRCLE ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-09-25 00:00:00	140002725	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-22 00:00:00	None	No	2001-10-19 00:00:00	None	B	None	500	500	-175	325	0	140016906	A99999	N	None	None	SFY2001-02
140001346	MEADOWBROOK CIRCLE ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-07-03 00:00:00	140002726	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-15 00:00:00	None	No	2002-07-30 00:00:00	None	B	None	750	750	-262.5	487.5	0	140016914	A99999	N	None	None	SFY2002-03
140001348	FRANCISCO ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-05-29 00:00:00	140002727	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-06 00:00:00	None	Yes	2001-09-25 00:00:00	2001-05-31 00:00:00	B	B	500	500	0	500	0	140016935	A99999	N	None	None	SFY2000-01
140001350	HAPPY VALLEY #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-01-19 00:00:00	140002728	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-04-05 00:00:00	2000-12-22 00:00:00	Yes	2001-07-09 00:00:00	2001-01-20 00:00:00	B	B	800	800	0	800	0	140016953	A99999	N	None	None	SFY2000-01
140001352	SAN JUAN ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-09-02 00:00:00	140002729	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-12 00:00:00	None	No	2003-09-26 00:00:00	None	B	None	800	800	-280	520	0	140016992	A99999	N	None	None	SFY2003-04
140001352	SAN JUAN ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-11-03 00:00:00	140002730	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-09 00:00:00	None	Yes	2003-11-25 00:00:00	2003-11-14 00:00:00	B	B	650	650	0	650	0	140016993	A99999	N	None	None	SFY2003-04
140001354	PUTNAM WEST ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-07-17 00:00:00	140002731	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-27 00:00:00	None	No	2003-08-18 00:00:00	None	B	None	700	700	-245	455	0	140017024	A99999	N	None	None	SFY2003-04
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-06-07 00:00:00	140002732	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-10-13 00:00:00	2003-11-09 00:00:00	No	2004-06-30 00:00:00	None	A	None	5000	5000	-1750	3250	0	140017163	A99999	N	None	None	SFY2003-04
140000023	BAYBERRY SKILLED NURSING & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-06-30 00:00:00	140002733	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-21 00:00:00	None	No	2004-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	140017192	A99999	N	None	None	SFY2003-04
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-08-18 00:00:00	140002734	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-11-16 00:00:00	None	No	2004-09-14 00:00:00	None	A	None	5000	5000	-1750	3250	0	140017244	A99999	N	None	None	SFY2004-05
140001126	TICE VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2004-10-27 00:00:00	140002735	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-02-03 00:00:00	2004-02-10 00:00:00	Yes	2004-11-23 00:00:00	2004-11-05 00:00:00	A	A	10000	6000	0	6000	0	140017315	A99999	N	None	None	SFY2004-05
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-12-31 00:00:00	140002736	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-10 00:00:00	2004-09-10 00:00:00	No	2005-01-26 00:00:00	None	B	None	1000	1000	0	1000	0	140017374	A99999	N	None	None	SFY2004-05
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-12-31 00:00:00	140002737	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS/ABUSE	2004-04-10 00:00:00	None	Yes	2005-01-26 00:00:00	2005-01-20 00:00:00	B	B	1000	1000	0	1000	0	140017376	A99999	N	None	None	SFY2004-05
140000136	CONCORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2005-01-05 00:00:00	140002738	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-11 00:00:00	None	No	2005-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	140017379	A99999	N	None	None	SFY2004-05
140000023	BAYBERRY SKILLED NURSING & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-01-12 00:00:00	140002739	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-23 00:00:00	None	No	2005-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	140017386	A99999	N	None	None	SFY2004-05
140001278	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-02-08 00:00:00	140002741	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-05-17 00:00:00	None	No	2005-03-07 00:00:00	None	AA	None	50000	50000	-17500	32500	0	140017415	A99999	Y	None	None	SFY2004-05
140000055	WOODLAND NURSING INN	LTC	SNF	Skilled Nursing Facility	East Bay	2005-02-09 00:00:00	140002742	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-22 00:00:00	None	No	2005-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	140017416	A99999	N	None	None	SFY2004-05
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-03-15 00:00:00	140002743	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-07-27 00:00:00	2004-07-27 00:00:00	Yes	2005-04-06 00:00:00	2005-03-23 00:00:00	A	None	20000	20000	-20000	0	0	140017419	A99999	N	None	None	SFY2004-05
140000023	BAYBERRY SKILLED NURSING & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-05-03 00:00:00	140002744	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-12-11 00:00:00	2004-12-11 00:00:00	Yes	2008-06-16 00:00:00	2008-06-23 00:00:00	AA	AA	100000	35000	0	35000	0	140017421	A99999	Y	None	None	SFY2004-05
140000023	BAYBERRY SKILLED NURSING & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-05-03 00:00:00	140002745	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-12-11 00:00:00	None	Yes	2005-05-26 00:00:00	2005-05-06 00:00:00	B	B	1000	500	0	500	0	140017422	A99999	Y	None	None	SFY2004-05
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-05-11 00:00:00	140002746	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-16 00:00:00	2004-09-18 00:00:00	No	2005-06-09 00:00:00	None	B	None	1000	1000	0	1000	0	140017423	A99999	N	None	None	SFY2004-05
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-05-11 00:00:00	140002748	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-05-24 00:00:00	None	No	2005-06-09 00:00:00	None	B	None	1000	1000	0	1000	0	140017425	A99999	N	None	None	SFY2004-05
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-07-29 00:00:00	140002749	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-11 00:00:00	2004-11-11 00:00:00	Yes	2005-08-19 00:00:00	2005-08-10 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	140017426	A99999	N	CA00034570	A	SFY2005-06
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-07-29 00:00:00	140002750	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-05-14 00:00:00	None	Yes	2005-08-19 00:00:00	2005-08-04 00:00:00	A	Drop>Deficiency	10000	0	0	0	0	140017427	A99999	N	None	None	SFY2005-06
140000061	VALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-08-04 00:00:00	140002751	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-04-03 00:00:00	2005-04-03 00:00:00	Yes	2005-08-25 00:00:00	2005-08-19 00:00:00	A	A	10000	10000	0	10000	0	140017428	A99999	N	None	None	SFY2005-06
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-08-10 00:00:00	140002752	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-26 00:00:00	None	No	2005-09-08 00:00:00	None	B	None	1000	1000	-350	650	0	140017429	A99999	N	None	None	SFY2005-06
140000105	LONE TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2005-08-09 00:00:00	140002753	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-21 00:00:00	None	No	2005-09-01 00:00:00	None	B	None	1000	1000	-350	650	0	140017430	A99999	N	None	None	SFY2005-06
140000105	LONE TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2005-08-16 00:00:00	140002754	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-24 00:00:00	None	No	2005-08-31 00:00:00	None	B	None	600	600	-210	390	0	140017431	A99999	N	None	None	SFY2005-06
140000321	ALAMEDA COUNTY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2005-08-16 00:00:00	140002755	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-22 00:00:00	None	No	2005-09-07 00:00:00	None	B	None	800	800	0	800	0	140017432	A99999	N	None	None	SFY2005-06
140000136	CONCORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2005-09-15 00:00:00	140002756	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-29 00:00:00	None	No	2005-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	140017433	A99999	N	None	None	SFY2005-06
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2005-09-20 00:00:00	140002757	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-05 00:00:00	None	No	2005-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	140017434	A99999	N	None	None	SFY2005-06
140000023	BAYBERRY SKILLED NURSING & HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-09-26 00:00:00	140002758	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-15 00:00:00	None	Yes	2005-10-21 00:00:00	2005-10-05 00:00:00	B	B	1000	500	0	500	0	140017435	A99999	N	None	None	SFY2005-06
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-10-20 00:00:00	140002760	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-11-22 00:00:00	2004-11-22 00:00:00	Yes	2005-11-10 00:00:00	2005-10-26 00:00:00	AA	A	90000	50000	0	50000	0	140017437	A99999	Y	None	None	SFY2005-06
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-10-20 00:00:00	140002761	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-06-18 00:00:00	2005-07-03 00:00:00	Yes	2005-11-23 00:00:00	2005-10-26 00:00:00	A	B	10000	750	0	750	0	140017438	A99999	N	None	None	SFY2005-06
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-11-28 00:00:00	140002762	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-01 00:00:00	None	No	2005-12-22 00:00:00	None	B	None	800	800	-280	520	0	140017439	A99999	N	None	None	SFY2005-06
140000759	BAYWOOD COURT D/P SNF OF EDEN HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2005-11-23 00:00:00	140002763	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-08-22 00:00:00	None	No	2005-12-16 00:00:00	None	A	None	10000	10000	-3500	6500	0	140017440	A99999	N	None	None	SFY2005-06
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2006-01-23 00:00:00	140002764	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-14 00:00:00	None	No	2006-02-21 00:00:00	None	B	None	600	600	-210	390	0	140017441	A99999	N	None	None	SFY2005-06
140000078	TAMPICO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2006-02-21 00:00:00	140002765	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-07-12 00:00:00	2005-07-12 00:00:00	Yes	2006-03-17 00:00:00	2006-02-27 00:00:00	A	None	15000	15000	-15000	0	0	140017442	A99999	N	CA00063139, CA00063139, CA00063139, CA00063139	C, C, C, C	SFY2005-06
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-05 00:00:00	150001427	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-08-11 00:00:00	1999-08-12 00:00:00	No	2000-01-27 00:00:00	None	A	None	10000	30000	-30000	0	0	150010612	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-06 00:00:00	150001428	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-30 00:00:00	None	No	2000-01-28 00:00:00	None	B	None	1000	1000	-1000	0	0	150010613	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-10 00:00:00	150001429	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-05 00:00:00	1999-10-13 00:00:00	No	2000-02-11 00:00:00	None	B	None	1000	1000	-1000	0	0	150010623	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-20 00:00:00	150001431	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-30 00:00:00	None	No	2000-02-17 00:00:00	None	B	None	800	2400	-2400	0	0	150010641	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-20 00:00:00	150001432	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-05 00:00:00	1999-10-13 00:00:00	No	2000-02-17 00:00:00	None	B	None	1000	1000	-1000	0	0	150010642	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-20 00:00:00	150001433	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-08-01 00:00:00	1999-12-05 00:00:00	No	2000-02-17 00:00:00	None	B	None	1000	3000	-3000	0	0	150010645	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-03-21 00:00:00	150001730	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-07 00:00:00	None	No	2000-06-05 00:00:00	None	B	None	1000	1000	-1000	0	0	150012338	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-04-03 00:00:00	150001735	Closed	Citation	Citation AA (HSC 1424)	Other	PT. CARE/MEDICATIONS	1999-06-14 00:00:00	None	No	2000-04-24 00:00:00	None	AA	None	25000	25000	-25000	0	0	150012368	A99999	Y	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-04-03 00:00:00	150001736	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS/ADMIN	2000-02-17 00:00:00	None	No	2000-04-24 00:00:00	None	B	None	1000	3000	-3000	0	0	150012370	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-04-19 00:00:00	150001740	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-07-20 00:00:00	None	No	2000-06-05 00:00:00	None	A	None	7500	7500	-7500	0	0	150012451	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-05-18 00:00:00	150001743	Closed	Citation	Citation A (HSC 1424)	Administration	None	2000-01-22 00:00:00	2000-05-11 00:00:00	No	2000-06-12 00:00:00	None	A	None	10000	10000	-10000	0	0	150012599	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-05-18 00:00:00	150001745	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-01-22 00:00:00	2000-05-11 00:00:00	No	2000-06-12 00:00:00	None	A	None	10000	30000	-30000	0	0	150012609	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-06-02 00:00:00	150001752	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-05-07 00:00:00	2000-05-08 00:00:00	No	2000-06-23 00:00:00	None	A	None	7500	22500	0	22500	0	150012665	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-07-05 00:00:00	150001760	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-15 00:00:00	2000-05-16 00:00:00	No	2000-07-26 00:00:00	None	B	None	800	2400	-840	1560	0	150012795	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-07-10 00:00:00	150001761	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-01 00:00:00	None	No	2000-08-11 00:00:00	None	B	None	1000	3000	-1050	1950	0	150012813	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-07-14 00:00:00	150001762	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-16 00:00:00	None	No	2000-08-09 00:00:00	None	B	None	800	2400	-840	1560	0	150012851	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-07-21 00:00:00	150001763	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-03-22 00:00:00	2000-03-23 00:00:00	No	2000-08-16 00:00:00	None	A	None	5000	15000	-5250	9750	0	150012864	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-09-25 00:00:00	150001782	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-21 00:00:00	None	No	2000-10-19 00:00:00	None	B	None	600	1800	-630	1170	0	150013142	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-10-20 00:00:00	150001785	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-08-26 00:00:00	2000-08-26 00:00:00	Yes	2001-07-19 00:00:00	2000-10-24 00:00:00	A	A Trebled	8500	25500	0	25500	0	150013251	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-11-30 00:00:00	150001801	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-07 00:00:00	2000-01-07 00:00:00	No	2000-12-26 00:00:00	None	B	None	600	1800	-630	1170	0	150013558	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-06 00:00:00	150001802	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS/CARE	2000-08-02 00:00:00	None	No	2001-01-02 00:00:00	None	B	None	600	1800	-630	1170	0	150013570	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-06 00:00:00	150001803	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-08 00:00:00	None	No	2001-01-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	150013570	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-06 00:00:00	150001804	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-10-14 00:00:00	None	No	2001-01-02 00:00:00	None	A	None	5000	15000	-5250	9750	0	150013579	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-06 00:00:00	150001805	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT RIGHTS/CARE	2000-01-23 00:00:00	None	No	2001-01-02 00:00:00	None	A	None	6000	6000	-2100	3900	0	150013580	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-06 00:00:00	150001806	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-27 00:00:00	None	No	2001-01-02 00:00:00	None	B	None	500	1500	-525	975	0	150013581	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-11 00:00:00	150001810	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS/CARE	2000-08-06 00:00:00	None	No	2001-01-08 00:00:00	None	B	None	600	1800	-630	1170	0	150013590	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-05 00:00:00	150001818	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-04 00:00:00	2000-12-05 00:00:00	No	2001-01-30 00:00:00	None	B	None	600	1800	-630	1170	0	150013762	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-19 00:00:00	150001819	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-04-17 00:00:00	2000-12-04 00:00:00	Yes	2001-11-08 00:00:00	2001-01-23 00:00:00	B	Dismissed by Court	1000	0	0	0	0	150013783	A99999	N	None	None	SFY2000-01
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-01-17 00:00:00	150001820	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-08-30 00:00:00	None	No	2001-02-06 00:00:00	None	A	None	14000	14000	-4900	9100	0	150013821	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-25 00:00:00	150001822	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/RIGHTS	2000-09-22 00:00:00	None	No	2001-02-16 00:00:00	None	B	None	800	2400	-840	1560	0	150013867	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-25 00:00:00	150001823	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-24 00:00:00	None	No	2001-02-16 00:00:00	None	A	None	8000	24000	-8400	15600	0	150013868	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-25 00:00:00	150001824	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-08 00:00:00	None	No	2001-02-16 00:00:00	None	B	None	500	1500	-525	975	0	150013869	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-25 00:00:00	150001825	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-04 00:00:00	2000-08-03 00:00:00	No	2001-02-16 00:00:00	None	A	None	8000	24000	-8400	15600	0	150013872	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-02-22 00:00:00	150001830	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-01-17 00:00:00	2001-01-17 00:00:00	No	2001-03-15 00:00:00	None	A	None	5000	15000	-5250	9750	0	150014017	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-04-16 00:00:00	150001836	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-01-20 00:00:00	2001-01-20 00:00:00	Yes	2001-11-09 00:00:00	2001-04-26 00:00:00	A	A	8000	24000	0	24000	0	150014167	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-04-16 00:00:00	150001837	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-14 00:00:00	None	No	2001-05-11 00:00:00	None	B	None	500	1500	-525	975	0	150014168	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-06-13 00:00:00	150001844	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-31 00:00:00	None	No	2001-07-10 00:00:00	None	B	None	700	2100	-735	1365	0	150014635	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-06-27 00:00:00	150001847	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-04 00:00:00	None	No	2001-07-23 00:00:00	None	B	None	400	1200	0	1200	0	150014668	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-08-14 00:00:00	150001854	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-06 00:00:00	2001-06-06 00:00:00	No	2001-09-07 00:00:00	None	B	None	900	2700	-945	1755	0	150014863	A99999	N	None	None	SFY2001-02
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-08-14 00:00:00	150001855	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-17 00:00:00	2001-02-17 00:00:00	No	2001-09-07 00:00:00	None	B	None	800	2400	-840	1560	0	150014864	A99999	N	None	None	SFY2001-02
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-08-23 00:00:00	150001863	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-02-10 00:00:00	2001-02-10 00:00:00	No	2001-09-18 00:00:00	None	A	None	10000	30000	-10500	19500	0	150015117	A99999	N	None	None	SFY2001-02
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-10-03 00:00:00	150001864	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-03 00:00:00	2001-05-03 00:00:00	No	2001-10-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	150014584	A99999	N	None	None	SFY2001-02
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-09-19 00:00:00	150001867	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-20 00:00:00	None	No	2000-10-11 00:00:00	None	B	None	900	900	-315	585	0	150015262	A99999	N	None	None	SFY2000-01
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-23 00:00:00	150001868	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-21 00:00:00	None	No	2001-02-15 00:00:00	None	B	None	1000	3000	-1050	1950	0	150015276	A99999	N	None	None	SFY2000-01
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-02-21 00:00:00	150001869	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-30 00:00:00	None	No	2001-03-16 00:00:00	None	B	None	950	950	-332.5	617.5	0	150015285	A99999	N	None	None	SFY2000-01
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-03-05 00:00:00	150001870	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-12 00:00:00	None	No	2001-03-29 00:00:00	None	B	None	800	2400	-840	1560	0	150015288	A99999	N	None	None	SFY2000-01
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-05-24 00:00:00	150001871	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-26 00:00:00	None	No	2001-06-18 00:00:00	None	B	None	450	1350	-472.5	877.5	0	150015294	A99999	N	None	None	SFY2000-01
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-06-12 00:00:00	150001872	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-12 00:00:00	None	No	2001-07-06 00:00:00	None	B	None	600	600	-210	390	0	150015296	A99999	N	None	None	SFY2000-01
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-10-25 00:00:00	150001873	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-18 00:00:00	2001-09-18 00:00:00	No	2001-11-16 00:00:00	None	B	None	700	700	-245	455	0	150015328	A99999	N	None	None	SFY2001-02
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-12-13 00:00:00	150001874	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-30 00:00:00	2001-09-30 00:00:00	No	2002-01-07 00:00:00	None	B	None	1950	1950	-682.5	1267.5	0	150015344	A99999	N	None	None	SFY2001-02
150001226	NAPA STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-10-20 00:00:00	150001898	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-09-28 00:00:00	None	No	2000-11-14 00:00:00	None	A	None	10000	30000	-10500	19500	0	150015920	A99999	N	None	None	SFY2000-01
150001226	NAPA STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-22 00:00:00	150001899	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-16 00:00:00	None	No	2001-01-18 00:00:00	None	B	None	650	1950	-682.5	1267.5	0	150015927	A99999	N	None	None	SFY2000-01
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2000-05-26 00:00:00	150001935	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-03-16 00:00:00	1999-05-17 00:00:00	No	2000-06-19 00:00:00	None	A	None	10000	10000	-10000	0	0	150016109	A99999	N	None	None	SFY1999-00
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2000-06-01 00:00:00	150001936	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-09 00:00:00	1999-09-12 00:00:00	No	2000-06-22 00:00:00	None	A	None	10000	10000	-10000	0	0	150016112	A99999	N	None	None	SFY1999-00
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2000-10-30 00:00:00	150001937	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-08-03 00:00:00	None	No	2000-11-27 00:00:00	None	A	None	10000	30000	-10500	19500	0	150016120	A99999	N	None	None	SFY2000-01
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2001-06-18 00:00:00	150001938	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-31 00:00:00	None	No	2001-07-13 00:00:00	None	A	None	20000	60000	-21000	39000	0	150016142	A99999	N	None	None	SFY2000-01
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2001-08-14 00:00:00	150001939	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-24 00:00:00	2001-03-24 00:00:00	No	2001-09-07 00:00:00	None	A	None	20000	60000	-21000	39000	0	150016150	A99999	N	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2001-11-13 00:00:00	150001940	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-22 00:00:00	2001-06-26 00:00:00	No	2001-12-06 00:00:00	None	B	None	550	550	-192.5	357.5	0	150016160	A99999	N	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2001-11-13 00:00:00	150001941	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-15 00:00:00	2001-09-15 00:00:00	No	2001-12-06 00:00:00	None	B	None	550	550	-192.5	357.5	0	150016176	A99999	N	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-03-14 00:00:00	150001942	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-08-29 00:00:00	2001-08-29 00:00:00	No	2002-04-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	150016165	A99999	N	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-04-25 00:00:00	150001943	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-12-26 00:00:00	2000-12-26 00:00:00	No	2002-05-17 00:00:00	None	AA	None	95000	95000	-33250	61750	0	150016134	A99999	Y	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-06-21 00:00:00	150001944	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-01 00:00:00	2000-11-01 00:00:00	No	2002-07-16 00:00:00	None	A	None	20000	60000	-21000	39000	0	150016124	A99999	N	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-07-03 00:00:00	150001945	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE & RIGHT	2001-12-30 00:00:00	2001-12-30 00:00:00	No	2002-07-29 00:00:00	None	A	None	20000	60000	-21000	39000	0	150016192	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-08-05 00:00:00	150001946	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-29 00:00:00	2000-09-29 00:00:00	No	2002-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	150016263	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-08-05 00:00:00	150001947	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-10-15 00:00:00	2000-10-15 00:00:00	No	2002-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	150016264	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-11-12 00:00:00	150001958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-08 00:00:00	2002-04-08 00:00:00	No	2002-12-05 00:00:00	None	B	None	900	2700	0	2700	0	150016397	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-11-12 00:00:00	150001959	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-26 00:00:00	2001-12-26 00:00:00	No	2002-12-05 00:00:00	None	B	None	800	800	-280	520	0	150016435	A99999	N	None	None	SFY2002-03
150001228	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2002-11-21 00:00:00	150001960	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-28 00:00:00	2002-05-28 00:00:00	No	2002-12-16 00:00:00	None	B	None	700	700	-245	455	0	150016369	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-12-06 00:00:00	150001961	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-04 00:00:00	2002-05-04 00:00:00	No	2002-12-30 00:00:00	None	B	None	1000	1000	-350	650	0	150016552	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-01-22 00:00:00	150001962	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-21 00:00:00	2002-11-21 00:00:00	No	2003-02-13 00:00:00	None	B	None	1000	3000	-1050	1950	0	150016529	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-01-21 00:00:00	150001963	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2002-05-03 00:00:00	2002-05-03 00:00:00	No	2003-02-11 00:00:00	None	AA	None	25000	25000	-8750	16250	0	150016209	A99999	Y	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-01-22 00:00:00	150001964	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-05 00:00:00	2002-05-05 00:00:00	No	2003-02-18 00:00:00	None	B	None	800	800	-280	520	0	150016659	A99999	N	None	None	SFY2002-03
150001228	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2003-02-05 00:00:00	150001965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-30 00:00:00	2002-03-30 00:00:00	No	2003-02-28 00:00:00	None	B	None	1000	1000	-350	650	0	150016767	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-02-13 00:00:00	150001966	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-04-19 00:00:00	2002-04-19 00:00:00	No	2003-03-11 00:00:00	None	A	None	8000	8000	-2800	5200	0	150016668	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-02-27 00:00:00	150001967	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-20 00:00:00	2003-02-20 00:00:00	No	2003-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	150016818	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-03-06 00:00:00	150001968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-24 00:00:00	2001-01-24 00:00:00	No	2003-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	150016834	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-03-13 00:00:00	150001969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-26 00:00:00	2002-05-26 00:00:00	No	2003-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	150016232	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-03-19 00:00:00	150001970	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-28 00:00:00	2002-09-28 00:00:00	No	2003-04-10 00:00:00	None	B	None	1000	1000	-350	650	0	150016392	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-04-14 00:00:00	150001971	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-01 00:00:00	2003-03-01 00:00:00	No	2003-05-06 00:00:00	None	B	None	900	900	-315	585	0	150016842	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-04-18 00:00:00	150001972	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-10 00:00:00	2002-09-10 00:00:00	No	2003-05-12 00:00:00	None	B	None	800	800	-280	520	0	150016758	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-04-18 00:00:00	150001973	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-20 00:00:00	2003-02-20 00:00:00	No	2003-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	150016846	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-04-18 00:00:00	150001974	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-02 00:00:00	2003-01-02 00:00:00	No	2003-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	150016693	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-04-24 00:00:00	150001975	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-20 00:00:00	2003-02-20 00:00:00	No	2003-05-15 00:00:00	None	B	None	900	900	-315	585	0	150016847	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-04-23 00:00:00	150001976	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-17 00:00:00	2003-03-18 00:00:00	No	2003-05-14 00:00:00	None	B	None	900	900	-315	585	0	150016894	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-04-24 00:00:00	150001977	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-03 00:00:00	2003-01-03 00:00:00	No	2003-05-15 00:00:00	None	B	None	1000	1000	0	1000	0	150016931	A99999	N	None	None	SFY2002-03
150001233	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2000-03-01 00:00:00	150002005	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-24 00:00:00	1999-10-24 00:00:00	No	2000-03-29 00:00:00	None	B	None	1000	1000	-1000	0	0	150017317	A99999	N	None	None	SFY1999-00
150001233	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-01-12 00:00:00	150002006	Closed	Citation	Citation AA (HSC 1424)	Other	PATIENT CARE/RIGHTS	1999-05-22 00:00:00	2000-08-07 00:00:00	Yes	2001-11-14 00:00:00	2001-02-01 00:00:00	AA	AA	90000	45000	0	45000	0	150017361	A99999	Y	None	None	SFY2000-01
150001233	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-03-12 00:00:00	150002007	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-23 00:00:00	None	No	2001-05-08 00:00:00	None	B	None	1000	1000	0	1000	0	150017376	A99999	N	None	None	SFY2000-01
150001233	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-05-31 00:00:00	150002008	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-02 00:00:00	2000-05-02 00:00:00	Yes	2001-11-13 00:00:00	2001-06-18 00:00:00	A	A	16000	8000	0	8000	0	150017410	A99999	N	None	None	SFY2000-01
150001233	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-07-18 00:00:00	150002009	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-03 00:00:00	2001-05-31 00:00:00	Yes	2001-12-17 00:00:00	2001-07-31 00:00:00	B	B	950	950	0	950	0	150017419	A99999	N	None	None	SFY2001-02
150001233	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-08-16 00:00:00	150002010	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-15 00:00:00	2000-10-19 00:00:00	No	2001-08-07 00:00:00	None	B	None	1000	1000	0	1000	0	150017426	A99999	N	None	None	SFY2001-02
150001233	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2003-05-29 00:00:00	150002011	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-31 00:00:00	2002-12-31 00:00:00	Yes	2003-06-20 00:00:00	2004-02-23 00:00:00	B	B	800	400	0	400	0	150017519	A99999	N	None	None	SFY2002-03
150001233	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2003-05-29 00:00:00	150002012	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-22 00:00:00	2002-10-22 00:00:00	Yes	2003-10-30 00:00:00	2003-10-20 00:00:00	B	B	750	750	0	750	0	150017492	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-07-09 00:00:00	150002017	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-17 00:00:00	2002-05-19 00:00:00	No	2003-07-30 00:00:00	None	B	None	800	800	-280	520	0	150015414	A99999	N	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-06-13 00:00:00	150002018	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-30 00:00:00	2003-05-30 00:00:00	No	2003-09-08 00:00:00	None	B	None	600	600	-210	390	0	150017663	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-08-26 00:00:00	150002019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-15 00:00:00	2003-05-20 00:00:00	No	2003-09-17 00:00:00	None	B	None	1000	1000	-350	650	0	150017686	A99999	N	None	None	SFY2003-04
150001235	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-09-11 00:00:00	150002020	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-21 00:00:00	2003-02-21 00:00:00	Yes	2003-10-03 00:00:00	2003-09-15 00:00:00	B	None	1000	1000	0	1000	0	150017630	A99999	N	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-10-07 00:00:00	150002021	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-29 00:00:00	2003-05-29 00:00:00	No	2003-11-04 00:00:00	None	B	None	600	600	-210	390	0	150017862	A99999	N	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-10-10 00:00:00	150002022	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-27 00:00:00	2003-08-27 00:00:00	No	2003-11-03 00:00:00	None	B	None	700	2100	-735	1365	0	150017854	A99999	N	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-11-25 00:00:00	150002023	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-28 00:00:00	2003-04-28 00:00:00	No	2003-12-18 00:00:00	None	B	None	600	600	-210	390	0	150017906	A99999	N	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-12-04 00:00:00	150002024	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-10-16 00:00:00	2003-10-16 00:00:00	No	2003-12-26 00:00:00	None	B	None	1000	3000	-1050	1950	0	150017932	A99999	N	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-12-23 00:00:00	150002025	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-07-21 00:00:00	2003-07-21 00:00:00	Yes	2004-01-20 00:00:00	2004-01-07 00:00:00	AA	None	25000	25000	-8750	16250	0	150017778	A99999	Y	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-12-23 00:00:00	150002026	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-06-03 00:00:00	2003-06-03 00:00:00	Yes	2004-01-20 00:00:00	2004-01-07 00:00:00	AA	None	25000	25000	-8750	16250	0	150017685	A99999	Y	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-01-06 00:00:00	150002027	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-11 00:00:00	2003-11-11 00:00:00	Yes	2004-02-03 00:00:00	2004-01-20 00:00:00	B	None	1000	3000	0	3000	0	150017965	A99999	N	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-02-05 00:00:00	150002028	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-13 00:00:00	2003-01-13 00:00:00	No	2004-03-03 00:00:00	None	B	None	700	700	-245	455	0	150016723	A99999	N	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-02-18 00:00:00	150002029	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-21 00:00:00	2003-11-21 00:00:00	No	2004-03-12 00:00:00	None	B	None	500	1500	-525	975	0	150017987	A99999	N	None	None	SFY2003-04
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2004-03-08 00:00:00	150002030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-21 00:00:00	2004-01-21 00:00:00	No	2004-04-01 00:00:00	None	B	None	900	900	-315	585	0	150018063	A99999	N	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-05-04 00:00:00	150002031	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-07-24 00:00:00	2003-07-24 00:00:00	No	2004-05-25 00:00:00	None	B	None	1000	3000	-1050	1950	0	150018112	A99999	N	None	None	SFY2003-04
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-03-17 00:00:00	150002196	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2000-03-06 00:00:00	None	No	2000-04-12 00:00:00	None	AA	None	25000	25000	-25000	0	0	150018975	A99999	Y	None	None	SFY1999-00
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-06-29 00:00:00	150002197	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-16 00:00:00	2000-06-29 00:00:00	Yes	2000-07-21 00:00:00	2000-07-10 00:00:00	B	None	1000	3000	0	3000	0	150018992	A99999	N	None	None	SFY1999-00
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-30 00:00:00	150002198	Closed	Citation	Citation A (HSC 1424)	Medication	None	2000-08-14 00:00:00	None	No	2001-02-26 00:00:00	None	A	None	8000	8000	-2800	5200	0	150019009	A99999	N	None	None	SFY2000-01
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-30 00:00:00	150002199	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-14 00:00:00	None	No	2001-02-26 00:00:00	None	B	None	800	800	-280	520	0	150019009	A99999	N	None	None	SFY2000-01
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-03-01 00:00:00	150002200	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-15 00:00:00	None	Yes	2001-07-26 00:00:00	2001-03-06 00:00:00	B	B Trebled	1000	3000	0	3000	0	150019010	A99999	N	None	None	SFY2000-01
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-03-01 00:00:00	150002201	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-09 00:00:00	None	Yes	2001-08-07 00:00:00	2001-03-07 00:00:00	B	B	800	800	0	800	0	150019010	A99999	N	None	None	SFY2000-01
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-03-01 00:00:00	150002202	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-21 00:00:00	None	No	2001-03-26 00:00:00	None	B	None	600	600	-210	390	0	150019011	A99999	N	None	None	SFY2000-01
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-06-26 00:00:00	150002203	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-10 00:00:00	None	No	2001-07-23 00:00:00	None	B	None	1000	3000	-1050	1950	0	150019020	A99999	N	None	None	SFY2000-01
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-04-05 00:00:00	150002205	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-08-30 00:00:00	None	No	2004-04-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	150019288	A99999	N	None	None	SFY2003-04
150001242	AGNEWS STATE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2000-08-16 00:00:00	150002218	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-17 00:00:00	None	No	2000-09-11 00:00:00	None	B	None	600	600	-210	390	0	150019456	A99999	N	None	None	SFY2000-01
150001242	AGNEWS STATE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2004-04-05 00:00:00	150002219	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-17 00:00:00	None	No	2004-04-27 00:00:00	None	B	None	900	900	-315	585	0	150019533	A99999	N	None	None	SFY2003-04
150001242	AGNEWS STATE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2004-04-05 00:00:00	150002220	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-07-03 00:00:00	None	No	2004-04-27 00:00:00	None	AA	None	100000	100000	-35000	65000	0	150019534	A99999	Y	None	None	SFY2003-04
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-05-04 00:00:00	150002227	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-13 00:00:00	None	No	2004-05-25 00:00:00	None	B	None	1000	1000	-350	650	0	150020005	A99999	N	None	None	SFY2003-04
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-05-04 00:00:00	150002228	Closed	Citation	Citation Willful Material Omission (HSC 1424(f)(1))	Administration	None	2003-09-13 00:00:00	None	No	2004-05-25 00:00:00	None	WO	None	17000	17000	-5950	11050	0	150020011	A99999	None	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-05-26 00:00:00	150002229	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-08 00:00:00	2004-04-08 00:00:00	No	2004-06-17 00:00:00	None	B	None	1000	3000	-1050	1950	0	150020034	A99999	N	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-06-22 00:00:00	150002230	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-07 00:00:00	2004-03-07 00:00:00	No	2004-08-18 00:00:00	None	B	None	800	800	-280	520	0	150020118	A99999	N	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-07-06 00:00:00	150002231	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-29 00:00:00	2004-05-29 00:00:00	No	2004-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	150020063	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-08-17 00:00:00	150002232	Closed	Citation	Citation A (HSC 1424)	Other	MEDICATION	2004-01-01 00:00:00	2004-01-03 00:00:00	No	2004-09-08 00:00:00	None	A	None	10000	10000	-3500	6500	0	150018021	A99999	N	None	None	SFY2004-05
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-08-26 00:00:00	150002233	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-01 00:00:00	2004-07-01 00:00:00	No	2004-09-17 00:00:00	None	B	None	800	800	-280	520	0	150020216	A99999	N	None	None	SFY2004-05
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-09-29 00:00:00	150002234	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-17 00:00:00	2004-07-17 00:00:00	No	2004-10-21 00:00:00	None	B	None	700	700	-245	455	0	150020253	A99999	N	None	None	SFY2004-05
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-11-01 00:00:00	150002236	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-24 00:00:00	2004-09-24 00:00:00	No	2004-11-23 00:00:00	None	B	None	700	700	-245	455	0	150020266	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-11-04 00:00:00	150002237	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-22 00:00:00	2004-07-22 00:00:00	No	2004-12-02 00:00:00	None	B	None	800	2400	-840	1560	0	150020211	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-11-04 00:00:00	150002238	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE	2004-08-11 00:00:00	2004-08-11 00:00:00	No	2004-12-02 00:00:00	None	B	None	800	2400	-840	1560	0	150020272	A99999	N	None	None	SFY2004-05
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-11-10 00:00:00	150002239	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-12 00:00:00	2004-07-12 00:00:00	No	2004-12-13 00:00:00	None	B	None	1000	3000	-1050	1950	0	150020248	A99999	N	None	None	SFY2004-05
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-12-08 00:00:00	150002240	Closed	Citation	Citation A (HSC 1424)	Medication	None	2004-10-14 00:00:00	2004-10-14 00:00:00	No	2005-01-03 00:00:00	None	A	None	16000	16000	-5600	10400	0	150020283	A99999	N	None	None	SFY2004-05
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-12-29 00:00:00	150002241	Closed	Citation	Citation A (HSC 1424)	Administration	None	2004-10-22 00:00:00	2004-10-22 00:00:00	No	2005-01-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	150020291	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-01-26 00:00:00	150002242	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-01 00:00:00	2004-08-01 00:00:00	No	2005-02-16 00:00:00	None	B	None	700	2100	-735	1365	0	150020299	A99999	N	None	None	SFY2004-05
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-02-10 00:00:00	150002243	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-18 00:00:00	2005-12-18 00:00:00	No	2005-03-04 00:00:00	None	B	None	1000	3000	-1050	1950	0	150020300	A99999	N	None	None	SFY2004-05
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-02-23 00:00:00	150002244	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-10 00:00:00	2005-01-10 00:00:00	No	2005-03-16 00:00:00	None	B	None	500	1500	-525	975	0	150020302	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-03-08 00:00:00	150002245	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-12 00:00:00	2005-01-12 00:00:00	No	2005-03-29 00:00:00	None	B	None	900	2700	-945	1755	0	150020303	A99999	N	None	None	SFY2004-05
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-04-11 00:00:00	150002246	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-04 00:00:00	2005-02-04 00:00:00	No	2005-05-02 00:00:00	None	B	None	900	900	-315	585	0	150020306	A99999	N	None	None	SFY2004-05
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-04-11 00:00:00	150002247	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-15 00:00:00	2005-02-15 00:00:00	No	2005-05-02 00:00:00	None	B	None	800	2400	-840	1560	0	150020307	A99999	N	None	None	SFY2004-05
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-06-07 00:00:00	150002248	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-13 00:00:00	2005-03-13 00:00:00	No	2005-06-28 00:00:00	None	B	None	800	800	-280	520	0	150020311	A99999	N	None	None	SFY2004-05
150001242	AGNEWS STATE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-06-07 00:00:00	150002249	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-07 00:00:00	2005-04-07 00:00:00	No	2005-06-28 00:00:00	None	B	None	800	800	-280	520	0	150020312	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-06-24 00:00:00	150002250	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-02 00:00:00	2005-05-02 00:00:00	No	2005-07-18 00:00:00	None	B	None	700	2100	-735	1365	0	150020313	A99999	N	None	None	SFY2004-05
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-08-16 00:00:00	150002251	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-10 00:00:00	2005-01-10 00:00:00	No	2005-09-08 00:00:00	None	B	None	700	700	-245	455	0	150020318	A99999	N	None	None	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-08-15 00:00:00	150002252	Closed	Citation	Citation AA (HSC 1424)	Other	C,PR	2005-03-21 00:00:00	2005-03-21 00:00:00	No	2005-09-06 00:00:00	None	AA	None	80000	80000	-28000	52000	0	150020319	A99999	Y	None	None	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-08-19 00:00:00	150002253	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-12 00:00:00	2005-01-12 00:00:00	No	2005-09-12 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	150020320	A99999	N	None	None	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-08-19 00:00:00	150002254	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-29 00:00:00	2005-06-29 00:00:00	No	2005-09-12 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	150020321	A99999	N	None	None	SFY2005-06
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-09-27 00:00:00	150002255	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-24 00:00:00	2005-06-24 00:00:00	No	2005-10-24 00:00:00	None	B	None	500	1500	-525	975	0	150020326	A99999	N	None	None	SFY2005-06
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-11-04 00:00:00	150002256	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-04 00:00:00	2005-07-04 00:00:00	No	2005-12-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	150020328	A99999	N	None	None	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-11-15 00:00:00	150002257	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-07-12 00:00:00	2005-07-12 00:00:00	No	2005-12-08 00:00:00	None	A	None	18000	18000	-6300	11700	0	150020329	A99999	N	None	None	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-11-15 00:00:00	150002258	Closed	Citation	Citation A (HSC 1424)	Other	C, D	2005-04-23 00:00:00	2005-04-23 00:00:00	No	2005-12-08 00:00:00	None	A	None	18000	18000	-6300	11700	0	150020330	A99999	N	None	None	SFY2005-06
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-11-16 00:00:00	150002259	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-03 00:00:00	2005-05-03 00:00:00	No	2005-12-09 00:00:00	None	B	None	700	700	-245	455	0	150020331	A99999	N	None	None	SFY2005-06
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-12-27 00:00:00	150002260	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-11 00:00:00	2005-10-11 00:00:00	No	2006-01-19 00:00:00	None	B	None	700	2100	-735	1365	0	150020334	A99999	N	None	None	SFY2005-06
150001242	AGNEWS STATE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-03-08 00:00:00	150002881	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-17 00:00:00	2005-09-17 00:00:00	No	2006-03-29 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	YU0W11	N	CA00061650	D	SFY2005-06
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-03-22 00:00:00	150002960	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-24 00:00:00	2006-01-24 00:00:00	No	2006-04-13 00:00:00	None	B	None	700	700	-245	455	0	None	TEHM11	N	CA00070959	D	SFY2005-06
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-05-04 00:00:00	150003005	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-27 00:00:00	2005-09-27 00:00:00	No	2006-05-25 00:00:00	None	B	None	800	800	-280	520	0	None	46RF11	N	CA00062476	A	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2007-01-26 00:00:00	150003011	Closed	Citation	Citation A (HSC 1424)	Other	pr, c	2005-11-22 00:00:00	2005-11-22 00:00:00	No	2007-02-16 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	86VQ11	N	CA00066685	C	SFY2006-07
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-04-21 00:00:00	150003024	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-02-04 00:00:00	2006-02-04 00:00:00	No	2006-05-12 00:00:00	None	B	None	700	700	-245	455	0	None	SUTW11	N	CA00071858	D	SFY2005-06
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-08-23 00:00:00	150003046	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-26 00:00:00	2005-11-26 00:00:00	No	2006-09-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	3S6L11	N	CA00066920	D	SFY2006-07
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-07-12 00:00:00	150003048	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-01-25 00:00:00	2006-01-25 00:00:00	No	2006-08-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	YZSH11	N	CA00070923	A	SFY2006-07
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-05-11 00:00:00	150003067	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-04-18 00:00:00	2006-04-18 00:00:00	No	2006-06-02 00:00:00	None	B	None	700	2100	-735	1365	0	None	7XXQ11	N	CA00078510	C	SFY2005-06
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-09-20 00:00:00	150003070	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-07-08 00:00:00	2005-07-08 00:00:00	No	2006-10-12 00:00:00	None	AA	None	95000	95000	-33250	61750	0	None	EVYZ11	Y	CA00054872	D	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-05-02 00:00:00	150003074	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-06 00:00:00	2006-02-06 00:00:00	No	2006-05-23 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	D65M11	N	CA00071852	D	SFY2005-06
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-05-11 00:00:00	150003081	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-18 00:00:00	2006-04-18 00:00:00	No	2006-06-02 00:00:00	None	B	None	800	2400	-840	1560	0	None	U63C11	N	CA00078505	C	SFY2005-06
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-05-18 00:00:00	150003089	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-07 00:00:00	2005-09-07 00:00:00	No	2006-06-09 00:00:00	None	B	None	800	800	-280	520	0	None	OPS211	N	CA00060748	D	SFY2005-06
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2007-08-13 00:00:00	150003148	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2005-10-22 00:00:00	2005-10-22 00:00:00	No	2007-09-04 00:00:00	None	AA	None	90000	90000	-31500	58500	0	None	6VZE11	Y	CA00064672	D	SFY2007-08
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-06-29 00:00:00	150003171	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-26 00:00:00	2006-05-26 00:00:00	Yes	2006-07-21 00:00:00	2006-07-25 00:00:00	B	None	800	800	-280	520	0	None	BF0N11	N	CA00082180	C	SFY2005-06
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-06-13 00:00:00	150003172	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-03-24 00:00:00	2007-03-24 00:00:00	No	2007-07-05 00:00:00	None	B	None	700	2100	-735	1365	0	None	4TD711	N	CA00110359	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-07-12 00:00:00	150003193	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-08 00:00:00	2006-05-08 00:00:00	No	2006-08-02 00:00:00	None	B	None	900	900	-315	585	0	None	122L11	N	CA00080434	D	SFY2006-07
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-08-16 00:00:00	150003268	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-27 00:00:00	2006-06-27 00:00:00	No	2006-09-07 00:00:00	None	B	None	700	2100	-735	1365	0	None	YRG911	N	CA00084964	C	SFY2006-07
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-08-24 00:00:00	150003306	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-15 00:00:00	2006-07-15 00:00:00	No	2006-09-15 00:00:00	None	B	None	800	800	-280	520	0	None	U98B11	N	CA00087005	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-08-24 00:00:00	150003308	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-02 00:00:00	2006-05-02 00:00:00	No	2006-09-15 00:00:00	None	B	None	600	600	-210	390	0	None	UUVL11	N	CA00079909	C	SFY2006-07
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-09-05 00:00:00	150003313	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-03 00:00:00	2006-07-03 00:00:00	No	2006-09-26 00:00:00	None	B	None	900	2700	-945	1755	0	None	9M8U11	N	CA00085464	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-10-12 00:00:00	150003404	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-10 00:00:00	2006-08-10 00:00:00	No	2006-11-02 00:00:00	None	B	None	600	600	-210	390	0	None	PLD511	N	CA00089913	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-10-12 00:00:00	150003418	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-18 00:00:00	2006-07-18 00:00:00	No	2006-11-02 00:00:00	None	B	None	600	600	-210	390	0	None	3KIJ11	N	CA00087409	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-11-17 00:00:00	150003485	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-12 00:00:00	2006-09-12 00:00:00	No	2006-12-12 00:00:00	None	B	None	700	700	-245	455	0	None	A9U911	N	CA00092870	C	SFY2006-07
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-05-13 00:00:00	150003490	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-09-16 00:00:00	2006-09-16 00:00:00	No	2008-06-04 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	W51K11	Y	CA00093365	B	SFY2007-08
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-10-10 00:00:00	150003538	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-04 00:00:00	2005-10-04 00:00:00	No	2007-11-02 00:00:00	None	B	None	800	800	-280	520	0	None	TR6V11	N	CA00090692, CA00161856	C, C	SFY2007-08
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-02-13 00:00:00	150003557	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-27 00:00:00	2006-09-27 00:00:00	No	2007-03-06 00:00:00	None	B	None	800	2400	-840	1560	0	None	KNPL11	N	CA00094426	C	SFY2006-07
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-12-13 00:00:00	150003558	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-04 00:00:00	2006-11-04 00:00:00	No	2007-01-05 00:00:00	None	B	None	800	800	-280	520	0	None	QKX411	N	CA00097763	C	SFY2006-07
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-12-12 00:00:00	150003560	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-23 00:00:00	2006-04-23 00:00:00	No	2007-01-04 00:00:00	None	B	None	300	300	-105	195	0	None	3NF511	N	CA00079423	D	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-01-10 00:00:00	150003625	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-30 00:00:00	2006-06-30 00:00:00	No	2007-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	UPMA11	N	CA00083935	D	SFY2006-07
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2007-02-20 00:00:00	150003693	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-15 00:00:00	2006-11-15 00:00:00	No	2007-03-13 00:00:00	None	B	None	700	700	-245	455	0	None	SWYW11	N	CA00098845	C	SFY2006-07
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-03-08 00:00:00	150003779	Closed	Citation	Citation B (HSC 1424)	Other	pc, pr	2006-07-25 00:00:00	2006-07-25 00:00:00	No	2007-03-29 00:00:00	None	B	None	700	700	-245	455	0	None	YXCF11	N	CA00088220	C	SFY2006-07
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2009-09-09 00:00:00	150003870	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-02 00:00:00	2007-03-02 00:00:00	No	2009-09-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	RRPU11	N	CA00108296	D	SFY2009-10
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2007-04-11 00:00:00	150003888	Closed	Citation	Citation B (HSC 1424)	Other	pc, pr	2006-12-17 00:00:00	2006-12-17 00:00:00	No	2007-05-02 00:00:00	None	B	None	900	2700	-945	1755	0	None	2FB811	N	CA00101514	C	SFY2006-07
150001228	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2007-05-23 00:00:00	150003964	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-03-16 00:00:00	2007-03-16 00:00:00	No	2007-06-13 00:00:00	None	B	None	600	600	-210	390	0	None	D9CL11	N	CA00109788	D	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-06-05 00:00:00	150003996	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-14 00:00:00	2007-03-14 00:00:00	No	2007-06-26 00:00:00	None	B	None	700	700	-245	455	0	None	W6RV11	N	CA00109210	C	SFY2006-07
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2007-06-21 00:00:00	150004024	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-26 00:00:00	2007-04-26 00:00:00	No	2007-07-13 00:00:00	None	B	None	600	1800	-630	1170	0	None	7RQW11	N	CA00113201	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-08-13 00:00:00	150004103	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-07-02 00:00:00	2007-07-02 00:00:00	No	2007-09-04 00:00:00	None	B	None	900	900	-315	585	0	None	E1UP11	N	CA00119362	C	SFY2007-08
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-09-11 00:00:00	150004239	Closed	Citation	Citation B (HSC 1424)	Other	pr,c	2007-08-17 00:00:00	2007-08-17 00:00:00	No	2007-10-02 00:00:00	None	B	None	700	2100	-735	1365	0	None	JUDH11	N	CA00123954	C	SFY2007-08
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-10-10 00:00:00	150004333	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-14 00:00:00	2007-08-14 00:00:00	No	2007-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	FT1Y11	N	CA00123872	D	SFY2007-08
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2007-10-30 00:00:00	150004381	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-05 00:00:00	2007-10-05 00:00:00	No	2007-11-21 00:00:00	None	B	None	600	600	-210	390	0	None	4T3J11	N	CA00128735	C	SFY2007-08
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2009-12-30 00:00:00	150004398	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-05-23 00:00:00	2007-05-23 00:00:00	No	2010-01-25 00:00:00	None	AA	None	50000	50000	-17500	32500	0	None	0Z5411	Y	CA00115661	D	SFY2009-10
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-10-30 00:00:00	150004409	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-12 00:00:00	2007-05-12 00:00:00	No	2007-11-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	O1NP11	N	CA00114870	C	SFY2007-08
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2008-04-01 00:00:00	150004422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-23 00:00:00	2007-10-23 00:00:00	No	2008-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	07ZF11	N	CA00130169	C	SFY2007-08
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-02-05 00:00:00	150004490	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-10-25 00:00:00	2007-10-25 00:00:00	No	2008-02-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	EDQH11	N	CA00130522	C	SFY2007-08
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2007-12-13 00:00:00	150004515	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-01 00:00:00	2007-12-01 00:00:00	No	2008-01-07 00:00:00	None	B	None	700	700	-245	455	0	None	UGPJ11	N	CA00133934	C	SFY2007-08
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-12-27 00:00:00	150004532	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-23 00:00:00	2007-10-23 00:00:00	No	2008-01-18 00:00:00	None	B	None	500	500	-175	325	0	None	PBH111	N	CA00130553	D	SFY2007-08
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-01-03 00:00:00	150004533	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-11-11 00:00:00	2007-11-11 00:00:00	No	2008-01-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q9JS11	N	CA00132108	C	SFY2007-08
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-03-06 00:00:00	150004734	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-01 00:00:00	2007-09-01 00:00:00	No	2008-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	9MY411	N	CA00125434	C	SFY2007-08
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-04-01 00:00:00	150004834	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-08 00:00:00	2008-02-08 00:00:00	No	2008-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	CT7Z11	N	CA00140977	D	SFY2007-08
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-04-07 00:00:00	150004848	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-24 00:00:00	2007-10-24 00:00:00	No	2008-04-28 00:00:00	None	B	None	800	800	-280	520	0	None	JUUQ11	N	CA00130310	C	SFY2007-08
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-04-11 00:00:00	150004879	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-30 00:00:00	2007-12-30 00:00:00	No	2008-05-02 00:00:00	None	B	None	900	2700	-945	1755	0	None	GY7F11	N	CA00136835	C	SFY2007-08
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2008-04-16 00:00:00	150004906	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-22 00:00:00	2008-01-22 00:00:00	No	2008-05-07 00:00:00	None	B	None	700	700	-245	455	0	None	PU5T11	N	CA00138959	C	SFY2007-08
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2008-04-16 00:00:00	150004909	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-22 00:00:00	2008-01-22 00:00:00	No	2008-05-07 00:00:00	None	B	None	700	700	-245	455	0	None	PU5T11	N	CA00138963	C	SFY2007-08
150001233	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2008-05-21 00:00:00	150004926	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-18 00:00:00	2006-09-18 00:00:00	No	2008-06-16 00:00:00	None	B	None	900	900	-315	585	0	None	GEL211	N	CA00097364	C	SFY2007-08
150001233	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2008-05-21 00:00:00	150004927	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-16 00:00:00	2006-08-16 00:00:00	No	2008-06-16 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	GEL211	N	CA00097364	C	SFY2007-08
150001241	AGNEWS STATE HOSPITAL D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-04-29 00:00:00	150004937	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-21 00:00:00	2008-02-21 00:00:00	No	2008-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZUXV11	N	CA00142785	C	SFY2007-08
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2008-05-27 00:00:00	150005037	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-02-08 00:00:00	2008-02-08 00:00:00	No	2008-06-17 00:00:00	None	B	None	800	1000	-280	720	0	None	CD9I11	N	CA00140385	C	SFY2007-08
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-07-03 00:00:00	150005184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-22 00:00:00	2008-05-22 00:00:00	No	2008-07-25 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	QMRV11	N	CA00151676	C	SFY2008-09
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-11-19 00:00:00	150005350	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-22 00:00:00	2008-05-22 00:00:00	No	2008-12-12 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	P5R111	N	CA00151707	C	SFY2008-09
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-10-02 00:00:00	150005351	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-23 00:00:00	2008-07-23 00:00:00	No	2008-10-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	102911	N	CA00158555	D	SFY2008-09
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-11-19 00:00:00	150005515	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-30 00:00:00	2008-07-30 00:00:00	No	2008-12-12 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	C9IE11	N	CA00160005	D	SFY2008-09
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-11-20 00:00:00	150005614	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-02 00:00:00	2008-10-02 00:00:00	No	2008-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	CEF011	N	CA00165601	D	SFY2008-09
150001242	AGNEWS STATE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2009-02-13 00:00:00	150005853	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-01 00:00:00	2008-12-01 00:00:00	No	2009-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	1LGR11	N	CA00174059	C	SFY2008-09
150001242	AGNEWS STATE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2009-02-13 00:00:00	150005854	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2009-01-13 00:00:00	2009-01-13 00:00:00	No	2009-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	1LGR11	N	CA00173985	C	SFY2008-09
150001242	AGNEWS STATE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2009-02-13 00:00:00	150005873	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-01-12 00:00:00	2009-01-12 00:00:00	No	2009-03-09 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	1LGR11	N	CA00174204	C	SFY2008-09
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-01-05 00:00:00	150006070	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-16 00:00:00	2009-02-16 00:00:00	No	2010-01-28 00:00:00	None	B	None	1000	1100	-350	750	0	None	PCI311	N	CA00179705	D	SFY2009-10
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-04-30 00:00:00	150006100	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-23 00:00:00	2008-10-23 00:00:00	No	2009-05-21 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	0T0N11	N	CA00169241	D	SFY2008-09
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2009-04-28 00:00:00	150006101	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-26 00:00:00	2008-04-26 00:00:00	No	2009-05-19 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	R4D911	N	CA00148764	C	SFY2008-09
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-04-27 00:00:00	150006111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-02 00:00:00	2008-12-02 00:00:00	No	2009-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	3H2X11	N	CA00171764	E	SFY2008-09
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-04-27 00:00:00	150006118	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-28 00:00:00	2008-08-28 00:00:00	No	2009-05-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	1DQ411	N	CA00161856	C	SFY2008-09
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-01-04 00:00:00	150006282	Closed	Citation	Citation B (HSC 1424)	Patient Rights	AB-Abuse/Fac Not Reported	2009-02-25 00:00:00	2009-02-25 00:00:00	No	2010-01-27 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	MNN311	N	CA00185753	D	SFY2009-10
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2009-11-17 00:00:00	150006679	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-16 00:00:00	2009-08-16 00:00:00	No	2009-12-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	K9NG11	N	CA00200891	D	SFY2009-10
150001228	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-12-22 00:00:00	150006681	Closed	Citation	Citation AA (HSC 1424)	Other	Death	2009-07-29 00:00:00	2009-07-29 00:00:00	No	2012-01-17 00:00:00	None	AA	None	80000	80300	-28000	52300	0	None	L88W11	Y	CA00197219	D	SFY2011-12
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2010-02-02 00:00:00	150006691	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-03 00:00:00	2009-08-03 00:00:00	No	2010-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	BC5311	N	CA00196715	D	SFY2009-10
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-01-12 00:00:00	150006757	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-21 00:00:00	2009-09-21 00:00:00	No	2010-02-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	0V6F11	N	CA00203660	D	SFY2009-10
150001231	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-04-06 00:00:00	150006758	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-23 00:00:00	2009-10-23 00:00:00	Yes	2011-04-27 00:00:00	2011-04-20 00:00:00	B	None	1000	1000	0	1000	0	None	LBVD11	N	CA00206972	D	SFY2010-11
150001231	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2010-01-20 00:00:00	150006815	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-02-19 00:00:00	2009-02-19 00:00:00	No	2010-02-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	RYFY11	N	CA00178994	D	SFY2009-10
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-10-06 00:00:00	150006816	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-09-08 00:00:00	2009-09-08 00:00:00	No	2010-10-27 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	OK5611	Y	CA00201352	D	SFY2010-11
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2010-01-06 00:00:00	150006817	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-11 00:00:00	2009-10-11 00:00:00	No	2010-01-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	009J11	N	CA00206988	D	SFY2009-10
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-02-23 00:00:00	150006870	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-12-05 00:00:00	2009-12-05 00:00:00	No	2010-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	IEIF11	N	CA00210747	D	SFY2009-10
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-03-08 00:00:00	150006983	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-05 00:00:00	2009-07-05 00:00:00	No	2010-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZPTX11	N	CA00194870	D	SFY2009-10
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-08-25 00:00:00	150007117	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-03-30 00:00:00	2008-03-30 00:00:00	No	2010-09-16 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	JTCE11	Y	CA00145410	C	SFY2010-11
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-07-23 00:00:00	150007149	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-16 00:00:00	2010-02-16 00:00:00	No	2010-08-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	BRIR11	N	CA00218646	D	SFY2010-11
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-05-20 00:00:00	150007152	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-21 00:00:00	2010-03-21 00:00:00	No	2010-06-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	8SI411	N	CA00223529	D	SFY2009-10
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-02-02 00:00:00	150007257	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-08 00:00:00	2009-09-08 00:00:00	No	2011-02-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	J28011	N	CA00203136	D	SFY2010-11
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-05-25 00:00:00	150007258	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-21 00:00:00	2008-05-21 00:00:00	No	2011-06-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UKY311	Y	CA00151714	D	SFY2010-11
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-11-22 00:00:00	150007312	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-04 00:00:00	2010-05-04 00:00:00	No	2010-12-15 00:00:00	None	B	None	1000	3000	0	3000	0	None	EI4F11	N	CA00227920	D	SFY2010-11
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2012-03-15 00:00:00	150007383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-14 00:00:00	2010-03-14 00:00:00	No	2012-04-05 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	None	37CY11	Y	CA00221777	D	SFY2011-12
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-05-05 00:00:00	150007427	Closed	Citation	Citation B (HSC 1424)	Patient Care	DEATH	2010-02-02 00:00:00	2010-02-02 00:00:00	No	2011-05-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	NYJL11	N	CA00218686	D	SFY2010-11
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-04-05 00:00:00	150007628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-22 00:00:00	2010-06-22 00:00:00	No	2011-04-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	JLQZ11	N	CA00234685	D	SFY2010-11
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-04-16 00:00:00	150007657	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-18 00:00:00	2010-08-18 00:00:00	No	2012-05-07 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	92XB11	N	CA00242527	C	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-04-08 00:00:00	150007781	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-02 00:00:00	2010-08-02 00:00:00	No	2011-04-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	AXVX11	N	CA00238251	D	SFY2010-11
150001231	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-04-06 00:00:00	150007884	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-23 00:00:00	2009-10-23 00:00:00	Yes	2011-04-27 00:00:00	2011-04-20 00:00:00	B	None	1000	1000	0	1000	0	None	LBVD11	N	CA00206972	D	SFY2010-11
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-10-25 00:00:00	150008097	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-22 00:00:00	2010-07-22 00:00:00	No	2011-11-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	4OG911	N	CA00237258	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-08-26 00:00:00	150008105	Closed	Citation	Citation A (HSC 1424)	Other	Neglect	2011-01-06 00:00:00	2011-01-06 00:00:00	No	2011-09-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	QMTL11	N	CA00257238	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-06-14 00:00:00	150008106	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-01 00:00:00	2011-03-01 00:00:00	No	2011-07-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	ROIK11	N	CA00261151	C	SFY2010-11
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-11-29 00:00:00	150008130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-17 00:00:00	2010-07-17 00:00:00	No	2011-12-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	2UJV11	N	CA00237321	D	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-04-13 00:00:00	150008152	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-10-16 00:00:00	2010-10-16 00:00:00	No	2012-05-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	YSDN11	N	CA00246812	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-11-04 00:00:00	150008167	Closed	Citation	Citation A (HSC 1424)	Other	Staff Death/neglect	2010-10-23 00:00:00	2010-10-23 00:00:00	No	2011-11-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	P3XI11	N	CA00246965	B	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-11-10 00:00:00	150008197	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-10 00:00:00	2011-01-10 00:00:00	No	2011-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	PJ1S11	N	CA00257848	D	SFY2011-12
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-04-16 00:00:00	150008241	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2010-09-08 00:00:00	2010-09-08 00:00:00	No	2012-05-07 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	S8D411	N	CA00245745	D	SFY2011-12
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-11-29 00:00:00	150008366	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-09 00:00:00	2010-12-09 00:00:00	No	2011-12-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	0G6N11	N	CA00253173	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-04-12 00:00:00	150008370	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-22 00:00:00	2010-09-22 00:00:00	No	2012-05-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	LJEM11	N	CA00244535	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-01-10 00:00:00	150008371	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-10 00:00:00	2009-09-10 00:00:00	No	2014-02-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	GSFK11	N	CA00202104	D	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-04-06 00:00:00	150008410	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2010-08-18 00:00:00	2010-08-18 00:00:00	No	2012-04-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	V80P11	N	CA00238918	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-04-13 00:00:00	150008411	Closed	Citation	Citation A (HSC 1424)	Patient Care	Failed to follow policy	2010-12-11 00:00:00	2010-12-11 00:00:00	No	2012-05-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	B7YD11	N	CA00252021	C	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-12-15 00:00:00	150008458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-13 00:00:00	2011-07-13 00:00:00	No	2012-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	90IW11	N	CA00274298	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-11-10 00:00:00	150008581	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-26 00:00:00	2011-02-26 00:00:00	No	2011-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZDDC11	N	CA00261150	B	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-06-04 00:00:00	150008629	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2011-09-26 00:00:00	2011-09-26 00:00:00	No	2012-06-25 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	1YFO11	N	CA00285658	A	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-11-23 00:00:00	150008658	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-05-25 00:00:00	2011-05-25 00:00:00	No	2011-12-16 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	XNFM11	N	CA00272291	D	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-04-10 00:00:00	150008724	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-09 00:00:00	2011-06-09 00:00:00	No	2012-05-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	Q2JM11	N	CA00274314	D	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150008849	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-07-25 00:00:00	2011-07-25 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	J0DT11	N	CA00277548	D	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-03-07 00:00:00	150008930	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-02 00:00:00	2011-10-02 00:00:00	No	2012-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	R5RF11	N	CA00265459	D	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009262	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-10-25 00:00:00	2011-10-25 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HQ9111	N	CA00283444	D	SFY2012-13
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2013-08-29 00:00:00	150009301	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-04-26 00:00:00	2012-04-26 00:00:00	No	2013-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	TO0L11	N	CA00308745	A	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009314	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-10-29 00:00:00	2011-10-29 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	CQ3J11	N	CA00290249	D	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-03 00:00:00	150009315	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-28 00:00:00	2012-03-28 00:00:00	No	2014-02-25 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	0PL811	N	CA00305360	B	SFY2013-14
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-02-11 00:00:00	150009318	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-16 00:00:00	2012-01-16 00:00:00	No	2014-03-05 00:00:00	None	B	None	800	800	-280	520	0	None	FRIR11	N	CA00296690	D	SFY2013-14
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2013-07-22 00:00:00	150009431	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-11-22 00:00:00	2011-11-22 00:00:00	No	2013-08-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	173S11	Y	CA00291840	C	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009497	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-06-13 00:00:00	2012-06-13 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HJ6711	N	CA00311982, CA00314985	C, C	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009498	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2012-05-09 00:00:00	2012-05-09 00:00:00	No	2013-01-04 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	HJ6711	Y	CA00322951	A	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009501	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-05-25 00:00:00	2012-05-25 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HJ6711	N	CA00298801, CA00312003	D, A	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009503	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-06-12 00:00:00	2012-06-12 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HJ6711	N	CA00314599	A	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009606	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-11-11 00:00:00	2012-11-11 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	T8MH11	N	CA00332704	A	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-21 00:00:00	150009607	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-11-09 00:00:00	2012-11-09 00:00:00	No	2014-03-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	CEJL11	N	CA00306099, CA00331305, CA00332710	C, C, A	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-21 00:00:00	150009611	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-05-16 00:00:00	2012-05-16 00:00:00	No	2014-03-14 00:00:00	None	B	None	800	800	-280	520	0	None	LJWW11	N	CA00310066	B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009622	Closed	Citation	Citation A (HSC 1424)	Other	Pharmacy	2012-09-19 00:00:00	2012-09-19 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HJ6712	N	CA00327237	A	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009623	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-09-20 00:00:00	2012-09-20 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HJ6712	N	CA00334122	E	SFY2012-13
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-02-03 00:00:00	150009702	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2011-11-05 00:00:00	2011-11-05 00:00:00	No	2014-02-25 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	8T7Z11	N	CA00289566	C	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-11 00:00:00	150009703	Closed	Citation	Citation A (HSC 1424)	Dietary	None	2012-11-28 00:00:00	2012-11-28 00:00:00	No	2014-03-05 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	7FQC11	N	CA00334861	C	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-08 00:00:00	150009749	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-12-01 00:00:00	2012-12-01 00:00:00	No	2014-04-29 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	0X8111	N	CA00335329	A	SFY2013-14
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-03-06 00:00:00	150009750	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-07-14 00:00:00	2012-07-14 00:00:00	No	2014-03-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	85LY11	N	CA00318376	B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-02 00:00:00	150009861	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2013-04-16 00:00:00	2013-04-16 00:00:00	No	2014-04-23 00:00:00	None	A	None	10000	30000	-10500	19500	0	None	1Z9R11	N	CA00351241	A	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-03-14 00:00:00	150009862	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-04-24 00:00:00	2013-04-24 00:00:00	No	2014-04-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	PQMO11	N	CA00352217	B	SFY2013-14
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-03-14 00:00:00	150009935	Closed	Citation	Citation B (HSC 1424)	Other	Failure to report timely	2013-02-15 00:00:00	2013-02-15 00:00:00	No	2014-04-07 00:00:00	None	B	None	800	800	0	800	0	None	ZF5311	N	CA00349050	B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-02 00:00:00	150009937	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-05-14 00:00:00	2013-05-14 00:00:00	No	2014-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	O4Y111	N	CA00355044	A	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2013-11-06 00:00:00	150009978	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-04-10 00:00:00	2013-04-10 00:00:00	No	2013-12-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3TJ011	N	CA00350525	A	SFY2013-14
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-04-10 00:00:00	150010016	Closed	Citation	Citation A (HSC 1424)	Medication	None	2013-06-01 00:00:00	2013-06-01 00:00:00	No	2014-05-01 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	3TKR11	N	CA00358901	B	SFY2013-14
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-04-02 00:00:00	150010133	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-07-12 00:00:00	2013-07-12 00:00:00	No	2014-04-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	WZ2011	N	CA00362048	B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2013-11-06 00:00:00	150010134	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-04-11 00:00:00	2013-04-11 00:00:00	No	2013-12-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	5OFN11	N	CA00350230	B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-03-21 00:00:00	150010135	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2013-01-20 00:00:00	2013-01-20 00:00:00	No	2014-04-14 00:00:00	None	A	None	10000	30000	-10500	19500	0	None	7JRT11	N	CA00341231, CA00342860, CA00346807, CA00359544, CA00362958, CA00363050	C, C, B, A, D, A	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-03-21 00:00:00	150010136	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-03-28 00:00:00	2013-03-28 00:00:00	No	2014-04-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	EVU711	N	CA00349453, CA00349989, CA00351058, CA00356106, CA00359524, CA00360971	C, C, C, C, C, B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-27 00:00:00	150010151	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-06-05 00:00:00	2013-06-05 00:00:00	No	2014-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	SI5G11	N	CA00358226	B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2013-12-10 00:00:00	150010161	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2012-11-26 00:00:00	2012-11-26 00:00:00	No	2014-01-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B13011	N	CA00335296	D	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-02-19 00:00:00	150010215	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-10-14 00:00:00	2013-10-14 00:00:00	No	2014-03-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CPX111	N	CA00370146, CA00371334, CA00372050, CA00372069, CA00372466, CA00372614, CA00372812, CA00372892, CA00373156	D, C, C, C, C, C, B, B, B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-01-24 00:00:00	150010216	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-10-09 00:00:00	2013-10-09 00:00:00	No	2014-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	F0OS11	N	CA00369963, CA00370233, CA00371089, CA00371172, CA00371723, CA00372620	D, C, C, C, B, B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2013-11-15 00:00:00	150010219	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-01-05 00:00:00	2012-01-05 00:00:00	No	2013-12-10 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	WQLS11	N	CA00296507	D	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-01-24 00:00:00	150010220	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-10-02 00:00:00	2013-10-02 00:00:00	No	2014-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OPR511	N	CA00371103, CA00372602, CA00372896, CA00373520	C, C, B, B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-06-30 00:00:00	150010253	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-10-15 00:00:00	2013-10-15 00:00:00	No	2014-07-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	JD3S11	N	CA00369895, CA00370342, CA00372598, CA00373204	C, D, C, B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-02-19 00:00:00	150010292	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-09-15 00:00:00	2013-09-15 00:00:00	No	2014-03-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WD2211	N	CA00370164, CA00370588, CA00375665, CA00376020	D, D, C, B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-27 00:00:00	150010293	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-04-18 00:00:00	2013-04-18 00:00:00	No	2014-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	BDSK11	N	CA00351571, CA00352754, CA00353118, CA00353537	B, B, A, A	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-02 00:00:00	150010294	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-06-27 00:00:00	2013-06-27 00:00:00	No	2014-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	P2JN11	N	CA00360084	A	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-03-07 00:00:00	150010388	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-12-16 00:00:00	2013-12-16 00:00:00	No	2014-03-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U2WC11	N	CA00380681	B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-03-07 00:00:00	150010402	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-12-14 00:00:00	2013-12-14 00:00:00	No	2014-03-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TJS611	N	CA00380915, CA00381035, CA00381336, CA00381356, CA00381874, CA00382375, CA00383111, CA00383622	C, C, C, C, C, C, C, C	SFY2013-14
150001231	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-07-03 00:00:00	150010717	Closed	Citation	Citation B (HSC 1424)	Dietary	Potential Harm	2014-03-12 00:00:00	2014-03-12 00:00:00	No	2014-07-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	9MW611	N	CA00404036	C	SFY2014-15
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-10-31 00:00:00	150010888	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-05 00:00:00	2014-04-05 00:00:00	No	2014-11-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	38A511	N	CA00406612	B	SFY2014-15
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-03-24 00:00:00	150010909	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-02-28 00:00:00	2014-02-28 00:00:00	No	2015-04-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FGTT11	N	CA00389777	A	SFY2014-15
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-03-24 00:00:00	150010910	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-01 00:00:00	2014-03-01 00:00:00	No	2015-04-15 00:00:00	None	B	None	1500	1500	-525	975	0	None	CWFU11	N	CA00389772	A	SFY2014-15
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-11-19 00:00:00	150010923	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-06-26 00:00:00	2014-06-26 00:00:00	No	2014-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	EV8I11	N	CA00403600, CA00408451	B, C	SFY2014-15
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-10-31 00:00:00	150010924	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-07-05 00:00:00	2014-07-05 00:00:00	No	2014-11-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	JDOZ11	N	CA00404525	A	SFY2014-15
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-10-30 00:00:00	150010982	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-28 00:00:00	2014-04-28 00:00:00	No	2014-11-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	CZ4O11	N	CA00396967	A	SFY2014-15
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-04-14 00:00:00	150011071	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Abuse Fracture	2014-01-07 00:00:00	2014-01-07 00:00:00	No	2015-05-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WQ7W11	N	CA00383999	C	SFY2014-15
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-02-25 00:00:00	150011100	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-08-27 00:00:00	2014-08-27 00:00:00	No	2015-03-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	6U4V11	N	CA00412109	C	SFY2014-15
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-02-16 00:00:00	150011118	Open	Citation	Citation A (HSC 1424)	Patient Rights	Abuse	2014-05-28 00:00:00	2014-05-28 00:00:00	Yes	2016-03-08 00:00:00	2016-03-04 00:00:00	A	None	20000	20950	0	0	20950	None	XSX111	Y	CA00400199	A	SFY2015-16
150001228	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2015-10-13 00:00:00	150011297	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-06-11 00:00:00	2014-06-11 00:00:00	No	2015-11-03 00:00:00	None	B	None	500	500	-175	325	0	None	W6FQ11	N	CA00415580	C	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-06-29 00:00:00	150011322	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-08 00:00:00	2014-08-08 00:00:00	No	2015-07-20 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	JOYY11	N	CA00418021	B	SFY2014-15
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-07-16 00:00:00	150011369	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-09-29 00:00:00	2013-09-29 00:00:00	No	2015-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	N7OJ11	N	CA00371568	A	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-10-30 00:00:00	150011442	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-06-26 00:00:00	2014-06-26 00:00:00	No	2015-11-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	X1M811	N	CA00439959, CA00439959	C, C	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-10-28 00:00:00	150011631	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-06-04 00:00:00	2014-06-04 00:00:00	No	2015-11-19 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	WFW011	N	CA00401400	B	SFY2015-16
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-10-21 00:00:00	150011633	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Neglect	2015-07-05 00:00:00	2015-07-05 00:00:00	No	2015-11-12 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	HZON11	N	CA00449299	B	SFY2015-16
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-07-29 00:00:00	150011638	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-11-10 00:00:00	2014-11-10 00:00:00	No	2015-08-19 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	VZHM11	N	CA00423853, CA00429731, CA00431786, CA00433095	C, B, B, C	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-11-02 00:00:00	150011644	Closed	Citation	Citation B (HSC 1424)	Other	Patient Rights and Abuse	2015-05-26 00:00:00	2015-05-26 00:00:00	No	2015-11-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	YN8611	N	CA00444602, CA00444938	C, C	SFY2015-16
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-10-28 00:00:00	150011646	Closed	Citation	Citation B (HSC 1424)	Other	Fac Not Self Reported	2013-05-15 00:00:00	2013-05-15 00:00:00	No	2015-11-19 00:00:00	None	B	None	800	800	-280	520	0	None	YEMN11	N	CA00355276	C	SFY2015-16
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-10-29 00:00:00	150011694	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-02-23 00:00:00	2015-02-23 00:00:00	No	2015-11-20 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	CDCH11	N	CA00433638, CA00433659	C, C	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-11-06 00:00:00	150011758	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2015-07-15 00:00:00	2015-07-15 00:00:00	No	2015-12-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	MDJC11	N	CA00451088, CA00451760, CA00457775	C, B, C	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-11-06 00:00:00	150011760	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-04-30 00:00:00	2015-04-30 00:00:00	No	2015-12-02 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	K1IJ11	N	CA00441287	C	SFY2015-16
630014895	VETERANS HOME OF CALIFORNIA - REDDING	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2016-06-02 00:00:00	150011948	Closed	Citation	Citation B (HSC 1424)	Other	Dental Services	2015-09-24 00:00:00	2015-09-24 00:00:00	No	2016-06-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DEWT11	N	CA00459682	C	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-01-25 00:00:00	150011970	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-05-06 00:00:00	2015-05-06 00:00:00	No	2016-02-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	J7EM11	N	CA00442329	C	SFY2015-16
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-06-30 00:00:00	150011986	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-12-23 00:00:00	2015-12-23 00:00:00	No	2016-07-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q51S11	N	CA00472258	B	SFY2015-16
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-03-09 00:00:00	150012012	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-07-23 00:00:00	2015-07-23 00:00:00	No	2016-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	4DLH11	N	CA00452799	B	SFY2015-16
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-09-23 00:00:00	150012033	Closed	Citation	Citation AA (HSC 1424)	Other	Death	2014-07-13 00:00:00	2014-07-13 00:00:00	No	2016-10-14 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	S9CP11	Y	CA00405769	A	SFY2016-17
150001231	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2016-07-11 00:00:00	150012309	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-01-22 00:00:00	2015-01-22 00:00:00	No	2016-08-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5UHY11	N	CA00428572	B	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-07-14 00:00:00	150012333	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-04-18 00:00:00	2016-04-18 00:00:00	No	2016-08-04 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	87FL11	N	CA00484866	C	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-07-01 00:00:00	150012365	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-10-15 00:00:00	2015-10-15 00:00:00	No	2016-07-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	H4F711	N	CA00462801	C	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-07-06 00:00:00	150012373	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-27 00:00:00	2015-02-27 00:00:00	No	2016-07-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	5Y7G11	N	CA00437748	C	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-07-06 00:00:00	150012374	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-03-05 00:00:00	2015-03-05 00:00:00	No	2016-07-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	X4F911	N	CA00437757	D	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-08-18 00:00:00	150012384	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-02 00:00:00	2016-04-02 00:00:00	Yes	2016-09-09 00:00:00	2016-08-24 00:00:00	B	B	1000	2000	0	2000	0	None	8U7P11	N	CA00483020	C	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-08-11 00:00:00	150012490	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-01 00:00:00	2016-01-01 00:00:00	No	2016-09-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	L5F311	N	CA00471215	B	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-08-12 00:00:00	150012491	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-12-23 00:00:00	2015-12-23 00:00:00	No	2016-09-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	6DWC11	N	CA00471637	B	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-08-11 00:00:00	150012492	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-08 00:00:00	2016-01-08 00:00:00	No	2016-09-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	69EJ11	N	CA00472242	B	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-08-12 00:00:00	150012493	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-23 00:00:00	2016-01-23 00:00:00	No	2016-09-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	MDN111	N	CA00473928	A	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-08-16 00:00:00	150012501	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-10-13 00:00:00	2015-10-13 00:00:00	No	2016-09-07 00:00:00	None	A	None	10000	30000	-10500	19500	0	None	TS3U11	N	CA00462074	B	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-08-16 00:00:00	150012503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-23 00:00:00	2014-05-23 00:00:00	No	2016-09-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	IIYB11	N	CA00400678	A	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-12-22 00:00:00	150012825	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-18 00:00:00	2016-01-18 00:00:00	No	2017-01-17 00:00:00	None	B	None	2000	6000	0	6000	0	None	I0Q511	N	CA00473144	B	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2017-03-07 00:00:00	150012989	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-12 00:00:00	2016-04-12 00:00:00	No	2017-03-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	O9SY11	N	CA00484408	C	SFY2016-17
630014894	VETERANS HOME OF CALIFORNIA - FRESNO	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2017-07-26 00:00:00	150013021	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-11-04 00:00:00	2016-11-04 00:00:00	No	2017-08-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KUHJ11	N	CA00510290	B	SFY2017-18
630014894	VETERANS HOME OF CALIFORNIA - FRESNO	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2017-07-26 00:00:00	150013022	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-11-04 00:00:00	2016-11-04 00:00:00	No	2017-08-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KUHJ11	N	CA00510290	B	SFY2017-18
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-03-19 00:00:00	150013079	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-09-19 00:00:00	2015-09-19 00:00:00	No	2019-04-09 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	1VTM11	Y	CA00467101, CA00467101	B, B	SFY2018-19
630014895	VETERANS HOME OF CALIFORNIA - REDDING	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2017-06-22 00:00:00	150013124	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-06-29 00:00:00	2016-06-29 00:00:00	No	2017-07-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	GPR711	N	CA00496026	C	SFY2016-17
630014894	VETERANS HOME OF CALIFORNIA - FRESNO	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2017-11-17 00:00:00	150013170	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-11 00:00:00	2016-10-11 00:00:00	No	2017-12-12 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	LOW511	Y	CA00506968	B	SFY2017-18
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2017-12-12 00:00:00	150013430	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-07-12 00:00:00	2017-07-12 00:00:00	No	2018-01-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	DY8V11	N	CA00543752	B	SFY2017-18
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2017-11-07 00:00:00	150013452	Closed	Citation	Citation B (HSC 1424)	Other	safeguarding client funds	2016-03-30 00:00:00	2016-03-30 00:00:00	No	2017-12-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	IG1G11	N	CA00481634	C	SFY2017-18
630014895	VETERANS HOME OF CALIFORNIA - REDDING	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2017-11-21 00:00:00	150013628	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2017-06-18 00:00:00	2017-06-18 00:00:00	No	2017-12-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2UBD11	N	CA00547361	C	SFY2017-18
150001231	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2017-11-22 00:00:00	150013635	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-09-21 00:00:00	2016-09-21 00:00:00	No	2017-12-15 00:00:00	None	A	None	10000	10000	0	10000	0	None	2YR011	N	CA00505771	C	SFY2017-18
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-03-19 00:00:00	150013720	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-04-26 00:00:00	2015-04-26 00:00:00	No	2019-04-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	F6KO11	N	CA00441220	C	SFY2018-19
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2018-08-16 00:00:00	150013910	Closed	Citation	Citation AA (HSC 1424)	Other	Nursing Service General	2015-12-20 00:00:00	2015-12-20 00:00:00	No	2018-09-07 00:00:00	None	AA	None	85000	85200	-29950	55250	0	None	O1AF11	Y	CA00469660	D	SFY2018-19
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2018-09-24 00:00:00	150014407	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-05-15 00:00:00	2018-05-15 00:00:00	No	2018-10-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	05NE11	N	CA00588150	D	SFY2018-19
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2018-10-09 00:00:00	150014427	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-09-11 00:00:00	2018-09-11 00:00:00	No	2018-10-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	G6RQ11	N	CA00603605	B	SFY2018-19
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-08-22 00:00:00	150014502	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-08-13 00:00:00	2018-08-13 00:00:00	No	2019-09-12 00:00:00	None	B	None	800	800	0	800	0	None	MK3011	N	CA00601838	C	SFY2019-20
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-03-07 00:00:00	170001650	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-02 00:00:00	None	No	2000-03-28 00:00:00	None	B	None	1000	3000	-3000	0	0	170013294	A99999	N	None	None	SFY1999-00
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-05-18 00:00:00	170001651	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-10 00:00:00	None	No	2000-06-09 00:00:00	None	B	None	700	700	-700	0	0	None	999999	N	None	None	SFY1999-00
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-05-18 00:00:00	170001652	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-09 00:00:00	None	No	2000-06-09 00:00:00	None	B	None	800	800	-800	0	0	None	999999	N	None	None	SFY1999-00
170001774	LANTERMAN DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2000-01-06 00:00:00	170001653	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-08 00:00:00	None	No	2000-01-28 00:00:00	None	B	None	600	600	-600	0	0	170013334	A99999	N	None	None	SFY1999-00
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-19 00:00:00	170001658	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE	2000-12-10 00:00:00	None	No	2001-02-09 00:00:00	None	A	None	7000	7000	-2450	4550	0	170013704	A99999	N	None	None	SFY2000-01
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-03-27 00:00:00	170001664	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2001-02-20 00:00:00	None	No	2001-04-17 00:00:00	None	B	None	800	800	-280	520	0	170013953	A99999	N	None	None	SFY2000-01
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-04-13 00:00:00	170001666	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-14 00:00:00	None	No	2001-05-04 00:00:00	None	B	None	1000	1000	-350	650	0	170014142	A99999	N	None	None	SFY2000-01
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-04-19 00:00:00	170001667	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-26 00:00:00	None	No	2001-05-10 00:00:00	None	A	None	8000	8000	-2800	5200	0	170014166	A99999	N	None	None	SFY2000-01
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-05-11 00:00:00	170001675	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-05 00:00:00	None	Yes	2003-02-18 00:00:00	2001-05-12 00:00:00	B	B	1000	1000	0	1000	0	170014137	A99999	N	None	None	SFY2000-01
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-06-12 00:00:00	170001679	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-04-23 00:00:00	None	No	2001-07-03 00:00:00	None	A	None	10000	10000	-3500	6500	0	170014362	A99999	N	None	None	SFY2000-01
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-07-03 00:00:00	170001682	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-09 00:00:00	None	No	2001-07-25 00:00:00	None	B	None	1000	1000	-350	650	0	170014422	A99999	N	None	None	SFY2001-02
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-07-05 00:00:00	170001683	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2001-06-12 00:00:00	None	No	2001-08-03 00:00:00	None	B	None	800	800	-280	520	0	170014445	A99999	N	None	None	SFY2001-02
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-07-31 00:00:00	170001690	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-25 00:00:00	None	No	2001-08-21 00:00:00	None	B	None	800	2400	-840	1560	0	170014502	A99999	N	None	None	SFY2001-02
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-08-20 00:00:00	170001691	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-26 00:00:00	None	No	2001-09-13 00:00:00	None	B	None	500	1500	0	1500	0	170014514	A99999	N	None	None	SFY2001-02
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-09-14 00:00:00	170001693	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-01 00:00:00	2001-07-30 00:00:00	No	2001-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	170014630	A99999	N	None	None	SFY2001-02
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-01-03 00:00:00	170001694	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-26 00:00:00	None	No	2002-01-30 00:00:00	None	B	None	800	800	-280	520	0	170014862	A99999	N	None	None	SFY2001-02
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-03-27 00:00:00	170001695	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-02-18 00:00:00	None	No	2002-04-23 00:00:00	None	A	None	9000	27000	-9450	17550	0	170014951	A99999	N	None	None	SFY2001-02
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-04-09 00:00:00	170001696	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-02 00:00:00	None	No	2002-05-03 00:00:00	None	B	None	1000	3000	-1050	1950	0	170014966	A99999	N	None	None	SFY2001-02
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-05-21 00:00:00	170001697	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-17 00:00:00	None	Yes	2002-06-14 00:00:00	2002-06-04 00:00:00	B	Dismissed by Court	900	0	0	0	0	170014916	A99999	N	None	None	SFY2001-02
170001774	LANTERMAN DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2002-06-27 00:00:00	170001698	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-04 00:00:00	None	No	2002-07-23 00:00:00	None	B	B	700	455	0	455	0	170014972	A99999	N	None	None	SFY2001-02
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-07-10 00:00:00	170001699	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-22 00:00:00	None	No	2002-08-02 00:00:00	None	B	None	800	800	0	800	0	170015044	A99999	N	None	None	SFY2002-03
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-07-16 00:00:00	170001700	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-14 00:00:00	None	No	2002-08-09 00:00:00	None	B	None	800	2400	-840	1560	0	170014952	A99999	N	None	None	SFY2002-03
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-07-16 00:00:00	170001701	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-20 00:00:00	None	No	2002-08-09 00:00:00	None	B	None	800	800	-280	520	0	170015015	A99999	N	None	None	SFY2002-03
170001774	LANTERMAN DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2002-07-24 00:00:00	170001702	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-01 00:00:00	None	No	2002-08-16 00:00:00	None	B	B	700	455	0	455	0	170014939	A99999	N	None	None	SFY2002-03
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-07-31 00:00:00	170001703	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-01-12 00:00:00	None	No	2002-08-23 00:00:00	None	A	None	10000	30000	0	30000	0	170014929	A99999	N	None	None	SFY2002-03
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-08-15 00:00:00	170001704	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-03-13 00:00:00	None	Yes	2003-02-18 00:00:00	2002-08-15 00:00:00	A	A	10000	30000	0	30000	0	170015018	A99999	N	None	None	SFY2002-03
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-09-09 00:00:00	170001705	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-04 00:00:00	None	No	2002-10-02 00:00:00	None	B	None	800	2400	0	2400	0	170015119	A99999	N	None	None	SFY2002-03
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-10-22 00:00:00	170001706	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-10 00:00:00	None	No	2002-11-15 00:00:00	None	B	None	800	2400	0	2400	0	170015170	A99999	N	None	None	SFY2002-03
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-10-31 00:00:00	170001708	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-05-03 00:00:00	None	No	2002-11-26 00:00:00	None	A	None	10000	30000	-10500	19500	0	170015073	A99999	N	None	None	SFY2002-03
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-02-04 00:00:00	170001709	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2002-07-30 00:00:00	None	No	2003-02-25 00:00:00	None	AA	None	25000	25000	-8750	16250	0	170015216	A99999	Y	None	None	SFY2002-03
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-02-26 00:00:00	170001732	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-19 00:00:00	None	No	2002-03-21 00:00:00	None	A	None	17000	17000	0	17000	0	170015945	A99999	N	None	None	SFY2001-02
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-05-17 00:00:00	170001733	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-02-21 00:00:00	2002-02-21 00:00:00	Yes	2003-12-22 00:00:00	2002-06-10 00:00:00	A	A Trebled	10000	30000	0	30000	0	170015959	A99999	N	None	None	SFY2001-02
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-07-26 00:00:00	170001734	Closed	Citation	Citation A (HSC 1424)	Administration	None	2002-06-18 00:00:00	None	No	2002-08-26 00:00:00	None	A	None	7000	21000	0	21000	0	170015997	A99999	N	None	None	SFY2002-03
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-08-21 00:00:00	170001735	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-04-18 00:00:00	None	Yes	2002-09-16 00:00:00	2004-04-02 00:00:00	A	A	16000	48000	0	48000	0	170016009	A99999	N	None	None	SFY2002-03
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-11-05 00:00:00	170001736	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-22 00:00:00	None	No	2002-12-05 00:00:00	None	B	None	650	650	0	650	0	170016072	A99999	N	None	None	SFY2002-03
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-03-07 00:00:00	170001737	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-29 00:00:00	None	No	2003-04-07 00:00:00	None	B	None	1000	3000	-1050	1950	0	170016069	A99999	N	None	None	SFY2002-03
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-03-28 00:00:00	170001738	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-12-21 00:00:00	None	No	2003-04-21 00:00:00	None	A	None	10000	30000	-10500	19500	0	170015460	A99999	N	None	None	SFY2002-03
170001860	DEPARTMENT OF STATE HOSPITALS - METROPOLITAN	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-12-28 00:00:00	170001742	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-12-21 00:00:00	2001-12-21 00:00:00	Yes	2002-05-01 00:00:00	2002-01-02 00:00:00	B	B	1000	1000	0	1000	0	170016648	A99999	N	None	None	SFY2001-02
170001860	DEPARTMENT OF STATE HOSPITALS - METROPOLITAN	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2002-12-30 00:00:00	170001743	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-09-09 00:00:00	None	No	2003-02-03 00:00:00	None	A	None	7500	7500	-2625	4875	0	170016650	A99999	N	None	None	SFY2002-03
170001770	FAIRVIEW DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2003-04-24 00:00:00	170001744	Closed	Citation	Citation AA (HSC 1424)	Physical Environment	None	2002-07-05 00:00:00	None	No	2003-05-19 00:00:00	None	AA	None	80000	80000	-28000	52000	0	170015161	A99999	Y	None	None	SFY2002-03
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-04-30 00:00:00	170001745	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-08 00:00:00	None	No	2003-05-23 00:00:00	None	B	None	1000	1000	-350	650	0	170015444	A99999	N	None	None	SFY2002-03
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-05-05 00:00:00	170001746	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-13 00:00:00	None	No	2003-05-27 00:00:00	None	B	None	1000	3000	-1050	1950	0	170015534	A99999	N	None	None	SFY2002-03
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-05-06 00:00:00	170001747	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-08-07 00:00:00	None	No	2003-05-30 00:00:00	None	A	None	10000	10000	-3500	6500	0	170015226	A99999	N	None	None	SFY2002-03
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-06-04 00:00:00	170001748	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-03 00:00:00	None	No	2003-06-25 00:00:00	None	B	None	1000	3000	-1050	1950	0	170016797	A99999	N	None	None	SFY2002-03
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-06-12 00:00:00	170001749	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-23 00:00:00	None	No	2003-07-07 00:00:00	None	B	None	800	2400	-840	1560	0	170016221	A99999	N	None	None	SFY2002-03
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-06-19 00:00:00	170001750	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2002-08-07 00:00:00	None	No	2003-07-15 00:00:00	None	AA	None	25000	25000	-8750	16250	0	170015242	A99999	Y	None	None	SFY2002-03
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-07-10 00:00:00	170001751	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-03-08 00:00:00	None	No	2002-08-02 00:00:00	None	B	None	1000	1000	0	1000	0	170016210	A99999	N	None	None	SFY2003-04
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-07-02 00:00:00	170001752	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-27 00:00:00	None	No	2003-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	170016245	A99999	N	None	None	SFY2003-04
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	1999-04-13 00:00:00	170001758	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1999-03-13 00:00:00	None	Yes	1999-05-04 00:00:00	1999-10-30 00:00:00	AA	AA	25000	12500	0	12500	0	170016904	A99999	Y	None	None	SFY1998-99
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2000-06-16 00:00:00	170001759	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-03-30 00:00:00	None	Yes	2000-12-04 00:00:00	2000-07-07 00:00:00	AA	AA	25000	12500	0	12500	0	170016923	A99999	Y	None	None	SFY1999-00
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2000-06-16 00:00:00	170001760	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-02-11 00:00:00	None	Yes	2000-12-04 00:00:00	2000-07-07 00:00:00	AA	AA	25000	12500	0	12500	0	170016923	A99999	Y	None	None	SFY1999-00
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2000-06-16 00:00:00	170001761	Closed	Citation	Citation A (HSC 1424)	Administration	None	2000-03-28 00:00:00	None	Yes	2000-12-04 00:00:00	2000-07-07 00:00:00	A	A	10000	5000	0	5000	0	170016923	A99999	N	None	None	SFY1999-00
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2000-06-16 00:00:00	170001762	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-02-11 00:00:00	None	Yes	2000-12-04 00:00:00	2000-07-07 00:00:00	WF	A	2499	1250	0	1250	0	170016923	A99999	None	None	None	SFY1999-00
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2000-06-16 00:00:00	170001763	Closed	Citation	Citation B (HSC 1424)	Other	UNUSUAL OCC.	2000-02-12 00:00:00	None	Yes	2001-05-18 00:00:00	2000-07-07 00:00:00	B	B	1000	1000	0	1000	0	170016923	A99999	Y	None	None	SFY1999-00
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2000-06-16 00:00:00	170001764	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-05-10 00:00:00	None	Yes	2000-07-17 00:00:00	2000-07-07 00:00:00	B	None	1000	1000	0	1000	0	170016922	A99999	N	None	None	SFY1999-00
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2000-07-31 00:00:00	170001765	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-21 00:00:00	None	Yes	2001-05-18 00:00:00	2000-08-18 00:00:00	A	A	10000	5000	0	5000	0	170016930	A99999	N	None	None	SFY2000-01
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-12-18 00:00:00	170001766	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE	2001-10-24 00:00:00	None	Yes	2002-12-06 00:00:00	2002-11-25 00:00:00	A	A	15000	7500	0	7500	0	170016956	A99999	N	None	None	SFY2001-02
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2002-01-17 00:00:00	170001767	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-02 00:00:00	None	Yes	2002-02-14 00:00:00	2002-01-17 00:00:00	A	A	20000	10000	0	10000	0	170016954	A99999	N	None	None	SFY2001-02
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2003-01-31 00:00:00	170001768	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-11-04 00:00:00	None	Yes	2003-03-03 00:00:00	2004-02-19 00:00:00	AA	AA	95000	48100	-600	47500	0	170016988	A99999	Y	None	None	SFY2002-03
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2003-02-26 00:00:00	170001769	Closed	Citation	Citation B (HSC 1424)	Other	PHARMACY SERVICES	2002-12-06 00:00:00	None	Yes	2003-03-24 00:00:00	2003-02-28 00:00:00	B	B	800	400	0	400	0	170016995	A99999	N	None	None	SFY2002-03
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2003-03-28 00:00:00	170001770	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-01-09 00:00:00	None	Yes	2003-04-24 00:00:00	2003-11-24 00:00:00	AA	AA	100000	50000	0	50000	0	170016991	A99999	Y	None	None	SFY2002-03
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2003-04-18 00:00:00	170001771	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-03 00:00:00	None	Yes	2003-05-14 00:00:00	2003-04-22 00:00:00	B	B	1000	500	0	500	0	170016987	A99999	N	None	None	SFY2002-03
170001864	VETERANS HOME OF CALIFORNIA-BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-03-07 00:00:00	170001772	Closed	Citation	Citation Retaliation/Discrimination (HSC 1432)	Administration	None	2000-06-21 00:00:00	2000-07-05 00:00:00	Yes	2001-09-11 00:00:00	2001-03-26 00:00:00	RD	A	10000	10000	0	10000	0	170016949	A99999	None	None	None	SFY2000-01
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-07-15 00:00:00	170001773	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-25 00:00:00	None	No	2003-08-07 00:00:00	None	B	None	700	2100	0	2100	0	170016180	A99999	N	None	None	SFY2003-04
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-07-23 00:00:00	170001774	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-10 00:00:00	None	No	2003-08-15 00:00:00	None	B	None	800	800	-280	520	0	170016768	A99999	N	None	None	SFY2003-04
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-07-30 00:00:00	170001775	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-10-06 00:00:00	None	No	2003-08-20 00:00:00	None	A	None	9000	9000	-3150	5850	0	170015346	A99999	N	None	None	SFY2003-04
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-07-31 00:00:00	170001776	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-15 00:00:00	None	No	2003-08-25 00:00:00	None	B	None	1000	1000	-350	650	0	170015185	A99999	N	None	None	SFY2003-04
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-08-05 00:00:00	170001777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-30 00:00:00	None	No	2003-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	170016692	A99999	N	None	None	SFY2003-04
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-08-21 00:00:00	170001778	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-30 00:00:00	None	Yes	2003-09-16 00:00:00	2003-08-26 00:00:00	B	B	1000	3000	0	3000	0	170017111	A99999	N	None	None	SFY2003-04
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-08-28 00:00:00	170001779	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-09-29 00:00:00	None	No	2003-09-23 00:00:00	None	A	None	9500	28500	-9975	18525	0	170015390	A99999	N	None	None	SFY2003-04
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-10-16 00:00:00	170001780	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-06 00:00:00	None	No	2003-11-10 00:00:00	None	B	None	1000	1000	-350	650	0	170016839	A99999	N	None	None	SFY2003-04
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-10-21 00:00:00	170001781	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-07-27 00:00:00	None	No	2003-11-12 00:00:00	None	B	None	1000	3000	-1050	1950	0	170017054	A99999	N	None	None	SFY2003-04
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-01-07 00:00:00	170001782	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-06-22 00:00:00	None	No	2004-02-02 00:00:00	None	AA	None	25000	25000	-8750	16250	0	170016852	A99999	Y	None	None	SFY2003-04
170001774	LANTERMAN DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2004-01-08 00:00:00	170001783	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-24 00:00:00	None	No	2004-02-03 00:00:00	None	A	None	19000	19000	-6650	12350	0	170017239	A99999	N	None	None	SFY2003-04
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-03-04 00:00:00	170001784	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-16 00:00:00	None	No	2004-03-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	170017404	A99999	N	None	None	SFY2003-04
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-04-20 00:00:00	170001785	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-02-06 00:00:00	None	No	2004-05-17 00:00:00	None	A	None	10000	10000	-3500	6500	0	170017479	A99999	N	None	None	SFY2003-04
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-04-21 00:00:00	170001786	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-05 00:00:00	None	Yes	2004-05-12 00:00:00	2004-04-21 00:00:00	B	None	1000	1000	-350	650	0	170017458	A99999	N	None	None	SFY2003-04
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2003-01-14 00:00:00	170001796	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-22 00:00:00	2002-03-22 00:00:00	No	2003-02-05 00:00:00	None	A	None	10000	10000	-3500	6500	0	170017745	A99999	N	None	None	SFY2002-03
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-11-04 00:00:00	170001797	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-29 00:00:00	2002-07-29 00:00:00	No	2002-12-02 00:00:00	None	B	None	900	900	-315	585	0	170017836	A99999	N	None	None	SFY2002-03
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-11-07 00:00:00	170001798	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2003-04-13 00:00:00	2003-04-13 00:00:00	Yes	2003-12-04 00:00:00	2003-11-24 00:00:00	AA	AA	25000	25000	0	25000	0	170017969	A99999	Y	None	None	SFY2003-04
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-03-01 00:00:00	170001827	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-12-29 00:00:00	1999-12-29 00:00:00	No	2000-03-24 00:00:00	None	A	None	10000	10000	-10000	0	0	170018492	A99999	N	None	None	SFY1999-00
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-03-01 00:00:00	170001828	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-10-26 00:00:00	1999-10-27 00:00:00	No	2000-03-27 00:00:00	None	A	None	10000	10000	-10000	0	0	170018493	A99999	N	None	None	SFY1999-00
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-09-20 00:00:00	170001829	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-06-28 00:00:00	2000-06-28 00:00:00	No	2000-10-13 00:00:00	None	B	None	1000	1000	-350	650	0	170018529	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-09-20 00:00:00	170001830	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-15 00:00:00	2000-07-15 00:00:00	No	2000-10-13 00:00:00	None	B	None	1000	1000	-350	650	0	170018530	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-10-19 00:00:00	170001831	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-14 00:00:00	2000-08-14 00:00:00	No	2000-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	170018548	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-21 00:00:00	170001832	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-15 00:00:00	2000-08-15 00:00:00	No	2001-01-16 00:00:00	None	B	None	1000	1000	-350	650	0	170018552	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-21 00:00:00	170001833	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-15 00:00:00	2000-04-15 00:00:00	No	2001-01-16 00:00:00	None	B	None	1000	1000	-350	650	0	170018559	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-21 00:00:00	170001834	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-31 00:00:00	2000-08-31 00:00:00	No	2001-01-16 00:00:00	None	B	None	1000	1000	-350	650	0	170018535	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-10-17 00:00:00	170001835	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-14 00:00:00	2001-03-14 00:00:00	No	2001-11-07 00:00:00	None	B	None	800	2400	-840	1560	0	170018590	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-10-25 00:00:00	170001836	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-19 00:00:00	2001-02-19 00:00:00	No	2001-11-20 00:00:00	None	B	None	1000	1000	-350	650	0	170018624	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-12-04 00:00:00	170001837	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-09 00:00:00	2001-07-09 00:00:00	No	2001-12-26 00:00:00	None	B	None	800	800	-280	520	0	170018600	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-12-13 00:00:00	170001838	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-08 00:00:00	2001-03-08 00:00:00	No	2002-01-09 00:00:00	None	B	None	900	900	-315	585	0	170018680	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-04-15 00:00:00	170001839	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-13 00:00:00	2001-03-13 00:00:00	No	2002-05-06 00:00:00	None	B	None	700	2100	-735	1365	0	170018589	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-05-21 00:00:00	170001840	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-09-01 00:00:00	2001-09-01 00:00:00	No	2002-06-12 00:00:00	None	A	None	8000	8000	-2800	5200	0	170018682	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-05-21 00:00:00	170001841	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-10-17 00:00:00	2001-10-17 00:00:00	No	2002-06-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	170018664	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-05-21 00:00:00	170001842	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-09-22 00:00:00	2001-09-22 00:00:00	No	2002-06-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	170018613	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-07-26 00:00:00	170001843	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-06-01 00:00:00	2001-06-01 00:00:00	No	2002-08-19 00:00:00	None	A	A	8000	5200	0	5200	0	170018681	A99999	N	None	None	SFY2002-03
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-11-04 00:00:00	170001844	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-20 00:00:00	2001-01-20 00:00:00	No	2002-12-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	170018571	A99999	N	None	None	SFY2002-03
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-01-14 00:00:00	170001845	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-08 00:00:00	2001-01-08 00:00:00	No	2003-02-05 00:00:00	None	B	None	1000	3000	-1050	1950	0	170018567	A99999	N	None	None	SFY2002-03
170001882	PARIS-LAMB HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2002-10-10 00:00:00	170001846	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-25 00:00:00	2002-02-25 00:00:00	No	2002-11-04 00:00:00	None	B	None	800	800	0	800	0	170019005	A99999	N	None	None	SFY2002-03
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-05-26 00:00:00	170001847	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-23 00:00:00	2003-12-23 00:00:00	No	2004-06-21 00:00:00	None	B	None	1000	3000	-1050	1950	0	170019064	A99999	N	None	None	SFY2003-04
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-06-17 00:00:00	170001848	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-24 00:00:00	None	No	2004-07-09 00:00:00	None	B	None	1000	1000	-350	650	0	170019089	A99999	N	None	None	SFY2003-04
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-08-20 00:00:00	170001849	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-30 00:00:00	None	No	2004-09-30 00:00:00	None	B	None	1000	3000	-1050	1950	0	170017468	A99999	N	None	None	SFY2004-05
170001870	VETERANS HOME OF CALIFORNIA - CHULA VISTA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2004-08-24 00:00:00	170001850	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-25 00:00:00	None	Yes	2004-10-01 00:00:00	2004-09-01 00:00:00	B	B	1000	500	0	500	0	170019109	A99999	N	None	None	SFY2004-05
170001860	DEPARTMENT OF STATE HOSPITALS - METROPOLITAN	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2004-08-26 00:00:00	170001851	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-29 00:00:00	None	No	2004-09-17 00:00:00	None	B	None	1000	1000	-350	650	0	170019110	A99999	N	None	None	SFY2004-05
170001770	FAIRVIEW DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2004-09-08 00:00:00	170001852	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-05-21 00:00:00	None	No	2004-10-01 00:00:00	None	B	None	1000	1000	-350	650	0	170019116	A99999	N	None	None	SFY2004-05
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-09-07 00:00:00	170001853	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-01-06 00:00:00	None	Yes	2007-11-16 00:00:00	2004-09-08 00:00:00	A	A	20000	20000	0	20000	0	170017424	A99999	N	None	None	SFY2004-05
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-10-22 00:00:00	170001854	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-05-06 00:00:00	None	No	2004-11-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	170019128	A99999	N	None	None	SFY2004-05
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-10-21 00:00:00	170001855	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-07-17 00:00:00	None	No	2004-11-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	170019129	A99999	N	None	None	SFY2004-05
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-11-04 00:00:00	170001856	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-07-17 00:00:00	None	Yes	2004-12-02 00:00:00	2004-11-16 00:00:00	AA	AA	25000	25000	0	25000	0	170019133	A99999	Y	None	None	SFY2004-05
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-12-01 00:00:00	170001857	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-06-05 00:00:00	None	Yes	2004-12-30 00:00:00	2004-12-21 00:00:00	AA	None	25000	25000	0	25000	0	170019138	A99999	Y	None	None	SFY2004-05
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-12-07 00:00:00	170001858	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-29 00:00:00	None	No	2004-12-30 00:00:00	None	B	None	1000	3000	-1050	1950	0	170019139	A99999	N	CA00029179	C	SFY2004-05
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-02-01 00:00:00	170001859	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-04 00:00:00	None	No	2005-02-23 00:00:00	None	B	None	500	600	-175	425	0	170019152	A99999	N	None	None	SFY2004-05
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-02-01 00:00:00	170001860	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-01 00:00:00	None	No	2005-02-23 00:00:00	None	B	None	800	800	-280	520	0	170019153	A99999	N	None	None	SFY2004-05
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-02-01 00:00:00	170001861	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-03 00:00:00	None	No	2005-02-23 00:00:00	None	B	None	800	1150	-280	870	0	170019154	A99999	N	None	None	SFY2004-05
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-04-20 00:00:00	170001862	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-20 00:00:00	None	No	2005-05-13 00:00:00	None	B	None	1000	3000	-1050	1950	0	170019155	A99999	N	CA00035079	C	SFY2004-05
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-04-21 00:00:00	170001863	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-28 00:00:00	None	No	2005-05-23 00:00:00	None	B	None	1000	1000	-350	650	0	170019156	A99999	N	None	None	SFY2004-05
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-05-24 00:00:00	170001865	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-07-23 00:00:00	None	Yes	2005-07-12 00:00:00	2005-06-09 00:00:00	AA	AA	25000	25050	-50	25000	0	170019157	A99999	Y	CA00028890	C	SFY2004-05
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-05-24 00:00:00	170001866	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-12-15 00:00:00	None	No	2005-06-15 00:00:00	None	A	None	6000	18000	-6300	11700	0	170019158	A99999	N	CA00035987	C	SFY2004-05
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-06-01 00:00:00	170001867	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-02 00:00:00	None	No	2005-06-22 00:00:00	None	B	None	1000	1000	-350	650	0	170019159	A99999	N	None	None	SFY2004-05
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-06-15 00:00:00	170001868	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-08 00:00:00	None	No	2005-07-27 00:00:00	None	B	None	1000	1000	0	1000	0	170019160	A99999	N	CA00037293	C	SFY2004-05
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-06-28 00:00:00	170001869	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-15 00:00:00	None	No	2005-07-20 00:00:00	None	B	None	1000	1000	-350	650	0	170019161	A99999	N	CA00040920	C	SFY2004-05
170001774	LANTERMAN DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-06-28 00:00:00	170001870	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-03 00:00:00	None	No	2005-07-20 00:00:00	None	B	None	1000	1000	-350	650	0	170019162	A99999	N	None	None	SFY2004-05
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-06-28 00:00:00	170001871	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-18 00:00:00	None	No	2005-07-20 00:00:00	None	B	None	500	500	-175	325	0	170019163	A99999	N	None	None	SFY2004-05
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-06-28 00:00:00	170001872	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-15 00:00:00	None	No	2005-07-20 00:00:00	None	B	None	1000	1000	-350	650	0	170019164	A99999	N	CA00040912	C	SFY2004-05
170001770	FAIRVIEW DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-07-13 00:00:00	170001873	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-22 00:00:00	None	Yes	2005-08-03 00:00:00	2005-07-25 00:00:00	B	None	1000	3000	-1050	1950	0	170019165	A99999	N	None	None	SFY2005-06
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-08-04 00:00:00	170001874	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-12 00:00:00	None	No	2005-08-25 00:00:00	None	B	None	1000	1000	-350	650	0	170019166	A99999	N	None	None	SFY2005-06
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-08-09 00:00:00	170001875	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-29 00:00:00	None	No	2005-09-19 00:00:00	None	B	None	500	500	-175	325	0	170019167	A99999	N	None	None	SFY2005-06
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-08-09 00:00:00	170001876	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-04-21 00:00:00	None	No	2005-09-01 00:00:00	None	B	None	1000	1000	-350	650	0	170019168	A99999	N	None	None	SFY2005-06
170001770	FAIRVIEW DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-09-08 00:00:00	170001877	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-24 00:00:00	2005-05-24 00:00:00	No	2005-09-29 00:00:00	None	B	None	1000	1000	-350	650	0	170019169	A99999	N	None	None	SFY2005-06
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-09-26 00:00:00	170001878	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-05-31 00:00:00	None	No	2005-10-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	170019170	A99999	N	None	None	SFY2005-06
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-09-26 00:00:00	170001879	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-12 00:00:00	None	No	2005-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	170019171	A99999	N	None	None	SFY2005-06
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-10-04 00:00:00	170001880	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-28 00:00:00	None	No	2005-10-26 00:00:00	None	B	None	1000	1000	-350	650	0	170019172	A99999	N	None	None	SFY2005-06
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-10-04 00:00:00	170001881	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-04-28 00:00:00	None	No	2005-10-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	170019173	A99999	N	None	None	SFY2005-06
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-10-11 00:00:00	170001882	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-08-29 00:00:00	None	No	2005-11-01 00:00:00	None	B	None	1000	1000	-350	650	0	170019174	A99999	N	None	None	SFY2005-06
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-10-12 00:00:00	170001883	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-29 00:00:00	None	No	2005-11-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	170019175	A99999	N	CA00059315	C	SFY2005-06
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-10-18 00:00:00	170001884	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-14 00:00:00	None	No	2005-11-16 00:00:00	None	B	None	800	2650	-840	1810	0	170019176	A99999	N	None	None	SFY2005-06
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-10-26 00:00:00	170001885	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-22 00:00:00	None	No	2005-11-18 00:00:00	None	B	None	1000	1000	-350	650	0	170019177	A99999	N	None	None	SFY2005-06
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-01-19 00:00:00	170001887	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-08 00:00:00	2005-05-08 00:00:00	No	2006-02-09 00:00:00	None	B	None	1000	3000	-1050	1950	0	170019178	A99999	N	None	None	SFY2005-06
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-02-21 00:00:00	170001888	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-27 00:00:00	2005-02-27 00:00:00	No	2006-03-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	170019179	A99999	N	None	None	SFY2005-06
170001867	VETERANS HOME OF CALIFORNIA - BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-03-28 00:00:00	170002931	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-03 00:00:00	2005-10-03 00:00:00	Yes	2006-04-19 00:00:00	2006-04-19 00:00:00	B	B	1000	550	-50	500	0	None	AOWK11	N	CA00063549	C	SFY2005-06
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-03-20 00:00:00	170002944	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-05 00:00:00	2005-05-05 00:00:00	No	2006-04-11 00:00:00	None	B	None	800	800	-280	520	0	None	Z8OI	N	CA00048446	C	SFY2005-06
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-05-18 00:00:00	170002993	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-08 00:00:00	2005-11-08 00:00:00	No	2006-06-09 00:00:00	None	B	None	800	800	-280	520	0	None	F99811	N	CA00065918	C	SFY2005-06
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-05-03 00:00:00	170003072	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-18 00:00:00	2005-09-18 00:00:00	No	2006-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	3M2J11	N	CA00061788	C	SFY2005-06
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-08-08 00:00:00	170003096	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-11 00:00:00	2005-05-11 00:00:00	No	2006-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	NZY311	N	CA00048331	C	SFY2006-07
170001770	FAIRVIEW DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-07-13 00:00:00	170003099	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-02 00:00:00	2005-08-02 00:00:00	No	2006-08-03 00:00:00	None	B	None	800	850	0	850	0	None	WGJ011	N	CA00057426	C	SFY2006-07
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-05-16 00:00:00	170003102	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-09-14 00:00:00	2005-09-14 00:00:00	No	2006-06-07 00:00:00	None	B	None	800	800	-280	520	0	None	63YG11	N	CA00061527	C	SFY2005-06
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-06-13 00:00:00	170003110	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-03-31 00:00:00	2006-03-31 00:00:00	No	2008-07-07 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	IN4111	N	CA00077137	C	SFY2007-08
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-08-17 00:00:00	170003117	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-23 00:00:00	2006-01-23 00:00:00	No	2006-09-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	ATXK11	N	CA00070939	C	SFY2006-07
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-06-19 00:00:00	170003152	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-14 00:00:00	2005-09-14 00:00:00	No	2006-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	G8Y311	N	CA00061528	C	SFY2005-06
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-08-08 00:00:00	170003200	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-02 00:00:00	2006-06-02 00:00:00	No	2006-08-29 00:00:00	None	B	None	700	700	-245	455	0	None	BVTZ	N	CA00078978	C	SFY2006-07
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-04-17 00:00:00	170003335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-14 00:00:00	2006-08-14 00:00:00	No	2008-05-08 00:00:00	None	B	None	800	800	-280	520	0	None	M4XZ11	N	CA00083014	C	SFY2007-08
170001870	VETERANS HOME OF CALIFORNIA - CHULA VISTA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-11-17 00:00:00	170003502	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-12 00:00:00	2006-07-12 00:00:00	No	2006-12-12 00:00:00	None	B	None	800	1150	0	1150	0	None	YBBG11	N	CA00087694	C	SFY2006-07
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-01-16 00:00:00	170003639	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-22 00:00:00	2005-06-22 00:00:00	No	2007-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	FP1511	N	CA00053313	C	SFY2006-07
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-07-16 00:00:00	170004097	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-21 00:00:00	2006-06-21 00:00:00	No	2007-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	SM7R11	N	CA00084508	C	SFY2007-08
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-07-16 00:00:00	170004098	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-16 00:00:00	2006-06-16 00:00:00	No	2007-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	RFVS11	N	CA00084204	C	SFY2007-08
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-07-16 00:00:00	170004100	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-11 00:00:00	2006-05-11 00:00:00	No	2007-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	4GJI	N	CA00080788	C	SFY2007-08
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-07-16 00:00:00	170004101	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-19 00:00:00	2006-05-19 00:00:00	No	2007-08-06 00:00:00	None	B	None	800	800	-280	520	0	None	4GJI11	N	CA00081591	C	SFY2007-08
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-02-19 00:00:00	170004686	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-22 00:00:00	2007-12-22 00:00:00	No	2008-03-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	SD8W11	N	CA00135821	B	SFY2007-08
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-04-29 00:00:00	170004958	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-02-05 00:00:00	2006-02-05 00:00:00	No	2008-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	DD1I11	N	CA00073868	C	SFY2007-08
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-04-29 00:00:00	170004960	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-02-05 00:00:00	2006-02-05 00:00:00	No	2008-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	DD1I11	N	CA00073868	C	SFY2007-08
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-04-09 00:00:00	170006056	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2009-04-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	C2CK11	N	CA00144858	C	SFY2008-09
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-04-09 00:00:00	170006057	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-16 00:00:00	2007-05-16 00:00:00	No	2009-04-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y66X11	N	CA00115426	C	SFY2008-09
170001774	LANTERMAN DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2009-05-14 00:00:00	170006184	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-30 00:00:00	2009-01-30 00:00:00	No	2009-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	XZOG11	N	CA00176678	C	SFY2008-09
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-05-26 00:00:00	170006214	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2007-06-23 00:00:00	2007-06-23 00:00:00	No	2009-06-16 00:00:00	None	AA	None	22500	22500	0	22500	0	None	13BC11	Y	CA00118675	D	SFY2008-09
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-08-25 00:00:00	170006485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-09 00:00:00	2008-07-09 00:00:00	No	2009-09-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	I57X11	N	CA00156452	C	SFY2009-10
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-07-08 00:00:00	170006835	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2007-06-21 00:00:00	2007-06-21 00:00:00	No	2010-07-29 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	PO2011	Y	CA00118671	D	SFY2010-11
170001860	DEPARTMENT OF STATE HOSPITALS - METROPOLITAN	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2010-11-18 00:00:00	170006836	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-09-29 00:00:00	2007-09-29 00:00:00	Yes	2010-12-13 00:00:00	2010-12-07 00:00:00	AA	AA	100000	100850	-850	100000	0	None	6DPF11	Y	CA00127933	C	SFY2010-11
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-05-19 00:00:00	170006837	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-01-28 00:00:00	2008-01-28 00:00:00	No	2011-06-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	LPLT11	N	CA00139756, CA00141729	B, C	SFY2010-11
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-06-29 00:00:00	170006838	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-10 00:00:00	2006-09-10 00:00:00	No	2011-07-21 00:00:00	None	B	None	1000	1000	-1000	0	0	None	FHYR11	N	CA00092543	C	SFY2010-11
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-04-19 00:00:00	170006840	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2009-02-22 00:00:00	2009-02-22 00:00:00	No	2012-05-10 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	IOD511	N	CA00178891, CA00178929, CA00179998	C, C, C	SFY2011-12
170001870	VETERANS HOME OF CALIFORNIA - CHULA VISTA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2010-06-22 00:00:00	170006841	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-10-31 00:00:00	2005-10-31 00:00:00	No	2010-07-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	NBEE11	N	CA00121752	C	SFY2009-10
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-09-22 00:00:00	170007012	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-08-23 00:00:00	2009-08-23 00:00:00	No	2010-10-13 00:00:00	None	AP BR	None	100000	100000	-25000	75000	0	None	JJH311	None	CA00214103	C	SFY2010-11
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-08-06 00:00:00	170007158	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-22 00:00:00	2008-03-22 00:00:00	No	2010-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	SBSW11	N	CA00145109	C	SFY2010-11
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-03-25 00:00:00	170007180	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-03-14 00:00:00	2010-03-14 00:00:00	Yes	2011-04-18 00:00:00	2011-04-04 00:00:00	AA	AA	25000	16250	0	16250	0	None	WB1H11	Y	CA00221743	C	SFY2010-11
170001870	VETERANS HOME OF CALIFORNIA - CHULA VISTA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-04-26 00:00:00	170007429	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2010-05-12 00:00:00	2010-05-12 00:00:00	No	2011-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	H9F811	N	CA00234391, CA00234674	C, C	SFY2010-11
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-12-15 00:00:00	170007480	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-01-04 00:00:00	2010-01-04 00:00:00	No	2012-01-09 00:00:00	None	AA	None	80000	80000	-28000	52000	0	None	43CR11	Y	CA00213669	C	SFY2011-12
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-12-13 00:00:00	170007499	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-21 00:00:00	2010-04-21 00:00:00	No	2011-01-03 00:00:00	None	B	None	800	800	-280	520	0	None	SYX011	N	CA00226447	C	SFY2010-11
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-07-28 00:00:00	170007535	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-08-05 00:00:00	2010-08-05 00:00:00	No	2011-08-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	G43M11	N	CA00238367	B	SFY2011-12
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-11-10 00:00:00	170007579	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-15 00:00:00	2010-03-15 00:00:00	No	2010-12-09 00:00:00	None	B	None	800	800	0	800	0	None	CLX511	N	CA00221871	C	SFY2010-11
170001867	VETERANS HOME OF CALIFORNIA - BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-08-24 00:00:00	170007620	Closed	Citation	Citation A (HSC 1424)	Medication	None	2009-12-31 00:00:00	2009-12-31 00:00:00	Yes	2011-09-14 00:00:00	2011-08-30 00:00:00	A	Dismissed by Court	10000	0	0	0	0	None	D28B11	N	CA00213628	C	SFY2011-12
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-11-03 00:00:00	170008109	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2009-01-08 00:00:00	2009-01-08 00:00:00	No	2011-11-29 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	07NZ11	N	CA00174360, CA00174846	C, C	SFY2011-12
170001867	VETERANS HOME OF CALIFORNIA - BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2012-07-19 00:00:00	170008822	Closed	Citation	Citation A (HSC 1424)	Medication	None	2011-06-14 00:00:00	2011-06-14 00:00:00	No	2012-08-09 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	TVXZ11	N	CA00273088	D	SFY2012-13
170001770	FAIRVIEW DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-04-29 00:00:00	170008980	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-28 00:00:00	2011-09-28 00:00:00	No	2014-05-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	I2D911	N	CA00285809	C	SFY2013-14
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-02 00:00:00	170009106	Closed	Citation	Citation B (HSC 1424)	Other	Nursing Services	2012-01-25 00:00:00	2012-01-25 00:00:00	No	2014-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	OOXQ11	N	CA00297892	D	SFY2013-14
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-27 00:00:00	170009179	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-15 00:00:00	2011-11-15 00:00:00	No	2014-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	R9F611	N	CA00291174, CA00293476	D, C	SFY2013-14
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-27 00:00:00	170009188	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2010-12-11 00:00:00	2010-12-11 00:00:00	No	2014-03-20 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	K13W11	N	CA00252924	C	SFY2013-14
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-07 00:00:00	170009189	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-03-03 00:00:00	2012-03-03 00:00:00	No	2014-04-28 00:00:00	None	A	None	2000	2000	0	2000	0	None	JJOE11	N	CA00301989	B	SFY2013-14
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-10-01 00:00:00	170009254	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-03-28 00:00:00	2011-03-28 00:00:00	No	2012-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	PFQB11	N	CA00264915	D	SFY2012-13
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-03-27 00:00:00	170009256	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-05 00:00:00	2012-01-05 00:00:00	No	2014-04-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6ME311	Y	CA00295139	A	SFY2013-14
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-27 00:00:00	170009362	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-04-28 00:00:00	2012-04-28 00:00:00	No	2014-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	GP6O11	N	CA00309848	C	SFY2013-14
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-01-24 00:00:00	170009363	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-12-17 00:00:00	2011-12-17 00:00:00	No	2014-02-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	469311	N	CA00294260	C	SFY2013-14
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-02 00:00:00	170009430	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-07-10 00:00:00	2012-07-10 00:00:00	No	2014-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	UDU011	N	CA00317795	C	SFY2013-14
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-04-02 00:00:00	170009453	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Other	WMFMR	2012-02-27 00:00:00	2012-02-27 00:00:00	No	2014-04-23 00:00:00	None	WF	None	2500	2500	-875	1625	0	None	T3SV11	None	CA00302932	C	SFY2013-14
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-10 00:00:00	170009596	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-10-12 00:00:00	2012-10-12 00:00:00	No	2014-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	8UUJ11	N	CA00329459	C	SFY2013-14
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-10 00:00:00	170009757	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-01-29 00:00:00	2013-01-29 00:00:00	No	2014-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	0VTA11	N	CA00341668	C	SFY2013-14
170001867	VETERANS HOME OF CALIFORNIA - BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-05-07 00:00:00	170009948	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2012-01-06 07:30:00	2012-01-06 07:30:00	No	2014-05-29 00:00:00	None	FTR BR	None	1200	1200	-300	900	0	None	WXZ511	None	CA00297234	C	SFY2013-14
170001870	VETERANS HOME OF CALIFORNIA - CHULA VISTA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2013-06-28 00:00:00	170009974	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-04-11 00:00:00	2013-04-11 00:00:00	No	2013-07-22 00:00:00	None	B	None	1600	1600	-560	1040	0	None	Y41J11	N	CA00351151	C	SFY2012-13
170001870	VETERANS HOME OF CALIFORNIA - CHULA VISTA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2013-07-15 00:00:00	170009991	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-04-29 00:00:00	2013-04-29 00:00:00	No	2013-08-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EF9911	N	CA00353025	B	SFY2013-14
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-07-31 00:00:00	170010153	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-05-30 00:00:00	2014-05-30 00:00:00	No	2014-08-21 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	DS1011	N	CA00357474	B	SFY2014-15
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-03-26 00:00:00	170010187	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-01-05 00:00:00	2013-01-05 00:00:00	No	2014-04-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	FC5F11	N	CA00338571, CA00338925	B, B	SFY2013-14
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-09-02 00:00:00	170010230	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-07-18 00:00:00	2013-07-18 00:00:00	No	2016-09-26 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	Q7DL11	N	CA00362883, CA00362993	B, A	SFY2016-17
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-10 00:00:00	170010246	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-10-14 00:00:00	2013-10-14 00:00:00	No	2014-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	D1HO11	N	None	None	SFY2013-14
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-24 00:00:00	170010248	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-08-21 00:00:00	2013-08-21 00:00:00	No	2014-05-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	GG1311	N	CA00395676	B	SFY2013-14
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-07 00:00:00	170010289	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-07-07 00:00:00	2012-07-07 00:00:00	No	2014-04-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	0QV311	N	CA00317411	C	SFY2013-14
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-02 00:00:00	170010290	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-05-24 00:00:00	2013-05-24 00:00:00	No	2014-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	RTS311	N	CA00312436	C	SFY2013-14
170001770	FAIRVIEW DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-04-07 00:00:00	170010359	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-08-16 00:00:00	2013-08-16 00:00:00	No	2014-04-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	IZG711	N	CA00366907	B	SFY2013-14
170001773	LANTERMAN DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-04 00:00:00	170010360	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-11-06 00:00:00	2012-11-06 00:00:00	No	2014-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	FC5F11	N	CA00332312	A	SFY2013-14
170001774	LANTERMAN DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-08-11 00:00:00	170010361	Closed	Citation	Citation A (HSC 1424)	Dietary	None	2011-09-25 00:00:00	2011-09-25 00:00:00	No	2014-09-02 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	CBZG11	Y	CA00345915	B	SFY2014-15
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-10 00:00:00	170010492	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-10-19 00:00:00	2013-10-19 00:00:00	No	2014-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	4XUY11	N	CA00374239	D	SFY2013-14
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-14 00:00:00	170010493	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-10-12 00:00:00	2013-10-12 00:00:00	No	2014-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	4XUY11	N	CA00373620	C	SFY2013-14
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-14 00:00:00	170010494	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-08-07 00:00:00	2013-08-07 00:00:00	No	2014-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	4XUY11	N	CA00365327, CA00368604, CA00369839	B, C, B	SFY2013-14
170001867	VETERANS HOME OF CALIFORNIA - BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-04-21 00:00:00	170010545	Closed	Citation	Citation B (HSC 1424)	Medication	None	2013-07-17 00:00:00	2013-07-17 00:00:00	No	2014-05-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	522D11	N	CA00365975	B	SFY2013-14
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-14 00:00:00	170010615	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-02 00:00:00	2012-10-02 00:00:00	No	2014-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	DDL411	N	CA00328143	C	SFY2013-14
170001867	VETERANS HOME OF CALIFORNIA - BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-05-07 00:00:00	170010634	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2012-01-06 07:30:00	2012-01-06 07:30:00	No	2014-05-29 00:00:00	None	FTR RES	None	1200	1200	-300	900	0	None	WXZ511	None	CA00297234	C	SFY2013-14
630013558	VETERANS HOME OF CALIFORNIA - WEST LOS ANGELES	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-05-12 00:00:00	170010638	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-05 00:00:00	2014-04-05 00:00:00	No	2014-06-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	PKSQ11	N	CA00394040	C	SFY2013-14
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-12-09 00:00:00	170010955	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-08-11 00:00:00	2014-08-11 00:00:00	No	2014-12-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	OGK111	N	CA00409095	C	SFY2014-15
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-02-12 00:00:00	170011244	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-12-30 00:00:00	2014-12-30 00:00:00	No	2015-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	SJPR11	N	CA00425902	A	SFY2014-15
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2015-07-28 00:00:00	170011344	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-31 00:00:00	2015-01-31 00:00:00	No	2015-08-18 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	9LFS11	N	CA00429793	C	SFY2015-16
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-08-05 00:00:00	170011345	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-08-26 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	VVLF11	N	CA00432954	C	SFY2015-16
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-12-14 00:00:00	170011482	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-04-30 00:00:00	2015-04-30 00:00:00	No	2016-01-05 00:00:00	None	A	None	7500	7500	-2625	4875	0	None	LVFW11	N	CA00441247	B	SFY2015-16
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-09-30 00:00:00	170011537	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-02 00:00:00	2015-02-02 00:00:00	No	2015-10-21 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	QC0D11	N	CA00432482	C	SFY2015-16
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-11-12 00:00:00	170011538	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-08-23 00:00:00	2014-08-23 00:00:00	No	2015-12-07 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	PVEX11	N	CA00410805	C	SFY2015-16
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-09-02 00:00:00	170012215	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2016-02-23 00:00:00	2016-02-23 00:00:00	No	2016-09-26 00:00:00	None	A	None	7500	22500	-7875	14625	0	None	WKOB11	N	CA00477988	C	SFY2016-17
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-06-03 00:00:00	170012246	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-01 00:00:00	2015-09-01 00:00:00	No	2016-06-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	CP0N11	N	CA00457849, CA00458098	C, E	SFY2015-16
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-06-03 00:00:00	170012247	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-31 00:00:00	2016-01-31 00:00:00	No	2016-06-24 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	ZGOD11	N	CA00475503	C	SFY2015-16
170001769	FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-06-03 00:00:00	170012305	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-01 00:00:00	2015-09-01 00:00:00	No	2016-06-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	CP0N11	N	CA00457849	C	SFY2015-16
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2017-03-15 00:00:00	170012827	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-09-22 00:00:00	2015-09-22 00:00:00	No	2017-04-06 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	DP2411	N	CA00459921	C	SFY2016-17
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2017-03-09 00:00:00	170012828	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-12-08 00:00:00	2015-12-08 00:00:00	No	2017-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	P7I511	N	CA00469879	C	SFY2016-17
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2018-04-12 00:00:00	170013962	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2017-09-02 00:00:00	2017-09-02 00:00:00	No	2018-05-03 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	2BYL11	N	CA00554007	C	SFY2017-18
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-03-21 00:00:00	170014815	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-11-25 00:00:00	2017-11-25 00:00:00	No	2019-04-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	EBZH11	N	CA00563680, CA00563680	B, B	SFY2018-19
170001867	VETERANS HOME OF CALIFORNIA - BARSTOW	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2019-06-20 00:00:00	170014845	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-02-21 00:00:00	2019-02-21 00:00:00	No	2019-07-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	VI1E11	Y	CA00625636, CA00626231	B, C	SFY2018-19
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2019-08-15 00:00:00	170015223	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-06 00:00:00	2018-12-06 00:00:00	No	2019-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	1S7911	N	CA00615064	C	SFY2019-20
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-08-07 00:00:00	170015254	Closed	Citation	Citation B (HSC 1424)	Administration	None	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2019-08-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	5GH911	N	CA00579164	A	SFY2019-20
170001776	CANYON SPRINGS	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2019-07-31 00:00:00	170015256	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-08 00:00:00	2018-12-08 00:00:00	No	2019-08-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	PM1D11	N	CA00616473	C	SFY2019-20
630014895	VETERANS HOME OF CALIFORNIA - REDDING	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2019-09-04 00:00:00	170015333	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-03-29 00:00:00	2019-03-29 00:00:00	No	2019-09-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	EIZ811	N	CA00631439, CA00631439	C, C	SFY2019-20
150001231	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2019-09-11 00:00:00	170015334	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-06-17 00:00:00	2019-06-17 00:00:00	No	2019-10-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	8DCM11	N	CA00642815	B	SFY2019-20
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-12-06 00:00:00	170015389	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-06-22 00:00:00	2017-06-22 00:00:00	No	2019-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	ICDT11	N	CA00542609	B	SFY2019-20
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-11-15 00:00:00	170015540	Closed	Citation	Citation A (HSC 1424)	Administration	None	2018-04-02 00:00:00	2018-04-02 00:00:00	No	2019-12-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	D2GJ11	Y	CA00581003	A	SFY2019-20
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2020-02-13 00:00:00	170015602	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-11-23 00:00:00	2017-11-23 00:00:00	No	2020-03-05 00:00:00	None	AA	None	50000	50000	-17500	32500	0	None	J5UH11	Y	CA00562749, CA00562749	C, C	SFY2019-20
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2020-01-09 00:00:00	170015669	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-01-08 00:00:00	2018-01-08 00:00:00	No	2020-01-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	9CJR11	N	CA00568931	B	SFY2019-20
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2020-01-21 00:00:00	170015672	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-11-12 00:00:00	2019-11-12 00:00:00	No	2020-02-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	NMP911	N	CA00663470	B	SFY2019-20
630014894	VETERANS HOME OF CALIFORNIA - FRESNO	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2021-07-23 00:00:00	170016410	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-26 00:00:00	2020-08-26 00:00:00	No	2021-08-13 00:00:00	None	B	None	700	700	0	700	0	None	Z6YG11	N	CA00703707	C	SFY2021-22
630014895	VETERANS HOME OF CALIFORNIA - REDDING	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2021-12-28 00:00:00	170016433	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2019-12-31 00:00:00	2019-12-31 00:00:00	No	2022-01-19 00:00:00	None	AA	None	80000	80000	0	80000	0	None	RXJ611	Y	CA00669854, CA00669854	C, C	SFY2021-22
630014894	VETERANS HOME OF CALIFORNIA - FRESNO	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2021-06-21 00:00:00	170016545	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-02 00:00:00	2020-02-02 00:00:00	No	2021-07-12 00:00:00	None	B	None	700	700	0	700	0	None	XBWF11	N	CA00675100	C	SFY2020-21
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2021-11-04 00:00:00	170017035	Closed	Citation	Citation B (HSC 1424)	Administration	None	2021-10-19 00:00:00	2021-10-19 00:00:00	No	2021-11-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B9WU11	N	CA00756899	C	SFY2021-22
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2023-02-21 00:00:00	170018282	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2022-12-29 00:00:00	2022-12-29 00:00:00	No	2023-03-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	NQY211	N	CA00816968	C	SFY2022-23
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2023-03-06 00:00:00	170018405	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-05-30 00:00:00	2022-05-30 00:00:00	No	2023-03-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RHSN11	N	CA00787301	C	SFY2022-23
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2023-07-06 00:00:00	170018425	Open	Citation	Citation A (HSC 1424)	Administration	None	2022-11-16 00:00:00	2022-11-16 00:00:00	No	2023-07-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	EZDK11	N	CA00813177, CA00813177, CA00832375	C, C, C	SFY2023-24
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2023-05-04 00:00:00	170018657	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-04-04 00:00:00	2020-04-04 00:00:00	No	2023-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	000C11	N	CA00683957	B	SFY2022-23
150001231	VETERANS HOME OF CALIFORNIA - YOUNTVILLE	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2023-09-08 00:00:00	170018928	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-05-09 00:00:00	2022-05-09 00:00:00	Yes	2023-09-29 00:00:00	2023-09-23 00:00:00	A	None	20000	20000	0	20000	0	None	35B311	Y	CA00787661, CA00794418, CA00794418, CA00794418	C, B, B, B	SFY2023-24
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2024-06-07 00:00:00	170019327	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-09-18 00:00:00	2023-09-18 00:00:00	No	2024-06-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	HRNQ11	N	CA00861245	C	SFY2023-24
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2024-03-12 00:00:00	170019414	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-10-03 00:00:00	2022-10-03 00:00:00	No	2024-04-02 00:00:00	None	AA	None	100000	100000	0	65000	35000	None	U4RG11	Y	CA00806233	C	SFY2023-24
170001870	VETERANS HOME OF CALIFORNIA - CHULA VISTA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2024-05-17 00:00:00	170020121	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-08-25 00:00:00	2022-08-25 00:00:00	No	2024-06-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	BGIZ11	N	CA00851398	C	SFY2023-24
170001870	VETERANS HOME OF CALIFORNIA - CHULA VISTA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2024-06-27 00:00:00	170020122	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-05 00:00:00	2023-06-05 00:00:00	No	2024-07-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	69OG11	N	CA00881925	C	SFY2023-24
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	1999-12-21 00:00:00	220001030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-06-18 00:00:00	None	Yes	2001-09-06 00:00:00	2001-09-30 00:00:00	B	Drop>Deficiency	900	700	-700	0	0	220006766	A99999	N	None	None	SFY1999-00
220000678	PENINSULA MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-01-03 00:00:00	220001032	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-09 00:00:00	None	Yes	2000-01-24 00:00:00	2000-01-21 00:00:00	A	A	10000	5000	0	5000	0	220006818	A99999	N	None	None	SFY1999-00
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-02-22 00:00:00	220001033	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-19 00:00:00	None	Yes	2001-07-09 00:00:00	2001-07-01 00:00:00	B	Dismissed by Court	700	0	0	0	0	220006894	A99999	N	None	None	SFY1999-00
220000041	BROOKSIDE SKILLED NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-02-28 00:00:00	220001034	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-07 00:00:00	None	No	2000-03-20 00:00:00	None	B	None	900	900	0	900	0	220006897	A99999	N	None	None	SFY1999-00
220000041	BROOKSIDE SKILLED NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-02-28 00:00:00	220001035	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1998-08-01 00:00:00	None	No	2000-03-20 00:00:00	None	B	None	700	700	-700	0	0	220006898	A99999	N	None	None	SFY1999-00
220000045	CARLMONT GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-03-16 00:00:00	220001036	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-26 00:00:00	None	Yes	2000-04-06 00:00:00	2000-04-18 00:00:00	A	A	7000	7100	-7100	0	0	220006884	A99999	N	None	None	SFY1999-00
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-03-20 00:00:00	220001037	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-13 00:00:00	None	No	2000-04-10 00:00:00	None	A	B	10000	30600	-21267.6	9332.4	0	220006850	A99999	N	None	None	SFY1999-00
220000303	ST. MARY'S MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-03-28 00:00:00	220001038	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-14 00:00:00	None	No	2000-04-18 00:00:00	None	B	None	600	600	0	600	0	220006923	A99999	N	None	None	SFY1999-00
220000303	ST. MARY'S MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-03-29 00:00:00	220001040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-21 00:00:00	None	No	2000-04-19 00:00:00	None	B	None	600	600	0	600	0	220006923	A99999	N	None	None	SFY1999-00
220000197	CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-04-18 00:00:00	220001041	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-01-05 00:00:00	None	Yes	2000-05-09 00:00:00	2000-04-27 00:00:00	B	None	1000	1000	0	1000	0	220006924	A99999	N	None	None	SFY1999-00
220000045	CARLMONT GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-05-19 00:00:00	220001043	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-02 00:00:00	None	No	2000-06-09 00:00:00	None	B	None	1000	1000	-350	650	0	220006957	A99999	N	None	None	SFY1999-00
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-05-19 00:00:00	220001044	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-04 00:00:00	None	No	2000-06-12 00:00:00	None	A	None	10000	10900	0	10900	0	220006889	A99999	N	None	None	SFY1999-00
220000085	THE SEQUOIAS	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-05-22 00:00:00	220001045	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-13 00:00:00	None	No	2000-06-12 00:00:00	None	B	None	1000	1000	0	1000	0	220006985	A99999	N	None	None	SFY1999-00
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-06-01 00:00:00	220001046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-12 00:00:00	None	No	2000-06-22 00:00:00	None	B	None	900	900	-315	585	0	220006972	A99999	N	None	None	SFY1999-00
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-06-01 00:00:00	220001047	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-12 00:00:00	None	No	2000-06-22 00:00:00	None	B	None	900	900	-315	585	0	220006972	A99999	N	None	None	SFY1999-00
220000933	JAMES COURT MANOR INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2000-06-13 00:00:00	220001048	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-04-27 00:00:00	None	No	2000-07-05 00:00:00	None	B	None	1000	1000	-350	650	0	220006974	A99999	N	None	None	SFY1999-00
220000197	CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-21 00:00:00	220001050	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-05-03 00:00:00	None	No	2000-08-11 00:00:00	None	AA	None	25000	25000	-8750	16250	0	220006986	A99999	Y	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001051	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2000-06-13 00:00:00	None	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	A	A	10000	10000	0	10000	0	220007015	A99999	Y	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001052	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-06-12 00:00:00	2000-06-14 00:00:00	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	B	B	1000	18200	0	18200	0	220007016	A99999	Y	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001053	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-13 00:00:00	2000-06-15 00:00:00	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	A	A	10000	10000	0	10000	0	220007017	A99999	N	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001054	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-06-14 00:00:00	2000-06-15 00:00:00	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	AA	AA	25000	25000	0	25000	0	220007018	A99999	Y	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001055	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-14 00:00:00	2000-06-15 00:00:00	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	A	A	10000	10000	0	10000	0	220007020	A99999	N	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001056	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-14 00:00:00	2000-06-15 00:00:00	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	A	A	10000	10000	0	10000	0	220007021	A99999	N	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001057	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-06-13 00:00:00	2000-06-14 00:00:00	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	AA	AA	25000	25000	0	25000	0	220007023	A99999	Y	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001058	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-14 00:00:00	2000-06-15 00:00:00	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	A	A	10000	10000	0	10000	0	220007024	A99999	N	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001059	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-13 00:00:00	2000-06-14 00:00:00	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	A	A	10000	10000	0	10000	0	220007025	A99999	N	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-14 00:00:00	2000-06-15 00:00:00	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	A	A	10000	10000	0	10000	0	220007026	A99999	N	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001061	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-14 00:00:00	None	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	A	A	10000	10000	0	10000	0	220007027	A99999	N	None	None	SFY2000-01
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-07-28 00:00:00	220001062	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-14 00:00:00	None	Yes	2000-08-18 00:00:00	2000-08-15 00:00:00	A	A	10000	10000	0	10000	0	220007028	A99999	N	None	None	SFY2000-01
220000089	GOLDEN PAVILION HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-11-15 00:00:00	220001063	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-01-16 00:00:00	None	Yes	2001-06-27 00:00:00	2000-11-30 00:00:00	A	A	8000	8000	0	8000	0	220007097	A99999	N	None	None	SFY2000-01
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-10-26 00:00:00	220001064	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-01 00:00:00	None	Yes	2000-11-16 00:00:00	2001-03-19 00:00:00	B	Drop>Deficiency	800	0	0	0	0	220007209	A99999	N	None	None	SFY2000-01
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-10-26 00:00:00	220001065	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-11-19 00:00:00	None	Yes	2001-03-29 00:00:00	2001-03-21 00:00:00	B	Drop>Deficiency	800	0	0	0	0	220007211	A99999	N	None	None	SFY2000-01
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-10-26 00:00:00	220001066	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-21 00:00:00	None	Yes	2001-03-28 00:00:00	2001-07-10 00:00:00	A	A	10000	7000	0	7000	0	220007210	A99999	N	None	None	SFY2000-01
220000349	AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-10-31 00:00:00	220001067	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-09 00:00:00	None	No	2000-11-22 00:00:00	None	B	None	800	850	-280	570	0	220007216	A99999	N	None	None	SFY2000-01
220000349	AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-10-31 00:00:00	220001068	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-14 00:00:00	None	No	2000-11-22 00:00:00	None	B	None	800	850	-280	570	0	220007223	A99999	N	None	None	SFY2000-01
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-11-01 00:00:00	220001069	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-04 00:00:00	None	Yes	2000-11-27 00:00:00	2000-11-13 00:00:00	B	B	1000	1000	0	1000	0	220007224	A99999	N	None	None	SFY2000-01
220000045	CARLMONT GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-11-16 00:00:00	220001070	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-31 00:00:00	None	Yes	2001-06-21 00:00:00	2000-11-28 00:00:00	B	B	1000	3400	-3400	0	0	220007232	A99999	N	None	None	SFY2000-01
220000045	CARLMONT GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-11-16 00:00:00	220001071	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2000-05-31 00:00:00	None	Yes	2000-12-07 00:00:00	2000-11-28 00:00:00	B	None	500	900	-900	0	0	220007236	A99999	N	None	None	SFY2000-01
220000045	CARLMONT GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-11-16 00:00:00	220001072	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-08-07 00:00:00	None	No	2000-12-07 00:00:00	None	B	None	600	1000	-1000	0	0	220007238	A99999	N	None	None	SFY2000-01
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-11-17 00:00:00	220001073	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-12 00:00:00	1999-10-12 00:00:00	Yes	2000-12-08 00:00:00	2000-12-08 00:00:00	A	Dismissed by Court	9000	0	0	0	0	220007240	A99999	N	None	None	SFY2000-01
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-11-27 00:00:00	220001074	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-18 00:00:00	None	No	2000-12-18 00:00:00	None	B	None	600	600	0	600	0	220007130	A99999	N	None	None	SFY2000-01
220000846	MILLS-PENINSULA EXTENDED CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-12-26 00:00:00	220001075	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1998-11-19 00:00:00	1998-11-30 00:00:00	Yes	2001-01-16 00:00:00	2001-01-12 00:00:00	AA	B	25000	1350	-350	1000	0	220007305	A99999	Y	None	None	SFY2000-01
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-06-05 00:00:00	220001118	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-14 00:00:00	None	Yes	2000-06-30 00:00:00	2000-06-14 00:00:00	A	Drop>Deficiency	8000	0	0	0	0	220007516	A99999	N	None	None	SFY1999-00
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-04-06 00:00:00	220001152	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-11-29 00:00:00	None	Yes	2000-09-15 00:00:00	2000-04-12 00:00:00	B	B	1000	1000	0	1000	0	220007861	A99999	N	None	None	SFY1999-00
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-09-11 00:00:00	220001208	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-14 00:00:00	2000-09-11 00:00:00	Yes	2000-10-10 00:00:00	2000-10-02 00:00:00	A	A	9000	2000	0	2000	0	220008114	A99999	N	None	None	SFY2000-01
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-12-15 00:00:00	220001209	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-11-09 00:00:00	None	Yes	2001-01-18 00:00:00	2000-12-28 00:00:00	B	None	800	800	0	800	0	220008118	A99999	N	None	None	SFY2000-01
220001030	THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING	LTC	SNF	Skilled Nursing Facility	San Jose	2000-09-12 00:00:00	220001261	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-21 00:00:00	None	No	2000-10-03 00:00:00	None	A	B	9000	3000	0	3000	0	220008620	A99999	N	None	None	SFY2000-01
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2000-12-01 00:00:00	220001273	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-20 00:00:00	None	No	2001-01-23 00:00:00	None	A	None	6000	6000	0	6000	0	220008817	A99999	N	None	None	SFY2000-01
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-21 00:00:00	220001289	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-06 00:00:00	None	No	2000-09-13 00:00:00	None	B	None	800	800	0	800	0	220008927	A99999	N	None	None	SFY2000-01
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-09-06 00:00:00	220001471	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-02-23 00:00:00	None	No	2000-10-02 00:00:00	None	B	None	600	600	-210	390	0	220009984	A99999	N	None	None	SFY2000-01
220001079	HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO	LTC	SNF	Skilled Nursing Facility	San Jose	2000-06-27 00:00:00	220001472	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-12 00:00:00	None	Yes	2000-07-21 00:00:00	2000-07-18 00:00:00	B	B	600	0	0	0	0	220010027	A99999	N	None	None	SFY1999-00
220001079	HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO	LTC	SNF	Skilled Nursing Facility	San Jose	2000-06-27 00:00:00	220001473	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-13 00:00:00	None	Yes	2000-07-21 00:00:00	2000-07-18 00:00:00	B	B	600	300	0	300	0	220010027	A99999	N	None	None	SFY1999-00
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-01-16 00:00:00	220001475	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-08 00:00:00	None	No	2001-02-08 00:00:00	None	B	None	900	900	-315	585	0	220010110	A99999	N	None	None	SFY2000-01
220000349	AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-02-02 00:00:00	220001476	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-31 00:00:00	None	No	2001-02-27 00:00:00	None	B	None	1000	1000	0	1000	0	220010087	A99999	N	None	None	SFY2000-01
220000349	AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-02-02 00:00:00	220001477	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-30 00:00:00	None	Yes	2001-02-27 00:00:00	2001-02-12 00:00:00	B	B	800	800	0	800	0	220010087	A99999	N	None	None	SFY2000-01
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-02-02 00:00:00	220001478	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-09-14 00:00:00	2000-11-30 00:00:00	No	2001-02-27 00:00:00	None	B	None	1000	1000	-350	650	0	220010097	A99999	N	None	None	SFY2000-01
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-02-05 00:00:00	220001479	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-02-24 00:00:00	2000-02-24 00:00:00	Yes	2001-10-19 00:00:00	2001-09-10 00:00:00	A	A	15000	0	0	0	0	220010135	A99999	N	None	None	SFY2000-01
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-02-02 00:00:00	220001480	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-23 00:00:00	None	Yes	2001-02-23 00:00:00	2001-08-30 00:00:00	B	B	1000	450	-150	300	0	220010136	A99999	N	None	None	SFY2000-01
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-02-05 00:00:00	220001481	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-22 00:00:00	None	No	2001-02-28 00:00:00	None	B	None	1000	1000	-350	650	0	220010137	A99999	N	None	None	SFY2000-01
220001119	TRI-AEGIS RESIDENTIAL SVCS INC/VANDERBILT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2001-01-25 00:00:00	220001485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-10 00:00:00	None	No	2001-02-26 00:00:00	None	B	None	600	600	0	600	0	220010273	A99999	N	None	None	SFY2000-01
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2001-03-09 00:00:00	220001486	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-08-30 00:00:00	None	Yes	2001-04-03 00:00:00	2001-03-12 00:00:00	A	None	15000	15000	0	15000	0	220010277	A99999	N	None	None	SFY2000-01
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2001-03-09 00:00:00	220001487	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-22 00:00:00	None	No	2001-04-03 00:00:00	None	B	None	800	800	-280	520	0	220010278	A99999	N	None	None	SFY2000-01
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-06-04 00:00:00	220001488	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-19 00:00:00	None	Yes	2001-06-25 00:00:00	2001-10-12 00:00:00	B	B	1000	500	0	500	0	220010408	A99999	N	None	None	SFY2000-01
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-06-13 00:00:00	220001489	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-17 00:00:00	None	Yes	2001-11-05 00:00:00	2001-06-23 00:00:00	B	B	1000	1000	0	1000	0	220010452	A99999	N	None	None	SFY2000-01
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-06-22 00:00:00	220001490	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-18 00:00:00	2000-11-21 00:00:00	No	2001-07-16 00:00:00	None	B	None	1000	1000	-350	650	0	220010130	A99999	N	None	None	SFY2000-01
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-10-01 00:00:00	220001491	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-13 00:00:00	None	Yes	2001-10-22 00:00:00	2001-10-10 00:00:00	B	B	1000	1500	0	1500	0	220010658	A99999	N	None	None	SFY2001-02
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-11-16 00:00:00	220001492	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-08 00:00:00	None	Yes	2001-12-07 00:00:00	2001-12-19 00:00:00	A	A	20000	11245	0	11245	0	220010685	A99999	N	None	None	SFY2001-02
220000080	S F COMMUNITY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-11-16 00:00:00	220001493	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-10 00:00:00	2000-05-30 00:00:00	No	2001-12-11 00:00:00	None	B	None	1000	1000	-350	650	0	220010516	A99999	N	None	None	SFY2001-02
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-11-16 00:00:00	220001494	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-17 00:00:00	None	No	2001-12-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	220010754	A99999	N	None	None	SFY2001-02
220000197	CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-12-03 00:00:00	220001495	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-12-26 00:00:00	None	Yes	2001-12-24 00:00:00	2001-12-14 00:00:00	AA	A	80000	50000	0	50000	0	220010576	A99999	Y	None	None	SFY2001-02
220000089	GOLDEN PAVILION HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-12-19 00:00:00	220001496	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-02-19 00:00:00	None	Yes	2002-01-11 00:00:00	2002-01-11 00:00:00	AA	AA	90000	15800	-800	15000	0	220010178	A99999	Y	None	None	SFY2001-02
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-01-25 00:00:00	220001497	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-06 00:00:00	None	No	2002-02-19 00:00:00	None	B	B	700	700	-630	70	0	220010301	A99999	N	None	None	SFY2001-02
220000089	GOLDEN PAVILION HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-01-16 00:00:00	220001498	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-06-20 00:00:00	None	Yes	2002-05-24 00:00:00	2002-02-07 00:00:00	B	B	1000	1000	0	1000	0	220010532	A99999	N	None	None	SFY2001-02
220000089	GOLDEN PAVILION HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-01-16 00:00:00	220001499	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-16 00:00:00	None	Yes	2002-05-24 00:00:00	2002-02-07 00:00:00	B	B	1000	1000	0	1000	0	220010293	A99999	N	None	None	SFY2001-02
220000049	UNIVERSITY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-02-26 00:00:00	220001500	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-20 00:00:00	None	No	2002-05-31 00:00:00	None	A	None	6000	6500	-6500	0	0	220010521	A99999	N	None	None	SFY2001-02
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-02-27 00:00:00	220001501	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-04 00:00:00	None	No	2002-03-20 00:00:00	None	B	B	800	520	0	520	0	220010933	A99999	N	None	None	SFY2001-02
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-03-05 00:00:00	220001502	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-09-14 00:00:00	None	No	2002-03-26 00:00:00	None	A	A	18000	11850	0	11850	0	220010701	A99999	N	None	None	SFY2001-02
220001138	BRIARWOOD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2000-01-07 00:00:00	220001507	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-01-03 00:00:00	None	No	2000-02-02 00:00:00	None	B	None	1000	3000	0	3000	0	220010986	A99999	N	None	None	SFY1999-00
220001138	BRIARWOOD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2000-09-28 00:00:00	220001508	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-16 00:00:00	None	No	2000-10-23 00:00:00	None	B	None	600	600	0	600	0	220010989	A99999	N	None	None	SFY2000-01
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-03-11 00:00:00	220001509	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-16 00:00:00	None	Yes	2002-10-07 00:00:00	2002-03-13 00:00:00	B	B	1000	1000	0	1000	0	220011015	A99999	N	None	None	SFY2001-02
220000518	JEWISH HOME & REHAB CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-03-27 00:00:00	220001510	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-20 00:00:00	None	No	2002-04-18 00:00:00	None	B	None	1000	1000	-350	650	0	220011046	A99999	N	None	None	SFY2001-02
220000084	SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-05-07 00:00:00	220001511	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-10 00:00:00	None	No	2002-06-04 00:00:00	None	B	None	1000	1900	-350	1550	0	220010882	A99999	N	None	None	SFY2001-02
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-05-07 00:00:00	220001512	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-01 00:00:00	None	Yes	2002-05-29 00:00:00	2002-05-24 00:00:00	A	B	16000	5089	0	5089	0	220011108	A99999	N	None	None	SFY2001-02
220000071	MILLBRAE SERRA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-05-16 00:00:00	220001513	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-12 00:00:00	2001-03-12 00:00:00	Yes	2002-06-12 00:00:00	2002-06-03 00:00:00	A	B	12000	12000	0	12000	0	220010418	A99999	N	None	None	SFY2001-02
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-05-22 00:00:00	220001514	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-23 00:00:00	None	No	2002-06-13 00:00:00	None	B	None	900	900	0	900	0	220011153	A99999	N	None	None	SFY2001-02
220000064	HILLSDALE MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-06-05 00:00:00	220001515	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-15 00:00:00	None	No	2002-06-26 00:00:00	None	A	None	18000	18000	0	18000	0	220010724	A99999	N	None	None	SFY2001-02
220000049	UNIVERSITY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-06-07 00:00:00	220001516	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-05-23 00:00:00	None	No	2002-07-03 00:00:00	None	A	None	16000	17400	-17400	0	0	220010610	A99999	N	None	None	SFY2001-02
220000046	CENTRAL GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-06-06 00:00:00	220001517	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-14 00:00:00	None	No	2002-07-05 00:00:00	None	B	None	1000	1550	-350	1200	0	220010854	A99999	N	None	None	SFY2001-02
220000042	BURLINGAME SKILLED NURSING D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-07-02 00:00:00	220001518	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-01-20 00:00:00	2002-01-20 00:00:00	Yes	2002-07-23 00:00:00	2002-07-22 00:00:00	A	A	20000	20300	-20300	0	0	220010868	A99999	N	None	None	SFY2002-03
220000020	LAWTON SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-07-02 00:00:00	220001519	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-06 00:00:00	None	Yes	2002-07-24 00:00:00	2002-07-22 00:00:00	A	A	20000	6361	0	6361	0	220010741	A99999	N	None	None	SFY2002-03
220000090	GOLDEN HEIGHTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-07-12 00:00:00	220001520	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-30 00:00:00	2001-01-17 00:00:00	Yes	2002-08-02 00:00:00	2002-07-17 00:00:00	B	B	800	800	0	800	0	220010592	A99999	N	None	None	SFY2002-03
220000056	HAYES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-07-12 00:00:00	220001521	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-15 00:00:00	None	Yes	2002-08-02 00:00:00	2002-07-30 00:00:00	A	A	18000	0	0	0	0	220011062	A99999	N	None	None	SFY2002-03
220000518	JEWISH HOME & REHAB CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-07-18 00:00:00	220001522	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-14 00:00:00	None	No	2002-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	220011030	A99999	N	None	None	SFY2002-03
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-08-01 00:00:00	220001523	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-08 00:00:00	2001-10-08 00:00:00	Yes	2002-08-22 00:00:00	2002-08-08 00:00:00	B	B	800	400	0	400	0	220010837	A99999	N	None	None	SFY2002-03
220000041	BROOKSIDE SKILLED NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-07-31 00:00:00	220001524	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-09 00:00:00	None	No	2002-08-21 00:00:00	None	B	None	800	800	-280	520	0	220010916	A99999	N	None	None	SFY2002-03
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-08-26 00:00:00	220001525	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-15 00:00:00	None	No	2002-09-19 00:00:00	None	B	None	1000	1000	-350	650	0	220010929	A99999	N	None	None	SFY2002-03
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-08-28 00:00:00	220001526	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-02-20 00:00:00	None	Yes	2002-09-19 00:00:00	2002-09-13 00:00:00	A	A	20000	5200	-200	5000	0	220011357	A99999	N	None	None	SFY2002-03
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-08-28 00:00:00	220001527	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2002-02-20 00:00:00	None	Yes	2002-09-19 00:00:00	2002-09-13 00:00:00	A	A	20000	5200	-200	5000	0	220011357	A99999	N	None	None	SFY2002-03
220000045	CARLMONT GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-09-18 00:00:00	220001528	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-05 00:00:00	None	No	2002-10-09 00:00:00	None	B	None	800	800	-800	0	0	220011054	A99999	N	None	None	SFY2002-03
220000049	UNIVERSITY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-09-30 00:00:00	220001529	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-19 00:00:00	None	No	2002-10-21 00:00:00	None	B	None	1000	1000	-1000	0	0	220010522	A99999	N	None	None	SFY2002-03
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-10-02 00:00:00	220001530	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-20 00:00:00	None	Yes	2003-02-27 00:00:00	2002-10-16 00:00:00	B	Dismissed by Court	1000	0	0	0	0	220011411	A99999	N	None	None	SFY2002-03
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-10-02 00:00:00	220001531	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-29 00:00:00	None	Yes	2003-02-27 00:00:00	2002-10-16 00:00:00	B	B	1000	1000	0	1000	0	220011411	A99999	Y	None	None	SFY2002-03
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-10-02 00:00:00	220001532	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-01-01 00:00:00	None	Yes	2003-02-27 00:00:00	2003-02-13 00:00:00	B	Drop>Deficiency	1000	318	0	318	0	220010858	A99999	N	None	None	SFY2002-03
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-10-03 00:00:00	220001533	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-07-29 00:00:00	None	Yes	2002-10-25 00:00:00	2002-10-18 00:00:00	A	A	20000	6361	0	6361	0	220011425	A99999	N	None	None	SFY2002-03
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-10-17 00:00:00	220001534	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-06 00:00:00	None	No	2002-11-07 00:00:00	None	B	None	1000	1050	-350	700	0	220010503	A99999	N	None	None	SFY2002-03
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-12-18 00:00:00	220001536	Closed	Citation	Citation A (HSC 1424)	Staffing	None	2001-10-01 00:00:00	None	Yes	2003-01-10 00:00:00	2002-12-30 00:00:00	A	Drop>Deficiency	15000	4921	0	4921	0	220011531	A99999	N	None	None	SFY2002-03
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-12-18 00:00:00	220001537	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-01 00:00:00	None	Yes	2003-01-10 00:00:00	2002-12-30 00:00:00	A	A	20000	6511	0	6511	0	220011532	A99999	N	None	None	SFY2002-03
220000205	CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2003-01-15 00:00:00	220001538	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-15 00:00:00	None	Yes	2003-02-10 00:00:00	2003-06-13 00:00:00	A	None	20000	20000	0	20000	0	220011576	A99999	N	None	None	SFY2002-03
220000020	LAWTON SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2003-04-24 00:00:00	220001539	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-04 00:00:00	None	Yes	2003-09-15 00:00:00	2003-05-12 00:00:00	B	B	1000	1200	-200	1000	0	220010489	A99999	N	None	None	SFY2002-03
220001063	WEBSTER HOUSE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-05-15 00:00:00	220001540	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-11 00:00:00	None	Yes	2003-06-19 00:00:00	2003-05-19 00:00:00	B	None	800	800	0	800	0	220011132	A99999	N	None	None	SFY2002-03
220000888	SAN FRANCISCO GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2003-05-29 00:00:00	220001541	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-01 00:00:00	None	No	2003-06-23 00:00:00	None	B	None	1000	1000	-350	650	0	220011742	A99999	N	None	None	SFY2002-03
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2004-09-09 00:00:00	220001542	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-05-08 00:00:00	None	Yes	2004-09-27 00:00:00	2004-09-21 00:00:00	A	A	20000	21050	0	21050	0	220011803	A99999	N	None	None	SFY2004-05
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2004-09-02 00:00:00	220001543	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-25 00:00:00	2002-01-25 00:00:00	Yes	2004-10-01 00:00:00	2004-09-02 00:00:00	B	B	1000	500	0	500	0	220010877	A99999	N	None	None	SFY2004-05
220000349	AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2004-12-28 00:00:00	220001544	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-01 00:00:00	2004-10-01 00:00:00	No	2005-01-24 00:00:00	None	B	None	1000	1150	-350	800	0	220012655	A99999	N	None	None	SFY2004-05
220000349	AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2004-12-28 00:00:00	220001545	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-14 00:00:00	None	No	2005-01-24 00:00:00	None	B	None	1000	1150	-350	800	0	220012655	A99999	N	None	None	SFY2004-05
220000076	PACIFICA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2004-12-28 00:00:00	220001546	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-28 00:00:00	None	No	2005-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	220012466	A99999	N	CA00029317	B	SFY2004-05
220000048	SAN FRANCISCO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2004-12-29 00:00:00	220001547	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-02 00:00:00	None	No	2005-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	220012688	A99999	N	None	None	SFY2004-05
220000197	CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2005-02-23 00:00:00	220001549	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-04 00:00:00	None	No	2005-03-16 00:00:00	None	B	None	1000	1000	0	1000	0	220012573	A99999	N	None	None	SFY2004-05
220000871	LOYD'S LIBERTY HOMES, INC. - MCGARVEY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2005-02-17 00:00:00	220001550	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-05-05 00:00:00	2004-05-05 00:00:00	Yes	2005-03-11 00:00:00	2007-01-12 00:00:00	A	A	10000	8450	-1950	6500	0	220012737	A99999	N	None	None	SFY2004-05
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2005-03-11 00:00:00	220001551	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-01 00:00:00	None	Yes	2005-04-04 00:00:00	2005-03-11 00:00:00	B	B	1000	500	0	500	0	220012420	A99999	N	None	None	SFY2004-05
220000888	SAN FRANCISCO GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2005-03-29 00:00:00	220001552	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-08-31 00:00:00	2004-08-31 00:00:00	Yes	2005-04-22 00:00:00	2010-09-23 00:00:00	B	Dismissed by Court	1000	0	0	0	0	220012523	A99999	N	CA00031065	B	SFY2004-05
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2005-04-19 00:00:00	220001553	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-11-22 00:00:00	None	No	2005-05-12 00:00:00	None	B	None	1000	1000	0	1000	0	220012641	A99999	N	None	None	SFY2004-05
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2005-06-24 00:00:00	220001554	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-01-26 00:00:00	None	Yes	2005-07-18 00:00:00	2005-06-24 00:00:00	B	Drop>Deficiency	1000	300	-300	0	0	220012742	A99999	N	None	None	SFY2004-05
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2005-06-28 00:00:00	220001555	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-03-03 00:00:00	2005-03-03 00:00:00	Yes	2005-07-20 00:00:00	2005-06-28 00:00:00	B	B	1000	500	0	500	0	220012743	A99999	N	None	None	SFY2004-05
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2005-12-07 00:00:00	220001556	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-25 00:00:00	None	No	2005-12-29 00:00:00	None	B	None	1000	1000	0	1000	0	220011788	A99999	N	None	None	SFY2005-06
220000518	JEWISH HOME & REHAB CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-04-28 00:00:00	220003068	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-22 00:00:00	2005-04-22 00:00:00	No	2006-05-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	8WIN11	N	CA00045571	C	SFY2005-06
220000235	SHARON HEIGHTS CARE & REHAB	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-05-10 00:00:00	220003094	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-10-04 00:00:00	2005-10-04 00:00:00	No	2006-06-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	BVMJ11	N	CA00062922	B	SFY2005-06
220000888	SAN FRANCISCO GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-06-23 00:00:00	220003174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-21 00:00:00	2004-09-21 00:00:00	No	2006-07-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	RVJV11	N	CA00032120	B	SFY2005-06
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-08-21 00:00:00	220003299	Closed	Citation	Citation A (HSC 1424)	Medication	None	2005-06-10 00:00:00	2005-06-10 00:00:00	Yes	2006-09-12 00:00:00	2006-08-21 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	Y5EB11	N	CA00051963, CA00051963, CA00056211	B, B, C	SFY2006-07
220000071	MILLBRAE SERRA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-09-14 00:00:00	220003338	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-05-20 00:00:00	2003-05-20 00:00:00	Yes	2006-10-05 00:00:00	2006-09-20 00:00:00	A	B	18000	1000	0	1000	0	None	EU9S11	N	CA00006600	B	SFY2006-07
220001051	CEDAR CREST NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-09-26 00:00:00	220003367	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2006-08-08 00:00:00	2006-08-08 00:00:00	Yes	2014-05-30 00:00:00	2006-10-06 00:00:00	B	B	1000	750	0	750	0	None	X48J11	N	CA00092066	B	SFY2006-07
220000416	AHMC SETON MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-09-29 00:00:00	220003378	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-05-21 00:00:00	2006-05-21 00:00:00	No	2006-10-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	WHU811	N	CA00081889	A	SFY2006-07
220000060	THE AVENUES TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-10-12 00:00:00	220003394	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-08-02 00:00:00	2005-08-02 00:00:00	No	2006-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZN3U11	N	CA00058752	A	SFY2006-07
220000076	PACIFICA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-10-06 00:00:00	220003401	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-11 00:00:00	2004-08-11 00:00:00	No	2006-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y9ZU11	N	CA00029899	A	SFY2006-07
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-10-11 00:00:00	220003406	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-16 00:00:00	2006-05-16 00:00:00	No	2006-11-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	B8J911	N	CA00081058	A	SFY2006-07
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-10-20 00:00:00	220003436	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-18 00:00:00	2005-10-18 00:00:00	No	2006-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	CWLM11	N	CA00064092	A	SFY2006-07
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-12-06 00:00:00	220003547	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-08-08 00:00:00	2006-08-08 00:00:00	Yes	2007-01-02 00:00:00	2006-12-15 00:00:00	A	None	10000	10000	-10000	0	0	None	W8MH11	N	CA00089483	A	SFY2006-07
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-12-27 00:00:00	220003599	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-11 00:00:00	2006-10-11 00:00:00	No	2007-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	GIUV11	N	CA00083501, CA00083501, CA00083501, CA00088168, CA00088168, CA00088168, CA00088168	B, B, B, B, B, B, B	SFY2006-07
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-01-09 00:00:00	220003622	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-01-24 00:00:00	2006-01-24 00:00:00	No	2007-01-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	6ISL11	N	CA00074966	C	SFY2006-07
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-01-09 00:00:00	220003623	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-01-24 00:00:00	2006-01-24 00:00:00	No	2007-02-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	6ISL11	N	CA00074966	C	SFY2006-07
220000416	AHMC SETON MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-01-08 00:00:00	220003624	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-21 00:00:00	2006-05-21 00:00:00	No	2007-01-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	JLU611	N	CA00098176, CA00101762	B, B	SFY2006-07
220000416	AHMC SETON MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-01-22 00:00:00	220003650	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-12-04 00:00:00	2006-12-04 00:00:00	Yes	2011-08-04 00:00:00	2011-07-22 00:00:00	A	A	20000	13200	-200	13000	0	None	SD7B11	N	CA00100410, CA00101019	B, A	SFY2006-07
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-02-07 00:00:00	220003696	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-11 00:00:00	2005-10-11 00:00:00	No	2007-02-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	JUY611	N	CA00063555, CA00063896	B, B	SFY2006-07
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-02-21 00:00:00	220003713	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-18 00:00:00	2006-05-18 00:00:00	Yes	2007-03-14 00:00:00	2007-03-09 00:00:00	B	Drop>Deficiency	1000	0	0	0	0	None	FMWK11	N	CA00082375, CA00096443	C, B	SFY2006-07
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-02-21 00:00:00	220003715	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-20 00:00:00	2006-05-20 00:00:00	Yes	2007-03-14 00:00:00	2007-03-09 00:00:00	B	B	1000	500	0	500	0	None	FMWK11	N	CA00085470, CA00096548	C, B	SFY2006-07
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-03-13 00:00:00	220003716	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-10-30 00:00:00	2006-10-30 00:00:00	Yes	2008-04-14 00:00:00	2008-04-01 00:00:00	AA	B	100000	1000	0	1000	0	None	UE3V11	Y	CA00097436	B	SFY2006-07
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-02-21 00:00:00	220003734	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-02 00:00:00	2007-01-02 00:00:00	Yes	2007-03-14 00:00:00	2007-03-13 00:00:00	B	None	1000	3000	0	3000	0	None	IDUT11	N	CA00102779	B	SFY2006-07
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-02-28 00:00:00	220003748	Closed	Citation	Citation B (HSC 1424)	Patient Care	Physical Environment	2006-03-19 00:00:00	2006-03-19 00:00:00	No	2007-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	91SV11	N	CA00076016, CA00077227, CA00077227, CA00077859	B, A, A, B	SFY2006-07
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-03-09 00:00:00	220003765	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-11-17 00:00:00	2006-11-17 00:00:00	No	2007-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	M5QR11	N	CA00100637, CA00101314, CA00101917	B, B, B	SFY2006-07
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-03-19 00:00:00	220003795	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-10 00:00:00	2004-11-10 00:00:00	No	2007-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	XSE711	N	CA00034386	A	SFY2006-07
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-03-15 00:00:00	220003812	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-02-02 00:00:00	2007-02-02 00:00:00	No	2007-04-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	9W4M11	N	CA00105770	B	SFY2006-07
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-03-28 00:00:00	220003813	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-01-31 00:00:00	2007-01-31 00:00:00	No	2007-04-18 00:00:00	None	B	None	1000	3000	0	3000	0	None	9W4M11	N	CA00105921	B	SFY2006-07
220000076	PACIFICA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-03-19 00:00:00	220003819	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-10 00:00:00	2001-08-10 00:00:00	No	2007-04-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	BE5211	N	None	None	SFY2006-07
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-03-16 00:00:00	220003829	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-15 00:00:00	2006-10-15 00:00:00	No	2007-04-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q3IK11	N	CA00096536	B	SFY2006-07
220000416	AHMC SETON MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-03-21 00:00:00	220003838	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-21 00:00:00	2007-02-21 00:00:00	No	2007-04-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	2B5N11	N	CA00107247, CA00107669	B, B	SFY2006-07
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-04-03 00:00:00	220003849	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-02-06 00:00:00	2007-02-06 00:00:00	Yes	2007-04-24 00:00:00	2007-04-09 00:00:00	AA	A	100000	7500	0	7500	0	None	QUQK11	Y	CA00105740	A	SFY2006-07
220000084	SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-04-30 00:00:00	220003928	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-04 00:00:00	2004-10-04 00:00:00	Yes	2007-05-21 00:00:00	2007-05-10 00:00:00	B	B	1000	500	0	500	0	None	ITKP11	N	CA00032719	C	SFY2006-07
220000518	JEWISH HOME & REHAB CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-05-09 00:00:00	220003936	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-03-07 00:00:00	2007-03-07 00:00:00	Yes	2007-05-30 00:00:00	2007-05-24 00:00:00	B	B	1000	500	0	500	0	None	V2Y911	N	CA00108494	B	SFY2006-07
220000518	JEWISH HOME & REHAB CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-05-09 00:00:00	220003942	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-25 00:00:00	2007-02-25 00:00:00	Yes	2007-05-30 00:00:00	2007-05-24 00:00:00	B	B	1000	500	0	500	0	None	F6J611	N	CA00108093	B	SFY2006-07
220000518	JEWISH HOME & REHAB CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-05-09 00:00:00	220003947	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-02-25 00:00:00	2007-02-25 00:00:00	Yes	2007-05-31 00:00:00	2007-05-24 00:00:00	B	None	1000	1000	0	1000	0	None	F6J611	N	CA00108093	B	SFY2006-07
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-05-10 00:00:00	220003951	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-14 00:00:00	2007-03-14 00:00:00	Yes	2007-06-01 00:00:00	2007-05-10 00:00:00	B	B	1000	500	0	500	0	None	L0N211	N	CA00109422	B	SFY2006-07
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-06-12 00:00:00	220004016	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-03 00:00:00	2006-11-03 00:00:00	Yes	2007-07-03 00:00:00	2007-06-22 00:00:00	B	B	1000	1000	0	1000	0	None	5D8J11	N	CA00097883	B	SFY2006-07
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-07-24 00:00:00	220004120	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-03-27 00:00:00	2007-03-27 00:00:00	Yes	2007-08-14 00:00:00	2007-07-24 00:00:00	B	B	1000	1000	0	1000	0	None	MCYH11	N	CA00110461, CA00110461	A, A	SFY2007-08
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-07-31 00:00:00	220004135	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-01 00:00:00	2007-02-01 00:00:00	Yes	2007-08-21 00:00:00	2007-07-31 00:00:00	B	B	1000	500	0	500	0	None	ENRS11	Y	CA00106379	B	SFY2007-08
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-08-02 00:00:00	220004154	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-08 00:00:00	2007-04-08 00:00:00	No	2007-08-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	LMPH11	N	CA00111483	A	SFY2007-08
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-08-02 00:00:00	220004157	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-03-05 00:00:00	2007-03-05 00:00:00	No	2007-08-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	UVG011	N	CA00111354	A	SFY2007-08
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-08-15 00:00:00	220004188	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-24 00:00:00	2007-03-24 00:00:00	No	2007-09-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	SRN211	N	CA00110238, CA00113166, CA00113440	B, B, B	SFY2007-08
220000083	SAN MATEO CONVALESCENT HOSPITAL, INC.	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-08-22 00:00:00	220004200	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-19 00:00:00	2007-02-19 00:00:00	No	2007-09-13 00:00:00	None	B	None	1000	1400	0	1400	0	None	JPEI11	N	CA00113256	B	SFY2007-08
220000071	MILLBRAE SERRA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-08-28 00:00:00	220004219	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-15 00:00:00	2007-03-15 00:00:00	No	2007-09-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	NXLO11	N	CA00109395	B	SFY2007-08
220001020	IDYLWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-30 00:00:00	220004224	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-16 00:00:00	2007-07-16 00:00:00	Yes	2007-09-21 00:00:00	2007-09-07 00:00:00	B	B	1000	500	0	500	0	None	1UB311	N	CA00120619	B	SFY2007-08
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-09-05 00:00:00	220004227	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-28 00:00:00	2007-05-28 00:00:00	Yes	2007-09-26 00:00:00	2007-09-05 00:00:00	A	A	20000	10000	0	10000	0	None	P0OK11	N	CA00116128	B	SFY2007-08
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-12-10 00:00:00	220004493	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-10 00:00:00	2007-06-10 00:00:00	Yes	2008-08-29 00:00:00	2008-08-29 00:00:00	A	A	20000	10000	0	10000	0	None	G09G11	N	CA00117127	B	SFY2007-08
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-12-07 00:00:00	220004504	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-11-07 00:00:00	2007-11-07 00:00:00	Yes	2008-01-08 00:00:00	2007-12-10 00:00:00	B	None	1000	1000	-350	650	0	None	0J1H11	N	CA00134009	A	SFY2007-08
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-12-17 00:00:00	220004524	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-05-23 00:00:00	2007-05-23 00:00:00	Yes	2008-01-09 00:00:00	2007-12-17 00:00:00	B	B	1000	1000	0	1000	0	None	L9WD11	N	CA00115662	A	SFY2007-08
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-12-18 00:00:00	220004527	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-07 00:00:00	2007-05-07 00:00:00	No	2008-01-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	YJ2Z11	N	CA00117751	C	SFY2007-08
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-08 00:00:00	220004566	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-26 00:00:00	2007-07-26 00:00:00	Yes	2008-01-30 00:00:00	2013-11-06 00:00:00	B	B	1000	1000	0	1000	0	None	P99F11	N	CA00121565	B	SFY2007-08
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-01-15 00:00:00	220004584	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-06 00:00:00	2007-06-06 00:00:00	Yes	2011-06-29 00:00:00	2011-06-14 00:00:00	A	A	20000	10000	0	10000	0	None	UE7011	N	CA00121359	A	SFY2007-08
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-01-25 00:00:00	220004613	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-04 00:00:00	2007-08-04 00:00:00	No	2008-02-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	WT6Q11	N	CA00122496	C	SFY2007-08
220000416	AHMC SETON MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-01-29 00:00:00	220004620	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-11-08 00:00:00	2007-11-08 00:00:00	No	2008-02-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	W4XB11	N	CA00131713	C	SFY2007-08
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-01-31 00:00:00	220004632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-27 00:00:00	2007-11-27 00:00:00	No	2008-02-25 00:00:00	None	B	B	1000	1000	-869	131	0	None	E8TX11	N	CA00133367	B	SFY2007-08
220000090	GOLDEN HEIGHTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-03-04 00:00:00	220004736	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-12 00:00:00	2008-01-12 00:00:00	Yes	2008-03-25 00:00:00	2008-03-10 00:00:00	B	B	1000	1000	0	1000	0	None	JS2R11	N	CA00137637	B	SFY2007-08
220000089	GOLDEN PAVILION HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-03-05 00:00:00	220004743	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-12-25 00:00:00	2007-12-25 00:00:00	Yes	2008-03-26 00:00:00	2008-03-07 00:00:00	B	B	1000	875	-250	625	0	None	YG1011	N	CA00136018	B	SFY2007-08
220001162	SUSAN MANOR ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2008-03-06 00:00:00	220004756	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-09-20 00:00:00	2007-09-20 00:00:00	No	2008-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	8NBY11	N	CA00127038	A	SFY2007-08
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-04-02 00:00:00	220004838	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-12-17 00:00:00	2006-12-17 00:00:00	Yes	2008-04-23 00:00:00	2008-04-21 00:00:00	A	A	20000	20900	-900	20000	0	None	CKNN11	N	CA00103569	A	SFY2007-08
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-08 00:00:00	220004868	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-01-24 00:00:00	2008-01-24 00:00:00	Yes	2008-04-29 00:00:00	2008-04-08 00:00:00	B	B	1000	1000	0	1000	0	None	7FL111	N	CA00138180	B	SFY2007-08
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-04-11 00:00:00	220004907	Closed	Citation	Citation A (HSC 1424)	Administration	None	2007-10-26 00:00:00	2007-10-26 00:00:00	Yes	2012-07-09 00:00:00	2012-03-12 00:00:00	A	A	20000	5000	0	5000	0	None	C4RR11	N	CA00130414	B	SFY2007-08
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-04-21 00:00:00	220004949	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-26 00:00:00	2008-01-26 00:00:00	No	2008-05-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	8XZF11	N	CA00142953	B	SFY2007-08
220000518	JEWISH HOME & REHAB CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-05-01 00:00:00	220004974	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-04 00:00:00	2008-03-04 00:00:00	Yes	2008-05-22 00:00:00	2008-05-01 00:00:00	B	B	1000	500	0	500	0	None	HQ6111	N	CA00142766	C	SFY2007-08
220001192	CORINTHIAN CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-05-02 00:00:00	220004982	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-10 00:00:00	2007-04-10 00:00:00	No	2008-05-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	HMNR11	N	CA00111735	B	SFY2007-08
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-05-12 00:00:00	220005030	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-11-24 00:00:00	2007-11-24 00:00:00	Yes	2010-10-06 00:00:00	2010-09-15 00:00:00	AA	AA	100000	20350	-350	20000	0	None	HPF411	Y	CA00133222	B	SFY2007-08
220000046	CENTRAL GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-05-15 00:00:00	220005049	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-05 00:00:00	2007-10-05 00:00:00	No	2008-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	X1H211	N	CA00128380	A	SFY2007-08
220000090	GOLDEN HEIGHTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-05-16 00:00:00	220005052	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-26 00:00:00	2008-03-26 00:00:00	Yes	2013-12-20 00:00:00	2008-05-20 00:00:00	B	B	1000	1000	0	1000	0	None	FWEI11	N	CA00145837	B	SFY2007-08
220001043	CASA OLGA INTERMEDIATE HEALTH CARE FACILITY	LTC	ICF	Intermediate Care Facility	San Francisco	2008-05-21 00:00:00	220005060	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-19 00:00:00	2008-03-19 00:00:00	No	2008-06-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	RXF611	N	CA00144324	A	SFY2007-08
220000888	SAN FRANCISCO GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-05-22 00:00:00	220005065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-10 00:00:00	2008-01-10 00:00:00	No	2008-06-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	1P0L11	N	CA00137430	B	SFY2007-08
220001127	SEACLIFF ICF/DD-H, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2008-06-05 00:00:00	220005107	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-01 00:00:00	2008-05-01 00:00:00	No	2008-06-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	13NJ11	N	CA00148743	B	SFY2007-08
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-06-18 00:00:00	220005152	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-15 00:00:00	2008-05-15 00:00:00	Yes	2008-07-11 00:00:00	2008-06-20 00:00:00	A	B	20000	50000	0	50000	0	None	6NP711	N	CA00150793	B	SFY2007-08
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-07-03 00:00:00	220005210	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-02-14 00:00:00	2008-02-14 00:00:00	No	2008-07-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	S4UO11	N	CA00139835	C	SFY2008-09
220001043	CASA OLGA INTERMEDIATE HEALTH CARE FACILITY	LTC	ICF	Intermediate Care Facility	San Francisco	2008-07-22 00:00:00	220005251	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-02-29 00:00:00	2008-02-29 00:00:00	No	2008-08-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	Y68311	N	CA00147241	B	SFY2008-09
220000847	ANA'S ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2008-07-23 00:00:00	220005253	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-30 00:00:00	2008-03-30 00:00:00	No	2008-08-14 00:00:00	None	B	None	1000	1350	0	1350	0	None	PJ7E11	N	CA00145359, CA00148690	B, B	SFY2008-09
220000020	LAWTON SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-07-31 00:00:00	220005283	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-04-10 00:00:00	2008-04-10 00:00:00	No	2008-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	VEDG11	N	CA00146483	B	SFY2008-09
220000046	CENTRAL GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-08-13 00:00:00	220005315	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-23 00:00:00	2008-03-23 00:00:00	No	2008-09-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	SJ4011	N	CA00152791	C	SFY2008-09
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-08-29 00:00:00	220005376	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-11 00:00:00	2008-06-11 00:00:00	Yes	2008-09-22 00:00:00	2008-08-29 00:00:00	A	None	20000	20000	-7000	13000	0	None	E5VJ11	N	CA00153558	B	SFY2008-09
220000020	LAWTON SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-10-29 00:00:00	220005561	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-12 00:00:00	2008-07-12 00:00:00	No	2008-11-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	5INS11	N	CA00156876, CA00157318	B, C	SFY2008-09
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-10-31 00:00:00	220005565	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-29 00:00:00	2008-07-29 00:00:00	Yes	2008-11-24 00:00:00	2008-11-18 00:00:00	B	None	1000	1000	-1000	0	0	None	N3ZF11	N	CA00158559	B	SFY2008-09
220000058	HERITAGE ON THE MARINA	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-10-31 00:00:00	220005566	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-06-20 00:00:00	2008-06-20 00:00:00	No	2008-11-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	D6GJ11	N	CA00158305	B	SFY2008-09
630006021	VI AT PALO ALTO	LTC	SNF	Skilled Nursing Facility	San Jose	2008-11-04 00:00:00	220005568	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-03 00:00:00	2008-03-03 00:00:00	No	2008-11-26 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	L18K11	N	CA00145795	C	SFY2008-09
220000968	DAKOTA ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2008-11-07 00:00:00	220005592	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-15 00:00:00	2008-10-15 00:00:00	No	2008-12-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	SFSG11	N	CA00166911	C	SFY2008-09
220000971	SAN FRANCISCO TOWERS	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-11-14 00:00:00	220005596	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-18 00:00:00	2008-07-18 00:00:00	No	2008-12-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	U6Q911	N	CA00160589	C	SFY2008-09
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-11-26 00:00:00	220005623	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-04-13 00:00:00	2008-04-13 00:00:00	Yes	2008-12-19 00:00:00	2008-12-08 00:00:00	A	A	14000	9000	0	9000	0	None	UUPC11	N	CA00147151	C	SFY2008-09
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-11-26 00:00:00	220005638	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-07 00:00:00	2008-06-07 00:00:00	Yes	2012-07-09 00:00:00	2012-02-15 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	4G5K11	N	CA00153509	B	SFY2008-09
630006441	JTM HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2008-12-01 00:00:00	220005640	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-29 00:00:00	2008-05-29 00:00:00	No	2008-12-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	U3RI11	N	CA00152452	B	SFY2008-09
220001192	CORINTHIAN CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-12-12 00:00:00	220005689	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-05 00:00:00	2008-12-05 00:00:00	No	2009-01-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	RCR311	N	CA00171238	D	SFY2008-09
220001030	THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING	LTC	SNF	Skilled Nursing Facility	San Jose	2009-01-14 00:00:00	220005792	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-25 00:00:00	2008-08-25 00:00:00	Yes	2009-02-04 00:00:00	2009-01-23 00:00:00	B	B	1000	650	0	650	0	None	9R1111	N	CA00161732	B	SFY2008-09
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-01-20 00:00:00	220005793	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-04-26 00:00:00	2008-04-26 00:00:00	No	2009-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	C6S711	N	CA00148541	B	SFY2008-09
220001117	DE LA CRUZ HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2009-01-21 00:00:00	220005812	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-20 00:00:00	2008-09-20 00:00:00	No	2009-02-11 00:00:00	None	B	None	700	700	0	700	0	None	M8ER11	N	CA00163046	B	SFY2008-09
220001117	DE LA CRUZ HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2009-01-21 00:00:00	220005813	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-20 00:00:00	2008-02-20 00:00:00	No	2009-02-11 00:00:00	None	B	None	700	700	0	700	0	None	WGMY11	N	CA00172183	C	SFY2008-09
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-02-10 00:00:00	220005821	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-02-16 00:00:00	2008-02-16 00:00:00	No	2009-03-05 00:00:00	None	A	None	20000	20000	0	20000	0	None	Q0UG11	N	CA00141477	A	SFY2008-09
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-02-10 00:00:00	220005872	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-01-18 00:00:00	2009-01-18 00:00:00	No	2009-03-05 00:00:00	None	B	None	800	800	0	800	0	None	E8E911	N	CA00175157	C	SFY2008-09
220000083	SAN MATEO CONVALESCENT HOSPITAL, INC.	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-03-19 00:00:00	220005990	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-07 00:00:00	2008-10-07 00:00:00	No	2009-04-10 00:00:00	None	B	None	1000	1550	-350	1200	0	None	P5YH11	N	CA00165844	A	SFY2008-09
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-22 00:00:00	220006113	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-11-04 00:00:00	2008-11-04 00:00:00	Yes	2009-05-13 00:00:00	2009-05-07 00:00:00	B	None	1000	1000	0	1000	0	None	XJRU11	N	CA00169685	C	SFY2008-09
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-22 00:00:00	220006115	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-12-17 00:00:00	2008-12-17 00:00:00	Yes	2009-05-15 00:00:00	2009-05-07 00:00:00	B	None	1000	1000	0	1000	0	None	WQJQ11	N	CA00173217	C	SFY2008-09
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-22 00:00:00	220006116	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2009-01-05 00:00:00	2009-01-05 00:00:00	Yes	2009-05-13 00:00:00	2009-05-07 00:00:00	B	None	1000	1000	0	1000	0	None	D18R11	N	CA00173793	A	SFY2008-09
220000058	HERITAGE ON THE MARINA	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-06-16 00:00:00	220006290	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-10 00:00:00	2008-09-10 00:00:00	No	2009-07-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	X9LP11	N	CA00167302	C	SFY2008-09
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-07-16 00:00:00	220006377	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-15 00:00:00	2009-03-15 00:00:00	Yes	2009-08-10 00:00:00	2009-07-16 00:00:00	B	B	750	487.5	0	487.5	0	None	PXKK11	N	CA00188411	C	SFY2009-10
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-07-20 00:00:00	220006383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-14 00:00:00	2009-05-14 00:00:00	Yes	2009-08-12 00:00:00	2009-07-20 00:00:00	B	Drop>Deficiency	1000	0	0	0	0	None	6M9011	N	CA00187267	C	SFY2009-10
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-07-22 00:00:00	220006401	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-20 00:00:00	2009-01-20 00:00:00	No	2009-08-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	FWH911	N	CA00175464	C	SFY2009-10
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-28 00:00:00	220006402	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-23 00:00:00	2008-09-23 00:00:00	Yes	2011-08-03 00:00:00	2011-07-13 00:00:00	A	A	20000	8000	0	8000	0	None	F27I11	N	CA00165686	C	SFY2009-10
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-28 00:00:00	220006418	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-04 00:00:00	2009-03-04 00:00:00	Yes	2009-08-20 00:00:00	2009-07-29 00:00:00	B	B	1000	1000	0	1000	0	None	EJ1U11	N	CA00178767	C	SFY2009-10
220000041	BROOKSIDE SKILLED NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-07-30 00:00:00	220006429	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-13 00:00:00	2009-03-13 00:00:00	No	2009-08-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	RWIL11	N	CA00181607	C	SFY2009-10
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-07 00:00:00	220006442	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-24 00:00:00	2008-01-24 00:00:00	Yes	2009-09-01 00:00:00	2009-08-10 00:00:00	B	B	1000	500	0	500	0	None	R8HK11	N	CA00139647, CA00140543, CA00140716	C, B, B	SFY2009-10
220000527	SOUTH GRANT ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2009-08-24 00:00:00	220006480	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-18 00:00:00	2009-07-18 00:00:00	No	2009-09-15 00:00:00	None	B	None	700	700	-245	455	0	None	T6KZ11	N	CA00196570	C	SFY2009-10
220000416	AHMC SETON MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-08-26 00:00:00	220006496	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-09 00:00:00	2009-06-09 00:00:00	No	2009-09-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	OF1C11	N	CA00191274	C	SFY2009-10
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-09-02 00:00:00	220006516	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-08-04 00:00:00	2009-08-04 00:00:00	Yes	2009-09-29 00:00:00	2009-09-09 00:00:00	B	None	700	700	-245	455	0	None	KCGC11	N	CA00198286	C	SFY2009-10
220000094	VICTORIAN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-09-10 00:00:00	220006544	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-16 00:00:00	2009-02-16 00:00:00	No	2009-10-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	L70V11	N	CA00178098	B	SFY2009-10
220001048	CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT	LTC	SNF	Skilled Nursing Facility	San Jose	2009-09-24 00:00:00	220006578	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-17 00:00:00	2008-11-17 00:00:00	Yes	2009-10-16 00:00:00	2009-10-09 00:00:00	B	B	1000	500	0	500	0	None	12XV11	N	CA00174874	C	SFY2009-10
220000076	PACIFICA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-10-15 00:00:00	220006622	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-18 00:00:00	2009-08-18 00:00:00	No	2009-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	C4IE11	N	CA00199631	C	SFY2009-10
220000094	VICTORIAN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-10-23 00:00:00	220006649	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-31 00:00:00	2009-07-31 00:00:00	No	2009-11-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	LP5G11	N	CA00195715	C	SFY2009-10
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-12-11 00:00:00	220006767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-26 00:00:00	2009-07-26 00:00:00	Yes	2010-01-11 00:00:00	2009-12-21 00:00:00	B	B	1000	650	0	650	0	None	KXRV11	N	CA00199912	C	SFY2009-10
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-02-03 00:00:00	220006958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-19 00:00:00	2009-03-19 00:00:00	No	2010-03-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	I2M311	N	CA00182079	C	SFY2009-10
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-03-18 00:00:00	220007059	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-14 00:00:00	2008-09-14 00:00:00	Yes	2010-04-21 00:00:00	2010-03-29 00:00:00	B	B	1000	1000	0	1000	0	None	FSN911	N	CA00163602	B	SFY2009-10
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-04-22 00:00:00	220007113	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-01-27 00:00:00	2010-01-27 00:00:00	Yes	2010-05-17 00:00:00	2010-04-28 00:00:00	B	None	1000	1000	0	1000	0	None	W7IX11	N	CA00215571	C	SFY2009-10
220001032	THE TERRACES AT LOS ALTOS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-26 00:00:00	220007186	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-12-07 00:00:00	2009-12-07 00:00:00	Yes	2010-10-04 00:00:00	2010-09-14 00:00:00	AA	AA	100000	25000	0	25000	0	None	UERE11	Y	CA00210952	C	SFY2009-10
220001141	ADAMS ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2010-05-20 00:00:00	220007226	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-02-11 00:00:00	2010-02-11 00:00:00	Yes	2010-06-11 00:00:00	2010-05-27 00:00:00	A	A	10000	5250	0	5250	0	None	C3HC11	N	CA00218333	C	SFY2009-10
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-09 00:00:00	220007280	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2009-11-30 00:00:00	2009-11-30 00:00:00	Yes	2010-06-30 00:00:00	2010-06-09 00:00:00	B	None	1000	3000	0	3000	0	None	NXW011	N	CA00209649	C	SFY2009-10
220000089	GOLDEN PAVILION HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-06-08 00:00:00	220007286	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-08 00:00:00	2010-04-08 00:00:00	No	2010-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	SYJ711	N	CA00226255	C	SFY2009-10
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-06-16 00:00:00	220007304	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-01-24 00:00:00	2010-01-24 00:00:00	No	2010-07-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	XKR611	N	CA00216094	C	SFY2009-10
220000205	CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-07-27 00:00:00	220007420	Closed	Citation	Citation A (HSC 1424)	Medication	None	2009-05-12 00:00:00	2009-05-12 00:00:00	No	2010-08-17 00:00:00	None	A	None	20000	20000	0	20000	0	None	KZHD11	N	CA00188184	C	SFY2010-11
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-07-28 00:00:00	220007430	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-03-10 00:00:00	2009-03-10 00:00:00	Yes	2010-08-18 00:00:00	2010-07-28 00:00:00	A	A	20000	9050	-50	9000	0	None	1BB811	N	CA00180835	C	SFY2010-11
220001048	CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT	LTC	SNF	Skilled Nursing Facility	San Jose	2010-09-14 00:00:00	220007533	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-06-14 00:00:00	2009-06-14 00:00:00	Yes	2011-08-01 00:00:00	2011-06-30 00:00:00	A	A	20000	20000	0	20000	0	None	217V11	N	CA00193227	C	SFY2010-11
220000041	BROOKSIDE SKILLED NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-09-14 00:00:00	220007536	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-14 00:00:00	2010-05-14 00:00:00	No	2010-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	669X11	N	CA00230907	C	SFY2010-11
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-10-14 00:00:00	220007556	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-01-27 00:00:00	2010-01-27 00:00:00	No	2010-11-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	UZZJ11	N	CA00215613, CA00216033	C, C	SFY2010-11
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-05-20 00:00:00	220007557	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2010-08-04 00:00:00	2010-08-04 00:00:00	Yes	2014-05-12 00:00:00	2011-05-20 00:00:00	A	B	20000	2000	0	2000	0	None	SZE611	N	CA00236724	C	SFY2010-11
220000048	SAN FRANCISCO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-09-14 00:00:00	220007568	Closed	Citation	Citation AA (HSC 1424)	Immediate Jeopardy	None	2010-03-22 00:00:00	2010-03-22 00:00:00	Yes	2010-10-05 00:00:00	2010-10-01 00:00:00	AA	AA	100000	25000	-25000	0	0	None	G7M511	Y	CA00222459	A	SFY2010-11
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-10-19 00:00:00	220007617	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-18 00:00:00	2010-01-18 00:00:00	Yes	2010-11-09 00:00:00	2010-10-19 00:00:00	B	Drop>Deficiency	1000	0	0	0	0	None	56KN11	N	CA00215076	C	SFY2010-11
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-01-18 00:00:00	220007785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-25 00:00:00	2010-01-25 00:00:00	Yes	2011-02-08 00:00:00	2011-01-18 00:00:00	B	B	1000	500	0	500	0	None	BXY911	N	CA00218817	C	SFY2010-11
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-12-24 00:00:00	220007795	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-16 00:00:00	2010-09-16 00:00:00	No	2011-01-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	3B9D11	N	CA00242213	C	SFY2010-11
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-01-25 00:00:00	220007866	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-04 00:00:00	2010-11-04 00:00:00	Yes	2011-02-15 00:00:00	2011-02-04 00:00:00	B	B	700	455	0	455	0	None	R0UI11	N	CA00248209	B	SFY2010-11
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-01-28 00:00:00	220007868	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-01 00:00:00	2010-09-01 00:00:00	Yes	2011-02-18 00:00:00	2011-02-01 00:00:00	B	B	1000	650	0	650	0	None	KS0911	N	CA00241516	C	SFY2010-11
220000053	DEVONSHIRE OAKS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-02-02 00:00:00	220007888	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-20 00:00:00	2010-02-20 00:00:00	Yes	2011-02-24 00:00:00	2011-02-03 00:00:00	B	B	1000	650	0	650	0	None	9L3L11	N	CA00219119	C	SFY2010-11
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-02-01 00:00:00	220007895	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-19 00:00:00	2010-11-19 00:00:00	No	2011-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZU2Z11	N	CA00250285	C	SFY2010-11
220000090	GOLDEN HEIGHTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-02-10 00:00:00	220007929	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-12 00:00:00	2010-08-12 00:00:00	Yes	2014-06-09 00:00:00	2011-02-10 00:00:00	B	B	1000	1000	0	1000	0	None	CQHL11	N	CA00237297	B	SFY2010-11
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-02-16 00:00:00	220007936	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-29 00:00:00	2010-12-29 00:00:00	No	2011-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	H3W711	N	CA00253995	C	SFY2010-11
220000048	SAN FRANCISCO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-02-28 00:00:00	220007947	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-09 00:00:00	2010-06-09 00:00:00	No	2011-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	0F2G11	N	CA00231927	C	SFY2010-11
220000041	BROOKSIDE SKILLED NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-02-24 00:00:00	220007962	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-12-07 00:00:00	2010-12-07 00:00:00	No	2011-03-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	WX0P11	N	CA00251827	B	SFY2010-11
220000041	BROOKSIDE SKILLED NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-03-22 00:00:00	220008025	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2010-04-18 00:00:00	2010-04-18 00:00:00	No	2011-04-13 00:00:00	None	A	None	20000	21700	-7000	14700	0	None	4VV311	N	CA00225764	C	SFY2010-11
220001054	GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-08-18 00:00:00	220008461	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2011-06-21 00:00:00	2011-06-21 00:00:00	Yes	2011-09-08 00:00:00	2011-08-18 00:00:00	B	None	1000	1000	0	1000	0	None	GFFD11	N	CA00275614, CA00275661	C, C	SFY2011-12
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-08-24 00:00:00	220008503	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-12-10 00:00:00	2010-12-10 00:00:00	Yes	2011-09-14 00:00:00	2011-08-24 00:00:00	B	B	1000	500	0	500	0	None	VSDB11	N	CA00253732	C	SFY2011-12
220000888	SAN FRANCISCO GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-09-29 00:00:00	220008599	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-04-01 00:00:00	2011-04-01 00:00:00	No	2011-10-20 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	NSU311	N	CA00264075	C	SFY2011-12
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-10-04 00:00:00	220008613	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-02-08 00:00:00	2011-02-08 00:00:00	No	2011-10-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	HFQC11	N	CA00260312	B	SFY2011-12
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-11-01 00:00:00	220008683	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-12-24 00:00:00	2010-12-24 00:00:00	Yes	2011-11-23 00:00:00	2011-11-04 00:00:00	A	None	20000	20000	0	20000	0	None	RRQB11	N	CA00253367	B	SFY2011-12
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-12-01 00:00:00	220008761	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-17 00:00:00	2010-11-17 00:00:00	No	2011-12-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	KFHS11	N	CA00249461	C	SFY2011-12
220000416	AHMC SETON MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2012-01-12 00:00:00	220008904	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2011-06-24 00:00:00	2011-06-24 00:00:00	Yes	2012-02-03 00:00:00	2012-01-12 00:00:00	AA	AA	100000	35000	0	35000	0	None	S8SJ11	Y	CA00274771	B	SFY2011-12
220000955	STEPHANIE HOME, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2012-05-15 00:00:00	220009302	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-19 00:00:00	2010-07-19 00:00:00	No	2012-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	DWW311	N	CA00238742	C	SFY2011-12
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2012-06-20 00:00:00	220009366	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-08-07 00:00:00	2011-08-07 00:00:00	Yes	2012-07-12 00:00:00	2012-06-20 00:00:00	B	None	1000	1000	0	0	1000	None	195H11	N	CA00278878	C	SFY2011-12
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2012-08-01 00:00:00	220009413	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-14 00:00:00	2011-05-14 00:00:00	Yes	2012-08-22 00:00:00	2012-08-06 00:00:00	B	B	2000	1500	0	1500	0	None	VM3911	N	CA00270653	C	SFY2012-13
220001048	CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT	LTC	SNF	Skilled Nursing Facility	San Jose	2012-09-25 00:00:00	220009515	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-12-29 00:00:00	2010-12-29 00:00:00	Yes	2012-10-16 00:00:00	2012-10-09 00:00:00	A	B	20000	10000	0	10000	0	None	ITJW11	N	CA00254241	B	SFY2012-13
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2013-04-23 00:00:00	220009846	Closed	Citation	Citation B (HSC 1424)	Medication	None	2012-03-15 00:00:00	2012-03-15 00:00:00	No	2013-05-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	PLEY11	N	CA00343415	C	SFY2012-13
220000197	CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2013-08-01 00:00:00	220010042	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-15 00:00:00	2012-02-15 00:00:00	No	2013-08-22 00:00:00	None	B	None	2000	3450	0	3450	0	None	X7DV11	N	CA00309448	B	SFY2013-14
220000084	SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2013-09-17 00:00:00	220010147	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-03-22 00:00:00	2012-03-22 00:00:00	No	2013-10-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ULUI11	N	CA00304072, CA00304949, CA00307084, CA00312538	B, C, C, C	SFY2013-14
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2013-10-18 00:00:00	220010218	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-06-12 00:00:00	2013-06-12 00:00:00	Yes	2013-11-08 00:00:00	2013-10-18 00:00:00	A	A	20000	14000	0	14000	0	None	Z0JD11	N	CA00335256	C	SFY2013-14
220000046	CENTRAL GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2014-08-13 00:00:00	220010921	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-04-03 00:00:00	2013-04-03 00:00:00	No	2014-09-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	BJO811	N	CA00375436	C	SFY2014-15
220000416	AHMC SETON MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2014-08-29 00:00:00	220010970	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-11-19 00:00:00	2013-11-19 00:00:00	No	2014-09-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	QH8L11	N	CA00378084	C	SFY2014-15
220000038	VISTA TERRACE OF BELMONT	LTC	SNF	Skilled Nursing Facility	San Francisco	2014-11-14 00:00:00	220011126	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-01 00:00:00	2014-07-01 00:00:00	No	2014-12-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	CT0B11	N	CA00404129	C	SFY2014-15
220000416	AHMC SETON MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2015-03-04 00:00:00	220011305	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-11-28 00:00:00	2014-11-28 00:00:00	Yes	2015-03-25 00:00:00	2015-03-09 00:00:00	AA	AA	100000	25000	0	25000	0	None	TXLD11	Y	CA00420906	C	SFY2014-15
220000085	THE SEQUOIAS	LTC	SNF	Skilled Nursing Facility	San Francisco	2015-03-11 00:00:00	220011317	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-24 00:00:00	2014-02-24 00:00:00	Yes	2015-04-02 00:00:00	2015-03-18 00:00:00	A	A	20000	13300	-300	13000	0	None	BUND12	N	CA00389176	A	SFY2014-15
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2015-07-08 00:00:00	220011607	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-04-12 00:00:00	2015-04-12 00:00:00	No	2015-07-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N2LS11	N	CA00439123	C	SFY2015-16
220000046	CENTRAL GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2015-09-10 00:00:00	220011716	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-18 00:00:00	2015-04-18 00:00:00	No	2015-10-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M4GZ11	N	CA00439559	C	SFY2015-16
220000053	DEVONSHIRE OAKS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2016-03-29 00:00:00	220012152	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2016-02-01 00:00:00	2016-02-01 00:00:00	No	2016-04-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	6SE011	N	CA00470610	C	SFY2015-16
220000020	LAWTON SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2016-06-08 00:00:00	220012308	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2016-03-18 00:00:00	2016-03-18 00:00:00	No	2016-06-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JLNQ11	N	CA00480760, CA00481112	C, C	SFY2015-16
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-07-15 00:00:00	220012393	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-01-26 00:00:00	2016-01-26 00:00:00	No	2016-08-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	H7LN11	N	None	None	SFY2016-17
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2016-07-15 00:00:00	220012396	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-14 00:00:00	2016-04-14 00:00:00	No	2016-08-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VTZT11	N	CA00484400, CA00484411, CA00484457, CA00484648	C, C, C, C	SFY2016-17
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2016-12-23 00:00:00	220012588	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-11-26 00:00:00	2014-11-26 00:00:00	Yes	2017-01-18 00:00:00	2017-01-13 00:00:00	AA	A	100000	100000	0	100000	0	None	M7GR11	Y	CA00424710, CA00428248	C, C	SFY2016-17
220001020	IDYLWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-11-23 00:00:00	220012750	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-06-23 00:00:00	2016-06-23 00:00:00	Yes	2016-12-16 00:00:00	2016-12-07 00:00:00	B	B	1000	650	0	650	0	None	FR8511	N	None	None	SFY2016-17
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2016-12-06 00:00:00	220012792	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-01-29 00:00:00	2016-01-29 00:00:00	No	2016-12-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GVHU11	N	CA00474425	C	SFY2016-17
220000416	AHMC SETON MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2017-03-09 00:00:00	220013024	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-01-03 00:00:00	2017-01-03 00:00:00	No	2017-03-30 00:00:00	None	B	None	2000	8400	0	8400	0	None	HVLZ11	N	CA00518875, CA00520663	A, A	SFY2016-17
220000041	BROOKSIDE SKILLED NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2017-03-09 00:00:00	220013025	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2016-05-11 00:00:00	2016-05-11 00:00:00	Yes	2017-03-30 00:00:00	2017-03-13 00:00:00	B	B	2000	2000	0	2000	0	None	699N11	N	CA00516138	C	SFY2016-17
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2018-02-07 00:00:00	220013796	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2016-10-27 00:00:00	2016-10-27 00:00:00	No	2018-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0UWJ11	N	CA00511870	C	SFY2017-18
220000086	SHEFFIELD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2018-02-08 00:00:00	220013798	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-10-18 00:00:00	2017-10-18 00:00:00	No	2018-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2JQI11	N	CA00562151	C	SFY2017-18
220001155	4JS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2018-05-16 00:00:00	220014052	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-04-30 00:00:00	2018-04-30 00:00:00	No	2018-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	C58X11	N	CA00584630	B	SFY2017-18
220000804	SHANNON ICF/DDH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2018-07-26 00:00:00	220014101	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-23 00:00:00	2015-07-23 00:00:00	No	2018-08-16 00:00:00	None	A	None	20000	20900	-7000	13900	0	None	DHBL11	Y	CA00450150	C	SFY2018-19
220000242	CALIFORNIA PACIFIC MEDICAL CENTER - ST. LUKE'S CAMPUS HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2018-06-27 00:00:00	220014192	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-09-07 00:00:00	2017-09-07 00:00:00	Yes	2018-07-19 00:00:00	2018-07-03 00:00:00	B	B	2000	1600	0	1600	0	None	G0ER11	N	CA00571131	C	SFY2017-18
220000242	CALIFORNIA PACIFIC MEDICAL CENTER - ST. LUKE'S CAMPUS HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2018-06-27 00:00:00	220014194	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-09-07 00:00:00	2017-09-07 00:00:00	Yes	2018-07-19 00:00:00	2018-07-03 00:00:00	B	B	2000	1600	0	1600	0	None	G0ER11	N	CA00571131	C	SFY2017-18
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2018-09-26 00:00:00	220014436	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-06 00:00:00	2017-01-06 00:00:00	No	2018-10-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RJCQ11	N	CA00517454	B	SFY2018-19
220000058	HERITAGE ON THE MARINA	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-05-21 00:00:00	220014440	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-24 00:00:00	2018-03-24 00:00:00	No	2019-06-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0XSC11	Y	CA00580230	C	SFY2018-19
630011677	SHOREVIEW ICF-DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2018-11-08 00:00:00	220014572	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2018-06-04 00:00:00	2018-06-04 00:00:00	No	2018-12-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	D1IH11	N	CA00589991	A	SFY2018-19
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-03-14 00:00:00	220014880	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-10-07 00:00:00	2018-10-07 00:00:00	Yes	2019-04-04 00:00:00	2019-03-28 00:00:00	B	B	2000	2250	0	2250	0	None	CLU311	N	CA00608528, CA00608528, CA00610468, CA00610468, CA00610468, CA00610498, CA00610498, CA00610498	A, A, B, B, B, B, B, B	SFY2018-19
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-03-14 00:00:00	220014881	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-31 00:00:00	2018-10-31 00:00:00	No	2019-04-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	6DMU11	N	CA00610399	A	SFY2018-19
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-04-09 00:00:00	220014948	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-11-30 00:00:00	2018-11-30 00:00:00	Yes	2019-04-30 00:00:00	2019-04-26 00:00:00	B	None	2000	2000	0	0	2000	None	ZXKQ11	N	CA00613501, CA00613501	C, C	SFY2018-19
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-05-21 00:00:00	220015094	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-26 00:00:00	2018-03-26 00:00:00	No	2019-06-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	I5KT11	N	CA00580970	B	SFY2018-19
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-09-27 00:00:00	220015419	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2019-01-01 00:00:00	2019-01-01 00:00:00	Yes	2019-10-18 00:00:00	2019-10-01 00:00:00	AA	AA	100000	100000	0	0	100000	None	MT2Z11	Y	CA00618234, CA00618234, CA00618552, CA00618552, CA00618552	B, B, B, B, B	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015572	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015574	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015575	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015576	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015577	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015578	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015579	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015580	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015583	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015584	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015585	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015586	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015587	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015588	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015589	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015590	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015591	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015592	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-06 00:00:00	220015593	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8EBF11	N	CA00623517	C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-17 00:00:00	220015594	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2019-01-08 00:00:00	2019-01-08 00:00:00	No	2020-01-07 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8EBF11	N	CA00621433, CA00621775, CA00638524	B, B, C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-17 00:00:00	220015618	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2018-02-13 00:00:00	2018-02-13 00:00:00	No	2020-01-07 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8EBF11	N	CA00621433, CA00621433, CA00621775, CA00621775, CA00638524, CA00638524, CA00638524	B, B, B, B, C, C, C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-17 00:00:00	220015619	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2018-01-17 00:00:00	2018-01-17 00:00:00	No	2020-01-07 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8EBF11	N	CA00621433, CA00621775, CA00638524	B, B, C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-17 00:00:00	220015620	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2018-08-30 00:00:00	2018-08-30 00:00:00	No	2020-01-07 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8EBF11	N	CA00621433, CA00621433, CA00621775, CA00621775, CA00638524, CA00638524, CA00638524	B, B, B, B, C, C, C	SFY2019-20
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-12-17 00:00:00	220015621	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2018-12-25 00:00:00	2018-12-25 00:00:00	No	2020-01-07 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8EBF11	N	CA00621433, CA00621775, CA00638524	B, B, C	SFY2019-20
220000518	JEWISH HOME & REHAB CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2020-02-10 00:00:00	220015732	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-16 00:00:00	2018-12-16 00:00:00	Yes	2020-03-02 00:00:00	2020-02-11 00:00:00	A	B	20000	12000	0	12000	0	None	0C2V11	N	CA00616191, CA00616499	B, B	SFY2019-20
220000090	GOLDEN HEIGHTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2020-03-20 00:00:00	220015819	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-07 00:00:00	2019-07-07 00:00:00	Yes	2020-04-13 00:00:00	2020-03-27 00:00:00	B	B	2000	6550	0	6550	0	None	V0HU11	N	CA00665157	B	SFY2019-20
220000060	THE AVENUES TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2020-06-16 00:00:00	220015901	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-23 00:00:00	2019-01-23 00:00:00	No	2020-07-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4D4U11	N	CA00626520, CA00626520, CA00626520	C, C, C	SFY2019-20
220001162	SUSAN MANOR ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2020-11-24 00:00:00	220016165	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-20 00:00:00	2016-12-20 00:00:00	No	2020-12-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	75XF11	Y	CA00515616	B	SFY2020-21
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-12-03 00:00:00	220017136	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-03-01 00:00:00	2016-03-01 00:00:00	No	2021-12-27 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	5X5311	None	CA00655494, CA00655494	C, C	SFY2021-22
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-01-07 00:00:00	220017257	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-11-02 00:00:00	2021-11-02 00:00:00	No	2022-01-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KQJZ11	N	CA00759948, CA00759948, CA00760039	C, C, C	SFY2021-22
220001162	SUSAN MANOR ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2022-01-20 00:00:00	220017276	Closed	Citation	Citation B (HSC 1424)	Administration	None	2019-11-29 00:00:00	2019-11-29 00:00:00	No	2022-02-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U8Q211	N	CA00767171	B	SFY2021-22
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-08-25 00:00:00	220017929	Open	Citation	Citation B (HSC 1424)	Patient Record	None	2022-08-10 00:00:00	2022-08-10 00:00:00	No	2022-09-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	XB9G11	N	CA00778375, CA00778375, CA00781166, CA00781166, CA00781166, CA00781166	B, B, B, B, B, B	SFY2022-23
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-08-25 00:00:00	220017930	Open	Citation	Citation B (HSC 1424)	Patient Record	None	2022-08-10 00:00:00	2022-08-10 00:00:00	No	2022-09-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	XB9G11	N	None	None	SFY2022-23
220000518	JEWISH HOME & REHAB CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-08-29 00:00:00	220017940	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-18 00:00:00	2022-02-18 00:00:00	Yes	2022-09-20 00:00:00	2022-09-09 00:00:00	B	None	2000	2000	0	0	2000	None	V71M11	N	CA00774239	C	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018216	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-02 00:00:00	2022-08-02 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	Q1VH11	Y	CA00797118	B	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018217	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-02 00:00:00	2022-12-02 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	KJPY11	Y	CA00806430	A	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018218	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-02 00:00:00	2022-08-02 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	GMKE11	Y	CA00806432	A	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018220	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-02 00:00:00	2022-09-02 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	N5B811	Y	CA00804188	B	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018221	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-02 00:00:00	2022-08-02 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	0S6Y11	Y	CA00806424	A	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018223	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-02 00:00:00	2022-08-02 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	I5CR11	Y	CA00797115	B	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018224	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-02 00:00:00	2022-08-02 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	BQ8411	Y	CA00795848	B	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018225	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-02 00:00:00	2022-08-02 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	E1PO11	Y	CA00806421	A	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018226	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-02 00:00:00	2022-08-02 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	WDYE11	Y	CA00795631	B	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018227	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-22 00:00:00	2022-09-22 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	92O411	Y	CA00806444	A	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018228	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-02 00:00:00	2022-08-02 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	VH7611	Y	CA00794745	B	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-20 00:00:00	220018229	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-22 00:00:00	2022-09-22 00:00:00	Yes	2023-01-11 00:00:00	2022-12-30 00:00:00	B	None	3000	3000	0	3000	0	None	4YR711	Y	CA00806441	A	SFY2022-23
220000082	CITY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-12-28 00:00:00	220018263	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-26 00:00:00	2022-04-26 00:00:00	No	2023-01-20 00:00:00	None	B	None	3000	3000	0	3000	0	None	P0IO11	N	CA00766658	C	SFY2022-23
220000089	GOLDEN PAVILION HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2023-03-24 00:00:00	220018560	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-27 00:00:00	2022-09-27 00:00:00	No	2023-04-17 00:00:00	None	B	None	3000	3000	0	3000	0	None	X8XG11	N	CA00804168, CA00804168	D, D	SFY2022-23
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2023-03-24 00:00:00	220018561	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-07-20 00:00:00	2022-07-20 00:00:00	No	2023-04-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8SX211	N	CA00794537, CA00794537, CA00795473, CA00795473	B, B, B, B	SFY2022-23
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2023-12-05 00:00:00	220019772	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2020-06-24 00:00:00	2020-06-24 00:00:00	No	2024-04-10 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	ZV8J11	None	CA00702794	D	SFY2023-24
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2023-12-05 00:00:00	220019984	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2016-02-01 00:00:00	2016-02-01 00:00:00	No	2024-05-22 00:00:00	None	AP BR	None	175000	175000	-43750	131250	0	None	8FZ111	None	CA00698368	D	SFY2023-24
220000512	LAGUNA HONDA HOSPITAL & REHABILITATION CTR	LTC	SNF	Skilled Nursing Facility	San Francisco	2023-12-05 00:00:00	220020025	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2020-01-25 00:00:00	2020-01-25 00:00:00	No	2024-05-22 00:00:00	None	AP BR	None	30000	30000	-7500	22500	0	None	DX3611	None	CA00712755	D	SFY2023-24
230000280	OAK PARK NURSING HOME	LTC	SNF	Skilled Nursing Facility	Chico	2000-01-10 00:00:00	230000873	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-06-04 00:00:00	None	No	2000-02-01 00:00:00	None	A	None	9500	9500	-3325	6175	0	230006191	A99999	N	None	None	SFY1999-00
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2000-02-10 00:00:00	230000874	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-18 00:00:00	None	Yes	2000-07-10 00:00:00	2000-07-05 00:00:00	A	A	8500	3500	0	3500	0	230006246	A99999	N	None	None	SFY1999-00
230000280	OAK PARK NURSING HOME	LTC	SNF	Skilled Nursing Facility	Chico	2000-02-10 00:00:00	230000875	Closed	Citation	Citation B (HSC 1424)	Medication	None	1999-08-31 00:00:00	None	No	2000-03-06 00:00:00	None	B	None	800	800	-280	520	0	230006247	A99999	N	None	None	SFY1999-00
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2000-02-08 00:00:00	230000876	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-27 00:00:00	None	Yes	2000-03-07 00:00:00	2000-02-16 00:00:00	B	Drop>Deficiency	750	750	0	750	0	230006248	A99999	N	None	None	SFY1999-00
230000280	OAK PARK NURSING HOME	LTC	SNF	Skilled Nursing Facility	Chico	2000-02-10 00:00:00	230000877	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-23 00:00:00	None	No	2000-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	230006249	A99999	N	None	None	SFY1999-00
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2000-03-24 00:00:00	230000878	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	1999-05-13 00:00:00	None	No	2000-04-17 00:00:00	None	B	None	800	800	0	800	0	230006274	A99999	N	None	None	SFY1999-00
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2000-03-24 00:00:00	230000879	Closed	Citation	Citation B (HSC 1424)	Medication	None	1999-09-10 00:00:00	None	No	2000-04-17 00:00:00	None	B	None	950	950	0	950	0	230006277	A99999	N	None	None	SFY1999-00
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2000-02-14 00:00:00	230000880	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-03 00:00:00	None	No	2000-03-09 00:00:00	None	B	None	800	800	-280	520	0	230006278	A99999	N	None	None	SFY1999-00
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2000-02-17 00:00:00	230000881	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-21 00:00:00	None	Yes	2000-07-19 00:00:00	2000-02-18 00:00:00	B	B	900	1650	0	1650	0	230006279	A99999	N	None	None	SFY1999-00
230000330	EASTERN PLUMAS HOSPITAL - LOYALTON CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2000-03-15 00:00:00	230000882	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-11 00:00:00	None	No	2000-04-10 00:00:00	None	B	None	850	850	-297.5	552.5	0	230006310	A99999	N	None	None	SFY1999-00
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2000-03-16 00:00:00	230000883	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-03-24 00:00:00	None	Yes	2000-08-28 00:00:00	2000-03-16 00:00:00	B	B	950	950	0	950	0	230006319	A99999	N	None	None	SFY1999-00
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2000-05-04 00:00:00	230000884	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1994-01-12 00:00:00	None	Yes	2000-05-26 00:00:00	2000-05-11 00:00:00	A	B	10000	3500	0	3500	0	230006342	A99999	N	None	None	SFY1999-00
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2000-04-05 00:00:00	230000885	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1996-02-05 00:00:00	None	Yes	2000-04-27 00:00:00	2000-04-18 00:00:00	A	B	8000	3500	0	3500	0	230006343	A99999	N	None	None	SFY1999-00
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2000-04-05 00:00:00	230000886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1996-05-15 00:00:00	None	No	2000-04-27 00:00:00	None	B	None	700	700	-700	0	0	230006344	A99999	N	None	None	SFY1999-00
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2000-04-13 00:00:00	230000887	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-28 00:00:00	None	Yes	2000-05-08 00:00:00	2000-04-13 00:00:00	B	None	800	800	0	800	0	230006349	A99999	N	None	None	SFY1999-00
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2000-04-11 00:00:00	230000888	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-09 00:00:00	None	Yes	2000-08-28 00:00:00	2000-04-11 00:00:00	B	B	650	650	0	650	0	230006371	A99999	N	None	None	SFY1999-00
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2000-04-17 00:00:00	230000889	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-12 00:00:00	None	No	2000-05-09 00:00:00	None	A	None	7000	7000	0	7000	0	230006374	A99999	N	None	None	SFY1999-00
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2000-04-20 00:00:00	230000890	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-06 00:00:00	None	Yes	2000-05-12 00:00:00	2000-05-05 00:00:00	A	A	9000	7500	0	7500	0	230006383	A99999	N	None	None	SFY1999-00
230000051	ORCHARD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-04-19 00:00:00	230000891	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-03-09 00:00:00	None	No	2000-05-10 00:00:00	None	B	None	800	800	-280	520	0	230006384	A99999	N	None	None	SFY1999-00
230000051	ORCHARD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-04-19 00:00:00	230000892	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-03-09 00:00:00	None	No	2000-05-12 00:00:00	None	B	None	800	800	-280	520	0	230006384	A99999	N	None	None	SFY1999-00
230000109	MERAKEY - OLD LANTERN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-04-25 00:00:00	230000893	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-04 00:00:00	None	No	2000-05-19 00:00:00	None	A	None	6500	6500	-2275	4225	0	230006391	A99999	N	None	None	SFY1999-00
230000605	RCCA - WHITE OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-05-02 00:00:00	230000894	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-02 00:00:00	None	Yes	2000-09-01 00:00:00	2000-08-25 00:00:00	B	B	950	600	0	600	0	230006401	A99999	N	None	None	SFY1999-00
230000605	RCCA - WHITE OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-05-02 00:00:00	230000895	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-09 00:00:00	None	Yes	2000-09-01 00:00:00	2000-08-25 00:00:00	B	B	950	600	0	600	0	230006401	A99999	N	None	None	SFY1999-00
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2000-05-15 00:00:00	230000896	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-02-10 00:00:00	None	Yes	2000-06-09 00:00:00	2000-05-15 00:00:00	A	A	9500	9500	-7125	2375	0	230006414	A99999	N	None	None	SFY1999-00
230000719	NVDS, INC - WALKER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-05-17 00:00:00	230000897	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-20 00:00:00	None	No	2000-06-09 00:00:00	None	B	None	800	800	-280	520	0	230006424	A99999	N	None	None	SFY1999-00
230000427	THE ALPINE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-05-31 00:00:00	230000898	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-01-01 00:00:00	None	Yes	2000-08-24 00:00:00	2000-08-15 00:00:00	B	B	800	800	0	800	0	230006425	A99999	N	None	None	SFY1999-00
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2000-05-30 00:00:00	230000899	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-05-14 00:00:00	None	No	2000-06-21 00:00:00	None	B	None	850	850	-297.5	552.5	0	230006427	A99999	N	None	None	SFY1999-00
230000478	ENLOE MEDICAL CENTER - COHASSET D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2000-06-01 00:00:00	230000900	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-19 00:00:00	None	No	2000-06-23 00:00:00	None	A	None	9800	9800	-3430	6370	0	230006435	A99999	N	None	None	SFY1999-00
230000561	RCCA - VIA VISTA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-06-13 00:00:00	230000901	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-13 00:00:00	None	Yes	2000-07-06 00:00:00	2000-10-20 00:00:00	B	B	900	620	0	620	0	230006452	A99999	N	None	None	SFY1999-00
230000051	ORCHARD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-07-06 00:00:00	230000902	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-06-23 00:00:00	None	No	2000-08-07 00:00:00	None	A	None	6000	6000	-2100	3900	0	230006462	A99999	N	None	None	SFY2000-01
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2000-07-06 00:00:00	230000903	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-19 00:00:00	None	No	2000-07-31 00:00:00	None	B	None	750	850	0	850	0	230006470	A99999	N	None	None	SFY2000-01
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2000-07-18 00:00:00	230000904	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-02 00:00:00	None	Yes	2000-08-14 00:00:00	2000-07-24 00:00:00	A	A	2500	2500	-1875	625	0	230006485	A99999	N	None	None	SFY2000-01
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2000-07-19 00:00:00	230000905	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-14 00:00:00	None	Yes	2000-08-21 00:00:00	2000-07-19 00:00:00	A	A	6000	6000	-4500	1500	0	230006487	A99999	N	None	None	SFY2000-01
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2000-07-31 00:00:00	230000906	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-04 00:00:00	None	No	2000-08-24 00:00:00	None	B	None	750	750	-262.5	487.5	0	230006498	A99999	N	None	None	SFY2000-01
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2000-08-31 00:00:00	230000907	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-08 00:00:00	None	No	2000-09-25 00:00:00	None	B	None	750	750	0	750	0	230006552	A99999	N	None	None	SFY2000-01
230000613	TRAILVIEW HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-09-12 00:00:00	230000908	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-29 00:00:00	None	Yes	2000-10-05 00:00:00	2000-09-13 00:00:00	B	None	900	900	0	900	0	230006564	A99999	N	None	None	SFY2000-01
230000247	CRESTWOOD WELLNESS AND RECOVERY CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2000-10-03 00:00:00	230000910	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-08 00:00:00	None	No	2000-11-06 00:00:00	None	B	Drop>Deficiency	950	950	0	950	0	230006598	A99999	N	None	None	SFY2000-01
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2000-10-03 00:00:00	230000911	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-04 00:00:00	None	Yes	2000-10-27 00:00:00	2000-10-03 00:00:00	A	A	8000	8000	-6000	2000	0	230006599	A99999	N	None	None	SFY2000-01
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2000-10-16 00:00:00	230000912	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-14 00:00:00	None	No	2000-11-07 00:00:00	None	B	None	750	750	-262.5	487.5	0	230006601	A99999	N	None	None	SFY2000-01
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2000-10-12 00:00:00	230000913	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-22 00:00:00	None	No	2000-11-06 00:00:00	None	B	None	750	750	-262.5	487.5	0	230006624	A99999	N	None	None	SFY2000-01
230000025	CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2000-10-25 00:00:00	230000914	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-13 00:00:00	None	No	2000-11-15 00:00:00	None	B	None	600	600	-210	390	0	230006636	A99999	N	None	None	SFY2000-01
230000686	NVDS - SHOWBOAT	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-11-08 00:00:00	230000915	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-10 00:00:00	None	No	2000-12-05 00:00:00	None	B	None	500	500	-175	325	0	230006657	A99999	N	None	None	SFY2000-01
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2000-11-14 00:00:00	230000916	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-07 00:00:00	None	No	2000-12-08 00:00:00	None	A	None	8000	8000	-2800	5200	0	230006661	A99999	N	None	None	SFY2000-01
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2000-11-14 00:00:00	230000917	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-22 00:00:00	None	No	2000-12-08 00:00:00	None	B	None	950	950	-332.5	617.5	0	230006664	A99999	N	None	None	SFY2000-01
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-01-26 00:00:00	230000919	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-12-30 00:00:00	None	Yes	2001-02-28 00:00:00	2001-06-12 00:00:00	B	B	950	1150	-760	390	0	230006890	A99999	N	None	None	SFY2000-01
230000557	THE ALPINE HOME II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2001-02-01 00:00:00	230000920	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-12 00:00:00	None	No	2001-02-27 00:00:00	None	B	None	800	800	-280	520	0	230006903	A99999	N	None	None	SFY2000-01
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2001-02-01 00:00:00	230000921	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-27 00:00:00	None	Yes	2001-02-27 00:00:00	2001-02-01 00:00:00	B	None	800	800	0	800	0	230006906	A99999	N	None	None	SFY2000-01
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-02-27 00:00:00	230000923	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-10 00:00:00	None	No	2001-03-21 00:00:00	None	B	None	980	980	-343	637	0	230006941	A99999	N	None	None	SFY2000-01
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-02-26 00:00:00	230000924	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-31 00:00:00	None	No	2001-03-26 00:00:00	None	B	None	850	850	-297.5	552.5	0	230006943	A99999	N	None	None	SFY2000-01
230000578	GRANNY'S HOUSE - PLUMAS AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2001-02-28 00:00:00	230000925	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-15 00:00:00	None	No	2001-03-21 00:00:00	None	B	None	750	750	-262.5	487.5	0	230006959	A99999	N	None	None	SFY2000-01
230000699	GRANNY'S HOUSE - 12TH STREET	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2001-03-13 00:00:00	230000927	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-15 00:00:00	None	No	2001-04-16 00:00:00	None	B	None	450	1350	-472.5	877.5	0	230006974	A99999	N	None	None	SFY2000-01
230000561	RCCA - VIA VISTA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2001-03-14 00:00:00	230000928	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-27 00:00:00	None	No	2001-04-09 00:00:00	None	B	None	1000	1000	0	1000	0	230006975	A99999	N	None	None	SFY2000-01
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-03-15 00:00:00	230000929	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-01 00:00:00	None	Yes	2001-04-09 00:00:00	2001-03-29 00:00:00	B	B	1000	1000	-800	200	0	230006808	A99999	N	None	None	SFY2000-01
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2001-03-20 00:00:00	230000930	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-04-29 00:00:00	None	Yes	2001-04-13 00:00:00	2001-03-29 00:00:00	AA	AA	50000	50000	-7050.75	42949.25	0	230006721	A99999	Y	None	None	SFY2000-01
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-03-23 00:00:00	230000931	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-01-01 00:00:00	None	Yes	2001-04-16 00:00:00	2001-03-30 00:00:00	B	B	950	600	0	600	0	230006895	A99999	N	None	None	SFY2000-01
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-03-30 00:00:00	230000932	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-20 00:00:00	None	Yes	2001-04-23 00:00:00	2001-04-03 00:00:00	B	B	900	575	0	575	0	230007007	A99999	N	None	None	SFY2000-01
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-04-13 00:00:00	230000933	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-01-16 00:00:00	None	No	2001-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	230007043	A99999	N	None	None	SFY2000-01
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2001-04-16 00:00:00	230000934	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-15 00:00:00	None	Yes	2001-05-07 00:00:00	2001-04-24 00:00:00	B	B	900	900	-720	180	0	230006921	A99999	N	None	None	SFY2000-01
230000026	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2001-04-23 00:00:00	230000935	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-11 00:00:00	None	Yes	2001-09-06 00:00:00	2001-04-30 00:00:00	B	Drop>Deficiency	900	0	0	0	0	230007063	A99999	N	None	None	SFY2000-01
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-04-24 00:00:00	230000936	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-20 00:00:00	None	Yes	2001-05-11 00:00:00	2001-05-07 00:00:00	B	B	750	750	-600	150	0	230007035	A99999	N	None	None	SFY2000-01
230000597	MERAKEY - HERBSCENTA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2001-05-03 00:00:00	230000937	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-18 00:00:00	None	Yes	2001-08-31 00:00:00	2001-05-03 00:00:00	B	B	700	700	0	700	0	230006885	A99999	N	None	None	SFY2000-01
230000026	BEVERLY MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2001-05-07 00:00:00	230000938	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-31 00:00:00	None	Yes	2001-05-29 00:00:00	2001-05-09 00:00:00	B	B	750	418	0	418	0	230007117	A99999	N	None	None	SFY2000-01
230000247	CRESTWOOD WELLNESS AND RECOVERY CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-05-08 00:00:00	230000939	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-18 00:00:00	None	Yes	2001-06-01 00:00:00	2001-05-07 00:00:00	B	B	800	400	0	400	0	230006954	A99999	N	None	None	SFY2000-01
230000363	THE ELGIN HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2001-05-09 00:00:00	230000940	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-22 00:00:00	None	No	2001-06-04 00:00:00	None	B	None	700	700	-245	455	0	230007012	A99999	N	None	None	SFY2000-01
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2001-06-07 00:00:00	230000942	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-28 00:00:00	None	No	2001-07-02 00:00:00	None	B	None	700	700	-245	455	0	230007178	A99999	N	None	None	SFY2000-01
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-06-07 00:00:00	230000943	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-26 00:00:00	None	No	2001-06-29 00:00:00	None	B	None	950	950	0	950	0	230007036	A99999	N	None	None	SFY2000-01
230000334	TAHOE FOREST HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2001-05-31 00:00:00	230000944	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-17 00:00:00	None	No	2001-06-25 00:00:00	None	B	None	750	750	-262.5	487.5	0	230006832	A99999	N	None	None	SFY2000-01
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2001-06-06 00:00:00	230000945	Closed	Citation	Citation A (HSC 1424)	Medication	None	2000-06-30 00:00:00	None	Yes	2001-07-02 00:00:00	2001-06-21 00:00:00	A	A	5000	5000	-3750	1250	0	230007201	A99999	N	None	None	SFY2000-01
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2001-07-24 00:00:00	230000947	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-06 00:00:00	None	Yes	2001-08-17 00:00:00	2001-08-01 00:00:00	B	B	800	450	0	450	0	230006844	A99999	N	None	None	SFY2001-02
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2001-07-24 00:00:00	230000948	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-18 00:00:00	None	Yes	2001-08-17 00:00:00	2001-08-01 00:00:00	B	B	800	450	0	450	0	230006844	A99999	N	None	None	SFY2001-02
230000330	EASTERN PLUMAS HOSPITAL - LOYALTON CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2001-08-15 00:00:00	230000949	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-12 00:00:00	None	No	2001-09-11 00:00:00	None	B	None	750	750	0	750	0	230007365	A99999	N	None	None	SFY2001-02
230000153	BANNER LASSEN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2001-08-15 00:00:00	230000950	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-04 00:00:00	None	No	2001-09-11 00:00:00	None	B	None	900	900	-315	585	0	230007163	A99999	N	None	None	SFY2001-02
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-08-20 00:00:00	230000951	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-28 00:00:00	None	No	2001-09-12 00:00:00	None	B	None	950	950	-332.5	617.5	0	230007374	A99999	N	None	None	SFY2001-02
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-09-27 00:00:00	230000952	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-16 00:00:00	None	No	2001-10-24 00:00:00	None	B	None	950	950	-332.5	617.5	0	230007090	A99999	N	None	None	SFY2001-02
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-10-02 00:00:00	230000953	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-30 00:00:00	None	Yes	2001-10-24 00:00:00	2001-10-16 00:00:00	B	B	800	700	0	700	0	230007422	A99999	N	None	None	SFY2001-02
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2001-10-11 00:00:00	230000954	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-06-07 00:00:00	None	No	2001-11-05 00:00:00	None	B	None	1700	1700	-595	1105	0	230007361	A99999	N	None	None	SFY2001-02
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2001-10-24 00:00:00	230000955	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-11 00:00:00	None	No	2001-11-16 00:00:00	None	B	None	1000	1150	0	1150	0	230007530	A99999	N	None	None	SFY2001-02
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2001-10-24 00:00:00	230000956	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-01-02 00:00:00	None	Yes	2001-11-19 00:00:00	2001-11-08 00:00:00	AA	A	80000	16000	0	16000	0	230006951	A99999	Y	None	None	SFY2001-02
230000605	RCCA - WHITE OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2001-10-30 00:00:00	230000957	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-21 00:00:00	None	Yes	2001-11-27 00:00:00	2001-10-30 00:00:00	B	B	1000	1000	0	1000	0	230007492	A99999	N	None	None	SFY2001-02
230000109	MERAKEY - OLD LANTERN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2001-11-07 00:00:00	230000958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-08 00:00:00	None	No	2001-12-05 00:00:00	None	B	None	900	900	-315	585	0	230007441	A99999	N	None	None	SFY2001-02
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2001-11-15 00:00:00	230000959	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-15 00:00:00	None	No	2001-12-14 00:00:00	None	B	None	700	700	0	700	0	230007243	A99999	N	None	None	SFY2001-02
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2002-01-14 00:00:00	230000960	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-29 00:00:00	None	No	2002-02-08 00:00:00	None	B	None	800	800	-280	520	0	230007652	A99999	N	None	None	SFY2001-02
230000504	VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-01-14 00:00:00	230000961	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-05 00:00:00	None	Yes	2002-02-13 00:00:00	2002-01-24 00:00:00	B	B	800	490	0	490	0	230007528	A99999	N	None	None	SFY2001-02
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2002-01-14 00:00:00	230000962	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-07 00:00:00	None	No	2002-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	230007613	A99999	N	None	None	SFY2001-02
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2002-01-17 00:00:00	230000964	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-10 00:00:00	None	Yes	2002-02-08 00:00:00	2002-01-18 00:00:00	A	A	18000	15300	0	15300	0	230007655	A99999	N	None	None	SFY2001-02
230000468	MERAKEY - VALENTINE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-02-01 00:00:00	230000965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-25 00:00:00	None	No	2002-03-01 00:00:00	None	B	None	600	600	-210	390	0	230007573	A99999	N	None	None	SFY2001-02
230000049	HOME HEALTH SERVICES	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-02-15 00:00:00	230000966	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-09 00:00:00	None	No	2002-03-11 00:00:00	None	B	None	600	600	-210	390	0	230007796	A99999	N	None	None	SFY2001-02
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2002-02-14 00:00:00	230000967	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-08 00:00:00	None	No	2002-03-12 00:00:00	None	B	None	700	700	-245	455	0	230007176	A99999	N	None	None	SFY2001-02
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2002-02-26 00:00:00	230000968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-25 00:00:00	None	Yes	2002-06-24 00:00:00	2002-02-26 00:00:00	B	B	700	800	0	800	0	230007597	A99999	N	None	None	SFY2001-02
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2002-02-26 00:00:00	230000969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-06 00:00:00	None	No	2002-03-21 00:00:00	None	B	None	600	700	-210	490	0	230007598	A99999	N	None	None	SFY2001-02
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2002-02-27 00:00:00	230000970	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-24 00:00:00	None	No	2002-03-21 00:00:00	None	B	None	700	700	-245	455	0	230007711	A99999	N	None	None	SFY2001-02
230000588	GRANNY'S HOUSE - HILDALE AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-02-26 00:00:00	230000971	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2002-11-16 00:00:00	None	No	2002-03-29 00:00:00	None	B	None	800	800	-280	520	0	230007751	A99999	N	None	None	SFY2001-02
230000588	GRANNY'S HOUSE - HILDALE AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-02-26 00:00:00	230000972	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-01-16 00:00:00	None	No	2002-03-29 00:00:00	None	B	None	800	800	-280	520	0	230007855	A99999	N	None	None	SFY2001-02
230000588	GRANNY'S HOUSE - HILDALE AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-02-26 00:00:00	230000973	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-01-16 00:00:00	None	No	2002-03-29 00:00:00	None	B	None	800	800	-280	520	0	230007856	A99999	N	None	None	SFY2001-02
230000025	CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2002-03-12 00:00:00	230000974	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-03 00:00:00	None	Yes	2002-04-08 00:00:00	2002-03-28 00:00:00	A	B	16000	9116	0	9116	0	230007476	A99999	N	None	None	SFY2001-02
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2002-03-12 00:00:00	230000975	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-15 00:00:00	None	Yes	2002-08-26 00:00:00	2002-08-13 00:00:00	A	B	16000	1000	0	1000	0	230007635	A99999	N	None	None	SFY2001-02
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2002-03-27 00:00:00	230000977	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-21 00:00:00	None	Yes	2002-04-18 00:00:00	2002-04-02 00:00:00	A	A	18000	15300	0	15300	0	230007774	A99999	N	None	None	SFY2001-02
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2002-03-28 00:00:00	230000978	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-07 00:00:00	None	Yes	2002-04-23 00:00:00	2002-04-04 00:00:00	A	A	18000	25000	0	25000	0	230007715	A99999	N	None	None	SFY2001-02
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2002-03-28 00:00:00	230000979	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-26 00:00:00	None	Yes	2002-04-23 00:00:00	2002-04-04 00:00:00	A	Dismissed by Court	20000	0	0	0	0	230007715	A99999	N	None	None	SFY2001-02
230000588	GRANNY'S HOUSE - HILDALE AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-04-19 00:00:00	230000980	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-03-01 00:00:00	None	No	2002-05-30 00:00:00	None	B	None	800	800	-280	520	0	230007979	A99999	N	None	None	SFY2001-02
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2002-04-26 00:00:00	230000981	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-09 00:00:00	None	Yes	2002-08-23 00:00:00	2002-04-26 00:00:00	B	B	700	700	0	700	0	230007246	A99999	N	None	None	SFY2001-02
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2002-05-14 00:00:00	230000982	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2002-01-05 00:00:00	None	Yes	2002-06-10 00:00:00	2002-05-17 00:00:00	AA	AA	80000	25000	0	25000	0	230007742	A99999	Y	None	None	SFY2001-02
230000047	DENTON RESIDENTIAL FACILITY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-05-22 00:00:00	230000983	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-04-01 00:00:00	None	No	2002-06-14 00:00:00	None	B	None	500	500	-175	325	0	230008112	A99999	N	None	None	SFY2001-02
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-06-11 00:00:00	230000984	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-18 00:00:00	None	Yes	2002-07-05 00:00:00	2002-06-17 00:00:00	A	A	14000	3000	0	3000	0	230007712	A99999	N	None	None	SFY2001-02
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-06-11 00:00:00	230000985	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-31 00:00:00	None	No	2002-07-09 00:00:00	None	B	None	800	800	-280	520	0	230007895	A99999	N	None	None	SFY2001-02
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2002-06-07 00:00:00	230000986	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-19 00:00:00	None	No	2002-07-01 00:00:00	None	B	None	700	700	-245	455	0	230006722	A99999	N	None	None	SFY2001-02
230000392	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-06-13 00:00:00	230000987	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-22 00:00:00	None	No	2002-07-08 00:00:00	None	B	None	800	800	-280	520	0	230008147	A99999	N	None	None	SFY2001-02
230000719	NVDS, INC - WALKER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-06-21 00:00:00	230000988	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-06-11 00:00:00	None	No	2002-07-16 00:00:00	None	B	None	500	500	-175	325	0	230008190	A99999	N	None	None	SFY2001-02
230000497	MERAKEY - HARPOLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-06-26 00:00:00	230000989	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-12-20 00:00:00	None	No	2002-07-19 00:00:00	None	A	None	2000	2000	-700	1300	0	230007682	A99999	N	None	None	SFY2001-02
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-06-26 00:00:00	230000990	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-08 00:00:00	None	No	2002-07-22 00:00:00	None	B	None	800	800	-280	520	0	230008104	A99999	N	None	None	SFY2001-02
230000153	BANNER LASSEN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-08-14 00:00:00	230000991	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-30 00:00:00	None	No	2002-09-17 00:00:00	None	B	None	800	800	-280	520	0	230008164	A99999	N	None	None	SFY2002-03
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-08-21 00:00:00	230000992	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-18 00:00:00	2002-07-18 00:00:00	Yes	2002-09-12 00:00:00	2002-08-21 00:00:00	B	B	1000	1000	0	1000	0	230009207	A99999	N	None	None	SFY2002-03
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-08-21 00:00:00	230000993	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-20 00:00:00	None	No	2002-09-16 00:00:00	None	B	None	1000	1000	-350	650	0	230008323	A99999	N	None	None	SFY2002-03
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2002-08-29 00:00:00	230000994	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-17 00:00:00	None	Yes	2002-09-27 00:00:00	2002-09-06 00:00:00	A	A	8000	4591	0	4591	0	230007080	A99999	N	None	None	SFY2002-03
230000330	EASTERN PLUMAS HOSPITAL - LOYALTON CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-08-29 00:00:00	230000995	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-14 00:00:00	None	No	2002-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	230008308	A99999	N	None	None	SFY2002-03
230000025	CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2002-09-18 00:00:00	230000997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-02 00:00:00	2002-08-02 00:00:00	Yes	2003-04-03 00:00:00	2002-10-03 00:00:00	B	B	800	446	0	446	0	230008371	A99999	N	None	None	SFY2002-03
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2002-10-09 00:00:00	230000998	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-07 00:00:00	2002-08-07 00:00:00	No	2002-11-05 00:00:00	None	B	None	1000	3000	-1050	1950	0	230008534	A99999	N	None	None	SFY2002-03
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2002-10-21 00:00:00	230000999	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-07-19 00:00:00	2002-07-19 00:00:00	No	2002-11-19 00:00:00	None	A	None	6000	6000	-2100	3900	0	230008312	A99999	N	None	None	SFY2002-03
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2002-10-29 00:00:00	230001000	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-22 00:00:00	2002-08-22 00:00:00	No	2003-03-28 00:00:00	None	B	B	1000	1000	0	1000	0	230008439	A99999	N	None	None	SFY2002-03
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2002-10-31 00:00:00	230001001	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-18 00:00:00	2001-10-18 00:00:00	No	2003-04-01 00:00:00	None	B	B	1000	1000	0	1000	0	230007578	A99999	N	None	None	SFY2002-03
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2002-11-25 00:00:00	230001002	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-26 00:00:00	2001-11-26 00:00:00	No	2002-12-18 00:00:00	None	B	None	1000	1000	-350	650	0	230008658	A99999	N	None	None	SFY2002-03
230000783	GRANNY'S HOUSE - BOYER ROAD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-12-20 00:00:00	230001005	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-06 00:00:00	2002-09-06 00:00:00	No	2003-01-10 00:00:00	None	B	None	800	800	-280	520	0	230008697	A99999	N	None	None	SFY2002-03
230000578	GRANNY'S HOUSE - PLUMAS AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-12-20 00:00:00	230001006	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-16 00:00:00	2002-09-16 00:00:00	No	2003-01-17 00:00:00	None	B	None	1000	1000	-350	650	0	230008698	A99999	N	None	None	SFY2002-03
230000783	GRANNY'S HOUSE - BOYER ROAD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-12-20 00:00:00	230001007	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-28 00:00:00	2002-09-28 00:00:00	No	2003-01-17 00:00:00	None	B	None	1000	1000	-350	650	0	230008761	A99999	N	None	None	SFY2002-03
230000763	NVDS, INC - VALENTINE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-12-19 00:00:00	230001008	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-23 00:00:00	2002-10-23 00:00:00	No	2003-01-23 00:00:00	None	B	None	700	700	-245	455	0	230008762	A99999	N	None	None	SFY2002-03
230000783	GRANNY'S HOUSE - BOYER ROAD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-12-20 00:00:00	230001009	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-13 00:00:00	2002-09-13 00:00:00	No	2003-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	230008763	A99999	N	None	None	SFY2002-03
230000578	GRANNY'S HOUSE - PLUMAS AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-12-20 00:00:00	230001010	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-18 00:00:00	2002-09-18 00:00:00	Yes	2003-04-04 00:00:00	2003-01-08 00:00:00	B	B	1000	1000	0	1000	0	230008766	A99999	N	None	None	SFY2002-03
230000783	GRANNY'S HOUSE - BOYER ROAD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-12-20 00:00:00	230001011	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-10 00:00:00	2002-10-10 00:00:00	No	2003-01-17 00:00:00	None	B	None	1000	1250	-350	900	0	230008767	A99999	N	None	None	SFY2002-03
230000783	GRANNY'S HOUSE - BOYER ROAD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-12-20 00:00:00	230001012	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-28 00:00:00	2002-10-28 00:00:00	No	2003-01-16 00:00:00	None	B	None	1000	1100	-350	750	0	230008767	A99999	N	None	None	SFY2002-03
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2002-12-30 00:00:00	230001013	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-03-22 00:00:00	2002-03-22 00:00:00	Yes	2003-01-27 00:00:00	2003-01-07 00:00:00	AA	A	100000	20000	0	20000	0	230008774	A99999	Y	None	None	SFY2002-03
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2002-12-30 00:00:00	230001014	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-19 00:00:00	2002-03-19 00:00:00	Yes	2003-01-27 00:00:00	2003-01-07 00:00:00	A	B	18000	900	0	900	0	230008774	A99999	N	None	None	SFY2002-03
230000247	CRESTWOOD WELLNESS AND RECOVERY CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-01-21 00:00:00	230001015	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-01-01 00:00:00	2002-01-01 00:00:00	Yes	2003-02-11 00:00:00	2003-01-22 00:00:00	A	B	12000	4500	0	4500	0	230008846	A99999	N	None	None	SFY2002-03
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-02-06 00:00:00	230001016	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-09 00:00:00	2002-10-09 00:00:00	No	2003-03-07 00:00:00	None	B	None	800	1150	0	1150	0	230008583	A99999	N	None	None	SFY2002-03
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2003-02-04 00:00:00	230001017	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-23 00:00:00	2002-05-23 00:00:00	No	2003-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	230008552	A99999	N	None	None	SFY2002-03
230000783	GRANNY'S HOUSE - BOYER ROAD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-02-13 00:00:00	230001018	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-27 00:00:00	2002-10-27 00:00:00	No	2003-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	230008593	A99999	N	None	None	SFY2002-03
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2003-03-12 00:00:00	230001019	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-09 00:00:00	2003-01-09 00:00:00	No	2003-04-04 00:00:00	None	B	None	1000	1000	-350	650	0	230008834	A99999	N	None	None	SFY2002-03
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-03-26 00:00:00	230001020	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-28 00:00:00	2002-12-28 00:00:00	Yes	2003-04-21 00:00:00	2003-03-26 00:00:00	B	None	800	800	0	800	0	230009060	A99999	N	None	None	SFY2002-03
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-03-26 00:00:00	230001021	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-28 00:00:00	2002-12-28 00:00:00	Yes	2003-04-21 00:00:00	2003-03-26 00:00:00	B	None	800	800	0	800	0	230009060	A99999	N	None	None	SFY2002-03
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2003-04-02 00:00:00	230001022	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-29 00:00:00	2002-12-29 00:00:00	No	2003-04-28 00:00:00	None	B	None	1000	1000	-350	650	0	230009077	A99999	N	None	None	SFY2002-03
230000242	MERCY MEDICAL CENTER MT. SHASTA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2003-04-09 00:00:00	230001023	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-15 00:00:00	2002-05-15 00:00:00	No	2003-05-02 00:00:00	None	B	None	800	800	-280	520	0	230009135	A99999	N	None	None	SFY2002-03
230000242	MERCY MEDICAL CENTER MT. SHASTA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2003-04-09 00:00:00	230001024	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-17 00:00:00	2002-10-17 00:00:00	No	2003-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	230009135	A99999	N	None	None	SFY2002-03
230000282	SPRING HILL MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2003-04-23 00:00:00	230001025	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-20 00:00:00	2002-04-20 00:00:00	Yes	2003-05-20 00:00:00	2003-04-23 00:00:00	B	None	850	850	0	850	0	230008853	A99999	N	None	None	SFY2002-03
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-05-05 00:00:00	230001026	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-28 00:00:00	2002-07-28 00:00:00	No	2003-06-03 00:00:00	None	B	None	1000	1000	-350	650	0	230008343	A99999	N	None	None	SFY2002-03
230000242	MERCY MEDICAL CENTER MT. SHASTA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2003-05-21 00:00:00	230001027	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-08 00:00:00	2003-03-08 00:00:00	No	2003-06-17 00:00:00	None	B	None	1000	1000	-350	650	0	230009041	A99999	N	None	None	SFY2002-03
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2003-05-27 00:00:00	230001028	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-22 00:00:00	2002-10-22 00:00:00	Yes	2003-06-27 00:00:00	2003-06-03 00:00:00	A	A	20000	11477	0	11477	0	230008587	A99999	N	None	None	SFY2002-03
230000560	RCCA - AUGUSTA LANE #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-07-02 00:00:00	230001029	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-15 00:00:00	2003-02-15 00:00:00	No	2003-07-28 00:00:00	None	B	None	1000	1000	-350	650	0	230009270	A99999	N	None	None	SFY2003-04
230000560	RCCA - AUGUSTA LANE #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-07-02 00:00:00	230001030	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-19 00:00:00	2003-03-19 00:00:00	No	2003-07-28 00:00:00	None	B	None	1000	1000	-350	650	0	230009270	A99999	N	None	None	SFY2003-04
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-07-14 00:00:00	230001031	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-22 00:00:00	2003-04-22 00:00:00	No	2003-08-07 00:00:00	None	B	None	800	800	-280	520	0	230009234	A99999	N	None	None	SFY2003-04
230000616	OSTERMAN'S FACILITY #2, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-07-14 00:00:00	230001032	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-30 00:00:00	2003-04-30 00:00:00	No	2003-08-07 00:00:00	None	B	None	1000	1000	-350	650	0	230009397	A99999	N	None	None	SFY2003-04
230000616	OSTERMAN'S FACILITY #2, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-07-14 00:00:00	230001033	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-02 00:00:00	2003-05-02 00:00:00	No	2003-08-07 00:00:00	None	B	None	1000	1000	-350	650	0	230009397	A99999	N	None	None	SFY2003-04
230000616	OSTERMAN'S FACILITY #2, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-07-14 00:00:00	230001034	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-01 00:00:00	2003-05-01 00:00:00	No	2003-08-07 00:00:00	None	B	None	1000	1000	-350	650	0	230009397	A99999	N	None	None	SFY2003-04
230000616	OSTERMAN'S FACILITY #2, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-07-14 00:00:00	230001035	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-26 00:00:00	2002-11-26 00:00:00	No	2003-08-07 00:00:00	None	B	None	1000	1000	-350	650	0	230009397	A99999	N	None	None	SFY2003-04
230000616	OSTERMAN'S FACILITY #2, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-07-14 00:00:00	230001036	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-04-07 00:00:00	2003-04-07 00:00:00	No	2003-08-07 00:00:00	None	B	None	1000	1000	-350	650	0	230009397	A99999	N	None	None	SFY2003-04
230000467	NVDS INC - CHRISTIAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-08-12 00:00:00	230001037	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-10 00:00:00	2003-05-10 00:00:00	No	2003-09-10 00:00:00	None	B	None	1000	1000	-350	650	0	230009360	A99999	N	None	None	SFY2003-04
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2003-07-17 00:00:00	230001038	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-25 00:00:00	2003-03-25 00:00:00	No	2003-08-13 00:00:00	None	B	None	1000	1000	-350	650	0	230009184	A99999	N	None	None	SFY2003-04
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2003-07-17 00:00:00	230001039	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-26 00:00:00	2003-03-26 00:00:00	No	2003-08-13 00:00:00	None	B	None	1000	1000	-350	650	0	230009172	A99999	N	None	None	SFY2003-04
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2003-07-17 00:00:00	230001040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-11 00:00:00	2003-04-11 00:00:00	No	2003-08-13 00:00:00	None	B	None	1000	1000	-350	650	0	230009172	A99999	Y	None	None	SFY2003-04
230000763	NVDS, INC - VALENTINE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-08-12 00:00:00	230001041	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-05-22 00:00:00	2003-05-22 00:00:00	No	2003-09-10 00:00:00	None	B	None	1000	1000	-350	650	0	230009500	A99999	N	None	None	SFY2003-04
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-09-24 00:00:00	230001042	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-20 00:00:00	2003-02-20 00:00:00	Yes	2003-12-29 00:00:00	2003-09-30 00:00:00	B	B	1000	1000	0	1000	0	230009285	A99999	N	None	None	SFY2003-04
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2003-08-19 00:00:00	230001043	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-17 00:00:00	2003-05-17 00:00:00	No	2003-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	230009320	A99999	N	None	None	SFY2003-04
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2003-08-27 00:00:00	230001044	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-08 00:00:00	2003-03-08 00:00:00	Yes	2003-09-23 00:00:00	2003-08-29 00:00:00	B	B	1000	574	0	574	0	230009564	A99999	N	None	None	SFY2003-04
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2003-08-27 00:00:00	230001045	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2003-05-17 00:00:00	2003-05-17 00:00:00	No	2003-09-18 00:00:00	None	B	B	1000	574	0	574	0	230009564	A99999	N	None	None	SFY2003-04
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-08-21 00:00:00	230001046	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-21 00:00:00	2001-12-21 00:00:00	Yes	2003-09-16 00:00:00	2003-08-29 00:00:00	B	B	1000	574	0	574	0	230008131	A99999	N	None	None	SFY2003-04
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-08-21 00:00:00	230001047	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-08 00:00:00	2002-01-08 00:00:00	Yes	2003-09-16 00:00:00	2003-08-29 00:00:00	B	B	1000	574	0	574	0	230008131	A99999	N	None	None	SFY2003-04
230000497	MERAKEY - HARPOLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-08-27 00:00:00	230001048	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-12 00:00:00	2002-05-12 00:00:00	No	2003-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	230009287	A99999	N	None	None	SFY2003-04
230000497	MERAKEY - HARPOLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-08-27 00:00:00	230001049	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-03 00:00:00	2002-06-03 00:00:00	No	2003-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	230009287	A99999	N	None	None	SFY2003-04
230000497	MERAKEY - HARPOLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-08-27 00:00:00	230001050	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-19 00:00:00	2002-07-19 00:00:00	No	2003-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	230009287	A99999	N	None	None	SFY2003-04
230000497	MERAKEY - HARPOLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-08-27 00:00:00	230001051	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-05 00:00:00	2002-05-05 00:00:00	No	2003-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	230009287	A99999	N	None	None	SFY2003-04
230000783	GRANNY'S HOUSE - BOYER ROAD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-09-03 00:00:00	230001052	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-07-09 00:00:00	2003-07-09 00:00:00	No	2003-09-26 00:00:00	None	B	None	800	800	-280	520	0	230009465	A99999	N	None	None	SFY2003-04
230000334	TAHOE FOREST HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2003-09-10 00:00:00	230001053	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-07 00:00:00	2003-08-07 00:00:00	No	2003-10-08 00:00:00	None	B	None	800	800	-280	520	0	230009594	A99999	N	None	None	SFY2003-04
230000606	RCCA - RIVER OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-09-11 00:00:00	230001054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-11 00:00:00	2003-04-11 00:00:00	No	2003-10-07 00:00:00	None	B	None	1000	1000	-350	650	0	230009680	A99999	N	None	None	SFY2003-04
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2003-09-11 00:00:00	230001055	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-09 00:00:00	2003-07-09 00:00:00	No	2003-10-07 00:00:00	None	B	None	1000	1000	-350	650	0	230009681	A99999	N	None	None	SFY2003-04
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2003-12-09 00:00:00	230001056	Closed	Citation	Citation A (HSC 1424)	Medication	None	2002-10-06 00:00:00	2002-10-06 00:00:00	No	2004-01-06 00:00:00	None	A	None	8000	8000	-2800	5200	0	230009705	A99999	N	None	None	SFY2003-04
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-09-24 00:00:00	230001057	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-04 00:00:00	2003-08-04 00:00:00	Yes	2003-10-24 00:00:00	2003-10-02 00:00:00	B	B	1000	500	0	500	0	230009644	A99999	N	None	None	SFY2003-04
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2003-09-25 00:00:00	230001058	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-07-21 00:00:00	2003-07-21 00:00:00	No	2003-10-24 00:00:00	None	B	B	800	446	0	446	0	230009539	A99999	N	None	None	SFY2003-04
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2003-09-25 00:00:00	230001059	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-19 00:00:00	2003-06-19 00:00:00	No	2003-10-23 00:00:00	None	B	None	1000	1000	-350	650	0	230009731	A99999	N	None	None	SFY2003-04
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2003-10-08 00:00:00	230001060	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-07-18 00:00:00	2003-07-18 00:00:00	Yes	2003-11-03 00:00:00	2003-10-14 00:00:00	B	B	1000	750	0	750	0	230009489	A99999	N	None	None	SFY2003-04
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-12-16 00:00:00	230001062	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-28 00:00:00	2003-10-28 00:00:00	No	2004-01-09 00:00:00	None	B	None	800	800	-280	520	0	230009974	A99999	N	None	None	SFY2003-04
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2003-12-11 00:00:00	230001063	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2003-10-13 00:00:00	2003-10-13 00:00:00	No	2004-01-09 00:00:00	None	B	None	800	800	-280	520	0	230009825	A99999	N	None	None	SFY2003-04
230000427	THE ALPINE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-02-03 00:00:00	230001064	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-07 00:00:00	2003-12-07 00:00:00	No	2004-03-05 00:00:00	None	B	None	700	700	-245	455	0	230010159	A99999	N	None	None	SFY2003-04
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-02-11 00:00:00	230001065	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-21 00:00:00	2003-10-21 00:00:00	No	2004-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	230009983	A99999	N	None	None	SFY2003-04
230000763	NVDS, INC - VALENTINE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-02-18 00:00:00	230001066	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-12 00:00:00	2003-11-12 00:00:00	No	2004-03-15 00:00:00	None	B	None	1000	1000	-350	650	0	230010224	A99999	N	None	None	SFY2003-04
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-02-27 00:00:00	230001068	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-23 00:00:00	2003-06-23 00:00:00	No	2004-03-19 00:00:00	None	B	None	800	800	-280	520	0	230009914	A99999	N	None	None	SFY2003-04
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2004-03-02 00:00:00	230001069	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-28 00:00:00	2003-09-28 00:00:00	No	2004-03-23 00:00:00	None	B	None	800	800	-280	520	0	230009763	A99999	N	None	None	SFY2003-04
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2004-03-18 00:00:00	230001070	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-30 00:00:00	2004-01-30 00:00:00	No	2004-04-16 00:00:00	None	B	None	500	500	-175	325	0	230010210	A99999	N	None	None	SFY2003-04
230000605	RCCA - WHITE OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-03-17 00:00:00	230001071	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-31 00:00:00	2004-01-31 00:00:00	No	2004-04-13 00:00:00	None	B	None	1000	1000	0	1000	0	230010359	A99999	N	None	None	SFY2003-04
230000737	ARVALO HOME - SHADOWRUN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-03-30 00:00:00	230001073	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-30 00:00:00	2003-12-30 00:00:00	No	2004-04-26 00:00:00	None	B	None	800	800	-280	520	0	230010317	A99999	N	None	None	SFY2003-04
230000719	NVDS, INC - WALKER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-03-30 00:00:00	230001074	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-23 00:00:00	2003-12-23 00:00:00	No	2004-04-26 00:00:00	None	B	None	1000	1000	-350	650	0	230010389	A99999	N	None	None	SFY2003-04
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-05-03 00:00:00	230001075	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-02-10 00:00:00	2004-02-10 00:00:00	No	2004-06-01 00:00:00	None	B	None	1000	1000	-350	650	0	230010347	A99999	N	None	None	SFY2003-04
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-05-04 00:00:00	230001076	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-18 00:00:00	2003-10-18 00:00:00	No	2004-06-01 00:00:00	None	B	None	500	500	-175	325	0	230009945	A99999	N	None	None	SFY2003-04
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-06-04 00:00:00	230001077	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-15 00:00:00	2004-03-15 00:00:00	No	2004-06-25 00:00:00	None	B	None	1000	1000	-350	650	0	230010652	A99999	N	None	None	SFY2003-04
230000560	RCCA - AUGUSTA LANE #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-06-09 00:00:00	230001078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-24 00:00:00	2004-04-24 00:00:00	No	2004-06-30 00:00:00	None	B	None	1000	1000	0	1000	0	230010675	A99999	N	None	None	SFY2003-04
230000737	ARVALO HOME - SHADOWRUN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-06-30 00:00:00	230001079	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-06-05 00:00:00	2003-06-05 00:00:00	No	2004-07-30 00:00:00	None	B	None	1000	1000	0	1000	0	230010585	A99999	N	None	None	SFY2003-04
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-07-13 00:00:00	230001080	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-21 00:00:00	2004-03-21 00:00:00	Yes	2004-08-03 00:00:00	2004-07-21 00:00:00	B	B	500	250	0	250	0	230010494	A99999	N	None	None	SFY2004-05
230000334	TAHOE FOREST HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2004-07-13 00:00:00	230001081	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-16 00:00:00	2003-09-16 00:00:00	No	2004-08-10 00:00:00	None	B	None	800	800	-280	520	0	230009730	A99999	N	None	None	SFY2004-05
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2004-07-16 00:00:00	230001082	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-22 00:00:00	2004-01-22 00:00:00	No	2004-08-12 00:00:00	None	B	None	1000	1000	-350	650	0	230010736	A99999	N	None	None	SFY2004-05
230000327	GRIDLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2004-07-13 00:00:00	230001083	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-10 00:00:00	2004-02-10 00:00:00	No	2004-08-06 00:00:00	None	B	None	500	500	-175	325	0	230010257	A99999	N	None	None	SFY2004-05
230000247	CRESTWOOD WELLNESS AND RECOVERY CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-07-21 00:00:00	230001084	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-06-01 00:00:00	2001-06-01 00:00:00	Yes	2004-08-26 00:00:00	2004-07-21 00:00:00	B	B	1000	500	0	500	0	230009249	A99999	N	None	None	SFY2004-05
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2004-07-21 00:00:00	230001085	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-06-17 00:00:00	2004-06-17 00:00:00	No	2004-08-24 00:00:00	None	B	None	500	500	-175	325	0	230010765	A99999	N	None	None	SFY2004-05
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2004-07-21 00:00:00	230001086	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-06-27 00:00:00	2004-06-27 00:00:00	No	2004-08-24 00:00:00	None	B	None	500	500	-175	325	0	230010766	A99999	N	None	None	SFY2004-05
230000699	GRANNY'S HOUSE - 12TH STREET	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-07-23 00:00:00	230001087	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-13 00:00:00	2004-03-13 00:00:00	No	2004-08-23 00:00:00	None	B	None	1000	1000	-350	650	0	230010454	A99999	N	None	None	SFY2004-05
230000699	GRANNY'S HOUSE - 12TH STREET	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-07-23 00:00:00	230001088	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-17 00:00:00	2004-03-17 00:00:00	No	2004-08-23 00:00:00	None	B	None	1000	1000	-350	650	0	230010453	A99999	N	None	None	SFY2004-05
230000763	NVDS, INC - VALENTINE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-08-12 00:00:00	230001089	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-01 00:00:00	2004-01-01 00:00:00	No	2004-09-07 00:00:00	None	B	None	1000	1100	-350	750	0	230010874	A99999	N	None	None	SFY2004-05
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-08-13 00:00:00	230001090	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-12-31 00:00:00	2003-12-31 00:00:00	No	2004-09-03 00:00:00	None	B	None	1000	1000	-350	650	0	230010163	A99999	N	None	None	SFY2004-05
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-08-13 00:00:00	230001091	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-15 00:00:00	2004-01-15 00:00:00	No	2004-09-03 00:00:00	None	B	None	1000	1000	-350	650	0	230010148	A99999	N	None	None	SFY2004-05
230000370	THE FOUNTAINS	LTC	SNF	Skilled Nursing Facility	Chico	2004-08-09 00:00:00	230001092	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-18 00:00:00	2004-03-18 00:00:00	No	2004-09-02 00:00:00	None	B	None	800	800	-280	520	0	230010755	A99999	N	None	None	SFY2004-05
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-08-10 00:00:00	230001093	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-14 00:00:00	2004-07-14 00:00:00	No	2004-09-03 00:00:00	None	B	None	1000	1000	0	1000	0	230010798	A99999	N	None	None	SFY2004-05
230000769	TLC SERVICES	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-08-25 00:00:00	230001094	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-07-23 00:00:00	2004-07-23 00:00:00	No	2004-09-27 00:00:00	None	B	None	1000	1000	0	1000	0	230010828	A99999	N	None	None	SFY2004-05
230000563	RCCA AUGUSTA LANE #1	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-08-25 00:00:00	230001095	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-09-01 00:00:00	2003-09-01 00:00:00	No	2004-09-27 00:00:00	None	B	None	1000	1000	-350	650	0	230010827	A99999	N	None	None	SFY2004-05
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2004-08-19 00:00:00	230001097	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-06 00:00:00	2004-05-06 00:00:00	Yes	2004-09-24 00:00:00	2004-08-24 00:00:00	B	B	1000	500	0	500	0	230010633	A99999	N	None	None	SFY2004-05
230000606	RCCA - RIVER OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-08-25 00:00:00	230001098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-23 00:00:00	2004-05-23 00:00:00	No	2004-09-27 00:00:00	None	B	None	1000	1000	-350	650	0	230010931	A99999	N	None	None	SFY2004-05
230000606	RCCA - RIVER OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-08-25 00:00:00	230001099	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-05-17 00:00:00	2004-05-17 00:00:00	No	2004-09-27 00:00:00	None	B	None	1000	1000	-350	650	0	230010930	A99999	N	None	None	SFY2004-05
230000560	RCCA - AUGUSTA LANE #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-09-21 00:00:00	230001100	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-05-01 00:00:00	2004-05-01 00:00:00	No	2004-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	230010797	A99999	N	None	None	SFY2004-05
230000558	RESIDENTIAL MANAGEMENT SERVICES	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-09-24 00:00:00	230001101	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-06-24 00:00:00	2004-06-24 00:00:00	No	2004-10-25 00:00:00	None	B	None	1000	1300	-350	950	0	230010757	A99999	N	None	None	SFY2004-05
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-21 00:00:00	230001102	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-09-01 00:00:00	2004-09-01 00:00:00	No	2004-02-24 00:00:00	None	B	None	1000	1000	0	1000	0	230011194	A99999	N	None	None	SFY2004-05
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-14 00:00:00	230001103	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-09-09 00:00:00	2004-09-09 00:00:00	No	2005-01-06 00:00:00	None	B	None	1000	1000	-350	650	0	230011116	A99999	N	None	None	SFY2004-05
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-14 00:00:00	230001104	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-15 00:00:00	2004-04-15 00:00:00	No	2005-01-06 00:00:00	None	B	None	1000	1000	-350	650	0	230010543	A99999	N	None	None	SFY2004-05
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-14 00:00:00	230001105	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-04 00:00:00	2004-05-04 00:00:00	No	2005-01-06 00:00:00	None	B	None	1000	1000	-350	650	0	230011025	A99999	N	None	None	SFY2004-05
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-14 00:00:00	230001106	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-09-24 00:00:00	2004-09-24 00:00:00	No	2005-01-06 00:00:00	None	B	None	1000	1000	-350	650	0	230011211	A99999	N	None	None	SFY2004-05
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-10 00:00:00	230001107	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-10-11 00:00:00	2004-10-11 00:00:00	No	2005-01-05 00:00:00	None	B	None	900	900	-315	585	0	230011261	A99999	N	None	None	SFY2004-05
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-17 00:00:00	230001108	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-06-21 00:00:00	2004-06-21 00:00:00	No	2005-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	230010762	A99999	N	None	None	SFY2004-05
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-28 00:00:00	230001109	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-07 00:00:00	2004-04-07 00:00:00	No	2005-01-28 00:00:00	None	B	None	1000	1000	-350	650	0	230010501	A99999	N	None	None	SFY2004-05
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-14 00:00:00	230001110	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2004-09-26 00:00:00	2004-09-26 00:00:00	No	2005-01-06 00:00:00	None	B	None	1000	1000	-350	650	0	230011203	A99999	N	None	None	SFY2004-05
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-14 00:00:00	230001111	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-10-16 00:00:00	2004-10-16 00:00:00	No	2005-01-06 00:00:00	None	B	None	1000	1000	-350	650	0	230011280	A99999	N	None	None	SFY2004-05
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-20 00:00:00	230001112	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-08 00:00:00	2004-09-08 00:00:00	Yes	2005-01-21 00:00:00	2004-12-23 00:00:00	B	B	1000	450	0	450	0	230011128	A99999	N	None	None	SFY2004-05
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-01-20 00:00:00	230001113	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-08-08 00:00:00	2004-08-08 00:00:00	No	2005-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	230011083	A99999	N	None	None	SFY2004-05
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-01-20 00:00:00	230001114	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-08-09 00:00:00	2004-08-09 00:00:00	No	2005-02-17 00:00:00	None	B	None	1000	1000	-350	650	0	230011084	A99999	N	None	None	SFY2004-05
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-22 00:00:00	230001115	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-11-16 00:00:00	2004-11-16 00:00:00	No	2005-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	230011393	A99999	N	None	None	SFY2004-05
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-22 00:00:00	230001116	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-11-01 00:00:00	2004-11-01 00:00:00	No	2005-01-24 00:00:00	None	B	None	950	950	-332.5	617.5	0	230011394	A99999	N	None	None	SFY2004-05
230000247	CRESTWOOD WELLNESS AND RECOVERY CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-22 00:00:00	230001117	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-21 00:00:00	2004-05-21 00:00:00	Yes	2005-01-24 00:00:00	2004-12-23 00:00:00	B	B	1000	400	0	400	0	230011182	A99999	N	None	None	SFY2004-05
230000780	MERAKEY - WILVERN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-12-28 00:00:00	230001118	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-11-06 00:00:00	2003-11-06 00:00:00	No	2005-01-27 00:00:00	None	B	None	1000	1000	-350	650	0	230011108	A99999	N	None	None	SFY2004-05
230000605	RCCA - WHITE OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2005-01-26 00:00:00	230001119	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-11 00:00:00	2004-07-11 00:00:00	No	2005-02-18 00:00:00	None	B	None	1000	3000	0	3000	0	230010803	A99999	N	None	None	SFY2004-05
230000109	MERAKEY - OLD LANTERN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2005-02-01 00:00:00	230001120	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-17 00:00:00	2004-12-17 00:00:00	No	2005-03-08 00:00:00	None	B	None	800	800	-280	520	0	230011428	A99999	N	None	None	SFY2004-05
230000558	RESIDENTIAL MANAGEMENT SERVICES	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2005-02-01 00:00:00	230001121	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-05 00:00:00	2004-11-05 00:00:00	No	2005-03-01 00:00:00	None	B	None	1000	1000	0	1000	0	230011323	A99999	N	None	None	SFY2004-05
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-01-28 00:00:00	230001122	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-16 00:00:00	2004-09-16 00:00:00	No	2005-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	230011175	A99999	N	None	None	SFY2004-05
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-02-09 00:00:00	230001123	Closed	Citation	Citation A (HSC 1424)	Medication	None	2004-08-30 00:00:00	2004-08-30 00:00:00	Yes	2005-03-08 00:00:00	2005-03-02 00:00:00	A	None	14000	14000	0	14000	0	230011176	A99999	N	None	None	SFY2004-05
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2005-02-16 00:00:00	230001124	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-27 00:00:00	2004-08-27 00:00:00	No	2005-03-15 00:00:00	None	B	None	1000	1000	-350	650	0	230011264	A99999	N	None	None	SFY2004-05
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-02-24 00:00:00	230001125	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-10-02 00:00:00	2004-10-02 00:00:00	Yes	2005-03-21 00:00:00	2005-03-11 00:00:00	B	B	1000	500	0	500	0	230011251	A99999	N	None	None	SFY2004-05
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2005-02-22 00:00:00	230001126	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-18 00:00:00	2004-06-18 00:00:00	Yes	2005-03-15 00:00:00	2005-03-07 00:00:00	B	B	1000	600	0	600	0	230010949	A99999	N	None	None	SFY2004-05
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2005-02-22 00:00:00	230001127	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-06-17 00:00:00	2004-06-17 00:00:00	Yes	2005-03-17 00:00:00	2005-03-07 00:00:00	B	B	1000	500	0	500	0	230010949	A99999	N	None	None	SFY2004-05
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2005-03-01 00:00:00	230001128	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-27 00:00:00	2004-10-27 00:00:00	No	2005-03-25 00:00:00	None	B	None	1000	2750	-350	2400	0	230011253	A99999	N	None	None	SFY2004-05
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-03-10 00:00:00	230001129	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-07-31 00:00:00	2004-07-31 00:00:00	Yes	2005-04-06 00:00:00	2005-03-10 00:00:00	A	A	16000	12000	0	12000	0	230011590	A99999	N	None	None	SFY2004-05
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-03-24 00:00:00	230001130	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-22 00:00:00	2005-01-22 00:00:00	No	2005-04-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	230011546	A99999	N	None	None	SFY2004-05
230000763	NVDS, INC - VALENTINE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2005-04-14 00:00:00	230001131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-07 00:00:00	2005-01-07 00:00:00	No	2005-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	230011598	A99999	N	None	None	SFY2004-05
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2005-04-14 00:00:00	230001132	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-04 00:00:00	2005-01-04 00:00:00	No	2005-05-06 00:00:00	None	B	None	1000	1000	-350	650	0	230011477	A99999	N	None	None	SFY2004-05
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-04-14 00:00:00	230001133	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-10-17 00:00:00	2004-10-17 00:00:00	No	2005-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	230011541	A99999	N	None	None	SFY2004-05
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-04-14 00:00:00	230001134	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-09-16 00:00:00	2004-09-16 00:00:00	No	2005-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	230011542	A99999	N	None	None	SFY2004-05
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-04-14 00:00:00	230001135	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-23 00:00:00	2005-02-23 00:00:00	No	2005-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	230011543	A99999	N	None	None	SFY2004-05
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2005-04-20 00:00:00	230001136	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2004-12-17 00:00:00	2004-12-17 00:00:00	No	2005-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	230011518	A99999	N	None	None	SFY2004-05
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2005-05-18 00:00:00	230001137	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-22 00:00:00	2005-03-22 00:00:00	No	2005-06-13 00:00:00	None	B	None	800	900	-280	620	0	230011607	A99999	N	None	None	SFY2004-05
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-05-20 00:00:00	230001138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-27 00:00:00	2005-02-27 00:00:00	No	2005-06-17 00:00:00	None	B	None	1000	1000	-350	650	0	230011608	A99999	N	None	None	SFY2004-05
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-06-01 00:00:00	230001139	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-25 00:00:00	2005-03-25 00:00:00	No	2005-07-01 00:00:00	None	B	None	700	700	-245	455	0	230011609	A99999	N	None	None	SFY2004-05
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2005-06-29 00:00:00	230001140	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-12-01 00:00:00	2004-12-01 00:00:00	No	2005-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	230011612	A99999	N	None	None	SFY2004-05
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2005-06-29 00:00:00	230001141	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-14 00:00:00	2004-11-14 00:00:00	No	2005-07-29 00:00:00	None	B	None	500	500	-175	325	0	230011390	A99999	N	None	None	SFY2004-05
230000763	NVDS, INC - VALENTINE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2005-06-29 00:00:00	230001142	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-16 00:00:00	2005-04-16 00:00:00	No	2005-08-01 00:00:00	None	B	None	1000	1000	-350	650	0	230011614	A99999	N	None	None	SFY2004-05
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2005-08-30 00:00:00	230001143	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-16 00:00:00	2005-01-16 00:00:00	No	2005-09-21 00:00:00	None	B	None	800	800	-280	520	0	230011539	A99999	N	None	None	SFY2005-06
230000037	FEATHER RIVER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-08-10 00:00:00	230001144	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-19 00:00:00	2005-04-19 00:00:00	No	2005-08-31 00:00:00	None	B	None	600	600	-210	390	0	230011618	A99999	N	None	None	SFY2005-06
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2005-08-10 00:00:00	230001145	Closed	Citation	Citation B (HSC 1424)	Other	VERBAL/PHYSICAL ABUS	2005-06-22 00:00:00	2005-06-22 00:00:00	No	2005-08-31 00:00:00	None	B	None	1000	3000	-1050	1950	0	230011619	A99999	N	None	None	SFY2005-06
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2005-08-11 00:00:00	230001146	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-02-23 00:00:00	2005-02-23 00:00:00	No	2005-09-01 00:00:00	None	B	None	500	500	-175	325	0	230011620	A99999	N	None	None	SFY2005-06
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2005-08-11 00:00:00	230001147	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-08 00:00:00	2005-05-08 00:00:00	No	2005-09-01 00:00:00	None	B	None	1000	1000	-350	650	0	230011621	A99999	N	None	None	SFY2005-06
230000504	VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2005-08-24 00:00:00	230001148	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-30 00:00:00	2005-06-30 00:00:00	No	2005-09-15 00:00:00	None	B	None	750	750	-262.5	487.5	0	230011622	A99999	N	None	None	SFY2005-06
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2005-08-12 00:00:00	230001149	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-01 00:00:00	2005-08-01 00:00:00	No	2005-09-02 00:00:00	None	B	None	1000	1000	0	1000	0	230011623	A99999	N	None	None	SFY2005-06
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2005-09-20 00:00:00	230001150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-11 00:00:00	2005-02-11 00:00:00	No	2005-10-12 00:00:00	None	B	None	800	800	0	800	0	230011629	A99999	N	None	None	SFY2005-06
230000334	TAHOE FOREST HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2005-09-22 00:00:00	230001151	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-04 00:00:00	2005-05-04 00:00:00	No	2005-10-14 00:00:00	None	B	None	1000	1000	-350	650	0	230011630	A99999	N	None	None	SFY2005-06
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2005-09-22 00:00:00	230001152	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-07-27 00:00:00	2005-07-27 00:00:00	No	2005-10-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	230011631	A99999	N	None	None	SFY2005-06
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2005-12-05 00:00:00	230001153	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-30 00:00:00	2005-05-30 00:00:00	No	2005-12-27 00:00:00	None	B	None	1000	1000	0	1000	0	230011632	A99999	N	None	None	SFY2005-06
230000504	VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2005-12-08 00:00:00	230001154	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-20 00:00:00	2005-02-20 00:00:00	No	2005-12-30 00:00:00	None	B	None	750	750	-262.5	487.5	0	230011633	A99999	N	None	None	SFY2005-06
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2005-12-07 00:00:00	230001155	Closed	Citation	Citation B (HSC 1424)	Other	VERBAL ABUSE	2005-09-21 00:00:00	2005-09-21 00:00:00	No	2005-12-29 00:00:00	None	B	None	700	700	-245	455	0	230011634	A99999	N	None	None	SFY2005-06
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2005-12-14 00:00:00	230001156	Closed	Citation	Citation A (HSC 1424)	Medication	None	2005-07-21 00:00:00	2005-07-21 00:00:00	No	2006-01-17 00:00:00	None	A	None	15000	15000	-5250	9750	0	230011635	A99999	N	None	None	SFY2005-06
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-01-09 00:00:00	230001157	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-04-17 00:00:00	2005-04-17 00:00:00	No	2006-02-07 00:00:00	None	B	None	1000	1000	-350	650	0	230011636	A99999	N	None	None	SFY2005-06
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2005-12-28 00:00:00	230001158	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-08-07 00:00:00	2005-08-07 00:00:00	No	2006-01-23 00:00:00	None	B	None	750	750	-262.5	487.5	0	230011637	A99999	N	None	None	SFY2005-06
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2005-12-28 00:00:00	230001159	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-05 00:00:00	2005-10-05 00:00:00	No	2006-01-23 00:00:00	None	B	None	1000	1000	-350	650	0	230011638	A99999	N	None	None	SFY2005-06
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2006-01-12 00:00:00	230001160	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-29 00:00:00	2005-09-29 00:00:00	No	2006-02-03 00:00:00	None	B	None	1000	1000	-350	650	0	230011639	A99999	N	None	None	SFY2005-06
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2006-01-26 00:00:00	230001161	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-04 00:00:00	2004-10-04 00:00:00	No	2006-02-23 00:00:00	None	B	None	500	500	-175	325	0	230011642	A99999	N	None	None	SFY2005-06
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-01-12 00:00:00	230001162	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-08-31 00:00:00	None	No	2006-02-07 00:00:00	None	B	None	1000	1000	-350	650	0	230011643	A99999	N	None	None	SFY2005-06
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-01-17 00:00:00	230001163	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-21 00:00:00	None	No	2006-02-21 00:00:00	None	B	None	1000	1000	-350	650	0	230011644	A99999	N	None	None	SFY2005-06
230000247	CRESTWOOD WELLNESS AND RECOVERY CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-02-02 00:00:00	230001164	Closed	Citation	Citation B (HSC 1424)	Other	HEALTH & SAFETY	2005-09-02 00:00:00	None	Yes	2006-03-01 00:00:00	2006-02-02 00:00:00	B	B	1000	500	0	500	0	230011650	A99999	N	None	None	SFY2005-06
230000247	CRESTWOOD WELLNESS AND RECOVERY CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-02-02 00:00:00	230001165	Closed	Citation	Citation B (HSC 1424)	Other	483.13(C)	2005-09-02 00:00:00	None	Yes	2006-03-01 00:00:00	2006-02-02 00:00:00	B	B	1000	650	0	650	0	230011651	A99999	N	None	None	SFY2005-06
230000247	CRESTWOOD WELLNESS AND RECOVERY CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-02-02 00:00:00	230001166	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-17 00:00:00	None	Yes	2006-03-01 00:00:00	2006-02-02 00:00:00	B	B	750	450	0	450	0	230011652	A99999	N	None	None	SFY2005-06
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-06 00:00:00	230001167	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2004-12-28 00:00:00	2004-12-28 00:00:00	No	2006-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	230011659	A99999	N	CA00036847	C	SFY2005-06
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-06 00:00:00	230002896	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-27 00:00:00	2005-09-27 00:00:00	No	2006-04-27 00:00:00	None	B	None	300	300	-105	195	0	None	OEAT11	N	CA00040142	B	SFY2005-06
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-06 00:00:00	230002997	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-17 00:00:00	2005-12-17 00:00:00	Yes	2006-04-27 00:00:00	2006-04-13 00:00:00	B	B	750	525	0	525	0	None	K95M11	N	CA00068436	A	SFY2005-06
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-06 00:00:00	230002998	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2004-12-28 00:00:00	2004-12-28 00:00:00	No	2006-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	KZMK11	N	CA00036847	C	SFY2005-06
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-06 00:00:00	230003002	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2005-08-10 00:00:00	2005-08-10 00:00:00	Yes	2006-04-27 00:00:00	2006-04-25 00:00:00	B	B	750	375	0	375	0	None	9QFG11	N	CA00058228	B	SFY2005-06
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-06 00:00:00	230003012	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-11-15 00:00:00	2005-11-15 00:00:00	No	2006-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	LVD011	N	CA00066420	B	SFY2005-06
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-06 00:00:00	230003013	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2005-11-15 00:00:00	2005-11-15 00:00:00	No	2006-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	LVD011	N	CA00066420	B	SFY2005-06
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-28 00:00:00	230003014	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-06-01 00:00:00	2005-06-01 00:00:00	No	2006-05-19 00:00:00	None	B	None	1000	1000	-1000	0	0	None	R2J611	N	CA00052998	C	SFY2005-06
230000633	MERAKEY - TOM POLK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2006-04-13 00:00:00	230003017	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-14 00:00:00	2006-02-14 00:00:00	No	2006-05-04 00:00:00	None	B	None	750	750	0	750	0	None	SJKD11	N	None	None	SFY2005-06
230000680	MERAKEY - OAK MESA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2006-05-09 00:00:00	230003034	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-23 00:00:00	2005-10-23 00:00:00	Yes	2006-05-31 00:00:00	2006-05-09 00:00:00	B	B	750	375	0	375	0	None	XSTU11	N	CA00064569	B	SFY2005-06
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-28 00:00:00	230003035	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-28 00:00:00	2005-08-28 00:00:00	Yes	2006-05-19 00:00:00	2006-05-02 00:00:00	B	B	1000	600	0	600	0	None	94JW11	N	CA00063624	B	SFY2005-06
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-28 00:00:00	230003036	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-21 00:00:00	2006-02-21 00:00:00	No	2006-05-19 00:00:00	None	B	None	1000	1000	-1000	0	0	None	005R11	N	CA00073186	B	SFY2005-06
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-28 00:00:00	230003037	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-03-06 00:00:00	2006-03-06 00:00:00	No	2006-05-19 00:00:00	None	A	None	12000	12000	-12000	0	0	None	I3KA11	N	CA00074581	B	SFY2005-06
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-28 00:00:00	230003040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-13 00:00:00	2006-01-13 00:00:00	No	2006-05-19 00:00:00	None	B	None	1000	1000	-1000	0	0	None	P0TT11	N	CA00070055	A	SFY2005-06
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-28 00:00:00	230003043	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-05-09 00:00:00	2005-05-09 00:00:00	No	2006-05-19 00:00:00	None	B	None	1000	1000	-1000	0	0	None	KKBI11	N	CA00048328	C	SFY2005-06
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-28 00:00:00	230003044	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-01 00:00:00	2005-06-01 00:00:00	No	2006-05-19 00:00:00	None	B	None	1000	1000	-1000	0	0	None	AJU811	N	CA00068950	B	SFY2005-06
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-28 00:00:00	230003047	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-06 00:00:00	2006-03-06 00:00:00	No	2006-05-19 00:00:00	None	B	None	1000	1000	-1000	0	0	None	RX8G11	N	CA00074557	B	SFY2005-06
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-05-10 00:00:00	230003049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-24 00:00:00	2004-12-24 00:00:00	Yes	2006-06-01 00:00:00	2006-05-12 00:00:00	B	B	1000	500	0	500	0	None	BTVB11	N	CA00036204	C	SFY2005-06
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2006-04-28 00:00:00	230003050	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-22 00:00:00	2005-12-22 00:00:00	No	2006-05-19 00:00:00	None	B	None	1000	1000	-1000	0	0	None	LJL811	N	CA00071949	B	SFY2005-06
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2006-05-10 00:00:00	230003055	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2005-12-11 00:00:00	2005-12-11 00:00:00	No	2006-06-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	3EGQ11	N	CA00068788	B	SFY2005-06
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2006-05-10 00:00:00	230003056	Closed	Citation	Citation B (HSC 1424)	Other	Abuse Reporting	2005-12-11 00:00:00	2005-12-11 00:00:00	No	2006-06-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	3EGQ11	N	CA00068788	B	SFY2005-06
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-06-13 00:00:00	230003064	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-02-09 00:00:00	2006-02-09 00:00:00	No	2006-07-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	MECY11	N	CA00072597	B	SFY2005-06
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2006-05-19 00:00:00	230003108	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-01-20 00:00:00	2005-01-20 00:00:00	Yes	2006-06-12 00:00:00	2006-05-24 00:00:00	A	A	5000	2600	-100	2500	0	None	3H7R11	N	CA00040748	C	SFY2005-06
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2006-05-19 00:00:00	230003109	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-10 00:00:00	2005-03-10 00:00:00	Yes	2006-06-12 00:00:00	2006-05-24 00:00:00	B	B	300	250	-100	150	0	None	3H7R11	N	CA00040748	C	SFY2005-06
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-06-22 00:00:00	230003136	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-28 00:00:00	2005-08-28 00:00:00	No	2006-07-14 00:00:00	None	B	None	700	700	-245	455	0	None	RTH511	N	CA00059524	A	SFY2005-06
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2006-06-12 00:00:00	230003137	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-24 00:00:00	2006-03-24 00:00:00	Yes	2006-07-03 00:00:00	2006-06-15 00:00:00	B	B	1000	500	0	500	0	None	DJ2511	N	CA00076443	B	SFY2005-06
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-06-07 00:00:00	230003138	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-05-08 00:00:00	2006-05-08 00:00:00	Yes	2006-06-28 00:00:00	2006-06-15 00:00:00	B	B	1000	650	0	650	0	None	56OE11	N	CA00078992	B	SFY2005-06
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2006-06-21 00:00:00	230003162	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-01-17 00:00:00	2005-01-17 00:00:00	Yes	2006-07-13 00:00:00	2006-06-21 00:00:00	B	None	800	800	0	800	0	None	42IH11	N	CA00038993	C	SFY2005-06
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-08-09 00:00:00	230003163	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-06-23 00:00:00	2005-06-23 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8GG11	N	CA00063367	B	SFY2006-07
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-08-09 00:00:00	230003164	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2005-06-23 00:00:00	2005-06-23 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	N8GG11	N	CA00063367	B	SFY2006-07
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-08-09 00:00:00	230003166	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-12-17 00:00:00	2005-12-17 00:00:00	No	2006-08-30 00:00:00	None	B	None	800	800	-280	520	0	None	G37011	N	CA00076106	B	SFY2006-07
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-07-12 00:00:00	230003192	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-03 00:00:00	2006-06-03 00:00:00	No	2006-08-02 00:00:00	None	B	None	250	250	-87.5	162.5	0	None	9S4B11	N	CA00082737	A	SFY2006-07
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2006-07-18 00:00:00	230003201	Closed	Citation	Citation AA (HSC 1424)	Staffing	None	2006-04-12 00:00:00	2006-04-12 00:00:00	Yes	2006-08-08 00:00:00	2006-07-18 00:00:00	AA	AA	100000	75000	0	75000	0	None	MDP611	Y	CA00077852	A	SFY2006-07
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2006-08-17 00:00:00	230003258	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-03 00:00:00	2006-05-03 00:00:00	Yes	2006-09-08 00:00:00	2006-08-24 00:00:00	B	B	1000	2250	0	2250	0	None	PV9Q11	N	CA00079957	B	SFY2006-07
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2006-08-17 00:00:00	230003281	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-09-07 00:00:00	2005-09-07 00:00:00	Yes	2006-09-12 00:00:00	2006-08-24 00:00:00	A	A	5000	3250	0	3250	0	None	B2WI11	N	CA00060739, CA00061053, CA00066535, CA00066570, CA00067112, CA00067550, CA00067744, CA00068860, CA00069653	B, B, B, B, B, B, B, B, B	SFY2006-07
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2006-08-31 00:00:00	230003311	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-04 00:00:00	2004-07-04 00:00:00	No	2006-09-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	IT2N11	N	CA00048083	A	SFY2006-07
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2006-09-14 00:00:00	230003337	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-06 00:00:00	2006-05-06 00:00:00	Yes	2006-10-05 00:00:00	2006-09-20 00:00:00	B	B	1000	1650	0	1650	0	None	YNF411	N	CA00080156	A	SFY2006-07
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2006-09-19 00:00:00	230003344	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-04 00:00:00	2006-06-04 00:00:00	No	2006-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	DIW311	N	CA00081990	B	SFY2006-07
230000463	FEATHER RIVER HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2006-09-28 00:00:00	230003345	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-01 00:00:00	2005-08-01 00:00:00	No	2006-10-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	CUZU11	N	CA00064007	B	SFY2006-07
230000463	FEATHER RIVER HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2006-09-28 00:00:00	230003346	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-07-26 00:00:00	2005-07-26 00:00:00	No	2006-10-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	CUZU11	N	CA00064007	B	SFY2006-07
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-09-19 00:00:00	230003348	Closed	Citation	Citation B (HSC 1424)	Other	None	2006-06-24 00:00:00	2006-06-24 00:00:00	No	2006-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	6R9711	N	CA00084579	A	SFY2006-07
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-10-04 00:00:00	230003352	Closed	Citation	Citation B (HSC 1424)	Other	None	2005-10-29 00:00:00	2005-10-29 00:00:00	No	2006-10-26 00:00:00	None	B	None	500	650	0	650	0	None	6DON11	N	CA00065014	B	SFY2006-07
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-02-15 00:00:00	230003676	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-01-16 00:00:00	2006-01-16 00:00:00	No	2007-03-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	T85P11	N	CA00070750	B	SFY2006-07
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-02-15 00:00:00	230003682	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-08-11 00:00:00	2005-08-11 00:00:00	No	2007-03-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	T85P11	N	CA00071507	B	SFY2006-07
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2007-02-08 00:00:00	230003685	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-09 00:00:00	2005-10-09 00:00:00	Yes	2007-03-05 00:00:00	2007-02-15 00:00:00	B	B	1000	550	0	550	0	None	P1W611	N	CA00063957	B	SFY2006-07
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2007-02-08 00:00:00	230003687	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-09-16 00:00:00	2006-09-16 00:00:00	Yes	2007-03-01 00:00:00	2007-02-15 00:00:00	B	B	1000	550	0	550	0	None	PLDU11	N	CA00094580	B	SFY2006-07
230000334	TAHOE FOREST HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-13 00:00:00	230003689	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-04-09 00:00:00	2006-04-09 00:00:00	No	2007-04-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	XZGC11	N	CA00077659	B	SFY2006-07
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-06 00:00:00	230003690	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2006-01-26 00:00:00	2006-01-26 00:00:00	No	2007-03-27 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	2ZUB11	N	CA00071482	B	SFY2006-07
230000334	TAHOE FOREST HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-13 00:00:00	230003691	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-04-09 00:00:00	2006-04-09 00:00:00	No	2007-04-03 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	XZGC11	N	CA00077659	B	SFY2006-07
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-02 00:00:00	230003700	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-10 00:00:00	2006-06-10 00:00:00	No	2007-03-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	G4RN11	N	CA00083840	B	SFY2006-07
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-07 00:00:00	230003704	Closed	Citation	Citation B (HSC 1424)	Other	failure to report	2006-07-15 00:00:00	2006-07-15 00:00:00	No	2007-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	YIUC11	N	CA00087629	B	SFY2006-07
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-07 00:00:00	230003705	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-06 00:00:00	2006-08-06 00:00:00	No	2007-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	8XSZ11	N	CA00089446, CA00089446	B, B	SFY2006-07
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-14 00:00:00	230003706	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-10 00:00:00	2005-10-10 00:00:00	No	2007-04-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	G3DJ11	N	CA00063663	B	SFY2006-07
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-29 00:00:00	230003707	Closed	Citation	Citation B (HSC 1424)	Other	Abuse Reporting	2006-10-14 00:00:00	2006-10-14 00:00:00	No	2007-04-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	TZR411	N	CA00097185	B	SFY2006-07
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-07 00:00:00	230003749	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-08-15 00:00:00	2006-08-15 00:00:00	No	2007-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	YL2811	N	CA00090238	B	SFY2006-07
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-12 00:00:00	230003750	Closed	Citation	Citation B (HSC 1424)	Other	implementation of P&P	2006-04-21 00:00:00	2006-04-21 00:00:00	No	2007-04-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	YYXJ11	N	CA00081826	A	SFY2006-07
230000282	SPRING HILL MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-07 00:00:00	230003751	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2006-07-28 00:00:00	2006-07-28 00:00:00	Yes	2013-10-07 00:00:00	2007-03-07 00:00:00	B	B	900	900	0	900	0	None	92V511	N	CA00088685	B	SFY2006-07
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-07 00:00:00	230003752	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-15 00:00:00	2006-07-15 00:00:00	No	2007-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	YIUC11	N	CA00087629	B	SFY2006-07
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-23 00:00:00	230003753	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-19 00:00:00	2006-06-19 00:00:00	Yes	2007-04-13 00:00:00	2007-03-23 00:00:00	B	B	1000	500	0	500	0	None	2ESJ11	N	CA00084139	B	SFY2006-07
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-07 00:00:00	230003754	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-06 00:00:00	2006-12-06 00:00:00	Yes	2007-03-28 00:00:00	2007-03-07 00:00:00	B	B	1000	500	0	500	0	None	2O2L11	N	CA00100585	B	SFY2006-07
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-27 00:00:00	230003755	Closed	Citation	Citation B (HSC 1424)	Other	abuse	2006-04-19 00:00:00	2006-04-19 00:00:00	Yes	2007-04-20 00:00:00	2007-04-03 00:00:00	B	B	1000	750	0	750	0	None	SO2311	N	CA00078987	B	SFY2006-07
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-06 00:00:00	230003756	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-27 00:00:00	2006-11-27 00:00:00	No	2007-06-27 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	R4EY11	N	CA00099956	B	SFY2006-07
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-06 00:00:00	230003759	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-17 00:00:00	2006-11-17 00:00:00	No	2007-06-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	R4EY11	N	CA00099310	B	SFY2006-07
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-29 00:00:00	230003797	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-23 00:00:00	2006-07-23 00:00:00	No	2007-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	73I811	N	CA00103588	A	SFY2006-07
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-29 00:00:00	230003805	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-17 00:00:00	2006-06-17 00:00:00	No	2007-04-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	GVLC11	N	CA00086882	B	SFY2006-07
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-06 00:00:00	230003807	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-12-03 00:00:00	2006-12-03 00:00:00	No	2007-06-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	0NX611	N	CA00100591	B	SFY2006-07
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-06 00:00:00	230003808	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-12-08 00:00:00	2006-12-08 00:00:00	No	2007-06-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	0NX611	N	CA00101033	B	SFY2006-07
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-09-20 00:00:00	230003809	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-10-26 00:00:00	2006-10-26 00:00:00	Yes	2007-10-12 00:00:00	2007-09-27 00:00:00	B	B	750	375	0	375	0	None	XLC411	N	CA00096735	B	SFY2007-08
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-20 00:00:00	230003815	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-02-23 00:00:00	2006-02-23 00:00:00	No	2007-04-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	7IFQ11	N	CA00078451	B	SFY2006-07
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-27 00:00:00	230003818	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-17 00:00:00	2007-01-17 00:00:00	No	2007-04-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	1QFC11	N	CA00104194	B	SFY2006-07
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-20 00:00:00	230003822	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-04-10 00:00:00	2006-04-10 00:00:00	No	2007-04-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	JJ0I11	N	CA00074180	B	SFY2006-07
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-26 00:00:00	230003826	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-07 00:00:00	2007-01-07 00:00:00	No	2007-04-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	D5IT11	N	CA00103228	A	SFY2006-07
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-26 00:00:00	230003827	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-31 00:00:00	2006-05-31 00:00:00	No	2007-04-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	SBH011	N	CA00082844	B	SFY2006-07
230000025	CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-29 00:00:00	230003839	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-12 00:00:00	2005-12-12 00:00:00	Yes	2007-04-20 00:00:00	2007-04-02 00:00:00	B	B	800	500	0	500	0	None	V42C11	N	CA00067844	B	SFY2006-07
230000621	ARVALO HOME - RIVERPARK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-03-30 00:00:00	230003840	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-24 00:00:00	2006-12-24 00:00:00	No	2007-04-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	XWOG11	N	CA00104926	A	SFY2006-07
230000613	TRAILVIEW HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-03-30 00:00:00	230003841	Closed	Citation	Citation B (HSC 1424)	Other	Governing Body	2006-12-28 00:00:00	2006-12-28 00:00:00	No	2007-04-20 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	M4EN11	N	CA00102293	A	SFY2006-07
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2007-04-03 00:00:00	230003848	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-15 00:00:00	2006-07-15 00:00:00	No	2007-04-26 00:00:00	None	B	None	800	800	-280	520	0	None	CAZJ11	N	CA00099036	B	SFY2006-07
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-04-04 00:00:00	230003852	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-12 00:00:00	2006-05-12 00:00:00	No	2007-04-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	7VD911	N	CA00081228, CA00088051	B, B	SFY2006-07
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-04-04 00:00:00	230003855	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-01 00:00:00	2006-12-01 00:00:00	No	2007-04-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	JWL211	N	CA00100213	B	SFY2006-07
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-04-04 00:00:00	230003856	Closed	Citation	Citation B (HSC 1424)	Other	report incidents 24 hrs	2007-03-10 00:00:00	2007-03-10 00:00:00	No	2007-04-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	MSEQ11	N	CA00108874	B	SFY2006-07
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-04-05 00:00:00	230003857	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-28 00:00:00	2007-02-28 00:00:00	No	2007-05-03 00:00:00	None	B	None	800	800	-280	520	0	None	1KOY11	N	CA00108121	B	SFY2006-07
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-04-04 00:00:00	230003862	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-27 00:00:00	2006-08-27 00:00:00	No	2007-04-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	7VD911	N	CA00091387	B	SFY2006-07
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-04-11 00:00:00	230003882	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-30 00:00:00	2006-05-30 00:00:00	No	2007-05-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	MOE211	N	CA00096028	B	SFY2006-07
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-04-12 00:00:00	230003887	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-16 00:00:00	2007-02-16 00:00:00	No	2007-05-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	MS1G11	N	CA00107022	A	SFY2006-07
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-05-14 00:00:00	230003944	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-03-26 00:00:00	2007-03-26 00:00:00	No	2007-06-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	2N8R11	N	CA00110491	B	SFY2006-07
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-05-16 00:00:00	230003945	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-30 00:00:00	2006-08-30 00:00:00	No	2007-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	USGJ11	N	CA00092071	B	SFY2006-07
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-05-14 00:00:00	230003946	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-22 00:00:00	2006-10-22 00:00:00	Yes	2007-06-05 00:00:00	2007-05-16 00:00:00	B	B	1000	500	0	500	0	None	7SBP11	N	CA00096470	B	SFY2006-07
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-05-16 00:00:00	230003953	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-19 00:00:00	2006-11-19 00:00:00	No	2007-06-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	25O911	N	CA00099800	B	SFY2006-07
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-05-16 00:00:00	230003956	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-06-08 00:00:00	2006-06-08 00:00:00	No	2007-06-06 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	V3E611	N	CA00083096	B	SFY2006-07
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-05-23 00:00:00	230003967	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-08-02 00:00:00	2006-08-02 00:00:00	No	2007-06-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	H69911	N	CA00090297	B	SFY2006-07
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-13 00:00:00	230003983	Closed	Citation	Citation B (HSC 1424)	Other	abuse not rpt within 24hr	2006-10-13 00:00:00	2006-10-13 00:00:00	Yes	2007-07-04 00:00:00	2007-06-13 00:00:00	B	B	750	375	0	375	0	None	QNZQ11	N	CA00095857	B	SFY2006-07
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-13 00:00:00	230003984	Closed	Citation	Citation B (HSC 1424)	Other	abuse not rpt within 24hr	2006-12-23 00:00:00	2006-12-23 00:00:00	Yes	2007-07-04 00:00:00	2007-06-13 00:00:00	B	B	750	375	0	375	0	None	QNZQ11	N	CA00102183	B	SFY2006-07
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-13 00:00:00	230003985	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-28 00:00:00	2006-12-28 00:00:00	Yes	2007-07-04 00:00:00	2007-06-13 00:00:00	B	B	500	250	0	250	0	None	QNZQ11	N	CA00102713	B	SFY2006-07
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-13 00:00:00	230003986	Closed	Citation	Citation B (HSC 1424)	Other	abuse not rpt within 24hr	2006-10-15 00:00:00	2006-10-15 00:00:00	Yes	2007-07-04 00:00:00	2007-06-13 00:00:00	B	B	750	375	0	375	0	None	QNZQ11	N	CA00095981	B	SFY2006-07
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-13 00:00:00	230003987	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-15 00:00:00	2006-10-15 00:00:00	Yes	2007-07-04 00:00:00	2007-06-13 00:00:00	B	B	750	375	0	375	0	None	QNZQ11	N	CA00095981	B	SFY2006-07
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-06 00:00:00	230004000	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-02-05 00:00:00	2007-02-05 00:00:00	Yes	2007-06-27 00:00:00	2007-06-07 00:00:00	B	B	750	600	0	600	0	None	8O1S11	N	CA00105642	A	SFY2006-07
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-06 00:00:00	230004001	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-10 00:00:00	2006-11-10 00:00:00	No	2007-06-27 00:00:00	None	B	None	500	500	0	500	0	None	OJ2V11	N	CA00098492, CA00098494	B, B	SFY2006-07
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-08 00:00:00	230004003	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-15 00:00:00	2007-04-15 00:00:00	No	2007-07-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	U62111	N	CA00112169	B	SFY2006-07
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-08 00:00:00	230004008	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-28 00:00:00	2007-02-28 00:00:00	Yes	2007-06-29 00:00:00	2007-07-06 00:00:00	B	B	1000	2400	0	2400	0	None	P6E611	N	CA00108137	B	SFY2006-07
230000504	VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-27 00:00:00	230004038	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-02-12 00:00:00	2006-02-12 00:00:00	No	2007-07-19 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	JIQF11	N	CA00088228, CA00091508, CA00091897	B, B, B	SFY2006-07
230000504	VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-27 00:00:00	230004039	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-02-13 00:00:00	2006-02-13 00:00:00	No	2007-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	JIQF11	N	CA00088228	B	SFY2006-07
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-03 00:00:00	230004045	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-13 00:00:00	2007-04-13 00:00:00	No	2007-07-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	BQE011	N	CA00112471	B	SFY2007-08
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-03 00:00:00	230004046	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-04-13 00:00:00	2007-04-13 00:00:00	No	2007-07-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	BQE011	N	CA00112471	B	SFY2007-08
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-05 00:00:00	230004051	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-10 00:00:00	2005-12-10 00:00:00	Yes	2007-07-27 00:00:00	2007-07-11 00:00:00	B	B	1000	700	0	700	0	None	2N7Y11	N	CA00067741	B	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-05 00:00:00	230004052	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-04-08 00:00:00	2007-04-08 00:00:00	No	2007-07-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	B62P11	N	CA00111697	B	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-05 00:00:00	230004053	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-08 00:00:00	2007-04-08 00:00:00	No	2007-07-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	B62P11	N	CA00111697	B	SFY2007-08
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-03 00:00:00	230004054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-19 00:00:00	2006-12-19 00:00:00	Yes	2007-07-27 00:00:00	2007-07-11 00:00:00	B	B	1000	700	0	700	0	None	MQMK11	N	CA00101697, CA00102316	A, B	SFY2007-08
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-11 00:00:00	230004069	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-06-02 00:00:00	2006-06-02 00:00:00	Yes	2007-08-01 00:00:00	2007-07-25 00:00:00	B	B	1000	500	0	500	0	None	868U11	N	CA00083061, CA00083061, CA00083776, CA00087458, CA00089993	B, B, B, B, B	SFY2007-08
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-11 00:00:00	230004074	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-08 00:00:00	2006-03-08 00:00:00	No	2007-08-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	7JL211	N	CA00082022	B	SFY2007-08
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-17 00:00:00	230004076	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-06-06 00:00:00	2006-06-06 00:00:00	Yes	2007-08-07 00:00:00	2007-07-18 00:00:00	B	B	750	450	0	450	0	None	ZV2H11	N	CA00082868	B	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-18 00:00:00	230004077	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-19 00:00:00	2006-12-19 00:00:00	No	2007-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	G0CE11	N	CA00101413	B	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-18 00:00:00	230004078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-06 00:00:00	2006-12-06 00:00:00	No	2007-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	G0CE11	N	CA00101413	B	SFY2007-08
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-08-22 00:00:00	230004181	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-01-03 00:00:00	2007-01-03 00:00:00	No	2007-09-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	2ML911	N	CA00103223, CA00103223	B, B	SFY2007-08
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-08-22 00:00:00	230004182	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-03 00:00:00	2007-01-03 00:00:00	No	2007-09-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	2ML911	N	CA00103223	B	SFY2007-08
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2007-09-19 00:00:00	230004248	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-02-14 00:00:00	2006-02-14 00:00:00	No	2007-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	FXF711	N	CA00072747	B	SFY2007-08
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-09-20 00:00:00	230004249	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-26 00:00:00	2006-09-26 00:00:00	No	2007-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y6QZ11	N	CA00094175	B	SFY2007-08
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-09-25 00:00:00	230004250	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-02-01 00:00:00	2007-02-01 00:00:00	No	2007-10-17 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	NH4G11	N	CA00109241	B	SFY2007-08
230000588	GRANNY'S HOUSE - HILDALE AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-09-25 00:00:00	230004253	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-08-10 00:00:00	2007-08-10 00:00:00	No	2007-10-17 00:00:00	None	B	None	800	800	-280	520	0	None	DOHH11	N	CA00120530	C	SFY2007-08
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-09-20 00:00:00	230004265	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-10-26 00:00:00	2006-10-26 00:00:00	Yes	2007-10-12 00:00:00	2007-09-27 00:00:00	B	B	750	375	0	375	0	None	XLC411	N	CA00096735	B	SFY2007-08
230000778	MERAKEY - KELSEY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-09-25 00:00:00	230004266	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2007-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	L12P11	N	CA00120518	B	SFY2007-08
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-10 00:00:00	230004319	Closed	Citation	Citation A (HSC 1424)	Medication	None	2006-11-14 00:00:00	2006-11-14 00:00:00	No	2007-10-31 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	NKIY11	N	CA00098774, CA00098778, CA00098781	B, B, B	SFY2007-08
230000597	MERAKEY - HERBSCENTA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-10-18 00:00:00	230004328	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-05-18 00:00:00	2006-05-18 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	FVVK11	N	CA00105397	B	SFY2007-08
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004330	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-05-28 00:00:00	2006-05-28 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZMX211	N	CA00082515, CA00090462, CA00092789, CA00093387	B, B, B, B	SFY2007-08
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004331	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-18 00:00:00	2006-05-18 00:00:00	No	2007-11-19 00:00:00	None	B	None	800	800	-280	520	0	None	ZMX211	N	CA00082858	B	SFY2007-08
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004332	Closed	Citation	Citation B (HSC 1424)	Other	physical abuse	2007-06-04 00:00:00	2007-06-04 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	HU3511	N	CA00116734	C	SFY2007-08
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004334	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-04 00:00:00	2006-12-04 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	QPSX11	N	CA00101038	B	SFY2007-08
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004340	Closed	Citation	Citation B (HSC 1424)	Other	abuse reporting	2007-08-07 00:00:00	2007-08-07 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	U3E211	N	CA00123122, CA00123466	B, B	SFY2007-08
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004341	Closed	Citation	Citation B (HSC 1424)	Other	misappropriation property	2007-08-07 00:00:00	2007-08-07 00:00:00	No	2007-11-08 00:00:00	None	B	None	800	800	-280	520	0	None	U3E211	N	CA00123122, CA00123466	B, B	SFY2007-08
230000597	MERAKEY - HERBSCENTA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-10-18 00:00:00	230004349	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-22 00:00:00	2007-06-22 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	RW4D11	N	CA00113072	C	SFY2007-08
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004354	Closed	Citation	Citation B (HSC 1424)	Other	failure to report	2007-05-12 00:00:00	2007-05-12 00:00:00	No	2007-11-08 00:00:00	None	B	None	800	800	-280	520	0	None	TLY911	N	CA00114772	B	SFY2007-08
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004356	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-04 00:00:00	2007-07-04 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	NKHR11	N	CA00121055	C	SFY2007-08
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004360	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-07-04 00:00:00	2007-07-04 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	NKHR11	N	CA00121055	C	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-19 00:00:00	230004361	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-15 00:00:00	2007-05-15 00:00:00	No	2007-11-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	0B4Z11	N	CA00114980	B	SFY2007-08
230000761	GRANNY'S HOUSE - MAGNOLIA ROAD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-10-23 00:00:00	230004362	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-10 00:00:00	2007-05-10 00:00:00	No	2007-11-14 00:00:00	None	B	None	750	800	-262.5	537.5	0	None	PX9V11	N	None	None	SFY2007-08
230000468	MERAKEY - VALENTINE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-10-18 00:00:00	230004363	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-21 00:00:00	2007-08-21 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	OFN911	N	CA00124364, CA00124594	B, B	SFY2007-08
230000761	GRANNY'S HOUSE - MAGNOLIA ROAD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-10-23 00:00:00	230004365	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2007-11-28 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	PX9V11	N	CA00115091	B	SFY2007-08
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-23 00:00:00	230004366	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-05-20 00:00:00	2007-05-20 00:00:00	No	2007-11-19 00:00:00	None	B	B Trebled	1000	3000	-2606	394	0	None	PJTB11	N	CA00116059	B	SFY2007-08
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-19 00:00:00	230004375	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-04-24 00:00:00	2007-04-24 00:00:00	Yes	2007-11-09 00:00:00	2007-10-30 00:00:00	B	B	800	400	0	400	0	None	GGQ111	N	CA00106869	B	SFY2007-08
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-19 00:00:00	230004376	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-01-23 00:00:00	2007-01-23 00:00:00	No	2007-11-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	GGQ111	N	CA00106869	B	SFY2007-08
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-11-30 00:00:00	230004454	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-27 00:00:00	2007-08-27 00:00:00	No	2007-12-21 00:00:00	None	B	B	1000	1000	-869	131	0	None	CTZQ11	N	CA00124896	B	SFY2007-08
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-11-30 00:00:00	230004455	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-10-19 00:00:00	2007-10-19 00:00:00	No	2007-12-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	ON7111	N	CA00129906	C	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-11-29 00:00:00	230004456	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-29 00:00:00	2007-01-29 00:00:00	No	2007-12-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	C2BT11	N	CA00103592, CA00106075	B, B	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-11-29 00:00:00	230004462	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-30 00:00:00	2007-03-30 00:00:00	No	2007-12-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	60FB11	N	CA00111268, CA00111271	B, B	SFY2007-08
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-11-29 00:00:00	230004463	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-05 00:00:00	2007-01-05 00:00:00	Yes	2007-12-20 00:00:00	2007-11-29 00:00:00	B	B	750	750	-619	131	0	None	QMHG11	Y	CA00116052	B	SFY2007-08
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-11-30 00:00:00	230004464	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-01 00:00:00	2007-06-01 00:00:00	No	2007-12-21 00:00:00	None	B	B Trebled	1000	3000	-2606	394	0	None	BCDU11	N	CA00116466, CA00116506, CA00117123	C, C, C	SFY2007-08
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-12-04 00:00:00	230004465	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-29 00:00:00	2007-10-29 00:00:00	No	2007-12-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	DEKP11	N	CA00130641	C	SFY2007-08
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2007-12-04 00:00:00	230004466	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-24 00:00:00	2007-10-24 00:00:00	No	2007-12-26 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	DEKP11	N	CA00130266	C	SFY2007-08
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-12-04 00:00:00	230004471	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-23 00:00:00	2007-08-23 00:00:00	No	2007-12-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	7EJH11	N	CA00124692	C	SFY2007-08
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-12-05 00:00:00	230004473	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-17 00:00:00	2007-08-17 00:00:00	Yes	2007-12-27 00:00:00	2007-12-10 00:00:00	B	B	750	500	0	500	0	None	FLRL11	N	CA00123851	A	SFY2007-08
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-12-05 00:00:00	230004474	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-11-01 00:00:00	2007-11-01 00:00:00	Yes	2007-12-27 00:00:00	2007-12-10 00:00:00	B	B	750	500	0	500	0	None	8YLD11	N	CA00130616	C	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2007-12-05 00:00:00	230004476	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-08 00:00:00	2007-11-08 00:00:00	No	2007-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	VMP811	N	CA00131772	B	SFY2007-08
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-12-11 00:00:00	230004489	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-19 00:00:00	2007-04-19 00:00:00	No	2008-01-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	VEZ911	N	CA00112068	B	SFY2007-08
230000633	MERAKEY - TOM POLK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-12-18 00:00:00	230004500	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-01-28 00:00:00	2007-01-28 00:00:00	No	2008-01-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	QV7811	N	CA00105263	B	SFY2007-08
230000633	MERAKEY - TOM POLK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-12-18 00:00:00	230004501	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-27 00:00:00	2007-01-27 00:00:00	No	2008-01-10 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	QV7811	N	CA00105263	B	SFY2007-08
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-12-21 00:00:00	230004517	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-29 00:00:00	2007-09-29 00:00:00	No	2008-01-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	J07411	N	CA00128027	C	SFY2007-08
230000392	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-15 00:00:00	230004538	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-13 00:00:00	2007-10-13 00:00:00	Yes	2008-02-06 00:00:00	2008-01-15 00:00:00	B	B	1000	500	0	500	0	None	F5IF11	N	CA00129548	B	SFY2007-08
230000392	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-15 00:00:00	230004539	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-13 00:00:00	2007-10-13 00:00:00	Yes	2008-02-06 00:00:00	2008-01-15 00:00:00	B	B	1000	500	0	500	0	None	F5IF11	N	CA00129548	B	SFY2007-08
230000392	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-15 00:00:00	230004540	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-12 00:00:00	2007-10-12 00:00:00	Yes	2008-02-06 00:00:00	2008-01-15 00:00:00	B	B	1000	500	0	500	0	None	F5IF11	N	CA00129410	B	SFY2007-08
230000392	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-15 00:00:00	230004541	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-06-16 00:00:00	2007-06-16 00:00:00	Yes	2008-02-06 00:00:00	2008-01-15 00:00:00	B	B	500	250	0	250	0	None	7O5611	N	CA00117986	C	SFY2007-08
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-02 00:00:00	230004542	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-12-08 00:00:00	2007-12-08 00:00:00	No	2008-01-24 00:00:00	None	B	None	750	750	0	750	0	None	JUFB11	N	CA00134487	B	SFY2007-08
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-03 00:00:00	230004543	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-06-07 00:00:00	2007-06-07 00:00:00	No	2008-01-25 00:00:00	None	B	None	900	900	-315	585	0	None	GJGK11	N	CA00117089	B	SFY2007-08
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-03 00:00:00	230004544	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-02 00:00:00	2007-07-02 00:00:00	No	2008-01-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	U1OJ11	N	CA00119395	C	SFY2007-08
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-17 00:00:00	230004546	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-09 00:00:00	2006-12-09 00:00:00	No	2008-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	S8KK11	N	CA00102705	B	SFY2007-08
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-17 00:00:00	230004576	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-08 00:00:00	2007-12-08 00:00:00	No	2008-02-08 00:00:00	None	B	None	1000	3000	0	3000	0	None	F4ZO11	N	CA00134514, CA00134572, CA00134990, CA00135026	C, B, C, C	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-17 00:00:00	230004577	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-19 00:00:00	2007-12-19 00:00:00	No	2008-02-08 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	37DX11	N	CA00135685, CA00135702, CA00136597, CA00136602	B, B, B, B	SFY2007-08
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-18 00:00:00	230004578	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-12 00:00:00	2007-10-12 00:00:00	No	2008-02-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	MRB711	N	CA00129227	B	SFY2007-08
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-17 00:00:00	230004585	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-09-15 00:00:00	2007-09-15 00:00:00	No	2008-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	M0L611	N	CA00127074	A	SFY2007-08
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-30 00:00:00	230004598	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-06-09 00:00:00	2007-06-09 00:00:00	No	2008-02-22 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	4ZP111	N	CA00118939	B	SFY2007-08
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-30 00:00:00	230004599	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-29 00:00:00	2007-06-29 00:00:00	No	2008-02-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	4ZP111	N	CA00118939	B	SFY2007-08
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-30 00:00:00	230004600	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-31 00:00:00	2007-12-31 00:00:00	Yes	2008-02-22 00:00:00	2008-02-01 00:00:00	B	B	1000	500	0	500	0	None	PL4C11	N	CA00136736	B	SFY2007-08
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-02-01 00:00:00	230004601	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-05 00:00:00	2007-07-05 00:00:00	No	2008-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	S7FN11	N	CA00118477, CA00118477	C, C	SFY2007-08
230000682	MERAKEY - ARCH	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-01-31 00:00:00	230004625	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-04-22 00:00:00	2007-04-22 00:00:00	No	2008-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	KVUZ11	N	CA00112875	C	SFY2007-08
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-31 00:00:00	230004634	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-04 00:00:00	2007-12-04 00:00:00	No	2008-02-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	I1B211	N	CA00134059	B	SFY2007-08
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-02-01 00:00:00	230004636	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-17 00:00:00	2007-06-17 00:00:00	No	2008-02-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	42QR11	N	CA00118444, CA00118448	C, C	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2008-02-05 00:00:00	230004648	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-01-01 00:00:00	2008-01-01 00:00:00	No	2008-02-28 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	QT4J11	N	CA00137862	B	SFY2007-08
230000392	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-02-07 00:00:00	230004665	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-02 00:00:00	2007-11-02 00:00:00	No	2008-03-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZWKU11	N	CA00131447	C	SFY2007-08
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-02-21 00:00:00	230004700	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-12-07 00:00:00	2007-12-07 00:00:00	Yes	2008-03-13 00:00:00	2008-02-26 00:00:00	AA	AA	100000	65000	0	65000	0	None	QL2H11	Y	CA00134448	C	SFY2007-08
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-02-27 00:00:00	230004705	Closed	Citation	Citation A (HSC 1424)	Other	ACCIDENT	2007-05-21 00:00:00	2007-05-21 00:00:00	Yes	2008-03-19 00:00:00	2008-02-28 00:00:00	A	A	20000	20000	0	20000	0	None	L4LZ11	Y	CA00115350	B	SFY2007-08
230000560	RCCA - AUGUSTA LANE #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-03-06 00:00:00	230004737	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-11-13 00:00:00	2007-11-13 00:00:00	Yes	2008-03-27 00:00:00	2008-03-07 00:00:00	B	B	750	375	0	375	0	None	G8NH11	N	CA00133281	B	SFY2007-08
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2008-03-06 00:00:00	230004746	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-06-26 00:00:00	2007-06-26 00:00:00	Yes	2008-03-27 00:00:00	2008-03-06 00:00:00	B	B	1000	500	0	500	0	None	TKT511	N	CA00118602	A	SFY2007-08
230000283	ALMOND VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-03-07 00:00:00	230004747	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-19 00:00:00	2008-01-19 00:00:00	No	2008-03-28 00:00:00	None	B	None	800	800	-280	520	0	None	0QHP11	N	CA00138479	C	SFY2007-08
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-03-07 00:00:00	230004750	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-06 00:00:00	2007-12-06 00:00:00	Yes	2008-03-28 00:00:00	2008-03-10 00:00:00	B	B	1000	500	0	500	0	None	13DJ11	N	CA00134306, CA00134311	B, B	SFY2007-08
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2008-03-14 00:00:00	230004752	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-03 00:00:00	2007-10-03 00:00:00	Yes	2008-04-07 00:00:00	2008-03-27 00:00:00	B	B	1000	500	0	500	0	None	EOQR11	N	CA00128668	C	SFY2007-08
230000621	ARVALO HOME - RIVERPARK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-03-13 00:00:00	230004778	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-15 00:00:00	2008-01-15 00:00:00	No	2008-04-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	RFY911	N	CA00138198, CA00138200	B, B	SFY2007-08
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2008-03-13 00:00:00	230004779	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-11-16 00:00:00	2007-11-16 00:00:00	Yes	2008-04-04 00:00:00	2008-03-19 00:00:00	B	B	1000	500	0	500	0	None	LII111	N	CA00131947	C	SFY2007-08
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-03-13 00:00:00	230004780	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-18 00:00:00	2007-12-18 00:00:00	No	2008-04-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	9L3911	N	CA00135422	C	SFY2007-08
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2008-03-18 00:00:00	230004787	Closed	Citation	Citation B (HSC 1424)	Other	abuse	2007-11-21 00:00:00	2007-11-21 00:00:00	No	2008-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	9B3511	N	CA00133155	C	SFY2007-08
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2008-03-18 00:00:00	230004789	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2007-11-25 00:00:00	2007-11-25 00:00:00	No	2008-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	9B3511	N	CA00132974	A	SFY2007-08
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-02 00:00:00	230004800	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-06-27 00:00:00	2007-06-27 00:00:00	Yes	2008-04-23 00:00:00	2008-04-02 00:00:00	B	B	1000	500	0	500	0	None	4BEV11	N	CA00117465	B	SFY2007-08
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-02 00:00:00	230004824	Closed	Citation	Citation B (HSC 1424)	Other	failure to report	2007-10-30 00:00:00	2007-10-30 00:00:00	No	2008-04-23 00:00:00	None	B	None	750	750	0	750	0	None	MBDS11	N	CA00131102	C	SFY2007-08
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-02 00:00:00	230004826	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-30 00:00:00	2007-10-30 00:00:00	No	2008-04-23 00:00:00	None	B	None	750	750	0	750	0	None	MBDS11	N	CA00131102	C	SFY2007-08
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-02 00:00:00	230004827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-06 00:00:00	2007-11-06 00:00:00	No	2008-04-23 00:00:00	None	B	None	750	750	0	750	0	None	MBDS11	N	CA00131600	B	SFY2007-08
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-11 00:00:00	230004858	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-03-01 00:00:00	2008-03-01 00:00:00	Yes	2008-05-02 00:00:00	2008-04-28 00:00:00	B	B	1000	500	0	500	0	None	F48S11	N	CA00143693	C	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-16 00:00:00	230004923	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-17 00:00:00	2008-03-17 00:00:00	No	2008-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZPUT11	N	CA00144608	B	SFY2007-08
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-17 00:00:00	230004925	Closed	Citation	Citation B (HSC 1424)	Other	failure to report	2008-02-10 00:00:00	2008-02-10 00:00:00	No	2008-05-08 00:00:00	None	B	None	750	750	0	750	0	None	V2XF11	N	CA00141216, CA00142400	B, B	SFY2007-08
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-23 00:00:00	230004928	Closed	Citation	Citation A (HSC 1424)	Other	ACCIDENTS	2008-01-25 00:00:00	2008-01-25 00:00:00	No	2008-05-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	8QQ211	N	CA00139044	B	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-24 00:00:00	230004932	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-06-29 00:00:00	2007-06-29 00:00:00	No	2008-05-15 00:00:00	None	B	None	500	500	-175	325	0	None	QQXL11	N	CA00118958	C	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-24 00:00:00	230004950	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-07-01 00:00:00	2007-07-01 00:00:00	No	2008-05-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	QQXL11	N	CA00118958	C	SFY2007-08
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-25 00:00:00	230004952	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-03 00:00:00	2008-04-03 00:00:00	No	2008-05-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	UXIO11	N	CA00145890	B	SFY2007-08
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2008-05-09 00:00:00	230004989	Closed	Citation	Citation B (HSC 1424)	Other	failure to report	2008-02-19 00:00:00	2008-02-19 00:00:00	No	2008-06-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	F3D411	N	CA00142337	A	SFY2007-08
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-05-09 00:00:00	230004990	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-07 00:00:00	2008-04-07 00:00:00	No	2008-06-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	MC6O11	N	CA00146217	C	SFY2007-08
230000370	THE FOUNTAINS	LTC	SNF	Skilled Nursing Facility	Chico	2008-05-13 00:00:00	230005002	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-16 00:00:00	2008-04-16 00:00:00	No	2008-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	QE6Z11	N	CA00147215	B	SFY2007-08
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2008-05-13 00:00:00	230005003	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-17 00:00:00	2008-03-17 00:00:00	No	2008-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	CP2U11	N	CA00144298	C	SFY2007-08
230000737	ARVALO HOME - SHADOWRUN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-05-23 00:00:00	230005054	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-12-18 00:00:00	2007-12-18 00:00:00	No	2008-06-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	SB0R11	N	CA00137864	B	SFY2007-08
230000370	THE FOUNTAINS	LTC	SNF	Skilled Nursing Facility	Chico	2008-05-29 00:00:00	230005082	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-21 00:00:00	2008-02-21 00:00:00	No	2008-06-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	OQJ011	N	CA00144044	C	SFY2007-08
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-05-29 00:00:00	230005083	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-19 00:00:00	2008-04-19 00:00:00	No	2008-06-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	F93H11	N	CA00147312	C	SFY2007-08
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-05-29 00:00:00	230005084	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-20 00:00:00	2008-04-20 00:00:00	No	2008-06-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	F93H11	N	CA00147491	C	SFY2007-08
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2008-06-05 00:00:00	230005098	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-12 00:00:00	2007-08-12 00:00:00	Yes	2010-05-12 00:00:00	2008-06-05 00:00:00	A	A	10000	10000	0	10000	0	None	F5XJ11	Y	CA00123727	B	SFY2007-08
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2008-06-13 00:00:00	230005131	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-01-31 00:00:00	2008-01-31 00:00:00	No	2008-07-07 00:00:00	None	B	None	750	750	0	750	0	None	HI8111	N	CA00142075	C	SFY2007-08
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2008-06-13 00:00:00	230005132	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-12-01 00:00:00	2007-12-01 00:00:00	No	2008-07-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	HI8111	N	CA00142075	C	SFY2007-08
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2008-06-13 00:00:00	230005133	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-07 00:00:00	2008-01-07 00:00:00	Yes	2008-07-07 00:00:00	2008-06-20 00:00:00	B	B	750	375	0	375	0	None	HI8111	N	CA00136407	B	SFY2007-08
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-06-13 00:00:00	230005134	Closed	Citation	Citation B (HSC 1424)	Other	REPORTING	2008-05-30 00:00:00	2008-05-30 00:00:00	Yes	2008-07-07 00:00:00	2008-06-19 00:00:00	B	B	1000	2000	0	2000	0	None	2POQ11	N	CA00152481	C	SFY2007-08
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2008-06-13 00:00:00	230005135	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-05-18 00:00:00	2008-05-18 00:00:00	No	2008-07-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	5DJM11	N	CA00152461	C	SFY2007-08
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-07-03 00:00:00	230005154	Closed	Citation	Citation B (HSC 1424)	Other	FAILURE TO REPORT	2008-05-08 00:00:00	2008-05-08 00:00:00	Yes	2008-07-25 00:00:00	2008-07-25 00:00:00	B	Dismissed by Court	800	0	0	0	0	None	NSXF11	N	CA00150053	B	SFY2008-09
230000716	OSTERMAN'S FACILITY #4, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-06-27 00:00:00	230005179	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-29 00:00:00	2008-05-29 00:00:00	No	2008-07-21 00:00:00	None	B	None	500	500	-175	325	0	None	DJAS11	N	CA00153152	C	SFY2007-08
230000613	TRAILVIEW HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-07-01 00:00:00	230005185	Closed	Citation	Citation B (HSC 1424)	Other	Abuse & Reporting	2007-11-30 00:00:00	2007-11-30 00:00:00	No	2008-07-23 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	0U6H11	N	CA00138025	B	SFY2008-09
230000761	GRANNY'S HOUSE - MAGNOLIA ROAD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-07-01 00:00:00	230005189	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-12 00:00:00	2008-05-12 00:00:00	Yes	2008-07-23 00:00:00	2008-07-14 00:00:00	B	B	1000	500	0	500	0	None	VRK911	N	CA00150013	A	SFY2008-09
230000613	TRAILVIEW HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-07-01 00:00:00	230005190	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-11-30 00:00:00	2007-11-30 00:00:00	No	2008-07-23 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	0U6H11	N	CA00138025	B	SFY2008-09
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-07-02 00:00:00	230005191	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-04-30 00:00:00	2008-04-30 00:00:00	No	2008-07-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	DKTZ11	N	CA00148596	A	SFY2008-09
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-07-02 00:00:00	230005192	Closed	Citation	Citation B (HSC 1424)	Other	FAILURE TO REPORT	2008-05-20 00:00:00	2008-05-20 00:00:00	No	2008-07-24 00:00:00	None	B	None	750	750	0	750	0	None	DKTZ11	N	CA00151687	C	SFY2008-09
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-07-02 00:00:00	230005193	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-01 00:00:00	2008-04-01 00:00:00	No	2008-07-24 00:00:00	None	B	None	600	600	0	600	0	None	UF4K11	N	CA00152621	B	SFY2008-09
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2008-07-02 00:00:00	230005195	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2008-05-15 00:00:00	2008-05-15 00:00:00	No	2008-07-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	LCZV11	N	CA00150621	A	SFY2008-09
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-07-24 00:00:00	230005250	Closed	Citation	Citation B (HSC 1424)	Other	Failure to report	2008-06-15 00:00:00	2008-06-15 00:00:00	No	2008-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	OZIB11	N	CA00154141	C	SFY2008-09
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-08-06 00:00:00	230005263	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-11-04 00:00:00	2006-11-04 00:00:00	No	2008-08-27 00:00:00	None	B	None	750	750	0	750	0	None	VINL11	N	CA00152157	C	SFY2008-09
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-08-07 00:00:00	230005301	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-06 00:00:00	2008-07-06 00:00:00	Yes	2008-08-28 00:00:00	2008-08-13 00:00:00	B	B	1000	650	0	650	0	None	KFQ911	N	CA00156153	C	SFY2008-09
230000227	SENECA DISTRICT HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-08-12 00:00:00	230005307	Closed	Citation	Citation B (HSC 1424)	Other	ACCIDENTS	2008-07-13 00:00:00	2008-07-13 00:00:00	No	2008-09-03 00:00:00	None	B	None	800	800	0	800	0	None	N0R111	N	CA00156805	C	SFY2008-09
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-08-19 00:00:00	230005321	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-08 00:00:00	2008-07-08 00:00:00	No	2008-09-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	B3J711	N	CA00156289	C	SFY2008-09
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-08-14 00:00:00	230005322	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-06-17 00:00:00	2008-06-17 00:00:00	No	2008-09-05 00:00:00	None	B	None	800	800	-280	520	0	None	MC5F11	N	None	None	SFY2008-09
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2008-08-14 00:00:00	230005324	Closed	Citation	Citation B (HSC 1424)	Other	ACCIDENTS	2008-07-14 00:00:00	2008-07-14 00:00:00	No	2008-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	G6Y511	N	CA00157128	B	SFY2008-09
230000025	CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2008-08-20 00:00:00	230005341	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-07-02 00:00:00	2008-07-02 00:00:00	Yes	2008-09-11 00:00:00	2008-08-25 00:00:00	B	B	500	250	0	250	0	None	OD8J11	N	None	None	SFY2008-09
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-04 00:00:00	230005378	Closed	Citation	Citation A (HSC 1424)	Medication	None	2008-05-08 00:00:00	2008-05-08 00:00:00	No	2008-09-25 00:00:00	None	A	None	10000	10000	0	10000	0	None	X64511	N	CA00152685	C	SFY2008-09
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-05 00:00:00	230005380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-24 00:00:00	2008-07-24 00:00:00	No	2008-09-26 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	G93L11	N	CA00158141	C	SFY2008-09
230000578	GRANNY'S HOUSE - PLUMAS AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-09-09 00:00:00	230005381	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-06-30 00:00:00	2008-06-30 00:00:00	No	2008-09-30 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	JWSP11	N	CA00156965	A	SFY2008-09
230000588	GRANNY'S HOUSE - HILDALE AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-09-09 00:00:00	230005400	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-06-30 00:00:00	2008-06-30 00:00:00	No	2008-09-30 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	UX3Y11	N	CA00156788	A	SFY2008-09
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-12 00:00:00	230005407	Closed	Citation	Citation B (HSC 1424)	Other	REPORTING	2008-07-16 00:00:00	2008-07-16 00:00:00	Yes	2008-10-03 00:00:00	2008-09-24 00:00:00	B	B	500	250	0	250	0	None	E96W11	N	CA00157442	C	SFY2008-09
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-12 00:00:00	230005408	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-16 00:00:00	2008-07-16 00:00:00	Yes	2008-10-03 00:00:00	2008-09-24 00:00:00	B	B Trebled	1000	1500	0	1500	0	None	E96W11	N	CA00157442	C	SFY2008-09
230000424	COLUSA MEDICAL CENTER - SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-19 00:00:00	230005414	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-12 00:00:00	2008-05-12 00:00:00	No	2008-10-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	DGUH11	N	CA00150000	C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-19 00:00:00	230005421	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-11-07 00:00:00	2007-11-07 00:00:00	No	2008-10-10 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	HEC511	N	None	None	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-19 00:00:00	230005423	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-10-01 00:00:00	2007-10-01 00:00:00	No	2008-10-10 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	T8CT11	N	CA00132777	C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-19 00:00:00	230005428	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-11-19 00:00:00	2007-11-19 00:00:00	No	2008-10-10 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	T8CT11	N	CA00132777	C	SFY2008-09
230000403	OROVILLE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-22 00:00:00	230005436	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-06-27 00:00:00	2008-06-27 00:00:00	No	2008-10-14 00:00:00	None	B	None	500	500	0	500	0	None	Z3RZ11	N	CA00158723	C	SFY2008-09
230000403	OROVILLE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-22 00:00:00	230005438	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-27 00:00:00	2008-06-27 00:00:00	No	2008-10-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z3RZ11	N	CA00158723	C	SFY2008-09
230000737	ARVALO HOME - SHADOWRUN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-09-23 00:00:00	230005439	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-17 00:00:00	2008-05-17 00:00:00	No	2008-10-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	0EFI11	N	CA00151877	A	SFY2008-09
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-19 00:00:00	230005440	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-10 00:00:00	2008-09-10 00:00:00	Yes	2008-10-10 00:00:00	2008-10-06 00:00:00	B	None	800	800	-280	520	0	None	817I11	N	CA00163239	B	SFY2008-09
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-18 00:00:00	230005443	Closed	Citation	Citation B (HSC 1424)	Other	Reporting	2007-10-25 00:00:00	2007-10-25 00:00:00	No	2008-10-09 00:00:00	None	B	None	500	500	-175	325	0	None	OHJ911	N	CA00161926	C	SFY2008-09
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-18 00:00:00	230005444	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-31 00:00:00	2008-08-31 00:00:00	No	2008-10-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	OHJ911	N	CA00161926	C	SFY2008-09
230000737	ARVALO HOME - SHADOWRUN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-09-23 00:00:00	230005447	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-17 00:00:00	2008-05-17 00:00:00	No	2008-10-15 00:00:00	None	B	None	750	750	0	750	0	None	0EFI11	N	CA00151877	A	SFY2008-09
230000597	MERAKEY - HERBSCENTA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-09-23 00:00:00	230005452	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-03-18 00:00:00	2008-03-18 00:00:00	Yes	2008-10-15 00:00:00	2008-09-23 00:00:00	A	None	10000	10000	0	10000	0	None	KP0P11	N	CA00145643	C	SFY2008-09
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-24 00:00:00	230005453	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-10 00:00:00	2007-06-10 00:00:00	Yes	2008-10-16 00:00:00	2008-09-26 00:00:00	B	B	1000	500	0	500	0	None	70LN11	N	CA00118164	B	SFY2008-09
230000334	TAHOE FOREST HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-30 00:00:00	230005454	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-03 00:00:00	2008-05-03 00:00:00	No	2008-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	IH2211	N	CA00149098	B	SFY2008-09
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-30 00:00:00	230005455	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-09 00:00:00	2008-07-09 00:00:00	No	2008-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	ED2Q11	N	CA00156368	C	SFY2008-09
230000680	MERAKEY - OAK MESA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-09-26 00:00:00	230005460	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-15 00:00:00	2008-08-15 00:00:00	No	2008-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	M4RW11	N	CA00162294	C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-29 00:00:00	230005478	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-09-01 00:00:00	2008-09-01 00:00:00	No	2008-10-21 00:00:00	None	B	None	500	500	-175	325	0	None	CEYP11	N	None	None	SFY2008-09
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-10-07 00:00:00	230005485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-24 00:00:00	2008-05-24 00:00:00	No	2008-10-29 00:00:00	None	B	None	750	750	0	750	0	None	U2ZC11	N	CA00151733	B	SFY2008-09
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-10-07 00:00:00	230005486	Closed	Citation	Citation B (HSC 1424)	Other	VERBAL ABUSE	2008-05-24 00:00:00	2008-05-24 00:00:00	No	2008-10-29 00:00:00	None	B	None	750	750	0	750	0	None	U2ZC11	N	CA00151733	B	SFY2008-09
230000334	TAHOE FOREST HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-10-07 00:00:00	230005489	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-08-01 00:00:00	2008-08-01 00:00:00	No	2008-10-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	YHBR11	N	CA00159351	C	SFY2008-09
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2008-10-20 00:00:00	230005534	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-01 00:00:00	2008-10-01 00:00:00	Yes	2008-11-10 00:00:00	2008-10-28 00:00:00	B	B	1000	500	0	500	0	None	5VYM11	N	CA00165147	C	SFY2008-09
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2008-10-24 00:00:00	230005543	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-09 00:00:00	2008-10-09 00:00:00	Yes	2008-11-17 00:00:00	2008-10-29 00:00:00	B	B	850	425	0	425	0	None	0CFF11	N	CA00165991	C	SFY2008-09
230000283	ALMOND VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-10-31 00:00:00	230005552	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-22 00:00:00	2008-08-22 00:00:00	No	2008-11-24 00:00:00	None	B	None	500	500	-175	325	0	None	US9511	N	CA00164113	B	SFY2008-09
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2008-11-06 00:00:00	230005583	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-24 00:00:00	2008-09-24 00:00:00	Yes	2008-12-02 00:00:00	2008-11-13 00:00:00	B	B	600	300	0	300	0	None	H8VS11	N	CA00164681	C	SFY2008-09
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-11-12 00:00:00	230005586	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-04 00:00:00	2008-10-04 00:00:00	Yes	2008-12-05 00:00:00	2008-11-12 00:00:00	B	B	750	375	0	375	0	None	7EW511	N	CA00165743	C	SFY2008-09
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2008-11-19 00:00:00	230005622	Closed	Citation	Citation B (HSC 1424)	Other	failed to report in 24hrs	2008-11-01 00:00:00	2008-11-01 00:00:00	Yes	2008-12-16 00:00:00	2008-11-21 00:00:00	B	B Trebled	750	1125	0	1125	0	None	HSU011	N	CA00168436	B	SFY2008-09
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2008-11-19 00:00:00	230005626	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-01 00:00:00	2008-11-01 00:00:00	Yes	2008-12-16 00:00:00	2008-11-21 00:00:00	B	B Trebled	1000	1500	0	1500	0	None	HSU011	N	CA00168436	B	SFY2008-09
230000682	MERAKEY - ARCH	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-11-20 00:00:00	230005629	Closed	Citation	Citation B (HSC 1424)	Other	neglect	2008-10-11 00:00:00	2008-10-11 00:00:00	No	2008-12-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	M9LZ11	N	CA00166262	C	SFY2008-09
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-11 00:00:00	230005676	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-25 00:00:00	2008-10-25 00:00:00	No	2009-01-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	DQRZ11	N	CA00167505	C	SFY2008-09
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-11 00:00:00	230005678	Closed	Citation	Citation B (HSC 1424)	Other	FAILED TO REPORT 24 HRS	2008-10-23 00:00:00	2008-10-23 00:00:00	No	2009-01-06 00:00:00	None	B	None	800	800	0	800	0	None	YC8D11	N	CA00167525	C	SFY2008-09
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-11 00:00:00	230005681	Closed	Citation	Citation B (HSC 1424)	Other	report in 24 hr period	2008-09-05 00:00:00	2008-09-05 00:00:00	No	2009-01-06 00:00:00	None	B	None	1000	3000	0	3000	0	None	7E8S11	N	CA00164117	C	SFY2008-09
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-16 00:00:00	230005682	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-27 00:00:00	2008-10-27 00:00:00	Yes	2009-01-07 00:00:00	2008-12-16 00:00:00	B	B	750	375	0	375	0	None	HX1T11	N	CA00167659	C	SFY2008-09
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-30 00:00:00	230005702	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-11-04 00:00:00	2008-11-04 00:00:00	Yes	2009-01-27 00:00:00	2009-01-22 00:00:00	B	None	800	800	0	800	0	None	65IB11	N	CA00169492	C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-30 00:00:00	230005723	Closed	Citation	Citation B (HSC 1424)	Other	FTR WITHIN 24 HOURS	2008-11-27 00:00:00	2008-11-27 00:00:00	No	2009-01-26 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	None	DENI11	N	CA00171011	B	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-30 00:00:00	230005729	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-11 00:00:00	2008-12-11 00:00:00	No	2009-01-26 00:00:00	None	B	None	800	800	-280	520	0	None	RRQG11	N	CA00171942	C	SFY2008-09
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-29 00:00:00	230005731	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-09 00:00:00	2008-11-09 00:00:00	Yes	2009-01-23 00:00:00	2008-12-31 00:00:00	B	B	1000	500	0	500	0	None	7G0111	N	CA00168917	C	SFY2008-09
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-30 00:00:00	230005735	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-07 00:00:00	2008-12-07 00:00:00	No	2009-01-21 00:00:00	None	B	None	800	800	0	800	0	None	FKEO11	N	CA00171457, CA00171755	C, B	SFY2008-09
230000504	VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-02 00:00:00	230005750	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2008-11-29 00:00:00	2008-11-29 00:00:00	No	2009-01-23 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	4F6611	N	CA00170982	B	SFY2008-09
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-06 00:00:00	230005751	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2008-08-13 00:00:00	2008-08-13 00:00:00	No	2009-01-27 00:00:00	None	B	None	800	800	-280	520	0	None	LD5X11	N	CA00165102	C	SFY2008-09
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-06 00:00:00	230005752	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-13 00:00:00	2008-08-13 00:00:00	No	2009-02-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	LD5X11	N	CA00165102	C	SFY2008-09
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-22 00:00:00	230005803	Closed	Citation	Citation B (HSC 1424)	Other	Fire Safety	2008-12-08 00:00:00	2008-12-08 00:00:00	Yes	2009-02-12 00:00:00	2009-02-05 00:00:00	B	B	1000	650	0	650	0	None	F29D11	N	CA00171557	B	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-22 00:00:00	230005804	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-06 00:00:00	2009-01-06 00:00:00	No	2009-02-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	VB2411	N	CA00173992, CA00174036	C, C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-22 00:00:00	230005806	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-12-25 00:00:00	2008-12-25 00:00:00	No	2009-02-16 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	0UTX11	N	CA00174149	B	SFY2008-09
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-22 00:00:00	230005807	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-23 00:00:00	2008-12-23 00:00:00	Yes	2009-02-17 00:00:00	2009-01-28 00:00:00	B	None	1000	1000	0	1000	0	None	2L4K11	N	CA00173358	C	SFY2008-09
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-22 00:00:00	230005810	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-29 00:00:00	2008-12-29 00:00:00	Yes	2009-02-17 00:00:00	2009-01-29 00:00:00	B	None	1000	3000	0	3000	0	None	DWPR11	N	CA00173349	C	SFY2008-09
230000737	ARVALO HOME - SHADOWRUN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2009-01-29 00:00:00	230005830	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-07-27 00:00:00	2008-07-27 00:00:00	Yes	2009-02-25 00:00:00	2009-02-18 00:00:00	AA	AA	25000	12000	0	12000	0	None	M10211	Y	CA00158267, CA00158891, CA00159501	B, C, C	SFY2008-09
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-30 00:00:00	230005832	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-17 00:00:00	2008-12-17 00:00:00	Yes	2009-02-25 00:00:00	2009-02-06 00:00:00	B	B	1000	650	0	650	0	None	Z2WY11	N	CA00172547	B	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-29 00:00:00	230005835	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-21 00:00:00	2008-12-21 00:00:00	No	2009-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	2BQB11	N	CA00172840	A	SFY2008-09
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2009-02-04 00:00:00	230005836	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-12 00:00:00	2008-12-12 00:00:00	No	2009-02-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	TYZP11	N	CA00172354	C	SFY2008-09
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2009-02-04 00:00:00	230005838	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-12 00:00:00	2008-12-12 00:00:00	No	2009-02-27 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	TYZP11	N	CA00172354	C	SFY2008-09
230000557	THE ALPINE HOME II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2009-02-11 00:00:00	230005856	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-02 00:00:00	2008-12-02 00:00:00	No	2009-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z73R11	N	CA00170910	A	SFY2008-09
230000613	TRAILVIEW HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2009-03-11 00:00:00	230005922	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-16 00:00:00	2009-01-16 00:00:00	No	2009-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	HCQ011	N	CA00175214	C	SFY2008-09
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-03-12 00:00:00	230005954	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-13 00:00:00	2009-02-13 00:00:00	No	2009-04-14 00:00:00	None	B	None	1000	3000	0	3000	0	None	K2Q011	N	CA00177808	C	SFY2008-09
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2009-03-13 00:00:00	230005958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-06 00:00:00	2009-01-06 00:00:00	Yes	2009-04-07 00:00:00	2009-03-19 00:00:00	B	B	750	562.5	0	562.5	0	None	750611	N	CA00174048, CA00174498	C, C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-03-16 00:00:00	230005960	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours.	2009-02-07 00:00:00	2009-02-07 00:00:00	No	2009-04-14 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	None	44P511	N	CA00177581	B	SFY2008-09
230000025	CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2009-03-17 00:00:00	230005979	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2009-02-28 00:00:00	2009-02-28 00:00:00	Yes	2009-04-20 00:00:00	2009-03-23 00:00:00	B	B	500	300	0	300	0	None	6QME11	N	CA00179749	D	SFY2008-09
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-02 00:00:00	230006013	Closed	Citation	Citation B (HSC 1424)	Other	Safeguard patients monies	2009-01-13 00:00:00	2009-01-13 00:00:00	No	2009-04-27 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	0XW211	N	CA00179240	C	SFY2008-09
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-03 00:00:00	230006039	Closed	Citation	Citation B (HSC 1424)	Other	DIGNITY	2009-02-17 00:00:00	2009-02-17 00:00:00	No	2009-04-24 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	25Q111	N	CA00181222	C	SFY2008-09
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-10 00:00:00	230006075	Closed	Citation	Citation A (HSC 1424)	Other	care plan & accidents	2009-02-28 00:00:00	2009-02-28 00:00:00	Yes	2009-05-01 00:00:00	2009-04-10 00:00:00	A	None	2000	2000	0	2000	0	None	594T11	N	CA00179526	C	SFY2008-09
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-10 00:00:00	230006080	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-24 00:00:00	2009-03-24 00:00:00	Yes	2009-05-01 00:00:00	2009-04-10 00:00:00	B	None	1000	1000	0	1000	0	None	GQTB11	N	CA00182776	C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-17 00:00:00	230006085	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-02 00:00:00	2009-03-02 00:00:00	No	2009-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	870611	N	CA00180322	C	SFY2008-09
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-15 00:00:00	230006087	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-03-08 00:00:00	2009-03-08 00:00:00	No	2009-05-11 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	U2OW11	N	CA00180558	B	SFY2008-09
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-17 00:00:00	230006089	Closed	Citation	Citation A (HSC 1424)	Other	Required Services	2008-12-24 00:00:00	2008-12-24 00:00:00	No	2009-05-12 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	RIRY11	N	CA00175567	C	SFY2008-09
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-20 00:00:00	230006095	Closed	Citation	Citation B (HSC 1424)	Other	Failed to report	2009-03-31 00:00:00	2009-03-31 00:00:00	No	2009-05-18 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	2IYN11	N	CA00183858	B	SFY2008-09
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-20 00:00:00	230006102	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-31 00:00:00	2009-03-31 00:00:00	No	2009-05-18 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	2IYN11	N	CA00183858	B	SFY2008-09
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-22 00:00:00	230006112	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-10-31 00:00:00	2008-10-31 00:00:00	Yes	2012-05-30 00:00:00	2012-05-04 00:00:00	A	A	10000	10000	0	10000	0	None	65UW11	N	CA00172194	C	SFY2008-09
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-05-13 00:00:00	230006175	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-03-21 00:00:00	2009-03-21 00:00:00	No	2009-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	B71511	N	CA00182353	C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-05-15 00:00:00	230006176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-28 00:00:00	2009-03-28 00:00:00	No	2009-06-08 00:00:00	None	B	None	1000	3000	0	3000	0	None	2C1311	N	CA00183722	B	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-05-15 00:00:00	230006179	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-30 00:00:00	2009-03-30 00:00:00	No	2009-06-08 00:00:00	None	B	None	1000	3000	0	3000	0	None	OCQ011	N	CA00183444	C	SFY2008-09
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-05-15 00:00:00	230006188	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-26 00:00:00	2009-02-26 00:00:00	No	2009-06-24 00:00:00	None	B	None	1000	3000	0	3000	0	None	IDQW11	N	CA00179333	D	SFY2008-09
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-05-15 00:00:00	230006190	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2009-02-16 00:00:00	2009-02-16 00:00:00	No	2009-06-24 00:00:00	None	B	None	700	700	0	700	0	None	IDQW11	N	CA00179333	D	SFY2008-09
230000025	CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2009-05-20 00:00:00	230006197	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-08 00:00:00	2009-04-08 00:00:00	Yes	2009-07-02 00:00:00	2009-06-09 00:00:00	B	B	800	600	0	600	0	None	EHHG11	N	CA00184295	B	SFY2008-09
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-05-28 00:00:00	230006217	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-19 00:00:00	2009-02-19 00:00:00	Yes	2009-07-02 00:00:00	2009-06-01 00:00:00	B	B	1000	1950	0	1950	0	None	VXLB11	N	CA00178521	B	SFY2008-09
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-05-28 00:00:00	230006218	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-30 00:00:00	2009-03-30 00:00:00	Yes	2009-07-02 00:00:00	2009-06-01 00:00:00	B	B	1000	1950	0	1950	0	None	SWQC11	N	CA00183695	C	SFY2008-09
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-06-04 00:00:00	230006241	Closed	Citation	Citation B (HSC 1424)	Other	Nursing	2009-04-21 00:00:00	2009-04-21 00:00:00	No	2009-06-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	LVYF11	N	CA00185720	C	SFY2008-09
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-06-15 00:00:00	230006274	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2009-05-15 00:00:00	2009-05-15 00:00:00	Yes	2009-07-06 00:00:00	2009-06-19 00:00:00	B	B	1000	650	0	650	0	None	CSUF11	N	CA00188735	C	SFY2008-09
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-06-22 00:00:00	230006305	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-29 00:00:00	2009-05-29 00:00:00	No	2009-07-13 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	6JHQ11	N	CA00190536	C	SFY2008-09
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-06-30 00:00:00	230006306	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-06 00:00:00	2009-06-06 00:00:00	No	2009-07-30 00:00:00	None	B	None	800	2400	-840	1560	0	None	2VXS11	N	CA00191065	C	SFY2008-09
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2009-06-26 00:00:00	230006312	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-05-19 00:00:00	2009-05-19 00:00:00	Yes	2009-07-17 00:00:00	2009-07-07 00:00:00	B	B	1000	650	0	650	0	None	Y2YI11	N	CA00190363	D	SFY2008-09
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2009-06-26 00:00:00	230006317	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-05-19 00:00:00	2009-05-19 00:00:00	Yes	2009-07-17 00:00:00	2009-07-07 00:00:00	B	B	1000	750	0	750	0	None	Y2YI11	N	CA00190363	D	SFY2008-09
230000370	THE FOUNTAINS	LTC	SNF	Skilled Nursing Facility	Chico	2009-06-26 00:00:00	230006321	Closed	Citation	Citation B (HSC 1424)	Other	Health & Safety	2009-06-06 00:00:00	2009-06-06 00:00:00	No	2009-07-17 00:00:00	None	B	None	500	500	-175	325	0	None	TB7711	N	CA00191365	D	SFY2008-09
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-03 00:00:00	230006337	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-11 00:00:00	2009-06-11 00:00:00	No	2009-07-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	ROTR11	N	CA00191617	C	SFY2009-10
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-06 00:00:00	230006348	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-31 00:00:00	2009-01-31 00:00:00	No	2009-07-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	7KNZ11	N	CA00184692	C	SFY2009-10
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-06 00:00:00	230006356	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-10 00:00:00	2009-04-10 00:00:00	No	2009-07-27 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	7KNZ11	N	CA00184692	C	SFY2009-10
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-06 00:00:00	230006357	Closed	Citation	Citation B (HSC 1424)	Other	FTR with in 24 hours	2008-12-15 00:00:00	2008-12-15 00:00:00	No	2009-07-27 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	7KNZ11	N	CA00184692	C	SFY2009-10
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-08 00:00:00	230006370	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2009-04-02 00:00:00	2009-04-02 00:00:00	No	2009-07-29 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	J9EU11	N	CA00183533	C	SFY2009-10
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-08 00:00:00	230006371	Closed	Citation	Citation B (HSC 1424)	Other	Patient Care	2009-04-02 00:00:00	2009-04-02 00:00:00	No	2009-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	J9EU11	N	CA00183533	C	SFY2009-10
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-10 00:00:00	230006373	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-07 00:00:00	2009-06-07 00:00:00	No	2009-08-10 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	L7Z511	N	CA00191236	B	SFY2009-10
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-21 00:00:00	230006403	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-13 00:00:00	2009-06-13 00:00:00	No	2009-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	5GYV11	N	CA00191911	C	SFY2009-10
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-23 00:00:00	230006411	Closed	Citation	Citation B (HSC 1424)	Other	Physical Environment	2009-04-14 00:00:00	2009-04-14 00:00:00	No	2009-08-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z05E11	N	CA00184930	A	SFY2009-10
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-23 00:00:00	230006412	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-21 00:00:00	2009-03-21 00:00:00	Yes	2009-08-13 00:00:00	2009-07-29 00:00:00	B	None	1000	3000	0	3000	0	None	JVRL11	N	CA00182434	B	SFY2009-10
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-08-12 00:00:00	230006450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-16 00:00:00	2009-06-16 00:00:00	No	2009-09-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	0PC511	N	CA00191951	B	SFY2009-10
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-08-14 00:00:00	230006452	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-24 00:00:00	2009-07-24 00:00:00	No	2009-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	UQ0E11	N	CA00196338	C	SFY2009-10
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-08-19 00:00:00	230006456	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2009-04-01 00:00:00	2009-04-01 00:00:00	Yes	2009-09-22 00:00:00	2009-09-14 00:00:00	B	None	750	750	0	750	0	None	9EDZ11	N	CA00183918	C	SFY2009-10
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-08-19 00:00:00	230006457	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-06 00:00:00	2009-04-06 00:00:00	Yes	2009-09-10 00:00:00	2009-09-14 00:00:00	B	None	1000	1000	0	1000	0	None	9EDZ11	N	CA00183918	C	SFY2009-10
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-08-19 00:00:00	230006462	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2009-05-05 00:00:00	2009-05-05 00:00:00	Yes	2009-09-21 00:00:00	2009-09-03 00:00:00	B	B	500	325	0	325	0	None	1Q9R11	N	CA00187551	C	SFY2009-10
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-08-19 00:00:00	230006463	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-05 00:00:00	2009-05-05 00:00:00	Yes	2009-09-10 00:00:00	2009-09-03 00:00:00	B	B	1000	650	0	650	0	None	1Q9R11	N	CA00187551	C	SFY2009-10
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-08-20 00:00:00	230006473	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2009-05-16 00:00:00	2009-05-16 00:00:00	Yes	2009-09-11 00:00:00	2009-09-02 00:00:00	B	B	500	325	0	325	0	None	M6G611	N	CA00190267	C	SFY2009-10
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-08-24 00:00:00	230006489	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-15 00:00:00	2009-08-15 00:00:00	No	2009-09-15 00:00:00	None	B	None	1000	3000	0	3000	0	None	TCR611	N	CA00198685	C	SFY2009-10
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-09 00:00:00	230006521	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-02 00:00:00	2009-08-02 00:00:00	No	2009-10-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	O7YG11	N	CA00197170	C	SFY2009-10
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-08 00:00:00	230006538	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-05 00:00:00	2009-06-05 00:00:00	No	2009-10-02 00:00:00	None	B	None	500	500	-175	325	0	None	ND6811	N	CA00190655	A	SFY2009-10
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-09 00:00:00	230006539	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-26 00:00:00	2009-07-26 00:00:00	No	2009-10-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DKP211	Y	CA00196738	C	SFY2009-10
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-10 00:00:00	230006542	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-20 00:00:00	2009-07-20 00:00:00	No	2009-10-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	ILHJ11	N	CA00195699	C	SFY2009-10
230000227	SENECA DISTRICT HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-17 00:00:00	230006546	Closed	Citation	Citation B (HSC 1424)	Other	Flr to rprt/24	2009-08-11 00:00:00	2009-08-11 00:00:00	No	2009-10-08 00:00:00	None	B	None	500	500	0	500	0	None	VH4711	N	CA00198766	C	SFY2009-10
230000227	SENECA DISTRICT HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-17 00:00:00	230006547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-11 00:00:00	2009-08-11 00:00:00	No	2009-10-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	VH4711	N	CA00198766	C	SFY2009-10
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-22 00:00:00	230006553	Closed	Citation	Citation B (HSC 1424)	Other	Health & Safety 1418	2009-07-31 00:00:00	2009-07-31 00:00:00	No	2009-10-14 00:00:00	None	B	None	700	2100	-735	1365	0	None	H08H11	N	CA00200111	C	SFY2009-10
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-22 00:00:00	230006554	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-31 00:00:00	2009-07-31 00:00:00	No	2009-10-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	H08H11	N	CA00200111	C	SFY2009-10
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-29 00:00:00	230006586	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-01 00:00:00	2009-09-01 00:00:00	No	2009-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZM3N11	N	CA00200706, CA00200938	C, C	SFY2009-10
230000334	TAHOE FOREST HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-01 00:00:00	230006587	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-30 00:00:00	2009-08-30 00:00:00	No	2009-10-23 00:00:00	None	B	None	800	800	-280	520	0	None	H24011	N	CA00200282	C	SFY2009-10
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-06 00:00:00	230006590	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-15 00:00:00	2009-09-15 00:00:00	No	2009-10-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	3CCX11	N	CA00201939	A	SFY2009-10
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-14 00:00:00	230006606	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-04 00:00:00	2009-09-04 00:00:00	No	2009-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	MB5O11	N	CA00201683	B	SFY2009-10
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-14 00:00:00	230006607	Closed	Citation	Citation B (HSC 1424)	Other	HSC	2009-09-04 00:00:00	2009-09-04 00:00:00	No	2009-11-04 00:00:00	None	B	None	700	700	-245	455	0	None	MB5O11	N	CA00201683	B	SFY2009-10
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-15 00:00:00	230006610	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-29 00:00:00	2009-08-29 00:00:00	No	2009-11-05 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	N86411	N	CA00200271	C	SFY2009-10
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-15 00:00:00	230006619	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-31 00:00:00	2009-05-31 00:00:00	No	2009-11-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	WDZK11	N	CA00194743	C	SFY2009-10
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-21 00:00:00	230006640	Closed	Citation	Citation B (HSC 1424)	Other	HSC	2009-09-27 00:00:00	2009-09-27 00:00:00	No	2009-11-12 00:00:00	None	B	None	800	800	-280	520	0	None	RHT911	N	CA00203634	C	SFY2009-10
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-28 00:00:00	230006659	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-01 00:00:00	2009-09-01 00:00:00	Yes	2009-11-19 00:00:00	2009-11-16 00:00:00	B	B	1000	650	0	650	0	None	5R5F11	N	CA00200699	B	SFY2009-10
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-28 00:00:00	230006660	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2009-09-12 00:00:00	2009-09-12 00:00:00	No	2009-11-19 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	TTO611	N	None	None	SFY2009-10
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-30 00:00:00	230006669	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-10-13 00:00:00	2009-10-13 00:00:00	No	2009-11-23 00:00:00	None	B	None	500	1500	-525	975	0	None	0DHI11	N	CA00205333	B	SFY2009-10
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-30 00:00:00	230006670	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-15 00:00:00	2009-10-15 00:00:00	No	2009-11-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	0DHI11	N	CA00205333	B	SFY2009-10
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-12-08 00:00:00	230006745	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-10-24 00:00:00	2009-10-24 00:00:00	Yes	2009-12-30 00:00:00	2010-01-11 00:00:00	B	B	1000	650	0	650	0	None	XZ6W11	N	CA00206397	C	SFY2009-10
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-12-08 00:00:00	230006748	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-09-17 00:00:00	2009-09-17 00:00:00	No	2009-12-30 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	5GE211	N	CA00202951, CA00203549	D, C	SFY2009-10
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-12-08 00:00:00	230006749	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-17 00:00:00	2009-09-17 00:00:00	No	2009-12-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	5GE211	N	CA00202951, CA00203549	D, C	SFY2009-10
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2009-12-21 00:00:00	230006768	Closed	Citation	Citation B (HSC 1424)	Other	Health & Safety Code	2009-11-08 00:00:00	2009-11-08 00:00:00	No	2010-01-12 00:00:00	None	B	None	700	2100	-735	1365	0	None	0K5811	N	CA00207962	C	SFY2009-10
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-12-16 00:00:00	230006776	Closed	Citation	Citation B (HSC 1424)	Other	Health & Safety Code	2009-10-22 00:00:00	2009-10-22 00:00:00	No	2010-01-12 00:00:00	None	B	None	300	300	0	300	0	None	WK6T11	N	CA00209496	C	SFY2009-10
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-12-22 00:00:00	230006824	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-20 00:00:00	2009-05-20 00:00:00	No	2010-01-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	NSJJ11	N	CA00205600	D	SFY2009-10
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2009-12-22 00:00:00	230006829	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-11-26 00:00:00	2009-11-26 00:00:00	No	2010-01-14 00:00:00	None	B	None	1000	3000	0	3000	0	None	XAYF11	N	CA00209668	C	SFY2009-10
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-12-29 00:00:00	230006846	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-21 00:00:00	2009-10-21 00:00:00	No	2010-01-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	93WZ11	N	CA00205914	C	SFY2009-10
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2010-01-08 00:00:00	230006882	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-17 00:00:00	2009-10-17 00:00:00	No	2010-02-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	REK111	N	CA00205901	A	SFY2009-10
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2010-01-08 00:00:00	230006884	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-01 00:00:00	2009-12-01 00:00:00	No	2010-02-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	TYGV11	N	CA00210128	C	SFY2009-10
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-01-14 00:00:00	230006897	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-29 00:00:00	2009-11-29 00:00:00	No	2010-02-08 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	FGS811	N	CA00209688	C	SFY2009-10
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-01-21 00:00:00	230006926	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-01-05 00:00:00	2010-01-05 00:00:00	No	2010-02-11 00:00:00	None	B	None	1000	3000	0	3000	0	None	511E11	N	CA00213738	C	SFY2009-10
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2010-02-03 00:00:00	230006942	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-12-08 00:00:00	2009-12-08 00:00:00	No	2010-02-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	9TLU11	N	CA00210849, CA00210965, CA00211044	C, C, C	SFY2009-10
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2010-02-04 00:00:00	230006950	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2009-11-26 00:00:00	2009-11-26 00:00:00	No	2010-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	72PU11	N	CA00209745	C	SFY2009-10
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2010-02-04 00:00:00	230006952	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-03-24 00:00:00	2009-03-24 00:00:00	No	2010-02-25 00:00:00	None	AA	None	50000	50000	-17500	32500	0	None	YBV411	Y	CA00182739, CA00183154, CA00183466	C, C, C	SFY2009-10
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2010-02-04 00:00:00	230006964	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-01-04 00:00:00	2010-01-04 00:00:00	Yes	2010-02-25 00:00:00	2010-02-08 00:00:00	B	B	1000	1600	0	1600	0	None	35EE11	N	CA00213840	C	SFY2009-10
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2010-02-10 00:00:00	230006970	Closed	Citation	Citation B (HSC 1424)	Other	Health & Safety	2009-10-24 00:00:00	2009-10-24 00:00:00	No	2010-03-03 00:00:00	None	B	None	700	700	-245	455	0	None	FGSE11	N	CA00206550	C	SFY2009-10
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2010-02-10 00:00:00	230006979	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-24 00:00:00	2009-10-24 00:00:00	No	2010-03-03 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	FGSE11	N	CA00206550	C	SFY2009-10
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2010-02-11 00:00:00	230006986	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-24 00:00:00	2010-01-24 00:00:00	Yes	2010-03-04 00:00:00	2010-02-16 00:00:00	B	B	1000	1600	0	1600	0	None	GY1I11	N	CA00216400	C	SFY2009-10
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-06-22 00:00:00	230007016	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-12-16 00:00:00	2009-12-16 00:00:00	Yes	2010-07-13 00:00:00	2010-07-12 00:00:00	A	A	15000	5000	0	5000	0	None	OEUD11	N	CA00212107	C	SFY2009-10
230000578	GRANNY'S HOUSE - PLUMAS AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2010-03-11 00:00:00	230007034	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-12-24 00:00:00	2009-12-24 00:00:00	No	2010-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	6ZCH11	N	CA00212915	C	SFY2009-10
230000578	GRANNY'S HOUSE - PLUMAS AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2010-03-11 00:00:00	230007035	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-24 00:00:00	2009-12-24 00:00:00	Yes	2010-04-02 00:00:00	2010-03-23 00:00:00	B	B	1000	650	0	650	0	None	6ZCH11	N	CA00212915	C	SFY2009-10
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2010-03-25 00:00:00	230007056	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-12-15 00:00:00	2009-12-15 00:00:00	No	2010-04-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	O7ES11	N	CA00211754	C	SFY2009-10
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-02 00:00:00	230007084	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours abuse	2010-01-06 00:00:00	2010-01-06 00:00:00	No	2010-04-27 00:00:00	None	B	None	700	2100	-735	1365	0	None	U7RO11	N	CA00215046, CA00215283	C, C	SFY2009-10
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-02 00:00:00	230007085	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-01-06 00:00:00	2010-01-06 00:00:00	No	2010-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	U7RO11	N	CA00215046, CA00215283	C, C	SFY2009-10
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-06 00:00:00	230007098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-04 00:00:00	2010-01-04 00:00:00	No	2010-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	V81X11	N	CA00213768	C	SFY2009-10
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-21 00:00:00	230007125	Closed	Citation	Citation B (HSC 1424)	Other	Health and Safety	2010-03-08 00:00:00	2010-03-08 00:00:00	No	2010-05-12 00:00:00	None	B	None	800	800	0	800	0	None	914311	N	CA00221314	C	SFY2009-10
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-20 00:00:00	230007138	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-11-30 00:00:00	2009-11-30 00:00:00	Yes	2010-05-11 00:00:00	2010-05-03 00:00:00	B	B	1000	650	0	650	0	None	T1RZ11	N	CA00209946	C	SFY2009-10
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-21 00:00:00	230007139	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-08 00:00:00	2010-03-08 00:00:00	No	2010-05-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	914311	N	CA00221154	C	SFY2009-10
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-20 00:00:00	230007141	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-07 00:00:00	2009-12-07 00:00:00	No	2010-05-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	YHWR11	N	CA00210586	C	SFY2009-10
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-20 00:00:00	230007142	Closed	Citation	Citation B (HSC 1424)	Other	FTR W/IN 24 hours	2009-12-05 00:00:00	2009-12-05 00:00:00	No	2010-05-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	S3W411	N	CA00210492	C	SFY2009-10
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-20 00:00:00	230007144	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-02 00:00:00	2009-12-02 00:00:00	Yes	2010-05-11 00:00:00	2010-05-03 00:00:00	B	None	1000	1000	0	1000	0	None	5VNL11	N	CA00210385	C	SFY2009-10
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-28 00:00:00	230007172	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-03-09 00:00:00	2010-03-09 00:00:00	Yes	2010-05-19 00:00:00	2010-05-11 00:00:00	B	B	1000	900	0	900	0	None	1ZFW11	N	CA00220950	C	SFY2009-10
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2010-05-10 00:00:00	230007193	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-07 00:00:00	2010-04-07 00:00:00	Yes	2010-06-01 00:00:00	2010-05-17 00:00:00	B	B	1000	900	0	900	0	None	OMMR11	N	CA00224732	C	SFY2009-10
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-05-13 00:00:00	230007194	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-02-02 00:00:00	2010-02-02 00:00:00	No	2010-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	VVR511	N	CA00218133	B	SFY2009-10
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2010-05-20 00:00:00	230007201	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-01 00:00:00	2010-04-01 00:00:00	No	2010-06-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	EMZ811	N	CA00223978	C	SFY2009-10
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-05-14 00:00:00	230007205	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-02-06 00:00:00	2010-02-06 00:00:00	No	2010-06-07 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	RYN611	N	CA00218092	C	SFY2009-10
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-05-19 00:00:00	230007222	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-01 00:00:00	2010-04-01 00:00:00	Yes	2010-06-10 00:00:00	2010-06-01 00:00:00	B	None	1000	1000	0	1000	0	None	HSP211	N	CA00224069	C	SFY2009-10
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2010-06-01 00:00:00	230007250	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-18 00:00:00	2010-02-18 00:00:00	Yes	2010-06-22 00:00:00	2010-06-14 00:00:00	B	B	1000	900	0	900	0	None	O48C11	N	CA00218849	C	SFY2009-10
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2010-06-01 00:00:00	230007253	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-18 00:00:00	2010-02-18 00:00:00	Yes	2010-06-22 00:00:00	2010-06-14 00:00:00	B	B Trebled	1000	2700	0	2700	0	None	O48C11	N	CA00218845	C	SFY2009-10
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2010-06-03 00:00:00	230007274	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-19 00:00:00	2010-04-19 00:00:00	No	2010-06-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	3XWC11	N	CA00225990	C	SFY2009-10
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-06-14 00:00:00	230007305	Closed	Citation	Citation B (HSC 1424)	Other	Health and Safety	2010-03-11 00:00:00	2010-03-11 00:00:00	Yes	2010-07-05 00:00:00	2010-06-14 00:00:00	B	B Trebled	1000	1950	0	1950	0	None	H6RH11	N	CA00224679	C	SFY2009-10
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-02 00:00:00	230007333	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-04-27 00:00:00	2010-04-27 00:00:00	No	2010-07-23 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	HVGG11	N	CA00227421	C	SFY2010-11
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-02 00:00:00	230007334	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-03-22 00:00:00	2010-03-22 00:00:00	No	2010-07-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	HVGG11	N	CA00223272	C	SFY2010-11
230000282	SPRING HILL MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-01 00:00:00	230007340	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2010-05-14 00:00:00	2010-05-14 00:00:00	Yes	2014-03-12 00:00:00	2010-07-13 00:00:00	B	B	1000	1000	0	1000	0	None	UZDN11	N	CA00229115	C	SFY2010-11
230000282	SPRING HILL MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-01 00:00:00	230007342	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-13 00:00:00	2010-05-13 00:00:00	Yes	2014-03-12 00:00:00	2010-07-09 00:00:00	B	B	1000	1000	0	1000	0	None	UZDN11	N	CA00229115	C	SFY2010-11
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-06 00:00:00	230007344	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-05 00:00:00	2009-10-05 00:00:00	No	2010-07-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	F5S911	Y	CA00207991	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-13 00:00:00	230007365	Closed	Citation	Citation B (HSC 1424)	Other	FTR WITHIN 24 HOURS	2009-11-14 00:00:00	2009-11-14 00:00:00	No	2010-08-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y3Z611	N	CA00208996	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-13 00:00:00	230007366	Closed	Citation	Citation B (HSC 1424)	Other	FTR WITHIN 24 HOURS	2009-11-17 00:00:00	2009-11-17 00:00:00	No	2010-08-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y3Z611	N	CA00209157	C	SFY2010-11
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-14 00:00:00	230007367	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-17 00:00:00	2010-03-17 00:00:00	No	2010-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	FT0G11	N	CA00222318	C	SFY2010-11
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-14 00:00:00	230007368	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-17 00:00:00	2010-03-17 00:00:00	No	2010-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	FT0G11	N	CA00222799	C	SFY2010-11
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-14 00:00:00	230007369	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT ABUSE	2010-03-17 00:00:00	2010-03-17 00:00:00	No	2010-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	FT0G11	N	CA00222799	C	SFY2010-11
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-28 00:00:00	230007424	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-08 00:00:00	2010-04-08 00:00:00	No	2010-08-20 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	VURO11	N	CA00225045, CA00225046	C, C	SFY2010-11
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2010-08-02 00:00:00	230007425	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-20 00:00:00	2010-05-20 00:00:00	No	2010-08-23 00:00:00	None	B	None	1000	1200	0	1200	0	None	FO6311	N	CA00229704, CA00229707	C, C	SFY2010-11
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-10 00:00:00	230007482	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-05-12 04:00:00	2010-05-12 04:00:00	No	2011-03-04 00:00:00	None	FTR BR	None	2300	2300	-575	1725	0	None	Q6BC11	None	CA00231100	C	SFY2010-11
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-08-11 00:00:00	230007483	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-23 00:00:00	2010-07-23 00:00:00	No	2010-09-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	HDS911	N	CA00236783	B	SFY2010-11
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2010-08-25 00:00:00	230007490	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2010-05-22 00:00:00	2010-05-22 00:00:00	No	2010-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	RROG11	N	CA00231113	C	SFY2010-11
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-08-31 00:00:00	230007511	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-07 00:00:00	2010-07-07 00:00:00	Yes	2010-09-22 00:00:00	2010-09-13 00:00:00	B	B	1000	1950	0	1950	0	None	JI0H11	N	CA00237463	B	SFY2010-11
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2010-08-31 00:00:00	230007514	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-22 00:00:00	2010-06-22 00:00:00	Yes	2010-09-24 00:00:00	2010-09-03 00:00:00	B	B	1000	1600	0	1600	0	None	B9H311	N	CA00233299	B	SFY2010-11
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2010-08-31 00:00:00	230007526	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-24 00:00:00	2010-07-24 00:00:00	Yes	2010-09-24 00:00:00	2010-09-03 00:00:00	B	B	1000	1600	0	1600	0	None	1UY511	N	CA00236762	B	SFY2010-11
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-09-08 00:00:00	230007552	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-02 00:00:00	2010-06-02 00:00:00	No	2010-09-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	LHLS11	N	CA00231294	C	SFY2010-11
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2010-09-14 00:00:00	230007566	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-03-06 00:00:00	2010-03-06 00:00:00	No	2010-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	8DLE11	N	CA00223755	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-09-14 00:00:00	230007567	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-02-01 00:00:00	2010-02-01 00:00:00	No	2010-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z1ZE11	N	CA00238418	B	SFY2010-11
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-10-19 00:00:00	230007631	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-08-02 00:00:00	2010-08-02 00:00:00	No	2010-11-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	YER411	N	CA00237938	B	SFY2010-11
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2010-10-21 00:00:00	230007632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-13 00:00:00	2010-06-13 00:00:00	No	2010-11-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	XQV411	N	CA00233100	B	SFY2010-11
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-10-21 00:00:00	230007646	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-06-11 00:00:00	2010-06-11 00:00:00	No	2010-11-12 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	I0PK11	N	CA00233093	B	SFY2010-11
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-10-21 00:00:00	230007648	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2010-06-11 00:00:00	2010-06-11 00:00:00	No	2010-11-12 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	I0PK11	N	CA00233093	B	SFY2010-11
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-10-21 00:00:00	230007649	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-11 00:00:00	2010-06-11 00:00:00	Yes	2010-11-12 00:00:00	2010-10-29 00:00:00	B	B	1000	650	0	650	0	None	I0PK11	N	CA00233093	B	SFY2010-11
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2010-10-21 00:00:00	230007651	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-02 00:00:00	2010-07-02 00:00:00	No	2010-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZUYG11	N	CA00234919	B	SFY2010-11
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-10-28 00:00:00	230007676	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-08-21 00:00:00	2010-08-21 00:00:00	No	2010-11-19 00:00:00	None	B	None	750	750	0	750	0	None	JHKE11	N	CA00240196	B	SFY2010-11
230000424	COLUSA MEDICAL CENTER - SNF	LTC	SNF	Skilled Nursing Facility	Chico	2010-11-04 00:00:00	230007689	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-08-13 00:00:00	2010-08-13 00:00:00	No	2010-11-30 00:00:00	None	B	None	500	500	0	500	0	None	NMDT11	N	CA00241813	B	SFY2010-11
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-11-04 00:00:00	230007694	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-08 00:00:00	2010-08-08 00:00:00	No	2010-11-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	W15K11	N	CA00238966	B	SFY2010-11
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-11-04 00:00:00	230007695	Closed	Citation	Citation B (HSC 1424)	Other	Health and Safety	2010-08-08 00:00:00	2010-08-08 00:00:00	No	2010-11-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	W15K11	N	CA00238966	B	SFY2010-11
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-11-09 00:00:00	230007702	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-04-06 00:00:00	2010-04-06 00:00:00	Yes	2010-12-03 00:00:00	2010-11-18 00:00:00	A	A	20000	10000	0	10000	0	None	KLE111	N	CA00226466	C	SFY2010-11
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-11-18 00:00:00	230007715	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-05-28 00:00:00	2010-05-28 00:00:00	Yes	2010-12-13 00:00:00	2010-11-18 00:00:00	A	None	10000	10000	-3500	6500	0	None	DRTE11	N	CA00230906	C	SFY2010-11
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-11-22 00:00:00	230007723	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-10 00:00:00	2010-09-10 00:00:00	No	2010-12-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	ESB111	N	CA00242319	B	SFY2010-11
230000606	RCCA - RIVER OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2010-11-22 00:00:00	230007726	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-10 00:00:00	2010-10-10 00:00:00	Yes	2010-12-15 00:00:00	2010-11-23 00:00:00	B	B	500	250	0	250	0	None	W3H611	N	CA00245699	B	SFY2010-11
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-12-02 00:00:00	230007737	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-09-20 00:00:00	2010-09-20 00:00:00	No	2010-12-23 00:00:00	None	B	None	500	500	0	500	0	None	SLF111	N	CA00243647	B	SFY2010-11
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-12-02 00:00:00	230007740	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-09-30 00:00:00	2010-09-30 00:00:00	No	2010-12-23 00:00:00	None	B	None	300	900	0	900	0	None	8XWK11	N	CA00245283	B	SFY2010-11
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2010-12-09 00:00:00	230007759	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-26 00:00:00	2010-10-26 00:00:00	No	2010-12-30 00:00:00	None	B	None	800	800	-280	520	0	None	TL4K11	N	CA00247357	B	SFY2010-11
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2010-12-10 00:00:00	230007764	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-04-07 00:00:00	2010-04-07 00:00:00	No	2010-12-31 00:00:00	None	B	None	500	500	-175	325	0	None	M9B011	N	CA00231107	A	SFY2010-11
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2010-12-28 00:00:00	230007796	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-11 00:00:00	2010-11-11 00:00:00	No	2011-01-19 00:00:00	None	B	None	1000	1050	0	1050	0	None	VLGB11	N	CA00249236	B	SFY2010-11
230000028	RED BLUFF HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-01-26 00:00:00	230007798	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2010-01-11 00:00:00	2010-01-11 00:00:00	Yes	2013-03-08 00:00:00	2013-02-25 00:00:00	AP BR	None	100000	100000	0	0	100000	None	VBZR11	None	CA00217508	C	SFY2010-11
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2011-01-05 00:00:00	230007808	Closed	Citation	Citation B (HSC 1424)	Other	Health and Safety	2010-09-17 00:00:00	2010-09-17 00:00:00	Yes	2011-01-27 00:00:00	2011-01-10 00:00:00	B	B	500	500	0	500	0	None	KUS411	N	CA00248128	B	SFY2010-11
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2011-01-05 00:00:00	230007809	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-17 00:00:00	2010-09-17 00:00:00	Yes	2014-05-02 00:00:00	2011-01-10 00:00:00	B	B	800	800	0	800	0	None	KUS411	N	CA00248128	B	SFY2010-11
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2011-01-05 00:00:00	230007810	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-25 00:00:00	2010-11-25 00:00:00	Yes	2011-01-27 00:00:00	2011-01-05 00:00:00	B	B	1000	1000	0	1000	0	None	G5Z211	N	CA00250547, CA00250586	B, B	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007875	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-01-08 00:00:00	2010-01-08 00:00:00	Yes	2011-03-09 00:00:00	2011-03-29 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007876	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-02-10 00:00:00	2010-02-10 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007877	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-01-08 00:00:00	2010-01-08 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007878	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-01-25 00:00:00	2010-01-25 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007879	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2011-01-25 00:00:00	2011-01-25 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007880	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-01-27 00:00:00	2010-01-27 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007882	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-01-27 00:00:00	2010-01-27 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007883	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-02-01 00:00:00	2010-02-01 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007898	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-02-01 00:00:00	2010-02-01 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007901	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-02-01 00:00:00	2010-02-01 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007904	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-02-03 00:00:00	2010-02-03 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007905	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-02-03 00:00:00	2010-02-03 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007906	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2010-02-05 00:00:00	2010-02-05 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007907	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-01-08 00:00:00	2010-01-08 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-15 00:00:00	230007909	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-02-15 00:00:00	2010-02-15 00:00:00	Yes	2011-03-09 00:00:00	2011-03-09 00:00:00	B	B	1000	650	0	650	0	None	XKV411	N	CA00218833	C	SFY2010-11
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2011-03-08 00:00:00	230007997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-10 00:00:00	2010-11-10 00:00:00	No	2011-03-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	XZ6F11	N	CA00248915	B	SFY2010-11
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-03-09 00:00:00	230008000	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-11 00:00:00	2010-02-11 00:00:00	No	2011-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	NG6N11	N	CA00217884	C	SFY2010-11
230000780	MERAKEY - WILVERN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2011-03-22 00:00:00	230008041	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-27 00:00:00	2010-09-27 00:00:00	No	2011-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	8CWH11	N	CA00244635	B	SFY2010-11
230000719	NVDS, INC - WALKER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2011-03-22 00:00:00	230008049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-08 00:00:00	2010-12-08 00:00:00	No	2011-04-13 00:00:00	None	B	None	500	500	-175	325	0	None	D24L11	N	CA00251765	B	SFY2010-11
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2011-03-28 00:00:00	230008065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-30 00:00:00	2010-12-30 00:00:00	Yes	2011-04-19 00:00:00	2011-03-30 00:00:00	B	B	1000	1600	0	1600	0	None	7N3P11	N	CA00254053	B	SFY2010-11
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-08 00:00:00	230008098	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-02-04 00:00:00	2011-02-04 00:00:00	No	2011-04-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	QEQO11	N	CA00261392	B	SFY2010-11
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-08 00:00:00	230008099	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-11-06 00:00:00	2010-11-06 00:00:00	No	2011-04-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	W4QP11	N	CA00250479	B	SFY2010-11
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-08 00:00:00	230008100	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-16 00:00:00	2010-11-16 00:00:00	No	2011-04-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	W4QP11	N	CA00250479	B	SFY2010-11
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-08 00:00:00	230008101	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-02 00:00:00	2010-12-02 00:00:00	No	2011-04-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	W4QP11	N	CA00251182	B	SFY2010-11
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-07 00:00:00	230008120	Closed	Citation	Citation B (HSC 1424)	Other	FTR	2011-02-25 00:00:00	2011-02-25 00:00:00	No	2011-04-28 00:00:00	None	B	None	800	800	0	800	0	None	09IO11	N	CA00261005	B	SFY2010-11
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-07 00:00:00	230008121	Closed	Citation	Citation B (HSC 1424)	Other	FTR Timely	2011-01-06 00:00:00	2011-01-06 00:00:00	No	2011-04-28 00:00:00	None	B	None	500	850	0	850	0	None	Q61D11	N	CA00258123	B	SFY2010-11
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-07 00:00:00	230008122	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-01-06 00:00:00	2011-01-06 00:00:00	No	2011-04-28 00:00:00	None	B	None	800	1150	0	1150	0	None	Q61D11	N	CA00258123	B	SFY2010-11
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-13 00:00:00	230008128	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2010-11-11 00:00:00	2010-11-11 00:00:00	Yes	2014-05-05 00:00:00	2014-04-16 00:00:00	B	Drop>Deficiency	1000	0	0	0	0	None	2BH211	N	CA00249631	B	SFY2010-11
230000546	CALIFORNIA PARK REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-13 00:00:00	230008129	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-11 00:00:00	2010-11-11 00:00:00	Yes	2014-05-05 00:00:00	2014-04-16 00:00:00	B	B	1000	1000	0	1000	0	None	2BH211	N	CA00249631	B	SFY2010-11
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-12 00:00:00	230008132	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-07 00:00:00	2010-11-07 00:00:00	No	2011-05-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	GWYU11	N	CA00248735	B	SFY2010-11
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-20 00:00:00	230008162	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-08-14 00:00:00	2010-08-14 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	UE4Y11	N	CA00239437	B	SFY2010-11
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-19 00:00:00	230008163	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-26 00:00:00	2011-02-26 00:00:00	No	2011-05-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	PGE411	N	CA00260624	B	SFY2010-11
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-20 00:00:00	230008164	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-03 00:00:00	2011-02-03 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	DZVG11	N	CA00257905	B	SFY2010-11
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-20 00:00:00	230008166	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-08 00:00:00	2010-07-08 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	0P3S11	N	CA00235157	B	SFY2010-11
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-21 00:00:00	230008170	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-13 00:00:00	2010-04-13 00:00:00	No	2011-05-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	P6DM12	N	CA00234285	B	SFY2010-11
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-26 00:00:00	230008191	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-15 00:00:00	2009-02-15 00:00:00	Yes	2011-05-17 00:00:00	2011-04-29 00:00:00	B	B	1000	650	0	650	0	None	4Q7J11	N	CA00236038	B	SFY2010-11
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-26 00:00:00	230008193	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-02 00:00:00	2010-09-02 00:00:00	Yes	2011-05-17 00:00:00	2011-04-29 00:00:00	B	B	1000	650	0	650	0	None	50WN11	N	CA00246080	C	SFY2010-11
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2011-05-25 00:00:00	230008269	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-16 00:00:00	2010-07-16 00:00:00	No	2011-06-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	FC4311	N	CA00237101	C	SFY2010-11
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2011-06-14 00:00:00	230008300	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Report	2011-04-22 00:00:00	2011-04-22 00:00:00	No	2011-07-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z7RK11	N	CA00267340	B	SFY2010-11
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-06-14 00:00:00	230008301	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-01-28 00:00:00	2011-01-28 00:00:00	No	2011-07-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	H8LW11	N	CA00260442	B	SFY2010-11
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-06-14 00:00:00	230008302	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-02-23 00:00:00	2011-02-23 00:00:00	No	2011-07-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	H8LW11	N	CA00260442, CA00260463	B, B	SFY2010-11
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-06-29 00:00:00	230008331	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-13 00:00:00	2011-05-13 00:00:00	No	2011-07-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	3VOK11	N	CA00269325	B	SFY2010-11
230000560	RCCA - AUGUSTA LANE #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2011-07-07 00:00:00	230008334	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-05-22 00:00:00	2011-05-22 00:00:00	Yes	2011-07-28 00:00:00	2011-07-19 00:00:00	B	B	1000	500	0	500	0	None	H3EO11	N	CA00270189	B	SFY2011-12
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-06-30 00:00:00	230008336	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-21 00:00:00	2011-04-21 00:00:00	No	2011-07-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	KOD011	N	CA00267142	B	SFY2010-11
230000560	RCCA - AUGUSTA LANE #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2011-07-07 00:00:00	230008341	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-05-26 00:00:00	2011-05-26 00:00:00	Yes	2011-07-28 00:00:00	2011-07-19 00:00:00	B	B	1000	500	0	500	0	None	H3EO11	N	CA00270189	B	SFY2011-12
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-07-06 00:00:00	230008352	Closed	Citation	Citation B (HSC 1424)	Other	Reporting	2011-05-09 00:00:00	2011-05-09 00:00:00	No	2011-07-27 00:00:00	None	B	None	500	500	-175	325	0	None	I8Z311	N	CA00269051	B	SFY2011-12
230000621	ARVALO HOME - RIVERPARK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2011-07-07 00:00:00	230008353	Closed	Citation	Citation B (HSC 1424)	Other	Health and Safety	2011-04-09 00:00:00	2011-04-09 00:00:00	No	2011-07-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	7RZI11	N	CA00265410	B	SFY2011-12
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-08-11 00:00:00	230008441	Closed	Citation	Citation B (HSC 1424)	Other	Health & Safety	2010-12-15 00:00:00	2010-12-15 00:00:00	No	2011-09-01 00:00:00	None	B	None	800	800	0	800	0	None	ZG5I11	N	CA00257935	B	SFY2011-12
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-08-30 00:00:00	230008450	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-07-11 10:00:00	2011-07-11 10:00:00	No	2011-09-21 00:00:00	None	FTR RES	None	400	400	-100	300	0	None	Q5ZI11	None	CA00276366	E	SFY2011-12
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-08-23 00:00:00	230008497	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-15 00:00:00	2011-06-15 00:00:00	No	2011-09-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	134711	N	CA00273380	B	SFY2011-12
230000392	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2011-08-24 00:00:00	230008498	Closed	Citation	Citation B (HSC 1424)	Other	ftr within 24 hrs	2011-01-01 00:00:00	2011-01-01 00:00:00	No	2011-09-14 00:00:00	None	B	None	500	500	-175	325	0	None	LL2P11	N	CA00274647	B	SFY2011-12
230000616	OSTERMAN'S FACILITY #2, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2011-08-24 00:00:00	230008504	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-06-11 00:00:00	2011-06-11 00:00:00	No	2011-09-14 00:00:00	None	B	None	500	500	-175	325	0	None	054R11	N	CA00274667	B	SFY2011-12
230000760	MERAKEY - CIRRUS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2011-09-01 00:00:00	230008507	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-04-14 00:00:00	2011-04-14 00:00:00	No	2011-09-23 00:00:00	None	B	None	500	500	-175	325	0	None	JSX311	N	CA00266209	B	SFY2011-12
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2011-09-02 00:00:00	230008508	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-24 00:00:00	2011-02-24 00:00:00	No	2011-09-26 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	DJ7O11	N	CA00260510	B	SFY2011-12
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2011-09-02 00:00:00	230008510	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-06-01 00:00:00	2011-06-01 00:00:00	No	2011-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	41NX11	N	CA00271582	B	SFY2011-12
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-09-06 00:00:00	230008533	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-02-23 00:00:00	2011-02-23 00:00:00	No	2011-09-28 00:00:00	None	B	None	1000	1150	-350	800	0	None	4BDE11	N	CA00263530	B	SFY2011-12
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-09-15 00:00:00	230008554	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-05-22 00:00:00	2011-05-22 00:00:00	No	2011-10-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	GNGK11	N	CA00270116, CA00271273	B, B	SFY2011-12
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-09-21 00:00:00	230008564	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2011-02-08 00:00:00	2011-02-08 00:00:00	Yes	2011-10-12 00:00:00	2011-10-04 00:00:00	AA	AA	75000	65000	0	65000	0	None	0NIH11	Y	CA00258504	B	SFY2011-12
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-09-20 00:00:00	230008569	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-08-18 00:00:00	2011-08-18 00:00:00	No	2011-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	BJHQ11	N	CA00280151	B	SFY2011-12
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-09-20 00:00:00	230008571	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-21 00:00:00	2010-10-21 00:00:00	No	2011-10-11 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	1R6H11	N	CA00248750	B	SFY2011-12
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2011-09-22 00:00:00	230008579	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-16 00:00:00	2011-07-16 00:00:00	No	2011-10-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	LSBY11	N	CA00276765	B	SFY2011-12
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2011-09-22 00:00:00	230008580	Closed	Citation	Citation B (HSC 1424)	Other	failure to report	2011-07-16 00:00:00	2011-07-16 00:00:00	No	2011-10-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	LSBY11	N	CA00276765	B	SFY2011-12
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-10-10 00:00:00	230008606	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-26 00:00:00	2011-08-26 00:00:00	Yes	2011-10-31 00:00:00	2011-10-24 00:00:00	B	B	1000	650	0	650	0	None	F6S711	N	CA00281348	A	SFY2011-12
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-10-10 00:00:00	230008616	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2011-06-20 00:00:00	2011-06-20 00:00:00	No	2011-10-31 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	3XOQ11	N	CA00274711	B	SFY2011-12
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-10-14 00:00:00	230008635	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-08 00:00:00	2011-09-08 00:00:00	No	2011-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	69S911	N	CA00282818	B	SFY2011-12
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2011-10-12 00:00:00	230008638	Closed	Citation	Citation B (HSC 1424)	Other	Policies/Procedures	2011-09-02 00:00:00	2011-09-02 00:00:00	No	2011-11-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	EKZK11	N	CA00284199	B	SFY2011-12
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-10-20 00:00:00	230008640	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-08 00:00:00	2011-08-08 00:00:00	No	2011-11-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	99IH11	N	CA00281363	B	SFY2011-12
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2011-10-18 00:00:00	230008641	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2011-07-09 00:00:00	2011-07-09 00:00:00	No	2011-11-08 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	VI1A11	N	CA00276374	B	SFY2011-12
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-11-07 00:00:00	230008693	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-05 00:00:00	2011-01-05 00:00:00	Yes	2011-12-01 00:00:00	2011-11-10 00:00:00	B	B	1000	650	0	650	0	None	WCWB11	N	CA00278690	B	SFY2011-12
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-11-29 00:00:00	230008701	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-04 00:00:00	2011-10-04 00:00:00	Yes	2011-12-20 00:00:00	2011-11-29 00:00:00	B	B	1000	650	0	650	0	None	FPOH11	N	CA00285697	A	SFY2011-12
230000035	QUINCY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-12-21 00:00:00	230008702	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-06 00:00:00	2011-10-06 00:00:00	Yes	2012-01-13 00:00:00	2012-01-11 00:00:00	B	B	800	400	0	400	0	None	GJ5C11	N	CA00286060	B	SFY2011-12
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-11-30 00:00:00	230008704	Closed	Citation	Citation B (HSC 1424)	Other	Health & Safety	2011-09-19 00:00:00	2011-09-19 00:00:00	No	2011-12-21 00:00:00	None	B	None	100	100	0	100	0	None	PVGH11	N	CA00284921	B	SFY2011-12
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-11-20 00:00:00	230008706	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-17 00:00:00	2011-08-17 00:00:00	No	2012-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Y0YI11	N	CA00279441, CA00281149	B, B	SFY2012-13
230000780	MERAKEY - WILVERN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2011-11-21 00:00:00	230008707	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-08-27 00:00:00	2011-08-27 00:00:00	Yes	2011-12-14 00:00:00	2011-11-21 00:00:00	B	B	1000	650	0	650	0	None	5ROW11	N	CA00281744	B	SFY2011-12
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-06-19 00:00:00	230008708	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-06 00:00:00	2011-03-06 00:00:00	No	2012-07-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	F0NN11	N	CA00262413	B	SFY2011-12
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-03-28 00:00:00	230008710	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-04 00:00:00	2011-04-04 00:00:00	No	2012-04-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	93NO11	N	CA00264778, CA00264921	B, B	SFY2011-12
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2011-12-21 00:00:00	230008749	Closed	Citation	Citation B (HSC 1424)	Other	failure to report	2011-10-31 00:00:00	2011-10-31 00:00:00	No	2012-01-13 00:00:00	None	B	None	300	900	0	900	0	None	9EJG11	N	CA00286700	B	SFY2011-12
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2011-11-30 00:00:00	230008750	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-02 00:00:00	2011-11-02 00:00:00	No	2011-12-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	H1J211	N	CA00288792	B	SFY2011-12
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2011-12-06 00:00:00	230008785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-07 00:00:00	2011-08-07 00:00:00	No	2011-12-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	EX7F11	N	CA00279283	B	SFY2011-12
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-03-27 00:00:00	230008810	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-05 00:00:00	2011-12-05 00:00:00	No	2012-04-17 00:00:00	None	B	None	1500	1500	-525	975	0	None	E7T211	N	CA00291862	B	SFY2011-12
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-23 00:00:00	230008862	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-12-01 00:00:00	2011-12-01 00:00:00	No	2012-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H7LI11	N	CA00292969	B	SFY2012-13
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2012-04-19 00:00:00	230008886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-20 00:00:00	2011-08-20 00:00:00	Yes	2012-05-10 00:00:00	2012-04-23 00:00:00	B	B	1000	650	0	650	0	None	24ZF11	N	CA00294488	B	SFY2011-12
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-01-20 00:00:00	230008912	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-17 00:00:00	2011-11-17 00:00:00	No	2012-02-10 00:00:00	None	B	None	500	500	-175	325	0	None	2DL611	N	CA00290232	B	SFY2011-12
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-05-17 00:00:00	230008963	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-12-18 00:00:00	2011-12-18 00:00:00	No	2012-06-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	NBTM11	N	CA00293491	B	SFY2011-12
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-02-08 00:00:00	230008965	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2011-10-07 00:00:00	2011-10-07 00:00:00	No	2012-03-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	1LZQ11	N	CA00286760	B	SFY2011-12
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-02-08 00:00:00	230008970	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-07 00:00:00	2011-10-07 00:00:00	No	2012-03-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	1LZQ11	N	CA00286760	B	SFY2011-12
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-02-14 00:00:00	230008979	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2012-01-08 00:00:00	2012-01-08 00:00:00	No	2012-03-07 00:00:00	None	B	None	500	500	-175	325	0	None	NZIP11	N	CA00295548	B	SFY2011-12
230000351	COPPER RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-03-16 00:00:00	230008989	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-17 00:00:00	2012-01-17 00:00:00	Yes	2012-04-06 00:00:00	2012-04-06 00:00:00	B	B	1000	650	0	650	0	None	O8BN11	N	CA00297517	A	SFY2011-12
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2012-05-17 00:00:00	230008993	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-12-11 00:00:00	2011-12-11 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	EKOL11	None	CA00292648, CA00292959	B, B	SFY2011-12
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-04-25 00:00:00	230009003	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-02-03 00:00:00	2012-02-03 00:00:00	No	2012-05-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	T2OF11	N	CA00298797	A	SFY2011-12
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2012-05-24 00:00:00	230009004	Closed	Citation	Citation B (HSC 1424)	Other	Health & Safety	2011-12-09 00:00:00	2011-12-09 00:00:00	Yes	2012-06-15 00:00:00	2012-06-01 00:00:00	B	B	1000	500	0	500	0	None	VBCI11	N	CA00293258	B	SFY2011-12
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-02-24 00:00:00	230009006	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-29 00:00:00	2011-11-29 00:00:00	No	2012-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	39X811	N	CA00291314	B	SFY2011-12
230000626	OSTERMAN'S FACILITY #1, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2012-03-01 00:00:00	230009020	Closed	Citation	Citation B (HSC 1424)	Other	Health & Safety	2012-01-27 00:00:00	2012-01-27 00:00:00	No	2012-03-22 00:00:00	None	B	None	500	500	-175	325	0	None	GMNC11	N	CA00297711	B	SFY2011-12
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-04-04 00:00:00	230009021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-13 00:00:00	2011-12-13 00:00:00	No	2012-04-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	4W3Q11	N	CA00292764	B	SFY2011-12
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-02-24 00:00:00	230009034	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-12 00:00:00	2011-09-12 00:00:00	No	2012-03-16 00:00:00	None	B	None	1000	1350	0	1350	0	None	IOV311	N	CA00283204	B	SFY2011-12
230000761	GRANNY'S HOUSE - MAGNOLIA ROAD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2012-04-19 00:00:00	230009038	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-13 00:00:00	2012-01-13 00:00:00	No	2012-05-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	YJ3Z11	N	CA00296495	B	SFY2011-12
230000626	OSTERMAN'S FACILITY #1, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2012-03-01 00:00:00	230009058	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-01-27 00:00:00	2012-01-27 00:00:00	No	2012-03-22 00:00:00	None	B	None	500	500	-175	325	0	None	GMNC11	N	None	None	SFY2011-12
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-03-02 00:00:00	230009063	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-26 00:00:00	2011-10-26 00:00:00	No	2012-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	6CHI11	N	CA00288063	B	SFY2011-12
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2012-05-24 00:00:00	230009071	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-09 00:00:00	2011-12-09 00:00:00	Yes	2012-06-15 00:00:00	2012-06-01 00:00:00	B	B	1000	500	0	500	0	None	VBCI11	N	CA00293258	B	SFY2011-12
230000680	MERAKEY - OAK MESA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2012-05-21 00:00:00	230009088	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-02-21 00:00:00	2012-02-21 00:00:00	No	2012-06-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	PIM311	N	CA00300468	B	SFY2011-12
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-03-14 00:00:00	230009110	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2011-11-19 00:00:00	2011-11-19 00:00:00	No	2012-04-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	JI7G11	N	CA00290547	B	SFY2011-12
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-03-14 00:00:00	230009112	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-19 00:00:00	2011-11-19 00:00:00	No	2012-04-04 00:00:00	None	B	None	500	500	-175	325	0	None	JI7G11	N	CA00290547	B	SFY2011-12
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-03-15 00:00:00	230009116	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-14 00:00:00	2011-08-14 00:00:00	No	2012-04-05 00:00:00	None	B	None	500	500	-175	325	0	None	Z6QJ11	N	CA00280009	B	SFY2011-12
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-23 00:00:00	230009130	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-12-01 00:00:00	2011-12-01 00:00:00	No	2012-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H7LI11	N	CA00292157	B	SFY2012-13
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-23 00:00:00	230009131	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-23 00:00:00	2011-11-23 00:00:00	No	2012-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H7LI11	N	CA00292157	B	SFY2012-13
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-23 00:00:00	230009132	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-28 00:00:00	2011-11-28 00:00:00	No	2012-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H7LI11	N	CA00292157	B	SFY2012-13
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2012-04-25 00:00:00	230009133	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-12 00:00:00	2011-02-12 00:00:00	No	2012-05-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	ERRL11	N	CA00299258	B	SFY2011-12
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-03-27 00:00:00	230009174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-05 00:00:00	2011-11-05 00:00:00	No	2012-04-17 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	OYYB11	N	CA00288999	B	SFY2011-12
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-04-05 00:00:00	230009200	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-21 00:00:00	2011-10-21 00:00:00	No	2012-04-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	4IVI11	N	CA00287298, CA00287471	B, B	SFY2011-12
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-04-04 00:00:00	230009201	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-12-25 00:00:00	2011-12-25 00:00:00	No	2012-04-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z9D411	N	CA00298582	B	SFY2011-12
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-04-10 00:00:00	230009206	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-12 00:00:00	2012-02-12 00:00:00	No	2012-05-01 00:00:00	None	B	B	1000	650	0	650	0	None	O6L311	N	CA00299597	A	SFY2011-12
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2014-01-17 00:00:00	230009209	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-02-07 00:00:00	2012-02-07 00:00:00	No	2014-02-10 00:00:00	None	A	None	10000	10000	0	10000	0	None	KCBM11	N	CA00300862	B	SFY2013-14
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-06-07 00:00:00	230009230	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2012-04-12 00:00:00	2012-04-12 00:00:00	No	2012-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZBRU11	N	CA00306574	A	SFY2011-12
230000606	RCCA - RIVER OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2012-05-23 00:00:00	230009233	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-03-10 00:00:00	2012-03-10 00:00:00	No	2012-06-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	0XZG11	N	CA00302831	B	SFY2011-12
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-05-24 00:00:00	230009241	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-05-28 00:00:00	2011-05-28 00:00:00	No	2012-06-15 00:00:00	None	B	None	1000	3050	-1050	2000	0	None	ZDTM11	N	CA00305396	B	SFY2011-12
230000578	GRANNY'S HOUSE - PLUMAS AVENUE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2012-08-16 00:00:00	230009246	Closed	Citation	Citation B (HSC 1424)	Other	Developmental Prog. Serv.	2012-03-08 00:00:00	2012-03-08 00:00:00	No	2012-09-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	671U11	N	CA00303500	B	SFY2012-13
230000633	MERAKEY - TOM POLK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2012-05-16 00:00:00	230009247	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-05-24 00:00:00	2010-05-24 00:00:00	Yes	2012-06-07 00:00:00	2012-09-17 00:00:00	A	None	5000	5050	0	5050	0	None	8DYS11	N	CA00229979, CA00230307, CA00245803	C, C, B	SFY2011-12
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-06-07 00:00:00	230009248	Closed	Citation	Citation B (HSC 1424)	Other	Unnecessary Meds	2012-03-11 00:00:00	2012-03-11 00:00:00	No	2012-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	ENCO11	N	CA00302798	B	SFY2011-12
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-02-20 00:00:00	230009272	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-09 00:00:00	2011-11-09 00:00:00	No	2014-03-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UEHJ11	N	CA00289507	B	SFY2013-14
230000504	VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-05-17 00:00:00	230009273	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-22 00:00:00	2012-03-22 00:00:00	No	2012-06-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	GBXP11	N	CA00304439	B	SFY2011-12
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-11-20 00:00:00	230009274	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-12 00:00:00	2012-04-12 00:00:00	No	2012-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D84K11	N	CA00306804	B	SFY2012-13
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-11-20 00:00:00	230009275	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-04-22 00:00:00	2012-04-22 00:00:00	No	2012-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D84K11	N	CA00307861	B	SFY2012-13
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-05-24 00:00:00	230009276	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-03-16 00:00:00	2012-03-16 00:00:00	No	2012-06-15 00:00:00	None	B	None	1000	1050	0	1050	0	None	ZDTM11	N	CA00306410	B	SFY2011-12
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2014-02-13 00:00:00	230009299	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-10 00:00:00	2012-03-10 00:00:00	No	2014-03-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	P6GM11	N	CA00302717	B	SFY2013-14
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-05-16 00:00:00	230009304	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-15 00:00:00	2011-11-15 00:00:00	No	2012-06-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y95G11	N	CA00290080	B	SFY2011-12
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-15 00:00:00	230009305	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-09 00:00:00	2012-03-09 00:00:00	No	2012-11-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	5E7011	N	CA00303278	B	SFY2012-13
230000468	MERAKEY - VALENTINE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2012-05-24 00:00:00	230009307	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-01-09 00:00:00	2012-01-09 00:00:00	No	2012-06-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	FFM211	N	CA00295605	B	SFY2011-12
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-07-06 00:00:00	230009326	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-04-28 00:00:00	2012-04-28 00:00:00	No	2012-07-27 00:00:00	None	B	None	500	500	0	500	0	None	U6OD11	N	CA00308696	B	SFY2012-13
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-02-19 00:00:00	230009327	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-05-08 00:00:00	2012-05-08 00:00:00	No	2014-03-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	ZIZL11	N	CA00309783, CA00310353	B, B	SFY2013-14
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-02-20 00:00:00	230009329	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-11 00:00:00	2011-11-11 00:00:00	No	2014-03-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UEHJ11	N	CA00289507	B	SFY2013-14
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2013-04-17 00:00:00	230009330	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-16 00:00:00	2011-11-16 00:00:00	No	2013-05-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	79NU11	N	CA00290173	B	SFY2012-13
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-11-20 00:00:00	230009340	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-04-25 00:00:00	2012-04-25 00:00:00	No	2012-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	K4KN11	N	CA00309178	B	SFY2012-13
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-07-06 00:00:00	230009369	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-03-17 00:00:00	2012-03-17 00:00:00	No	2012-07-27 00:00:00	None	B	None	500	500	0	500	0	None	F5KB11	N	CA00303424	B	SFY2012-13
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-16 00:00:00	230009377	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-21 00:00:00	2012-04-21 00:00:00	No	2012-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	2J5211	N	CA00307847, CA00307855	B, B	SFY2012-13
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-07-05 00:00:00	230009382	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-03-21 00:00:00	2012-03-21 00:00:00	No	2012-07-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	B88711	N	CA00304033, CA00304038	B, B	SFY2012-13
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2013-12-13 00:00:00	230009387	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2012-03-30 00:00:00	2012-03-30 00:00:00	No	2014-01-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	IXOQ11	N	CA00313528	A	SFY2013-14
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-11-20 00:00:00	230009391	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-14 00:00:00	2011-09-14 00:00:00	No	2012-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	F6JK11	Y	CA00288081	B	SFY2012-13
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2013-04-08 00:00:00	230009415	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-13 00:00:00	2011-05-13 00:00:00	No	2013-04-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RGUM11	N	CA00306901	B	SFY2012-13
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2013-04-17 00:00:00	230009421	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-19 00:00:00	2011-11-19 00:00:00	No	2013-05-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	79NU11	N	CA00290173	B	SFY2012-13
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-09-11 00:00:00	230009426	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hrs.	2012-07-07 00:00:00	2012-07-07 00:00:00	No	2012-10-02 00:00:00	None	B	None	300	300	-105	195	0	None	Q26N11	N	CA00317059	C	SFY2012-13
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2014-03-05 00:00:00	230009465	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2012-03-09 00:00:00	2012-03-09 00:00:00	No	2014-03-26 00:00:00	None	AA	None	50000	50000	-17500	32500	0	None	ILGC11	Y	CA00311703	B	SFY2013-14
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-01-24 00:00:00	230009466	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-06 00:00:00	2011-12-06 00:00:00	Yes	2014-02-14 00:00:00	2014-02-11 00:00:00	B	None	2000	2000	0	0	2000	None	WWV811	N	CA00306877	B	SFY2013-14
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-23 00:00:00	230009521	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-06 00:00:00	2012-06-06 00:00:00	No	2012-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4QUO11	N	CA00314162, CA00317481	D, B	SFY2012-13
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2013-05-07 00:00:00	230009534	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-07-30 00:00:00	2012-07-30 00:00:00	No	2013-05-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	M2QC11	N	CA00319832	B	SFY2012-13
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2013-04-26 00:00:00	230009575	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-08 00:00:00	2012-08-08 00:00:00	No	2013-05-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LU3011	N	CA00321349	B	SFY2012-13
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2014-02-13 00:00:00	230009581	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-10-30 00:00:00	2012-10-30 00:00:00	Yes	2014-03-07 00:00:00	2014-08-01 00:00:00	A	None	10000	10000	0	10000	0	None	P6GM11	N	CA00331431	A	SFY2013-14
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-11-20 00:00:00	230009587	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-01-21 00:00:00	2012-01-21 00:00:00	No	2012-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JVBH11	N	CA00300805, CA00301974	A, B	SFY2012-13
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2013-04-29 00:00:00	230009590	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-26 00:00:00	2012-10-26 00:00:00	Yes	2013-05-20 00:00:00	2013-04-29 00:00:00	B	None	1000	1000	0	1000	0	None	JB9P11	N	CA00331247	B	SFY2012-13
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-11-20 00:00:00	230009595	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-04-25 00:00:00	2012-04-25 00:00:00	No	2012-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	K4KN11	N	CA00309178	B	SFY2012-13
230000605	RCCA - WHITE OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2014-03-21 00:00:00	230009597	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2012-08-08 00:00:00	2012-08-08 00:00:00	No	2014-04-14 00:00:00	None	B	None	1000	2100	0	2100	0	None	9D2211	N	CA00322199	D	SFY2013-14
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-03-28 00:00:00	230009692	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-12-30 00:00:00	2012-12-30 00:00:00	No	2014-04-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WWW911	N	CA00338033	B	SFY2013-14
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2013-12-17 00:00:00	230009704	Closed	Citation	Citation B (HSC 1424)	Other	Neglect	2013-01-04 00:00:00	2013-01-04 00:00:00	No	2014-01-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	YLG311	N	CA00339332	B	SFY2013-14
230000024	REDDING POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-01-16 00:00:00	230009706	Closed	Citation	Citation A (HSC 1424)	Medication	None	2012-09-18 00:00:00	2012-09-18 00:00:00	No	2014-02-07 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	I4SO11	N	CA00326573	B	SFY2013-14
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2013-02-20 00:00:00	230009708	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-09 00:00:00	2011-09-09 00:00:00	Yes	2013-03-13 00:00:00	2013-03-15 00:00:00	A	A	10000	8000	-8000	0	0	None	N2HZ11	N	CA00282927	B	SFY2012-13
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-01-31 00:00:00	230009805	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-03-08 00:00:00	2013-03-08 00:00:00	No	2014-02-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	WWV812	N	CA00306877	B	SFY2013-14
230000327	GRIDLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-01-24 00:00:00	230009977	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-06-21 00:00:00	2013-06-21 00:00:00	No	2014-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KM4S11	N	CA00358220	B	SFY2013-14
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2013-07-09 00:00:00	230010002	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Abuse	2012-07-19 00:00:00	2012-07-19 00:00:00	No	2013-07-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	CI2111	N	CA00318845	D	SFY2013-14
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2014-02-13 00:00:00	230010058	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-11-06 00:00:00	2012-11-06 00:00:00	No	2014-03-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	P6GM11	N	CA00332303	C	SFY2013-14
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2014-02-13 00:00:00	230010059	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-27 00:00:00	2012-02-27 00:00:00	No	2014-03-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	OCKX11	N	CA00323980	B	SFY2013-14
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-01-28 00:00:00	230010118	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-06-05 00:00:00	2013-06-05 00:00:00	No	2014-02-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	WGNQ11	N	CA00357614	B	SFY2013-14
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2014-03-14 00:00:00	230010144	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-11-09 00:00:00	2012-11-09 00:00:00	No	2014-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PLMT11	N	CA00342556	B	SFY2013-14
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2015-03-19 00:00:00	230010145	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-02-02 00:00:00	2013-02-02 00:00:00	No	2015-04-10 00:00:00	None	A	None	10000	10000	0	10000	0	None	PLMT11	N	CA00342556	B	SFY2014-15
230000563	RCCA AUGUSTA LANE #1	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2014-04-11 00:00:00	230010231	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	XIWF11	N	CA00371666	C	SFY2013-14
230000197	TRINITY HOSPITAL SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Chico	2014-02-20 00:00:00	230010245	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-10-07 00:00:00	2013-10-07 00:00:00	No	2014-03-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	FRLZ11	N	CA00372557	B	SFY2013-14
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2016-04-22 00:00:00	230010255	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-04-19 00:00:00	2013-04-19 00:00:00	Yes	2016-05-13 00:00:00	2016-05-09 00:00:00	A	A	10000	7500	0	7500	0	None	VLRQ11	N	CA00352043	B	SFY2015-16
230000560	RCCA - AUGUSTA LANE #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2014-01-14 00:00:00	230010284	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-03-06 00:00:00	2013-03-06 00:00:00	No	2014-02-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	0B4611	N	CA00346208	B	SFY2013-14
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2014-03-05 00:00:00	230010288	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-11-12 00:00:00	2013-11-12 00:00:00	No	2014-03-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZKE611	N	CA00376899	B	SFY2013-14
230000606	RCCA - RIVER OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2014-02-28 00:00:00	230010318	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-09-14 00:00:00	2013-09-14 00:00:00	No	2014-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	DP2I11	N	CA00372149	B	SFY2013-14
230000606	RCCA - RIVER OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2014-02-28 00:00:00	230010319	Closed	Citation	Citation B (HSC 1424)	Other	Abuse Reporting	2013-09-14 00:00:00	2013-09-14 00:00:00	No	2014-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	DP2I11	N	CA00372149	B	SFY2013-14
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2014-03-14 00:00:00	230010343	Closed	Citation	Citation B (HSC 1424)	Other	H&SC 1418.91(a)	2013-12-01 00:00:00	2013-12-01 00:00:00	No	2014-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NXXJ11	N	CA00379854	B	SFY2013-14
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2014-02-13 00:00:00	230010390	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-10-09 00:00:00	2012-10-09 00:00:00	Yes	2014-03-07 00:00:00	2014-08-01 00:00:00	A	None	10000	10000	0	10000	0	None	P6GM11	N	CA00333241	B	SFY2013-14
230000760	MERAKEY - CIRRUS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2014-02-20 00:00:00	230010420	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-04-18 00:00:00	2013-04-18 00:00:00	No	2014-03-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	1R6611	N	CA00351955	A	SFY2013-14
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-02-07 00:00:00	230010434	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-11 00:00:00	2012-01-11 00:00:00	No	2014-03-03 00:00:00	None	B	None	2000	2400	0	2400	0	None	WWV811	N	CA00306877	B	SFY2013-14
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-02-07 00:00:00	230010435	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-06 00:00:00	2011-12-06 00:00:00	No	2014-03-03 00:00:00	None	B	None	2000	2400	0	2400	0	None	WWV811	N	CA00306877	B	SFY2013-14
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2014-03-14 00:00:00	230010538	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-04-12 00:00:00	2013-04-12 00:00:00	No	2014-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PLMT11	N	CA00350793, CA00351301	C, B	SFY2013-14
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2014-03-14 00:00:00	230010540	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-07-19 00:00:00	2013-07-19 00:00:00	No	2014-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PLMT11	N	CA00363480	B	SFY2013-14
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2015-06-15 00:00:00	230010658	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-02-03 00:00:00	2014-02-03 00:00:00	No	2015-07-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1PXY11	N	CA00390842	B	SFY2014-15
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2015-06-15 00:00:00	230010660	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-11 00:00:00	2014-03-11 00:00:00	No	2015-07-06 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	1PXY11	Y	CA00390842	B	SFY2014-15
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2014-11-17 00:00:00	230010990	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-05-13 00:00:00	2014-05-13 00:00:00	No	2014-12-10 00:00:00	None	B	None	1000	1100	0	1100	0	None	W6F511	N	CA00405407	B	SFY2014-15
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2015-03-20 00:00:00	230011082	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-11 00:00:00	2014-03-11 00:00:00	Yes	2015-04-13 00:00:00	2015-04-14 00:00:00	A	A	10000	6500	0	6500	0	None	UH4S11	N	CA00391168	B	SFY2014-15
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2015-03-13 00:00:00	230011084	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-12-20 00:00:00	2013-12-20 00:00:00	Yes	2015-04-06 00:00:00	2015-03-19 00:00:00	A	A	20000	13000	0	13000	0	None	UH4S11	N	CA00390167	A	SFY2014-15
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2015-01-14 00:00:00	230011172	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-09-15 00:00:00	2013-09-15 00:00:00	Yes	2015-02-05 00:00:00	2015-01-21 00:00:00	B	B	2000	1800	0	1800	0	None	EB8W11	N	CA00371580	B	SFY2014-15
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2015-01-07 00:00:00	230011185	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-10-11 00:00:00	2012-10-11 00:00:00	No	2015-01-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4U3C11	N	CA00330152	B	SFY2014-15
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2015-01-07 00:00:00	230011190	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-10-11 00:00:00	2012-10-11 00:00:00	No	2015-01-29 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	4U3C11	N	CA00330152	B	SFY2014-15
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2015-01-07 00:00:00	230011191	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-11 00:00:00	2012-10-11 00:00:00	No	2015-01-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4U3C11	N	CA00330152	B	SFY2014-15
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2015-01-20 00:00:00	230011204	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-10-01 00:00:00	2013-10-01 00:00:00	No	2015-02-10 00:00:00	None	B	None	2000	3100	-700	2400	0	None	K5EC11	N	CA00371727	B	SFY2014-15
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2015-03-19 00:00:00	230011220	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-29 00:00:00	2014-04-29 00:00:00	No	2015-04-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	N0GI11	N	CA00396903, CA00397188	A, B	SFY2014-15
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2015-03-19 00:00:00	230011221	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-29 00:00:00	2014-04-29 00:00:00	No	2015-04-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	N0GI11	N	CA00396903, CA00397188	A, B	SFY2014-15
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2015-01-14 00:00:00	230011222	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Report to CDPH	2014-12-05 00:00:00	2014-12-05 00:00:00	No	2015-02-05 00:00:00	None	B	None	2000	6000	0	6000	0	None	P9EH11	N	CA00424898	D	SFY2014-15
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2015-03-19 00:00:00	230011339	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-11-14 00:00:00	2012-11-14 00:00:00	No	2015-04-10 00:00:00	None	A	None	10000	10000	0	10000	0	None	PLMT11	N	CA00342556	B	SFY2014-15
230000221	OROVILLE HOSPITAL POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2015-04-16 00:00:00	230011355	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-01-13 00:00:00	2013-01-13 00:00:00	No	2015-05-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LK6Y11	Y	CA00371559	B	SFY2014-15
230000041	GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Chico	2015-05-29 00:00:00	230011477	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-04-09 00:00:00	2015-04-09 00:00:00	No	2015-06-19 00:00:00	None	B	None	2000	6000	0	6000	0	None	CYA511	N	CA00438365, CA00438375, CA00438561, CA00438569	A, A, B, B	SFY2014-15
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2015-08-07 00:00:00	230011643	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-07-20 00:00:00	2014-07-20 00:00:00	No	2015-08-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VIR811	N	CA00406902	B	SFY2015-16
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2016-04-01 00:00:00	230012151	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-11-06 00:00:00	2015-11-06 00:00:00	No	2016-04-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6UUW11	N	CA00464968	B	SFY2015-16
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2016-05-31 00:00:00	230012276	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2015-03-25 00:00:00	2015-03-25 00:00:00	No	2016-06-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4B3J11	N	CA00438030	C	SFY2015-16
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2016-09-23 00:00:00	230012578	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-13 00:00:00	2016-04-13 00:00:00	No	2016-10-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	EQSS11	N	CA00484468	B	SFY2016-17
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2016-12-09 00:00:00	230012752	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-11-04 00:00:00	2016-11-04 00:00:00	No	2017-01-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	4NO011	N	CA00509933	B	SFY2016-17
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2017-02-13 00:00:00	230012762	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-11-09 00:00:00	2016-11-09 00:00:00	No	2017-03-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	P9HN11	N	CA00503904	B	SFY2016-17
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2017-02-13 00:00:00	230012763	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-27 00:00:00	2016-10-27 00:00:00	No	2017-03-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	P9HN11	Y	CA00508618	B	SFY2016-17
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2017-01-04 00:00:00	230012786	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-09-27 00:00:00	2016-09-27 00:00:00	No	2017-01-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5X4F11	N	CA00506274	B	SFY2016-17
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2017-12-13 00:00:00	230013688	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-03-24 00:00:00	2017-03-24 00:00:00	Yes	2018-01-04 00:00:00	2017-12-27 00:00:00	B	B	2000	1700	0	1700	0	None	LB3111	N	CA00544596	B	SFY2017-18
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2018-01-08 00:00:00	230013714	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-09-29 00:00:00	2015-09-29 00:00:00	No	2018-01-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	LYPO11	N	CA00466312	B	SFY2017-18
230000760	MERAKEY - CIRRUS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2018-03-22 00:00:00	230013875	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-09-24 00:00:00	2017-09-24 00:00:00	No	2018-04-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	4EBU11	N	CA00554381	B	SFY2017-18
230000719	NVDS, INC - WALKER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2018-08-31 00:00:00	230014332	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-18 00:00:00	2018-03-18 00:00:00	No	2018-09-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	4FE511	N	CA00579432	B	SFY2018-19
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2018-10-22 00:00:00	230014450	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-07-15 00:00:00	2018-07-15 00:00:00	No	2018-11-13 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	VZGV11	Y	CA00595805	B	SFY2018-19
230000334	TAHOE FOREST HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2020-06-10 00:00:00	230015893	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-04-20 00:00:00	2020-04-20 00:00:00	No	2020-07-01 00:00:00	None	B	None	2000	8400	0	8400	0	None	JYVL11	N	CA00685724, CA00685738, CA00689305	A, A, B	SFY2019-20
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2021-09-10 00:00:00	230016703	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-02-25 00:00:00	2021-02-25 00:00:00	Yes	2021-10-01 00:00:00	2021-09-10 00:00:00	AA	AA	25000	17750	0	17750	0	None	NVM911	Y	CA00726950, CA00726950	A, A	SFY2021-22
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2022-11-01 00:00:00	230018079	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-08-21 00:00:00	2022-08-21 00:00:00	Yes	2022-11-23 00:00:00	2022-11-16 00:00:00	A	None	25000	25000	0	0	25000	None	990P11	Y	CA00799338, CA00800177, CA00800177, CA00800177, CA00800177, CA00800177	A, B, B, B, B, B	SFY2022-23
230000370	THE FOUNTAINS	LTC	SNF	Skilled Nursing Facility	Chico	2022-08-23 00:00:00	230018550	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-01-03 00:00:00	2017-01-03 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	TK3B11	None	CA00518187	D	SFY2022-23
230000563	RCCA AUGUSTA LANE #1	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2023-06-21 00:00:00	230018868	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-21 00:00:00	2023-04-21 00:00:00	No	2023-07-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	V7Y311	N	CA00837339, CA00838041	A, B	SFY2022-23
230000563	RCCA AUGUSTA LANE #1	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2023-06-21 00:00:00	230018869	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-05-23 00:00:00	2023-05-23 00:00:00	No	2023-07-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	V7Y311	N	CA00837339, CA00837339, CA00838041, CA00838041	A, A, B, B	SFY2022-23
230000605	RCCA - WHITE OAKS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2023-09-18 00:00:00	230019152	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-31 00:00:00	2023-08-31 00:00:00	No	2023-10-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	EQC011	N	CA00858522, CA00858529, CA00859269	A, A, B	SFY2023-24
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2024-01-24 00:00:00	230019616	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-10-25 00:00:00	2023-10-25 00:00:00	Yes	2024-02-14 00:00:00	2024-02-09 00:00:00	A	None	25000	25000	0	0	25000	None	LLIJ11	N	CA00867308	B	SFY2023-24
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2024-04-04 00:00:00	230019866	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-07 00:00:00	2024-02-07 00:00:00	No	2024-04-25 00:00:00	None	B	None	2000	2000	0	0	2000	None	NFLD11	N	CA00888245	A	SFY2023-24
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2024-04-23 00:00:00	230019944	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-13 00:00:00	2024-03-13 00:00:00	No	2024-05-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N00D11	N	CA00889780	B	SFY2023-24
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2024-05-29 00:00:00	230020205	Open	Citation	Citation B (HSC 1424)	Medication	None	2024-03-13 00:00:00	2024-03-13 00:00:00	No	2024-06-19 00:00:00	None	B	None	2000	2000	0	0	2000	None	9RN411	N	CA00889668	A	SFY2023-24
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2024-06-18 00:00:00	230020206	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-08 00:00:00	2024-04-08 00:00:00	No	2024-07-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0T7J11	N	None	None	SFY2023-24
230000621	ARVALO HOME - RIVERPARK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2024-05-29 00:00:00	230020236	Closed	Citation	Citation B (HSC 1424)	Other	Client Protections	2022-10-19 00:00:00	2022-10-19 00:00:00	No	2024-06-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EI8V11	N	None	None	SFY2023-24
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	1999-12-10 00:00:00	240001475	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-08 00:00:00	None	No	2000-01-03 00:00:00	None	A	None	5000	5000	-5000	0	0	240011608	A99999	N	None	None	SFY1999-00
240000612	LOGAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2000-01-03 00:00:00	240001477	Closed	Citation	Citation B (HSC 1424)	Staffing	None	1999-12-28 00:00:00	None	No	2000-01-25 00:00:00	None	B	None	1000	1000	-350	650	0	240011684	A99999	N	None	None	SFY1999-00
240001460	WALNUT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2000-01-11 00:00:00	240001478	Closed	Citation	Citation A (HSC 1424)	Other	POLICY AND PROCEDURE	1999-12-12 00:00:00	None	Yes	2000-02-02 00:00:00	2000-01-21 00:00:00	A	B	10000	6000	0	6000	0	240011713	A99999	Y	None	None	SFY1999-00
240000287	COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-01-19 00:00:00	240001479	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-01-15 00:00:00	None	Yes	2000-09-01 00:00:00	2000-01-20 00:00:00	A	A	10000	10000	0	10000	0	240011732	A99999	N	None	None	SFY1999-00
240001081	HERITAGE PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-03-28 00:00:00	240001480	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-16 00:00:00	None	Yes	2001-06-04 00:00:00	2001-05-22 00:00:00	A	A	10000	7650	-150	7500	0	240011926	A99999	N	None	None	SFY1999-00
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-03-31 00:00:00	240001482	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-23 00:00:00	None	No	2000-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	240011942	A99999	N	None	None	SFY1999-00
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-04-11 00:00:00	240001484	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-02-06 00:00:00	None	Yes	2000-08-11 00:00:00	2000-04-19 00:00:00	B	B	1000	1050	0	1050	0	240011967	A99999	N	None	None	SFY1999-00
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-04-20 00:00:00	240001485	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-05 00:00:00	None	Yes	2000-05-11 00:00:00	2000-05-09 00:00:00	A	A	8500	6000	0	6000	0	240011994	A99999	N	None	None	SFY1999-00
240001081	HERITAGE PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-04-26 00:00:00	240001486	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-10 00:00:00	None	Yes	2000-05-17 00:00:00	2000-05-16 00:00:00	A	A	5000	5050	0	5050	0	240012009	A99999	N	None	None	SFY1999-00
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-05-08 00:00:00	240001487	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-04-15 00:00:00	None	Yes	2000-05-30 00:00:00	2001-03-05 00:00:00	A	A	10000	6500	0	6500	0	240012050	A99999	N	None	None	SFY1999-00
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-05-10 00:00:00	240001488	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-25 00:00:00	None	Yes	2001-06-27 00:00:00	2001-06-25 00:00:00	A	Drop>Deficiency	10000	5000	0	5000	0	240012050	A99999	N	None	None	SFY1999-00
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-05-10 00:00:00	240001489	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-27 00:00:00	None	Yes	2000-06-01 00:00:00	2001-03-26 00:00:00	A	B	10000	5000	0	5000	0	240012061	A99999	N	None	None	SFY1999-00
240000107	TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-05-19 00:00:00	240001490	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-18 00:00:00	None	Yes	2000-06-22 00:00:00	2000-06-01 00:00:00	B	None	1000	1000	0	1000	0	240012092	A99999	N	None	None	SFY1999-00
240000904	HILLSIDE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2000-05-23 00:00:00	240001491	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-05-09 00:00:00	None	No	2000-06-19 00:00:00	None	A	None	3000	3000	-1050	1950	0	240012102	A99999	N	None	None	SFY1999-00
240001081	HERITAGE PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-05-26 00:00:00	240001492	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-15 00:00:00	None	No	2000-07-05 00:00:00	None	B	None	750	750	-262.5	487.5	0	240012107	A99999	N	None	None	SFY1999-00
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-07-10 00:00:00	240001499	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-11 00:00:00	2000-03-11 00:00:00	Yes	2001-09-05 00:00:00	2000-05-16 00:00:00	A	A	5000	5100	0	5100	0	240012189	A99999	N	None	None	SFY2000-01
240000146	BIG PINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-07-20 00:00:00	240001501	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-11 00:00:00	None	Yes	2000-12-05 00:00:00	2000-07-26 00:00:00	B	B	500	500	0	500	0	240012211	A99999	N	None	None	SFY2000-01
240000146	BIG PINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-07-20 00:00:00	240001502	Closed	Citation	Citation Willful Material Omission (HSC 1424(f)(1))	Other	WILLFUL MATERIAL OMI	2000-07-17 00:00:00	None	Yes	2000-08-10 00:00:00	2001-01-02 00:00:00	WO	WMO>$1000	5000	5000	-5000	0	0	240012211	A99999	None	None	None	SFY2000-01
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-07-20 00:00:00	240001503	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-15 00:00:00	None	Yes	2000-08-18 00:00:00	2000-08-07 00:00:00	A	A	3000	3000	0	3000	0	240012213	A99999	N	None	None	SFY2000-01
240000068	HIGHLAND PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-07-26 00:00:00	240001504	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-12 00:00:00	None	No	2000-08-22 00:00:00	None	B	None	1000	1000	-350	650	0	240012232	A99999	N	None	None	SFY2000-01
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-08-01 00:00:00	240001506	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-07-01 00:00:00	None	Yes	2000-08-25 00:00:00	2000-08-21 00:00:00	A	B	10000	11000	0	11000	0	240012247	A99999	N	None	None	SFY2000-01
240001335	FOURTEENTH STREET DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2000-08-15 00:00:00	240001507	Closed	Citation	Citation A (HSC 1424)	Administration	None	2000-02-23 00:00:00	None	No	2000-09-12 00:00:00	None	A	None	5000	5000	-1750	3250	0	240012282	A99999	N	None	None	SFY2000-01
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-08-22 00:00:00	240001509	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-20 00:00:00	None	Yes	2001-01-18 00:00:00	2000-08-24 00:00:00	B	B	650	650	0	650	0	240012312	A99999	N	None	None	SFY2000-01
240000065	HERITAGE GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-08-29 00:00:00	240001510	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-05 00:00:00	None	Yes	2000-09-20 00:00:00	2000-09-06 00:00:00	A	B	7000	7500	0	7500	0	240012331	A99999	N	None	None	SFY2000-01
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-09-19 00:00:00	240001581	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-08 00:00:00	2000-08-08 00:00:00	No	2000-10-10 00:00:00	None	B	None	500	500	-175	325	0	240012734	A99999	N	None	None	SFY2000-01
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-09-18 00:00:00	240001582	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-02 00:00:00	2000-07-02 00:00:00	No	2000-10-09 00:00:00	None	B	None	1000	1000	0	1000	0	240012737	A99999	N	None	None	SFY2000-01
240001297	ALTA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2000-09-22 00:00:00	240001583	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-08-15 00:00:00	2000-08-15 00:00:00	No	2000-10-13 00:00:00	None	A	None	9000	9000	-3150	5850	0	240012741	A99999	N	None	None	SFY2000-01
240000135	OLIVE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2000-11-03 00:00:00	240001654	Closed	Citation	Citation B (HSC 1424)	Other	TRAINING	2000-08-16 00:00:00	2000-08-16 00:00:00	No	2000-11-24 00:00:00	None	B	None	1000	1000	-350	650	0	240013384	A99999	N	None	None	SFY2000-01
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-11-15 00:00:00	240001655	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Medication	None	1999-09-16 00:00:00	1999-09-16 00:00:00	Yes	2001-07-19 00:00:00	2001-07-09 00:00:00	WF	B	5000	1000	0	1000	0	240013420	A99999	None	None	None	SFY2000-01
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-11-15 00:00:00	240001656	Closed	Citation	Citation A (HSC 1424)	Staffing	NURSE SERVICES	1999-09-16 00:00:00	1999-09-16 00:00:00	Yes	2001-07-19 00:00:00	2001-07-09 00:00:00	A	A	5000	5000	0	5000	0	240013420	A99999	N	None	None	SFY2000-01
240001538	NEXT GUEST HOME	LTC	CLHF	Congregate Living Health Facility	San Bernardino	2000-11-30 00:00:00	240001657	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-18 00:00:00	2000-07-18 00:00:00	No	2000-12-21 00:00:00	None	B	None	1000	1000	-350	650	0	240013483	A99999	N	None	None	SFY2000-01
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-02-06 00:00:00	240001659	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-02 00:00:00	None	Yes	2001-03-12 00:00:00	2001-02-06 00:00:00	A	A	10000	10000	-10000	0	0	240013887	A99999	N	None	None	SFY2000-01
240001741	BEECHWOOD DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2001-02-08 00:00:00	240001660	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-09-14 00:00:00	None	Yes	2002-11-12 00:00:00	2001-02-23 00:00:00	B	B	1000	1000	0	1000	0	240013894	A99999	N	None	None	SFY2000-01
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-02-15 00:00:00	240001661	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-01-06 00:00:00	None	Yes	2001-06-22 00:00:00	2001-06-18 00:00:00	A	B	10000	7750	0	7750	0	240013914	A99999	N	None	None	SFY2000-01
240000873	RECHE CANYON REGIONAL REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-02-15 00:00:00	240001662	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-20 00:00:00	None	Yes	2002-03-19 00:00:00	2002-03-19 00:00:00	A	B	10000	5000	0	5000	0	240013915	A99999	N	None	None	SFY2000-01
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-03-27 00:00:00	240001663	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-31 00:00:00	None	Yes	2001-04-17 00:00:00	2001-04-13 00:00:00	A	A	15000	15000	-15000	0	0	240013877	A99999	N	None	None	SFY2000-01
240000035	CASA MARIA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-04-05 00:00:00	240001665	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-03-29 00:00:00	2001-03-29 00:00:00	Yes	2001-04-26 00:00:00	2001-04-11 00:00:00	B	None	1000	1000	0	1000	0	240014008	A99999	N	None	None	SFY2000-01
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-04-24 00:00:00	240001668	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-03-22 00:00:00	None	No	2001-06-14 00:00:00	None	B	None	1000	1000	-1000	0	0	240014176	A99999	N	None	None	SFY2000-01
240001417	CHESTNUT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2001-04-23 00:00:00	240001669	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-01-14 00:00:00	2001-01-14 00:00:00	Yes	2001-05-14 00:00:00	2002-05-08 00:00:00	A	B	5000	4000	0	4000	0	240013810	A99999	N	None	None	SFY2000-01
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-04-24 00:00:00	240001670	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-03-28 00:00:00	None	No	2001-06-14 00:00:00	None	B	None	1000	1000	-1000	0	0	240014032	A99999	N	None	None	SFY2000-01
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-04-24 00:00:00	240001671	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-02-08 00:00:00	None	No	2001-06-14 00:00:00	None	B	None	1000	1000	-1000	0	0	240014032	A99999	N	None	None	SFY2000-01
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-04-24 00:00:00	240001672	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-02-08 00:00:00	None	No	2001-06-14 00:00:00	None	B	None	1000	1000	-1000	0	0	240014031	A99999	N	None	None	SFY2000-01
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-04-25 00:00:00	240001673	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2001-03-14 00:00:00	2001-03-14 00:00:00	No	2001-05-16 00:00:00	None	A	None	18000	18000	-18000	0	0	240014031	A99999	N	None	None	SFY2000-01
240000287	COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-05-09 00:00:00	240001674	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-27 00:00:00	2001-01-27 00:00:00	Yes	2001-05-30 00:00:00	2001-05-17 00:00:00	B	B	900	900	0	900	0	240014175	A99999	N	None	None	SFY2000-01
240000068	HIGHLAND PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-06-11 00:00:00	240001678	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-02 00:00:00	2001-04-02 00:00:00	No	2001-07-02 00:00:00	None	B	None	1000	1000	-350	650	0	240014370	A99999	N	None	None	SFY2000-01
240000035	CASA MARIA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-06-18 00:00:00	240001680	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-26 00:00:00	2001-04-26 00:00:00	No	2001-07-09 00:00:00	None	B	None	400	400	-140	260	0	240014389	A99999	N	None	None	SFY2000-01
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-06-26 00:00:00	240001681	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-10 00:00:00	None	No	2001-07-31 00:00:00	None	B	None	1000	1000	-1000	0	0	240014276	A99999	N	None	None	SFY2000-01
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-07-11 00:00:00	240001684	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-06-24 00:00:00	2001-06-24 00:00:00	No	2001-08-02 00:00:00	None	B	None	1000	1000	-350	650	0	240014540	A99999	N	None	None	SFY2001-02
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-07-17 00:00:00	240001685	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-03 00:00:00	2001-07-03 00:00:00	No	2001-08-07 00:00:00	None	B	None	1000	1000	-350	650	0	240014576	A99999	N	None	None	SFY2001-02
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-07-24 00:00:00	240001686	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-07-19 00:00:00	2001-07-19 00:00:00	No	2001-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	240014564	A99999	N	None	None	SFY2001-02
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-07-24 00:00:00	240001687	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-07-19 00:00:00	2001-07-19 00:00:00	No	2001-08-16 00:00:00	None	B	None	1000	1000	-350	650	0	240014565	A99999	N	None	None	SFY2001-02
240001297	ALTA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2001-07-26 00:00:00	240001688	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-02-02 00:00:00	2001-02-02 00:00:00	No	2001-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	240014480	A99999	N	None	None	SFY2001-02
240001335	FOURTEENTH STREET DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2001-07-26 00:00:00	240001689	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-03-02 00:00:00	None	No	2001-08-21 00:00:00	None	B	None	2000	2000	-700	1300	0	240014631	A99999	N	None	None	SFY2001-02
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-09-06 00:00:00	240001692	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-07-17 00:00:00	2001-07-17 00:00:00	No	2001-09-27 00:00:00	None	B	None	1000	1000	-350	650	0	240014610	A99999	N	None	None	SFY2001-02
240000063	GRAND TERRACE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-09-17 00:00:00	240001693	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-13 00:00:00	None	No	2001-10-09 00:00:00	None	B	None	1000	1000	-350	650	0	240014599	A99999	N	None	None	SFY2001-02
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-09-14 00:00:00	240001694	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2001-08-28 00:00:00	None	No	2001-10-05 00:00:00	None	B	None	1000	1100	-350	750	0	240014756	A99999	N	None	None	SFY2001-02
240000063	GRAND TERRACE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-09-17 00:00:00	240001695	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-13 00:00:00	None	No	2001-10-09 00:00:00	None	A	A	10000	10000	-7500	2500	0	240014599	A99999	N	None	None	SFY2001-02
240001460	WALNUT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2001-09-21 00:00:00	240001696	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-07-26 00:00:00	2001-07-26 00:00:00	No	2001-10-12 00:00:00	None	B	None	900	900	-315	585	0	240014710	A99999	N	None	None	SFY2001-02
240000093	COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-10-16 00:00:00	240001697	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-03 00:00:00	2001-07-03 00:00:00	No	2001-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	240014566	A99999	N	None	None	SFY2001-02
240000068	HIGHLAND PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-10-18 00:00:00	240001698	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2001-09-17 00:00:00	2001-09-17 00:00:00	No	2001-11-08 00:00:00	None	B	None	500	500	-175	325	0	240014934	A99999	N	None	None	SFY2001-02
240000991	MOUNTAINS COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-10-17 00:00:00	240001699	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-26 00:00:00	None	Yes	2001-11-09 00:00:00	2001-11-08 00:00:00	B	None	400	400	0	400	0	240014940	A99999	N	None	None	SFY2001-02
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-11-16 00:00:00	240001700	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-09-20 00:00:00	2001-09-20 00:00:00	No	2001-12-14 00:00:00	None	B	None	1000	1000	-350	650	0	240014851	A99999	N	None	None	SFY2001-02
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-10-29 00:00:00	240001701	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-09-25 00:00:00	2001-09-25 00:00:00	No	2001-11-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	240014923	A99999	N	None	None	SFY2001-02
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-10-29 00:00:00	240001702	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-23 00:00:00	2001-08-23 00:00:00	No	2001-11-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	240014757	A99999	N	None	None	SFY2001-02
240000873	RECHE CANYON REGIONAL REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-12-18 00:00:00	240001705	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-17 00:00:00	2001-08-17 00:00:00	Yes	2002-01-08 00:00:00	2001-12-28 00:00:00	A	B	18000	1000	0	1000	0	240014858	A99999	N	None	None	SFY2001-02
240000287	COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-02-01 00:00:00	240001707	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-10-03 00:00:00	None	Yes	2002-03-06 00:00:00	2002-02-06 00:00:00	B	B	500	500	0	500	0	240015015	A99999	N	None	None	SFY2001-02
240001162	MONTE VISTA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2002-03-05 00:00:00	240001709	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-05 00:00:00	None	No	2002-04-05 00:00:00	None	B	None	500	500	0	500	0	240014831	A99999	N	None	None	SFY2001-02
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-03-22 00:00:00	240001710	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-24 00:00:00	2001-10-24 00:00:00	Yes	2002-04-12 00:00:00	2002-03-22 00:00:00	A	None	8000	8000	-8000	0	0	240015490	A99999	N	None	None	SFY2001-02
240000156	WATERMAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-03-27 00:00:00	240001711	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-19 00:00:00	2001-10-19 00:00:00	Yes	2002-04-17 00:00:00	2002-04-16 00:00:00	A	B	8000	4000	0	4000	0	240014975	A99999	N	None	None	SFY2001-02
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-03-27 00:00:00	240001712	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-11 00:00:00	2001-11-11 00:00:00	Yes	2002-04-22 00:00:00	2002-04-16 00:00:00	B	B	700	500	0	500	0	240015091	A99999	N	None	None	SFY2001-02
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-03-27 00:00:00	240001713	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-01 00:00:00	2001-11-01 00:00:00	Yes	2002-04-22 00:00:00	2002-04-16 00:00:00	A	B	10000	6500	0	6500	0	240015113	A99999	N	None	None	SFY2001-02
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-03-28 00:00:00	240001714	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-03-14 00:00:00	2002-03-14 00:00:00	Yes	2002-04-23 00:00:00	2002-04-02 00:00:00	B	B	1000	500	0	500	0	240015481	A99999	N	None	None	SFY2001-02
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-03-29 00:00:00	240001715	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-07-11 00:00:00	2001-07-11 00:00:00	Yes	2002-05-01 00:00:00	2002-04-12 00:00:00	AA	AA	50000	15000	0	15000	0	240014605	A99999	Y	None	None	SFY2001-02
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-04-03 00:00:00	240001716	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-18 00:00:00	2002-01-18 00:00:00	No	2002-04-24 00:00:00	None	B	None	700	2100	0	2100	0	240015308	A99999	N	None	None	SFY2001-02
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-04-17 00:00:00	240001717	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-01-24 00:00:00	None	No	2002-05-17 00:00:00	None	B	None	650	5900	0	5900	0	240015599	A99999	N	None	None	SFY2001-02
240000093	COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-04-23 00:00:00	240001718	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-04 00:00:00	None	No	2002-05-14 00:00:00	None	B	None	1000	3150	-1050	2100	0	240015607	A99999	N	None	None	SFY2001-02
240000979	BEAR VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-04-30 00:00:00	240001719	Closed	Citation	Citation A (HSC 1424)	Other	PT CARE & PHYS ENVIR	2001-11-25 00:00:00	None	No	2002-05-29 00:00:00	None	A	None	7000	7000	-2450	4550	0	240015645	A99999	N	None	None	SFY2001-02
240000085	MONTCLAIR MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-05-03 00:00:00	240001720	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-07 00:00:00	None	No	2002-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	240015019	A99999	N	None	None	SFY2001-02
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-05-22 00:00:00	240001722	Closed	Citation	Citation A (HSC 1424)	Other	PAT CARE & PAT RIGHT	2001-10-20 00:00:00	2001-10-20 00:00:00	Yes	2002-06-12 00:00:00	2002-05-31 00:00:00	A	B	5000	5000	0	5000	0	240015667	A99999	N	None	None	SFY2001-02
240000810	GARDENA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2002-06-25 00:00:00	240001723	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-28 00:00:00	None	Yes	2002-07-16 00:00:00	2002-07-01 00:00:00	B	Drop>Deficiency	1000	650	0	650	0	240015896	A99999	N	None	None	SFY2001-02
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-07-25 00:00:00	240001724	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-05-16 00:00:00	2002-05-16 00:00:00	No	2002-08-15 00:00:00	None	B	None	500	12100	-175	11925	0	240015999	A99999	N	None	None	SFY2002-03
240000038	CITRUS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-07-18 00:00:00	240001725	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-22 00:00:00	2002-04-22 00:00:00	Yes	2002-08-08 00:00:00	2002-07-29 00:00:00	B	B	1000	1000	0	1000	0	240015674	A99999	N	None	None	SFY2002-03
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-07-24 00:00:00	240001726	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-24 00:00:00	None	No	2002-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	240016032	A99999	N	None	None	SFY2002-03
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-07-24 00:00:00	240001727	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-24 00:00:00	None	No	2002-08-14 00:00:00	None	B	None	600	600	-210	390	0	240016032	A99999	N	None	None	SFY2002-03
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-07-24 00:00:00	240001728	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-24 00:00:00	None	No	2002-08-14 00:00:00	None	B	None	800	800	-280	520	0	240016032	A99999	N	None	None	SFY2002-03
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-07-24 00:00:00	240001729	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-24 00:00:00	2002-06-24 00:00:00	No	2002-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	240016032	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-09-18 00:00:00	240001732	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-18 00:00:00	2002-05-18 00:00:00	No	2002-10-09 00:00:00	None	B	None	1000	1000	-350	650	0	240016448	A99999	N	None	None	SFY2002-03
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-09-24 00:00:00	240001733	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-13 00:00:00	2002-09-13 00:00:00	Yes	2002-10-15 00:00:00	2002-09-27 00:00:00	B	B	1000	1000	0	1000	0	240016493	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-10-02 00:00:00	240001734	Closed	Citation	Citation B (HSC 1424)	Other	PT. CARE & PT. RIGHT	2002-06-26 00:00:00	2002-06-26 00:00:00	No	2002-10-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	240016559	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-10-09 00:00:00	240001735	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-31 00:00:00	2002-05-31 00:00:00	No	2002-10-30 00:00:00	None	B	None	1000	3050	-1050	2000	0	240016601	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-05 00:00:00	240001737	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-06-22 00:00:00	2002-06-22 00:00:00	Yes	2002-12-05 00:00:00	2002-11-24 00:00:00	A	A	15000	8607	0	8607	0	240015959	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-05 00:00:00	240001738	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-01 00:00:00	2002-07-01 00:00:00	No	2002-12-05 00:00:00	None	B	None	1000	3000	-1050	1950	0	240015958	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-05 00:00:00	240001739	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-15 00:00:00	2002-07-15 00:00:00	No	2002-12-05 00:00:00	None	B	None	1000	3000	-1050	1950	0	240016048	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-07 00:00:00	240001740	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-08-06 00:00:00	2002-08-06 00:00:00	Yes	2002-12-09 00:00:00	2002-11-21 00:00:00	A	A Trebled	18000	30987	0	30987	0	240016814	A99999	N	None	None	SFY2002-03
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-19 00:00:00	240001741	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-15 00:00:00	2001-10-15 00:00:00	Yes	2002-12-17 00:00:00	2002-11-27 00:00:00	A	A	12000	8000	0	8000	0	240015659	A99999	N	None	None	SFY2002-03
240001007	VILLA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2002-11-20 00:00:00	240001742	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-02 00:00:00	2002-06-02 00:00:00	Yes	2002-12-18 00:00:00	2002-11-26 00:00:00	B	None	800	800	0	800	0	240015819	A99999	N	None	None	SFY2002-03
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-26 00:00:00	240001743	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-24 00:00:00	None	No	2002-12-26 00:00:00	None	B	None	1000	1400	-350	1050	0	240016558	A99999	N	None	None	SFY2002-03
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-01-07 00:00:00	240001744	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-28 00:00:00	None	No	2003-01-29 00:00:00	None	B	None	800	800	-280	520	0	240015850	A99999	N	None	None	SFY2002-03
240000617	KENDALL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2003-01-09 00:00:00	240001745	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-06 00:00:00	None	No	2003-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	240017131	A99999	N	None	None	SFY2002-03
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-01-22 00:00:00	240001746	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-09 00:00:00	None	No	2003-02-13 00:00:00	None	A	None	10000	10000	-3500	6500	0	240015453	A99999	N	None	None	SFY2002-03
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-01-30 00:00:00	240001748	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-07 00:00:00	2002-06-07 00:00:00	Yes	2003-12-12 00:00:00	2003-02-13 00:00:00	B	B	1000	600	0	600	0	240017069	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-02-06 00:00:00	240001749	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-07-13 00:00:00	2002-07-13 00:00:00	Yes	2003-03-05 00:00:00	2003-02-18 00:00:00	A	A	18000	10329	0	10329	0	240016049	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-02-06 00:00:00	240001750	Closed	Citation	Citation B (HSC 1424)	Patient Care	PT CARE/RIGHTS,MEDIC	2002-08-18 00:00:00	2002-08-18 00:00:00	No	2003-02-27 00:00:00	None	B	None	1000	3000	-1050	1950	0	240016310	A99999	N	None	None	SFY2002-03
240000075	LINDA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-02-13 00:00:00	240001751	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-05-23 00:00:00	None	Yes	2003-03-11 00:00:00	2003-02-19 00:00:00	A	A	15000	5000	0	5000	0	240015834	A99999	N	None	None	SFY2002-03
240001297	ALTA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2003-03-11 00:00:00	240001753	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-08-13 00:00:00	2002-08-13 00:00:00	No	2003-04-01 00:00:00	None	B	None	600	600	-600	0	0	240016017	A99999	N	None	None	SFY2002-03
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-03-12 00:00:00	240001755	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-12 00:00:00	1999-10-12 00:00:00	No	2003-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	240017392	A99999	N	None	None	SFY2002-03
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-03-12 00:00:00	240001756	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-19 00:00:00	2002-10-19 00:00:00	No	2003-04-02 00:00:00	None	A	None	10000	10000	-3500	6500	0	240016762	A99999	N	None	None	SFY2002-03
240001335	FOURTEENTH STREET DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2003-03-20 00:00:00	240001757	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-07-17 00:00:00	2002-07-17 00:00:00	No	2003-04-14 00:00:00	None	B	None	600	600	-600	0	0	240016088	A99999	N	None	None	SFY2002-03
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-04-03 00:00:00	240001759	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-05 00:00:00	2002-11-05 00:00:00	Yes	2003-04-24 00:00:00	2007-04-02 00:00:00	A	A	15000	10000	0	10000	0	240016918	A99999	N	None	None	SFY2002-03
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-04-17 00:00:00	240001760	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Administration	None	1999-06-29 00:00:00	1999-06-29 00:00:00	Yes	2003-05-21 00:00:00	2003-04-18 00:00:00	WF	B	5000	3000	0	3000	0	240017809	A99999	None	None	None	SFY2002-03
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-04-17 00:00:00	240001761	Closed	Citation	Citation A (HSC 1424)	Medication	None	1999-06-29 00:00:00	1999-06-29 00:00:00	Yes	2003-05-21 00:00:00	2003-04-18 00:00:00	A	B	5000	3000	0	3000	0	240017809	A99999	N	None	None	SFY2002-03
240000413	RENEE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2003-04-29 00:00:00	240001763	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-16 00:00:00	None	No	2003-05-23 00:00:00	None	B	None	350	350	-122.5	227.5	0	240016439	A99999	N	None	None	SFY2002-03
240001249	HOLLY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2003-05-02 00:00:00	240001764	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-07-14 00:00:00	2002-07-14 00:00:00	Yes	2003-05-23 00:00:00	2003-05-02 00:00:00	A	Dismissed by Court	10000	0	0	0	0	240016027	A99999	N	None	None	SFY2002-03
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-05-06 00:00:00	240001765	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-18 00:00:00	2002-08-18 00:00:00	No	2003-05-27 00:00:00	None	B	None	1000	1000	-350	650	0	240016252	A99999	N	None	None	SFY2002-03
240001249	HOLLY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2003-05-06 00:00:00	240001766	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-20 00:00:00	2002-11-20 00:00:00	Yes	2003-05-27 00:00:00	2003-05-07 00:00:00	B	None	500	500	-500	0	0	240017077	A99999	N	None	None	SFY2002-03
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-05-08 00:00:00	240001767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-22 00:00:00	None	Yes	2003-06-03 00:00:00	2003-05-29 00:00:00	B	B	800	400	0	400	0	240016420	A99999	N	None	None	SFY2002-03
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-07-16 00:00:00	240001769	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-02 00:00:00	2002-10-02 00:00:00	Yes	2003-08-12 00:00:00	2003-07-17 00:00:00	B	B	850	425	0	425	0	240016713	A99999	N	None	None	SFY2003-04
240000093	COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-07-09 00:00:00	240001770	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-01 00:00:00	None	No	2003-07-30 00:00:00	None	B	None	500	500	-175	325	0	240017765	A99999	N	None	None	SFY2003-04
240000285	LAUREL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-07-10 00:00:00	240001771	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-05 00:00:00	None	No	2003-08-12 00:00:00	None	B	None	1000	1000	-350	650	0	240017150	A99999	N	None	None	SFY2003-04
240000287	COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-07-24 00:00:00	240001772	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-22 00:00:00	2003-03-22 00:00:00	Yes	2003-08-14 00:00:00	2003-08-01 00:00:00	B	B	1000	500	0	500	0	240017762	A99999	N	None	None	SFY2003-04
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-08-18 00:00:00	240001775	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-23 00:00:00	2002-12-23 00:00:00	Yes	2003-09-08 00:00:00	2003-09-09 00:00:00	B	B	1000	500	0	500	0	240017182	A99999	N	None	None	SFY2003-04
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-08-28 00:00:00	240001776	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-24 00:00:00	2002-12-24 00:00:00	No	2003-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	240017163	A99999	N	None	None	SFY2003-04
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-09-11 00:00:00	240001777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-16 00:00:00	None	No	2003-10-02 00:00:00	None	B	None	600	600	-210	390	0	240018343	A99999	N	None	None	SFY2003-04
240001092	MAVIS DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2003-09-18 00:00:00	240001778	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-03 00:00:00	2003-02-03 00:00:00	No	2003-10-09 00:00:00	None	B	None	1000	1000	-350	650	0	240017754	A99999	N	None	None	SFY2003-04
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-10-03 00:00:00	240001780	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-11 00:00:00	None	Yes	2003-10-30 00:00:00	2003-10-08 00:00:00	B	B	750	300	0	300	0	240017639	A99999	N	None	None	SFY2003-04
240001828	COUNTRY MAUREEN'S HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2003-10-09 00:00:00	240001781	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-12-16 00:00:00	None	No	2003-11-04 00:00:00	None	B	None	300	300	-105	195	0	240017642	A99999	N	None	None	SFY2003-04
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-10-01 00:00:00	240001782	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-04-29 00:00:00	None	Yes	2003-10-27 00:00:00	2003-10-10 00:00:00	B	None	900	900	0	900	0	240017925	A99999	N	None	None	SFY2003-04
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-10-20 00:00:00	240001783	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-07 00:00:00	None	No	2003-11-10 00:00:00	None	B	None	350	350	-122.5	227.5	0	240018697	A99999	N	None	None	SFY2003-04
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-11-24 00:00:00	240001784	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-26 00:00:00	2002-11-26 00:00:00	Yes	2003-02-25 00:00:00	2003-02-03 00:00:00	A	A	10000	6000	0	6000	0	240017032	A99999	N	None	None	SFY2003-04
240001102	SOUTHERN INYO HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-12-19 00:00:00	240001785	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-04 00:00:00	None	No	2004-01-13 00:00:00	None	A	None	10000	10000	-3500	6500	0	240018940	A99999	N	None	None	SFY2003-04
240001087	PALOMAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2003-12-30 00:00:00	240001786	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-29 00:00:00	None	No	2004-01-22 00:00:00	None	B	None	350	350	-122.5	227.5	0	240016964	A99999	N	None	None	SFY2003-04
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-01-20 00:00:00	240001787	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-07 00:00:00	None	No	2004-02-10 00:00:00	None	B	None	450	1350	-472.5	877.5	0	240018829	A99999	N	None	None	SFY2003-04
240000969	VAN BUREN HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2004-01-27 00:00:00	240001789	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-27 00:00:00	2003-08-27 00:00:00	Yes	2014-01-14 00:00:00	2004-01-27 00:00:00	B	B	700	700	0	700	0	240018482	A99999	N	None	None	SFY2003-04
240000032	BROOKSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-01-29 00:00:00	240001790	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-28 00:00:00	None	No	2004-02-23 00:00:00	None	B	None	1000	1000	0	1000	0	240018002	A99999	N	None	None	SFY2003-04
240000035	CASA MARIA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-02-03 00:00:00	240001791	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-12-06 00:00:00	None	No	2004-02-26 00:00:00	None	A	None	9000	9000	-7650	1350	0	240017095	A99999	N	None	None	SFY2003-04
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-02-24 00:00:00	240001792	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-27 00:00:00	None	No	2004-03-16 00:00:00	None	B	None	800	800	-280	520	0	240018237	A99999	N	None	None	SFY2003-04
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-02-19 00:00:00	240001793	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-19 00:00:00	None	No	2004-03-11 00:00:00	None	A	None	5000	5000	-1750	3250	0	240018635	A99999	N	None	None	SFY2003-04
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-02-24 00:00:00	240001794	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-20 00:00:00	None	No	2004-03-16 00:00:00	None	B	None	800	800	-280	520	0	240018139	A99999	N	None	None	SFY2003-04
240000122	ROBINSON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2004-02-25 00:00:00	240001795	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-25 00:00:00	2003-03-25 00:00:00	Yes	2004-03-17 00:00:00	2004-04-08 00:00:00	B	None	900	900	0	900	0	240017748	A99999	N	None	None	SFY2003-04
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-03-17 00:00:00	240001796	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-07-04 00:00:00	None	Yes	2004-04-08 00:00:00	2004-03-23 00:00:00	A	None	20000	20000	-20000	0	0	240018197	A99999	N	None	None	SFY2003-04
240000873	RECHE CANYON REGIONAL REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-03-19 00:00:00	240001797	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-28 00:00:00	None	No	2004-04-12 00:00:00	None	B	None	300	300	-105	195	0	240018720	A99999	N	None	None	SFY2003-04
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-03-25 00:00:00	240001798	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-11 00:00:00	2003-10-11 00:00:00	No	2004-04-15 00:00:00	None	B	None	500	500	0	500	0	240018700	A99999	N	None	None	SFY2003-04
240001697	CHRISTOPHER RANCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2004-03-25 00:00:00	240001799	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2003-08-10 00:00:00	2003-08-10 00:00:00	No	2004-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	240018625	A99999	N	None	None	SFY2003-04
240001697	CHRISTOPHER RANCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2004-03-25 00:00:00	240001801	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-10 00:00:00	2003-08-10 00:00:00	No	2004-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	240018625	A99999	N	None	None	SFY2003-04
240000071	INLAND CHRISTIAN HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-03-30 00:00:00	240001802	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-04 00:00:00	None	Yes	2004-04-20 00:00:00	2004-04-20 00:00:00	A	B	5000	5000	0	5000	0	240018581	A99999	N	None	None	SFY2003-04
240000126	JANE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2004-04-29 00:00:00	240001803	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-04 00:00:00	2002-11-04 00:00:00	No	2004-05-20 00:00:00	None	B	None	400	400	0	400	0	240016849	A99999	N	None	None	SFY2003-04
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-04-29 00:00:00	240001804	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-05 00:00:00	2003-01-05 00:00:00	Yes	2004-05-20 00:00:00	2004-05-17 00:00:00	A	A	10000	7000	0	7000	0	240017650	A99999	N	None	None	SFY2003-04
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-05-04 00:00:00	240001805	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-01-25 00:00:00	2004-01-25 00:00:00	No	2004-05-25 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	240019401	A99999	N	None	None	SFY2003-04
240000285	LAUREL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-05-28 00:00:00	240001806	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-19 00:00:00	2003-09-19 00:00:00	Yes	2004-06-18 00:00:00	2004-06-09 00:00:00	B	None	1000	1000	-1000	0	0	240018686	A99999	N	None	None	SFY2003-04
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-06-01 00:00:00	240001807	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2003-04-27 00:00:00	2003-04-27 00:00:00	Yes	2004-06-22 00:00:00	2004-06-14 00:00:00	A	B	10000	10000	0	10000	0	240017904	A99999	N	None	None	SFY2003-04
240001089	COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-07-20 00:00:00	240001809	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-05-24 00:00:00	2003-05-24 00:00:00	No	2004-08-10 00:00:00	None	AA	None	50000	50000	-17500	32500	0	240018591	A99999	Y	None	None	SFY2004-05
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-07-22 00:00:00	240001810	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-12-08 00:00:00	None	No	2004-08-12 00:00:00	None	A	None	15000	15000	-5250	9750	0	240019398	A99999	N	None	None	SFY2004-05
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-07-22 00:00:00	240001811	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-21 00:00:00	2003-06-21 00:00:00	Yes	2004-08-12 00:00:00	2004-08-10 00:00:00	A	None	10000	10000	0	10000	0	240018257	A99999	N	None	None	SFY2004-05
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-08-05 00:00:00	240001813	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-12-18 00:00:00	2003-12-18 00:00:00	No	2004-08-26 00:00:00	None	A	None	10000	10000	-3500	6500	0	240019615	A99999	N	None	None	SFY2004-05
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-08-18 00:00:00	240001814	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-01-23 00:00:00	None	No	2004-09-09 00:00:00	None	A	None	14000	14000	-4900	9100	0	240019139	A99999	N	None	None	SFY2004-05
240000035	CASA MARIA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-08-18 00:00:00	240001815	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-02-01 00:00:00	None	No	2004-09-09 00:00:00	None	B	None	1000	1350	0	1350	0	240019334	A99999	N	None	None	SFY2004-05
240000035	CASA MARIA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-08-19 00:00:00	240001817	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-30 00:00:00	None	No	2004-09-10 00:00:00	None	A	None	10000	10000	0	10000	0	240018692	A99999	N	None	None	SFY2004-05
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-09-02 00:00:00	240001818	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-06-02 00:00:00	None	No	2004-09-24 00:00:00	None	A	None	15000	15000	-5250	9750	0	240019693	A99999	N	None	None	SFY2004-05
240000127	CIRCLEBROOK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2004-08-24 00:00:00	240001819	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-08 00:00:00	None	Yes	2004-09-15 00:00:00	2004-10-19 00:00:00	B	None	500	500	0	500	0	240018077	A99999	N	None	None	SFY2004-05
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-08-24 00:00:00	240001820	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-02-21 00:00:00	None	No	2004-09-15 00:00:00	None	B	None	1000	1700	-350	1350	0	240019698	A99999	N	None	None	SFY2004-05
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-09-02 00:00:00	240001821	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-22 00:00:00	None	No	2004-09-24 00:00:00	None	B	None	500	500	0	500	0	240019734	A99999	N	None	None	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-09-08 00:00:00	240001822	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-11-19 00:00:00	2003-11-19 00:00:00	Yes	2004-09-29 00:00:00	2004-09-27 00:00:00	A	A	10000	6000	0	6000	0	240019328	A99999	N	None	None	SFY2004-05
240000075	LINDA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-09-09 00:00:00	240001823	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-10-22 00:00:00	2003-10-22 00:00:00	Yes	2004-09-30 00:00:00	2004-09-27 00:00:00	A	A	15000	15000	0	15000	0	240019006	A99999	N	None	None	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-09-09 00:00:00	240001824	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-18 00:00:00	None	No	2004-09-30 00:00:00	None	B	None	950	950	-332.5	617.5	0	240019746	A99999	N	None	None	SFY2004-05
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-10-12 00:00:00	240001825	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-23 00:00:00	2003-09-23 00:00:00	Yes	2004-11-02 00:00:00	2004-10-22 00:00:00	A	None	10000	10000	-10000	0	0	240018908	A99999	N	None	None	SFY2004-05
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-11-09 00:00:00	240001826	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-02-04 00:00:00	2004-02-04 00:00:00	Yes	2011-04-18 00:00:00	2004-11-22 00:00:00	A	A	15000	15000	0	15000	0	240019800	A99999	N	None	None	SFY2004-05
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-10-18 00:00:00	240001827	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-26 00:00:00	None	No	2004-11-08 00:00:00	None	B	None	800	800	-280	520	0	240019814	A99999	N	None	None	SFY2004-05
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-10-18 00:00:00	240001828	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-18 00:00:00	None	No	2004-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	240019815	A99999	N	None	None	SFY2004-05
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-10-26 00:00:00	240001829	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-30 00:00:00	2004-03-30 00:00:00	Yes	2004-11-16 00:00:00	2004-11-11 00:00:00	B	B	750	375	0	375	0	240019837	A99999	N	None	None	SFY2004-05
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-11-02 00:00:00	240001830	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-07-25 00:00:00	2004-07-25 00:00:00	No	2004-11-23 00:00:00	None	B	None	1000	22050	0	22050	0	240019848	A99999	N	CA00029410	D	SFY2004-05
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-11-03 00:00:00	240001831	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-08-22 00:00:00	None	No	2004-11-29 00:00:00	None	B	None	300	300	-105	195	0	240018082	A99999	N	None	None	SFY2004-05
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-11-18 00:00:00	240001832	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-07 00:00:00	None	Yes	2004-12-13 00:00:00	2004-12-03 00:00:00	A	A	20000	12350	-350	12000	0	240019872	A99999	N	None	None	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-11-18 00:00:00	240001833	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-04-08 00:00:00	None	Yes	2004-12-13 00:00:00	2004-12-03 00:00:00	B	B	300	180	0	180	0	240019876	A99999	N	None	None	SFY2004-05
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-11-24 00:00:00	240001834	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-08 00:00:00	None	Yes	2005-01-27 00:00:00	2004-12-01 00:00:00	B	B	1000	500	0	500	0	240019878	A99999	N	None	None	SFY2004-05
240000038	CITRUS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-12-13 00:00:00	240001835	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-06 00:00:00	2004-10-06 00:00:00	Yes	2005-01-03 00:00:00	2005-01-03 00:00:00	B	B	700	455	0	455	0	240019911	A99999	N	CA00032721	B	SFY2004-05
240001828	COUNTRY MAUREEN'S HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2004-12-20 00:00:00	240001836	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-19 00:00:00	2004-09-19 00:00:00	Yes	2005-01-10 00:00:00	2004-12-31 00:00:00	B	None	400	400	-400	0	0	240019919	A99999	N	CA00031956	C	SFY2004-05
240000617	KENDALL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2004-12-28 00:00:00	240001837	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-29 00:00:00	None	No	2005-01-31 00:00:00	None	B	None	850	850	-297.5	552.5	0	240019934	A99999	N	None	None	SFY2004-05
240000071	INLAND CHRISTIAN HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-12-30 00:00:00	240001838	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-01-07 00:00:00	2004-01-07 00:00:00	Yes	2005-01-21 00:00:00	2005-01-20 00:00:00	AA	B	50000	10000	0	10000	0	240019936	A99999	Y	CA00021164	C	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-01-06 00:00:00	240001839	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-09 00:00:00	2004-08-09 00:00:00	No	2005-01-28 00:00:00	None	B	None	300	500	-105	395	0	240019953	A99999	N	CA00029875	C	SFY2004-05
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-01-07 00:00:00	240001840	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-12 00:00:00	2004-03-12 00:00:00	No	2005-01-31 00:00:00	None	B	None	800	1050	0	1050	0	240019954	A99999	N	CA00020360	C	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-01-14 00:00:00	240001841	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-14 00:00:00	None	No	2005-02-11 00:00:00	None	B	None	500	1500	-525	975	0	240019960	A99999	N	CA00024598	B	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-01-18 00:00:00	240001842	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-01 00:00:00	None	Yes	2005-02-11 00:00:00	2005-01-28 00:00:00	A	A	10000	6000	0	6000	0	240019966	A99999	N	None	None	SFY2004-05
240000841	CLOCK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2005-01-27 00:00:00	240001843	Closed	Citation	Citation B (HSC 1424)	Other	TRAINING	2004-07-10 00:00:00	2004-07-10 00:00:00	Yes	2013-08-22 00:00:00	2005-02-08 00:00:00	B	B	900	900	0	900	0	240019969	A99999	N	None	None	SFY2004-05
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-01-20 00:00:00	240001844	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-05-30 00:00:00	None	Yes	2005-02-22 00:00:00	2005-02-09 00:00:00	A	B	20000	10000	0	10000	0	240019970	A99999	Y	None	None	SFY2004-05
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-02-07 00:00:00	240001845	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-04-30 00:00:00	2004-04-30 00:00:00	Yes	2005-03-01 00:00:00	2005-03-02 00:00:00	AA	A	50000	30000	0	30000	0	240019983	A99999	Y	CA00023380	B	SFY2004-05
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-02-08 00:00:00	240001846	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-05-24 00:00:00	2004-05-24 00:00:00	No	2005-03-02 00:00:00	None	B	None	500	1200	-175	1025	0	240019984	A99999	N	CA00025802	C	SFY2004-05
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-03-15 00:00:00	240001847	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-06-20 00:00:00	2004-06-20 00:00:00	No	2005-04-06 00:00:00	None	B	None	500	500	-175	325	0	240019986	A99999	N	CA00027453	B	SFY2004-05
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-02-15 00:00:00	240001848	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-10-10 00:00:00	None	Yes	2005-04-05 00:00:00	2004-02-24 00:00:00	B	B	1000	500	0	500	0	240019987	A99999	N	None	None	SFY2004-05
240000876	LANFAIR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2005-03-10 00:00:00	240001849	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-12 00:00:00	2004-09-12 00:00:00	No	2005-04-01 00:00:00	None	B	None	750	750	-262.5	487.5	0	240019992	A99999	N	CA00031561	B	SFY2004-05
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-03-16 00:00:00	240001850	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-27 00:00:00	2004-08-27 00:00:00	Yes	2005-04-18 00:00:00	2005-04-04 00:00:00	B	B	850	425	0	425	0	240019993	A99999	N	None	None	SFY2004-05
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-03-16 00:00:00	240001851	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-01-26 00:00:00	2005-01-26 00:00:00	Yes	2005-04-07 00:00:00	2005-04-04 00:00:00	B	None	1000	1000	-350	650	0	240019998	A99999	N	CA00037205	C	SFY2004-05
240000150	REDLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-03-29 00:00:00	240001852	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-08-10 00:00:00	2004-08-10 00:00:00	Yes	2005-04-20 00:00:00	2005-04-01 00:00:00	A	B	3000	3000	0	3000	0	240019999	A99999	N	CA00030469	B	SFY2004-05
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-04-07 00:00:00	240001853	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-06-23 00:00:00	2004-06-23 00:00:00	Yes	2005-04-28 00:00:00	2005-04-26 00:00:00	B	B	1000	1450	-950	500	0	240020004	A99999	N	None	None	SFY2004-05
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-04-07 00:00:00	240001854	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-06-23 00:00:00	None	Yes	2005-04-28 00:00:00	2005-04-26 00:00:00	B	Dismissed by Court	1000	0	0	0	0	240020005	A99999	N	None	None	SFY2004-05
240001682	MESA TERRACE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2005-05-10 00:00:00	240001855	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-14 00:00:00	2004-09-14 00:00:00	No	2005-06-01 00:00:00	None	B	None	1000	1000	-350	650	0	240020006	A99999	N	CA00037638, CA00037992	A, C	SFY2004-05
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-07-26 00:00:00	240001856	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-23 00:00:00	2005-02-23 00:00:00	No	2005-08-16 00:00:00	None	B	None	500	500	-175	325	0	240020009	A99999	N	CA00040012	C	SFY2005-06
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-05-16 00:00:00	240001857	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-02 00:00:00	2004-10-02 00:00:00	No	2005-06-07 00:00:00	None	B	None	1000	1000	-350	650	0	240020003	A99999	N	CA00032648	C	SFY2004-05
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-05-31 00:00:00	240001858	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-09 00:00:00	None	Yes	2005-06-24 00:00:00	2005-06-17 00:00:00	B	B	1000	500	0	500	0	240020010	A99999	N	None	None	SFY2004-05
240001460	WALNUT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2005-05-31 00:00:00	240001859	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-10-29 00:00:00	2003-10-29 00:00:00	No	2005-06-21 00:00:00	None	B	None	900	900	-315	585	0	240020011	A99999	N	CA00029846	C	SFY2004-05
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-07-27 00:00:00	240001860	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-13 00:00:00	2005-03-13 00:00:00	No	2005-08-17 00:00:00	None	B	None	1000	4600	-350	4250	0	240020014	A99999	N	CA00040734	D	SFY2005-06
240001092	MAVIS DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2005-08-23 00:00:00	240001861	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-02 00:00:00	2005-01-02 00:00:00	No	2005-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	240020015	A99999	N	None	None	SFY2005-06
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-09-07 00:00:00	240001862	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-12 00:00:00	2005-01-12 00:00:00	No	2005-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	240020016	A99999	N	None	None	SFY2005-06
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-09-21 00:00:00	240001863	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-03-25 00:00:00	None	Yes	2005-12-15 00:00:00	2005-10-06 00:00:00	B	B	300	150	0	150	0	240020017	A99999	N	CA00044339	B	SFY2005-06
240000969	VAN BUREN HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2005-10-28 00:00:00	240001864	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-02-12 00:00:00	2005-02-12 00:00:00	No	2005-11-21 00:00:00	None	B	None	1000	1000	0	1000	0	240020020	A99999	N	CA00039288	B	SFY2005-06
240000075	LINDA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-11-17 00:00:00	240001865	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-26 00:00:00	2004-07-26 00:00:00	No	2005-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	240020021	A99999	N	CA00029460	C	SFY2005-06
240001417	CHESTNUT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2006-01-27 00:00:00	240001866	Closed	Citation	Citation A (HSC 1424)	Medication	None	2004-03-31 00:00:00	2004-03-31 00:00:00	Yes	2006-02-21 00:00:00	2006-02-17 00:00:00	A	A	10000	1500	0	1500	0	240020022	A99999	N	CA00021450	C	SFY2005-06
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-01-27 00:00:00	240001867	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-21 00:00:00	2005-10-21 00:00:00	No	2006-02-21 00:00:00	None	B	None	300	400	-105	295	0	240020023	A99999	N	CA00064311	C	SFY2005-06
240000287	COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-03-23 00:00:00	240002943	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-07 00:00:00	2005-06-07 00:00:00	Yes	2006-04-14 00:00:00	2006-03-27 00:00:00	B	B	1000	500	0	500	0	None	420S11	N	CA00051531	C	SFY2005-06
240000038	CITRUS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-03-17 00:00:00	240002945	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-03-22 00:00:00	2005-03-22 00:00:00	Yes	2006-04-10 00:00:00	2006-03-27 00:00:00	A	A	17000	11050	0	11050	0	None	67F911	N	CA00043352	C	SFY2005-06
240000038	CITRUS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-04-04 00:00:00	240002964	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-12-08 00:00:00	2004-12-08 00:00:00	Yes	2006-04-25 00:00:00	2006-04-04 00:00:00	A	A	18000	11950	-250	11700	0	None	GRLO11	N	None	None	SFY2005-06
240001743	CHRISTOPHER RANCH II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2006-04-17 00:00:00	240002966	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/Fac. Self Reported	2005-07-15 00:00:00	2005-07-15 00:00:00	No	2006-05-08 00:00:00	None	B	None	500	500	-175	325	0	None	YWVW11	N	CA00055755	B	SFY2005-06
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-03-23 00:00:00	240002970	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-29 00:00:00	2005-10-29 00:00:00	No	2006-04-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	FMZE11	N	CA00065019	C	SFY2005-06
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-03-23 00:00:00	240002979	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-07 00:00:00	2005-06-07 00:00:00	No	2006-04-14 00:00:00	None	B	None	800	800	-280	520	0	None	K43L11	N	CA00051624	C	SFY2005-06
240000979	BEAR VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-04-20 00:00:00	240002992	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-05 00:00:00	2005-02-05 00:00:00	No	2006-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	XNVM11	N	CA00038896	C	SFY2005-06
240001460	WALNUT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2006-05-03 00:00:00	240003059	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-30 00:00:00	2005-03-30 00:00:00	No	2006-05-24 00:00:00	None	B	None	700	700	-245	455	0	None	QSGI11	N	CA00042631	C	SFY2005-06
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-05-09 00:00:00	240003082	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2005-11-03 00:00:00	2005-11-03 00:00:00	No	2006-05-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	K5T111	N	CA00061187	C	SFY2005-06
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-05-09 00:00:00	240003083	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-11-17 00:00:00	2005-11-17 00:00:00	No	2006-05-31 00:00:00	None	B	None	1000	1900	-350	1550	0	None	BJVN11	N	CA00056257	C	SFY2005-06
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-05-08 00:00:00	240003084	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-02-29 00:00:00	2004-02-29 00:00:00	Yes	2006-05-30 00:00:00	2006-05-23 00:00:00	A	None	15000	15550	-15550	0	0	None	S4D511	N	CA00019129	D	SFY2005-06
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-05-08 00:00:00	240003085	Closed	Citation	Citation B (HSC 1424)	Other	AB-Abuse	2005-12-16 00:00:00	2005-12-16 00:00:00	No	2006-05-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	87Q911	N	CA00068271	B	SFY2005-06
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-05-08 00:00:00	240003086	Closed	Citation	Citation B (HSC 1424)	Other	AB-Abuse	2005-11-16 00:00:00	2005-11-16 00:00:00	No	2006-05-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	CK8211	N	CA00065795	C	SFY2005-06
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-05-08 00:00:00	240003087	Closed	Citation	Citation B (HSC 1424)	Other	AB-Abuse	2006-02-02 00:00:00	2006-02-02 00:00:00	No	2006-05-30 00:00:00	None	B	None	1000	1150	-350	800	0	None	FO8M11	N	CA00071606	C	SFY2005-06
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-05-17 00:00:00	240003104	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-13 00:00:00	2006-02-13 00:00:00	No	2006-06-08 00:00:00	None	B	None	700	700	-245	455	0	None	YPX611	N	CA00073532	B	SFY2005-06
240000107	TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-05-22 00:00:00	240003112	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-03-25 00:00:00	2005-03-25 00:00:00	Yes	2011-05-17 00:00:00	2011-02-17 00:00:00	A	A	20000	10400	-400	10000	0	None	B5GM11	N	CA00042032	C	SFY2005-06
240001856	GIBBS DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2006-05-31 00:00:00	240003131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-28 00:00:00	2005-03-28 00:00:00	No	2006-06-21 00:00:00	None	B	None	900	900	0	900	0	None	Q1BO11	N	CA00043416	C	SFY2005-06
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-06-01 00:00:00	240003134	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-06-22 00:00:00	2005-06-22 00:00:00	Yes	2010-09-28 00:00:00	2010-09-20 00:00:00	AA	AA	65000	65000	0	65000	0	None	C74G11	Y	CA00070511	C	SFY2005-06
240000127	CIRCLEBROOK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2006-06-06 00:00:00	240003145	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-08-23 00:00:00	2004-08-23 00:00:00	Yes	2008-04-14 00:00:00	2008-04-16 00:00:00	AA	A	25000	12250	-250	12000	0	None	WTV811	Y	CA00030473	B	SFY2005-06
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-06-16 00:00:00	240003170	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2005-03-04 00:00:00	2005-03-04 00:00:00	No	2006-07-10 00:00:00	None	B	None	500	650	0	650	0	None	SO4H11	N	CA00065421	C	SFY2005-06
240000126	JANE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2006-07-10 00:00:00	240003197	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-06-17 00:00:00	2005-06-17 00:00:00	Yes	2006-07-31 00:00:00	2006-07-14 00:00:00	A	B	10000	2500	0	2500	0	None	RFCV11	N	CA00052377	C	SFY2006-07
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-08-03 00:00:00	240003217	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-10-04 00:00:00	2004-10-04 00:00:00	Yes	2006-08-24 00:00:00	2006-08-04 00:00:00	B	None	1000	1000	0	1000	0	None	DNXE11	N	CA00033229	B	SFY2006-07
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-08-03 00:00:00	240003218	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-08-20 00:00:00	2005-08-20 00:00:00	Yes	2006-08-24 00:00:00	2006-08-11 00:00:00	A	None	15000	15000	-15000	0	0	None	C40Y11	N	None	None	SFY2006-07
240000065	HERITAGE GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-08-03 00:00:00	240003219	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-17 00:00:00	2003-01-17 00:00:00	No	2006-08-24 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	KXL011	N	CA00033441	C	SFY2006-07
240000068	HIGHLAND PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-08-03 00:00:00	240003220	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-09-01 00:00:00	2004-09-01 00:00:00	Yes	2006-08-24 00:00:00	2006-08-24 00:00:00	A	B	10000	7500	0	7500	0	None	IHRH11	N	CA00037892	C	SFY2006-07
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-07-28 00:00:00	240003241	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-28 00:00:00	2005-10-28 00:00:00	No	2006-08-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	TWWD11	N	CA00065734	C	SFY2006-07
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-10-04 00:00:00	240003252	Closed	Citation	Citation B (HSC 1424)	Other	AB-ABUSE/FACILITY	2006-05-11 00:00:00	2006-05-11 00:00:00	Yes	2006-10-26 00:00:00	2006-10-10 00:00:00	B	B	1000	500	0	500	0	None	WI0N11	N	CA00080717	B	SFY2006-07
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-01 00:00:00	240003317	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-27 00:00:00	2005-09-27 00:00:00	Yes	2006-09-25 00:00:00	2006-09-01 00:00:00	A	A	20000	12000	0	12000	0	None	OSRI11	N	CA00065389	C	SFY2006-07
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-21 00:00:00	240003349	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-05 00:00:00	2003-09-05 00:00:00	Yes	2006-10-13 00:00:00	2006-09-22 00:00:00	A	None	20000	20000	-20000	0	0	None	CGCN11	N	CA00033334	C	SFY2006-07
240000085	MONTCLAIR MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-21 00:00:00	240003351	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-05-27 00:00:00	2004-05-27 00:00:00	Yes	2006-10-13 00:00:00	2006-09-21 00:00:00	A	A	20000	20000	0	20000	0	None	4FX911	N	CA00025363, CA00056482	B, C	SFY2006-07
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-22 00:00:00	240003353	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-11-17 00:00:00	2004-11-17 00:00:00	Yes	2006-10-16 00:00:00	2006-09-22 00:00:00	A	None	20000	20300	-20300	0	0	None	CVKR11	N	CA00034967	C	SFY2006-07
240000118	BERYL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2006-09-22 00:00:00	240003355	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-06-11 00:00:00	2005-06-11 00:00:00	No	2006-10-16 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	XG2Z11	N	CA00051349	B	SFY2006-07
240001246	ALTA LOMA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2006-09-22 00:00:00	240003356	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-01-16 00:00:00	2005-01-16 00:00:00	Yes	2011-06-28 00:00:00	2011-06-17 00:00:00	A	B	8000	8000	0	8000	0	None	VOJ311	N	CA00037641	C	SFY2006-07
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-27 00:00:00	240003362	Closed	Citation	Citation A (HSC 1424)	Other	AB-ABUSE	2005-10-17 00:00:00	2005-10-17 00:00:00	Yes	2006-10-19 00:00:00	2006-09-28 00:00:00	A	A	20000	20000	0	20000	0	None	Q7DB11	N	CA00063923	C	SFY2006-07
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-27 00:00:00	240003363	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Facility Not Report	2005-06-14 00:00:00	2005-06-14 00:00:00	Yes	2006-10-19 00:00:00	2006-10-19 00:00:00	A	B	20000	1000	0	1000	0	None	WMPT11	N	CA00054343	C	SFY2006-07
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-28 00:00:00	240003364	Closed	Citation	Citation B (HSC 1424)	Other	AB-ABUSE	2005-08-20 00:00:00	2005-08-20 00:00:00	Yes	2006-10-20 00:00:00	2006-10-10 00:00:00	B	B	1000	500	0	500	0	None	DDM011	N	CA00059006	C	SFY2006-07
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-28 00:00:00	240003365	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-10-22 00:00:00	2005-10-22 00:00:00	Yes	2006-10-20 00:00:00	2006-10-10 00:00:00	A	B	20000	5000	0	5000	0	None	41DI11	N	CA00064575	C	SFY2006-07
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-28 00:00:00	240003366	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-10-22 00:00:00	2005-10-22 00:00:00	Yes	2006-10-20 00:00:00	2006-10-10 00:00:00	A	B	20000	5000	0	5000	0	None	WD2K11	N	CA00064575	C	SFY2006-07
240000107	TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-10-10 00:00:00	240003411	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-09 00:00:00	2005-09-09 00:00:00	No	2006-10-31 00:00:00	None	B	None	950	950	0	950	0	None	WN1Q11	N	CA00060735	B	SFY2006-07
240000287	COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-10-31 00:00:00	240003422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-16 00:00:00	2006-05-16 00:00:00	Yes	2006-11-22 00:00:00	2006-11-02 00:00:00	B	B	900	450	0	450	0	None	XWJX11	N	CA00078980	C	SFY2006-07
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-10-19 00:00:00	240003425	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-17 00:00:00	2006-08-17 00:00:00	No	2006-11-09 00:00:00	None	B	None	600	600	-210	390	0	None	3SE111	N	CA00082149	C	SFY2006-07
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-10-19 00:00:00	240003435	Closed	Citation	Citation B (HSC 1424)	Other	AB-Abuse	2006-02-08 00:00:00	2006-02-08 00:00:00	No	2006-11-09 00:00:00	None	B	None	500	500	-175	325	0	None	OGG111	N	CA00075185	B	SFY2006-07
240001007	VILLA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2006-10-20 00:00:00	240003437	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-06 00:00:00	2005-06-06 00:00:00	No	2006-11-13 00:00:00	None	B	None	850	850	0	850	0	None	6QYE11	N	CA00062894	C	SFY2006-07
240000876	LANFAIR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2006-11-16 00:00:00	240003494	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-02-17 00:00:00	2006-02-17 00:00:00	No	2006-12-11 00:00:00	None	B	None	800	800	-280	520	0	None	6JGN11	N	CA00056013	B	SFY2006-07
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-11-21 00:00:00	240003507	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-04-21 00:00:00	2005-04-21 00:00:00	Yes	2006-12-14 00:00:00	2006-11-21 00:00:00	A	A	17000	2350	-350	2000	0	None	CDIE11	N	CA00046984	C	SFY2006-07
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-11-21 00:00:00	240003509	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-18 00:00:00	2006-01-18 00:00:00	Yes	2006-12-14 00:00:00	2006-11-21 00:00:00	B	B	1000	500	0	500	0	None	W6FC11	N	CA00070841	B	SFY2006-07
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-11-30 00:00:00	240003533	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-09 00:00:00	2006-02-09 00:00:00	No	2006-12-21 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	19DU11	N	CA00076480	C	SFY2006-07
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-12-04 00:00:00	240003540	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-15 00:00:00	2005-06-15 00:00:00	Yes	2006-12-26 00:00:00	2006-12-06 00:00:00	B	B	1000	600	0	600	0	None	WYCE11	N	CA00053230	C	SFY2006-07
240001842	JASPER DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2007-01-24 00:00:00	240003659	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-10 00:00:00	2006-05-10 00:00:00	No	2007-02-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	S2HD11	N	CA00080490	C	SFY2006-07
240000965	VIVIENDA HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2007-02-21 00:00:00	240003717	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-12-17 00:00:00	2005-12-17 00:00:00	Yes	2010-09-17 00:00:00	2010-01-12 00:00:00	AA	AA	25000	25000	0	25000	0	None	VC3F11	Y	CA00068212	C	SFY2006-07
240000965	VIVIENDA HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2007-02-21 00:00:00	240003733	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-08-28 00:00:00	2005-08-28 00:00:00	Yes	2012-09-14 00:00:00	2007-03-15 00:00:00	A	A	5000	5050	-50	5000	0	None	YCHP11	N	CA00059899	C	SFY2006-07
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-03-07 00:00:00	240003761	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2006-06-24 00:00:00	2006-06-24 00:00:00	No	2007-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	D39311	N	CA00084573	B	SFY2006-07
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-03-02 00:00:00	240003762	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-15 00:00:00	2005-11-15 00:00:00	Yes	2007-03-23 00:00:00	2007-03-02 00:00:00	B	None	1000	1050	0	1050	0	None	E9M511	N	CA00068330	C	SFY2006-07
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-03-02 00:00:00	240003763	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-28 00:00:00	2005-09-28 00:00:00	Yes	2007-03-23 00:00:00	2007-04-07 00:00:00	A	None	10000	10100	-10100	0	0	None	CP9011	N	CA00069329	C	SFY2006-07
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-03-07 00:00:00	240003770	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2006-02-28 00:00:00	2006-02-28 00:00:00	Yes	2007-03-28 00:00:00	2007-03-14 00:00:00	B	None	1000	1000	-1000	0	0	None	0DXO11	N	CA00073643	B	SFY2006-07
240000156	WATERMAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-03-15 00:00:00	240003800	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-26 00:00:00	2006-05-26 00:00:00	Yes	2014-04-09 00:00:00	2007-03-22 00:00:00	B	B	1000	1000	0	1000	0	None	KORC11	N	CA00084743	B	SFY2006-07
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-03-16 00:00:00	240003810	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-16 00:00:00	2006-08-16 00:00:00	No	2007-04-06 00:00:00	None	B	None	750	850	0	850	0	None	4PEP11	N	CA00090356	B	SFY2006-07
240000090	ONTARIO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-03-19 00:00:00	240003811	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-11-04 00:00:00	2006-11-04 00:00:00	No	2007-04-09 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	E6EF11	N	CA00097890	C	SFY2006-07
240000093	COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-04-10 00:00:00	240003879	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-31 00:00:00	2006-05-31 00:00:00	No	2007-05-01 00:00:00	None	B	None	1000	1050	0	1050	0	None	7XHK11	N	CA00082373	B	SFY2006-07
240001244	GENOA DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2007-08-22 00:00:00	240004207	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2006-07-19 00:00:00	2006-07-19 00:00:00	Yes	2007-09-13 00:00:00	2007-08-22 00:00:00	AA	AA	25000	25000	0	25000	0	None	K28211	Y	CA00089708	C	SFY2007-08
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-09-14 00:00:00	240004275	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-11 00:00:00	2007-03-11 00:00:00	Yes	2007-10-05 00:00:00	2007-09-18 00:00:00	B	B	1000	500	0	500	0	None	6DUV11	N	CA00109114	B	SFY2007-08
240000038	CITRUS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-10-11 00:00:00	240004343	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-02-24 00:00:00	2007-02-24 00:00:00	Yes	2010-09-13 00:00:00	2010-08-26 00:00:00	AA	AA	100000	65000	0	65000	0	None	PD4M11	Y	CA00107421, CA00107476, CA00107656	C, C, C	SFY2007-08
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-10-18 00:00:00	240004367	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-07-15 00:00:00	2006-07-15 00:00:00	Yes	2007-11-08 00:00:00	2007-11-07 00:00:00	A	A	17000	10250	-50	10200	0	None	Y9C011	N	CA00093389	C	SFY2007-08
240000065	HERITAGE GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-10-18 00:00:00	240004371	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-26 00:00:00	2006-11-26 00:00:00	No	2007-11-08 00:00:00	None	B	None	500	500	-175	325	0	None	E90O11	N	CA00107615	C	SFY2007-08
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-10-23 00:00:00	240004378	Open	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2005-06-03 00:00:00	2005-06-03 00:00:00	Yes	2014-09-16 00:00:00	2014-01-16 00:00:00	B	B	1000	1000	0	0	1000	None	MTBV11	N	CA00086377	C	SFY2007-08
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-10-24 00:00:00	240004394	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-04-18 00:00:00	2007-04-18 00:00:00	Yes	2007-11-15 00:00:00	2010-09-01 00:00:00	AA	A	100000	65000	0	65000	0	None	7ODV11	Y	CA00112528	C	SFY2007-08
240001446	GLENDA SHAKLEE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2007-11-02 00:00:00	240004420	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-03 00:00:00	2006-08-03 00:00:00	No	2007-11-28 00:00:00	None	B	None	950	1000	0	1000	0	None	TT1S11	N	CA00089056	C	SFY2007-08
240001446	GLENDA SHAKLEE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2007-11-27 00:00:00	240004467	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-18 00:00:00	2006-07-18 00:00:00	No	2007-12-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	BHLR11	N	None	None	SFY2007-08
240000876	LANFAIR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2007-11-27 00:00:00	240004468	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-06 00:00:00	2007-01-06 00:00:00	No	2007-12-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	IO2W11	N	CA00103124	C	SFY2007-08
240000065	HERITAGE GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2007-11-30 00:00:00	240004469	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-03-31 00:00:00	2007-03-31 00:00:00	No	2007-12-21 00:00:00	None	B	None	500	650	-175	475	0	None	TXUD11	N	CA00110904	A	SFY2007-08
240001697	CHRISTOPHER RANCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2008-01-02 00:00:00	240004551	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-27 00:00:00	2007-01-27 00:00:00	No	2008-01-24 00:00:00	None	A	None	10000	10050	-3500	6550	0	None	COIL11	N	CA00109239	C	SFY2007-08
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-01-29 00:00:00	240004618	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-06-07 00:00:00	2005-06-07 00:00:00	Yes	2008-02-21 00:00:00	2008-02-08 00:00:00	A	A	20000	20000	0	20000	0	None	3G0311	N	CA00054126	C	SFY2007-08
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-01-30 00:00:00	240004619	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-11 00:00:00	2007-04-11 00:00:00	No	2008-02-22 00:00:00	None	B	None	1000	1250	0	1250	0	None	8E0R11	N	CA00111872	C	SFY2007-08
240000065	HERITAGE GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-01-29 00:00:00	240004623	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-30 00:00:00	2007-05-30 00:00:00	No	2008-02-21 00:00:00	None	B	None	1000	1050	0	1050	0	None	8OGX11	N	CA00116772	C	SFY2007-08
240000038	CITRUS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-02-27 00:00:00	240004715	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-04-17 00:00:00	2006-04-17 00:00:00	Yes	2008-03-19 00:00:00	2008-03-10 00:00:00	A	A	18500	12025	0	12025	0	None	S0ZP11	N	CA00081741	C	SFY2007-08
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-02-29 00:00:00	240004716	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-09-30 00:00:00	2006-09-30 00:00:00	No	2008-03-21 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	HH8U11	N	CA00098610	C	SFY2007-08
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-02-29 00:00:00	240004718	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-10 00:00:00	2006-10-10 00:00:00	No	2008-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	HH8U11	N	CA00098610	C	SFY2007-08
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-03-04 00:00:00	240004731	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-09-12 00:00:00	2007-09-12 00:00:00	No	2008-03-25 00:00:00	None	B	None	1000	1400	-350	1050	0	None	EQY411	N	CA00125457	B	SFY2007-08
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-03-05 00:00:00	240004735	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-28 00:00:00	2007-07-28 00:00:00	No	2008-03-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	4NRK11	N	CA00121859	B	SFY2007-08
240001087	PALOMAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2008-03-10 00:00:00	240004771	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-17 00:00:00	2007-09-17 00:00:00	Yes	2008-04-01 00:00:00	2008-03-10 00:00:00	B	B	1000	1000	0	1000	0	None	F6XL11	N	CA00126847	B	SFY2007-08
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-04-02 00:00:00	240004846	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-05-21 00:00:00	2007-05-21 00:00:00	No	2008-04-23 00:00:00	None	B	None	1000	1950	-350	1600	0	None	5H8D11	N	CA00115420, CA00115574	C, C	SFY2007-08
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-04-29 00:00:00	240004962	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-07-12 00:00:00	2006-07-12 00:00:00	No	2008-05-22 00:00:00	None	A	None	19500	19500	-6825	12675	0	None	BTM011	N	CA00088531	C	SFY2007-08
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-04-29 00:00:00	240004965	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-06-07 00:00:00	2007-06-07 00:00:00	No	2008-05-20 00:00:00	None	B	None	1000	1050	0	1050	0	None	879411	N	CA00116656	C	SFY2007-08
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-04-29 00:00:00	240004966	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-06-07 00:00:00	2007-06-07 00:00:00	No	2008-05-20 00:00:00	None	B	None	1000	1050	0	1050	0	None	879411	N	CA00116656	C	SFY2007-08
240000107	TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-05-05 00:00:00	240004996	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-07-20 00:00:00	2005-07-20 00:00:00	Yes	2010-09-16 00:00:00	2010-08-30 00:00:00	AA	A	85000	30000	0	30000	0	None	F5YY11	Y	CA00056942	C	SFY2007-08
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-05-09 00:00:00	240005006	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-04-02 00:00:00	2007-04-02 00:00:00	No	2008-06-02 00:00:00	None	A	None	19000	19000	-6650	12350	0	None	X2RN11	N	CA00111111	A	SFY2007-08
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-06-25 00:00:00	240005123	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-02-06 00:00:00	2007-02-06 00:00:00	No	2008-07-17 00:00:00	None	A	None	10000	10000	0	10000	0	None	ZJD211	N	CA00106001	C	SFY2007-08
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-07-08 00:00:00	240005215	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-12-12 00:00:00	2007-12-12 00:00:00	No	2008-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	R19I11	N	CA00134958, CA00135125	C, C	SFY2008-09
240000840	LINCOLN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2008-07-15 00:00:00	240005234	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-20 00:00:00	2007-08-20 00:00:00	No	2008-08-05 00:00:00	None	B	None	1000	1400	0	1400	0	None	IFJU11	N	CA00124092	C	SFY2008-09
240001751	VICTORIA DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2008-07-24 00:00:00	240005248	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-28 00:00:00	2007-10-28 00:00:00	No	2008-08-14 00:00:00	None	B	None	800	800	-280	520	0	None	JNIP11	N	CA00130510, CA00130580	C, B	SFY2008-09
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-07-24 00:00:00	240005254	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-20 00:00:00	2008-03-20 00:00:00	No	2008-08-14 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	O1DG11	N	CA00144580	C	SFY2008-09
240000107	TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-07-30 00:00:00	240005269	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-07-29 00:00:00	2005-07-29 00:00:00	Yes	2008-08-20 00:00:00	2010-08-30 00:00:00	AA	A	85000	30000	0	30000	0	None	S4Q411	Y	CA00057799	C	SFY2008-09
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-08-29 00:00:00	240005368	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-17 00:00:00	2006-03-17 00:00:00	Yes	2008-09-22 00:00:00	2008-09-02 00:00:00	B	None	900	2700	-945	1755	0	None	18J811	N	CA00076164	B	SFY2008-09
240001673	SHEPHERD DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2008-09-03 00:00:00	240005370	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-01-08 00:00:00	2007-01-08 00:00:00	No	2008-09-24 00:00:00	None	B	None	900	900	-315	585	0	None	94H711	N	CA00103512	B	SFY2008-09
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-09-03 00:00:00	240005374	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-27 00:00:00	2007-09-27 00:00:00	No	2008-09-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	R19I11	N	CA00133815	C	SFY2008-09
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-11-12 00:00:00	240005593	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-24 00:00:00	2008-07-24 00:00:00	No	2008-12-05 00:00:00	None	A	None	14000	14000	-4900	9100	0	None	HK4B11	N	CA00158172	C	SFY2008-09
240000840	LINCOLN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2008-11-25 00:00:00	240005642	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-26 00:00:00	2007-03-26 00:00:00	No	2008-12-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	0V5E11	N	CA00110454	C	SFY2008-09
240001844	TURQUOISE DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2008-12-01 00:00:00	240005649	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-06-18 00:00:00	2008-06-18 00:00:00	No	2008-12-22 00:00:00	None	B	None	250	250	0	250	0	None	MFIU11	N	CA00148845	C	SFY2008-09
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-12-02 00:00:00	240005662	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-19 00:00:00	2008-08-19 00:00:00	Yes	2008-12-23 00:00:00	2008-12-18 00:00:00	B	B	850	575	-100	475	0	None	YOQ111	N	CA00160772	C	SFY2008-09
240000032	BROOKSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-12-31 00:00:00	240005713	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-12-15 00:00:00	2006-12-15 00:00:00	No	2009-01-23 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	XZV811	N	CA00102939	C	SFY2008-09
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-12-31 00:00:00	240005717	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-13 00:00:00	2007-08-13 00:00:00	No	2009-01-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	6MC611	N	CA00123465	A	SFY2008-09
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-01-30 00:00:00	240005831	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2009-02-24 00:00:00	None	B	None	900	900	-315	585	0	None	BYE711	N	CA00146052	C	SFY2008-09
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-02-19 00:00:00	240005886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-11 00:00:00	2006-01-11 00:00:00	No	2009-03-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	TF0T11	N	CA00079789	C	SFY2008-09
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-02-23 00:00:00	240005895	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-07-15 00:00:00	2007-07-15 00:00:00	No	2009-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	4FPE11	N	CA00120551	B	SFY2008-09
240000287	COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-02-24 00:00:00	240005897	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-11-07 00:00:00	2007-11-07 00:00:00	Yes	2009-03-17 00:00:00	2009-02-27 00:00:00	B	B	1000	1000	0	1000	0	None	91E511	N	CA00131661	E	SFY2008-09
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-03-09 00:00:00	240005942	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-03 00:00:00	2007-08-03 00:00:00	No	2009-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	81OF11	N	CA00124908	B	SFY2008-09
240001089	COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-03-11 00:00:00	240005946	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-12 00:00:00	2006-11-12 00:00:00	No	2009-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	S5JK11	N	CA00099949	C	SFY2008-09
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-03-11 00:00:00	240005947	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-10-03 00:00:00	2006-10-03 00:00:00	No	2009-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	C52G11	N	CA00096164	C	SFY2008-09
240001519	WEINGART HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2009-03-19 00:00:00	240005974	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-15 00:00:00	2007-01-15 00:00:00	No	2009-04-10 00:00:00	None	B	None	600	600	0	600	0	None	GVZL11	N	CA00103943	B	SFY2008-09
630003741	ISHER CARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2009-03-23 00:00:00	240005994	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-02-06 00:00:00	2008-02-06 00:00:00	No	2009-04-14 00:00:00	None	A	None	6000	6000	-2100	3900	0	None	0Z2W11	N	CA00140375	C	SFY2008-09
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-03-24 00:00:00	240006004	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-06-12 00:00:00	2006-06-12 00:00:00	No	2009-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	HRH811	N	CA00092958	B	SFY2008-09
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-03-24 00:00:00	240006006	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-22 00:00:00	2007-10-22 00:00:00	Yes	2009-04-15 00:00:00	2009-03-30 00:00:00	B	B	1000	500	0	500	0	None	LJ3211	N	CA00130625	E	SFY2008-09
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-04-08 00:00:00	240006061	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-26 00:00:00	2007-12-26 00:00:00	No	2009-04-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	9BTV11	N	None	None	SFY2008-09
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-04-08 00:00:00	240006062	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-05 00:00:00	2008-01-05 00:00:00	No	2009-04-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	9KMF11	N	CA00137233	C	SFY2008-09
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-04-16 00:00:00	240006106	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-03 00:00:00	2009-03-03 00:00:00	No	2009-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	JUCE11	N	CA00178916	C	SFY2008-09
240000156	WATERMAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-05-06 00:00:00	240006163	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-15 00:00:00	2007-12-15 00:00:00	Yes	2012-01-18 00:00:00	2012-01-04 00:00:00	A	Dismissed by Court	18000	0	0	0	0	None	EM6H11	N	CA00135286	C	SFY2008-09
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-05-11 00:00:00	240006168	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-07-11 00:00:00	2007-07-11 00:00:00	Yes	2009-06-02 00:00:00	2009-05-18 00:00:00	A	None	20000	20000	0	20000	0	None	SPV711	N	CA00120533	B	SFY2008-09
240000156	WATERMAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-06-10 00:00:00	240006272	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-21 00:00:00	2006-08-21 00:00:00	No	2009-07-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	V08E11	N	CA00092629	C	SFY2008-09
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-06-19 00:00:00	240006301	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-11-18 00:00:00	2008-11-18 00:00:00	No	2009-07-10 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	FE4W11	N	CA00169394	B	SFY2008-09
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-07-01 00:00:00	240006346	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-01 00:00:00	2008-04-01 00:00:00	Yes	2009-07-22 00:00:00	2009-07-21 00:00:00	B	B	1000	1000	0	1000	0	None	8TG811	N	CA00145794	C	SFY2009-10
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-07-23 00:00:00	240006414	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-11-15 00:00:00	2008-11-15 00:00:00	No	2009-08-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	CQHC11	N	CA00170493	C	SFY2009-10
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-08-11 00:00:00	240006458	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-06-11 00:00:00	2009-06-11 00:00:00	Yes	2009-09-01 00:00:00	2010-08-29 00:00:00	AA	A	90000	25000	0	25000	0	None	MV8T11	Y	CA00191568	E	SFY2009-10
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-08-13 00:00:00	240006464	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-15 00:00:00	2009-05-15 00:00:00	No	2009-09-03 00:00:00	None	B	None	900	900	-315	585	0	None	4NCE11	N	CA00189186	C	SFY2009-10
240000136	SYCAMORE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2009-08-13 00:00:00	240006466	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-03-01 00:00:00	2007-03-01 00:00:00	Yes	2009-09-03 00:00:00	2009-08-13 00:00:00	B	B	500	250	0	250	0	None	D9D011	N	CA00107575, CA00108061	C, C	SFY2009-10
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-08-20 00:00:00	240006483	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-10-20 00:00:00	2007-10-20 00:00:00	Yes	2009-09-11 00:00:00	2009-09-01 00:00:00	A	B	10000	6000	0	6000	0	None	BTIZ11	N	CA00130752	C	SFY2009-10
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-09-17 00:00:00	240006548	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-02-05 00:00:00	2007-02-05 00:00:00	Yes	2009-10-08 00:00:00	2009-09-24 00:00:00	A	A	17500	10500	0	10500	0	None	3RLK11	Y	CA00107574	C	SFY2009-10
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-09-17 00:00:00	240006557	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-11 00:00:00	2009-06-11 00:00:00	No	2009-10-08 00:00:00	None	B	None	700	700	-245	455	0	None	EF0T11	N	CA00191867	C	SFY2009-10
240000150	REDLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-10-08 00:00:00	240006608	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-06 00:00:00	2009-01-06 00:00:00	No	2009-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	3EGJ11	N	CA00176938	C	SFY2009-10
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-10-23 00:00:00	240006651	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-10-09 00:00:00	2007-10-09 00:00:00	Yes	2009-11-16 00:00:00	2009-11-04 00:00:00	A	A	16500	16500	0	16500	0	None	1ZUT11	N	CA00153652	C	SFY2009-10
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-10-23 00:00:00	240006652	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-10-17 00:00:00	2007-10-17 00:00:00	Yes	2009-11-16 00:00:00	2009-11-03 00:00:00	A	None	18000	18000	0	18000	0	None	1ZUT11	N	CA00153652	C	SFY2009-10
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-11-05 00:00:00	240006677	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-05-08 00:00:00	2008-05-08 00:00:00	No	2009-12-01 00:00:00	None	B	None	700	700	-245	455	0	None	WSZL11	N	CA00154325	C	SFY2009-10
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-11-10 00:00:00	240006690	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-12-19 00:00:00	2006-12-19 00:00:00	No	2009-12-04 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	4SW711	N	CA00101966	C	SFY2009-10
240000097	ARROWHEAD SPRINGS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-12-16 00:00:00	240006777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-21 00:00:00	2007-09-21 00:00:00	No	2010-01-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZLUY11	N	CA00127210	B	SFY2009-10
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-12-30 00:00:00	240006842	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-11 00:00:00	2007-06-11 00:00:00	Yes	2010-01-25 00:00:00	2010-01-20 00:00:00	B	B	1000	650	0	650	0	None	KIEN11	N	CA00117246	C	SFY2009-10
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-12-30 00:00:00	240006843	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-19 00:00:00	2007-09-19 00:00:00	No	2010-01-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	43R311	N	CA00127569	H	SFY2009-10
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-02-11 00:00:00	240006862	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2008-08-15 00:00:00	2008-08-15 00:00:00	No	2010-03-04 00:00:00	None	AA	None	90000	90000	-31500	58500	0	None	ANL411	Y	CA00162118, CA00163605	H, C	SFY2009-10
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-12-31 00:00:00	240006866	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-06 00:00:00	2008-08-06 00:00:00	Yes	2014-04-10 00:00:00	2010-01-11 00:00:00	B	B	700	700	0	700	0	None	XEXV11	Y	CA00161203	C	SFY2009-10
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-12-31 00:00:00	240006867	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-31 00:00:00	2009-05-31 00:00:00	Yes	2010-01-26 00:00:00	2010-01-11 00:00:00	B	B	700	455	0	455	0	None	MVT311	N	CA00190300	C	SFY2009-10
240000097	ARROWHEAD SPRINGS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-01-05 00:00:00	240006876	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-04 00:00:00	2007-08-04 00:00:00	No	2010-01-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	WQKK11	N	CA00122613	B	SFY2009-10
240001111	ROSEWOOD HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-01-15 00:00:00	240006915	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-07 00:00:00	2008-01-07 00:00:00	Yes	2012-09-05 00:00:00	2012-08-15 00:00:00	A	B	8000	15000	0	15000	0	None	4L2N11	N	CA00137501	C	SFY2009-10
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-02-05 00:00:00	240006974	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-14 00:00:00	2009-07-14 00:00:00	No	2010-02-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	6VBJ11	N	CA00197442	C	SFY2009-10
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-02-22 00:00:00	240007006	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-09-23 00:00:00	2009-09-23 00:00:00	No	2010-03-15 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	7D7G11	N	CA00202971	C	SFY2009-10
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-02-22 00:00:00	240007007	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-02-16 00:00:00	2009-02-16 00:00:00	No	2010-03-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	7RJ111	N	CA00178218	B	SFY2009-10
240000855	PALMYRA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-02-22 00:00:00	240007008	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-06-10 00:00:00	2005-06-10 00:00:00	Yes	2010-03-15 00:00:00	2010-03-11 00:00:00	B	B	1000	500	0	500	0	None	1QJ011	N	CA00051649	C	SFY2009-10
240000409	COLTON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-02-23 00:00:00	240007009	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-11 00:00:00	2005-10-11 00:00:00	No	2010-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	S86M11	N	CA00063467	C	SFY2009-10
240000121	NEWBURY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-02-23 00:00:00	240007010	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-08 00:00:00	2005-11-08 00:00:00	No	2010-03-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	FXBP11	N	CA00065453	A	SFY2009-10
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-03-04 00:00:00	240007017	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-01-07 00:00:00	2008-01-07 00:00:00	Yes	2010-03-25 00:00:00	2010-03-04 00:00:00	AA	A	100000	25000	0	25000	0	None	KIIK11	Y	CA00138930, CA00164518	C, C	SFY2009-10
240001550	BETHESDA LUTHERAN COMMUNITIES - FALLING LEAF	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-03-08 00:00:00	240007027	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-01-23 00:00:00	2008-01-23 00:00:00	No	2010-03-29 00:00:00	None	B	None	450	450	-157.5	292.5	0	None	JWBY11	N	CA00138849	C	SFY2009-10
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-03-22 00:00:00	240007062	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-15 00:00:00	2007-07-15 00:00:00	No	2010-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y50K11	N	CA00120372	C	SFY2009-10
240001462	CLIFFORD SHAKLEE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-03-03 00:00:00	240007063	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-02 00:00:00	2008-10-02 00:00:00	Yes	2011-03-24 00:00:00	2011-03-03 00:00:00	B	None	1000	1000	0	1000	0	None	OC9L11	N	CA00167356	B	SFY2010-11
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-03-22 00:00:00	240007064	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-20 00:00:00	2007-06-20 00:00:00	No	2010-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	RDE111	N	CA00113636	C	SFY2009-10
240000068	HIGHLAND PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-03-29 00:00:00	240007067	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-03-09 00:00:00	2009-03-09 00:00:00	No	2011-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	QD7D11	N	CA00181863	C	SFY2010-11
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-04-01 00:00:00	240007090	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-15 00:00:00	2006-09-15 00:00:00	No	2010-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	HRH811	N	CA00093345	B	SFY2009-10
240000107	TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-04-02 00:00:00	240007091	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-15 00:00:00	2006-12-15 00:00:00	Yes	2010-04-23 00:00:00	2010-04-23 00:00:00	B	B	1000	200	0	200	0	None	P4MC11	Y	CA00102581	C	SFY2009-10
240001007	VILLA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-02-17 00:00:00	240007092	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-06-21 00:00:00	2008-06-21 00:00:00	Yes	2011-03-11 00:00:00	2011-02-17 00:00:00	B	B	1000	500	0	500	0	None	LHXY11	N	CA00155064	C	SFY2010-11
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-04-01 00:00:00	240007093	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-05-17 00:00:00	2006-05-17 00:00:00	No	2010-04-22 00:00:00	None	B	None	900	900	-315	585	0	None	TIUR11	N	CA00081143	B	SFY2009-10
240000747	LANCASTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-02-14 00:00:00	240007094	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-16 00:00:00	2006-02-16 00:00:00	No	2011-03-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	23XV11	N	CA00073201	B	SFY2010-11
240000413	RENEE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-04-01 00:00:00	240007095	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-01 00:00:00	2007-01-01 00:00:00	No	2010-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	YMXV11	N	CA00102841	B	SFY2009-10
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-04-01 00:00:00	240007096	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-22 00:00:00	2006-08-22 00:00:00	No	2010-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZLI211	N	CA00090844	C	SFY2009-10
240000413	RENEE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-04-02 00:00:00	240007097	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-13 00:00:00	2007-01-13 00:00:00	No	2010-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	YMXV11	N	CA00103804, CA00104070, CA00104439	B, B, B	SFY2009-10
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-04-22 00:00:00	240007147	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-16 00:00:00	2008-04-16 00:00:00	No	2010-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	O96F11	N	CA00147254	B	SFY2009-10
240000965	VIVIENDA HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-07-08 00:00:00	240007360	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-08-01 00:00:00	2008-08-01 00:00:00	Yes	2012-09-14 00:00:00	2013-01-30 00:00:00	A	A	8000	8000	0	8000	0	None	9CX511	Y	CA00159136	C	SFY2010-11
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-08-26 00:00:00	240007518	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-07 00:00:00	2008-09-07 00:00:00	Yes	2010-09-17 00:00:00	2010-08-31 00:00:00	A	None	10000	10000	-10000	0	0	None	KG3511	Y	CA00165552	C	SFY2010-11
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-08-27 00:00:00	240007529	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-06-01 00:00:00	2009-06-01 00:00:00	No	2010-09-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OEX011	N	CA00190580	C	SFY2010-11
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-09-08 00:00:00	240007547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-21 00:00:00	2008-02-21 00:00:00	No	2010-09-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	MLY811	N	CA00141481	B	SFY2010-11
240001856	GIBBS DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-09-09 00:00:00	240007558	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-01-10 00:00:00	2009-01-10 00:00:00	No	2010-09-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	46OV11	N	CA00174476	B	SFY2010-11
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-09-14 00:00:00	240007573	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-12 00:00:00	2010-01-12 00:00:00	No	2010-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y7N011	N	CA00215145	C	SFY2010-11
240000090	ONTARIO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-10-08 00:00:00	240007616	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-23 00:00:00	2008-04-23 00:00:00	No	2010-10-29 00:00:00	None	B	None	500	500	-175	325	0	None	VDTQ11	N	CA00148315	C	SFY2010-11
240000873	RECHE CANYON REGIONAL REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-10-14 00:00:00	240007623	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-03 00:00:00	2007-02-03 00:00:00	Yes	2010-11-04 00:00:00	2010-10-14 00:00:00	B	B	1000	650	0	650	0	None	U1L611	N	CA00105808	A	SFY2010-11
240000038	CITRUS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-10-12 00:00:00	240007625	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-24 00:00:00	2009-06-24 00:00:00	Yes	2010-11-02 00:00:00	2010-10-13 00:00:00	B	B	1000	650	0	650	0	None	I30B11	N	CA00193103	C	SFY2010-11
240000854	SEVENTEENTH STREET HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-10-15 00:00:00	240007642	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-07-26 00:00:00	2009-07-26 00:00:00	Yes	2010-11-05 00:00:00	2012-10-15 00:00:00	AA	AA	25000	25000	0	0	25000	None	S5T711	Y	CA00196392	A	SFY2010-11
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-10-20 00:00:00	240007650	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-02-05 00:00:00	2007-02-05 00:00:00	No	2010-11-10 00:00:00	None	B	None	500	500	-175	325	0	None	KLC211	N	CA00172572	C	SFY2010-11
240000287	COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-10-22 00:00:00	240007659	Closed	Citation	Citation B (HSC 1424)	Other	Fiduciary Abuse	2009-07-14 00:00:00	2009-07-14 00:00:00	Yes	2010-11-15 00:00:00	2010-10-22 00:00:00	B	None	1000	1000	0	1000	0	None	S0ER11	N	CA00193884	B	SFY2010-11
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-02-24 00:00:00	240007671	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-01 00:00:00	2007-08-01 00:00:00	No	2011-03-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZX6E11	N	CA00122380	B	SFY2010-11
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-02-02 00:00:00	240007891	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-18 00:00:00	2008-03-18 00:00:00	No	2011-02-24 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	WWRM11	N	CA00144312	C	SFY2010-11
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-02-02 00:00:00	240007893	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-03-15 00:00:00	2009-03-15 00:00:00	Yes	2011-02-24 00:00:00	2011-02-03 00:00:00	A	None	10000	10000	-10000	0	0	None	KIG611	N	CA00181236, CA00189850	C, C	SFY2010-11
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-02-09 00:00:00	240007921	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-31 00:00:00	2010-05-31 00:00:00	Yes	2011-03-03 00:00:00	2011-02-09 00:00:00	A	A	20000	20000	0	20000	0	None	BRJY11	N	CA00210721	C	SFY2010-11
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-02-25 00:00:00	240007938	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-08 00:00:00	2008-05-08 00:00:00	No	2011-03-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	HKVG11	N	CA00149702	C	SFY2010-11
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-02-25 00:00:00	240007939	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-08-16 00:00:00	2010-08-16 00:00:00	No	2011-03-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	FTBI11	N	CA00240876	C	SFY2010-11
240000107	TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-07-19 00:00:00	240007967	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-12-17 00:00:00	2006-12-17 00:00:00	Yes	2011-08-09 00:00:00	2011-07-19 00:00:00	A	A	20000	10000	0	10000	0	None	5PL011	Y	CA00101672	B	SFY2011-12
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-03-08 00:00:00	240007975	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2009-03-01 00:00:00	2009-03-01 00:00:00	Yes	2011-03-29 00:00:00	2011-03-08 00:00:00	B	B	1000	650	0	650	0	None	08M911	N	CA00221796	B	SFY2010-11
240000068	HIGHLAND PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-03-07 00:00:00	240007976	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-14 00:00:00	2010-04-14 00:00:00	No	2011-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	3IVJ11	N	CA00225621	B	SFY2010-11
240001842	JASPER DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-03-02 00:00:00	240007977	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-10 00:00:00	2010-11-10 00:00:00	No	2011-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	6ND311	N	CA00249371	B	SFY2010-11
240001753	CASA #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-03-02 00:00:00	240007978	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-11 00:00:00	2010-10-11 00:00:00	No	2011-03-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	M0EE11	N	CA00246047	C	SFY2010-11
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-03-09 00:00:00	240008020	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-27 00:00:00	2009-07-27 00:00:00	No	2011-03-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	98PK11	N	CA00196942	C	SFY2010-11
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-03-10 00:00:00	240008024	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-05-13 00:00:00	2010-05-13 00:00:00	No	2011-04-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	X7NV11	N	CA00229264	C	SFY2010-11
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-04-13 00:00:00	240008131	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-11-01 00:00:00	2005-11-01 00:00:00	No	2011-05-04 00:00:00	None	A	None	2000	2000	0	2000	0	None	3RQ611	Y	CA00064407, CA00188742	C, C	SFY2010-11
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-04-14 00:00:00	240008133	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-01 00:00:00	2010-01-01 00:00:00	No	2011-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	IXZC11	N	CA00214747	C	SFY2010-11
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-04-15 00:00:00	240008134	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-10-24 00:00:00	2010-10-24 00:00:00	No	2011-05-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	UVH311	N	CA00250831	C	SFY2010-11
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-04-14 00:00:00	240008142	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-01-01 00:00:00	2010-01-01 00:00:00	No	2011-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	IXZC11	N	CA00214747	C	SFY2010-11
240000145	VILLA MESA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-04-15 00:00:00	240008154	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-16 00:00:00	2009-07-16 00:00:00	Yes	2011-05-06 00:00:00	2011-04-22 00:00:00	B	B	1000	500	0	500	0	None	9CRD11	N	CA00195273	C	SFY2010-11
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-04-19 00:00:00	240008168	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-11 00:00:00	2008-07-11 00:00:00	No	2011-05-10 00:00:00	None	A	None	10000	10000	0	10000	0	None	JKIL11	N	CA00156811	C	SFY2010-11
240001882	WALKER HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-04-26 00:00:00	240008182	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-16 00:00:00	2008-04-16 00:00:00	Yes	2011-05-17 00:00:00	2011-04-26 00:00:00	B	B	1000	650	0	650	0	None	418O11	N	CA00147184	A	SFY2010-11
240001089	COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-05-06 00:00:00	240008216	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-02-02 00:00:00	2008-02-02 00:00:00	No	2011-05-27 00:00:00	None	AA	None	80000	80000	-28000	52000	0	None	H3J911	Y	CA00143412	C	SFY2010-11
240000873	RECHE CANYON REGIONAL REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-05-06 00:00:00	240008220	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-15 00:00:00	2010-04-15 00:00:00	No	2011-05-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	GQ6P12	N	CA00226050	B	SFY2010-11
240000287	COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-05-11 00:00:00	240008228	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-07 00:00:00	2008-03-07 00:00:00	Yes	2011-06-02 00:00:00	2011-05-13 00:00:00	A	A	9000	9000	0	9000	0	None	WG4911	N	CA00143405	B	SFY2010-11
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-05-19 00:00:00	240008257	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-09 00:00:00	2007-06-09 00:00:00	Yes	2011-06-10 00:00:00	2011-05-26 00:00:00	B	None	1000	1000	0	1000	0	None	WWRM11	N	CA00117339	C	SFY2010-11
240001102	SOUTHERN INYO HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-05-20 00:00:00	240008258	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-03 00:00:00	2008-11-03 00:00:00	No	2011-06-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	KH1111	N	CA00168713	B	SFY2010-11
240000969	VAN BUREN HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-06-08 00:00:00	240008295	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-29 00:00:00	2009-09-29 00:00:00	Yes	2011-06-29 00:00:00	2011-06-22 00:00:00	B	B	1000	500	0	500	0	None	CPNZ11	N	CA00203523	C	SFY2010-11
240000068	HIGHLAND PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-06-21 00:00:00	240008319	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-01 00:00:00	2008-02-01 00:00:00	No	2011-07-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	6LCY11	N	CA00177753	C	SFY2010-11
240001089	COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-06-21 00:00:00	240008320	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-12-18 00:00:00	2006-12-18 00:00:00	No	2011-07-13 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	Z5O111	Y	CA00101640, CA00107824	A, C	SFY2010-11
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-06-23 00:00:00	240008324	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-28 00:00:00	2009-09-28 00:00:00	No	2011-07-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	USPI11	N	CA00203450	C	SFY2010-11
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-06-27 00:00:00	240008335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-02 00:00:00	2008-08-02 00:00:00	No	2011-07-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	8RQE11	N	CA00161739	B	SFY2010-11
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-07-11 00:00:00	240008367	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-15 00:00:00	2007-09-15 00:00:00	No	2011-08-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	43R311	N	CA00126714	C	SFY2011-12
240001241	HERMOSA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-07-13 00:00:00	240008368	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-10-11 00:00:00	2010-10-11 00:00:00	Yes	2011-08-03 00:00:00	2011-07-13 00:00:00	B	B	1000	500	0	500	0	None	RJA311	N	CA00246280	C	SFY2011-12
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-07-19 00:00:00	240008390	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-31 00:00:00	2007-10-31 00:00:00	No	2011-08-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	MGHX11	N	CA00131282	B	SFY2011-12
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-07-21 00:00:00	240008395	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-07-13 00:00:00	2009-07-13 00:00:00	Yes	2011-08-11 00:00:00	2011-08-01 00:00:00	A	A	10000	6500	0	6500	0	None	RHTE11	N	CA00219203	C	SFY2011-12
240001089	COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-08-12 00:00:00	240008459	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-11 00:00:00	2010-12-11 00:00:00	No	2011-09-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	606S11	N	CA00252421	E	SFY2011-12
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-08-16 00:00:00	240008469	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-31 00:00:00	2011-01-31 00:00:00	No	2011-09-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	N81D11	N	CA00258196	C	SFY2011-12
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-08-22 00:00:00	240008470	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-19 00:00:00	2010-10-19 00:00:00	No	2011-09-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZR5311	N	CA00244959	C	SFY2011-12
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-08-22 00:00:00	240008471	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-24 00:00:00	2011-01-24 00:00:00	No	2011-09-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	SHE811	N	CA00256896	C	SFY2011-12
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-08 00:00:00	240008472	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-14 00:00:00	2011-02-14 00:00:00	No	2011-09-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	J5TF11	N	CA00261537	C	SFY2011-12
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-08 00:00:00	240008474	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-21 00:00:00	2011-03-21 00:00:00	Yes	2011-09-30 00:00:00	2011-09-14 00:00:00	B	B	1000	1000	0	1000	0	None	51FV11	N	CA00263550	C	SFY2011-12
240000873	RECHE CANYON REGIONAL REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-08-31 00:00:00	240008513	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-11 00:00:00	2010-02-11 00:00:00	Yes	2011-09-22 00:00:00	2011-09-12 00:00:00	B	B	1000	650	0	650	0	None	YGZX11	N	CA00243098	C	SFY2011-12
240000063	GRAND TERRACE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-08-30 00:00:00	240008514	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-21 00:00:00	2010-07-21 00:00:00	No	2011-09-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	967411	N	CA00236538	B	SFY2011-12
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-01 00:00:00	240008523	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-28 00:00:00	2009-02-28 00:00:00	Yes	2011-09-23 00:00:00	2011-09-21 00:00:00	B	None	1000	1000	0	1000	0	None	B3WS11	N	CA00179716	C	SFY2011-12
240000071	INLAND CHRISTIAN HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-07 00:00:00	240008541	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-03 00:00:00	2009-11-03 00:00:00	No	2011-09-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	VV0W11	N	CA00209704	B	SFY2011-12
240001087	PALOMAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-09-12 00:00:00	240008545	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-04-07 00:00:00	2009-04-07 00:00:00	Yes	2011-10-04 00:00:00	2011-09-12 00:00:00	B	B	1000	500	0	500	0	None	NH9411	N	CA00184471	C	SFY2011-12
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-12 00:00:00	240008546	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-27 00:00:00	2008-03-27 00:00:00	No	2011-10-04 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	31LL11	N	CA00145662	C	SFY2011-12
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-12 00:00:00	240008551	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-08-14 00:00:00	2009-08-14 00:00:00	No	2011-10-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	K9RR11	N	CA00198876	C	SFY2011-12
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-13 00:00:00	240008558	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-18 00:00:00	2009-02-18 00:00:00	No	2011-10-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	TPXK11	N	CA00195568	B	SFY2011-12
240000150	REDLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-16 00:00:00	240008566	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-17 00:00:00	2010-04-17 00:00:00	No	2011-10-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	SBM611	N	CA00234293	C	SFY2011-12
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-16 00:00:00	240008568	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-13 00:00:00	2009-06-13 00:00:00	No	2011-10-07 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	5DG711	N	CA00192005	A	SFY2011-12
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-29 00:00:00	240008591	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-06 00:00:00	2010-10-06 00:00:00	No	2011-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	1E5Y11	N	CA00240732	C	SFY2011-12
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-10-05 00:00:00	240008608	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-27 00:00:00	2009-05-27 00:00:00	Yes	2011-10-26 00:00:00	2011-10-28 00:00:00	B	None	1000	1000	-883.6	116.4	0	None	0W4911	N	CA00189969	E	SFY2011-12
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-10-14 00:00:00	240008631	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-04 00:00:00	2008-04-04 00:00:00	No	2011-11-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	4B1K11	N	CA00149137	C	SFY2011-12
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-10-31 00:00:00	240008680	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-03-31 00:00:00	2009-03-31 00:00:00	Yes	2011-11-22 00:00:00	2011-11-07 00:00:00	A	B	20000	15000	0	15000	0	None	PKLS11	N	CA00188378	C	SFY2011-12
240000411	LARAMIE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-11-03 00:00:00	240008697	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-21 00:00:00	2009-02-21 00:00:00	No	2011-11-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	DCOG11	N	CA00178818, CA00179897	B, B	SFY2011-12
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-11-03 00:00:00	240008699	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-05-03 00:00:00	2011-05-03 00:00:00	Yes	2011-11-29 00:00:00	2011-11-21 00:00:00	B	B	1000	1000	0	1000	0	None	TQGY11	N	CA00268129	C	SFY2011-12
240001882	WALKER HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-11-10 00:00:00	240008729	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-02 00:00:00	2010-12-02 00:00:00	Yes	2011-12-06 00:00:00	2011-11-10 00:00:00	B	B	1000	650	0	650	0	None	V8VY11	N	CA00251569	C	SFY2011-12
240000979	BEAR VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-12-09 00:00:00	240008796	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-02-25 00:00:00	2011-02-25 00:00:00	No	2012-01-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	4S6L11	N	CA00260415	B	SFY2011-12
240000127	CIRCLEBROOK	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-12-12 00:00:00	240008800	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-11 00:00:00	2010-10-11 00:00:00	No	2012-01-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	9DQJ11	N	CA00245907	B	SFY2011-12
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-12-22 00:00:00	240008840	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-22 00:00:00	2009-02-22 00:00:00	No	2012-01-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	7P8C11	Y	CA00178772	C	SFY2011-12
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-01-04 00:00:00	240008877	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-23 00:00:00	2008-01-23 00:00:00	No	2012-01-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	7TT111	N	CA00154084	B	SFY2011-12
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-01-12 00:00:00	240008902	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-30 00:00:00	2011-07-30 00:00:00	No	2012-02-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	401N11	N	CA00277978	B	SFY2011-12
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-01-12 00:00:00	240008903	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-17 00:00:00	2010-08-17 00:00:00	No	2012-02-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	OE9Y11	N	CA00239988	B	SFY2011-12
240000413	RENEE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2012-01-17 00:00:00	240008913	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-01 00:00:00	2010-10-01 00:00:00	No	2012-02-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	MKMG11	N	CA00248012	C	SFY2011-12
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-01-17 00:00:00	240008914	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-10 00:00:00	2010-07-10 00:00:00	No	2012-02-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	7ZX711	N	CA00236043	C	SFY2011-12
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-01-17 00:00:00	240008915	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-01-29 00:00:00	2011-01-29 00:00:00	Yes	2012-02-07 00:00:00	2012-01-31 00:00:00	A	A	20000	15250	0	15250	0	None	77F311	N	CA00259141	H	SFY2011-12
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-01-18 00:00:00	240008918	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-15 00:00:00	2009-10-15 00:00:00	No	2012-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	LDE211	N	CA00206290	E	SFY2011-12
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-01-18 00:00:00	240008919	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-31 00:00:00	2010-05-31 00:00:00	No	2012-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	0KX811	N	CA00231051	D	SFY2011-12
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-01-18 00:00:00	240008920	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-23 00:00:00	2010-09-23 00:00:00	No	2012-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	BPWU11	N	CA00245126	B	SFY2011-12
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-02-15 00:00:00	240009002	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-05-30 00:00:00	2011-05-30 00:00:00	No	2012-03-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	6N0P11	N	CA00272748	C	SFY2011-12
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-02-21 00:00:00	240009030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-26 00:00:00	2011-06-26 00:00:00	No	2012-03-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	PCYD11	N	CA00277694	C	SFY2011-12
240001111	ROSEWOOD HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2012-02-22 00:00:00	240009031	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-25 00:00:00	2011-02-25 00:00:00	Yes	2012-03-14 00:00:00	2012-03-07 00:00:00	B	B	1000	500	0	500	0	None	TB3P11	N	CA00261891	B	SFY2011-12
240001896	CASA #4	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2012-02-22 00:00:00	240009033	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-04-09 00:00:00	2011-04-09 00:00:00	No	2012-03-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	VP7I11	N	CA00266589	E	SFY2011-12
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-02-23 00:00:00	240009036	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-02-08 00:00:00	2011-02-08 00:00:00	Yes	2012-03-15 00:00:00	2012-03-08 00:00:00	B	None	1000	1000	0	1000	0	None	0RL911	N	CA00259104	B	SFY2011-12
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-02-27 00:00:00	240009037	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-04 00:00:00	2010-05-04 00:00:00	Yes	2012-03-19 00:00:00	2012-03-12 00:00:00	B	B	1000	650	0	650	0	None	YLVN11	N	CA00231736	C	SFY2011-12
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-03-09 00:00:00	240009054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-01 00:00:00	2007-06-01 00:00:00	No	2012-03-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z31911	N	CA00140104	C	SFY2011-12
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-03-05 00:00:00	240009055	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-16 00:00:00	2010-07-16 00:00:00	No	2012-03-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	KDZ411	N	CA00237905	B	SFY2011-12
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-03-12 00:00:00	240009101	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-29 00:00:00	2010-03-29 00:00:00	No	2012-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	2VJ511	N	CA00224683	B	SFY2011-12
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-03-23 00:00:00	240009177	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-04 00:00:00	2010-11-04 00:00:00	No	2012-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	4ICJ11	N	CA00248892	C	SFY2011-12
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-04-12 00:00:00	240009227	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-12 00:00:00	2010-12-12 00:00:00	No	2012-05-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	DKBW11	N	CA00252271	B	SFY2011-12
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-04-19 00:00:00	240009228	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-08 00:00:00	2010-06-08 00:00:00	Yes	2012-05-10 00:00:00	2012-04-24 00:00:00	B	B	1000	1000	-1000	0	0	None	NC6U11	N	CA00233389	E	SFY2011-12
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-05-04 00:00:00	240009279	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-01-08 00:00:00	2011-01-08 00:00:00	No	2012-05-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	TKIP11	N	CA00255112	C	SFY2011-12
240000855	PALMYRA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2012-05-08 00:00:00	240009282	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-12 00:00:00	2010-08-12 00:00:00	Yes	2012-05-30 00:00:00	2012-05-21 00:00:00	B	B	1000	500	0	500	0	None	ERCU11	N	CA00239390, CA00242600	H, C	SFY2011-12
240000841	CLOCK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2012-05-09 00:00:00	240009284	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-03-16 00:00:00	2011-03-16 00:00:00	No	2012-05-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	O5PE11	N	CA00262657	B	SFY2011-12
240001831	COLE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2012-05-11 00:00:00	240009286	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-07 00:00:00	2012-04-07 00:00:00	No	2012-06-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	NZBV11	N	CA00307538	C	SFY2011-12
240000068	HIGHLAND PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-05-15 00:00:00	240009306	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-14 00:00:00	2010-01-14 00:00:00	No	2012-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	YZGC11	N	CA00260144	C	SFY2011-12
240000156	WATERMAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-05-23 00:00:00	240009308	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-06-07 00:00:00	2011-06-07 00:00:00	Yes	2012-06-14 00:00:00	2012-06-12 00:00:00	B	Drop>Deficiency	1000	700	0	700	0	None	3GYU11	N	CA00274243	B	SFY2011-12
240000097	ARROWHEAD SPRINGS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-05-18 00:00:00	240009312	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-07-28 00:00:00	2007-07-28 00:00:00	Yes	2012-06-11 00:00:00	2012-06-01 00:00:00	A	A	20000	12000	0	12000	0	None	RH0J11	N	CA00122611	H	SFY2011-12
240000905	TERRACE VIEW HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2012-05-21 00:00:00	240009319	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-28 00:00:00	2008-03-28 00:00:00	No	2012-06-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	7TW311	N	CA00145275	B	SFY2011-12
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-07-05 00:00:00	240009385	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-02 00:00:00	2011-09-02 00:00:00	No	2012-07-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	L4YO11	N	CA00282355	C	SFY2012-13
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-07-05 00:00:00	240009386	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-12 00:00:00	2011-09-12 00:00:00	No	2012-07-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	0V3O11	N	CA00285563	C	SFY2012-13
240001511	ITUMA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2012-07-27 00:00:00	240009411	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-02-24 00:00:00	2012-02-24 00:00:00	Yes	2012-08-17 00:00:00	2012-08-14 00:00:00	B	None	1000	1000	0	1000	0	None	GFMK11	N	CA00302246	H	SFY2012-13
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-09-20 00:00:00	240009505	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-16 00:00:00	2011-04-16 00:00:00	No	2012-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	SZRT11	N	CA00271164	C	SFY2012-13
240001749	LADENEY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2012-10-16 00:00:00	240009549	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-06-22 00:00:00	2012-06-22 00:00:00	No	2012-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	XKRY11	N	CA00318836	H	SFY2012-13
240000093	COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-10-18 00:00:00	240009556	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-07 00:00:00	2011-12-07 00:00:00	No	2012-11-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PKUL11	N	CA00292450	H	SFY2012-13
240001081	HERITAGE PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-10-18 00:00:00	240009558	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-31 00:00:00	2012-03-31 00:00:00	No	2012-11-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	T0UH11	N	CA00305473	C	SFY2012-13
240000156	WATERMAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-10-25 00:00:00	240009563	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-29 00:00:00	2011-12-29 00:00:00	Yes	2012-11-16 00:00:00	2012-11-13 00:00:00	B	B	2000	1000	0	1000	0	None	PEEV11	N	CA00294965	C	SFY2012-13
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-10-24 00:00:00	240009569	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-10 00:00:00	2007-07-10 00:00:00	No	2012-11-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	73QL11	N	CA00120004	H	SFY2012-13
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-11-28 00:00:00	240009615	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-18 00:00:00	2010-11-18 00:00:00	Yes	2012-12-19 00:00:00	2012-11-28 00:00:00	B	None	1000	1050	-50	1000	0	None	0T4B11	N	CA00250819	C	SFY2012-13
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2013-05-15 00:00:00	240009891	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-10 00:00:00	2011-10-10 00:00:00	No	2013-06-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	K6MT11	N	CA00286646	C	SFY2012-13
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-02-05 00:00:00	240010442	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-10-09 00:00:00	2011-10-09 00:00:00	No	2014-02-27 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	65KZ11	N	CA00286608	H	SFY2013-14
240000585	YORK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2014-03-07 00:00:00	240010521	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2012-10-29 00:00:00	2012-10-29 00:00:00	Yes	2014-03-28 00:00:00	2014-03-24 00:00:00	AA	A	15000	12500	0	12500	0	None	WXT711	Y	CA00336834	E	SFY2013-14
240000747	LANCASTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2014-03-07 00:00:00	240010526	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-03-16 00:00:00	2013-03-16 00:00:00	No	2014-03-28 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	EFB211	Y	CA00348338	B	SFY2013-14
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-03-25 00:00:00	240010561	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-06-20 00:00:00	2013-06-20 00:00:00	No	2014-04-16 00:00:00	None	B	None	1500	1500	-525	975	0	None	1FY611	N	CA00359468	B	SFY2013-14
240001552	BETHESDA LUTHERAN COMMUNITIES - BOCHEE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2014-04-24 00:00:00	240010602	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-29 00:00:00	2009-12-29 00:00:00	No	2014-05-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	SV0611	N	CA00215193, CA00215319	C, C	SFY2013-14
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-07-09 00:00:00	240010850	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-09-08 00:00:00	2013-09-08 00:00:00	No	2014-07-30 00:00:00	None	A	None	15000	15000	0	15000	0	None	0XWN11	N	CA00369869, CA00370071	B, B	SFY2014-15
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-08-04 00:00:00	240010904	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-03-25 00:00:00	2014-03-25 00:00:00	Yes	2014-08-25 00:00:00	2014-08-14 00:00:00	B	B	1500	1500	0	1500	0	None	L9TE11	N	CA00392778	B	SFY2014-15
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2015-01-09 00:00:00	240011213	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-08-05 00:00:00	2014-08-05 00:00:00	No	2015-02-02 00:00:00	None	B	None	1500	1500	-525	975	0	None	9J0311	N	CA00410873	B	SFY2014-15
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2015-08-13 00:00:00	240011653	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-10-31 00:00:00	2014-10-31 00:00:00	No	2015-09-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	H7MU11	N	CA00419020	B	SFY2015-16
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2015-08-21 00:00:00	240011656	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-06-30 00:00:00	2014-06-30 00:00:00	No	2015-09-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3R6011	N	CA00407184	B	SFY2015-16
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2015-11-24 00:00:00	240011786	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-09-29 00:00:00	2014-09-29 00:00:00	No	2015-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	JZCE11	N	CA00415188	A	SFY2015-16
240000018	ONTARIO GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-01-22 00:00:00	240011979	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-06-23 00:00:00	2015-06-23 00:00:00	No	2016-02-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6EZV11	N	None	None	SFY2015-16
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-02-24 00:00:00	240012034	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-09-15 00:00:00	2014-09-15 00:00:00	No	2016-03-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	V6LZ11	N	CA00413798	B	SFY2015-16
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-04-01 00:00:00	240012156	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-02-07 00:00:00	2015-02-07 00:00:00	No	2016-04-22 00:00:00	None	B	None	1400	1400	-490	910	0	None	GSC511	N	CA00430870	B	SFY2015-16
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-04-01 00:00:00	240012158	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-03-02 00:00:00	2015-03-02 00:00:00	Yes	2016-04-22 00:00:00	2016-04-25 00:00:00	B	B	1100	770	0	770	0	None	XN1C11	N	CA00434188	A	SFY2015-16
240001446	GLENDA SHAKLEE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2016-04-06 00:00:00	240012165	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-16 00:00:00	2014-04-16 00:00:00	No	2016-04-27 00:00:00	None	B	None	1600	1600	0	1600	0	None	WZ6G11	N	None	None	SFY2015-16
240000925	HI-DESERT MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-04-06 00:00:00	240012166	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-07-16 00:00:00	2015-07-16 00:00:00	No	2016-04-27 00:00:00	None	B	None	1500	1500	0	1500	0	None	6SOL11	N	None	None	SFY2015-16
240000136	SYCAMORE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2016-04-07 00:00:00	240012170	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-03-17 00:00:00	2013-03-17 00:00:00	Yes	2016-04-28 00:00:00	2016-04-08 00:00:00	B	B	1500	1000	0	1000	0	None	3RZH11	N	CA00348051	E	SFY2015-16
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-04-14 00:00:00	240012184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-08-14 00:00:00	2014-08-14 00:00:00	No	2016-05-05 00:00:00	None	B	None	1600	1600	-560	1040	0	None	GSC511	N	CA00409690	B	SFY2015-16
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-04-20 00:00:00	240012199	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-08-12 00:00:00	2014-08-12 00:00:00	No	2016-05-11 00:00:00	None	B	None	1400	1400	0	1400	0	None	7TTH11	N	CA00411354	B	SFY2015-16
240000365	KNOLLS WEST POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-04-20 00:00:00	240012201	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-10-28 00:00:00	2015-10-28 00:00:00	No	2016-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	YSQ511	N	CA00463781	B	SFY2015-16
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-05-02 00:00:00	240012221	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-12-23 00:00:00	2014-12-23 00:00:00	No	2016-05-23 00:00:00	None	B	None	1800	1800	0	1800	0	None	FNEC11	N	CA00425053	B	SFY2015-16
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-05-18 00:00:00	240012268	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-10-23 00:00:00	2014-10-23 00:00:00	No	2016-06-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	B10711	N	CA00418385	B	SFY2015-16
240000853	RAINBOW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2016-05-23 00:00:00	240012273	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-11 00:00:00	2015-07-11 00:00:00	No	2016-06-14 00:00:00	None	B	None	1500	1500	0	1500	0	None	T8IW11	N	CA00450808	E	SFY2015-16
240000365	KNOLLS WEST POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-05-26 00:00:00	240012285	Closed	Citation	Citation B (HSC 1424)	Medication	None	2016-04-15 00:00:00	2016-04-15 00:00:00	No	2016-06-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5V0F11	N	None	None	SFY2015-16
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-06-15 00:00:00	240012330	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-08-02 00:00:00	2014-08-02 00:00:00	No	2016-07-07 00:00:00	None	A	None	17000	17000	-5950	11050	0	None	KKKY11	N	CA00408651	B	SFY2015-16
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-07-19 00:00:00	240012399	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-06 00:00:00	2015-04-06 00:00:00	No	2016-08-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZFNM11	N	CA00438095	A	SFY2016-17
240001000	LILLIAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2016-06-30 00:00:00	240012416	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-02-04 00:00:00	2016-02-04 00:00:00	No	2016-07-22 00:00:00	None	B	None	1500	1500	0	1500	0	None	0OMR11	N	CA00475774	B	SFY2015-16
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-08-01 00:00:00	240012418	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-04 00:00:00	2015-10-04 00:00:00	Yes	2016-08-22 00:00:00	2016-08-01 00:00:00	B	B	10000	10000	0	10000	0	None	1SD911	N	None	None	SFY2016-17
240000150	REDLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-07-22 00:00:00	240012429	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-11-05 00:00:00	2015-11-05 00:00:00	No	2016-08-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	SXJH11	N	None	None	SFY2016-17
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-08-15 00:00:00	240012509	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-05-16 00:00:00	2016-05-16 00:00:00	No	2016-09-06 00:00:00	None	B	None	1500	1500	0	1500	0	None	MALF11	N	None	None	SFY2016-17
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-08-16 00:00:00	240012512	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2015-12-09 00:00:00	2015-12-09 00:00:00	No	2016-09-07 00:00:00	None	AA	None	75000	75000	-26250	48750	0	None	87TP11	Y	None	None	SFY2016-17
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-08-18 00:00:00	240012516	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-11-24 00:00:00	2015-11-24 00:00:00	No	2016-09-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	Y46V11	N	CA00464407	A	SFY2016-17
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-01 00:00:00	240012552	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-15 00:00:00	2016-06-15 00:00:00	No	2016-09-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	XBDF11	N	None	None	SFY2016-17
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-01 00:00:00	240012554	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-15 00:00:00	2016-06-15 00:00:00	No	2016-09-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	XBDF11	N	None	None	SFY2016-17
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-01 00:00:00	240012556	Closed	Citation	Citation A (HSC 1424)	Medication	None	2016-03-09 00:00:00	2016-03-09 00:00:00	No	2016-09-23 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	YPY011	N	None	None	SFY2016-17
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-06 00:00:00	240012559	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-06-15 00:00:00	2016-06-15 00:00:00	No	2016-09-27 00:00:00	None	B	None	1500	1500	-525	975	0	None	XBDF11	N	None	None	SFY2016-17
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-08 00:00:00	240012565	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-02-21 00:00:00	2013-02-21 00:00:00	No	2016-09-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	Z5N011	N	CA00344608	A	SFY2016-17
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-19 00:00:00	240012584	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-09-07 00:00:00	2015-09-07 00:00:00	No	2016-10-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	1MWE11	N	CA00457565	A	SFY2016-17
240001155	FIFTEENTH STREET HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2016-09-22 00:00:00	240012589	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2016-02-10 00:00:00	2016-02-10 00:00:00	No	2016-10-13 00:00:00	None	A	None	7000	7000	-2450	4550	0	None	D2KT11	N	CA00476665	B	SFY2016-17
240001155	FIFTEENTH STREET HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2016-09-22 00:00:00	240012591	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2016-03-23 00:00:00	2016-03-23 00:00:00	No	2016-10-13 00:00:00	None	A	None	7000	7000	-2450	4550	0	None	0ZF611	N	CA00481645	E	SFY2016-17
240000097	ARROWHEAD SPRINGS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-26 00:00:00	240012597	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-03-05 00:00:00	2016-03-05 00:00:00	Yes	2016-10-17 00:00:00	2016-10-13 00:00:00	B	B	2000	1000	0	1000	0	None	6GRL11	N	CA00484551, CA00484551, CA00484551	A, A, A	SFY2016-17
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-10-05 00:00:00	240012618	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-10-13 00:00:00	2015-10-13 00:00:00	No	2016-10-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	1SD911	N	None	None	SFY2016-17
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-10-10 00:00:00	240012634	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-05-19 00:00:00	2016-05-19 00:00:00	No	2016-10-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BG1211	N	CA00489326	B	SFY2016-17
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-10-18 00:00:00	240012656	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-24 00:00:00	2016-05-24 00:00:00	Yes	2016-11-08 00:00:00	2016-11-08 00:00:00	A	B	10000	15000	0	15000	0	None	MALF11	N	None	None	SFY2016-17
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-10-20 00:00:00	240012666	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2016-01-06 00:00:00	2016-01-06 00:00:00	No	2016-11-10 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HT7412	N	None	None	SFY2016-17
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-10-31 00:00:00	240012702	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-14 00:00:00	2016-04-14 00:00:00	No	2016-11-22 00:00:00	None	A	None	10000	10000	0	10000	0	None	OIVZ11	N	CA00484050	A	SFY2016-17
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-11-09 00:00:00	240012736	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-12-28 00:00:00	2015-12-28 00:00:00	No	2016-12-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CJ3L11	N	CA00471041	A	SFY2016-17
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-11-10 00:00:00	240012742	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-09-30 00:00:00	2016-09-30 00:00:00	No	2016-12-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	3JLG11	N	None	None	SFY2016-17
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-11-30 00:00:00	240012766	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-09-22 00:00:00	2016-09-22 00:00:00	No	2016-12-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	CQRD11	N	CA00505035	B	SFY2016-17
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-12-09 00:00:00	240012808	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-15 00:00:00	2016-10-15 00:00:00	Yes	2017-01-03 00:00:00	2016-12-29 00:00:00	A	A	20000	13000	0	13000	0	None	7TID11	Y	CA00507532	B	SFY2016-17
240000068	HIGHLAND PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-12-27 00:00:00	240012845	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-29 00:00:00	2014-07-29 00:00:00	No	2017-01-19 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	7C6L11	N	CA00407517	B	SFY2016-17
240000038	CITRUS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-12-27 00:00:00	240012846	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-11-27 00:00:00	2015-11-27 00:00:00	No	2017-01-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MMGO11	N	CA00471550, CA00471550	A, A	SFY2016-17
240000013	RANCHO MESA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-01-27 00:00:00	240012912	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-24 00:00:00	2016-11-24 00:00:00	Yes	2017-02-17 00:00:00	2017-01-27 00:00:00	A	B	7500	6000	0	6000	0	None	I99611	N	CA00512311, CA00516154	B, A	SFY2016-17
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-03-16 00:00:00	240013056	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-23 00:00:00	2016-07-23 00:00:00	No	2017-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BNTN11	N	CA00496997	A	SFY2016-17
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-04-26 00:00:00	240013150	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-24 00:00:00	2017-01-24 00:00:00	No	2017-05-17 00:00:00	None	A	None	15000	15000	0	15000	0	None	CBC811	N	None	None	SFY2016-17
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-05-02 00:00:00	240013163	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-18 00:00:00	2017-03-18 00:00:00	No	2017-05-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	UQP511	N	CA00525797	B	SFY2016-17
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-05-03 00:00:00	240013175	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-02-15 00:00:00	2017-02-15 00:00:00	No	2017-05-24 00:00:00	None	B	None	500	500	-175	325	0	None	F78I11	N	CA00523274	B	SFY2016-17
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-06-15 00:00:00	240013280	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-11 00:00:00	2016-11-11 00:00:00	No	2017-07-07 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	9C7O11	N	CA00510652	A	SFY2016-17
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-06-26 00:00:00	240013314	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2017-05-23 00:00:00	2017-05-23 00:00:00	No	2017-07-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NSB611	N	CA00536615	A	SFY2016-17
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-07-13 00:00:00	240013328	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-06 00:00:00	2017-06-06 00:00:00	No	2017-08-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	7W2K11	N	CA00537357	C	SFY2017-18
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-07-19 00:00:00	240013350	Closed	Citation	Citation A (HSC 1424)	Medication	None	2017-05-27 00:00:00	2017-05-27 00:00:00	No	2017-08-09 00:00:00	None	A	None	3000	3050	0	3050	0	None	YFWW11	N	CA00537599	B	SFY2017-18
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-07-24 00:00:00	240013356	Closed	Citation	Citation A (HSC 1424)	Medication	None	2017-05-11 00:00:00	2017-05-11 00:00:00	No	2017-08-14 00:00:00	None	A	None	5000	5000	0	5000	0	None	DMFH11	N	CA00535758	B	SFY2017-18
240000018	ONTARIO GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-08-11 00:00:00	240013414	Closed	Citation	Citation B (HSC 1424)	Medication	None	2017-06-24 00:00:00	2017-06-24 00:00:00	No	2017-09-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	JYRD11	N	CA00540544, CA00541562	B, B	SFY2017-18
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-10-10 00:00:00	240013536	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-20 00:00:00	2017-06-20 00:00:00	No	2017-10-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O6BW11	N	CA00541152	A	SFY2017-18
240000365	KNOLLS WEST POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-11-22 00:00:00	240013646	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-29 00:00:00	2017-09-29 00:00:00	No	2017-12-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	LJ4R11	N	CA00555065	A	SFY2017-18
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-12-07 00:00:00	240013671	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-08 00:00:00	2017-10-08 00:00:00	No	2017-12-29 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	64U711	N	CA00556559	A	SFY2017-18
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-02-08 00:00:00	240013794	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-12-07 00:00:00	2017-12-07 00:00:00	No	2018-03-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	0J0211	N	None	None	SFY2017-18
240000018	ONTARIO GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-01-08 00:00:00	240013795	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-31 00:00:00	2017-10-31 00:00:00	No	2018-01-29 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	FRUE11	N	CA00559231	A	SFY2017-18
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-02-23 00:00:00	240013837	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-03 00:00:00	2017-10-03 00:00:00	Yes	2018-03-16 00:00:00	2018-03-09 00:00:00	A	None	5000	5000	0	5000	0	None	1KTO11	N	CA00560149	B	SFY2017-18
240001519	WEINGART HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2018-05-11 00:00:00	240014064	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2017-12-13 00:00:00	2017-12-13 00:00:00	No	2018-06-01 00:00:00	None	A	None	2000	2000	-700	1300	0	None	63CL11	N	CA00564840, CA00564840, CA00564840	A, A, A	SFY2017-18
240000018	ONTARIO GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-05-17 00:00:00	240014075	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-13 00:00:00	2017-07-13 00:00:00	Yes	2018-06-08 00:00:00	2018-05-30 00:00:00	A	A	20000	16100	0	16100	0	None	SKDV11	Y	CA00567253, CA00567253	A, A	SFY2017-18
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-06-28 00:00:00	240014190	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-05-02 00:00:00	2018-05-02 00:00:00	No	2018-07-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	LK4211	N	None	None	SFY2017-18
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-07-02 00:00:00	240014210	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2018-04-07 00:00:00	2018-04-07 00:00:00	No	2018-07-24 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	YTFI11	N	CA00582114, CA00582114	A, A	SFY2018-19
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-07-03 00:00:00	240014213	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-03 00:00:00	2018-05-03 00:00:00	No	2018-07-25 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	LK4211	N	None	None	SFY2018-19
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-07-20 00:00:00	240014262	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-06-04 00:00:00	2018-06-04 00:00:00	No	2018-08-10 00:00:00	None	B	None	1500	1500	0	1500	0	None	RF2R11	N	None	None	SFY2018-19
240001089	COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-07-26 00:00:00	240014270	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-16 00:00:00	2018-04-16 00:00:00	No	2018-08-16 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	O2M111	N	CA00583231	A	SFY2018-19
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-08-01 00:00:00	240014293	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2018-05-05 00:00:00	2018-05-05 00:00:00	No	2018-08-22 00:00:00	None	A	None	10000	10000	0	10000	0	None	CRN411	N	CA00585877	B	SFY2018-19
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-08-16 00:00:00	240014338	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-29 00:00:00	2018-05-29 00:00:00	No	2018-09-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R6U411	N	CA00589033	A	SFY2018-19
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-08-16 00:00:00	240014339	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-12 00:00:00	2017-12-12 00:00:00	No	2018-09-07 00:00:00	None	A	None	15000	15000	0	15000	0	None	YR8P11	Y	CA00579710	B	SFY2018-19
240000979	BEAR VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-09-06 00:00:00	240014382	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-02 00:00:00	2018-04-02 00:00:00	No	2018-09-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	VWXW11	N	CA00583213	A	SFY2018-19
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-09-21 00:00:00	240014403	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-01 00:00:00	2018-05-01 00:00:00	No	2018-10-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	T7X111	Y	CA00585851	A	SFY2018-19
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-10-10 00:00:00	240014468	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-27 00:00:00	2018-02-27 00:00:00	No	2018-10-31 00:00:00	None	A	None	15000	15000	0	15000	0	None	SMNU11	Y	CA00576878, CA00576878, CA00576878	B, B, B	SFY2018-19
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-10-22 00:00:00	240014474	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	Post Ombudsman Info.	2018-02-11 00:00:00	2018-02-11 00:00:00	No	2018-11-13 00:00:00	None	B	None	100	100	-35	65	0	None	SQ1G11	N	CA00595746	A	SFY2018-19
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-10-22 00:00:00	240014477	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-03-01 00:00:00	2018-03-01 00:00:00	No	2018-11-13 00:00:00	None	B	None	100	100	-35	65	0	None	SQ1G11	N	CA00595746, CA00595746	A, A	SFY2018-19
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-10-22 00:00:00	240014489	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-06-01 00:00:00	2018-06-01 00:00:00	No	2018-11-13 00:00:00	None	B	None	100	100	-35	65	0	None	SQ1G11	N	CA00595746	A	SFY2018-19
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-10-22 00:00:00	240014490	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-04-30 23:59:00	2018-04-30 23:59:00	No	2018-11-13 00:00:00	None	B	None	100	100	-35	65	0	None	SQ1G11	N	CA00595746	A	SFY2018-19
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-10-22 00:00:00	240014491	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-07-01 00:00:00	2018-07-01 00:00:00	No	2018-11-13 00:00:00	None	B	None	100	100	-35	65	0	None	SQ1G11	N	CA00595746, CA00595746	A, A	SFY2018-19
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-10-22 00:00:00	240014494	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-01 00:00:00	2018-01-01 00:00:00	No	2018-11-13 00:00:00	None	B	None	100	100	-35	65	0	None	SQ1G11	N	CA00595746	A	SFY2018-19
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-10-22 00:00:00	240014495	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-05-01 00:00:00	2018-05-01 00:00:00	No	2018-11-13 00:00:00	None	B	None	100	100	-35	65	0	None	SQ1G11	N	CA00595746	A	SFY2018-19
630014639	FARMER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2018-11-21 00:00:00	240014593	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-12 00:00:00	2018-10-12 00:00:00	No	2018-12-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	25CR11	N	None	None	SFY2018-19
240001868	CASA #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2018-11-20 00:00:00	240014596	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-10-01 00:00:00	2018-10-01 00:00:00	No	2018-12-13 00:00:00	None	AA	None	25000	25000	0	25000	0	None	GEBL11	Y	CA00555247, CA00555247	E, E	SFY2018-19
240001856	GIBBS DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2018-11-28 00:00:00	240014609	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-04-19 00:00:00	2018-04-19 00:00:00	No	2018-12-19 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	WL6311	Y	CA00583910, CA00584210	B, A	SFY2018-19
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-12-28 00:00:00	240014652	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2018-04-01 00:00:00	2018-04-01 00:00:00	No	2019-01-18 00:00:00	None	AA	None	30000	30000	-10500	19500	0	None	G2YP11	Y	CA00583222	A	SFY2018-19
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-01-02 00:00:00	240014696	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-27 00:00:00	2018-08-27 00:00:00	No	2019-01-23 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	AWDF11	N	CA00601546, CA00601546	A, A	SFY2018-19
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-01-14 00:00:00	240014715	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-08 00:00:00	2018-11-08 00:00:00	No	2019-02-04 00:00:00	None	B	None	800	800	0	800	0	None	8RST11	N	None	None	SFY2018-19
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-01-14 00:00:00	240014720	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2018-11-26 00:00:00	2018-11-26 00:00:00	No	2019-02-04 00:00:00	None	B	None	800	800	0	800	0	None	8RST11	N	None	None	SFY2018-19
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-01-14 00:00:00	240014721	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-28 00:00:00	2018-11-28 00:00:00	No	2019-02-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	8RST11	N	None	None	SFY2018-19
240000065	HERITAGE GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-01-15 00:00:00	240014725	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-11-27 00:00:00	2018-11-27 00:00:00	No	2019-02-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	IU5T11	N	None	None	SFY2018-19
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-02-08 00:00:00	240014810	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-17 00:00:00	2018-12-17 00:00:00	No	2019-03-01 00:00:00	None	B	None	1500	1500	0	1500	0	None	TGUZ11	N	CA00616285	A	SFY2018-19
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-02-25 00:00:00	240014831	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-25 00:00:00	2019-01-25 00:00:00	No	2019-03-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	GJ4O11	N	None	None	SFY2018-19
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-02-25 00:00:00	240014833	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-01-11 00:00:00	2019-01-11 00:00:00	No	2019-03-18 00:00:00	None	B	None	500	500	-175	325	0	None	GJ4O11	N	None	None	SFY2018-19
240000285	LAUREL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-05-01 00:00:00	240015011	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2019-03-18 00:00:00	2019-03-18 00:00:00	No	2019-05-22 00:00:00	None	B	None	500	500	-175	325	0	None	YZF911	N	None	None	SFY2018-19
240000285	LAUREL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-05-01 00:00:00	240015012	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-03-20 00:00:00	2019-03-20 00:00:00	No	2019-05-22 00:00:00	None	B	None	500	500	-175	325	0	None	YZF911	N	None	None	SFY2018-19
240000285	LAUREL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-05-01 00:00:00	240015014	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-20 00:00:00	2019-03-20 00:00:00	No	2019-05-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	YZF911	N	None	None	SFY2018-19
240000090	ONTARIO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-05-10 00:00:00	240015054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-27 00:00:00	2019-03-27 00:00:00	No	2019-05-31 00:00:00	None	B	None	100	100	0	100	0	None	WMD311	N	None	None	SFY2018-19
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-05-23 00:00:00	240015096	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2019-04-02 00:00:00	2019-04-02 00:00:00	No	2019-06-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	207B11	N	None	None	SFY2018-19
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-07-05 00:00:00	240015218	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-04-10 00:00:00	2019-04-10 00:00:00	No	2019-07-26 00:00:00	None	A	None	2500	2500	0	2500	0	None	9YBX11	N	CA00633015	A	SFY2019-20
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-09-09 00:00:00	240015371	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-09-30 00:00:00	2018-09-30 00:00:00	No	2019-09-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	FV3W11	N	CA00605932	A	SFY2019-20
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-11-13 00:00:00	240015439	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-08 00:00:00	2019-08-08 00:00:00	Yes	2019-12-04 00:00:00	2019-12-12 00:00:00	B	B	2000	1500	0	0	1500	None	IZTI11	N	None	None	SFY2019-20
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-11-13 00:00:00	240015459	Closed	Citation	Citation B (HSC 1424)	Other	Fail to report Ombudsman	2019-06-08 00:00:00	2019-06-08 00:00:00	No	2019-12-04 00:00:00	None	B	None	200	200	0	200	0	None	IZTI11	N	None	None	SFY2019-20
240000065	HERITAGE GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2020-01-09 00:00:00	240015671	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-11-22 00:00:00	2019-11-22 00:00:00	No	2020-01-30 00:00:00	None	B	None	1200	1200	-420	780	0	None	CHNI11	N	None	None	SFY2019-20
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2020-02-14 00:00:00	240015742	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-08-27 00:00:00	2019-08-27 00:00:00	No	2020-03-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	GH2611	N	CA00652424	A	SFY2019-20
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2020-02-19 00:00:00	240015754	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-10-23 00:00:00	2019-10-23 00:00:00	No	2020-03-11 00:00:00	None	B	None	500	500	-175	325	0	None	9FL011	N	CA00661363, CA00661453	B, B	SFY2019-20
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2020-02-24 00:00:00	240015756	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-01-17 00:00:00	2018-01-17 00:00:00	No	2020-03-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	78MC11	N	CA00629005	B	SFY2019-20
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2020-06-15 00:00:00	240015899	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Facility not self	2019-12-11 00:00:00	2019-12-11 00:00:00	No	2020-07-06 00:00:00	None	A	None	10000	10000	0	10000	0	None	IPQS11	N	CA00667155	B	SFY2019-20
240000097	ARROWHEAD SPRINGS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2020-08-27 00:00:00	240015997	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-08-04 00:00:00	2020-08-04 00:00:00	No	2020-09-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3OHN11	N	CA00694217	A	SFY2020-21
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-04-05 00:00:00	240017545	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-06-26 00:00:00	2021-06-26 00:00:00	Yes	2022-04-26 00:00:00	2022-04-11 00:00:00	AA	AA	25000	21500	-1000	20500	0	None	93U211	Y	CA00742547, CA00742547	A, A	SFY2021-22
630016719	ERIN HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2022-06-23 00:00:00	240017715	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2021-08-21 00:00:00	2021-08-21 00:00:00	No	2022-07-15 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	D9FP11	Y	CA00749464, CA00749464	A, A	SFY2021-22
240000285	LAUREL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-09-09 00:00:00	240017971	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-24 00:00:00	2022-06-24 00:00:00	No	2022-09-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	2PPO11	N	CA00790837	A	SFY2022-23
240001089	COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-10-06 00:00:00	240018033	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-09 00:00:00	2022-08-09 00:00:00	No	2022-10-27 00:00:00	None	B	None	150	150	0	150	0	None	V3NK11	N	CA00798123	A	SFY2022-23
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-10-11 00:00:00	240018072	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-09-20 00:00:00	2022-09-20 00:00:00	No	2022-11-01 00:00:00	None	B	None	2500	3250	-875	2375	0	None	2EIT11	N	CA00797896, CA00797896	A, A	SFY2022-23
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-10-24 00:00:00	240018113	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-10-10 00:00:00	2022-10-10 00:00:00	No	2022-11-15 00:00:00	None	B	None	2000	3100	0	3100	0	None	GJSG11	N	CA00804266, CA00804266	A, A	SFY2022-23
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-11-10 00:00:00	240018116	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-10-03 00:00:00	2022-10-03 00:00:00	No	2022-12-05 00:00:00	None	B	None	150	150	0	150	0	None	JFGR11	N	CA00806017	A	SFY2022-23
240000365	KNOLLS WEST POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-01-26 00:00:00	240018318	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-13 00:00:00	2022-12-13 00:00:00	No	2023-02-16 00:00:00	None	B	None	150	150	0	150	0	None	GFZ311	N	None	None	SFY2022-23
240000979	BEAR VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-03-28 00:00:00	240018535	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-11 00:00:00	2022-12-11 00:00:00	No	2023-04-19 00:00:00	None	B	None	150	150	0	150	0	None	A6MM11	N	CA00821637	B	SFY2022-23
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-05-18 00:00:00	240018752	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-02-06 00:00:00	2023-02-06 00:00:00	No	2023-06-09 00:00:00	None	B	None	150	150	0	150	0	None	47LB11	N	CA00825728	A	SFY2022-23
240000873	RECHE CANYON REGIONAL REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-05-24 00:00:00	240018781	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2023-04-06 00:00:00	2023-04-06 00:00:00	Yes	2023-06-15 00:00:00	2023-06-14 00:00:00	B	B	150	400	-400	0	0	None	YCHD11	N	None	None	SFY2022-23
240000873	RECHE CANYON REGIONAL REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-05-24 00:00:00	240018786	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-04 00:00:00	2023-04-04 00:00:00	Yes	2023-06-15 00:00:00	2023-06-14 00:00:00	B	B	150	700	-400	300	0	None	YCHD11	N	None	None	SFY2022-23
240000156	WATERMAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-06-20 00:00:00	240018881	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-06-05 00:00:00	2023-06-05 00:00:00	Yes	2023-07-12 00:00:00	2023-06-30 00:00:00	B	B	1500	1050	-50	1000	0	None	T34H11	N	None	None	SFY2022-23
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-07-24 00:00:00	240018988	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-06-19 00:00:00	2023-06-19 00:00:00	No	2023-08-14 00:00:00	None	B	None	1500	1500	0	1500	0	None	5IC511	N	CA00844081, CA00844081	B, B	SFY2023-24
240000365	KNOLLS WEST POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-08-02 00:00:00	240019019	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-20 00:00:00	2023-04-20 00:00:00	No	2023-08-23 00:00:00	None	A	None	3500	10500	0	0	10500	None	SECB11	N	CA00837667	B	SFY2023-24
240000020	HIGHLAND CARE CENTER OF REDLANDS	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-08-15 00:00:00	240019059	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-26 00:00:00	2023-07-26 00:00:00	Yes	2023-09-06 00:00:00	2023-08-18 00:00:00	A	None	50000	50000	0	0	50000	None	TYV711	Y	CA00850319, CA00850319	A, A	SFY2023-24
240000873	RECHE CANYON REGIONAL REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-08-18 00:00:00	240019065	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-10 00:00:00	2023-04-10 00:00:00	Yes	2023-09-11 00:00:00	2023-09-08 00:00:00	B	None	1000	1050	0	0	1050	None	YCHD11	N	None	None	SFY2023-24
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-09-21 00:00:00	240019181	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-11 00:00:00	2023-08-11 00:00:00	No	2023-10-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	8XQ511	N	CA00854130, CA00854130	B, B	SFY2023-24
240000038	CITRUS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-10-12 00:00:00	240019254	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-01 00:00:00	2023-08-01 00:00:00	Yes	2023-11-02 00:00:00	2023-10-13 00:00:00	A	None	5000	5000	0	0	5000	None	PMDC11	N	CA00854235	B	SFY2023-24
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-10-19 00:00:00	240019272	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-13 00:00:00	2023-04-13 00:00:00	No	2023-11-09 00:00:00	None	A	None	5000	5000	0	5000	0	None	RJOR11	N	CA00843464	B	SFY2023-24
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-11-20 00:00:00	240019385	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-03 00:00:00	2023-10-03 00:00:00	No	2023-12-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	WD6Y11	N	CA00862527, CA00863706, CA00863706, CA00863706	B, A, A, A	SFY2023-24
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-12-11 00:00:00	240019452	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-10-27 00:00:00	2023-10-27 00:00:00	Yes	2024-01-02 00:00:00	2023-12-27 00:00:00	A	None	25000	25000	0	0	25000	None	II4611	Y	CA00867749, CA00867749	A, A	SFY2023-24
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2024-04-09 00:00:00	240019976	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-03-10 00:00:00	2024-03-10 00:00:00	No	2024-04-30 00:00:00	None	A	None	3500	3500	0	3500	0	None	G77Q11	N	CA00888720	A	SFY2023-24
250000064	DEVONSHIRE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	1998-05-27 00:00:00	250001423	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1998-02-25 00:00:00	None	Yes	1998-06-17 00:00:00	2000-09-29 00:00:00	A	B	6000	5000	-1568	3432	0	250010281	A99999	N	None	None	SFY1997-98
250000113	COLLEGE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2000-01-04 00:00:00	250001470	Closed	Citation	Citation A (HSC 1424)	Administration	None	1999-12-17 00:00:00	None	Yes	2000-07-12 00:00:00	2000-06-27 00:00:00	A	B	10000	5000	0	5000	0	250011491	A99999	N	None	None	SFY1999-00
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2000-01-04 00:00:00	250001471	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-07 00:00:00	None	No	2000-01-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	250011500	A99999	N	None	None	SFY1999-00
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2000-02-08 00:00:00	250001472	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-11 00:00:00	None	No	2000-02-29 00:00:00	None	B	None	1000	1000	-350	650	0	250011618	A99999	N	None	None	SFY1999-00
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2000-02-09 00:00:00	250001473	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-11 00:00:00	None	Yes	2000-03-08 00:00:00	2000-02-25 00:00:00	A	A	10000	8025	-1650	6375	0	250011621	A99999	N	None	None	SFY1999-00
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2000-02-09 00:00:00	250001474	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-26 00:00:00	None	Yes	2000-03-08 00:00:00	2000-02-25 00:00:00	A	A	10000	8025	-1650	6375	0	250011621	A99999	N	None	None	SFY1999-00
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2000-02-09 00:00:00	250001475	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-09 00:00:00	None	Yes	2000-03-08 00:00:00	2000-02-25 00:00:00	A	B	10000	8150	-1650	6500	0	250011630	A99999	N	None	None	SFY1999-00
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2000-02-09 00:00:00	250001476	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	1999-09-29 00:00:00	None	Yes	2000-03-08 00:00:00	2000-02-29 00:00:00	B	B	1000	2150	-1650	500	0	250011621	A99999	N	None	None	SFY1999-00
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2000-02-22 00:00:00	250001477	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-21 00:00:00	None	No	2000-03-17 00:00:00	None	A	None	10000	10200	-3500	6700	0	250011667	A99999	N	None	None	SFY1999-00
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2000-03-09 00:00:00	250001479	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-18 00:00:00	None	No	2000-03-30 00:00:00	None	A	None	10000	10000	-3500	6500	0	250011674	A99999	N	None	None	SFY1999-00
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2000-03-27 00:00:00	250001480	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-06 00:00:00	None	Yes	2000-09-14 00:00:00	2000-04-13 00:00:00	A	A	8000	8000	0	8000	0	250011734	A99999	N	None	None	SFY1999-00
250000155	VISTA PACIFICA CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2000-06-15 00:00:00	250001482	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-04-02 00:00:00	None	Yes	2000-07-10 00:00:00	2001-03-23 00:00:00	A	B	10000	5750	0	5750	0	250011878	A99999	N	None	None	SFY1999-00
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2000-08-16 00:00:00	250001483	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-14 00:00:00	None	No	2000-09-08 00:00:00	None	A	None	10000	10000	-3500	6500	0	250012008	A99999	N	None	None	SFY2000-01
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2000-10-24 00:00:00	250001484	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-10 00:00:00	None	No	2000-11-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	250012180	A99999	N	None	None	SFY2000-01
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2000-10-24 00:00:00	250001485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-23 00:00:00	None	Yes	2000-11-15 00:00:00	2000-11-13 00:00:00	B	None	1000	1000	0	1000	0	250012181	A99999	N	None	None	SFY2000-01
250000260	THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA	LTC	SNF	Skilled Nursing Facility	Riverside	2000-11-06 00:00:00	250001486	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-10 00:00:00	None	No	2000-12-04 00:00:00	None	B	None	1000	1000	-350	650	0	250012197	A99999	N	None	None	SFY2000-01
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2000-11-06 00:00:00	250001487	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-08 00:00:00	None	No	2000-12-06 00:00:00	None	B	None	1000	1000	0	1000	0	250012203	A99999	N	None	None	SFY2000-01
250000036	VALENCIA GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2000-12-20 00:00:00	250001488	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-09-06 00:00:00	None	Yes	2001-05-18 00:00:00	2001-05-14 00:00:00	A	A	10000	5500	0	5500	0	250012263	A99999	N	None	None	SFY2000-01
250000113	COLLEGE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2001-01-11 00:00:00	250001489	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-15 00:00:00	None	Yes	2001-02-05 00:00:00	2001-02-02 00:00:00	B	None	1000	1000	0	1000	0	250012311	A99999	N	None	None	SFY2000-01
250000043	COMMUNITY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2001-02-26 00:00:00	250001490	Closed	Citation	Citation A (HSC 1424)	Medication	None	2000-09-23 00:00:00	None	Yes	2002-05-23 00:00:00	2002-05-23 00:00:00	A	B	10000	10000	0	10000	0	250012473	A99999	N	None	None	SFY2000-01
250000260	THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA	LTC	SNF	Skilled Nursing Facility	Riverside	2001-05-24 00:00:00	250001491	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-25 00:00:00	None	No	2001-06-15 00:00:00	None	B	None	1000	1000	-350	650	0	250012552	A99999	N	None	None	SFY2000-01
250001465	GORHAM HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2001-06-19 00:00:00	250001492	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-03 00:00:00	None	Yes	2002-05-24 00:00:00	2002-05-03 00:00:00	A	B	7000	5000	0	5000	0	250012789	A99999	N	None	None	SFY2000-01
250000155	VISTA PACIFICA CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2001-09-20 00:00:00	250001493	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-14 00:00:00	None	No	2001-10-15 00:00:00	None	B	Drop>Deficiency	1000	500	0	500	0	250012983	A99999	N	None	None	SFY2001-02
250001390	MANCHESTER DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2001-10-01 00:00:00	250001494	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-12 00:00:00	None	No	2001-10-23 00:00:00	None	B	None	1000	1000	-350	650	0	250012994	A99999	N	None	None	SFY2001-02
250000155	VISTA PACIFICA CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2001-10-09 00:00:00	250001495	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-04 00:00:00	None	Yes	2001-10-31 00:00:00	2001-10-30 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	250012899	A99999	N	None	None	SFY2001-02
250000155	VISTA PACIFICA CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2002-03-22 00:00:00	250001496	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2001-11-28 00:00:00	None	Yes	2002-04-12 00:00:00	2002-04-12 00:00:00	A	B	20000	12500	0	12500	0	250013305	A99999	N	None	None	SFY2001-02
250000299	RANCHO MIRAGE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2002-05-02 00:00:00	250001497	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-01-27 00:00:00	None	Yes	2002-05-23 00:00:00	2002-05-09 00:00:00	A	A	18000	10481	0	10481	0	250013432	A99999	N	None	None	SFY2001-02
250001405	HUCKABEE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2002-05-02 00:00:00	250001498	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-03-14 00:00:00	None	Yes	2002-05-23 00:00:00	2002-05-06 00:00:00	A	B	8000	5100	-100	5000	0	250013573	A99999	N	None	None	SFY2001-02
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2002-05-23 00:00:00	250001499	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-27 00:00:00	None	No	2002-06-17 00:00:00	None	B	None	1000	1000	-350	650	0	250013707	A99999	N	None	None	SFY2001-02
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2002-05-29 00:00:00	250001500	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-03-27 00:00:00	None	No	2002-06-19 00:00:00	None	A	None	15000	15000	-5250	9750	0	250013613	A99999	N	None	None	SFY2001-02
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2002-05-29 00:00:00	250001501	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-02 00:00:00	None	No	2002-06-19 00:00:00	None	A	None	18000	18000	-6300	11700	0	250013654	A99999	N	None	None	SFY2001-02
250000015	ARLINGTON GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2002-06-04 00:00:00	250001502	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-03 00:00:00	None	No	2002-06-27 00:00:00	None	B	None	1000	1000	-350	650	0	250013647	A99999	N	None	None	SFY2001-02
250001382	DESERT MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2002-10-01 00:00:00	250001503	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-26 00:00:00	None	Yes	2002-10-28 00:00:00	2002-10-08 00:00:00	B	Drop>Deficiency	600	600	0	600	0	250014313	A99999	N	None	None	SFY2002-03
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2002-11-14 00:00:00	250001504	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-21 00:00:00	None	Yes	2002-12-11 00:00:00	2002-11-22 00:00:00	B	None	800	800	0	800	0	250014031	A99999	N	None	None	SFY2002-03
250000694	JOEL'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2002-11-14 00:00:00	250001505	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-06 00:00:00	None	No	2002-12-18 00:00:00	None	B	None	500	500	-175	325	0	250013841	A99999	N	None	None	SFY2002-03
250000064	DEVONSHIRE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2002-12-13 00:00:00	250001506	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-02 00:00:00	None	No	2003-01-16 00:00:00	None	B	None	750	750	0	750	0	250014103	A99999	N	None	None	SFY2002-03
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-01-30 00:00:00	250001507	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-25 00:00:00	None	No	2003-03-03 00:00:00	None	B	None	1000	1000	-350	650	0	250014606	A99999	N	None	None	SFY2002-03
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-04-25 00:00:00	250001509	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-19 00:00:00	None	Yes	2003-05-19 00:00:00	2003-04-25 00:00:00	B	None	500	500	0	500	0	250014927	A99999	N	None	None	SFY2002-03
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2003-05-02 00:00:00	250001510	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-15 00:00:00	None	Yes	2003-11-12 00:00:00	2003-05-15 00:00:00	B	B	1000	3000	0	3000	0	250015022	A99999	N	None	None	SFY2002-03
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2003-06-12 00:00:00	250001511	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-02-10 00:00:00	None	No	2003-07-07 00:00:00	None	B	None	500	500	-175	325	0	250015258	A99999	N	None	None	SFY2002-03
250000299	RANCHO MIRAGE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-10-23 00:00:00	250001512	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-08 00:00:00	None	No	2003-11-19 00:00:00	None	B	B	1000	557	0	557	0	250015706	A99999	N	None	None	SFY2003-04
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-06 00:00:00	250001513	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-13 00:00:00	None	No	2003-12-02 00:00:00	None	B	None	500	500	-175	325	0	250015825	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001514	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	2003-09-26 00:00:00	Yes	2006-06-29 00:00:00	2006-06-14 00:00:00	B	B	500	250	0	250	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001515	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-07-28 00:00:00	2006-07-14 00:00:00	B	B	500	250	0	250	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001516	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-08-11 00:00:00	2006-07-26 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001517	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-08-11 00:00:00	2006-07-26 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001518	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-08-15 00:00:00	2006-07-27 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001519	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-07-28 00:00:00	2006-07-14 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001520	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-08-15 00:00:00	2006-07-27 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001521	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-08-15 00:00:00	2006-07-27 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001522	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-08-15 00:00:00	2006-07-27 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001523	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-08-15 00:00:00	2006-07-27 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001524	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-08-15 00:00:00	2006-07-27 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001525	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-08-15 00:00:00	2006-07-27 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001526	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-09-06 00:00:00	2006-08-18 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001527	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2005-02-28 00:00:00	2005-02-24 00:00:00	B	B	500	500	0	500	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001528	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-06-12 00:00:00	2006-06-14 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001529	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-07-21 00:00:00	2006-06-30 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001530	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-07-20 00:00:00	2006-06-30 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001531	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-07-20 00:00:00	2006-06-30 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001532	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-08-01 00:00:00	2006-07-14 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001533	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-07-28 00:00:00	2006-07-14 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001534	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-09-06 00:00:00	2006-08-18 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001535	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-09-06 00:00:00	2006-08-18 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2003-11-14 00:00:00	250001536	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-09-26 00:00:00	None	Yes	2006-09-06 00:00:00	2006-08-18 00:00:00	B	B	500	225	0	225	0	250015800	A99999	N	None	None	SFY2003-04
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2004-01-23 00:00:00	250001537	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-29 00:00:00	2003-09-29 00:00:00	Yes	2007-05-09 00:00:00	2007-04-09 00:00:00	A	A	10000	4000	0	4000	0	250015794	A99999	N	None	None	SFY2003-04
250000622	GARRISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2004-04-15 00:00:00	250001538	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-09 00:00:00	None	No	2004-05-06 00:00:00	None	B	None	500	500	-175	325	0	250016133	A99999	N	None	None	SFY2003-04
250000869	MARIAN JAMES TRANSITIONAL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2004-05-12 00:00:00	250001539	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-10 00:00:00	None	No	2004-06-03 00:00:00	None	B	None	500	500	-175	325	0	250016325	A99999	N	None	None	SFY2003-04
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2004-06-30 00:00:00	250001540	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-11-03 00:00:00	None	Yes	2008-06-05 00:00:00	2008-08-19 00:00:00	A	A	12000	3000	0	3000	0	250016003	A99999	N	None	None	SFY2003-04
250000761	HORSESHOE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2004-06-30 00:00:00	250001541	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-06 00:00:00	None	No	2004-07-22 00:00:00	None	B	None	500	500	-175	325	0	250016405	A99999	N	None	None	SFY2003-04
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2004-07-08 00:00:00	250001542	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-22 00:00:00	None	No	2004-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	250016422	A99999	N	None	None	SFY2004-05
250001435	CHAPALA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2004-07-28 00:00:00	250001543	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-04-24 00:00:00	None	No	2004-08-18 00:00:00	None	A	None	7500	7500	-2625	4875	0	250016469	A99999	N	None	None	SFY2004-05
250000119	EVERGREEN ESTATES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2004-10-27 00:00:00	250001547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-31 00:00:00	None	No	2004-11-18 00:00:00	None	B	None	1000	1000	-350	650	0	250016628	A99999	N	None	None	SFY2004-05
250000622	GARRISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-03-10 00:00:00	250001548	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-06 00:00:00	None	No	2005-04-04 00:00:00	None	B	None	1000	3000	-1050	1950	0	250016822	A99999	N	None	None	SFY2004-05
250000116	VILLA WOODS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-03-24 00:00:00	250001549	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-09-24 00:00:00	None	Yes	2005-04-19 00:00:00	2005-03-24 00:00:00	A	A	5000	5000	0	5000	0	250016823	A99999	N	None	None	SFY2004-05
250000114	DERBY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-03-25 00:00:00	250001550	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-09-24 00:00:00	None	Yes	2005-04-21 00:00:00	2005-03-25 00:00:00	A	A	5000	5000	0	0	5000	250016824	A99999	N	None	None	SFY2004-05
250000116	VILLA WOODS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-03-24 00:00:00	250001551	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-09-24 00:00:00	2004-09-24 00:00:00	Yes	2005-04-15 00:00:00	2005-03-24 00:00:00	B	B	500	500	0	500	0	250016825	A99999	N	None	None	SFY2004-05
250001468	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-SUNSHINE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-05-05 00:00:00	250001552	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-05-05 00:00:00	None	No	2005-05-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	250016826	A99999	N	None	None	SFY2004-05
250001468	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-SUNSHINE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-05-05 00:00:00	250001553	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-05-05 00:00:00	None	No	2005-05-27 00:00:00	None	AA	None	25000	25000	-8750	16250	0	250016827	A99999	Y	None	None	SFY2004-05
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2005-06-03 00:00:00	250001554	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-18 00:00:00	2004-02-18 00:00:00	Yes	2005-06-24 00:00:00	2005-06-09 00:00:00	B	B	1000	500	0	500	0	250016828	A99999	N	None	None	SFY2004-05
250000015	ARLINGTON GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2005-05-19 00:00:00	250001555	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-15 00:00:00	None	No	2005-06-14 00:00:00	None	B	None	500	500	-175	325	0	250016829	A99999	N	None	None	SFY2004-05
250000015	ARLINGTON GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2005-05-25 00:00:00	250001556	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-12-08 00:00:00	None	No	2005-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	250016830	A99999	N	None	None	SFY2004-05
250000117	DEL PARK MANOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-07-27 00:00:00	250001557	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-15 00:00:00	None	No	2005-08-17 00:00:00	None	B	None	1000	1150	-350	800	0	250016831	A99999	N	None	None	SFY2005-06
250001769	ROGER RESIDENCE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-08-03 00:00:00	250001558	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-05-15 00:00:00	None	No	2005-08-24 00:00:00	None	B	None	500	600	-175	425	0	250016832	A99999	N	None	None	SFY2005-06
250000015	ARLINGTON GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2005-08-11 00:00:00	250001559	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-03-15 00:00:00	None	No	2005-09-01 00:00:00	None	A	None	5000	5000	-1750	3250	0	250016833	A99999	N	None	None	SFY2005-06
250000043	COMMUNITY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2005-08-18 00:00:00	250001560	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-21 00:00:00	2005-01-21 00:00:00	Yes	2005-09-09 00:00:00	2005-08-29 00:00:00	B	B	500	250	0	250	0	250016834	A99999	N	None	None	SFY2005-06
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2005-08-24 00:00:00	250001561	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-21 00:00:00	None	No	2005-09-16 00:00:00	None	B	None	500	500	-175	325	0	250016835	A99999	N	None	None	SFY2005-06
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2005-09-02 00:00:00	250001562	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-16 00:00:00	None	No	2005-09-30 00:00:00	None	B	None	1000	3000	-1050	1950	0	250016836	A99999	N	None	None	SFY2005-06
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2005-09-22 00:00:00	250001563	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-07 00:00:00	2005-05-07 00:00:00	No	2005-10-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	250016837	A99999	N	None	None	SFY2005-06
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2005-09-28 00:00:00	250001564	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-17 00:00:00	None	No	2005-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	250016838	A99999	N	None	None	SFY2005-06
250001183	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MIRAMAR HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-11-15 00:00:00	250001565	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-28 00:00:00	2005-08-28 00:00:00	No	2005-12-08 00:00:00	None	B	None	1000	1000	-350	650	0	250016839	A99999	N	None	None	SFY2005-06
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2005-11-15 00:00:00	250001566	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-10-16 00:00:00	2005-10-16 00:00:00	Yes	2005-12-08 00:00:00	2005-11-18 00:00:00	A	A	20000	6667	0	6667	0	250016840	A99999	N	None	None	SFY2005-06
250001745	BAYSHIRE RANCHO MIRAGE	LTC	SNF	Skilled Nursing Facility	Riverside	2006-02-03 00:00:00	250001567	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-08-30 00:00:00	2005-08-30 00:00:00	Yes	2006-03-16 00:00:00	2006-02-23 00:00:00	A	None	10000	10000	0	10000	0	250016841	A99999	N	None	None	SFY2005-06
250000592	NEW IDEALS/OTIS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-12-21 00:00:00	250001568	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-09-02 00:00:00	None	No	2006-01-13 00:00:00	None	B	None	500	500	-175	325	0	250016842	A99999	N	None	None	SFY2005-06
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2006-02-03 00:00:00	250001569	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-03 00:00:00	2005-10-03 00:00:00	Yes	2006-02-28 00:00:00	2006-02-21 00:00:00	B	B	500	500	-435	65	0	250016843	A99999	N	None	None	SFY2005-06
250000622	GARRISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2006-03-30 00:00:00	250002926	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-11-08 00:00:00	2004-11-08 00:00:00	Yes	2006-04-21 00:00:00	2006-04-12 00:00:00	A	A	10000	10000	0	10000	0	None	FC6U11	N	CA00038120	C	SFY2005-06
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2006-03-30 00:00:00	250002974	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-03 00:00:00	2005-09-03 00:00:00	No	2006-04-21 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	DK1811	N	CA00060423	C	SFY2005-06
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2006-05-22 00:00:00	250003073	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-03-10 00:00:00	2005-03-10 00:00:00	Yes	2011-03-30 00:00:00	2006-05-31 00:00:00	A	A	20000	20450	-20450	0	0	None	9I9H11	N	CA00073896	C	SFY2005-06
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2006-06-09 00:00:00	250003101	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-11-03 00:00:00	2005-11-03 00:00:00	Yes	2006-06-30 00:00:00	2006-06-26 00:00:00	A	A	6000	3150	0	3150	0	None	71RR11	N	CA00065065	C	SFY2005-06
250000079	CENTINELA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	Riverside	2006-05-31 00:00:00	250003129	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-08-28 00:00:00	2005-08-28 00:00:00	No	2006-06-21 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	KBZJ11	N	CA00060180	C	SFY2005-06
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2006-06-14 00:00:00	250003132	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-09 00:00:00	2005-12-09 00:00:00	No	2006-07-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	6KPM11	N	CA00069010	B	SFY2005-06
250000033	CALIFORNIA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2007-01-19 00:00:00	250003157	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-08 00:00:00	2005-06-08 00:00:00	No	2007-02-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	IHX811	N	CA00055220	C	SFY2006-07
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2006-09-25 00:00:00	250003260	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-14 00:00:00	2006-07-14 00:00:00	No	2006-10-17 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	3H0611	N	CA00086871	B	SFY2006-07
250000113	COLLEGE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2006-10-26 00:00:00	250003368	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-12 00:00:00	2005-10-12 00:00:00	No	2006-11-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	O73211	N	CA00064090	C	SFY2006-07
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2006-10-25 00:00:00	250003395	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-30 00:00:00	2005-07-30 00:00:00	No	2006-11-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	OKTQ11	N	CA00056919	C	SFY2006-07
250000553	CONNER RESIDENCE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2006-11-13 00:00:00	250003405	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-21 00:00:00	2005-11-21 00:00:00	No	2006-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	G7CF11	N	CA00066605	C	SFY2006-07
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2006-11-17 00:00:00	250003409	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-12-02 00:00:00	2005-12-02 00:00:00	No	2006-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	6HFE11	N	CA00063954	C	SFY2006-07
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2006-11-02 00:00:00	250003432	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-29 00:00:00	2005-11-29 00:00:00	No	2006-11-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	50TN11	N	CA00067017	C	SFY2006-07
250000567	HEMET HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2007-03-13 00:00:00	250003654	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-01-06 00:00:00	2006-01-06 00:00:00	No	2007-04-03 00:00:00	None	AA	None	75000	75000	-75000	0	0	None	W3ZX11	Y	CA00077183	C	SFY2006-07
250000567	HEMET HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2007-03-13 00:00:00	250003781	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-01-06 00:00:00	2006-01-06 00:00:00	Yes	2007-04-25 00:00:00	2007-03-23 00:00:00	AA	A	75000	45000	0	45000	0	None	W3ZX11	Y	CA00077183, CA00077183, CA00077183	C, C, C	SFY2006-07
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2007-08-23 00:00:00	250004187	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-11-28 00:00:00	2006-11-28 00:00:00	Yes	2012-01-26 00:00:00	2012-01-12 00:00:00	A	B	12000	10500	0	10500	0	None	KZ0311	N	CA00100111	B	SFY2007-08
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2007-09-13 00:00:00	250004270	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-03 00:00:00	2007-05-03 00:00:00	No	2007-10-04 00:00:00	None	A	A	15000	15000	-13029	1971	0	None	O7UL11	N	CA00113952	C	SFY2007-08
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2007-10-04 00:00:00	250004308	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-07-25 00:00:00	2006-07-25 00:00:00	Yes	2012-02-24 00:00:00	2012-01-11 00:00:00	A	A	20000	20000	0	20000	0	None	38KV11	N	CA00093474	C	SFY2007-08
250000155	VISTA PACIFICA CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2007-10-16 00:00:00	250004337	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-08-30 00:00:00	2006-08-30 00:00:00	Yes	2007-11-06 00:00:00	2007-10-19 00:00:00	B	B	1000	1050	-50	1000	0	None	RCDF11	N	CA00091815	B	SFY2007-08
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2007-10-19 00:00:00	250004347	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-05-16 00:00:00	2006-05-16 00:00:00	No	2007-11-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	3LCH11	N	CA00082680	C	SFY2007-08
250000770	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-BAIN HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2007-11-02 00:00:00	250004377	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-11-28 00:00:00	2006-11-28 00:00:00	Yes	2007-11-28 00:00:00	2007-11-07 00:00:00	A	A	10000	0	0	0	0	None	FD1V11	N	CA00099896	B	SFY2007-08
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2007-10-25 00:00:00	250004397	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-05-08 00:00:00	2006-05-08 00:00:00	Yes	2007-11-16 00:00:00	2007-11-13 00:00:00	A	A	15000	9750	0	9750	0	None	7LQ511	N	CA00080252, CA00080339	C, C	SFY2007-08
250000036	VALENCIA GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2007-12-20 00:00:00	250004519	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-05-23 00:00:00	2006-05-23 00:00:00	No	2008-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	W3TI11	N	CA00081621	B	SFY2007-08
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2008-02-14 00:00:00	250004591	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-16 00:00:00	2006-08-16 00:00:00	No	2008-03-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	HO1V11	N	CA00090368	C	SFY2007-08
250000299	RANCHO MIRAGE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2008-02-05 00:00:00	250004638	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-05-28 00:00:00	2007-05-28 00:00:00	Yes	2012-01-18 00:00:00	2012-01-06 00:00:00	A	A	20000	12850	-350	12500	0	None	5DPQ11	N	CA00119660	C	SFY2007-08
250000299	RANCHO MIRAGE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2008-02-05 00:00:00	250004642	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-07-04 00:00:00	2006-07-04 00:00:00	Yes	2012-01-18 00:00:00	2012-01-06 00:00:00	A	B	15000	9750	0	9750	0	None	Z5T011	N	CA00092708	C	SFY2007-08
250001655	VILLA VADNAIS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-02-29 00:00:00	250004719	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-17 00:00:00	2005-08-17 00:00:00	No	2008-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	UDGE11	N	CA00069896	C	SFY2007-08
250001655	VILLA VADNAIS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-02-29 00:00:00	250004720	Closed	Citation	Citation Willful Material Omission (HSC 1424(f)(1))	Patient Record	None	2005-08-17 00:00:00	2005-08-17 00:00:00	No	2008-03-21 00:00:00	None	WO	None	1000	1000	-350	650	0	None	UDGE11	None	CA00069896	C	SFY2007-08
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2008-03-28 00:00:00	250004761	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2005-09-02 00:00:00	2005-09-02 00:00:00	No	2008-05-16 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	1Q0F11	None	CA00092876	C	SFY2007-08
250001441	JUAN BAUTISTA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-03-07 00:00:00	250004765	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-12-11 00:00:00	2007-12-11 00:00:00	No	2008-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	1MQI11	N	CA00134614	B	SFY2007-08
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2008-03-20 00:00:00	250004782	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-10-06 00:00:00	2007-10-06 00:00:00	No	2008-04-11 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	UEZK11	N	CA00128753	B	SFY2007-08
250000260	THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA	LTC	SNF	Skilled Nursing Facility	Riverside	2008-03-21 00:00:00	250004805	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-06-29 00:00:00	2006-06-29 00:00:00	Yes	2008-04-14 00:00:00	2008-04-09 00:00:00	AA	None	100000	101700	0	101700	0	None	VNTV11	Y	CA00092190	C	SFY2007-08
250001560	BETTY & MARTIN RUSSELL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-04-23 00:00:00	250004942	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-02 00:00:00	2006-11-02 00:00:00	No	2008-05-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q95C11	N	CA00097696	C	SFY2007-08
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2008-05-15 00:00:00	250004976	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-05-23 00:00:00	2007-05-23 00:00:00	Yes	2008-06-13 00:00:00	2008-05-28 00:00:00	B	B	1000	650	-100	550	0	None	FY3311	N	CA00121383	C	SFY2007-08
630007351	WYNN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-05-15 00:00:00	250005040	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-10-13 00:00:00	2007-10-13 00:00:00	Yes	2008-06-10 00:00:00	2008-05-20 00:00:00	B	None	1000	1000	-350	650	0	None	V6R111	N	CA00131250	C	SFY2007-08
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2008-06-10 00:00:00	250005110	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-02 00:00:00	2008-05-02 00:00:00	Yes	2008-07-07 00:00:00	2008-06-30 00:00:00	A	A	20000	20000	0	20000	0	None	PELZ11	N	CA00149152	C	SFY2007-08
250001233	VERBENA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-06-27 00:00:00	250005178	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-23 00:00:00	2008-03-23 00:00:00	Yes	2008-07-24 00:00:00	2008-07-14 00:00:00	B	B	1000	500	0	500	0	None	BPZ611	N	CA00144792, CA00144930	B, B	SFY2007-08
250000770	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-BAIN HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-07-11 00:00:00	250005217	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-05-21 00:00:00	2008-05-21 00:00:00	Yes	2008-08-01 00:00:00	2008-07-23 00:00:00	B	None	1000	1200	-350	850	0	None	B5YC11	N	CA00152022	C	SFY2008-09
250000985	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-07-17 00:00:00	250005235	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-05-23 00:00:00	2008-05-23 00:00:00	Yes	2012-01-18 00:00:00	2012-01-09 00:00:00	A	A	10000	5000	0	5000	0	None	Z35R11	N	CA00151501	C	SFY2008-09
250000154	VISTA PACIFICA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Riverside	2008-07-31 00:00:00	250005255	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-22 00:00:00	2007-12-22 00:00:00	No	2008-08-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	8RTT11	N	CA00135772, CA00137420	C, C	SFY2008-09
250000155	VISTA PACIFICA CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2008-07-31 00:00:00	250005270	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2007-07-30 00:00:00	2007-07-30 00:00:00	Yes	2008-08-27 00:00:00	2008-08-08 00:00:00	B	B	1000	1000	0	1000	0	None	8DLC11	N	CA00122387	B	SFY2008-09
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2008-08-20 00:00:00	250005326	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-09-14 00:00:00	2007-09-14 00:00:00	Yes	2008-09-11 00:00:00	2008-08-20 00:00:00	AA	AA	100000	15000	0	15000	0	None	JY2Q11	Y	CA00137056, CA00147450	C, C	SFY2008-09
250000154	VISTA PACIFICA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Riverside	2008-08-28 00:00:00	250005327	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-17 00:00:00	2007-10-17 00:00:00	No	2008-09-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	43F911	N	CA00129614	C	SFY2008-09
250001796	DAVIS HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-08-28 00:00:00	250005343	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2007-03-26 00:00:00	2007-03-26 00:00:00	Yes	2008-09-19 00:00:00	2008-09-08 00:00:00	B	B	1000	500	0	500	0	None	3CWS11	N	CA00128131	C	SFY2008-09
250000270	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2008-09-10 00:00:00	250005361	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-03 00:00:00	2007-03-03 00:00:00	Yes	2008-10-01 00:00:00	2008-09-19 00:00:00	B	B	1000	500	0	500	0	None	C5QC11	N	CA00108126	C	SFY2008-09
630007321	JACK SURNOW HOUSE	LTC	CLHF	Congregate Living Health Facility	Riverside	2008-09-03 00:00:00	250005382	Closed	Citation	Citation B (HSC 1424)	Other	AB-Abuse	2007-09-17 00:00:00	2007-09-17 00:00:00	Yes	2008-09-24 00:00:00	2008-09-11 00:00:00	B	B	1000	500	0	500	0	None	DKOK11	N	CA00126832	C	SFY2008-09
250001363	HEMET VALLEY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Riverside	2008-12-04 00:00:00	250005627	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-04-28 00:00:00	2008-04-28 00:00:00	No	2008-12-30 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	7ZTE11	N	CA00148121	C	SFY2008-09
250000051	EXTENDED CARE HOSPITAL OF RIVERSIDE	LTC	SNF	Skilled Nursing Facility	Riverside	2008-12-04 00:00:00	250005671	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-25 00:00:00	2008-01-25 00:00:00	Yes	2008-12-26 00:00:00	2008-12-15 00:00:00	B	B	1000	500	0	500	0	None	QRZE11	N	CA00138896	B	SFY2008-09
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2009-01-13 00:00:00	250005778	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/facility	2007-06-07 00:00:00	2007-06-07 00:00:00	Yes	2009-02-03 00:00:00	2009-01-20 00:00:00	B	None	1000	1000	-350	650	0	None	SHQ211	N	CA00116897	B	SFY2008-09
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2009-02-10 00:00:00	250005787	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2008-06-14 00:00:00	2008-06-14 00:00:00	No	2009-03-05 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	QB2G11	N	CA00153736	C	SFY2008-09
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2010-03-30 00:00:00	250007087	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-30 00:00:00	2008-09-30 00:00:00	No	2010-04-21 00:00:00	None	B	None	500	500	0	500	0	None	22X811	N	CA00165061	B	SFY2009-10
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2010-03-30 00:00:00	250007088	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-30 00:00:00	2008-09-30 00:00:00	No	2010-04-21 00:00:00	None	B	None	500	500	0	500	0	None	22X811	N	CA00165061	B	SFY2009-10
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2010-03-30 00:00:00	250007089	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-30 00:00:00	2008-09-30 00:00:00	No	2010-04-21 00:00:00	None	B	None	500	500	0	500	0	None	22X811	N	CA00165061	B	SFY2009-10
250000553	CONNER RESIDENCE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2011-04-28 00:00:00	250008208	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-02 00:00:00	2009-07-02 00:00:00	No	2011-05-19 00:00:00	None	B	None	200	200	0	200	0	None	N7RU11	N	CA00193979	C	SFY2010-11
250001400	REINDEER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2011-04-29 00:00:00	250008209	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-30 00:00:00	2008-07-30 00:00:00	No	2011-05-20 00:00:00	None	B	None	200	200	0	200	0	None	DTLW11	N	CA00158747	B	SFY2010-11
250000073	RIVERSIDE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Riverside	2011-06-24 00:00:00	250008226	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-06-24 00:00:00	2010-06-24 00:00:00	Yes	2011-07-18 00:00:00	2011-07-08 00:00:00	B	None	1000	1000	-350	650	0	None	S1VD11	N	CA00234071	B	SFY2010-11
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2011-06-03 00:00:00	250008259	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-10 00:00:00	2008-03-10 00:00:00	Yes	2011-06-24 00:00:00	2011-06-03 00:00:00	B	None	1000	1000	0	1000	0	None	UQ1M11	N	CA00143280	C	SFY2010-11
250000902	THE VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2011-06-03 00:00:00	250008273	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-10-15 00:00:00	2010-10-15 00:00:00	No	2011-06-24 00:00:00	None	B	None	500	500	-175	325	0	None	WVLN11	N	CA00246625	C	SFY2010-11
250000154	VISTA PACIFICA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Riverside	2011-06-20 00:00:00	250008314	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-02-21 00:00:00	2010-02-21 00:00:00	Yes	2011-07-12 00:00:00	2011-07-07 00:00:00	A	A	15000	15000	0	15000	0	None	9FFZ11	N	None	None	SFY2010-11
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2011-06-29 00:00:00	250008337	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-05-21 00:00:00	2008-05-21 00:00:00	No	2011-07-21 00:00:00	None	B	None	1000	1000	-1000	0	0	None	2PHL11	N	CA00150225	C	SFY2010-11
250000079	CENTINELA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	Riverside	2011-06-29 00:00:00	250008342	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	AB-abuse/facility not rep	2009-10-09 00:00:00	2009-10-09 00:00:00	No	2011-07-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	9E4F11	N	CA00205390	C	SFY2010-11
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2011-07-08 00:00:00	250008348	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-07-01 00:00:00	2009-07-01 00:00:00	No	2011-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	6TP311	N	CA00211012	C	SFY2011-12
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2011-10-25 00:00:00	250008650	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-02-10 00:00:00	2010-02-10 00:00:00	No	2011-11-16 00:00:00	None	B	None	1000	1000	-1000	0	0	None	KDHY11	N	CA00274279	C	SFY2011-12
250001571	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-SHEILA MARIE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2011-11-10 00:00:00	250008694	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-06-28 00:00:00	2008-06-28 00:00:00	Yes	2011-12-06 00:00:00	2011-11-18 00:00:00	A	A	10000	6000	0	6000	0	None	KHVC11	N	CA00155282	B	SFY2011-12
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2011-11-10 00:00:00	250008716	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-09 00:00:00	2006-08-09 00:00:00	Yes	2011-12-06 00:00:00	2011-12-02 00:00:00	B	None	1000	1000	0	1000	0	None	M69311	N	CA00092654	C	SFY2011-12
250000284	HIGHLAND SPRINGS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2011-11-16 00:00:00	250008748	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-11-26 00:00:00	2008-11-26 00:00:00	No	2011-12-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	417Q11	N	CA00170495, CA00170654	B, B	SFY2011-12
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2011-12-06 00:00:00	250008772	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-11-18 00:00:00	2010-11-18 00:00:00	No	2011-12-28 00:00:00	None	B	None	1000	1000	-1000	0	0	None	UVKC11	N	CA00253109	C	SFY2011-12
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2012-01-18 00:00:00	250008778	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-08-21 00:00:00	2008-08-21 00:00:00	No	2012-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	7MT911	N	CA00161127	C	SFY2011-12
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2011-12-06 00:00:00	250008779	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-11-18 00:00:00	2010-11-18 00:00:00	No	2011-12-28 00:00:00	None	B	None	1000	1000	-1000	0	0	None	UVKC11	N	CA00253109	C	SFY2011-12
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-01-04 00:00:00	250008864	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-17 00:00:00	2010-07-17 00:00:00	No	2012-01-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	9DEY11	N	CA00236072	B	SFY2011-12
250000073	RIVERSIDE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Riverside	2012-02-23 00:00:00	250009024	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-08-09 00:00:00	2010-08-09 00:00:00	No	2012-03-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	D58R11	N	CA00238773	B	SFY2011-12
250000021	RIVERSIDE BEHAVIORAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-03-14 00:00:00	250009109	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-29 00:00:00	2010-03-29 00:00:00	Yes	2012-04-04 00:00:00	2012-04-06 00:00:00	A	B	10000	10000	0	10000	0	None	H63A11	N	CA00223941	A	SFY2011-12
250000567	HEMET HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2012-03-29 00:00:00	250009184	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-05-01 00:00:00	2006-05-01 00:00:00	No	2012-04-19 00:00:00	None	B	None	500	500	-175	325	0	None	W3ZX11	N	CA00079502	B	SFY2011-12
250001635	THE JOHN FURBEE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2012-03-29 00:00:00	250009186	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-10-31 00:00:00	2010-10-31 00:00:00	No	2012-04-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	C34I11	N	CA00248315	C	SFY2011-12
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2012-06-14 00:00:00	250009351	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-24 00:00:00	2010-03-24 00:00:00	No	2012-07-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	TVPO11	N	CA00224874	C	SFY2011-12
250000857	DESERT REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Riverside	2012-11-19 00:00:00	250009425	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-26 00:00:00	2011-08-26 00:00:00	No	2012-12-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	19FI11	N	CA00281664	C	SFY2012-13
250000270	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-10-04 00:00:00	250009539	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-11-03 00:00:00	2009-11-03 00:00:00	No	2012-10-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	39U311	N	CA00207062	C	SFY2012-13
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-11-14 00:00:00	250009585	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-24 00:00:00	2009-09-24 00:00:00	Yes	2012-12-07 00:00:00	2012-11-14 00:00:00	B	B	1000	1000	0	1000	0	None	8XZI11	N	CA00202739	B	SFY2012-13
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-11-14 00:00:00	250009586	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-08-12 00:00:00	2011-08-12 00:00:00	No	2012-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	LVKN11	N	CA00279284	C	SFY2012-13
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-11-16 00:00:00	250009589	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	B - ABUSE	2008-06-30 00:00:00	2008-06-30 00:00:00	No	2012-12-11 00:00:00	None	B	None	1000	1350	0	1350	0	None	4KDK11	N	CA00155169, CA00155243	C, B	SFY2012-13
250001663	BENTLEY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2012-11-20 00:00:00	250009594	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-09-17 00:00:00	2008-09-17 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	2IHE11	N	CA00164077	B	SFY2012-13
630007351	WYNN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2012-11-20 00:00:00	250009603	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-10-19 00:00:00	2007-10-19 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	QTLF11	N	CA00142539	C	SFY2012-13
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-12-06 00:00:00	250009639	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-12-04 00:00:00	2011-12-04 00:00:00	No	2012-12-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	J29N11	N	CA00291817	C	SFY2012-13
250000985	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2012-12-06 00:00:00	250009660	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-06-19 00:00:00	2007-06-19 00:00:00	No	2012-12-28 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	LRVM11	N	CA00118070, CA00118198, CA00118198, CA00119486	B, B, B, C	SFY2012-13
250000598	COVEY QUAIL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2012-12-12 00:00:00	250009661	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-07-16 00:00:00	2008-07-16 00:00:00	No	2013-01-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	VIR011	N	CA00157238, CA00158073	C, C	SFY2012-13
250000036	VALENCIA GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-12-06 00:00:00	250009662	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-13 00:00:00	2007-09-13 00:00:00	No	2012-12-28 00:00:00	None	B	None	500	500	0	500	0	None	PQ6H11	N	CA00126165	B	SFY2012-13
250000596	FOXDALE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2012-12-12 00:00:00	250009664	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-09 00:00:00	2007-10-09 00:00:00	No	2013-01-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z9YG11	N	CA00130971	C	SFY2012-13
250001440	ORMISTA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-02-13 00:00:00	250009725	Closed	Citation	Citation A (HSC 1424)	Physical Environment	Patient Care	2012-04-16 00:00:00	2012-04-16 00:00:00	Yes	2013-03-07 00:00:00	2013-03-12 00:00:00	A	Dismissed by Court	10000	0	0	0	0	None	OQLY11	N	CA00306912	C	SFY2012-13
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2013-03-07 00:00:00	250009731	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-07-11 00:00:00	2009-07-11 00:00:00	No	2013-03-28 00:00:00	None	B	None	200	200	-70	130	0	None	6DO311	N	CA00194735	C	SFY2012-13
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2013-05-07 00:00:00	250009834	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-01-06 00:00:00	2012-01-06 00:00:00	No	2013-05-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	JVNY11	N	CA00295099, CA00309399	C, C	SFY2012-13
250001723	MOUNTAIN SHADOWS SPECIAL KIDS HOMES - MAGGIE MARSH HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-05-16 00:00:00	250009902	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-12-04 00:00:00	2008-12-04 00:00:00	No	2013-06-07 00:00:00	None	A	None	5000	5000	0	5000	0	None	1X3O11	N	CA00171262	C	SFY2012-13
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2013-07-30 00:00:00	250009918	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-12-20 00:00:00	2010-12-20 00:00:00	No	2013-08-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	TRC311	N	CA00250618, CA00252591, CA00254871	C, C, C	SFY2013-14
250000079	CENTINELA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	Riverside	2013-07-25 00:00:00	250010018	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-11-23 12:00:00	2012-11-23 12:00:00	No	2013-08-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	KQ1M11	N	CA00334584	B	SFY2013-14
250000141	RAMONA REHABILITATION AND POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2013-07-25 00:00:00	250010019	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-12-07 00:00:00	2012-12-07 00:00:00	No	2013-08-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	778Q11	N	CA00336736	C	SFY2013-14
250000155	VISTA PACIFICA CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2013-07-30 00:00:00	250010020	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-05-15 00:00:00	2012-05-15 00:00:00	No	2013-08-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	6HFR11	N	CA00310832	A	SFY2013-14
250000116	VILLA WOODS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-07-30 00:00:00	250010026	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-03-25 00:00:00	2012-03-25 00:00:00	No	2013-08-20 00:00:00	None	B	None	200	200	0	200	0	None	PSMK11	N	CA00305696	C	SFY2013-14
630012886	MESA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-08-19 00:00:00	250010035	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-05-11 00:00:00	2012-05-11 00:00:00	No	2013-09-10 00:00:00	None	B	None	200	200	0	200	0	None	XX7Q11	N	CA00310634	C	SFY2013-14
250000850	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-GLEN HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-08-15 00:00:00	250010053	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-26 00:00:00	2010-11-26 00:00:00	No	2013-09-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	OZNI11	N	CA00250477	C	SFY2013-14
250000036	VALENCIA GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2013-08-15 00:00:00	250010061	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-15 00:00:00	2009-07-15 00:00:00	No	2013-09-06 00:00:00	None	B	None	500	500	-175	325	0	None	90K911	N	CA00195310	C	SFY2013-14
250000260	THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA	LTC	SNF	Skilled Nursing Facility	Riverside	2013-09-04 00:00:00	250010072	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-11 00:00:00	2008-09-11 00:00:00	No	2013-09-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	YP6811	N	CA00163854	C	SFY2013-14
250000260	THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA	LTC	SNF	Skilled Nursing Facility	Riverside	2013-09-04 00:00:00	250010083	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-11 00:00:00	2008-09-11 00:00:00	No	2013-09-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	YP6811	N	CA00163854	C	SFY2013-14
250000260	THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA	LTC	SNF	Skilled Nursing Facility	Riverside	2013-09-04 00:00:00	250010087	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-09-10 00:00:00	2008-09-10 00:00:00	No	2013-09-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	YP6811	N	CA00163854	C	SFY2013-14
250001525	HACIENDA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-09-09 00:00:00	250010109	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-04-15 00:00:00	2013-04-15 00:00:00	Yes	2013-09-30 00:00:00	2013-09-11 00:00:00	B	None	1000	1000	0	1000	0	None	JR6Q11	N	CA00354310, CA00354310, CA00355028	B, B, B	SFY2013-14
250001525	HACIENDA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-09-09 00:00:00	250010114	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2013-04-15 00:00:00	2013-04-15 00:00:00	Yes	2013-09-30 00:00:00	2013-09-11 00:00:00	B	None	1000	1000	0	1000	0	None	JR6Q11	N	CA00355028	B	SFY2013-14
250001233	VERBENA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-09-09 00:00:00	250010129	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-07-21 00:00:00	2012-07-21 00:00:00	Yes	2013-09-30 00:00:00	2013-09-18 00:00:00	B	None	1000	1200	0	1200	0	None	XOW411	N	CA00332010, CA00365504	B, B	SFY2013-14
250001233	VERBENA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-09-09 00:00:00	250010131	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-07-21 00:00:00	2012-07-21 00:00:00	Yes	2013-09-30 00:00:00	2013-09-18 00:00:00	B	None	1000	1350	0	1350	0	None	XOW411	N	None	None	SFY2013-14
250000622	GARRISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-10-24 00:00:00	250010202	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-01-04 00:00:00	2013-01-04 00:00:00	No	2013-11-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q3DT11	N	CA00338445	B	SFY2013-14
250000567	HEMET HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2013-10-14 00:00:00	250010203	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-07-20 00:00:00	2012-07-20 00:00:00	No	2013-11-04 00:00:00	None	FTR BR	None	4700	4700	-1175	3525	0	None	L4DK11	None	CA00325409	D	SFY2013-14
250001745	BAYSHIRE RANCHO MIRAGE	LTC	SNF	Skilled Nursing Facility	Riverside	2013-10-15 00:00:00	250010204	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-06 00:00:00	2010-11-06 00:00:00	No	2013-11-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	JRV011	N	CA00249345	C	SFY2013-14
250000673	RIVERSIDE VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2013-11-14 00:00:00	250010258	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-16 00:00:00	2008-07-16 00:00:00	No	2013-12-09 00:00:00	None	A	None	5000	5400	-1750	3650	0	None	TPEP11	N	CA00157348	C	SFY2013-14
250000592	NEW IDEALS/OTIS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-12-09 00:00:00	250010298	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-05-23 00:00:00	2013-05-23 00:00:00	No	2013-12-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	GQWX11	N	CA00355791, CA00355875	C, C	SFY2013-14
250001635	THE JOHN FURBEE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2014-01-16 00:00:00	250010379	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-25 00:00:00	2010-03-25 00:00:00	No	2014-02-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	YJK011	N	CA00223169	C	SFY2013-14
250000073	RIVERSIDE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-01-23 00:00:00	250010389	Open	Citation	Citation B (HSC 1424)	Other	Abuse	2013-09-18 00:00:00	2013-09-18 00:00:00	Yes	2014-02-13 00:00:00	2014-02-12 00:00:00	B	B	2000	2000	0	0	2000	None	QJFZ11	N	CA00370520	B	SFY2013-14
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-01-30 00:00:00	250010391	Closed	Citation	Citation B (HSC 1424)	Other	Facility Not Reported	2010-08-06 00:00:00	2010-08-06 00:00:00	No	2014-02-21 00:00:00	None	B	None	750	750	0	750	0	None	SHYY11	N	CA00239137, CA00240982	C, C	SFY2013-14
250000284	HIGHLAND SPRINGS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-01-24 00:00:00	250010394	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-05-15 00:00:00	2011-05-15 00:00:00	Yes	2014-02-14 00:00:00	2014-02-13 00:00:00	B	None	1000	1000	0	1000	0	None	90DJ11	N	CA00269901	B	SFY2013-14
250000830	WILLIAM DEMAREST CANYON COUNTRY CLUB HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2014-01-30 00:00:00	250010395	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-16 00:00:00	2010-05-16 00:00:00	No	2014-02-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	QPX411	N	CA00229079	A	SFY2013-14
250000284	HIGHLAND SPRINGS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-01-30 00:00:00	250010410	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-05-15 00:00:00	2011-05-15 00:00:00	No	2014-02-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	90DJ11	N	CA00269901	B	SFY2013-14
250001332	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-JUNIPER HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2014-02-04 00:00:00	250010418	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-23 00:00:00	2011-10-23 00:00:00	No	2014-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	XZPU11	N	CA00287485	B	SFY2013-14
250000155	VISTA PACIFICA CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-02-06 00:00:00	250010421	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2013-12-28 00:00:00	2013-12-28 00:00:00	No	2014-02-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	CIFE11	N	CA00381828	C	SFY2013-14
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-02-12 00:00:00	250010457	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-11 00:00:00	2010-11-11 00:00:00	No	2014-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	H79L11	N	CA00248932	C	SFY2013-14
250000857	DESERT REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Riverside	2014-02-13 00:00:00	250010458	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-06-14 00:00:00	2011-06-14 00:00:00	No	2014-03-07 00:00:00	None	A	None	17000	17000	-5950	11050	0	None	43DA11	N	CA00278645	C	SFY2013-14
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-02-20 00:00:00	250010470	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-08-30 00:00:00	2013-08-30 00:00:00	Yes	2014-03-13 00:00:00	2014-02-24 00:00:00	A	A	10000	6500	0	6500	0	None	8O2D11	N	CA00368127	C	SFY2013-14
250000141	RAMONA REHABILITATION AND POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-02-21 00:00:00	250010485	Closed	Citation	Citation A (HSC 1424)	Dietary	None	2009-03-18 00:00:00	2009-03-18 00:00:00	No	2014-03-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	FY2311	N	CA00182057	B	SFY2013-14
250000051	EXTENDED CARE HOSPITAL OF RIVERSIDE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-02-27 00:00:00	250010489	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-08-18 00:00:00	2010-08-18 00:00:00	No	2014-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	2Q8Q11	N	CA00239964	C	SFY2013-14
250000154	VISTA PACIFICA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Riverside	2014-02-28 00:00:00	250010505	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-09-27 00:00:00	2011-09-27 00:00:00	No	2014-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8HS11	N	CA00285159	C	SFY2013-14
250000154	VISTA PACIFICA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Riverside	2014-02-28 00:00:00	250010506	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2011-09-27 00:00:00	2011-09-27 00:00:00	No	2014-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8HS11	N	CA00285159	C	SFY2013-14
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2014-03-06 00:00:00	250010514	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-08-20 00:00:00	2013-08-20 00:00:00	No	2014-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	C5J111	N	CA00366597	B	SFY2013-14
250000033	CALIFORNIA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-03-06 00:00:00	250010518	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2013-07-19 00:00:00	2013-07-19 00:00:00	No	2014-03-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PTL811	N	CA00362594, CA00363378	C, C	SFY2013-14
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-03-14 00:00:00	250010528	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-30 00:00:00	2012-10-30 00:00:00	Yes	2014-04-07 00:00:00	2014-03-24 00:00:00	B	B	2000	1500	0	1500	0	None	CH9P11	N	CA00331433	B	SFY2013-14
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2014-03-18 00:00:00	250010547	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-03-23 00:00:00	2013-03-23 00:00:00	No	2014-04-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7XVE11	N	CA00348921	B	SFY2013-14
250000155	VISTA PACIFICA CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-03-20 00:00:00	250010560	Closed	Citation	Citation B (HSC 1424)	Other	Failure to report	2012-03-27 00:00:00	2012-03-27 00:00:00	No	2014-04-11 00:00:00	None	B	None	1000	1350	-350	1000	0	None	HP0311	N	CA00304693	C	SFY2013-14
250000567	HEMET HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-03-27 00:00:00	250010574	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-29 00:00:00	2012-02-29 00:00:00	No	2014-04-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	T0JZ11	Y	CA00301469	C	SFY2013-14
250000567	HEMET HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-03-27 00:00:00	250010576	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-08-23 00:00:00	2010-08-23 00:00:00	No	2014-04-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	OP8111	N	CA00240521, CA00241043, CA00241265	C, C, C	SFY2013-14
250000835	NEW IDEALS/NOGAL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2014-04-04 00:00:00	250010592	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2012-04-30 00:00:00	2012-04-30 00:00:00	No	2014-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	KRMG11	N	CA00309034	C	SFY2013-14
250000835	NEW IDEALS/NOGAL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2014-04-04 00:00:00	250010594	Closed	Citation	Citation B (HSC 1424)	Other	Failure To Report	2012-04-30 00:00:00	2012-04-30 00:00:00	No	2014-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	KRMG11	N	CA00309034	C	SFY2013-14
250001745	BAYSHIRE RANCHO MIRAGE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-04-10 00:00:00	250010604	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2010-09-26 00:00:00	2010-09-26 00:00:00	Yes	2014-05-01 00:00:00	2014-04-21 00:00:00	A	A	10000	3500	0	3500	0	None	KVTY11	Y	CA00244130	C	SFY2013-14
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2014-04-10 00:00:00	250010605	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-28 00:00:00	2010-05-28 00:00:00	Yes	2014-05-01 00:00:00	2014-04-10 00:00:00	A	None	10000	10000	-3500	6500	0	None	VB4V11	Y	CA00230822, CA00242035	C, C	SFY2013-14
250000015	ARLINGTON GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-04-10 00:00:00	250010606	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-25 00:00:00	2011-04-25 00:00:00	No	2014-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	TYCS11	N	CA00267202	C	SFY2013-14
250001435	CHAPALA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2014-04-11 00:00:00	250010607	Open	Citation	Citation AA (HSC 1424)	Other	Abuse	2012-11-24 00:00:00	2012-11-24 00:00:00	Yes	2014-05-02 00:00:00	2014-04-28 00:00:00	AA	None	25000	25000	0	0	25000	None	J7GB11	Y	CA00333986	C	SFY2013-14
250000673	RIVERSIDE VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-04-10 00:00:00	250010610	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-04-17 00:00:00	2013-04-17 00:00:00	No	2014-05-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	L4MQ11	N	CA00351944	B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010667	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	L0KJ11	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010668	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010669	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010670	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010671	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010672	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010673	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	1500	1500	-525	975	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010674	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010675	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010676	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010678	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010683	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010684	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010685	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010686	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010687	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010688	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010690	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-13 00:00:00	250010692	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U4F111	N	CA00371712, CA00371842, CA00372726	C, B, B	SFY2013-14
250000567	HEMET HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-05-01 00:00:00	250010693	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-18 00:00:00	2012-07-18 00:00:00	No	2014-05-22 00:00:00	None	FTR RES	None	5400	5400	-1350	4050	0	None	L4DK11	None	CA00325409	D	SFY2013-14
250000592	NEW IDEALS/OTIS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2014-06-12 00:00:00	250010752	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-10-08 00:00:00	2013-10-08 00:00:00	No	2014-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	1WKQ11	N	CA00372503, CA00372791	B, B	SFY2013-14
250000732	DELPHINIUM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2014-06-19 00:00:00	250010820	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-10-22 00:00:00	2013-10-22 00:00:00	No	2014-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	YAM311	N	CA00373051	C	SFY2013-14
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-07-09 00:00:00	250010857	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-05-05 00:00:00	2014-05-05 00:00:00	No	2014-07-30 00:00:00	None	FTR BR	None	1800	1800	-450	1350	0	None	MM3411	None	CA00398568	C	SFY2014-15
250000033	CALIFORNIA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-07-10 00:00:00	250010858	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-07-22 00:00:00	2013-07-22 00:00:00	No	2014-07-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	P8E211	N	CA00363102	C	SFY2014-15
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-07-09 00:00:00	250010861	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-05-05 00:00:00	2014-05-05 00:00:00	No	2014-07-30 00:00:00	None	FTR RES	None	2700	2700	-675	2025	0	None	MM3411	None	CA00398568	C	SFY2014-15
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-07-24 00:00:00	250010881	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-19 00:00:00	2012-01-19 00:00:00	No	2014-08-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DQIE11	N	None	None	SFY2014-15
250000553	CONNER RESIDENCE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2014-07-30 00:00:00	250010882	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2012-02-22 00:00:00	2012-02-22 00:00:00	No	2014-08-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	GPU711	N	CA00300703, CA00301690, CA00301844	C, C, C	SFY2014-15
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-09-25 00:00:00	250011022	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2014-10-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QHGJ11	N	CA00399309	C	SFY2014-15
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-12-03 00:00:00	250011146	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-10-27 00:00:00	2013-10-27 00:00:00	No	2014-12-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	FIQR11	N	CA00380758	C	SFY2014-15
250001615	MOUNTAIN SHADOWS SPECIAL KIDS HOMES - CAMI HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2015-01-22 00:00:00	250011210	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-12-27 00:00:00	2013-12-27 00:00:00	No	2015-02-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	021I11	N	CA00381968	C	SFY2014-15
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2015-03-05 00:00:00	250011288	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-05-24 00:00:00	2014-05-24 00:00:00	No	2015-03-26 00:00:00	None	A	None	20000	20000	0	20000	0	None	8L2I11	N	CA00399835	B	SFY2014-15
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-08 00:00:00	250011479	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-06-13 00:00:00	2014-06-13 00:00:00	No	2015-06-29 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	PHV211	N	CA00402124	B	SFY2014-15
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-08 00:00:00	250011495	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-06-13 00:00:00	2014-06-13 00:00:00	No	2015-06-29 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	PHV211	N	CA00402124	B	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011511	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011512	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011513	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011514	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011515	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011516	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011529	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011534	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011536	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011541	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011547	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011550	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011551	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	1500	1500	-525	975	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011556	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011557	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011558	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-24 00:00:00	250011569	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-01-30 00:00:00	2014-01-30 00:00:00	No	2015-07-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EWEZ11	N	CA00385881	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011575	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2015-07-14 00:00:00	250011604	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-11-12 00:00:00	2013-11-12 00:00:00	No	2015-08-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UGEG11	N	CA00381927, CA00386749	B, C	SFY2015-16
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-08-27 00:00:00	250011684	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2014-12-05 00:00:00	2014-12-05 00:00:00	No	2015-09-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	EZUJ11	N	CA00422528	B	SFY2015-16
250001663	BENTLEY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2015-08-28 00:00:00	250011693	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-10-22 00:00:00	2014-10-22 00:00:00	No	2015-09-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZLGU11	N	CA00417830	B	SFY2015-16
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2015-09-03 00:00:00	250011699	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-27 00:00:00	2015-05-27 00:00:00	No	2015-09-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4GMW11	N	CA00444374	B	SFY2015-16
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2015-09-03 00:00:00	250011700	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-19 00:00:00	2015-08-19 00:00:00	No	2015-09-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KGNU11	N	CA00443880	B	SFY2015-16
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2015-09-10 00:00:00	250011707	Closed	Citation	Citation A (HSC 1424)	Other	Accidents	2014-01-18 00:00:00	2014-01-18 00:00:00	Yes	2015-10-01 00:00:00	2015-10-09 00:00:00	A	B	10000	10000	0	10000	0	None	EEJQ11	N	CA00384508	C	SFY2015-16
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2015-09-16 00:00:00	250011714	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-05-21 00:00:00	2014-05-21 00:00:00	No	2015-10-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	2LVN11	N	CA00389504	C	SFY2015-16
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-09-24 00:00:00	250011722	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-01-30 00:00:00	2014-01-30 00:00:00	No	2015-10-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EWEZ11	N	CA00385881	C	SFY2015-16
250000021	RIVERSIDE BEHAVIORAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2015-09-23 00:00:00	250011724	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-09-19 00:00:00	2014-09-19 00:00:00	No	2015-10-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RKQN11	Y	CA00414090, CA00414983	C, B	SFY2015-16
250000021	RIVERSIDE BEHAVIORAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2015-09-23 00:00:00	250011725	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-04-13 00:00:00	2015-04-13 00:00:00	No	2015-10-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MIU111	N	CA00439043	B	SFY2015-16
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2016-01-06 00:00:00	250011835	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-04-03 00:00:00	2015-04-03 00:00:00	No	2016-01-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3YTK11	N	CA00437663, CA00458277, CA00467160, CA00467162	C, C, C, C	SFY2015-16
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-11-24 00:00:00	250011865	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-14 00:00:00	2015-09-14 00:00:00	No	2015-12-17 00:00:00	None	B	None	1500	1500	-525	975	0	None	Y7DP11	N	CA00457985	B	SFY2015-16
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2016-01-19 00:00:00	250011909	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-12 00:00:00	2015-08-12 00:00:00	No	2016-02-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C6UM11	N	CA00455025	B	SFY2015-16
250000073	RIVERSIDE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Riverside	2016-01-07 00:00:00	250011919	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-02-08 00:00:00	2015-02-08 00:00:00	No	2016-01-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	YSTT11	N	CA00431059, CA00431587	B, B	SFY2015-16
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2016-01-07 00:00:00	250011934	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-03-12 00:00:00	2015-03-12 00:00:00	No	2016-01-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q8M811	N	CA00434848	B	SFY2015-16
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2016-01-07 00:00:00	250011940	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-03-12 00:00:00	2015-03-12 00:00:00	No	2016-01-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q8M811	N	CA00434848, CA00434848	B, B	SFY2015-16
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2016-01-07 00:00:00	250011941	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-03-12 00:00:00	2015-03-12 00:00:00	No	2016-01-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q8M811	N	CA00434848, CA00434848	B, B	SFY2015-16
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2016-01-07 00:00:00	250011942	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-03-12 00:00:00	2015-03-12 00:00:00	No	2016-01-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q8M811	N	CA00434848, CA00434848	B, B	SFY2015-16
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2016-01-07 00:00:00	250011943	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-03-12 00:00:00	2015-03-12 00:00:00	No	2016-01-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q8M811	N	None	None	SFY2015-16
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2016-01-20 00:00:00	250011968	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-09 00:00:00	2015-09-09 00:00:00	Yes	2016-02-10 00:00:00	2016-02-05 00:00:00	B	Drop>Deficiency	2000	500	0	500	0	None	IIQW11	N	CA00457763	B	SFY2015-16
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2016-01-20 00:00:00	250011969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-07-01 00:00:00	2014-07-01 00:00:00	Yes	2016-02-10 00:00:00	2016-02-10 00:00:00	B	B	2000	1250	0	1250	0	None	SR9211	N	CA00431076	B	SFY2015-16
250000673	RIVERSIDE VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2016-01-27 00:00:00	250011983	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-02-22 00:00:00	2014-02-22 00:00:00	No	2016-02-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D0VL11	N	CA00390444	C	SFY2015-16
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2016-02-24 00:00:00	250012038	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-16 00:00:00	2015-02-16 00:00:00	No	2016-03-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	35CW11	N	CA00431562	B	SFY2015-16
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2016-03-09 00:00:00	250012056	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-11-01 00:00:00	2015-11-01 00:00:00	No	2016-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	GOKV11	N	CA00464339	B	SFY2015-16
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2016-04-07 00:00:00	250012161	Closed	Citation	Citation B (HSC 1424)	Other	Free of Accident Hazards	2015-09-06 00:00:00	2015-09-06 00:00:00	Yes	2016-04-28 00:00:00	2016-04-18 00:00:00	B	B	1000	1000	0	1000	0	None	WK1211	N	CA00458277, CA00459935	C, C	SFY2015-16
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2016-04-19 00:00:00	250012202	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-12-07 00:00:00	2015-12-07 00:00:00	Yes	2016-05-10 00:00:00	2016-04-19 00:00:00	B	B	1000	1000	0	1000	0	None	OHLX11	N	CA00469110	B	SFY2015-16
250000043	COMMUNITY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2016-05-09 00:00:00	250012229	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-06-10 00:00:00	2015-06-10 00:00:00	No	2016-05-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KB3B11	N	CA00447392	B	SFY2015-16
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2016-10-27 00:00:00	250012258	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-09-14 00:00:00	2015-09-14 00:00:00	Yes	2016-11-18 00:00:00	2016-11-10 00:00:00	A	A	10000	8000	0	8000	0	None	MZXH11	N	CA00462997	C	SFY2016-17
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2016-07-20 00:00:00	250012389	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-02-10 00:00:00	2016-02-10 00:00:00	No	2016-08-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RZUZ11	N	CA00475682, CA00475751	B, B	SFY2016-17
250001233	VERBENA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2016-10-21 00:00:00	250012607	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-01-16 00:00:00	2015-01-16 00:00:00	No	2016-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	19I611	N	CA00427627	C	SFY2016-17
250000869	MARIAN JAMES TRANSITIONAL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2016-10-20 00:00:00	250012647	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-12-01 00:00:00	2014-12-01 00:00:00	No	2016-11-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5RJO11	N	CA00422052	C	SFY2016-17
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2016-10-31 00:00:00	250012685	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-17 00:00:00	2016-01-17 00:00:00	No	2016-11-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KYXF11	N	CA00478394	B	SFY2016-17
250000021	RIVERSIDE BEHAVIORAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2016-11-10 00:00:00	250012712	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-01-05 00:00:00	2015-01-05 00:00:00	No	2016-12-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	YV3M11	N	CA00425691	B	SFY2016-17
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2016-11-08 00:00:00	250012713	Closed	Citation	Citation B (HSC 1424)	Other	Environ./Infection Cont.	2014-09-15 00:00:00	2014-09-15 00:00:00	No	2016-12-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	94WQ11	N	CA00436375	B	SFY2016-17
250000043	COMMUNITY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2016-11-10 00:00:00	250012716	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-05-22 00:00:00	2016-05-22 00:00:00	No	2016-12-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4ECX11	N	CA00494578	B	SFY2016-17
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2016-12-08 00:00:00	250012794	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-11-02 00:00:00	2016-11-02 00:00:00	No	2016-12-30 00:00:00	None	B	None	2000	3300	0	3300	0	None	CAT611	N	None	None	SFY2016-17
250001700	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-LAUREL PARK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2016-12-21 00:00:00	250012810	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-07-19 00:00:00	2015-07-19 00:00:00	No	2017-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HUC111	N	CA00452589	B	SFY2016-17
250001700	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-LAUREL PARK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2016-12-21 00:00:00	250012811	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-06-29 00:00:00	2015-06-29 00:00:00	No	2017-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	HUC111	N	CA00452589	B	SFY2016-17
250000019	COMMUNITY CARE ON PALM	LTC	SNF	Skilled Nursing Facility	Riverside	2017-01-05 00:00:00	250012847	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-12-31 00:00:00	2014-12-31 00:00:00	No	2017-01-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	F6MZ11	N	CA00424940	C	SFY2016-17
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-02-15 00:00:00	250012937	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-01-05 00:00:00	2016-01-05 00:00:00	No	2017-03-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3HRD11	N	CA00489467	B	SFY2016-17
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-02-09 00:00:00	250012948	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-19 00:00:00	2015-10-19 00:00:00	No	2017-03-03 00:00:00	None	B	None	2000	2350	-700	1650	0	None	4MGS11	N	CA00463217	C	SFY2016-17
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2017-02-15 00:00:00	250012952	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-05-21 00:00:00	2016-05-21 00:00:00	No	2017-03-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2Z6C11	N	CA00489668	B	SFY2016-17
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-02-23 00:00:00	250012953	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-20 00:00:00	2015-03-20 00:00:00	No	2017-03-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CQMM11	N	CA00436968	C	SFY2016-17
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-03-01 00:00:00	250012954	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-28 00:00:00	2015-11-28 00:00:00	No	2017-03-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	P4RB11	N	CA00466981	C	SFY2016-17
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-02-22 00:00:00	250012961	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-25 00:00:00	2016-05-25 00:00:00	No	2017-03-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	USM711	N	CA00489430	B	SFY2016-17
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2017-03-02 00:00:00	250012963	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-09-27 00:00:00	2016-09-27 00:00:00	No	2017-03-23 00:00:00	None	A	None	20000	20000	0	20000	0	None	UKM711	N	CA00504853	B	SFY2016-17
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-03-10 00:00:00	250012976	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-03-05 00:00:00	2016-03-05 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	92QW11	Y	CA00481928	A	SFY2016-17
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2017-03-09 00:00:00	250013005	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-11 00:00:00	2016-08-11 00:00:00	No	2017-03-30 00:00:00	None	A	None	20000	20000	0	20000	0	None	2Z6C11	N	CA00498745, CA00498791	B, B	SFY2016-17
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-03-07 00:00:00	250013007	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-10 00:00:00	2017-01-10 00:00:00	No	2017-03-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D5VF11	N	None	None	SFY2016-17
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-06-20 00:00:00	250013252	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-03-16 00:00:00	2016-03-16 00:00:00	No	2017-07-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	V7YE11	N	CA00479002	B	SFY2016-17
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2017-06-14 00:00:00	250013266	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-10-07 00:00:00	2014-10-07 00:00:00	No	2017-07-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	OKDW11	N	CA00458571	B	SFY2016-17
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2017-06-14 00:00:00	250013268	Closed	Citation	Citation B (HSC 1424)	Other	Free from Abuse/Involunta	2014-10-07 00:00:00	2014-10-07 00:00:00	No	2017-07-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	OKDW11	N	CA00458571	B	SFY2016-17
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2017-06-19 00:00:00	250013292	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-02-28 00:00:00	2017-02-28 00:00:00	Yes	2017-07-11 00:00:00	2017-06-26 00:00:00	B	B	2000	1500	0	1500	0	None	UL1311	N	CA00524663	B	SFY2016-17
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-06-21 00:00:00	250013294	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-02-21 00:00:00	2017-02-21 00:00:00	No	2017-07-13 00:00:00	None	B	None	200	200	-70	130	0	None	HDMO11	N	CA00531716	B	SFY2016-17
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-06-21 00:00:00	250013296	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-14 00:00:00	2016-10-14 00:00:00	No	2017-07-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X0JR11	N	CA00526606	B	SFY2016-17
250001382	DESERT MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-07-18 00:00:00	250013310	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-12-19 00:00:00	2015-12-19 00:00:00	No	2017-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FY5S11	N	CA00483247	B	SFY2017-18
250001382	DESERT MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-07-18 00:00:00	250013311	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2015-12-19 00:00:00	2015-12-19 00:00:00	No	2017-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FY5S11	N	CA00483247	B	SFY2017-18
250000119	EVERGREEN ESTATES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2017-08-29 00:00:00	250013426	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-19 00:00:00	2015-06-19 00:00:00	Yes	2017-09-20 00:00:00	2017-09-05 00:00:00	A	A	10000	6500	0	6500	0	None	8MWN11	N	CA00447367	A	SFY2017-18
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-08-29 00:00:00	250013436	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2017-05-22 00:00:00	2017-05-22 00:00:00	No	2017-09-20 00:00:00	None	B	None	2000	2150	-700	1450	0	None	JRGJ11	N	CA00536081, CA00536151	B, B	SFY2017-18
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-09-01 00:00:00	250013441	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-05-02 00:00:00	2016-05-02 00:00:00	No	2017-09-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BVFO11	N	CA00486536	C	SFY2017-18
250000021	RIVERSIDE BEHAVIORAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-09-07 00:00:00	250013468	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-05-08 00:00:00	2017-05-08 00:00:00	No	2017-09-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	IE9J11	N	CA00534557	A	SFY2017-18
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-09-14 00:00:00	250013495	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-06-08 00:00:00	2017-06-08 00:00:00	Yes	2017-10-05 00:00:00	2017-09-28 00:00:00	B	B	2000	1600	0	1600	0	None	D41W11	N	CA00538868, CA00544011	B, C	SFY2017-18
250001233	VERBENA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2017-10-05 00:00:00	250013497	Closed	Citation	Citation B (HSC 1424)	Other	Quality of Care; Falls	2017-03-07 00:00:00	2017-03-07 00:00:00	No	2017-10-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	JBHC11	N	CA00524456, CA00525811	C, B	SFY2017-18
250000073	RIVERSIDE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-09-21 00:00:00	250013499	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-27 00:00:00	2017-03-27 00:00:00	No	2017-10-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	ZK9P11	N	CA00536219	B	SFY2017-18
250000869	MARIAN JAMES TRANSITIONAL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2017-10-05 00:00:00	250013509	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-05-02 00:00:00	2016-05-02 00:00:00	No	2017-10-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1EX411	N	CA00486980	B	SFY2017-18
250000869	MARIAN JAMES TRANSITIONAL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2017-10-05 00:00:00	250013510	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-05-02 00:00:00	2016-05-02 00:00:00	No	2017-10-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1EX411	N	CA00486980	B	SFY2017-18
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-10-03 00:00:00	250013521	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-09 00:00:00	2017-05-09 00:00:00	No	2017-10-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	S1QE11	N	CA00535817	B	SFY2017-18
250000553	CONNER RESIDENCE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2017-10-19 00:00:00	250013542	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-08-13 00:00:00	2015-08-13 00:00:00	Yes	2017-11-09 00:00:00	2017-10-24 00:00:00	B	B	2000	1600	0	1600	0	None	50N911	N	CA00439919, CA00453742	B, C	SFY2017-18
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-11-01 00:00:00	250013563	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2016-12-15 00:00:00	2016-12-15 00:00:00	No	2017-11-27 00:00:00	None	AA	None	25000	25000	0	25000	0	None	DF9O11	Y	CA00515005, CA00531502	B, C	SFY2017-18
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-11-14 00:00:00	250013612	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-12 00:00:00	2016-12-12 00:00:00	No	2017-12-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	QG3211	N	CA00513944	B	SFY2017-18
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-11-29 00:00:00	250013627	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-05-25 00:00:00	2017-05-25 00:00:00	No	2017-12-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WECU11	N	CA00555005, CA00555005	B, B	SFY2017-18
250001210	FLEMING-HEIMARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2017-12-21 00:00:00	250013670	Closed	Citation	Citation B (HSC 1424)	Medication	None	2015-08-04 00:00:00	2015-08-04 00:00:00	No	2018-01-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZDK911	N	CA00453435	C	SFY2017-18
630012729	JACKIE LEE AND JIM HOUSTON HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2017-12-21 00:00:00	250013676	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-10 00:00:00	2017-03-10 00:00:00	No	2018-01-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	09JH11	N	CA00526377	B	SFY2017-18
250000079	CENTINELA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	Riverside	2017-12-13 00:00:00	250013679	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-08-30 00:00:00	2017-08-30 00:00:00	No	2018-01-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6M7Q11	N	CA00553494	B	SFY2017-18
250000073	RIVERSIDE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-12-21 00:00:00	250013697	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-10-07 00:00:00	2017-10-07 00:00:00	No	2018-01-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	IB4O11	N	CA00556207	A	SFY2017-18
250000119	EVERGREEN ESTATES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-01-04 00:00:00	250013701	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-10-13 00:00:00	2015-10-13 00:00:00	Yes	2018-01-26 00:00:00	2018-01-08 00:00:00	B	B	2000	1100	0	1100	0	None	VEPY11	N	CA00461526	B	SFY2017-18
250000043	COMMUNITY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-01-25 00:00:00	250013732	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-05-29 00:00:00	2016-05-29 00:00:00	No	2018-02-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LWBU11	N	CA00490152	B	SFY2017-18
250000119	EVERGREEN ESTATES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-01-25 00:00:00	250013748	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-15 00:00:00	2015-05-15 00:00:00	Yes	2018-02-15 00:00:00	2018-02-08 00:00:00	B	B	2000	1100	0	1100	0	None	8MWN11	N	CA00449851, CA00449851, CA00449855	B, B, B	SFY2017-18
250000119	EVERGREEN ESTATES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-01-25 00:00:00	250013752	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-15 00:00:00	2015-05-15 00:00:00	Yes	2018-02-15 00:00:00	2018-02-08 00:00:00	B	B	2000	1100	0	1100	0	None	8MWN11	N	CA00449851	B	SFY2017-18
250001233	VERBENA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-02-16 00:00:00	250013773	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-15 00:00:00	2015-11-15 00:00:00	No	2018-03-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GD6P11	N	CA00465819, CA00467092, CA00471181, CA00473330	C, C, C, C	SFY2017-18
250000073	RIVERSIDE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-02-09 00:00:00	250013778	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-09-11 00:00:00	2017-09-11 00:00:00	No	2018-03-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	5MH111	N	CA00554921	B	SFY2017-18
250001675	THE HELENE KALFUSS HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-02-23 00:00:00	250013790	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-05-31 00:00:00	2016-05-31 00:00:00	No	2018-03-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NX8I11	N	CA00490043	C	SFY2017-18
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-02-08 00:00:00	250013791	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-07-20 00:00:00	2017-07-20 00:00:00	No	2018-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EX6Z11	N	CA00544981	B	SFY2017-18
630011652	MARION ASHLEY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-02-23 00:00:00	250013793	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-08-29 00:00:00	2016-08-29 00:00:00	No	2018-03-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	415E11	N	CA00501620, CA00501950	B, B	SFY2017-18
250000113	COLLEGE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-03-02 00:00:00	250013810	Closed	Citation	Citation B (HSC 1424)	Medication	None	2015-02-08 00:00:00	2015-02-08 00:00:00	No	2018-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZSPF11	N	CA00430620	B	SFY2017-18
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-02-28 00:00:00	250013853	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurence/Not Rep	2017-10-28 00:00:00	2017-10-28 00:00:00	No	2018-03-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2JX911	Y	CA00557509	B	SFY2017-18
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-02-28 00:00:00	250013855	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-08-29 00:00:00	2017-08-29 00:00:00	No	2018-03-21 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	R3Z111	N	CA00557844, CA00557862	A, A	SFY2017-18
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-03-13 00:00:00	250013865	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-10 00:00:00	2017-06-10 00:00:00	No	2018-04-03 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	XDT911	Y	CA00539681, CA00539687	B, B	SFY2017-18
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-03-14 00:00:00	250013895	Closed	Citation	Citation B (HSC 1424)	Other	Accidents	2017-11-12 00:00:00	2017-11-12 00:00:00	No	2018-04-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EQDS11	N	CA00560469	B	SFY2017-18
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-04-12 00:00:00	250013946	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-10 00:00:00	2017-10-10 00:00:00	Yes	2018-05-03 00:00:00	2018-05-02 00:00:00	A	A	15000	10000	0	10000	0	None	R3Z111	Y	None	None	SFY2017-18
250001560	BETTY & MARTIN RUSSELL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-04-17 00:00:00	250013979	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2017-05-17 00:00:00	2017-05-17 00:00:00	No	2018-05-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	JRDP11	N	CA00536052	B	SFY2017-18
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2018-05-11 00:00:00	250013993	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-12-18 00:00:00	2017-12-18 00:00:00	No	2018-06-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	3H3Z11	N	CA00565398	A	SFY2017-18
250000155	VISTA PACIFICA CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-04-25 00:00:00	250013997	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-05-16 00:00:00	2017-05-16 00:00:00	No	2018-05-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2M8911	N	CA00536463, CA00538505	B, B	SFY2017-18
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2018-05-11 00:00:00	250014011	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-12-29 00:00:00	2017-12-29 00:00:00	No	2018-06-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	3H3Z11	N	CA00566952, CA00567260	A, B	SFY2017-18
250001769	ROGER RESIDENCE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-04-26 00:00:00	250014013	Closed	Citation	Citation B (HSC 1424)	Medication	None	2017-04-04 00:00:00	2017-04-04 00:00:00	No	2018-05-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZKOU11	N	CA00529518	C	SFY2017-18
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-05-22 00:00:00	250014026	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-01-24 00:00:00	2018-01-24 00:00:00	No	2018-06-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	VQ5P11	N	CA00571362	B	SFY2017-18
630007321	JACK SURNOW HOUSE	LTC	CLHF	Congregate Living Health Facility	Riverside	2018-06-07 00:00:00	250014091	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-05 00:00:00	2017-06-05 00:00:00	No	2018-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	K2LO11	N	CA00538216	B	SFY2017-18
250000857	DESERT REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Riverside	2018-06-07 00:00:00	250014098	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Notify Ombudsm	2018-05-14 00:00:00	2018-05-14 00:00:00	No	2018-06-28 00:00:00	None	B	None	100	100	0	100	0	None	085W11	N	CA00585164	B	SFY2017-18
250000153	VILLA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-06-21 00:00:00	250014104	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrence	2018-02-26 00:00:00	2018-02-26 00:00:00	No	2018-07-13 00:00:00	None	B	None	2000	2200	-700	1500	0	None	R7GU11	Y	CA00576242	A	SFY2017-18
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-06-29 00:00:00	250014125	Closed	Citation	Citation A (HSC 1424)	Medication	None	2018-03-26 00:00:00	2018-03-26 00:00:00	Yes	2018-07-23 00:00:00	2018-07-05 00:00:00	A	A	10000	4500	0	4500	0	None	DPWB11	N	CA00579963, CA00580002	B, B	SFY2017-18
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2018-07-09 00:00:00	250014128	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-06-12 00:00:00	2017-06-12 00:00:00	Yes	2018-07-30 00:00:00	2018-08-01 00:00:00	AA	AA	50000	35000	0	35000	0	None	RK0M11	Y	CA00539683, CA00539683, CA00541846, CA00541846, CA00543171, CA00543171, CA00543171	B, B, B, B, B, B, B	SFY2018-19
250001382	DESERT MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-06-21 00:00:00	250014147	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-28 00:00:00	2018-01-28 00:00:00	No	2018-07-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8L3O11	N	CA00571446	B	SFY2017-18
250000850	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-GLEN HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-07-12 00:00:00	250014152	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-01 00:00:00	2016-08-01 00:00:00	Yes	2018-08-02 00:00:00	2018-08-01 00:00:00	A	B	10000	5000	0	5000	0	None	BEYD11	Y	CA00497371, CA00497406	B, B	SFY2018-19
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-07-10 00:00:00	250014163	Closed	Citation	Citation B (HSC 1424)	Other	Fail to Notify Ombudsman	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2018-07-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	82IU11	N	CA00586534	B	SFY2018-19
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-16 00:00:00	250014187	Closed	Citation	Citation B (HSC 1424)	Other	Accidents	2018-05-15 00:00:00	2018-05-15 00:00:00	No	2018-09-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	5GC811	N	None	None	SFY2018-19
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-17 00:00:00	250014196	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-01-27 00:00:00	2018-01-27 00:00:00	Yes	2018-09-10 00:00:00	2018-09-07 00:00:00	B	B	2000	1600	0	1600	0	None	66ZQ11	N	CA00571238	A	SFY2018-19
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2018-07-09 00:00:00	250014218	Closed	Citation	Citation B (HSC 1424)	Other	Fail Report Unusual Occ.	2018-05-05 00:00:00	2018-05-05 00:00:00	Yes	2018-07-30 00:00:00	2018-08-01 00:00:00	B	B	2000	0	0	0	0	None	PTDQ11	N	CA00585931, CA00585931, CA00585931, CA00585931	A, A, A, A	SFY2018-19
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2018-07-09 00:00:00	250014219	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-04-07 00:00:00	2018-04-07 00:00:00	Yes	2018-07-30 00:00:00	2018-08-01 00:00:00	B	B	2000	2000	0	2000	0	None	PTDQ11	N	CA00585931, CA00585931, CA00585931, CA00585931	A, A, A, A	SFY2018-19
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-03 00:00:00	250014226	Open	Citation	Citation B (HSC 1424)	Other	Admit/Transfer/Discharge	2017-11-02 00:00:00	2017-11-02 00:00:00	Yes	2018-08-24 00:00:00	2018-08-27 00:00:00	B	None	2000	1850	0	0	1850	None	A3AT11	N	CA00578977	B	SFY2018-19
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-14 00:00:00	250014269	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-03 00:00:00	2016-02-03 00:00:00	No	2018-09-05 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	OMVU11	Y	CA00475608	B	SFY2018-19
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-22 00:00:00	250014273	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	Falsification of Records	2018-05-29 00:00:00	2018-05-29 00:00:00	Yes	2018-09-13 00:00:00	2018-09-14 00:00:00	WF	None	2500	2500	0	2500	0	None	3H3Z12	N	None	None	SFY2018-19
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-06 00:00:00	250014275	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-02-10 00:00:00	2018-02-10 00:00:00	No	2018-08-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	YY7N11	N	CA00573592	B	SFY2018-19
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-07 00:00:00	250014296	Closed	Citation	Citation B (HSC 1424)	Other	Inappropriate Discharge	2018-05-04 00:00:00	2018-05-04 00:00:00	No	2018-08-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	P6I611	N	CA00592981	B	SFY2018-19
250001675	THE HELENE KALFUSS HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-08-15 00:00:00	250014297	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-06-03 00:00:00	2018-06-03 00:00:00	No	2018-09-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	DGO611	N	CA00589449	B	SFY2018-19
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-09-20 00:00:00	250014312	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Notify Ombudsm	2018-03-28 00:00:00	2018-03-28 00:00:00	No	2018-10-11 00:00:00	None	B	None	500	500	-175	325	0	None	7S0J11	N	None	None	SFY2018-19
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-09-17 00:00:00	250014329	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-19 00:00:00	2017-07-19 00:00:00	No	2018-10-08 00:00:00	None	A	None	10000	10000	0	10000	0	None	UTTE11	Y	CA00544932	B	SFY2018-19
250000284	HIGHLAND SPRINGS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-29 00:00:00	250014345	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-11-17 00:00:00	2017-11-17 00:00:00	No	2018-09-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TNSX11	N	CA00577642, CA00581091	C, B	SFY2018-19
250000284	HIGHLAND SPRINGS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-29 00:00:00	250014346	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-12-18 00:00:00	2017-12-18 00:00:00	No	2018-09-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TNSX11	N	CA00577642, CA00581091	C, B	SFY2018-19
250000284	HIGHLAND SPRINGS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-29 00:00:00	250014347	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-11-22 00:00:00	2017-11-22 00:00:00	No	2018-09-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TNSX11	N	None	None	SFY2018-19
250000284	HIGHLAND SPRINGS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-29 00:00:00	250014348	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-12-06 00:00:00	2017-12-06 00:00:00	No	2018-09-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TNSX11	N	CA00577642, CA00581091	C, B	SFY2018-19
250000115	OLYMPIA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-08-30 00:00:00	250014349	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-05 00:00:00	2018-06-05 00:00:00	No	2018-09-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	XU5111	N	CA00589687, CA00589829	B, B	SFY2018-19
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-10-02 00:00:00	250014361	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-08 00:00:00	2018-06-08 00:00:00	Yes	2018-10-23 00:00:00	2018-09-24 00:00:00	B	None	2000	2000	-700	1300	0	None	PB9711	N	CA00547748	B	SFY2018-19
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-09-19 00:00:00	250014362	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-20 00:00:00	2017-09-20 00:00:00	Yes	2018-10-10 00:00:00	2018-09-24 00:00:00	A	B	10000	10000	0	10000	0	None	5DDJ11	N	CA00553994	C	SFY2018-19
250000073	RIVERSIDE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-09-17 00:00:00	250014377	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrence	2018-06-30 00:00:00	2018-06-30 00:00:00	No	2018-10-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	UGNJ11	N	CA00593893, CA00594618	B, B	SFY2018-19
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-10-04 00:00:00	250014378	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-05-25 00:00:00	2018-05-25 00:00:00	No	2018-10-25 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	LECD11	N	CA00593933	B	SFY2018-19
250000902	THE VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-10-31 00:00:00	250014379	Closed	Citation	Citation B (HSC 1424)	Other	Notice of Tx to Ombudsman	2018-05-24 00:00:00	2018-05-24 00:00:00	No	2018-11-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	GUK811	N	None	None	SFY2018-19
250001745	BAYSHIRE RANCHO MIRAGE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-09-20 00:00:00	250014398	Closed	Citation	Citation B (HSC 1424)	Other	Not. Disc./Trans. to Ombd	2018-04-20 00:00:00	2018-04-20 00:00:00	No	2018-10-11 00:00:00	None	B	None	200	200	-70	130	0	None	L65V11	N	CA00597336	B	SFY2018-19
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-10-02 00:00:00	250014428	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-08-11 00:00:00	2018-08-11 00:00:00	No	2018-10-23 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	SHVW11	N	CA00600354	B	SFY2018-19
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-10-02 00:00:00	250014429	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-28 00:00:00	2018-06-28 00:00:00	No	2018-10-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WR0811	N	CA00593336, CA00593430	B, B	SFY2018-19
250001632	CARRICK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-10-31 00:00:00	250014471	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-16 00:00:00	2018-08-16 00:00:00	No	2018-11-26 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	318J11	N	CA00599284, CA00600708	B, B	SFY2018-19
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-19 00:00:00	250014519	Closed	Citation	Citation B (HSC 1424)	Other	Notice to Ombudsman	2018-07-28 00:00:00	2018-07-28 00:00:00	No	2018-12-12 00:00:00	None	B	None	200	200	0	200	0	None	YIDG11	N	CA00599394	B	SFY2018-19
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-12-17 00:00:00	250014521	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-05-27 00:00:00	2018-05-27 00:00:00	No	2019-01-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KSU411	N	CA00588791	B	SFY2018-19
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-14 00:00:00	250014548	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-24 00:00:00	2018-06-24 00:00:00	No	2018-12-07 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	TK3G11	N	CA00592559	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014556	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-06-28 00:00:00	2018-06-28 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014557	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-10 00:00:00	2018-07-10 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014558	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-09 00:00:00	2018-07-09 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014559	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-13 00:00:00	2018-07-13 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014560	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-16 00:00:00	2018-07-16 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014561	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-17 00:00:00	2018-07-17 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014562	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-13 00:00:00	2018-07-13 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000043	COMMUNITY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-20 00:00:00	250014565	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-08-23 00:00:00	2018-08-23 00:00:00	No	2018-12-13 00:00:00	None	B	None	200	200	0	200	0	None	RZ0F11	N	CA00601007, CA00601007	B, B	SFY2018-19
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-20 00:00:00	250014566	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-09-16 00:00:00	2018-09-16 00:00:00	No	2018-12-13 00:00:00	None	B	None	500	500	0	500	0	None	GOCQ11	N	CA00604214, CA00604364	B, B	SFY2018-19
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-14 00:00:00	250014569	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-24 00:00:00	2018-06-24 00:00:00	No	2018-12-07 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	X1Z511	N	CA00592552	B	SFY2018-19
250000902	THE VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-12-05 00:00:00	250014586	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-28 00:00:00	2018-09-28 00:00:00	No	2018-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1VEW12	N	None	None	SFY2018-19
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-12-06 00:00:00	250014587	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-09-24 00:00:00	2018-09-24 00:00:00	No	2018-12-28 00:00:00	None	B	None	200	200	-70	130	0	None	1A7O11	N	CA00605645	B	SFY2018-19
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-12-06 00:00:00	250014588	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-09-24 00:00:00	2018-09-24 00:00:00	No	2018-12-28 00:00:00	None	B	None	200	200	-70	130	0	None	1A7O11	N	CA00605645, CA00605645	B, B	SFY2018-19
250000051	EXTENDED CARE HOSPITAL OF RIVERSIDE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-12-13 00:00:00	250014599	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-09-01 00:00:00	2018-09-01 00:00:00	No	2019-01-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	3Q8611	N	CA00602403	B	SFY2018-19
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-01-23 00:00:00	250014613	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-03-06 00:00:00	2018-03-06 00:00:00	No	2019-02-13 00:00:00	None	B	None	200	200	-70	130	0	None	A2QK11	N	CA00601885	B	SFY2018-19
250000567	HEMET HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-12-20 00:00:00	250014615	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-08-24 00:00:00	2018-08-24 00:00:00	No	2019-01-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q6MB11	N	CA00586935, CA00588169	B, B	SFY2018-19
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-12-26 00:00:00	250014630	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-07-07 00:00:00	2018-07-07 00:00:00	No	2019-01-16 00:00:00	None	B	None	200	200	-70	130	0	None	FYP311	N	None	None	SFY2018-19
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-01-23 00:00:00	250014684	Closed	Citation	Citation B (HSC 1424)	Other	OMBUDSMAN NOTIFICATION	2018-09-28 00:00:00	2018-09-28 00:00:00	No	2019-02-13 00:00:00	None	B	None	200	200	0	200	0	None	MINR11	N	CA00606024	B	SFY2018-19
250000033	CALIFORNIA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-01-23 00:00:00	250014685	Closed	Citation	Citation B (HSC 1424)	Other	OMBUDSMAN NOTIFICATION	2018-10-23 00:00:00	2018-10-23 00:00:00	No	2019-02-13 00:00:00	None	B	None	200	200	-70	130	0	None	JLCD11	N	CA00609754	B	SFY2018-19
250000033	CALIFORNIA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-01-23 00:00:00	250014686	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notifcation	2018-10-29 00:00:00	2018-10-29 00:00:00	No	2019-02-13 00:00:00	None	B	None	200	200	-70	130	0	None	JLCD11	N	CA00609754	B	SFY2018-19
250000033	CALIFORNIA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-01-23 00:00:00	250014687	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-10-24 00:00:00	2018-10-24 00:00:00	No	2019-02-13 00:00:00	None	B	None	200	200	-70	130	0	None	JLCD11	N	CA00609754	B	SFY2018-19
250000284	HIGHLAND SPRINGS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-04-17 00:00:00	250014707	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-06-20 00:00:00	2018-06-20 00:00:00	No	2019-05-08 00:00:00	None	B	None	200	200	-70	130	0	None	00IJ11	N	None	None	SFY2018-19
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-01-25 00:00:00	250014708	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-29 00:00:00	2018-10-29 00:00:00	No	2019-02-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UMUD11	N	CA00600824	B	SFY2018-19
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2019-02-20 00:00:00	250014709	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-07-02 00:00:00	2018-07-02 00:00:00	No	2019-03-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3VFY11	N	CA00596024	B	SFY2018-19
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-01-23 00:00:00	250014710	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-23 00:00:00	2018-09-23 00:00:00	No	2019-02-13 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	V7YY11	N	CA00605651, CA00605671	B, B	SFY2018-19
250000079	CENTINELA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	Riverside	2019-01-31 00:00:00	250014750	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-11-13 00:00:00	2018-11-13 00:00:00	No	2019-02-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FU4H11	N	CA00612855	B	SFY2018-19
250000902	THE VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-02-06 00:00:00	250014751	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-01 00:00:00	2018-10-01 00:00:00	Yes	2019-02-27 00:00:00	2019-02-25 00:00:00	A	B	5000	5000	0	5000	0	None	1VEW12	Y	None	None	SFY2018-19
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2019-02-06 00:00:00	250014757	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-06-25 00:00:00	2018-06-25 00:00:00	No	2019-02-27 00:00:00	None	B	None	200	200	-70	130	0	None	312H11	N	None	None	SFY2018-19
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2019-02-06 00:00:00	250014758	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-08-22 00:00:00	2018-08-22 00:00:00	No	2019-02-27 00:00:00	None	B	None	200	200	-70	130	0	None	312H11	N	None	None	SFY2018-19
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-04-15 00:00:00	250014783	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-04-06 00:00:00	2018-04-06 00:00:00	No	2019-05-06 00:00:00	None	B	None	200	200	-70	130	0	None	B8UC11	N	None	None	SFY2018-19
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-03-27 00:00:00	250014792	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-19 00:00:00	2018-10-19 00:00:00	No	2019-04-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2BRC11	N	CA00608608	B	SFY2018-19
250000762	KEVIN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2019-03-08 00:00:00	250014853	Closed	Citation	Citation B (HSC 1424)	Other	DPS Health, Hyg, Grooming	2018-08-28 00:00:00	2018-08-28 00:00:00	No	2019-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	RHPF11	N	CA00611580	B	SFY2018-19
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-03-20 00:00:00	250014869	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-21 00:00:00	2018-10-21 00:00:00	No	2019-04-10 00:00:00	None	B	None	2000	6000	0	6000	0	None	IIG111	N	CA00612872, CA00612872	B, B	SFY2018-19
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2019-04-18 00:00:00	250014888	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-05-24 00:00:00	2018-05-24 00:00:00	No	2019-05-09 00:00:00	None	B	None	200	200	-70	130	0	None	OC6811	N	None	None	SFY2018-19
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2019-04-18 00:00:00	250014889	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-06-08 00:00:00	2018-06-08 00:00:00	No	2019-05-09 00:00:00	None	B	None	200	200	-70	130	0	None	OC6811	N	None	None	SFY2018-19
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2019-04-18 00:00:00	250014890	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-06-30 00:00:00	2018-06-30 00:00:00	No	2019-05-09 00:00:00	None	B	None	200	200	-70	130	0	None	OC6811	N	None	None	SFY2018-19
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2019-04-18 00:00:00	250014891	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-06-28 00:00:00	2018-06-28 00:00:00	No	2019-05-09 00:00:00	None	B	None	200	200	-70	130	0	None	OC6811	N	None	None	SFY2018-19
250000284	HIGHLAND SPRINGS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-04-16 00:00:00	250014909	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2018-08-21 00:00:00	2018-08-21 00:00:00	No	2019-05-07 00:00:00	None	WF	None	2500	2500	-875	1625	0	None	00IJ11	None	CA00600945	A	SFY2018-19
250000299	RANCHO MIRAGE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-04-18 00:00:00	250014942	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-09-02 00:00:00	2018-09-02 00:00:00	No	2019-05-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZH8M11	N	CA00603364	B	SFY2018-19
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-04-24 00:00:00	250014958	Closed	Citation	Citation B (HSC 1424)	Other	FTR Suspicion Crime	2019-01-21 00:00:00	2019-01-21 00:00:00	No	2019-05-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	WL7W11	N	CA00622685	B	SFY2018-19
630007351	WYNN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2019-05-07 00:00:00	250014968	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-12-17 00:00:00	2018-12-17 00:00:00	No	2019-05-28 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	KB3I11	Y	CA00616284	B	SFY2018-19
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-06-14 00:00:00	250014973	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-03-14 00:00:00	2019-03-14 00:00:00	No	2019-07-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QINN11	N	None	None	SFY2018-19
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2019-05-21 00:00:00	250014974	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-16 00:00:00	2018-10-16 00:00:00	No	2019-06-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z1WJ11	N	None	None	SFY2018-19
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2019-05-21 00:00:00	250014975	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-05-10 00:00:00	2018-05-10 00:00:00	No	2019-06-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z1WJ11	N	None	None	SFY2018-19
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-05-22 00:00:00	250014976	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-11-29 00:00:00	2018-11-29 00:00:00	No	2019-06-12 00:00:00	None	B	None	200	200	-70	130	0	None	6WN811	N	CA00614094	B	SFY2018-19
250000021	RIVERSIDE BEHAVIORAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-05-09 00:00:00	250014977	Closed	Citation	Citation B (HSC 1424)	Other	Death	2018-07-31 00:00:00	2018-07-31 00:00:00	Yes	2019-05-30 00:00:00	2019-05-13 00:00:00	B	Drop>Deficiency	2000	2000	0	2000	0	None	JQKU11	Y	CA00597680	A	SFY2018-19
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2019-07-03 00:00:00	250015008	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-08-11 00:00:00	2018-08-11 00:00:00	No	2019-07-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N49811	N	CA00616478	A	SFY2019-20
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2019-07-03 00:00:00	250015009	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-08-25 00:00:00	2018-08-25 00:00:00	No	2019-07-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N49811	N	CA00616478	A	SFY2019-20
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2019-07-03 00:00:00	250015010	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-09-09 00:00:00	2018-09-09 00:00:00	No	2019-07-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N49811	N	CA00616478	A	SFY2019-20
250001745	BAYSHIRE RANCHO MIRAGE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-07-24 00:00:00	250015059	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-03-04 00:00:00	2019-03-04 00:00:00	No	2019-08-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	0VSB11	N	CA00627286, CA00627339	C, B	SFY2019-20
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2019-07-03 00:00:00	250015071	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-18 00:00:00	2018-12-18 00:00:00	No	2019-07-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N49811	N	CA00616478	A	SFY2019-20
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2019-06-20 00:00:00	250015078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-11 00:00:00	2019-02-11 00:00:00	No	2019-07-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	TXUP11	N	None	None	SFY2018-19
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2019-06-26 00:00:00	250015079	Closed	Citation	Citation B (HSC 1424)	Other	Accidents and Supervision	2019-02-10 00:00:00	2019-02-10 00:00:00	No	2019-07-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	TXUP11	N	None	None	SFY2018-19
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2019-07-10 00:00:00	250015123	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-01-27 00:00:00	2019-01-27 00:00:00	No	2019-07-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	YYB611	N	CA00622188	B	SFY2019-20
250000079	CENTINELA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	Riverside	2019-06-19 00:00:00	250015134	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-07 00:00:00	2019-02-07 00:00:00	No	2019-07-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5IO211	N	CA00624760	B	SFY2018-19
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-06-21 00:00:00	250015170	Closed	Citation	Citation B (HSC 1424)	Administration	None	2019-03-31 00:00:00	2019-03-31 00:00:00	No	2019-07-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LO7Q11	N	CA00632514	B	SFY2018-19
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-07-25 00:00:00	250015185	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-05-11 00:00:00	2019-05-11 00:00:00	No	2019-08-15 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	V9TI11	N	CA00637811	B	SFY2019-20
250000985	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2019-07-18 00:00:00	250015211	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-19 00:00:00	2018-12-19 00:00:00	No	2019-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	7YM611	N	CA00618093	A	SFY2019-20
250000985	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2019-07-18 00:00:00	250015212	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-19 00:00:00	2018-12-19 00:00:00	No	2019-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	7YM611	N	CA00618093	A	SFY2019-20
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2019-07-11 00:00:00	250015213	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-23 00:00:00	2017-11-23 00:00:00	No	2019-08-01 00:00:00	None	B	None	2000	2700	0	2700	0	None	QMKX11	N	None	None	SFY2019-20
250000064	DEVONSHIRE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-08-23 00:00:00	250015230	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-03-11 00:00:00	2019-03-11 00:00:00	No	2019-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7WBU11	N	CA00628233	B	SFY2019-20
250000043	COMMUNITY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-08-08 00:00:00	250015262	Closed	Citation	Citation B (HSC 1424)	Other	Fail To Notify Ombudsman	2019-05-03 00:00:00	2019-05-03 00:00:00	No	2019-08-29 00:00:00	None	B	None	200	200	0	200	0	None	RSJ311	N	CA00637228	B	SFY2019-20
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-08-22 00:00:00	250015277	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-03-29 00:00:00	2019-03-29 00:00:00	No	2019-09-12 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	36LU11	N	CA00631795	B	SFY2019-20
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-10-14 00:00:00	250015283	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-03 00:00:00	2019-06-03 00:00:00	No	2019-11-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DSCZ11	N	CA00641863, CA00643059	C, C	SFY2019-20
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-10-14 00:00:00	250015284	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-05 00:00:00	2019-06-05 00:00:00	No	2019-11-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DHDF11	N	CA00641220	C	SFY2019-20
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-10-23 00:00:00	250015286	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-22 00:00:00	2019-06-22 00:00:00	No	2019-11-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	YQ9R11	N	CA00643084, CA00643084	B, B	SFY2019-20
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-09-23 00:00:00	250015309	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-03-15 00:00:00	2019-03-15 00:00:00	No	2019-10-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2CY211	N	CA00628993	B	SFY2019-20
630014953	ADVENTIST HEALTH FACILITY	LTC	CLHF	Congregate Living Health Facility	Riverside	2019-10-01 00:00:00	250015327	Closed	Citation	Citation B (HSC 1424)	Other	Fail to Notify Ombudsman	2019-05-31 00:00:00	2019-05-31 00:00:00	No	2019-10-22 00:00:00	None	B	None	200	200	0	200	0	None	TFV611	N	CA00642151	B	SFY2019-20
630014953	ADVENTIST HEALTH FACILITY	LTC	CLHF	Congregate Living Health Facility	Riverside	2019-10-01 00:00:00	250015328	Closed	Citation	Citation B (HSC 1424)	Other	Fail to Notify Ombudsman	2019-06-03 00:00:00	2019-06-03 00:00:00	No	2019-10-22 00:00:00	None	B	None	200	200	0	200	0	None	TFV611	N	CA00642151	B	SFY2019-20
630014953	ADVENTIST HEALTH FACILITY	LTC	CLHF	Congregate Living Health Facility	Riverside	2019-10-01 00:00:00	250015329	Closed	Citation	Citation B (HSC 1424)	Other	Fail to Notify Ombudsman	2019-06-04 00:00:00	2019-06-04 00:00:00	No	2019-10-22 00:00:00	None	B	None	200	200	0	200	0	None	TFV611	N	CA00642151	B	SFY2019-20
630014953	ADVENTIST HEALTH FACILITY	LTC	CLHF	Congregate Living Health Facility	Riverside	2019-10-01 00:00:00	250015330	Closed	Citation	Citation B (HSC 1424)	Other	Fail to Notify Ombudsman	2019-06-04 00:00:00	2019-06-04 00:00:00	No	2019-10-22 00:00:00	None	B	None	200	200	0	200	0	None	TFV611	N	CA00642151	B	SFY2019-20
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-09-25 00:00:00	250015378	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-02 00:00:00	2018-04-02 00:00:00	Yes	2019-10-16 00:00:00	2019-10-02 00:00:00	A	A	15000	5000	0	5000	0	None	2BUI11	Y	CA00633654	B	SFY2019-20
250000141	RAMONA REHABILITATION AND POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-10-02 00:00:00	250015380	Closed	Citation	Citation B (HSC 1424)	Other	Notification to Ombudsman	2019-04-17 00:00:00	2019-04-17 00:00:00	No	2019-10-23 00:00:00	None	B	None	200	200	-70	130	0	None	VNW611	N	None	None	SFY2019-20
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-10-24 00:00:00	250015404	Closed	Citation	Citation B (HSC 1424)	Other	Refusal to Re-admit	2019-06-21 00:00:00	2019-06-21 00:00:00	No	2019-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	140O11	N	CA00643342, CA00643342	B, B	SFY2019-20
250000021	RIVERSIDE BEHAVIORAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-11-21 00:00:00	250015407	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-21 00:00:00	2019-06-21 00:00:00	No	2019-12-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KYZ611	N	CA00646249	B	SFY2019-20
250000051	EXTENDED CARE HOSPITAL OF RIVERSIDE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-10-16 00:00:00	250015413	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-22 00:00:00	2019-06-22 00:00:00	No	2019-11-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	W8OQ11	N	CA00643950	B	SFY2019-20
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-11-01 00:00:00	250015438	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-08-26 00:00:00	2019-08-26 00:00:00	Yes	2019-11-22 00:00:00	2019-11-01 00:00:00	B	None	2000	2000	0	0	2000	None	9IFS11	N	CA00652411	A	SFY2019-20
240000700	ASISTENCIA VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-11-13 00:00:00	250015460	Closed	Citation	Citation B (HSC 1424)	Other	Fail to report Ombudsman	2019-05-19 00:00:00	2019-05-19 00:00:00	No	2019-12-04 00:00:00	None	B	None	200	200	-70	130	0	None	IZTI11	N	None	None	SFY2019-20
250000141	RAMONA REHABILITATION AND POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2020-08-03 00:00:00	250015506	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-18 00:00:00	2019-07-18 00:00:00	No	2020-08-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DPN911	N	None	None	SFY2020-21
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2020-02-19 00:00:00	250015507	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-08-18 00:00:00	2019-08-18 00:00:00	No	2020-03-11 00:00:00	None	B	None	500	1500	0	1500	0	None	J52Y11	N	CA00651379	B	SFY2019-20
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2020-03-04 00:00:00	250015555	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2019-08-30 00:00:00	2019-08-30 00:00:00	Yes	2020-03-25 00:00:00	2020-03-26 00:00:00	A	None	10000	10000	0	0	10000	None	AKB111	N	CA00653052	B	SFY2019-20
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2020-01-29 00:00:00	250015558	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-07-11 00:00:00	2019-07-11 00:00:00	No	2020-02-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	CJRO11	N	CA00654151	B	SFY2019-20
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2020-03-04 00:00:00	250015566	Closed	Citation	Citation B (HSC 1424)	Other	Fail to notify Ombudsman	2019-09-23 00:00:00	2019-09-23 00:00:00	No	2020-03-25 00:00:00	None	B	None	200	200	-70	130	0	None	C1PG11	N	None	None	SFY2019-20
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2020-07-14 00:00:00	250015567	Closed	Citation	Citation B (HSC 1424)	Other	Fail to notify Ombudsman	2019-09-28 00:00:00	2019-09-28 00:00:00	No	2020-08-04 00:00:00	None	B	None	200	200	-70	130	0	None	C1PG11	N	None	None	SFY2020-21
250000045	CORONA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2020-03-04 00:00:00	250015568	Closed	Citation	Citation B (HSC 1424)	Other	Fail to notify Ombudsman	2019-10-04 00:00:00	2019-10-04 00:00:00	No	2020-03-25 00:00:00	None	B	None	200	200	-70	130	0	None	C1PG11	N	None	None	SFY2019-20
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2020-03-12 00:00:00	250015604	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-01-07 00:00:00	2019-01-07 00:00:00	No	2020-04-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R4ML11	N	None	None	SFY2019-20
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-02-17 00:00:00	250015608	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-14 00:00:00	2019-09-14 00:00:00	No	2021-03-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	P8NX11	N	CA00654837, CA00654837	B, B	SFY2020-21
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2020-01-15 00:00:00	250015644	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-15 00:00:00	2019-08-15 00:00:00	No	2020-02-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	24NJ11	N	CA00651156	B	SFY2019-20
250000299	RANCHO MIRAGE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-02-11 00:00:00	250015706	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-09 00:00:00	2019-09-09 00:00:00	No	2021-03-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OB1J11	N	CA00653707	B	SFY2020-21
630017935	THE SPRINGS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2020-02-07 00:00:00	250015718	Closed	Citation	Citation A (HSC 1424)	Medication	None	2019-11-16 00:00:00	2019-11-16 00:00:00	Yes	2020-02-28 00:00:00	2020-03-02 00:00:00	A	A	10000	7000	0	7000	0	None	DBM011	Y	CA00664722	B	SFY2019-20
250000299	RANCHO MIRAGE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2022-06-29 00:00:00	250015801	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-12-14 00:00:00	2019-12-14 00:00:00	No	2022-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IQ1011	N	CA00667604, CA00668421	B, B	SFY2021-22
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2020-10-06 00:00:00	250016071	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-16 00:00:00	2019-09-16 00:00:00	No	2020-10-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	VKS911	N	CA00655276	B	SFY2020-21
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2021-07-12 00:00:00	250016084	Closed	Citation	Citation B (HSC 1424)	Other	FTR Daily Covid-19 Survey	2020-07-02 00:00:00	2020-07-02 00:00:00	No	2021-08-02 00:00:00	None	B	None	200	200	-70	130	0	None	3WDT11	N	None	None	SFY2021-22
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2021-08-02 00:00:00	250016085	Closed	Citation	Citation B (HSC 1424)	Other	FTR Daily Covid-19 Survey	2020-07-19 00:00:00	2020-07-19 00:00:00	No	2021-08-23 00:00:00	None	B	None	200	200	0	200	0	None	ZE4M11	N	None	None	SFY2021-22
250000592	NEW IDEALS/OTIS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2020-12-21 00:00:00	250016188	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-07 00:00:00	2020-07-07 00:00:00	No	2021-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	XDG711	N	CA00696024	B	SFY2020-21
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2022-07-05 00:00:00	250016302	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-07-15 00:00:00	2019-07-15 00:00:00	No	2022-07-26 00:00:00	None	A	None	10000	10000	0	10000	0	None	YKMV11	N	None	None	SFY2022-23
250001661	THE DOLORES & BOB HOPE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2021-03-23 00:00:00	250016337	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-06-26 00:00:00	2020-06-26 00:00:00	No	2021-04-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	Q79N11	N	None	None	SFY2020-21
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-05-25 00:00:00	250016370	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-15 00:00:00	2020-02-15 00:00:00	No	2021-06-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	17KG11	N	CA00677370, CA00677998	B, B	SFY2020-21
250000284	HIGHLAND SPRINGS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-08-23 00:00:00	250016371	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-06-30 00:00:00	2020-06-30 00:00:00	Yes	2021-09-14 00:00:00	2021-08-30 00:00:00	A	A	10000	7000	0	7000	0	None	D7SS11	Y	CA00695862	B	SFY2021-22
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2022-11-10 00:00:00	250016376	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-11-28 00:00:00	2020-11-28 00:00:00	No	2022-12-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EM0K11	N	CA00714518	B	SFY2022-23
250000021	RIVERSIDE BEHAVIORAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2022-08-22 00:00:00	250016398	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-05-16 00:00:00	2020-05-16 00:00:00	No	2022-09-13 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	J67411	N	CA00689693, CA00689693	B, B	SFY2022-23
250000141	RAMONA REHABILITATION AND POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2022-08-22 00:00:00	250016407	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-10-21 00:00:00	2019-10-21 00:00:00	No	2022-09-13 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	11Z611	Y	CA00660618	B	SFY2022-23
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2021-09-17 00:00:00	250016518	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-08-02 00:00:00	2020-08-02 00:00:00	No	2021-10-08 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	44WB11	N	CA00699927	B	SFY2021-22
250000015	ARLINGTON GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2022-05-31 00:00:00	250016626	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-18 00:00:00	2020-08-18 00:00:00	No	2022-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	E9IX11	N	CA00701736	B	SFY2021-22
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-03-14 00:00:00	250016800	Open	Citation	Citation A (HSC 1424)	Patient Care	QUALITY OF CARE	2020-10-13 00:00:00	2020-10-13 00:00:00	No	2024-04-05 00:00:00	None	A	None	15000	15000	0	0	15000	None	8WX011	Y	CA00711726	B	SFY2023-24
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2022-09-06 00:00:00	250017130	Closed	Citation	Citation B (HSC 1424)	Other	Post Ombudsman Info	2020-08-08 00:00:00	2020-08-08 00:00:00	No	2022-09-27 00:00:00	None	B	None	200	200	0	200	0	None	5FAM11	N	CA00711127	B	SFY2022-23
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2022-09-06 00:00:00	250017131	Closed	Citation	Citation B (HSC 1424)	Other	Post Ombudsman Info	2020-10-16 00:00:00	2020-10-16 00:00:00	No	2022-09-27 00:00:00	None	B	None	200	200	0	200	0	None	5FAM11	N	CA00711127	B	SFY2022-23
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2022-09-06 00:00:00	250017132	Closed	Citation	Citation B (HSC 1424)	Other	Post Ombudsman Info	2020-10-28 00:00:00	2020-10-28 00:00:00	No	2022-09-27 00:00:00	None	B	None	200	200	0	200	0	None	5FAM11	N	CA00711127	B	SFY2022-23
630007351	WYNN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2022-07-21 00:00:00	250017562	Closed	Citation	Citation B (HSC 1424)	Other	Protection Client Rights	2020-09-20 00:00:00	2020-09-20 00:00:00	No	2022-08-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	MBHV11	N	CA00705740	B	SFY2022-23
250000078	MEADOWBROOK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2022-10-27 00:00:00	250018098	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	failure to report	2022-06-22 00:00:00	2022-06-22 00:00:00	No	2022-11-18 00:00:00	None	B	None	500	500	0	0	500	None	OLUI11	N	CA00798140	A	SFY2022-23
630017845	PAPILLON DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2022-11-10 00:00:00	250018146	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-08-05 00:00:00	2022-08-05 00:00:00	No	2022-12-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	27DB11	N	CA00796902, CA00796902	B, B	SFY2022-23
630019882	VISTA DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2023-02-07 00:00:00	250018313	Closed	Citation	Citation A (HSC 1424)	Other	Abuse	2022-09-30 00:00:00	2022-09-30 00:00:00	No	2023-03-01 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	2M8111	N	CA00811297, CA00813153	B, B	SFY2022-23
630019882	VISTA DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2023-02-07 00:00:00	250018314	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-09 00:00:00	2022-11-09 00:00:00	No	2023-03-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	2M8111	N	CA00811297, CA00813153	B, B	SFY2022-23
250001382	DESERT MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-02-15 00:00:00	250018339	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-09 00:00:00	2022-11-09 00:00:00	No	2023-03-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ML1C11	N	CA00807447, CA00809509	B, B	SFY2022-23
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2023-02-16 00:00:00	250018340	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-09-29 00:00:00	2022-09-29 00:00:00	Yes	2023-03-10 00:00:00	2023-02-27 00:00:00	AA	AA	50000	45000	0	45000	0	None	05FE11	Y	CA00807683	B	SFY2022-23
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-02-23 00:00:00	250018365	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-26 00:00:00	2022-11-26 00:00:00	No	2023-03-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4AU711	N	CA00813552, CA00813615, CA00813690	A, A, A	SFY2022-23
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-04-06 00:00:00	250018504	Open	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2022-11-23 00:00:00	2022-11-23 00:00:00	No	2023-04-27 00:00:00	None	B	None	200	200	-70	130	0	None	DPRX11	N	CA00815481	B	SFY2022-23
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-05-09 00:00:00	250018603	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-12-15 00:00:00	2022-12-15 00:00:00	No	2023-05-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	S3NC11	N	CA00818569, CA00818569, CA00818569	B, B, B	SFY2022-23
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2023-05-11 00:00:00	250018646	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-16 00:00:00	2022-12-16 00:00:00	No	2023-06-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EDXM11	N	CA00816935, CA00816935, CA00816935, CA00816935, CA00816935	A, A, A, A, A	SFY2022-23
250000019	COMMUNITY CARE ON PALM	LTC	SNF	Skilled Nursing Facility	Riverside	2023-05-16 00:00:00	250018648	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Report	2023-02-10 00:00:00	2023-02-10 00:00:00	No	2023-06-07 00:00:00	None	B	None	2000	2050	-700	1350	0	None	NHU511	N	CA00827031, CA00827031	A, A	SFY2022-23
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2023-05-25 00:00:00	250018711	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-23 00:00:00	2023-02-23 00:00:00	No	2023-06-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	D2OQ11	N	CA00828767, CA00828767	B, B	SFY2022-23
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2023-05-11 00:00:00	250018716	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-16 00:00:00	2022-12-16 00:00:00	No	2023-06-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EDXM11	N	CA00816935	A	SFY2022-23
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2023-05-11 00:00:00	250018717	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-16 00:00:00	2022-12-16 00:00:00	No	2023-06-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EDXM11	N	CA00816935	A	SFY2022-23
250001183	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MIRAMAR HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2023-05-25 00:00:00	250018719	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-31 00:00:00	2023-01-31 00:00:00	No	2023-06-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	GUIG11	N	CA00826883, CA00827367	B, B	SFY2022-23
250000078	MEADOWBROOK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-06-28 00:00:00	250018845	Open	Citation	Citation B (HSC 1424)	Patient Care	Nursing Services	2023-05-09 00:00:00	2023-05-09 00:00:00	No	2023-07-20 00:00:00	None	B	None	3000	3000	0	0	3000	None	AI8711	N	CA00837889, CA00838280, CA00840406, CA00840510	B, B, B, B	SFY2022-23
250000078	MEADOWBROOK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-06-28 00:00:00	250018846	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-09 00:00:00	2023-05-09 00:00:00	No	2023-07-20 00:00:00	None	B	None	3000	3000	0	0	3000	None	AI8711	N	CA00837889, CA00837889, CA00838280, CA00838280, CA00840406, CA00840510, CA00840510	B, B, B, B, B, B, B	SFY2022-23
250000036	VALENCIA GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-06-28 00:00:00	250018865	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-30 00:00:00	2023-03-30 00:00:00	No	2023-07-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CRFK11	N	CA00834272, CA00834574, CA00838801	A, B, B	SFY2022-23
250000078	MEADOWBROOK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-06-28 00:00:00	250018897	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-09 00:00:00	2023-05-09 00:00:00	No	2023-07-20 00:00:00	None	B	None	3000	3000	0	0	3000	None	AI8711	N	CA00837889, CA00838280, CA00840406, CA00840510	B, B, B, B	SFY2022-23
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2023-10-11 00:00:00	250019148	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-23 00:00:00	2023-05-23 00:00:00	No	2023-11-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OT2611	N	CA00841881	A	SFY2023-24
250001034	FRIEDMAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2023-10-19 00:00:00	250019183	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-24 00:00:00	2023-07-24 00:00:00	No	2023-11-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	NB1811	N	CA00853990, CA00854111, CA00854688	B, B, B	SFY2023-24
250001034	FRIEDMAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2023-10-19 00:00:00	250019184	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-24 00:00:00	2023-07-24 00:00:00	No	2023-11-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	NB1811	N	CA00853990, CA00854111, CA00854688	B, B, B	SFY2023-24
250000073	RIVERSIDE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-11-02 00:00:00	250019320	Open	Citation	Citation B (HSC 1424)	Other	Behavioral Health	2023-08-30 00:00:00	2023-08-30 00:00:00	No	2023-11-28 00:00:00	None	B	None	1500	1500	0	1500	0	None	9IYJ11	N	CA00855998, CA00855998, CA00856428, CA00858323, CA00858323, CA00858323, CA00858340, CA00858899, CA00860236	A, A, B, A, A, A, B, B, B	SFY2023-24
630017935	THE SPRINGS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-12-20 00:00:00	250019485	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-08-26 00:00:00	2023-08-26 00:00:00	Yes	2024-01-11 00:00:00	2024-01-03 00:00:00	AA	None	50000	50000	0	0	50000	None	KN1C11	Y	CA00862609	B	SFY2023-24
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-12-28 00:00:00	250019514	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-13 00:00:00	2023-10-13 00:00:00	No	2024-01-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZG6K11	N	CA00864392	B	SFY2023-24
250000019	COMMUNITY CARE ON PALM	LTC	SNF	Skilled Nursing Facility	Riverside	2024-02-01 00:00:00	250019581	Closed	Citation	Citation B (HSC 1424)	Patient Care	Nursing Services	2023-11-16 00:00:00	2023-11-16 00:00:00	No	2024-02-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EHDC11	N	CA00872277	B	SFY2023-24
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2024-02-08 00:00:00	250019697	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-03 00:00:00	2023-11-03 00:00:00	No	2024-03-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	H1ZL11	N	CA00870397	B	SFY2023-24
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-02-09 00:00:00	250019701	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-10-02 00:00:00	2023-10-02 00:00:00	No	2024-03-04 00:00:00	None	A	None	60000	60000	0	0	60000	None	DXUS11	Y	CA00870327	B	SFY2023-24
250000019	COMMUNITY CARE ON PALM	LTC	SNF	Skilled Nursing Facility	Riverside	2024-03-14 00:00:00	250019753	Closed	Citation	Citation B (HSC 1424)	Other	omb not notified of trans	2023-12-11 00:00:00	2023-12-11 00:00:00	No	2024-04-05 00:00:00	None	B	None	200	200	0	200	0	None	G9ZC11	N	CA00882717	A	SFY2023-24
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-02-29 00:00:00	250019774	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-02 00:00:00	2023-12-02 00:00:00	No	2024-03-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UMF011	N	CA00875102, CA00875102, CA00875102	B, B, B	SFY2023-24
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-03-28 00:00:00	250019823	Closed	Citation	Citation B (HSC 1424)	Other	FTR-Ombudsman	2024-01-02 00:00:00	2024-01-02 00:00:00	No	2024-04-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EAPN11	N	CA00877632	B	SFY2023-24
250001276	CORONA REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Riverside	2024-03-21 00:00:00	250019824	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-15 00:00:00	2023-10-15 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	0	3000	0	None	6ZPQ11	N	CA00881838, CA00881838	B, B	SFY2023-24
250001290	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MAVERICK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2024-04-26 00:00:00	250019932	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-15 00:00:00	2024-01-15 00:00:00	No	2024-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	J22211	N	CA00884264, CA00884872	B, B	SFY2023-24
250001290	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MAVERICK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2024-04-26 00:00:00	250019933	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-17 00:00:00	2024-01-17 00:00:00	No	2024-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	BSUV11	N	CA00884273, CA00884273, CA00884861, CA00884861	B, B, B, B	SFY2023-24
250000567	HEMET HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-04-18 00:00:00	250020028	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-23 00:00:00	2024-01-23 00:00:00	No	2024-05-09 00:00:00	None	B	None	3000	3000	0	3000	0	None	XP5911	N	CA00881135	B	SFY2023-24
250000299	RANCHO MIRAGE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2024-04-26 00:00:00	250020040	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-03 00:00:00	2024-02-03 00:00:00	No	2024-05-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	13QD11	N	CA00884813	A	SFY2023-24
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-04-25 00:00:00	250020049	Open	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2023-11-15 00:00:00	2023-11-15 00:00:00	No	2024-05-16 00:00:00	None	B	None	200	200	-70	130	0	None	235511	N	CA00882994	B	SFY2023-24
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-04-25 00:00:00	250020050	Open	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2024-01-08 00:00:00	2024-01-08 00:00:00	No	2024-05-16 00:00:00	None	B	None	200	200	-70	130	0	None	235511	N	CA00882994	B	SFY2023-24
250000091	RIVERWALK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-04-25 00:00:00	250020051	Open	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2024-02-05 00:00:00	2024-02-05 00:00:00	No	2024-05-16 00:00:00	None	B	None	200	200	-70	130	0	None	235511	N	CA00882994	B	SFY2023-24
250000015	ARLINGTON GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2024-05-28 00:00:00	250020129	Closed	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2024-03-29 00:00:00	2024-03-29 00:00:00	No	2024-06-18 00:00:00	None	B	None	200	200	0	200	0	None	FLFZ11	N	CA00894396	B	SFY2023-24
250000015	ARLINGTON GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2024-05-28 00:00:00	250020130	Closed	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2024-03-22 00:00:00	2024-03-22 00:00:00	No	2024-06-18 00:00:00	None	B	None	200	200	0	200	0	None	FLFZ11	N	CA00894396	B	SFY2023-24
250000015	ARLINGTON GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2024-05-28 00:00:00	250020131	Closed	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2024-04-12 00:00:00	2024-04-12 00:00:00	No	2024-06-18 00:00:00	None	B	None	200	200	0	200	0	None	FLFZ11	N	CA00894396	B	SFY2023-24
250001745	BAYSHIRE RANCHO MIRAGE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-05-23 00:00:00	250020142	Open	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2024-03-11 00:00:00	2024-03-11 00:00:00	No	2024-06-14 00:00:00	None	B	None	200	200	-70	130	0	None	DVEY11	N	CA00889778	A	SFY2023-24
250001745	BAYSHIRE RANCHO MIRAGE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-05-23 00:00:00	250020143	Open	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2024-03-13 00:00:00	2024-03-13 00:00:00	No	2024-06-14 00:00:00	None	B	None	200	200	-70	130	0	None	DVEY11	N	CA00889778	A	SFY2023-24
250001745	BAYSHIRE RANCHO MIRAGE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-05-23 00:00:00	250020144	Open	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2024-03-11 00:00:00	2024-03-11 00:00:00	No	2024-06-14 00:00:00	None	B	None	200	200	-70	130	0	None	DVEY11	N	CA00889778	A	SFY2023-24
250001745	BAYSHIRE RANCHO MIRAGE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-05-23 00:00:00	250020145	Open	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2024-03-08 00:00:00	2024-03-08 00:00:00	No	2024-06-14 00:00:00	None	B	None	200	200	-70	130	0	None	DVEY11	N	CA00889778	A	SFY2023-24
250001745	BAYSHIRE RANCHO MIRAGE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-05-23 00:00:00	250020146	Open	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2024-02-22 00:00:00	2024-02-22 00:00:00	No	2024-06-14 00:00:00	None	B	None	200	200	-70	130	0	None	DVEY11	N	CA00889778	A	SFY2023-24
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2024-06-06 00:00:00	250020193	Closed	Citation	Citation A (HSC 1424)	Other	Accidents	2024-04-03 00:00:00	2024-04-03 00:00:00	No	2024-06-27 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	IXO311	N	CA00895218	B	SFY2023-24
250000015	ARLINGTON GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2024-05-24 00:00:00	250020200	Open	Citation	Citation A (HSC 1424)	Problem Transfer	None	2024-03-25 00:00:00	2024-03-25 00:00:00	No	2024-06-17 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	DJ6711	N	CA00889843, CA00891762	B, B	SFY2023-24
250001502	HEMET VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2024-05-31 00:00:00	250020242	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-14 00:00:00	2023-12-14 00:00:00	No	2024-06-21 00:00:00	None	B	None	3000	3000	0	3000	0	None	CJI511	N	CA00890168, CA00890168, CA00890736	B, B, B	SFY2023-24
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	1999-07-02 00:00:00	910001234	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-04-21 00:00:00	1999-07-02 00:00:00	Yes	1999-07-23 00:00:00	2000-01-27 00:00:00	B	None	1000	1000	-342	658	0	910004878	A99999	N	None	None	SFY1999-00
910000086	TORRANCE CARE CENTER EAST	LTC	SNF	Skilled Nursing Facility	LA Region 3	1999-12-17 00:00:00	910001260	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-17 00:00:00	1999-12-17 00:00:00	No	2000-01-07 00:00:00	None	B	None	1000	1000	-1000	0	0	910004985	A99999	N	None	None	SFY1999-00
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-01-28 00:00:00	910001264	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-14 00:00:00	2000-01-28 00:00:00	Yes	2000-03-09 00:00:00	2000-02-22 00:00:00	A	None	10000	10000	-10000	0	0	910005110	A99999	N	None	None	SFY1999-00
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-09 00:00:00	910001265	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	1999-10-15 00:00:00	2000-02-09 00:00:00	Yes	2000-03-02 00:00:00	2000-02-10 00:00:00	B	None	600	600	0	600	0	910005135	A99999	N	None	None	SFY1999-00
910000070	SANTA MONICA PAVILION	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-02-14 00:00:00	910001266	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-04 00:00:00	2000-02-14 00:00:00	No	2000-03-07 00:00:00	None	B	Drop>Deficiency	1000	500	0	500	0	910005137	A99999	N	None	None	SFY1999-00
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-02-14 00:00:00	910001267	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-13 00:00:00	2000-02-14 00:00:00	No	2000-03-07 00:00:00	None	B	None	800	800	0	800	0	910005143	A99999	N	None	None	SFY1999-00
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-14 00:00:00	910001268	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-14 00:00:00	2000-02-14 00:00:00	Yes	2000-03-07 00:00:00	2000-03-01 00:00:00	A	A	4000	3000	0	3000	0	910005125	A99999	N	None	None	SFY1999-00
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-03-27 00:00:00	910001269	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-03-13 00:00:00	2000-03-27 00:00:00	Yes	2000-04-17 00:00:00	2000-03-30 00:00:00	B	None	1000	3000	0	3000	0	910005184	A99999	N	None	None	SFY1999-00
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-04-05 00:00:00	910001270	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-01-18 00:00:00	2000-04-05 00:00:00	No	2000-04-26 00:00:00	None	B	None	1000	3000	-1050	1950	0	910005210	A99999	N	None	None	SFY1999-00
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-05-12 00:00:00	910001271	Closed	Citation	Citation B (HSC 1424)	Other	UNIFORM PLUMBING COD	2000-03-20 00:00:00	2000-05-12 00:00:00	No	2000-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	910005264	A99999	N	None	None	SFY1999-00
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-05-16 00:00:00	910001272	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-12 00:00:00	2000-05-16 00:00:00	No	2000-06-06 00:00:00	None	B	None	600	600	-210	390	0	910005267	A99999	N	None	None	SFY1999-00
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-05-26 00:00:00	910001273	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-12-23 00:00:00	2000-05-26 00:00:00	Yes	2000-06-16 00:00:00	2000-06-07 00:00:00	B	B	900	450	0	450	0	910005276	A99999	N	None	None	SFY1999-00
910000035	LOTUS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-06-19 00:00:00	910001276	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-02 00:00:00	2000-06-19 00:00:00	Yes	2000-07-10 00:00:00	2000-07-02 00:00:00	B	B	900	900	0	900	0	910005299	A99999	N	None	None	SFY1999-00
910000031	CRESCENT BAY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-07-07 00:00:00	910001277	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-06-22 00:00:00	2000-07-07 00:00:00	No	2000-07-28 00:00:00	None	B	None	900	1000	-315	685	0	910005316	A99999	N	None	None	SFY2000-01
910000091	TORRANCE CARE CENTER WEST, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-07-20 00:00:00	910001279	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-12 00:00:00	2000-07-20 00:00:00	No	2000-08-10 00:00:00	None	B	None	800	800	-280	520	0	910005343	A99999	N	None	None	SFY2000-01
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-07-31 00:00:00	910001280	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-03 00:00:00	2000-07-31 00:00:00	No	2000-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	910005352	A99999	N	None	None	SFY2000-01
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-08-08 00:00:00	910001281	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-13 00:00:00	2000-08-08 00:00:00	No	2000-08-29 00:00:00	None	B	None	1000	1000	-350	650	0	910005371	A99999	N	None	None	SFY2000-01
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-08-23 00:00:00	910001282	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-18 00:00:00	2000-08-23 00:00:00	No	2000-09-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	910005403	A99999	N	None	None	SFY2000-01
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-08-25 00:00:00	910001283	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE	2000-07-13 00:00:00	2000-08-25 00:00:00	Yes	2001-06-05 00:00:00	2001-05-21 00:00:00	A	A	10000	7500	0	7500	0	910005406	A99999	N	None	None	SFY2000-01
910000073	BRENTWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-09-25 00:00:00	910001284	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-18 00:00:00	2000-09-25 00:00:00	No	2000-10-17 00:00:00	None	B	None	800	800	-280	520	0	910005453	A99999	N	None	None	SFY2000-01
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-09-26 00:00:00	910001285	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE	2000-06-06 00:00:00	2000-09-26 00:00:00	Yes	2000-10-18 00:00:00	2000-10-06 00:00:00	A	B	10000	5000	0	5000	0	910005454	A99999	N	None	None	SFY2000-01
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-11-07 00:00:00	910001286	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-18 00:00:00	2000-11-07 00:00:00	Yes	2001-05-10 00:00:00	2000-11-14 00:00:00	B	B	1000	1000	0	1000	0	910005536	A99999	N	None	None	SFY2000-01
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-11-17 00:00:00	910001287	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-30 00:00:00	2000-11-17 00:00:00	No	2000-12-08 00:00:00	None	B	None	800	800	-280	520	0	910005551	A99999	N	None	None	SFY2000-01
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-11-29 00:00:00	910001288	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-03 00:00:00	2000-11-29 00:00:00	Yes	2001-05-10 00:00:00	2000-12-08 00:00:00	B	B Trebled	1000	3000	0	3000	0	910005560	A99999	N	None	None	SFY2000-01
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-01-11 00:00:00	910001289	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-13 00:00:00	2001-01-11 00:00:00	No	2001-02-02 00:00:00	None	B	None	500	500	0	500	0	910005619	A99999	N	None	None	SFY2000-01
910000046	HARBOR POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-02-07 00:00:00	910001290	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-04 00:00:00	2001-02-07 00:00:00	Yes	2001-06-05 00:00:00	2001-02-26 00:00:00	B	B	1000	1000	0	1000	0	910005655	A99999	N	None	None	SFY2000-01
910000320	GUARDIAN REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-08-21 00:00:00	910001330	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-15 00:00:00	2000-06-20 00:00:00	Yes	2000-09-26 00:00:00	2000-08-29 00:00:00	B	None	1000	1000	0	1000	0	910005894	A99999	N	None	None	SFY2000-01
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-17 00:00:00	910001350	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-17 00:00:00	None	No	2000-05-08 00:00:00	None	B	None	1000	1000	-350	650	0	910006021	A99999	N	None	None	SFY1999-00
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-12-21 00:00:00	910001379	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-06 00:00:00	None	Yes	2001-01-11 00:00:00	2000-12-26 00:00:00	B	B	800	0	0	0	0	910006290	A99999	N	None	None	SFY2000-01
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-12-21 00:00:00	910001380	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-12-06 00:00:00	None	Yes	2001-01-11 00:00:00	2000-12-26 00:00:00	B	B	800	1000	0	1000	0	910006291	A99999	N	None	None	SFY2000-01
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-03-30 00:00:00	910001384	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE	1999-10-15 00:00:00	None	Yes	2000-04-20 00:00:00	2000-05-12 00:00:00	A	Dismissed by Court	8000	0	0	0	0	910006359	A99999	N	None	None	SFY1999-00
910000332	THE REHABILITATION CENTER ON PICO	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-07-17 00:00:00	910001396	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-23 00:00:00	2000-06-27 00:00:00	Yes	2001-06-06 00:00:00	2000-08-01 00:00:00	B	B	1000	1000	0	1000	0	910006465	A99999	N	None	None	SFY2000-01
910000332	THE REHABILITATION CENTER ON PICO	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-09-29 00:00:00	910001397	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-04 00:00:00	None	Yes	2001-06-06 00:00:00	2000-10-02 00:00:00	B	Dismissed by Court	1000	0	0	0	0	910006469	A99999	N	None	None	SFY2000-01
910000334	WINDSOR GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-12-29 00:00:00	910001443	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-22 00:00:00	None	No	2001-01-19 00:00:00	None	B	None	1000	1000	-350	650	0	910006581	A99999	N	None	None	SFY2000-01
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-02-23 00:00:00	910001444	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-18 00:00:00	2001-02-23 00:00:00	No	2001-03-16 00:00:00	None	B	None	800	850	-280	570	0	910006591	A99999	N	None	None	SFY2000-01
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-03-02 00:00:00	910001445	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-01-19 00:00:00	None	Yes	2001-03-23 00:00:00	2001-03-09 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	910006592	A99999	N	None	None	SFY2000-01
910000086	TORRANCE CARE CENTER EAST	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-03-02 00:00:00	910001446	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-09 00:00:00	None	No	2001-04-26 00:00:00	None	B	None	700	700	-245	455	0	910006593	A99999	N	None	None	SFY2000-01
910000031	CRESCENT BAY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-03-05 00:00:00	910001447	Closed	Citation	Citation B (HSC 1424)	Other	RBEHAVIOR & FPRACTIC	2001-02-11 00:00:00	None	Yes	2001-04-06 00:00:00	2001-03-12 00:00:00	B	None	700	700	0	700	0	910006594	A99999	N	None	None	SFY2000-01
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-04-11 00:00:00	910001449	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-10 00:00:00	None	No	2001-06-18 00:00:00	None	B	None	1000	1000	-350	650	0	910006631	A99999	N	None	None	SFY2000-01
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-04-11 00:00:00	910001450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-11 00:00:00	None	No	2001-06-18 00:00:00	None	B	None	800	800	-280	520	0	910006631	A99999	N	None	None	SFY2000-01
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-05-11 00:00:00	910001451	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-21 00:00:00	2001-05-11 00:00:00	Yes	2001-07-31 00:00:00	2001-05-16 00:00:00	B	B	1000	1000	0	1000	0	910006680	A99999	N	None	None	SFY2000-01
910000031	CRESCENT BAY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-06-01 00:00:00	910001452	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-06-25 00:00:00	1999-06-25 00:00:00	Yes	2001-08-20 00:00:00	2001-06-18 00:00:00	B	None	1000	1000	0	1000	0	910006743	A99999	N	None	None	SFY2000-01
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-07-05 00:00:00	910001453	Closed	Citation	Citation B (HSC 1424)	Other	ALLEGED ABUSE	2001-05-14 00:00:00	2001-07-05 00:00:00	No	2001-09-27 00:00:00	None	B	None	500	500	-175	325	0	910006789	A99999	N	None	None	SFY2001-02
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-07-20 00:00:00	910001454	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-04 00:00:00	2001-07-20 00:00:00	No	2001-09-28 00:00:00	None	B	None	900	900	-315	585	0	910006807	A99999	N	None	None	SFY2001-02
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-07-25 00:00:00	910001455	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-13 00:00:00	2001-07-25 00:00:00	No	2001-09-19 00:00:00	None	B	None	600	600	-210	390	0	910006813	A99999	N	None	None	SFY2001-02
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-08-13 00:00:00	910001456	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-07-19 00:00:00	None	No	2001-09-04 00:00:00	None	B	None	1000	1000	-350	650	0	910006808	A99999	N	None	None	SFY2001-02
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-11-05 00:00:00	910001457	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE NEGLECT	2001-08-13 00:00:00	2001-11-05 00:00:00	No	2001-11-29 00:00:00	None	B	None	800	800	0	800	0	910006900	A99999	N	None	None	SFY2001-02
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-11-21 00:00:00	910001458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-22 00:00:00	2001-11-21 00:00:00	Yes	2001-12-12 00:00:00	2001-12-05 00:00:00	B	None	800	800	0	800	0	910006949	A99999	N	None	None	SFY2001-02
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-12-18 00:00:00	910001459	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2001-11-07 00:00:00	None	No	2002-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	910007023	A99999	N	None	None	SFY2001-02
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-07 00:00:00	910001460	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-03 00:00:00	2002-01-03 00:00:00	No	2002-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	910007087	A99999	N	None	None	SFY2001-02
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-02-26 00:00:00	910001461	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-18 00:00:00	None	No	2002-05-01 00:00:00	None	B	None	500	500	-175	325	0	910007065	A99999	N	None	None	SFY2001-02
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-28 00:00:00	910001462	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-21 00:00:00	2002-02-28 00:00:00	No	2002-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	910007003	A99999	N	None	None	SFY2001-02
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-28 00:00:00	910001463	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-20 00:00:00	2002-02-28 00:00:00	Yes	2002-06-19 00:00:00	2002-03-11 00:00:00	B	B	800	800	0	800	0	910006987	A99999	N	None	None	SFY2001-02
910000038	FIRESIDE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-02-28 00:00:00	910001464	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-04 00:00:00	2002-02-28 00:00:00	No	2002-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	910006956	A99999	N	None	None	SFY2001-02
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-04-11 00:00:00	910001465	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2001-10-22 00:00:00	2002-04-11 00:00:00	No	2002-05-02 00:00:00	None	B	None	800	800	-280	520	0	910006955	A99999	N	None	None	SFY2001-02
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-04-17 00:00:00	910001466	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-09 00:00:00	2002-02-09 00:00:00	Yes	2002-05-17 00:00:00	2002-04-29 00:00:00	B	B	1000	1000	0	1000	0	910007157	A99999	N	None	None	SFY2001-02
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-04-30 00:00:00	910001467	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-17 00:00:00	None	No	2002-06-20 00:00:00	None	B	None	1000	1000	-350	650	0	910007185	A99999	N	None	None	SFY2001-02
910000048	HERITAGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-06-11 00:00:00	910001468	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-04 00:00:00	2002-06-11 00:00:00	No	2002-07-16 00:00:00	None	B	None	950	950	-332.5	617.5	0	910007046	A99999	N	None	None	SFY2001-02
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-05-14 00:00:00	910001470	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-26 00:00:00	2002-04-28 00:00:00	Yes	2002-09-05 00:00:00	2002-08-29 00:00:00	B	B	1000	1000	0	1000	0	910007208	A99999	N	None	None	SFY2001-02
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-05-21 00:00:00	910001473	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-04 00:00:00	None	Yes	2002-09-04 00:00:00	2002-05-28 00:00:00	B	B	700	700	0	700	0	910007217	A99999	N	None	None	SFY2001-02
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-06-04 00:00:00	910001474	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-04 00:00:00	2002-06-04 00:00:00	No	2002-07-12 00:00:00	None	B	None	1000	1000	-350	650	0	910006967	A99999	N	None	None	SFY2001-02
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-06-04 00:00:00	910001475	Closed	Citation	Citation B (HSC 1424)	Other	INFECTION CONTROL P/	2002-05-17 00:00:00	2002-05-17 00:00:00	No	2002-07-02 00:00:00	None	B	None	350	350	-122.5	227.5	0	910007219	A99999	N	None	None	SFY2001-02
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-07-11 00:00:00	910001476	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-25 00:00:00	None	No	2002-08-01 00:00:00	None	B	None	1000	1000	-350	650	0	910007279	A99999	N	None	None	SFY2002-03
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-07-17 00:00:00	910001477	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-20 00:00:00	2002-06-27 00:00:00	No	2002-09-03 00:00:00	None	B	None	1000	1050	0	1050	0	910007285	A99999	N	None	None	SFY2002-03
910000091	TORRANCE CARE CENTER WEST, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-07-22 00:00:00	910001478	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-19 00:00:00	2002-07-23 00:00:00	No	2002-08-22 00:00:00	None	B	None	700	700	-245	455	0	910007287	A99999	N	None	None	SFY2002-03
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-08-21 00:00:00	910001480	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-06-04 00:00:00	None	No	2002-11-04 00:00:00	None	B	None	1000	1000	0	1000	0	910007279	A99999	N	None	None	SFY2002-03
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-08-29 00:00:00	910001481	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-17 00:00:00	2002-08-29 00:00:00	No	2002-10-02 00:00:00	None	B	None	700	700	-245	455	0	910007216	A99999	N	None	None	SFY2002-03
910000334	WINDSOR GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-09-18 00:00:00	910001482	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-26 00:00:00	2002-09-18 00:00:00	No	2002-10-18 00:00:00	None	B	None	800	800	-280	520	0	910007290	A99999	N	None	None	SFY2002-03
910000320	GUARDIAN REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-09-24 00:00:00	910001483	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-30 00:00:00	2002-07-30 00:00:00	No	2002-10-25 00:00:00	None	B	None	1000	1000	-350	650	0	910007384	A99999	N	None	None	SFY2002-03
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-12-06 00:00:00	910001484	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-11 00:00:00	2002-12-06 00:00:00	Yes	2003-01-02 00:00:00	2002-12-11 00:00:00	B	Drop>Deficiency	700	0	0	0	0	910007456	A99999	N	None	None	SFY2002-03
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-12-06 00:00:00	910001485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-05 00:00:00	2002-12-06 00:00:00	No	2003-01-03 00:00:00	None	B	None	800	800	-280	520	0	910007444	A99999	N	None	None	SFY2002-03
910000057	LOS PALOS POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-12-19 00:00:00	910001486	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-15 00:00:00	2002-06-14 00:00:00	No	2003-01-13 00:00:00	None	B	None	900	900	-315	585	0	910007214	A99999	N	None	None	SFY2002-03
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-12-20 00:00:00	910001487	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-25 00:00:00	2002-12-20 00:00:00	Yes	2003-02-10 00:00:00	2002-12-31 00:00:00	B	None	650	650	0	650	0	910007447	A99999	N	None	None	SFY2002-03
910000061	MEADOWBROOK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-01-16 00:00:00	910001488	Closed	Citation	Citation B (HSC 1424)	Other	T-22 POLICY/PROCEDUR	2002-12-09 00:00:00	2002-12-09 00:00:00	No	2003-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	910007520	A99999	N	None	None	SFY2002-03
910000061	MEADOWBROOK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-01-16 00:00:00	910001489	Closed	Citation	Citation B (HSC 1424)	Other	T-22 POLICY/PROCEDUR	2003-12-09 00:00:00	2003-12-09 00:00:00	No	2003-02-25 00:00:00	None	B	None	1000	1000	0	1000	0	910007520	A99999	N	None	None	SFY2002-03
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-01-23 00:00:00	910001490	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-12-04 00:00:00	None	No	2003-02-14 00:00:00	None	B	None	1000	1000	-350	650	0	910007566	A99999	N	None	None	SFY2002-03
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-01-23 00:00:00	910001491	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-12-04 00:00:00	None	No	2003-02-14 00:00:00	None	B	None	1000	1000	-350	650	0	910007566	A99999	N	None	None	SFY2002-03
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-02-27 00:00:00	910001492	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-02-06 00:00:00	None	Yes	2003-03-20 00:00:00	2003-03-10 00:00:00	A	A	12000	4000	0	4000	0	910007601	A99999	N	None	None	SFY2002-03
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-03-03 00:00:00	910001493	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-03 00:00:00	2003-01-06 00:00:00	No	2003-04-02 00:00:00	None	B	None	850	850	-297.5	552.5	0	910007559	A99999	N	None	None	SFY2002-03
910000055	LOMITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-03-12 00:00:00	910001494	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-21 00:00:00	2003-01-24 00:00:00	Yes	2003-06-09 00:00:00	2003-05-23 00:00:00	A	A	8000	8000	0	8000	0	910007623	A99999	N	None	None	SFY2002-03
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-04-07 00:00:00	910001495	Closed	Citation	Citation B (HSC 1424)	Other	CARE PLAN	2003-03-28 00:00:00	None	No	2003-04-28 00:00:00	None	B	None	1000	1000	0	1000	0	910007691	A99999	N	None	None	SFY2002-03
910000316	WEST PICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-16 00:00:00	910001496	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-07 00:00:00	2003-05-16 00:00:00	No	2003-06-09 00:00:00	None	B	None	1000	1000	-350	650	0	910007736	A99999	N	None	None	SFY2002-03
910000048	HERITAGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-05-19 00:00:00	910001497	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-03-22 00:00:00	None	No	2003-06-23 00:00:00	None	B	B	800	459	0	459	0	910007702	A99999	N	None	None	SFY2002-03
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-06-09 00:00:00	910001498	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-07 00:00:00	None	Yes	2003-07-21 00:00:00	2003-06-27 00:00:00	B	B	950	500	0	500	0	910007643	A99999	N	None	None	SFY2002-03
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-06-18 00:00:00	910001499	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-04 00:00:00	None	Yes	2003-07-28 00:00:00	2003-07-11 00:00:00	B	B	1000	574	0	574	0	910007787	A99999	N	None	None	SFY2002-03
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-06-18 00:00:00	910001500	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-05-04 00:00:00	None	Yes	2003-07-28 00:00:00	2003-07-11 00:00:00	B	B	1000	574	0	574	0	910007787	A99999	N	None	None	SFY2002-03
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-06-20 00:00:00	910001501	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-04 00:00:00	None	Yes	2003-07-28 00:00:00	2003-07-11 00:00:00	B	B	1000	574	0	574	0	910007788	A99999	N	None	None	SFY2002-03
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-07-14 00:00:00	910001502	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Other	WMF	2003-06-27 00:00:00	None	No	2003-09-17 00:00:00	None	WF	None	2000	2000	-700	1300	0	910007816	A99999	None	None	None	SFY2003-04
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-07-30 00:00:00	910001503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-01 00:00:00	None	No	2003-09-08 00:00:00	None	B	B	850	488	0	488	0	910007761	A99999	N	None	None	SFY2003-04
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-07-30 00:00:00	910001504	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-07 00:00:00	None	No	2003-09-09 00:00:00	None	B	None	850	850	-297.5	552.5	0	910007710	A99999	N	None	None	SFY2003-04
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-08-11 00:00:00	910001505	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-23 00:00:00	None	No	2003-09-08 00:00:00	None	B	None	900	900	-315	585	0	910007828	A99999	N	None	None	SFY2003-04
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-08-13 00:00:00	910001506	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-23 00:00:00	None	No	2003-09-04 00:00:00	None	B	None	1000	3000	0	3000	0	910007762	A99999	N	None	None	SFY2003-04
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-08-13 00:00:00	910001507	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-23 00:00:00	None	No	2003-09-04 00:00:00	None	B	None	1000	1000	0	1000	0	910007762	A99999	N	None	None	SFY2003-04
910000334	WINDSOR GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-09-15 00:00:00	910001509	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-19 00:00:00	None	No	2003-10-21 00:00:00	None	B	None	950	2850	-997.5	1852.5	0	910007907	A99999	N	None	None	SFY2003-04
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-04-09 00:00:00	910001510	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-16 00:00:00	None	No	2004-05-10 00:00:00	None	B	None	1000	1000	-350	650	0	910008183	A99999	N	None	None	SFY2003-04
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-05-19 00:00:00	910001511	Closed	Citation	Citation B (HSC 1424)	Other	MISUSE/FUNDS/PROPERT	2004-05-13 00:00:00	None	Yes	2004-06-10 00:00:00	2004-06-24 00:00:00	B	None	1000	1000	0	1000	0	910008211	A99999	N	None	None	SFY2003-04
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2004-06-04 00:00:00	910001514	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-18 00:00:00	None	No	2004-07-06 00:00:00	None	B	None	1000	1000	-350	650	0	910008223	A99999	N	None	None	SFY2003-04
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-06-09 00:00:00	910001515	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2004-04-05 00:00:00	2004-04-05 00:00:00	No	2004-07-02 00:00:00	None	B	None	1000	1000	-350	650	0	910008230	A99999	N	None	None	SFY2003-04
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-07-21 00:00:00	910001516	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-25 00:00:00	None	No	2004-08-11 00:00:00	None	B	None	1000	1000	0	1000	0	910008213	A99999	N	None	None	SFY2004-05
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-05-27 00:00:00	910001517	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-01 00:00:00	None	No	2005-08-26 00:00:00	None	B	None	900	900	0	900	0	910008493	A99999	N	None	None	SFY2004-05
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-05-31 00:00:00	910001518	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-11 00:00:00	None	No	2005-06-21 00:00:00	None	B	None	900	900	-315	585	0	910008494	A99999	N	None	None	SFY2004-05
910000006	OCEAN POINTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-06-23 00:00:00	910001519	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-06-06 00:00:00	2005-06-06 00:00:00	Yes	2005-07-15 00:00:00	2005-07-05 00:00:00	B	None	1000	1000	0	1000	0	910008504	A99999	N	None	None	SFY2004-05
910000064	PACIFIC POST - ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-06-24 00:00:00	910001520	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-06-08 00:00:00	2005-06-08 00:00:00	Yes	2005-07-18 00:00:00	2005-06-30 00:00:00	B	None	1000	1000	0	1000	0	910008499	A99999	N	None	None	SFY2004-05
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-07-06 00:00:00	910001521	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-07 00:00:00	None	No	2005-07-27 00:00:00	None	B	None	800	800	-280	520	0	910008506	A99999	N	None	None	SFY2005-06
910000005	CENTINELA SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-10-21 00:00:00	910001522	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2004-01-25 00:00:00	2004-01-25 00:00:00	No	2005-11-14 00:00:00	None	B	None	1000	10650	0	10650	0	910008570	A99999	N	None	None	SFY2005-06
910000005	CENTINELA SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-10-21 00:00:00	910001523	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-10 00:00:00	2004-08-10 00:00:00	No	2005-11-14 00:00:00	None	B	None	1000	10650	0	10650	0	910008570	A99999	N	None	None	SFY2005-06
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-10-21 00:00:00	910001524	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2004-08-10 00:00:00	2004-08-10 00:00:00	No	2005-11-14 00:00:00	None	B	None	1000	10650	0	10650	0	910008572	A99999	N	None	None	SFY2005-06
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-10-21 00:00:00	910001525	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-10 00:00:00	2004-08-10 00:00:00	No	2005-11-14 00:00:00	None	B	None	1000	10650	0	10650	0	910008572	A99999	N	None	None	SFY2005-06
910000324	KENNEDY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-10-31 00:00:00	910001526	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-12-14 00:00:00	2004-12-14 00:00:00	No	2005-11-22 00:00:00	None	B	None	1000	1000	-350	650	0	910008578	A99999	N	None	None	SFY2005-06
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-11-10 00:00:00	910001527	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-15 00:00:00	2005-06-15 00:00:00	No	2005-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	910008582	A99999	N	None	None	SFY2005-06
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-11-10 00:00:00	910001528	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-06 00:00:00	2005-06-06 00:00:00	No	2005-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	910008584	A99999	N	None	None	SFY2005-06
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-12-08 00:00:00	910001530	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-27 00:00:00	None	No	2006-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	910008588	A99999	N	None	None	SFY2005-06
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-12-22 00:00:00	910001531	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-08 00:00:00	None	Yes	2006-03-23 00:00:00	2006-01-03 00:00:00	B	B	1000	500	0	500	0	910008575	A99999	N	None	None	SFY2005-06
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-01-11 00:00:00	910001532	Closed	Citation	Citation A (HSC 1424)	Medication	None	2006-01-11 00:00:00	None	Yes	2006-02-02 00:00:00	2006-01-30 00:00:00	A	A	9000	3500	0	3500	0	910008596	A99999	N	None	None	SFY2005-06
910000038	FIRESIDE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-02-06 00:00:00	910001533	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Care	None	2006-01-16 00:00:00	2006-01-16 00:00:00	No	2006-03-01 00:00:00	None	WF	None	2500	2500	0	2500	0	910008605	A99999	None	None	None	SFY2005-06
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-05-31 00:00:00	910003125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-15 00:00:00	2006-01-15 00:00:00	No	2006-06-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	SQ2I11	N	None	None	SFY2005-06
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-07-12 00:00:00	910003204	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-09 00:00:00	2006-04-09 00:00:00	No	2006-08-02 00:00:00	None	B	None	1000	1000	-1000	0	0	None	HRBI11	N	CA00078535	A	SFY2006-07
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-07-12 00:00:00	910003205	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-04-09 00:00:00	2006-04-09 00:00:00	No	2006-08-02 00:00:00	None	B	None	1000	1000	-1000	0	0	None	HRBI11	N	CA00078535	A	SFY2006-07
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-07-13 00:00:00	910003207	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-01-31 00:00:00	2006-01-31 00:00:00	No	2006-08-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	QGGX11	N	None	None	SFY2006-07
910000086	TORRANCE CARE CENTER EAST	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-15 00:00:00	910003279	Closed	Citation	Citation A (HSC 1424)	Medication	None	2006-01-20 00:00:00	2006-01-20 00:00:00	No	2006-09-06 00:00:00	None	A	None	7500	7500	-2625	4875	0	None	9GSK11	N	CA00071134	C	SFY2006-07
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-07-31 00:00:00	910003350	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-13 00:00:00	2005-09-13 00:00:00	Yes	2007-08-21 00:00:00	2007-08-21 00:00:00	B	B	1000	500	0	500	0	None	X14211	N	CA00062332, CA00062515	C, C	SFY2007-08
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-10-05 00:00:00	910003402	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2006-09-01 00:00:00	2006-09-01 00:00:00	No	2006-10-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	LZTP21	N	None	None	SFY2006-07
910000005	CENTINELA SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-06 00:00:00	910003496	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-10-10 00:00:00	2006-10-10 00:00:00	No	2006-12-28 00:00:00	None	B	None	500	500	0	500	0	None	JQ8D11	N	CA00083182	D	SFY2006-07
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-01-14 00:00:00	910003667	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-02-23 00:00:00	2006-02-23 00:00:00	No	2008-02-05 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	8GQY11	Y	CA00074043	C	SFY2007-08
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-06-08 00:00:00	910003680	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-10-18 00:00:00	2006-10-18 00:00:00	No	2007-06-29 00:00:00	None	A	None	7000	7000	0	7000	0	None	L3V811	N	CA00084006	B	SFY2006-07
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-02-23 00:00:00	910003744	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-29 00:00:00	2006-04-29 00:00:00	No	2007-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	8CK512	N	CA00079735	B	SFY2006-07
910000031	CRESCENT BAY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-03-16 00:00:00	910003820	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-03-12 00:00:00	2007-03-12 00:00:00	No	2007-04-06 00:00:00	None	B	None	1000	1000	-1000	0	0	None	999999	N	None	None	SFY2006-07
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-03-16 00:00:00	910003821	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-03-12 00:00:00	2007-03-12 00:00:00	No	2007-04-06 00:00:00	None	B	None	1000	1000	-1000	0	0	None	999999	N	None	None	SFY2006-07
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-03-16 00:00:00	910003823	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-03-13 00:00:00	2007-03-13 00:00:00	No	2007-04-06 00:00:00	None	B	None	1000	1000	-1000	0	0	None	999999	N	None	None	SFY2006-07
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-03-16 00:00:00	910003824	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-03-13 00:00:00	2007-03-13 00:00:00	No	2007-04-06 00:00:00	None	B	None	1000	1000	-1000	0	0	None	999999	N	None	None	SFY2006-07
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-03-16 00:00:00	910003825	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-03-12 00:00:00	2007-03-12 00:00:00	No	2007-04-06 00:00:00	None	B	None	1000	1000	-1000	0	0	None	999999	N	None	None	SFY2006-07
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-04-25 00:00:00	910003919	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-30 00:00:00	2007-03-30 00:00:00	No	2007-05-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	VNUH11	N	CA00110844, CA00110867	B, B	SFY2006-07
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-08-01 00:00:00	910004150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-19 00:00:00	2007-06-19 00:00:00	No	2007-08-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	ULXE11	N	CA00118431	C	SFY2007-08
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-09-21 00:00:00	910004289	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-11 00:00:00	2007-08-11 00:00:00	No	2007-10-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	WBMS11	N	None	None	SFY2007-08
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-12-11 00:00:00	910004514	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-03-01 00:00:00	2007-03-01 00:00:00	No	2008-01-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZK1311	N	CA00108078	B	SFY2007-08
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-02-05 00:00:00	910004607	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-07 00:00:00	2007-06-07 00:00:00	Yes	2008-02-28 00:00:00	2008-02-26 00:00:00	B	B	1000	500	0	500	0	None	F15M11	N	CA00137021, CA00137196	B, B	SFY2007-08
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-02-20 00:00:00	910004688	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-12-06 00:00:00	2007-12-06 00:00:00	No	2008-03-12 00:00:00	None	B	None	1000	1300	0	1300	0	None	U1PJ11	N	CA00134282	B	SFY2007-08
910000005	CENTINELA SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-03-05 00:00:00	910004744	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-08-13 00:00:00	2007-08-13 00:00:00	No	2008-03-26 00:00:00	None	B	None	1000	5900	0	5900	0	None	803411	N	CA00122200	B	SFY2007-08
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-03-19 00:00:00	910004803	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-21 00:00:00	2007-10-21 00:00:00	No	2008-04-10 00:00:00	None	B	None	1000	1100	0	1100	0	None	E3ER11	N	CA00130129	C	SFY2007-08
910000005	CENTINELA SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-07-01 00:00:00	910005200	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-17 00:00:00	2007-12-17 00:00:00	No	2008-07-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	TIOE11	N	CA00135146	B	SFY2008-09
910000005	CENTINELA SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-07-01 00:00:00	910005203	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-12-17 00:00:00	2007-12-17 00:00:00	No	2008-07-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	TIOE11	N	CA00135146	B	SFY2008-09
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-07-31 00:00:00	910005273	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2008-07-14 00:00:00	2008-07-14 00:00:00	Yes	2008-08-21 00:00:00	2008-08-08 00:00:00	B	B	1000	550	-50	500	0	None	6IR212	N	None	None	SFY2008-09
910000324	KENNEDY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-09-17 00:00:00	910005431	Closed	Citation	Citation A (HSC 1424)	Other	Abuse Sexual	2007-05-31 00:00:00	2007-05-31 00:00:00	Yes	2008-10-21 00:00:00	2008-07-22 00:00:00	A	Dismissed by Court	19000	0	0	0	0	None	YLRU11	N	CA00116200, CA00116917	B, B	SFY2008-09
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-09-18 00:00:00	910005437	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2008-08-11 00:00:00	2008-08-11 00:00:00	No	2008-10-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	06X611	N	None	None	SFY2008-09
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-04-14 00:00:00	910005490	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-08 00:00:00	2007-09-08 00:00:00	Yes	2009-05-05 00:00:00	2009-04-21 00:00:00	A	A	10000	3000	0	3000	0	None	KZ8211	N	CA00126111	C	SFY2008-09
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-11-18 00:00:00	910005620	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-18 00:00:00	2008-11-18 00:00:00	Yes	2008-12-11 00:00:00	2008-11-28 00:00:00	B	B	1000	1000	0	1000	0	None	OT4811	N	CA00134541	C	SFY2008-09
910000074	SANTA MONICA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-12-05 00:00:00	910005639	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-03 00:00:00	2008-07-03 00:00:00	No	2008-12-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	YBZU11	N	CA00115685	B	SFY2008-09
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-03-11 00:00:00	910005948	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-02 00:00:00	2007-08-02 00:00:00	Yes	2009-04-02 00:00:00	2009-03-19 00:00:00	B	B	1000	500	0	500	0	None	BDUH11	N	CA00124535	C	SFY2008-09
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-03-13 00:00:00	910005955	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-27 00:00:00	2009-02-27 00:00:00	Yes	2009-04-21 00:00:00	2009-03-19 00:00:00	B	None	1000	1000	0	1000	0	None	8UJ511	N	CA00135844	C	SFY2008-09
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-03-12 00:00:00	910005959	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-19 00:00:00	2009-02-19 00:00:00	Yes	2009-04-03 00:00:00	2009-03-19 00:00:00	B	B	1000	725	-150	575	0	None	BDUH11	N	CA00124535	C	SFY2008-09
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-04-17 00:00:00	910006107	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-19 00:00:00	2007-03-19 00:00:00	No	2009-05-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	DM8C11	N	CA00109922	B	SFY2008-09
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-07-28 00:00:00	910006173	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-09-08 00:00:00	2008-09-08 00:00:00	Yes	2010-10-22 00:00:00	2010-08-31 00:00:00	AA	AA	100000	100000	0	100000	0	None	93J911	Y	CA00163886, CA00170718	C, C	SFY2009-10
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-06-11 00:00:00	910006273	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-26 00:00:00	2005-09-26 00:00:00	Yes	2009-07-02 00:00:00	2009-06-16 00:00:00	A	A	10000	10200	0	10200	0	None	NYUX11	N	CA00063181	D	SFY2008-09
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-06-11 00:00:00	910006275	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-26 00:00:00	2005-09-26 00:00:00	Yes	2009-07-02 00:00:00	2009-06-12 00:00:00	B	B	1000	650	0	650	0	None	NYUX11	N	CA00063181	D	SFY2008-09
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-06-24 00:00:00	910006315	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-04 00:00:00	2009-06-04 00:00:00	Yes	2009-07-15 00:00:00	2009-06-26 00:00:00	B	B	1000	650	0	650	0	None	M8VH11	N	CA00189258	C	SFY2008-09
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-06-25 00:00:00	910006316	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-29 00:00:00	2008-09-29 00:00:00	No	2009-07-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	W0SM11	N	CA00181768	C	SFY2008-09
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-06-25 00:00:00	910006318	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-05-07 00:00:00	2009-05-07 00:00:00	No	2009-07-16 00:00:00	None	B	None	950	950	0	950	0	None	W0SM11	N	CA00181768	C	SFY2008-09
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-07-23 00:00:00	910006404	Closed	Citation	Citation A (HSC 1424)	Medication	None	2009-01-13 00:00:00	2009-01-13 00:00:00	Yes	2012-03-27 00:00:00	2012-03-26 00:00:00	A	B	10000	10000	0	10000	0	None	W0SM11	N	CA00181768	C	SFY2009-10
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-08-12 00:00:00	910006435	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-06 00:00:00	2009-04-06 00:00:00	Yes	2009-09-02 00:00:00	2009-09-01 00:00:00	A	B	20000	13000	0	13000	0	None	FR1L11	N	CA00189911	C	SFY2009-10
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-08-12 00:00:00	910006436	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-24 00:00:00	2009-05-24 00:00:00	Yes	2009-09-02 00:00:00	2009-09-01 00:00:00	A	B	20000	20000	0	20000	0	None	FR1L11	N	CA00189911	C	SFY2009-10
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-11-04 00:00:00	910006637	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2009-07-20 00:00:00	2009-07-20 00:00:00	Yes	2009-11-30 00:00:00	2009-11-18 00:00:00	A	None	19500	19500	0	0	19500	None	5MTF11	N	CA00195743	C	SFY2009-10
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-11-05 00:00:00	910006661	Closed	Citation	Citation A (HSC 1424)	Medication	None	2009-08-30 00:00:00	2009-08-30 00:00:00	Yes	2009-12-01 00:00:00	2009-11-12 00:00:00	A	B	19000	6000	0	6000	0	None	RHY711	N	CA00200928	C	SFY2009-10
910000019	NEW VISTA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-12-23 00:00:00	910006664	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-10 00:00:00	2008-07-10 00:00:00	No	2010-01-14 00:00:00	None	A	None	17000	17000	0	17000	0	None	YJID11	N	CA00159496	C	SFY2009-10
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-11-25 00:00:00	910006732	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-01-07 00:00:00	2009-01-07 00:00:00	No	2009-12-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	6VOB11	N	CA00177459	C	SFY2009-10
910000061	MEADOWBROOK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-12-28 00:00:00	910006747	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-03-19 00:00:00	2008-03-19 00:00:00	Yes	2010-01-21 00:00:00	2011-01-07 00:00:00	AA	A	100000	85000	0	85000	0	None	13PS11	Y	CA00144470, CA00144546	B, B	SFY2009-10
970000125	BONNIE BRAE SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-01-05 00:00:00	910006868	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2009-12-17 00:00:00	2009-12-17 00:00:00	No	2010-01-28 00:00:00	None	A	None	10000	10000	0	10000	0	None	EDC221	N	None	None	SFY2009-10
910000032	CULVER WEST HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-03-03 00:00:00	910006951	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-12-17 00:00:00	2009-12-17 00:00:00	Yes	2013-01-10 00:00:00	2012-12-20 00:00:00	A	A	20000	20000	-20000	0	0	None	8SNN11	N	None	None	SFY2009-10
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-02-08 00:00:00	910006953	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Administration	None	2009-12-16 00:00:00	2009-12-16 00:00:00	Yes	2010-03-01 00:00:00	2010-02-12 00:00:00	WF	None	2000	2000	0	2000	0	None	4L2F12	None	None	None	SFY2009-10
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-02-08 00:00:00	910006978	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-09-03 00:00:00	2009-09-03 00:00:00	Yes	2010-03-01 00:00:00	2010-02-12 00:00:00	B	B	1000	650	0	650	0	None	4L2F11	N	None	None	SFY2009-10
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-03-15 00:00:00	910007045	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-15 00:00:00	2010-02-15 00:00:00	Yes	2010-04-06 00:00:00	2010-03-22 00:00:00	B	B	1000	650	0	650	0	None	16ZS11	N	None	None	SFY2009-10
910000013	BERKLEY WEST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-03-26 00:00:00	910007083	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2009-11-05 00:00:00	2009-11-05 00:00:00	Yes	2010-04-19 00:00:00	2010-06-09 00:00:00	B	None	1000	1000	0	1000	0	None	IDMY11	N	CA00216264	B	SFY2009-10
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-25 00:00:00	910007214	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-06 00:00:00	2009-05-06 00:00:00	No	2013-03-18 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	CB2W11	N	None	None	SFY2012-13
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-10-03 00:00:00	910007237	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-30 00:00:00	2009-10-30 00:00:00	Yes	2013-10-24 00:00:00	2013-10-10 00:00:00	A	None	20000	20000	-7000	13000	0	None	HFIB11	N	CA00206906, CA00209940, CA00210360	H, B, B	SFY2013-14
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-10-03 00:00:00	910007238	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-30 00:00:00	2009-10-30 00:00:00	Yes	2013-10-24 00:00:00	2013-10-10 00:00:00	B	None	2000	2000	-700	1300	0	None	HFIB11	N	CA00206906, CA00209940, CA00210360	H, B, B	SFY2013-14
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-05-27 00:00:00	910007252	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-06-11 00:00:00	2009-06-11 00:00:00	No	2010-06-18 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	23VJ11	N	CA00191613	B	SFY2009-10
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-09-21 00:00:00	910007458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-18 00:00:00	2006-10-18 00:00:00	No	2010-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y6QS11	N	CA00168160	C	SFY2010-11
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-01-10 00:00:00	910007605	Closed	Citation	Citation AA (HSC 1424)	Dietary	None	2009-04-06 00:00:00	2009-04-06 00:00:00	Yes	2011-02-01 00:00:00	2011-01-18 00:00:00	AA	AA	100000	32500	0	32500	0	None	XSLD11	Y	CA00185685	B	SFY2010-11
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-10-29 00:00:00	910007607	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-28 00:00:00	2005-02-28 00:00:00	No	2010-11-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	774211	N	CA00040571	B	SFY2010-11
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-05-16 00:00:00	910007644	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2010-06-23 00:00:00	2010-06-23 00:00:00	Yes	2012-06-07 00:00:00	2012-05-23 00:00:00	WF	None	2000	2000	0	2000	0	None	JNM011	None	None	None	SFY2011-12
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-05-16 00:00:00	910007645	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-23 00:00:00	2010-06-23 00:00:00	Yes	2012-06-07 00:00:00	2012-05-22 00:00:00	B	None	1800	1800	0	0	1800	None	JNM011	N	None	None	SFY2011-12
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-12-10 00:00:00	910007762	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-04-23 00:00:00	2008-04-23 00:00:00	Yes	2013-04-22 00:00:00	2013-04-15 00:00:00	A	A	6000	6000	-5301.59	698.41	0	None	YG9511	N	CA00148143	C	SFY2010-11
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-12-10 00:00:00	910007767	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-08-24 00:00:00	2010-08-24 00:00:00	No	2010-12-31 00:00:00	None	B	None	900	900	0	900	0	None	WZB711	N	None	None	SFY2010-11
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-15 00:00:00	910007783	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2010-10-01 00:00:00	2010-10-01 00:00:00	Yes	2012-03-08 00:00:00	2012-02-28 00:00:00	WF	None	1000	1000	0	0	1000	None	XF4N11	None	CA00245833	C	SFY2011-12
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-12-21 00:00:00	910007787	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-23 00:00:00	2009-12-23 00:00:00	Yes	2011-01-11 00:00:00	2010-12-28 00:00:00	B	None	1000	1000	0	1000	0	None	2MSM11	N	CA00212732	B	SFY2010-11
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-01-21 00:00:00	910007859	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-01-19 00:00:00	2010-01-19 00:00:00	No	2011-02-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	GXUG11	N	CA00213451	C	SFY2010-11
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-04-06 00:00:00	910008117	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-04-05 00:00:00	2011-04-05 00:00:00	No	2011-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	PVKV11	N	CA00264639, CA00265351	B, B	SFY2010-11
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-05-09 00:00:00	910008225	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-09-14 00:00:00	2009-09-14 00:00:00	No	2011-05-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	JE5511	N	None	None	SFY2010-11
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-07-27 00:00:00	910008420	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-07-01 00:00:00	2011-07-01 00:00:00	No	2011-08-17 00:00:00	None	B	None	1000	10050	0	10050	0	None	Q2HZ11	N	CA00274186	C	SFY2011-12
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-09-08 00:00:00	910008549	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-09-02 00:00:00	2008-09-02 00:00:00	Yes	2011-09-30 00:00:00	2011-09-14 00:00:00	B	B	1000	650	0	650	0	None	B9DK11	N	None	None	SFY2011-12
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-05-02 00:00:00	910008601	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-10-29 00:00:00	2010-10-29 00:00:00	No	2012-05-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	7F1011	N	CA00250303	C	SFY2011-12
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-05-09 00:00:00	910008602	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-29 00:00:00	2010-10-29 00:00:00	No	2012-05-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7F1011	N	CA00250303	C	SFY2011-12
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-10-07 00:00:00	910008607	Closed	Citation	Citation A (HSC 1424)	Medication	None	2008-07-15 00:00:00	2008-07-15 00:00:00	Yes	2011-10-28 00:00:00	2012-12-24 00:00:00	A	A	19500	19500	-17230.15	2269.85	0	None	G8CX11	N	CA00202732, CA00203627	C, C	SFY2011-12
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-10-07 00:00:00	910008621	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-29 00:00:00	2009-07-29 00:00:00	Yes	2011-10-28 00:00:00	2011-10-12 00:00:00	B	B	950	617.5	0	617.5	0	None	G8CX11	N	CA00203627	C	SFY2011-12
910000324	KENNEDY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-05-16 00:00:00	910008788	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-07-24 00:00:00	2011-07-24 00:00:00	Yes	2013-06-07 00:00:00	2013-05-20 00:00:00	A	A	20000	12000	0	12000	0	None	HE1F11	N	CA00277040, CA00277044, CA00277203	C, H, C	SFY2012-13
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-12-27 00:00:00	910008825	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-04-25 00:00:00	2010-04-25 00:00:00	No	2012-01-19 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	18DV11	N	CA00234808	C	SFY2011-12
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-12-23 00:00:00	910008847	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-10-16 00:00:00	2011-10-16 00:00:00	No	2012-01-18 00:00:00	None	B	None	500	650	0	650	0	None	8VZW11	N	None	None	SFY2011-12
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-01-11 00:00:00	910008898	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-12-09 00:00:00	2011-12-09 00:00:00	Yes	2012-02-02 00:00:00	2012-01-26 00:00:00	B	None	1000	1000	0	1000	0	None	X25Z11	N	CA00291528	C	SFY2011-12
910000035	LOTUS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-01-27 00:00:00	910008955	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-02 00:00:00	2010-10-02 00:00:00	Yes	2012-02-17 00:00:00	2012-02-15 00:00:00	B	None	2000	2000	0	0	2000	None	2GYZ11	N	CA00245942, CA00245942	C, C	SFY2011-12
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-08 00:00:00	910008985	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-10-02 00:00:00	2009-10-02 00:00:00	No	2012-03-01 00:00:00	None	B	None	1800	1800	-630	1170	0	None	BOLN11	N	None	None	SFY2011-12
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-15 00:00:00	910009007	Open	Citation	Citation B (HSC 1424)	Medication	None	2010-10-04 00:00:00	2010-10-04 00:00:00	Yes	2012-03-08 00:00:00	2012-02-28 00:00:00	B	None	2000	2000	0	0	2000	None	XF4N11	N	CA00245833	C	SFY2011-12
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-14 00:00:00	910009008	Open	Citation	Citation B (HSC 1424)	Medication	None	2010-10-04 00:00:00	2010-10-04 00:00:00	Yes	2012-03-07 00:00:00	2012-02-28 00:00:00	B	None	2000	2000	0	0	2000	None	XF4N11	N	CA00245833	C	SFY2011-12
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-02-28 00:00:00	910009048	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-02-15 00:00:00	2012-02-15 00:00:00	Yes	2012-03-20 00:00:00	2012-03-13 00:00:00	B	None	500	500	0	500	0	None	MWYJ11	N	CA00299824	B	SFY2011-12
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-03-08 00:00:00	910009049	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-02-15 00:00:00	2012-02-15 00:00:00	Yes	2012-03-29 00:00:00	2012-04-04 00:00:00	B	None	500	500	0	500	0	None	MWYJ11	N	CA00299824	B	SFY2011-12
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-03-21 00:00:00	910009168	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-29 00:00:00	2008-06-29 00:00:00	No	2012-04-11 00:00:00	None	A	None	19500	19500	-6825	12675	0	None	ZCBV11	N	CA00160036	C	SFY2011-12
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-03-29 00:00:00	910009194	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-12-08 00:00:00	2011-12-08 00:00:00	No	2012-04-19 00:00:00	None	B	None	1800	1800	0	1800	0	None	9CI011	N	None	None	SFY2011-12
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-03-29 00:00:00	910009196	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-06 00:00:00	2009-05-06 00:00:00	Yes	2012-04-19 00:00:00	2012-04-18 00:00:00	A	A	20000	10000	0	10000	0	None	JIJL11	N	CA00188990	B	SFY2011-12
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-04-27 00:00:00	910009207	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-16 00:00:00	2008-12-16 00:00:00	Yes	2012-05-18 00:00:00	2012-05-04 00:00:00	A	A	19000	11000	0	11000	0	None	H7FJ11	N	CA00172563, CA00172563	C, C	SFY2011-12
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-05-23 00:00:00	910009321	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-13 00:00:00	2009-07-13 00:00:00	No	2012-06-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	6LQ911	N	CA00195447	C	SFY2011-12
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-07-10 00:00:00	910009344	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-12-28 00:00:00	2009-12-28 00:00:00	Yes	2012-07-31 00:00:00	2012-07-10 00:00:00	A	A	20000	10000	0	10000	0	None	PD1S11	N	CA00213238	C	SFY2012-13
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-07-11 00:00:00	910009388	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-02 00:00:00	2010-03-02 00:00:00	No	2012-08-01 00:00:00	None	A	None	12000	12000	0	12000	0	None	DAAS11	N	None	None	SFY2012-13
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-11-13 00:00:00	910009559	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-06-14 00:00:00	2012-06-14 00:00:00	No	2012-12-06 00:00:00	None	B	None	1500	1500	-525	975	0	None	E7CT11	N	CA00314603	B	SFY2012-13
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-01-07 00:00:00	910009565	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-08-08 00:00:00	2009-08-08 00:00:00	Yes	2013-01-29 00:00:00	2013-01-22 00:00:00	A	A	20000	13000	0	13000	0	None	XDBK11	N	CA00198078	C	SFY2012-13
970000127	BURLINGTON CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-11-06 00:00:00	910009583	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-10-26 00:00:00	2012-10-26 00:00:00	No	2012-11-30 00:00:00	None	B	None	1500	3650	0	3650	0	None	6YVZ11	N	None	None	SFY2012-13
910000074	SANTA MONICA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-14 00:00:00	910009748	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-01-17 00:00:00	2013-01-17 00:00:00	No	2013-03-08 00:00:00	None	B	None	1000	6250	0	6250	0	None	RX6L11	N	CA00339821	C	SFY2012-13
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-03-14 00:00:00	910009764	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-01 00:00:00	2009-02-01 00:00:00	Yes	2013-04-05 00:00:00	2013-04-04 00:00:00	A	None	20000	20000	-17671.95	2328.05	0	None	UIAP11	N	CA00177905	C	SFY2012-13
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-03-07 00:00:00	910009779	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2012-12-15 00:00:00	2012-12-15 00:00:00	No	2013-03-28 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	TRWS11	None	None	None	SFY2012-13
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-03-29 00:00:00	910009808	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-14 00:00:00	2010-03-14 00:00:00	No	2013-04-22 00:00:00	None	B	None	1500	1500	0	1500	0	None	0NT911	N	CA00229827	C	SFY2012-13
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-03-29 00:00:00	910009809	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-03-14 00:00:00	2010-03-14 00:00:00	No	2013-04-22 00:00:00	None	B	None	1500	1500	0	1500	0	None	0NT911	N	CA00229827	C	SFY2012-13
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-04-19 00:00:00	910009825	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-11 00:00:00	2010-01-11 00:00:00	No	2013-05-10 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	913811	N	CA00214573	C	SFY2012-13
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-05-14 00:00:00	910009863	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-31 00:00:00	2009-10-31 00:00:00	No	2013-06-05 00:00:00	None	A	None	19000	19000	-6650	12350	0	None	DE6F11	N	CA00223795	C	SFY2012-13
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-05-01 00:00:00	910009864	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-18 00:00:00	2010-08-18 00:00:00	No	2013-05-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4DG011	N	CA00239822	B	SFY2012-13
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-05-15 00:00:00	910009897	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-03 00:00:00	2009-06-03 00:00:00	No	2013-06-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GIYX11	N	CA00190225, CA00190530, CA00190530	C, C, C	SFY2012-13
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-05-15 00:00:00	910009904	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-21 00:00:00	2009-08-21 00:00:00	No	2013-06-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HFZR11	N	CA00201790	C	SFY2012-13
910000035	LOTUS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-06-18 00:00:00	910009911	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-09 00:00:00	2010-08-09 00:00:00	Yes	2013-07-10 00:00:00	2013-06-19 00:00:00	A	None	20000	20000	-7000	13000	0	None	56UC11	N	None	None	SFY2012-13
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-06-19 00:00:00	910009957	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-24 00:00:00	2009-01-24 00:00:00	No	2013-07-11 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	VFQH11	N	CA00175957	C	SFY2012-13
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-06-20 00:00:00	910009958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-05-28 00:00:00	2012-05-28 00:00:00	No	2013-07-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SC1P11	N	CA00312446	C	SFY2012-13
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-06-25 00:00:00	910009971	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-23 00:00:00	2010-02-23 00:00:00	No	2013-07-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	EDJ611	N	CA00235062	C	SFY2012-13
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-06-26 00:00:00	910009972	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-20 00:00:00	2010-10-20 00:00:00	No	2013-07-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PW1H11	N	CA00246759	C	SFY2012-13
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-06-27 00:00:00	910009979	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2013-02-20 00:00:00	2013-02-20 00:00:00	No	2013-07-19 00:00:00	None	WF	None	2000	2000	0	2000	0	None	VK1C11	None	None	None	SFY2012-13
910000086	TORRANCE CARE CENTER EAST	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-07-02 00:00:00	910009990	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-09-28 00:00:00	2010-09-28 00:00:00	No	2013-07-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	J8EK11	N	CA00244857	B	SFY2013-14
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-07-05 00:00:00	910009997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-05-04 00:00:00	2013-05-04 00:00:00	No	2013-07-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q2VU11	N	CA00353521	C	SFY2013-14
970000133	GRAND PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-08-01 00:00:00	910010049	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-18 00:00:00	2010-04-18 00:00:00	No	2013-08-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SGY811	N	CA00225841	B	SFY2013-14
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-08-15 00:00:00	910010093	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-01-12 00:00:00	2013-01-12 00:00:00	No	2013-09-06 00:00:00	None	A	None	14000	14000	0	14000	0	None	PNWZ11	N	CA00340679	B	SFY2013-14
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-08-16 00:00:00	910010098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-03 00:00:00	2012-10-03 00:00:00	Yes	2013-09-09 00:00:00	2013-08-21 00:00:00	B	None	2000	2000	-1767.2	232.8	0	None	8J6U11	N	CA00328765	C	SFY2013-14
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-08-20 00:00:00	910010099	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-26 00:00:00	2011-03-26 00:00:00	No	2013-09-11 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	P9JD11	N	CA00266041	C	SFY2013-14
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-08-22 00:00:00	910010100	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-28 00:00:00	2010-08-28 00:00:00	Yes	2013-09-13 00:00:00	2013-08-23 00:00:00	B	None	2000	2000	0	0	2000	None	HGUQ11	N	CA00240977, CA00244215	B, B	SFY2013-14
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-08-16 00:00:00	910010101	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-18 00:00:00	2009-06-18 00:00:00	No	2013-09-09 00:00:00	None	B	None	1800	1800	0	1800	0	None	FOEO11	N	CA00193044	H	SFY2013-14
910000005	CENTINELA SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-08-19 00:00:00	910010102	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Medication	None	2013-04-12 00:00:00	2013-04-12 00:00:00	No	2013-09-10 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	PCXH11	None	None	None	SFY2013-14
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-09-06 00:00:00	910010128	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-30 00:00:00	2011-01-30 00:00:00	No	2013-09-27 00:00:00	None	B	None	1500	1500	-525	975	0	None	SKYJ11	N	CA00257463	C	SFY2013-14
910000057	LOS PALOS POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-09-13 00:00:00	910010141	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-11 00:00:00	2009-06-11 00:00:00	No	2013-10-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9TC311	N	CA00191789	C	SFY2013-14
970000147	WESTLAKE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-09-16 00:00:00	910010148	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-04-16 00:00:00	2013-04-16 00:00:00	No	2013-10-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	4YIE11	N	CA00349289	B	SFY2013-14
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-11-13 00:00:00	910010192	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-06-20 00:00:00	2013-06-20 00:00:00	No	2013-12-06 00:00:00	None	A	None	20000	20000	0	20000	0	None	RZ7513	N	CA00359517, CA00359517	B, B	SFY2013-14
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-10-17 00:00:00	910010197	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-09 00:00:00	2011-11-09 00:00:00	No	2013-11-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H03H11	N	CA00293420	C	SFY2013-14
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-10-21 00:00:00	910010201	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-05-26 00:00:00	2013-05-26 00:00:00	Yes	2013-11-12 00:00:00	2013-10-24 00:00:00	A	A	16000	10400	0	10400	0	None	4PX711	N	CA00356275	C	SFY2013-14
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-10-17 00:00:00	910010214	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-09-24 00:00:00	2013-09-24 00:00:00	No	2013-11-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B4OD11	N	CA00371707	A	SFY2013-14
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-11-07 00:00:00	910010242	Closed	Citation	Citation A (HSC 1424)	Medication	None	2012-08-30 00:00:00	2012-08-30 00:00:00	Yes	2013-12-03 00:00:00	2013-11-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	1Z1T11	N	CA00328062	C	SFY2013-14
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-11-26 00:00:00	910010259	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-04-01 00:00:00	2013-04-01 00:00:00	No	2013-12-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MYZN11	N	CA00350025, CA00350025	B, B	SFY2013-14
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-11-26 00:00:00	910010261	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-04-01 00:00:00	2013-04-01 00:00:00	No	2013-12-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MYZN11	N	CA00350025	B	SFY2013-14
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-12-10 00:00:00	910010265	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-04-17 00:00:00	2012-04-17 00:00:00	No	2014-01-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8TO011	N	CA00307372	B	SFY2013-14
970000125	BONNIE BRAE SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-01-14 00:00:00	910010325	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-12-01 00:00:00	2011-12-01 00:00:00	No	2014-02-05 00:00:00	None	A	None	20000	20000	0	20000	0	None	WYJH11	N	CA00291586	C	SFY2013-14
970000129	ALVARADO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-02-06 00:00:00	910010414	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-30 00:00:00	2011-08-30 00:00:00	Yes	2014-02-28 00:00:00	2014-02-24 00:00:00	A	A	15000	8000	0	8000	0	None	KYRO11	N	CA00282582	B	SFY2013-14
910000091	TORRANCE CARE CENTER WEST, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-02-07 00:00:00	910010439	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-10-19 00:00:00	2010-10-19 00:00:00	Yes	2014-03-03 00:00:00	2014-02-07 00:00:00	A	None	20000	20000	0	20000	0	None	F5T511	N	CA00247532	C	SFY2013-14
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-02-06 00:00:00	910010440	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-01-21 00:00:00	2013-01-21 00:00:00	No	2014-02-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QMZ511	N	CA00343150	B	SFY2013-14
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-02-13 00:00:00	910010467	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-26 00:00:00	2010-02-26 00:00:00	No	2014-03-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SKKI11	N	CA00219856	C	SFY2013-14
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-02-14 00:00:00	910010472	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2010-08-03 00:00:00	2010-08-03 00:00:00	Yes	2014-03-10 00:00:00	2014-02-21 00:00:00	B	None	2000	2000	0	0	2000	None	S5TL11	N	CA00235133	B	SFY2013-14
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-03-21 00:00:00	910010483	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-02-11 00:00:00	2012-02-11 00:00:00	No	2014-04-14 00:00:00	None	A	None	5000	5000	0	5000	0	None	WC6611	Y	CA00299796	B	SFY2013-14
910000032	CULVER WEST HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-02-20 00:00:00	910010487	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-05-03 00:00:00	2012-05-03 00:00:00	Yes	2014-03-13 00:00:00	2014-04-01 00:00:00	B	None	2000	2000	0	0	2000	None	3GGY11	N	CA00315862, CA00317194	B, C	SFY2013-14
910000060	MARYCREST MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-03-04 00:00:00	910010490	Closed	Citation	Citation A (HSC 1424)	Medication	None	2011-03-12 00:00:00	2011-03-12 00:00:00	No	2014-03-25 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	VD5S11	Y	CA00262355	B	SFY2013-14
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-02-27 00:00:00	910010499	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-10-23 00:00:00	2013-10-23 00:00:00	No	2014-03-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EKX611	N	None	None	SFY2013-14
970000009	VIEW PARK CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-03-22 00:00:00	910010563	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-01-16 00:00:00	2014-01-16 00:00:00	No	2014-04-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H93E11	N	None	None	SFY2013-14
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-04-22 00:00:00	910010581	Closed	Citation	Citation A (HSC 1424)	Medication	None	2011-08-15 00:00:00	2011-08-15 00:00:00	No	2014-05-13 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	4YPI11	Y	CA00279654	C	SFY2013-14
910000046	HARBOR POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-04-04 00:00:00	910010582	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-07 00:00:00	2011-09-07 00:00:00	No	2014-04-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5Q0F11	N	CA00282479	C	SFY2013-14
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-04-17 00:00:00	910010591	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-04-22 00:00:00	2013-04-22 00:00:00	No	2014-05-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	E19311	N	None	None	SFY2013-14
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-04-21 00:00:00	910010651	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-01-10 00:00:00	2014-01-10 00:00:00	No	2014-05-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	TGIC11	N	None	None	SFY2013-14
910000086	TORRANCE CARE CENTER EAST	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-04-25 00:00:00	910010666	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-11-20 00:00:00	2013-11-20 00:00:00	No	2014-05-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CZ6711	N	CA00377866	B	SFY2013-14
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-05-14 00:00:00	910010700	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-22 00:00:00	2010-11-22 00:00:00	No	2014-06-05 00:00:00	None	B	None	1000	1050	0	1050	0	None	RNUF11	N	CA00250504	C	SFY2013-14
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-05-14 00:00:00	910010701	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-11-22 00:00:00	2010-11-22 00:00:00	No	2014-06-05 00:00:00	None	B	None	1000	1050	0	1050	0	None	RNUF11	N	CA00250504	C	SFY2013-14
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-05-13 00:00:00	910010728	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-11-19 00:00:00	2012-11-19 00:00:00	No	2014-06-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	ZZMG11	N	CA00334174	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010754	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010757	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010759	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010760	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010761	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010762	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-11 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010763	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010764	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010765	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010766	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010767	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010768	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010769	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010770	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010771	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010772	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010773	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010774	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010775	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010776	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010777	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010779	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010780	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010781	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010782	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010783	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010784	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010785	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010786	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010787	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010788	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010789	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010790	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010791	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010792	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010793	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010794	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010795	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010796	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010797	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010798	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010799	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010800	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010801	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010802	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010803	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010804	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010805	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010806	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010807	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010808	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010809	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010810	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010811	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010812	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010813	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010814	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010815	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	None	None	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010816	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010823	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010824	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010825	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-01 00:00:00	2014-04-01 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010826	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010828	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	None	2000	2000	-2000	0	0	None	ZWAE11	N	None	None	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010829	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010830	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010831	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010832	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-11 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	None	None	SFY2013-14
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-19 00:00:00	910010833	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-04-10 00:00:00	2014-04-10 00:00:00	Yes	2014-07-11 00:00:00	2014-07-14 00:00:00	B	B	2000	1000	0	1000	0	None	ZWAE11	N	CA00394123	B	SFY2013-14
910000057	LOS PALOS POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-08-08 00:00:00	910010894	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-28 00:00:00	2014-02-28 00:00:00	Yes	2014-08-29 00:00:00	2014-08-08 00:00:00	A	A	17000	12000	0	12000	0	None	CV5W11	N	CA00392543, CA00392543	B, B	SFY2014-15
910000041	IMPERIAL CREST HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-10-15 00:00:00	910011064	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-08-05 00:00:00	2013-08-05 00:00:00	Yes	2014-11-05 00:00:00	2014-10-24 00:00:00	A	A	10000	2000	0	2000	0	None	UR9311	N	CA00366148	B	SFY2014-15
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-23 00:00:00	910011180	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-02-05 00:00:00	2012-02-05 00:00:00	No	2015-01-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	GY1811	Y	CA00299074	C	SFY2014-15
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-24 00:00:00	910011182	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-09-26 00:00:00	2012-09-26 00:00:00	Yes	2015-01-16 00:00:00	2014-12-30 00:00:00	A	A	10000	5000	0	5000	0	None	E5DY11	N	CA00327344	B	SFY2014-15
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-12-31 00:00:00	910011207	Closed	Citation	Citation A (HSC 1424)	Administration	None	2014-01-10 00:00:00	2014-01-10 00:00:00	Yes	2015-01-23 00:00:00	2015-01-23 00:00:00	A	None	10000	10000	-8835.98	1164.02	0	None	CEZQ11	N	CA00383588	B	SFY2014-15
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-02-26 00:00:00	910011225	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-29 00:00:00	2010-01-29 00:00:00	Yes	2015-03-19 00:00:00	2015-03-19 00:00:00	A	None	18000	18000	-15904.76	2095.24	0	None	7U9311	Y	CA00297696	A	SFY2014-15
910000316	WEST PICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-02-26 00:00:00	910011245	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2012-01-15 00:00:00	2012-01-15 00:00:00	Yes	2015-03-19 00:00:00	2015-03-19 00:00:00	AA	None	80000	80000	-70687.78	9312.22	0	None	VYC711	Y	CA00296533, CA00296596, CA00299711	H, C, C	SFY2014-15
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-02-05 00:00:00	910011246	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-01-15 00:00:00	2013-01-15 00:00:00	No	2015-02-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	P9JD11	N	CA00340811	B	SFY2014-15
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-02-18 00:00:00	910011274	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-09 00:00:00	2011-10-09 00:00:00	No	2015-03-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TPDP11	N	CA00286323, CA00286611	C, C	SFY2014-15
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-05-06 00:00:00	910011287	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-06-06 00:00:00	2014-06-06 00:00:00	No	2015-05-28 00:00:00	None	A	None	15000	15000	0	15000	0	None	SS9Y11	N	CA00396266	C	SFY2014-15
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-03-18 00:00:00	910011310	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-25 00:00:00	2014-03-25 00:00:00	No	2015-04-09 00:00:00	None	A	None	10000	10000	0	10000	0	None	I17611	N	None	None	SFY2014-15
910000076	SUNSET PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-05-26 00:00:00	910011439	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-01-04 00:00:00	2014-01-04 00:00:00	No	2015-06-16 00:00:00	None	B	None	1800	1800	-630	1170	0	None	I8Y411	N	CA00384147	B	SFY2014-15
910000041	IMPERIAL CREST HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-05-26 00:00:00	910011505	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-12-10 00:00:00	2012-12-10 00:00:00	No	2015-06-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	992V11	N	CA00336192	B	SFY2014-15
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-07-21 00:00:00	910011598	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-09 00:00:00	2015-01-09 00:00:00	No	2015-08-11 00:00:00	None	A	None	14000	14000	-4900	9100	0	None	L0HS11	N	CA00426987	C	SFY2015-16
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-07-07 00:00:00	910011600	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-03 00:00:00	2015-02-03 00:00:00	No	2015-07-28 00:00:00	None	B	None	1400	1450	-490	960	0	None	PNDP11	N	CA00412815, CA00412863	B, B	SFY2015-16
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-07-22 00:00:00	910011627	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-17 00:00:00	2011-06-17 00:00:00	No	2015-08-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	3ZRC11	N	CA00273495	C	SFY2015-16
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-11-04 00:00:00	910011657	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-10-03 00:00:00	2014-10-03 00:00:00	No	2015-11-30 00:00:00	None	B	None	1800	1800	-1800	0	0	None	TQJY11	N	CA00415776	B	SFY2015-16
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-08-31 00:00:00	910011665	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-05-29 00:00:00	2011-05-29 00:00:00	No	2015-09-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	DFLE11	N	CA00275357	C	SFY2015-16
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-11-17 00:00:00	910011677	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2013-09-27 00:00:00	2013-09-27 00:00:00	Yes	2015-12-10 00:00:00	2015-12-07 00:00:00	AA	A	100000	70000	0	70000	0	None	9LQB11	Y	CA00372825, CA00372825	B, B	SFY2015-16
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-10-16 00:00:00	910011687	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-14 00:00:00	2015-05-14 00:00:00	No	2015-11-06 00:00:00	None	B	None	1800	1800	-1800	0	0	None	NWZY11	N	None	None	SFY2015-16
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-10-29 00:00:00	910011802	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-14 00:00:00	2015-05-14 00:00:00	No	2015-11-20 00:00:00	None	B	None	1800	1800	-630	1170	0	None	NWZY11	N	None	None	SFY2015-16
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-10-30 00:00:00	910011809	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-07-05 00:00:00	2015-07-05 00:00:00	No	2015-11-23 00:00:00	None	B	None	1800	1800	-630	1170	0	None	IIHQ11	N	CA00449801	B	SFY2015-16
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-11-04 00:00:00	910011828	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-25 00:00:00	2014-03-25 00:00:00	No	2015-11-30 00:00:00	None	B	None	1800	1800	-1800	0	0	None	CV2J11	N	CA00395508	A	SFY2015-16
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-12-24 00:00:00	910011918	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2015-09-14 00:00:00	2015-09-14 00:00:00	No	2016-01-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	BNOW11	N	CA00457986	A	SFY2015-16
910000073	BRENTWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-12-24 00:00:00	910011924	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-09-17 00:00:00	2015-09-17 00:00:00	No	2016-01-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LMKQ11	N	CA00459346	A	SFY2015-16
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-17 00:00:00	910011975	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2015-07-30 00:00:00	2015-07-30 00:00:00	No	2016-06-08 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	CYGM11	Y	CA00452888, CA00453655	C, B	SFY2015-16
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-03-23 00:00:00	910012133	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-11-23 00:00:00	2015-11-23 00:00:00	No	2016-04-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WJP511	N	CA00469313	A	SFY2015-16
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-03-23 00:00:00	910012139	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-11-23 00:00:00	2015-11-23 00:00:00	No	2016-04-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WJP511	N	CA00469313	A	SFY2015-16
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-03-23 00:00:00	910012143	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2015-12-23 00:00:00	2015-12-23 00:00:00	No	2016-04-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WJP511	N	CA00469313	A	SFY2015-16
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-04-19 00:00:00	910012200	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-11 00:00:00	2015-08-11 00:00:00	Yes	2016-05-10 00:00:00	2016-04-20 00:00:00	A	A	20000	15000	0	15000	0	None	K7YD11	N	CA00454583	B	SFY2015-16
910000005	CENTINELA SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-31 00:00:00	910012281	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-12 00:00:00	2011-07-12 00:00:00	No	2016-06-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	24RM11	N	CA00276126	C	SFY2015-16
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-10 00:00:00	910012297	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-12-02 00:00:00	2011-12-02 00:00:00	Yes	2016-07-01 00:00:00	2016-07-07 00:00:00	A	None	20000	20000	-20000	0	0	None	6D7M11	N	CA00289999	C	SFY2015-16
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-10 00:00:00	910012300	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-12-16 00:00:00	2010-12-16 00:00:00	No	2016-07-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	POFQ11	N	CA00254166	C	SFY2015-16
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-21 00:00:00	910012317	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2011-05-25 00:00:00	2011-05-25 00:00:00	Yes	2016-07-13 00:00:00	2016-07-07 00:00:00	A	None	20000	20000	0	0	20000	None	F83R11	N	CA00271237	C	SFY2015-16
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-16 00:00:00	910012328	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2011-03-05 00:00:00	2011-03-05 00:00:00	No	2016-07-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	J0TU11	N	CA00261532	C	SFY2015-16
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-28 00:00:00	910012351	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-03-25 00:00:00	2012-03-25 00:00:00	No	2016-07-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	K3UV11	N	CA00304892	B	SFY2015-16
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-07-18 00:00:00	910012387	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-08-15 00:00:00	2013-08-15 00:00:00	No	2016-08-08 00:00:00	None	A	None	20000	20000	-20000	0	0	None	L1IW11	N	CA00366526	C	SFY2016-17
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-24 00:00:00	910012533	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2016-07-07 00:00:00	2016-07-07 00:00:00	No	2016-09-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	UL2911	N	CA00495055	A	SFY2016-17
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-24 00:00:00	910012535	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-07-07 00:00:00	2016-07-07 00:00:00	No	2016-09-15 00:00:00	None	B	None	1500	1500	-525	975	0	None	UL2911	N	CA00495055	A	SFY2016-17
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-24 00:00:00	910012536	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-07 00:00:00	2016-07-07 00:00:00	No	2016-09-15 00:00:00	None	B	None	1500	1550	-525	1025	0	None	UL2911	N	CA00495055, CA00495055, CA00495055, CA00496000, CA00496000, CA00496000	A, A, A, A, A, A	SFY2016-17
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-09-12 00:00:00	910012564	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-01 00:00:00	2016-07-01 00:00:00	No	2016-10-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DY7S11	N	None	None	SFY2016-17
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-10-03 00:00:00	910012603	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-14 00:00:00	2016-02-14 00:00:00	No	2016-10-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	HQCC11	N	CA00476173, CA00478794	A, B	SFY2016-17
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-10-06 00:00:00	910012623	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-15 00:00:00	2016-08-15 00:00:00	No	2016-10-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	DXK811	N	None	None	SFY2016-17
910000041	IMPERIAL CREST HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-10-06 00:00:00	910012633	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-08-16 00:00:00	2016-08-16 00:00:00	No	2016-10-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	W3M811	N	None	None	SFY2016-17
910000006	OCEAN POINTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-11-10 00:00:00	910012746	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-23 00:00:00	2016-09-23 00:00:00	No	2016-12-06 00:00:00	None	B	None	1500	1500	0	1500	0	None	BBGT11	N	None	None	SFY2016-17
910000041	IMPERIAL CREST HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-12-27 00:00:00	910012838	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2016-09-29 00:00:00	2016-09-29 00:00:00	No	2017-01-19 00:00:00	None	A	None	15000	15000	0	15000	0	None	KIKJ11	N	CA00505287, CA00511405	A, B	SFY2016-17
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-01-27 00:00:00	910012871	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-28 00:00:00	2016-10-28 00:00:00	Yes	2017-02-17 00:00:00	2017-01-27 00:00:00	A	A	20000	13000	0	13000	0	None	DHEN11	N	CA00508616, CA00508616, CA00508796	B, B, B	SFY2016-17
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-05-03 00:00:00	910013153	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-07 00:00:00	2017-03-07 00:00:00	No	2017-05-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UZ4U11	N	CA00525562	A	SFY2016-17
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-11 00:00:00	910013235	Closed	Citation	Citation AA (HSC 1424)	Patient Record	None	2017-02-16 00:00:00	2017-02-16 00:00:00	Yes	2017-08-01 00:00:00	2017-08-01 00:00:00	AA	AA	100000	55000	0	55000	0	None	1GGU11	Y	CA00523673	A	SFY2017-18
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-06-08 00:00:00	910013242	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-29 00:00:00	2016-11-29 00:00:00	No	2017-06-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	W7WI11	N	CA00512903, CA00512903	B, B	SFY2016-17
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-06-08 00:00:00	910013254	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-12 00:00:00	2016-12-12 00:00:00	No	2017-06-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	W7WI11	N	CA00512904	B	SFY2016-17
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-11 00:00:00	910013260	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Care	None	2017-02-16 00:00:00	2017-02-16 00:00:00	No	2017-08-01 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	1GGU11	None	CA00523673	A	SFY2017-18
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-06-19 00:00:00	910013283	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-09 00:00:00	2017-02-09 00:00:00	Yes	2017-07-11 00:00:00	2017-08-02 00:00:00	A	A	15000	10000	0	10000	0	None	5E0Y11	N	CA00521594, CA00521594	A, A	SFY2016-17
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-06-19 00:00:00	910013284	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-06 00:00:00	2017-02-06 00:00:00	Yes	2017-07-11 00:00:00	2017-08-02 00:00:00	A	A	15000	10000	0	10000	0	None	VMQK11	N	CA00521588, CA00521588	A, A	SFY2016-17
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-08-02 00:00:00	910013370	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-16 00:00:00	2016-08-16 00:00:00	Yes	2017-08-23 00:00:00	2017-08-09 00:00:00	A	B	16000	14000	0	14000	0	None	YSBE11	N	CA00500179	B	SFY2017-18
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-08-02 00:00:00	910013371	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-02-08 00:00:00	2017-02-08 00:00:00	Yes	2017-08-23 00:00:00	2017-08-09 00:00:00	B	None	1000	1000	0	0	1000	None	P8CI11	N	CA00524125	B	SFY2017-18
910000075	OCEAN PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-19 00:00:00	910013404	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-05-26 00:00:00	2017-05-26 00:00:00	Yes	2017-11-09 00:00:00	2017-10-19 00:00:00	A	B	20000	20000	0	20000	0	None	R4P411	N	CA00538447	A	SFY2017-18
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-08-02 00:00:00	910013406	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-13 00:00:00	2017-03-13 00:00:00	No	2017-08-23 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	FKFQ11	N	CA00526542, CA00526542	A, A	SFY2017-18
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-09-14 00:00:00	910013451	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-01 00:00:00	2017-06-01 00:00:00	No	2017-10-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	5B1I11	N	CA00536206	A	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-28 00:00:00	910013520	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-17 00:00:00	2017-08-17 00:00:00	Yes	2017-10-19 00:00:00	2017-10-06 00:00:00	B	None	2000	2000	0	2000	0	None	ULTT11	N	CA00547963, CA00548219, CA00549076, CA00550174	B, B, A, B	SFY2017-18
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-29 00:00:00	910013523	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-01 00:00:00	2017-06-01 00:00:00	No	2017-10-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	2DPB11	N	CA00537509	A	SFY2017-18
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-25 00:00:00	910013537	Closed	Citation	Citation A (HSC 1424)	Other	Abuse	2017-06-26 00:00:00	2017-06-26 00:00:00	Yes	2017-11-16 00:00:00	2017-11-09 00:00:00	A	A	20000	15000	0	15000	0	None	TKZ611	N	CA00541506	A	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-20 00:00:00	910013558	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-08-17 00:00:00	2017-08-17 00:00:00	Yes	2017-11-13 00:00:00	2017-11-06 00:00:00	B	None	2000	2000	0	2000	0	None	ULTT11	N	CA00548219, CA00549076	B, A	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-20 00:00:00	910013559	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-08-19 00:00:00	2017-08-19 00:00:00	Yes	2017-11-13 00:00:00	2017-11-06 00:00:00	B	None	2000	2000	0	2000	0	None	ULTT11	N	CA00548219, CA00549076	B, A	SFY2017-18
970000147	WESTLAKE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-25 00:00:00	910013561	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-08 00:00:00	2017-07-08 00:00:00	No	2017-11-16 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	MPHQ11	N	CA00543261	B	SFY2017-18
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-27 00:00:00	910013568	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-01 00:00:00	2017-09-01 00:00:00	Yes	2017-11-20 00:00:00	2017-11-16 00:00:00	A	A	20000	12000	0	12000	0	None	98ND11	N	None	None	SFY2017-18
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-27 00:00:00	910013575	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-01 00:00:00	2017-09-01 00:00:00	No	2017-11-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	98ND11	N	None	None	SFY2017-18
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-27 00:00:00	910013580	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-08 00:00:00	2017-09-08 00:00:00	No	2017-11-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	98ND11	N	None	None	SFY2017-18
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-27 00:00:00	910013582	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-08 00:00:00	2017-09-08 00:00:00	No	2017-11-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	98ND11	N	None	None	SFY2017-18
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-27 00:00:00	910013586	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-26 00:00:00	2017-07-26 00:00:00	No	2017-11-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	98ND11	N	None	None	SFY2017-18
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-11-17 00:00:00	910013593	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-29 00:00:00	2017-07-29 00:00:00	No	2017-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	DM7X11	N	CA00546803	B	SFY2017-18
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-11-09 00:00:00	910013602	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-14 00:00:00	2017-08-14 00:00:00	Yes	2017-12-05 00:00:00	2017-11-14 00:00:00	A	A	10000	19500	0	19500	0	None	X15311	N	CA00544387	B	SFY2017-18
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-11-09 00:00:00	910013608	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2016-07-04 00:00:00	2016-07-04 00:00:00	No	2017-12-05 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	QOBE11	Y	CA00516625	B	SFY2017-18
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-11-22 00:00:00	910013610	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-03-17 00:00:00	2017-03-17 00:00:00	Yes	2017-12-15 00:00:00	2017-12-07 00:00:00	AA	A	100000	19900	0	19900	0	None	56PU11	Y	CA00537461, CA00537461, CA00537461	A, A, A	SFY2017-18
910000048	HERITAGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-11-13 00:00:00	910013611	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-14 00:00:00	2017-07-14 00:00:00	Yes	2017-12-06 00:00:00	2017-11-22 00:00:00	A	B	16000	16000	0	16000	0	None	C6QE11	N	CA00544503	B	SFY2017-18
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-15 00:00:00	910013617	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-29 00:00:00	2017-04-29 00:00:00	No	2017-12-08 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	ZVCR11	N	CA00544321	B	SFY2017-18
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-11-17 00:00:00	910013624	Closed	Citation	Citation B (HSC 1424)	Other	Fiduciary Abuse	2017-06-16 00:00:00	2017-06-16 00:00:00	No	2017-12-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	E95Y11	N	CA00543812	B	SFY2017-18
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-20 00:00:00	910013684	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-21 00:00:00	2017-08-21 00:00:00	No	2018-01-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	A8UX11	N	CA00549987	A	SFY2017-18
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-18 00:00:00	910013685	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-28 00:00:00	2017-07-28 00:00:00	Yes	2018-01-09 00:00:00	2018-01-02 00:00:00	A	None	20000	20000	0	0	20000	None	U12G11	N	CA00549866, CA00549866	B, B	SFY2017-18
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-12-29 00:00:00	910013702	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-11 00:00:00	2017-07-11 00:00:00	No	2018-01-19 00:00:00	None	A	None	15000	15000	0	0	15000	None	9KQT11	N	CA00543929, CA00543929	B, B	SFY2017-18
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-05 00:00:00	910013713	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-17 00:00:00	2017-11-17 00:00:00	Yes	2018-01-26 00:00:00	2018-01-29 00:00:00	B	None	2000	2000	-700	1300	0	None	I8V111	N	None	None	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-01-11 00:00:00	910013730	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-12-21 00:00:00	2017-12-21 00:00:00	Yes	2018-02-01 00:00:00	2018-02-01 00:00:00	B	None	2000	2000	0	2000	0	None	QB7R11	N	CA00567158	A	SFY2017-18
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-25 00:00:00	910013765	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-18 00:00:00	2017-11-18 00:00:00	No	2018-02-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	I55T11	N	None	None	SFY2017-18
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-02-06 00:00:00	910013774	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-10-25 00:00:00	2013-10-25 00:00:00	No	2018-02-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	NPCO11	N	CA00375229	E	SFY2017-18
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-02-06 00:00:00	910013782	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-22 00:00:00	2017-10-22 00:00:00	Yes	2018-02-28 00:00:00	2018-02-13 00:00:00	B	None	2000	2000	0	0	2000	None	70Q811	N	None	None	SFY2017-18
970000121	ALDEN TERRACE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-08 00:00:00	910013786	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-22 00:00:00	2017-12-22 00:00:00	Yes	2018-03-01 00:00:00	2018-02-09 00:00:00	A	B	18000	11700	0	11700	0	None	Q23J11	N	None	None	SFY2017-18
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-02-16 00:00:00	910013814	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-02 00:00:00	2017-08-02 00:00:00	No	2018-03-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	N9VP11	N	CA00557911	B	SFY2017-18
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-02-23 00:00:00	910013815	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-01 00:00:00	2017-11-01 00:00:00	No	2018-03-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	IOCU11	N	CA00559043	B	SFY2017-18
910000055	LOMITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-02-28 00:00:00	910013816	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-27 00:00:00	2017-10-27 00:00:00	Yes	2018-03-21 00:00:00	2018-03-15 00:00:00	A	None	16000	16000	0	0	16000	None	CDFD11	N	CA00559414, CA00559414	B, B	SFY2017-18
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-02-16 00:00:00	910013818	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-28 00:00:00	2017-10-28 00:00:00	Yes	2018-03-12 00:00:00	2018-02-22 00:00:00	A	A	20000	11750	0	11750	0	None	I55O11	N	CA00558051	A	SFY2017-18
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-16 00:00:00	910013820	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-12 00:00:00	2017-09-12 00:00:00	No	2018-03-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	52O911	N	CA00557824	A	SFY2017-18
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-02-27 00:00:00	910013845	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-11 00:00:00	2011-08-11 00:00:00	Yes	2018-03-20 00:00:00	2018-03-20 00:00:00	A	A	20000	10000	0	10000	0	None	6D7M11	N	CA00289999	C	SFY2017-18
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-02 00:00:00	910013857	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-01 00:00:00	2017-11-01 00:00:00	Yes	2018-03-23 00:00:00	2018-03-06 00:00:00	A	B	16000	6000	0	6000	0	None	0KTF11	N	CA00559771, CA00559771, CA00559771	B, B, B	SFY2017-18
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-02 00:00:00	910013859	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-08 00:00:00	2017-11-08 00:00:00	No	2018-03-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7L6W11	N	CA00559934, CA00559934	B, B	SFY2017-18
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-02 00:00:00	910013871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-08 00:00:00	2018-01-08 00:00:00	No	2018-03-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	0JLU11	N	None	None	SFY2017-18
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-02 00:00:00	910013872	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-08 00:00:00	2018-01-08 00:00:00	No	2018-03-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	0JLU11	N	None	None	SFY2017-18
910000073	BRENTWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-02 00:00:00	910013876	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-01-10 00:00:00	2018-01-10 00:00:00	No	2018-03-23 00:00:00	None	B	None	2000	2150	-700	1450	0	None	4OYJ11	N	None	None	SFY2017-18
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-02 00:00:00	910013877	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-08 00:00:00	2018-01-08 00:00:00	No	2018-03-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	0JLU11	N	None	None	SFY2017-18
970000127	BURLINGTON CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-08 00:00:00	910013878	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-29 00:00:00	2016-08-29 00:00:00	Yes	2018-03-29 00:00:00	2018-03-15 00:00:00	A	A	16000	13600	0	13600	0	None	5NTW11	N	CA00501079	B	SFY2017-18
940000010	BEL VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-09 00:00:00	910013879	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-22 00:00:00	2017-08-22 00:00:00	Yes	2018-03-30 00:00:00	2018-03-27 00:00:00	A	B	20000	2000	0	2000	0	None	585311	N	CA00551097	B	SFY2017-18
910000041	IMPERIAL CREST HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-09 00:00:00	910013880	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-10 00:00:00	2017-11-10 00:00:00	No	2018-03-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	KL0C11	N	CA00560606	B	SFY2017-18
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-16 00:00:00	910013898	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-17 00:00:00	2017-10-17 00:00:00	No	2018-04-06 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	DVMO11	N	CA00557517, CA00557517	B, B	SFY2017-18
940000097	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-13 00:00:00	910013903	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-10 00:00:00	2017-12-10 00:00:00	Yes	2018-04-03 00:00:00	2018-03-26 00:00:00	A	A	20000	20000	0	20000	0	None	H52W11	N	CA00567902	B	SFY2017-18
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-22 00:00:00	910013920	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-20 00:00:00	2017-11-20 00:00:00	No	2018-04-12 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	T4V011	N	CA00562279, CA00562279, CA00562279, CA00562439, CA00562439, CA00571120, CA00571120, CA00571120	A, A, A, B, B, B, B, B	SFY2017-18
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-28 00:00:00	910013924	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-09 00:00:00	2017-11-09 00:00:00	No	2018-04-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	T8SU11	N	CA00560624, CA00560624	A, A	SFY2017-18
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-27 00:00:00	910013927	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-14 00:00:00	2016-03-14 00:00:00	No	2018-04-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	0YCV11	N	CA00480833	B	SFY2017-18
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-29 00:00:00	910013942	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-30 00:00:00	2017-11-30 00:00:00	No	2018-04-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	F9YS11	Y	CA00535163, CA00562890	B, A	SFY2017-18
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-02 00:00:00	910013948	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-18 00:00:00	2017-10-18 00:00:00	No	2018-04-23 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	DVVS11	N	CA00556655	A	SFY2017-18
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-19 00:00:00	910013970	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-19 00:00:00	2017-12-19 00:00:00	No	2018-05-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KV6F11	N	CA00565967	B	SFY2017-18
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-19 00:00:00	910013971	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-18 00:00:00	2016-10-18 00:00:00	No	2018-05-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	7C1T11	N	CA00508011, CA00508011, CA00508011	B, B, B	SFY2017-18
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-27 00:00:00	910013987	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-05-13 00:00:00	2017-05-13 00:00:00	Yes	2018-05-18 00:00:00	2018-05-01 00:00:00	A	None	20000	20000	0	0	20000	None	VYSS11	Y	CA00536047, CA00536047, CA00536593, CA00536593	B, B, B, B	SFY2017-18
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-19 00:00:00	910014008	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-29 00:00:00	2017-03-29 00:00:00	Yes	2018-05-10 00:00:00	2018-04-25 00:00:00	B	None	2000	2000	-2000	0	0	None	VYOV11	N	CA00528781, CA00528781	B, B	SFY2017-18
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-19 00:00:00	910014009	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-11 00:00:00	2018-03-11 00:00:00	No	2018-05-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7WI611	N	None	None	SFY2017-18
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-26 00:00:00	910014027	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-25 00:00:00	2018-04-25 00:00:00	No	2018-05-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	EC5U11	Y	CA00503934, CA00503934	B, B	SFY2017-18
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-26 00:00:00	910014030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-12-26 00:00:00	2016-12-26 00:00:00	Yes	2018-05-17 00:00:00	2018-05-22 00:00:00	B	None	2000	2000	-2000	0	0	None	1P4N11	N	None	None	SFY2017-18
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-05-11 00:00:00	910014060	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2014-05-30 00:00:00	2014-05-30 00:00:00	Yes	2018-06-04 00:00:00	2018-05-25 00:00:00	A	None	20000	20000	0	0	20000	None	LQ8V11	N	CA00400672	C	SFY2017-18
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-05-11 00:00:00	910014061	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-29 00:00:00	2015-11-29 00:00:00	No	2018-06-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	YZ1J11	N	CA00467114	B	SFY2017-18
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-05-18 00:00:00	910014078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-31 00:00:00	2018-01-31 00:00:00	No	2018-06-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	8D0C11	N	CA00571815, CA00571815, CA00571829, CA00571829	A, A, A, A	SFY2017-18
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-05-18 00:00:00	910014080	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-14 00:00:00	2018-01-14 00:00:00	Yes	2018-06-11 00:00:00	2018-05-30 00:00:00	A	B	20000	8000	0	8000	0	None	RUB311	Y	CA00569930, CA00569930, CA00569930, CA00569930	A, A, A, A	SFY2017-18
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-05-22 00:00:00	910014093	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-20 00:00:00	2018-01-20 00:00:00	No	2018-06-13 00:00:00	None	A	None	16000	16000	0	16000	0	None	8ACN11	N	CA00570211, CA00570211, CA00570211, CA00570211, CA00570580, CA00570580, CA00570580	B, B, B, B, B, B, B	SFY2017-18
910000032	CULVER WEST HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-06 00:00:00	910014094	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-01-26 00:00:00	2018-01-26 00:00:00	Yes	2018-06-27 00:00:00	2018-06-13 00:00:00	AA	A	75000	30000	0	30000	0	None	PD1T11	Y	CA00572439, CA00574716, CA00574716	B, A, A	SFY2017-18
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-05-30 00:00:00	910014116	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-03-22 00:00:00	2018-03-22 00:00:00	No	2018-06-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QHBR11	N	None	None	SFY2017-18
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-01 00:00:00	910014120	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-01-26 00:00:00	2018-01-26 00:00:00	No	2018-06-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	QZX911	N	CA00572498	A	SFY2017-18
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-14 00:00:00	910014137	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-09 00:00:00	2018-02-09 00:00:00	Yes	2018-07-06 00:00:00	2018-07-03 00:00:00	A	A	17000	9500	0	9500	0	None	MBOQ11	N	CA00573858, CA00573858	A, A	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-15 00:00:00	910014164	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-01 00:00:00	2018-04-01 00:00:00	Yes	2018-07-09 00:00:00	2018-06-22 00:00:00	B	None	2000	2000	0	2000	0	None	TYZC11	N	CA00583908	B	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-15 00:00:00	910014165	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-02 00:00:00	2018-05-02 00:00:00	Yes	2018-07-09 00:00:00	2018-06-28 00:00:00	B	None	2000	2000	0	2000	0	None	TYZC11	N	CA00583908	B	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-15 00:00:00	910014166	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-01-12 00:00:00	2018-01-12 00:00:00	Yes	2018-07-09 00:00:00	2018-06-28 00:00:00	B	None	2000	2000	0	2000	0	None	TYZC11	N	CA00583908	B	SFY2017-18
910000005	CENTINELA SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-21 00:00:00	910014171	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-14 00:00:00	2018-01-14 00:00:00	Yes	2018-07-13 00:00:00	2018-06-26 00:00:00	A	B	20000	10000	0	10000	0	None	2OSG11	Y	CA00574783	B	SFY2017-18
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-22 00:00:00	910014180	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-06-04 00:00:00	2018-06-04 00:00:00	No	2018-07-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U93311	N	CA00574533	B	SFY2017-18
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-22 00:00:00	910014186	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-05-04 00:00:00	2018-05-04 00:00:00	No	2018-07-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GVCF11	N	None	None	SFY2017-18
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-07-12 00:00:00	910014237	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-03-27 00:00:00	2018-03-27 00:00:00	No	2018-08-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C3JT11	N	CA00578823	B	SFY2018-19
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-20 00:00:00	910014245	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-26 00:00:00	2018-03-26 00:00:00	No	2018-08-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DRLN11	N	CA00580455	A	SFY2018-19
970000125	BONNIE BRAE SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-07-23 00:00:00	910014268	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-03-26 00:00:00	2018-03-26 00:00:00	No	2018-08-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GV6H11	N	CA00580177	B	SFY2018-19
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-26 00:00:00	910014274	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-03 00:00:00	2018-03-03 00:00:00	No	2018-08-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JC8Y11	N	CA00580229, CA00580229	B, B	SFY2018-19
970000127	BURLINGTON CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-07-26 00:00:00	910014276	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-26 00:00:00	2018-03-26 00:00:00	No	2018-08-16 00:00:00	None	A	None	19000	19000	-6650	12350	0	None	FK7O11	N	CA00580077, CA00580077	B, B	SFY2018-19
910000057	LOS PALOS POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-31 00:00:00	910014305	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-02 00:00:00	2018-04-02 00:00:00	No	2018-08-21 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	IZ5M11	N	CA00581870, CA00581870	B, B	SFY2018-19
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-08-01 00:00:00	910014307	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-22 00:00:00	2018-05-22 00:00:00	Yes	2018-08-22 00:00:00	2018-08-17 00:00:00	B	None	2000	2000	0	0	2000	None	3KWR11	N	CA00588449, CA00588449	B, B	SFY2018-19
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-17 00:00:00	910014330	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-04 00:00:00	2018-03-04 00:00:00	Yes	2018-09-10 00:00:00	2018-09-18 00:00:00	A	B	20000	10000	0	10000	0	None	NF3511	Y	CA00578999, CA00578999, CA00578999, CA00580053, CA00580053	A, A, A, B, B	SFY2018-19
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-22 00:00:00	910014352	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-25 00:00:00	2018-03-25 00:00:00	Yes	2018-09-13 00:00:00	2018-09-13 00:00:00	B	None	2000	2000	0	0	2000	None	BZKX11	N	None	None	SFY2018-19
910000048	HERITAGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-23 00:00:00	910014360	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-16 00:00:00	2018-04-16 00:00:00	No	2018-09-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5KVM11	N	CA00584222	A	SFY2018-19
910000024	CLEAR VIEW CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-24 00:00:00	910014364	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-30 00:00:00	2018-04-30 00:00:00	No	2018-09-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XY4S11	N	None	None	SFY2018-19
940000101	LONG BEACH POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-24 00:00:00	910014367	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-07-24 00:00:00	2018-07-24 00:00:00	No	2018-09-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	9WNH11	N	CA00584830, CA00584830, CA00584830, CA00584830	B, B, B, B	SFY2018-19
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-06 00:00:00	910014386	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-18 00:00:00	2018-04-18 00:00:00	No	2018-09-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O01P11	N	CA00583542, CA00586665, CA00586665	B, A, A	SFY2018-19
910000320	GUARDIAN REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-27 00:00:00	910014396	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-05-09 00:00:00	2015-05-09 00:00:00	Yes	2018-10-18 00:00:00	2018-09-30 00:00:00	A	None	20000	20000	0	20000	0	None	9KJP11	N	CA00442805	B	SFY2018-19
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-18 00:00:00	910014411	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-19 00:00:00	2018-07-19 00:00:00	No	2018-10-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KTUI11	N	CA00595535, CA00595535, CA00595535	B, B, B	SFY2018-19
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-21 00:00:00	910014419	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-14 00:00:00	2018-05-14 00:00:00	No	2018-10-12 00:00:00	None	A	None	15000	45000	-15750	29250	0	None	RZX611	N	CA00587126	A	SFY2018-19
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-19 00:00:00	910014421	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-23 00:00:00	2016-12-23 00:00:00	Yes	2018-10-10 00:00:00	2018-10-01 00:00:00	A	None	20000	20000	0	0	20000	None	N2E611	N	CA00515795, CA00515795	B, B	SFY2018-19
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-21 00:00:00	910014426	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-13 00:00:00	2018-03-13 00:00:00	No	2018-10-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8D5G11	N	CA00580421, CA00580655	B, B	SFY2018-19
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-22 00:00:00	910014430	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-08 00:00:00	2018-08-08 00:00:00	No	2018-10-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	VM0Y11	N	None	None	SFY2018-19
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-28 00:00:00	910014432	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-03 00:00:00	2018-07-03 00:00:00	No	2018-10-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CF9X11	N	CA00594451	B	SFY2018-19
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-28 00:00:00	910014446	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-15 00:00:00	2016-03-15 00:00:00	Yes	2018-10-19 00:00:00	2018-10-17 00:00:00	A	A	20000	10000	0	10000	0	None	WGV811	N	CA00581558	B	SFY2018-19
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-28 00:00:00	910014447	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-14 00:00:00	2015-12-14 00:00:00	Yes	2018-10-19 00:00:00	2018-10-17 00:00:00	A	A	20000	10000	0	10000	0	None	WGV811	Y	CA00581558	B	SFY2018-19
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-28 00:00:00	910014449	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-04-16 00:00:00	2016-04-16 00:00:00	No	2018-10-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WGV811	N	CA00581558	B	SFY2018-19
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-09 00:00:00	910014467	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-29 00:00:00	2018-07-29 00:00:00	No	2018-10-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C9P111	N	CA00597624, CA00597624	B, B	SFY2018-19
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-26 00:00:00	910014516	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-06-26 00:00:00	2018-06-26 00:00:00	Yes	2018-11-19 00:00:00	2018-11-13 00:00:00	A	B	20000	10000	0	10000	0	None	MFY511	N	CA00597231, CA00597231, CA00597231	B, B, B	SFY2018-19
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-02 00:00:00	910014547	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-07-29 00:00:00	2018-07-29 00:00:00	Yes	2018-11-28 00:00:00	2018-11-26 00:00:00	A	A	16000	11500	0	11500	0	None	1NYT11	N	CA00598075, CA00598075, CA00598311, CA00598311	A, A, B, B	SFY2018-19
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-02 00:00:00	910014550	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-08 00:00:00	2018-08-08 00:00:00	Yes	2018-11-28 00:00:00	2018-11-21 00:00:00	A	A	20000	11000	0	11000	0	None	RR3T11	N	CA00599071, CA00599071, CA00599071	B, B, B	SFY2018-19
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-21 00:00:00	910014589	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-05 00:00:00	2018-08-05 00:00:00	No	2018-12-14 00:00:00	None	A	None	15000	45000	-15750	29250	0	None	FH3911	N	CA00600920, CA00600920, CA00600920, CA00600920	B, B, B, B	SFY2018-19
910000046	HARBOR POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-30 00:00:00	910014610	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-08 00:00:00	2018-03-08 00:00:00	Yes	2018-12-21 00:00:00	2018-12-03 00:00:00	A	B	20000	10000	0	10000	0	None	RKF111	N	CA00577587	B	SFY2018-19
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-14 00:00:00	910014640	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-09-15 00:00:00	2018-09-15 00:00:00	No	2019-01-07 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	SR9P11	N	CA00604134, CA00604134, CA00604134, CA00604365, CA00604365	A, A, A, A, A	SFY2018-19
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-14 00:00:00	910014648	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2018-09-15 00:00:00	2018-09-15 00:00:00	No	2019-01-07 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	SR9P11	None	CA00604134, CA00604134, CA00604134, CA00604134, CA00604365, CA00604365, CA00604365	A, A, A, A, A, A, A	SFY2018-19
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-13 00:00:00	910014650	Closed	Citation	Citation A (HSC 1424)	Medication	None	2018-10-23 00:00:00	2018-10-23 00:00:00	No	2019-01-04 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	566Z11	N	None	None	SFY2018-19
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-12-19 00:00:00	910014671	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-10-27 00:00:00	2018-10-27 00:00:00	No	2019-01-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	71E611	N	CA00609451, CA00609636, CA00609929, CA00609941, CA00610039, CA00610271	B, A, A, A, B, B	SFY2018-19
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-12-19 00:00:00	910014673	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-11-02 00:00:00	2018-11-02 00:00:00	No	2019-01-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	71E611	N	CA00609451, CA00609929, CA00610039, CA00610271	B, A, B, B	SFY2018-19
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-12-19 00:00:00	910014674	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-11-01 00:00:00	2018-11-01 00:00:00	No	2019-01-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EMLS11	N	CA00610686, CA00610705	A, A	SFY2018-19
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-21 00:00:00	910014679	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-31 00:00:00	2018-10-31 00:00:00	No	2019-01-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3UU411	N	CA00608180, CA00608180, CA00608180	B, B, B	SFY2018-19
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-04 00:00:00	910014699	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-16 00:00:00	2018-10-16 00:00:00	No	2019-01-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	KRST11	N	CA00608434, CA00608434, CA00608465, CA00608465, CA00608644	A, A, A, A, B	SFY2018-19
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-18 00:00:00	910014726	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-07-18 00:00:00	2018-07-18 00:00:00	Yes	2019-02-11 00:00:00	2019-02-08 00:00:00	A	B	15000	9000	0	9000	0	None	EDKC11	Y	CA00592067, CA00601133	B, A	SFY2018-19
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-01-19 00:00:00	910014754	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-10 00:00:00	2018-10-10 00:00:00	Yes	2019-02-11 00:00:00	2019-01-30 00:00:00	B	B	1500	1100	0	1100	0	None	G1UY11	N	CA00609085, CA00609085, CA00609085	B, B, B	SFY2018-19
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-25 00:00:00	910014761	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-01 00:00:00	2016-05-01 00:00:00	No	2019-02-15 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	W9YL11	N	CA00486545	A	SFY2018-19
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-02-14 00:00:00	910014817	Open	Citation	Citation A (HSC 1424)	Patient Record	None	2018-05-11 00:00:00	2018-05-11 00:00:00	No	2019-03-07 00:00:00	None	A	None	20000	20000	0	0	20000	None	VVKS11	N	CA00586965	B	SFY2018-19
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-15 00:00:00	910014824	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-01-16 00:00:00	2018-01-16 00:00:00	No	2019-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	47FJ11	N	CA00612772, CA00612773	B, B	SFY2018-19
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-22 00:00:00	910014827	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-19 00:00:00	2018-08-19 00:00:00	Yes	2019-03-15 00:00:00	2019-03-15 00:00:00	A	A	20000	30000	0	30000	0	None	ZX6D11	Y	CA00605791, CA00605791	B, B	SFY2018-19
910000060	MARYCREST MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-27 00:00:00	910014836	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-07 00:00:00	2018-09-07 00:00:00	Yes	2019-03-20 00:00:00	2019-06-05 00:00:00	A	A	16000	10750	-350	16000	-5600	None	BOXR11	N	CA00603150, CA00603150	A, A	SFY2018-19
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-03-29 00:00:00	910014846	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-08-13 00:00:00	2014-08-13 00:00:00	No	2019-04-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	B4PZ11	N	CA00420815, CA00420815, CA00421924, CA00421924, CA00421924	C, C, B, B, B	SFY2018-19
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-03-01 00:00:00	910014851	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-01-09 00:00:00	2019-01-09 00:00:00	No	2019-03-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	5GMZ12	N	CA00611757	B	SFY2018-19
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-03-14 00:00:00	910014854	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-07 00:00:00	2018-12-07 00:00:00	Yes	2019-04-04 00:00:00	2019-03-19 00:00:00	A	B	16000	5000	0	5000	0	None	OQJ511	N	CA00615926, CA00616577	B, B	SFY2018-19
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-03-05 00:00:00	910014855	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-03 00:00:00	2018-09-03 00:00:00	No	2019-03-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y4V311	N	CA00606259	B	SFY2018-19
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-03-14 00:00:00	910014882	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-13 00:00:00	2018-12-13 00:00:00	No	2019-04-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UPI911	N	None	None	SFY2018-19
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-03-14 00:00:00	910014883	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-17 00:00:00	2018-12-17 00:00:00	No	2019-04-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	U9J911	N	CA00616615	A	SFY2018-19
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-04-02 00:00:00	910014898	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-05 00:00:00	2018-09-05 00:00:00	Yes	2019-04-23 00:00:00	2019-04-23 00:00:00	B	B	2000	1600	-100	1500	0	None	R50L11	N	CA00602832, CA00602832	B, B	SFY2018-19
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-03-21 00:00:00	910014906	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-19 00:00:00	2018-10-19 00:00:00	Yes	2019-04-11 00:00:00	2019-04-02 00:00:00	A	A	20000	43000	0	43000	0	None	PE1511	Y	CA00608808, CA00612911	A, B	SFY2018-19
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-03-27 00:00:00	910014921	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-02-08 00:00:00	2019-02-08 00:00:00	No	2019-04-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7L5111	N	None	None	SFY2018-19
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-03-27 00:00:00	910014922	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-01-12 00:00:00	2019-01-12 00:00:00	No	2019-04-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7L5111	N	None	None	SFY2018-19
970000127	BURLINGTON CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-04-15 00:00:00	910014940	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2019-05-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	EMN011	N	CA00578683	A	SFY2018-19
910000006	OCEAN POINTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-04-18 00:00:00	910014957	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-12 00:00:00	2019-01-12 00:00:00	No	2019-05-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	2ICT11	N	CA00620730, CA00621323	B, B	SFY2018-19
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-05-10 00:00:00	910015001	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2019-02-18 00:00:00	2019-02-18 00:00:00	Yes	2019-05-31 00:00:00	2019-05-21 00:00:00	A	B	20000	20000	0	4767.88	15232.12	None	ZZYT11	N	CA00625150	A	SFY2018-19
940000062	ALAMITOS BELMONT HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-05-03 00:00:00	910015035	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-01 00:00:00	2018-02-01 00:00:00	Yes	2019-05-24 00:00:00	2019-05-10 00:00:00	A	A	20000	13500	0	13500	0	None	NOBZ11	N	CA00615161, CA00615161	B, B	SFY2018-19
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-05-09 00:00:00	910015050	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-03-19 00:00:00	2019-03-19 00:00:00	No	2019-05-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0LP011	N	None	None	SFY2018-19
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-05-09 00:00:00	910015052	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-19 00:00:00	2019-03-19 00:00:00	No	2019-05-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0LP011	N	None	None	SFY2018-19
940000100	HARBOR VIEW BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-05-10 00:00:00	910015063	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-30 00:00:00	2018-08-30 00:00:00	No	2019-05-31 00:00:00	None	B	None	2000	2100	0	2100	0	None	3L5411	N	CA00628383	B	SFY2018-19
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-05-15 00:00:00	910015069	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-01-25 00:00:00	2019-01-25 00:00:00	No	2019-06-05 00:00:00	None	A	None	20000	20000	0	20000	0	None	AYEK11	N	CA00624506, CA00624506	B, B	SFY2018-19
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-05-16 00:00:00	910015077	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-14 00:00:00	2019-02-14 00:00:00	No	2019-06-06 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	04OT11	N	CA00625145	B	SFY2018-19
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-18 00:00:00	910015087	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-26 00:00:00	2017-06-26 00:00:00	No	2019-07-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZH0U11	N	CA00541433	B	SFY2018-19
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-05-30 00:00:00	910015118	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-22 00:00:00	2019-02-22 00:00:00	No	2019-06-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	72V111	N	CA00627070	A	SFY2018-19
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-07 00:00:00	910015129	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-08 00:00:00	2019-03-08 00:00:00	No	2019-06-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	HTRC11	N	None	None	SFY2018-19
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-07 00:00:00	910015130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-17 00:00:00	2019-04-17 00:00:00	No	2019-06-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	HTRC11	N	None	None	SFY2018-19
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-13 00:00:00	910015140	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-08 00:00:00	2019-03-08 00:00:00	No	2019-07-04 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	2DFM11	N	CA00628676, CA00628676	A, A	SFY2018-19
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-13 00:00:00	910015155	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-04-27 00:00:00	2019-04-27 00:00:00	No	2019-07-04 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	95J111	N	CA00628861	A	SFY2018-19
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-13 00:00:00	910015158	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-27 00:00:00	2019-04-27 00:00:00	No	2019-07-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	95J111	N	CA00628861	A	SFY2018-19
970000052	ST. ANDREWS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-14 00:00:00	910015161	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-08-31 00:00:00	2018-08-31 00:00:00	No	2019-07-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MYW111	N	None	None	SFY2018-19
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-14 00:00:00	910015162	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-20 00:00:00	2018-11-20 00:00:00	Yes	2019-07-05 00:00:00	2019-07-02 00:00:00	A	None	20000	20000	0	0	20000	None	NFXP11	N	CA00620556	A	SFY2018-19
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-14 00:00:00	910015163	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-12 00:00:00	2018-12-12 00:00:00	No	2019-07-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8BTJ11	Y	CA00629057, CA00629057, CA00629057	B, B, B	SFY2018-19
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-21 00:00:00	910015175	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-03-05 00:00:00	2019-03-05 00:00:00	Yes	2019-07-12 00:00:00	2019-07-16 00:00:00	A	B	20000	16500	0	16500	0	None	0F5411	N	CA00630495	B	SFY2018-19
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-21 00:00:00	910015180	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-03-27 00:00:00	2019-03-27 00:00:00	No	2019-07-12 00:00:00	None	A	None	20000	60000	0	60000	0	None	GMDL11	N	None	None	SFY2018-19
940000101	LONG BEACH POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-21 00:00:00	910015181	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-10-15 00:00:00	2013-10-15 00:00:00	No	2019-07-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PYJ611	N	CA00375159	C	SFY2018-19
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-07-03 00:00:00	910015182	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-23 00:00:00	2019-05-23 00:00:00	No	2019-07-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	6O8X11	N	CA00639074	A	SFY2019-20
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-27 00:00:00	910015204	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-20 00:00:00	2018-12-20 00:00:00	Yes	2019-07-18 00:00:00	2019-07-02 00:00:00	A	A	20000	14000	0	14000	0	None	GY0U11	N	None	None	SFY2018-19
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-27 00:00:00	910015205	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-25 00:00:00	2019-03-25 00:00:00	No	2019-07-18 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	0UUL11	N	CA00630956, CA00630956	B, B	SFY2018-19
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-28 00:00:00	910015209	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-30 00:00:00	2019-03-30 00:00:00	No	2019-07-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	NP6211	N	CA00631117, CA00631117, CA00631117, CA00632717, CA00632717	B, B, B, B, B	SFY2018-19
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-07-10 00:00:00	910015217	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-17 00:00:00	2018-10-17 00:00:00	No	2019-07-31 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	7PBE11	N	None	None	SFY2019-20
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-07-05 00:00:00	910015219	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2019-04-05 00:00:00	2019-04-05 00:00:00	No	2019-07-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	J8DF11	N	CA00632035	A	SFY2019-20
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-07-12 00:00:00	910015229	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-04-26 00:00:00	2019-04-26 00:00:00	No	2019-08-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	EDI711	N	CA00635309	A	SFY2019-20
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-07-18 00:00:00	910015235	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-04-11 00:00:00	2019-04-11 00:00:00	No	2019-08-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	F7D011	N	CA00634410	B	SFY2019-20
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-07-25 00:00:00	910015240	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-04-26 00:00:00	2019-04-26 00:00:00	No	2019-08-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	63KX11	N	CA00635838	B	SFY2019-20
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-08 00:00:00	910015287	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-29 00:00:00	2019-06-29 00:00:00	No	2019-08-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	LLGW11	N	None	None	SFY2019-20
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-14 00:00:00	910015290	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-05-16 00:00:00	2019-05-16 00:00:00	No	2019-09-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	X01X11	N	CA00638126	A	SFY2019-20
930000436	PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-16 00:00:00	910015317	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-27 00:00:00	2019-06-27 00:00:00	No	2019-09-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	JOPE11	N	None	None	SFY2019-20
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-15 00:00:00	910015318	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-17 00:00:00	2019-05-17 00:00:00	No	2019-09-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	MJEE11	N	CA00638383, CA00638657	A, B	SFY2019-20
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-23 00:00:00	910015324	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-17 00:00:00	2019-05-17 00:00:00	No	2019-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	987H11	N	CA00640495, CA00640495, CA00641560, CA00641560	B, B, B, B	SFY2019-20
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-30 00:00:00	910015326	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-05-31 00:00:00	2019-05-31 00:00:00	No	2019-09-20 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	RKXQ11	N	CA00640154, CA00640154, CA00640154, CA00640154	B, B, B, B	SFY2019-20
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-22 00:00:00	910015340	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-30 00:00:00	2019-05-30 00:00:00	No	2019-09-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	JKZE11	N	CA00639842	B	SFY2019-20
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-06 00:00:00	910015365	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-22 00:00:00	2019-02-22 00:00:00	No	2019-09-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	MQS811	N	CA00641274, CA00641274	B, B	SFY2019-20
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-05 00:00:00	910015370	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-11 00:00:00	2019-06-11 00:00:00	No	2019-09-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CR8C11	N	CA00640932, CA00640932, CA00640932	A, A, A	SFY2019-20
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-13 00:00:00	910015383	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-04-09 00:00:00	2019-04-09 00:00:00	Yes	2019-10-04 00:00:00	2019-10-03 00:00:00	A	A	20000	15000	0	15000	0	None	O6IF11	N	CA00635698	B	SFY2019-20
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-12 00:00:00	910015384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-28 00:00:00	2019-05-28 00:00:00	No	2019-10-03 00:00:00	None	B	None	2000	2200	-700	1500	0	None	563X11	N	CA00641635, CA00641635, CA00641635	B, B, B	SFY2019-20
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-20 00:00:00	910015402	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-02 00:00:00	2019-05-02 00:00:00	No	2019-10-11 00:00:00	None	B	None	2000	2100	-700	1400	0	None	63W111	N	CA00643017, CA00643017	A, A	SFY2019-20
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-20 00:00:00	910015405	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-08-09 00:00:00	2019-08-09 00:00:00	No	2019-10-11 00:00:00	None	B	None	1500	1500	-525	975	0	None	M7NQ11	N	None	None	SFY2019-20
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-27 00:00:00	910015416	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2019-07-03 00:00:00	2019-07-03 00:00:00	Yes	2019-10-18 00:00:00	2019-10-10 00:00:00	A	None	20000	60000	0	0	60000	None	AYG511	N	CA00644543	B	SFY2019-20
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-27 00:00:00	910015417	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2019-07-17 00:00:00	2019-07-17 00:00:00	No	2019-10-18 00:00:00	None	WF	None	2000	2000	0	2000	0	None	AYG511	None	None	None	SFY2019-20
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-03 00:00:00	910015430	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-03-28 00:00:00	2019-03-28 00:00:00	No	2019-10-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BV6E11	N	CA00630883	A	SFY2019-20
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-04 00:00:00	910015435	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-21 00:00:00	2019-06-21 00:00:00	Yes	2019-10-25 00:00:00	2019-11-01 00:00:00	A	A	20000	16500	0	16500	0	None	MUDQ11	N	CA00642979, CA00645330	B, B	SFY2019-20
940000076	GRANADA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-09 00:00:00	910015445	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-24 00:00:00	2019-08-24 00:00:00	No	2019-10-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	BH9T11	N	None	None	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-10 00:00:00	910015450	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2019-06-24 00:00:00	2019-06-24 00:00:00	Yes	2019-10-31 00:00:00	2019-10-31 00:00:00	A	A	20000	10250	0	10250	0	None	V8M411	N	CA00645756, CA00645756	A, A	SFY2019-20
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-16 00:00:00	910015461	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-05 00:00:00	2019-04-05 00:00:00	No	2019-11-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	23R511	N	CA00632595, CA00632595, CA00632595, CA00632595	A, A, A, A	SFY2019-20
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-17 00:00:00	910015465	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-21 00:00:00	2019-07-21 00:00:00	No	2019-11-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	H4UF11	N	CA00647116, CA00647116	B, B	SFY2019-20
910000041	IMPERIAL CREST HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-23 00:00:00	910015471	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-25 00:00:00	2019-07-25 00:00:00	No	2019-11-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	715L11	N	CA00647599	A	SFY2019-20
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-23 00:00:00	910015473	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2019-07-17 00:00:00	2019-07-17 00:00:00	Yes	2019-11-13 00:00:00	2019-11-01 00:00:00	AA	A	100000	20000	0	0	20000	None	256D11	Y	CA00646560, CA00646945, CA00646945, CA00648213, CA00648213	B, A, A, A, A	SFY2019-20
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-24 00:00:00	910015476	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-29 00:00:00	2019-05-29 00:00:00	No	2019-11-14 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	B04611	N	CA00639851	B	SFY2019-20
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-24 00:00:00	910015479	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-10 00:00:00	2019-06-10 00:00:00	No	2019-11-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	Y9NC11	N	CA00648151, CA00648151, CA00648151	A, A, A	SFY2019-20
910000055	LOMITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-24 00:00:00	910015480	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-14 00:00:00	2019-09-14 00:00:00	No	2019-11-14 00:00:00	None	B	None	1500	1500	0	1500	0	None	EHBB11	N	None	None	SFY2019-20
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-25 00:00:00	910015484	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-07-26 00:00:00	2019-07-26 00:00:00	Yes	2019-11-15 00:00:00	2019-11-01 00:00:00	A	A	20000	16500	0	16500	0	None	7PZI11	N	CA00648232, CA00650524, CA00650524	A, B, B	SFY2019-20
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-30 00:00:00	910015486	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-29 00:00:00	2019-05-29 00:00:00	No	2019-11-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	3POG11	N	CA00639602	B	SFY2019-20
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-25 00:00:00	910015487	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2019-07-26 00:00:00	2019-07-26 00:00:00	Yes	2019-11-15 00:00:00	2019-11-01 00:00:00	WF	WMF>$1000	2000	1750	0	1750	0	None	7PZI11	None	CA00648232, CA00648232, CA00650524, CA00650524, CA00650524	A, A, B, B, B	SFY2019-20
910000054	LITTLE SISTERS OF THE POOR	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-30 00:00:00	910015498	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-12 00:00:00	2018-12-12 00:00:00	No	2019-11-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	GVLQ11	N	CA00648666, CA00648666, CA00648666, CA00648666, CA00648666	B, B, B, B, B	SFY2019-20
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-31 00:00:00	910015504	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-03-24 00:00:00	2014-03-24 00:00:00	No	2019-11-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	BB3I11	N	CA00393250	E	SFY2019-20
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-05 00:00:00	910015512	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-21 00:00:00	2019-09-21 00:00:00	No	2019-11-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	VON711	N	None	None	SFY2019-20
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-05 00:00:00	910015514	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-30 00:00:00	2019-04-30 00:00:00	No	2019-11-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	VON711	N	None	None	SFY2019-20
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-07 00:00:00	910015521	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-21 00:00:00	2018-12-21 00:00:00	No	2019-11-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9H6911	N	CA00617169, CA00617169	B, B	SFY2019-20
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-08 00:00:00	910015524	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-01 00:00:00	2018-05-01 00:00:00	Yes	2019-11-29 00:00:00	2019-12-03 00:00:00	B	B	2000	1700	0	1700	0	None	8W9711	N	CA00585196, CA00585196	B, B	SFY2019-20
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-08 00:00:00	910015525	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-05-14 00:00:00	2019-05-14 00:00:00	Yes	2019-11-29 00:00:00	2019-11-15 00:00:00	A	B	20000	15000	0	15000	0	None	C8JQ11	N	CA00650595, CA00650595, CA00650595	A, A, A	SFY2019-20
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-08 00:00:00	910015526	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-02 00:00:00	2019-09-02 00:00:00	Yes	2019-12-04 00:00:00	2019-11-27 00:00:00	A	A	20000	13000	0	13000	0	None	WK1E11	Y	CA00653053, CA00653053, CA00653053, CA00653053	A, A, A, A	SFY2019-20
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-14 00:00:00	910015535	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-08-08 00:00:00	2019-08-08 00:00:00	Yes	2019-12-05 00:00:00	2019-12-15 00:00:00	A	A	20000	12000	0	12000	0	None	BMSM11	N	CA00650645, CA00651001, CA00651001	A, B, B	SFY2019-20
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-15 00:00:00	910015539	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-05 00:00:00	2019-08-05 00:00:00	No	2019-12-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OKEU11	N	CA00651050, CA00651050	A, A	SFY2019-20
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-27 00:00:00	910015553	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-17 00:00:00	2019-08-17 00:00:00	Yes	2019-12-18 00:00:00	2019-12-03 00:00:00	B	None	2000	2000	0	0	2000	None	06LD11	N	CA00652677	A	SFY2019-20
930001463	TORRANCE MEMORIAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-27 00:00:00	910015561	Closed	Citation	Citation B (HSC 1424)	Other	Posting of Rating	2019-10-19 00:00:00	2019-10-19 00:00:00	No	2019-12-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	N02W11	N	None	None	SFY2019-20
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-06 00:00:00	910015596	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-29 00:00:00	2019-07-29 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	U0VX11	N	CA00648454	A	SFY2019-20
940000100	HARBOR VIEW BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-06 00:00:00	910015597	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-15 00:00:00	2019-07-15 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	2TQW11	N	CA00646060	B	SFY2019-20
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-06 00:00:00	910015599	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-06 00:00:00	2019-09-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2300	-700	1600	0	None	VEOP11	N	CA00655226, CA00655226	A, A	SFY2019-20
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-06 00:00:00	910015600	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-09 00:00:00	2019-09-09 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2300	-700	1600	0	None	VEOP11	N	CA00654289	A	SFY2019-20
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-06 00:00:00	910015601	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-06 00:00:00	2019-09-06 00:00:00	No	2019-12-27 00:00:00	None	B	None	2000	2300	-700	1600	0	None	VEOP11	N	CA00656051, CA00656051	A, A	SFY2019-20
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-19 00:00:00	910015622	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-16 00:00:00	2019-10-16 00:00:00	No	2020-01-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	I1D611	N	CA00659922	B	SFY2019-20
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-20 00:00:00	910015626	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-10-11 00:00:00	2019-10-11 00:00:00	No	2020-01-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	14ME11	N	CA00417072, CA00417116, CA00417273	B, B, B	SFY2019-20
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-26 00:00:00	910015636	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-04 00:00:00	2019-08-04 00:00:00	No	2020-01-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	FBKD11	N	CA00649377	B	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-27 00:00:00	910015637	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-28 00:00:00	2019-09-28 00:00:00	No	2020-01-17 00:00:00	None	A	None	20000	20100	0	20100	0	None	KS2P11	N	CA00657162	A	SFY2019-20
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-26 00:00:00	910015638	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-28 00:00:00	2019-09-28 00:00:00	Yes	2020-01-16 00:00:00	2019-12-31 00:00:00	A	B	20000	15000	0	15000	0	None	00RN11	N	CA00658017	B	SFY2019-20
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-27 00:00:00	910015640	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-05-13 00:00:00	2019-05-13 00:00:00	No	2020-01-17 00:00:00	None	A	None	20000	20000	0	20000	0	None	ZXC011	N	CA00635391	B	SFY2019-20
910000055	LOMITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-03 00:00:00	910015661	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-13 00:00:00	2019-03-13 00:00:00	No	2020-01-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CQK111	N	CA00659344	A	SFY2019-20
910000055	LOMITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-03 00:00:00	910015665	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-03-13 00:00:00	2019-03-13 00:00:00	No	2020-01-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	CQK111	N	CA00659344, CA00659344, CA00659344, CA00659344	A, A, A, A	SFY2019-20
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-09 00:00:00	910015673	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-07 00:00:00	2019-09-07 00:00:00	No	2020-01-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	14F511	N	CA00653789, CA00653789, CA00658612, CA00658612, CA00658612	B, B, B, B, B	SFY2019-20
940000098	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-10 00:00:00	910015675	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-11 00:00:00	2019-10-11 00:00:00	No	2020-01-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1EIV11	N	CA00657559, CA00657559	B, B	SFY2019-20
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-10 00:00:00	910015678	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-26 00:00:00	2019-11-26 00:00:00	No	2020-01-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4C4B11	N	CA00663897, CA00663897	B, B	SFY2019-20
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-16 00:00:00	910015693	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-26 00:00:00	2019-08-26 00:00:00	Yes	2020-02-06 00:00:00	2020-01-31 00:00:00	B	B	2000	2000	0	2000	0	None	BLVD11	N	CA00652332, CA00652603, CA00654310	A, B, B	SFY2019-20
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-23 00:00:00	910015701	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-21 00:00:00	2019-10-21 00:00:00	No	2020-02-13 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	XYKB11	N	CA00661260	A	SFY2019-20
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-24 00:00:00	910015702	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-17 00:00:00	2019-05-17 00:00:00	Yes	2020-02-14 00:00:00	2020-02-07 00:00:00	B	None	2000	6000	0	0	6000	None	0E0G11	N	CA00652673	A	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-31 00:00:00	910015703	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-06 00:00:00	2019-11-06 00:00:00	Yes	2020-02-21 00:00:00	2020-01-31 00:00:00	B	B	2000	1500	0	1500	0	None	OFP011	N	CA00662590, CA00662590	A, A	SFY2019-20
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-22 00:00:00	910015704	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-30 00:00:00	2019-06-30 00:00:00	No	2020-02-12 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	MKWT11	N	CA00660611, CA00660611	B, B	SFY2019-20
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-31 00:00:00	910015721	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-29 00:00:00	2019-06-29 00:00:00	No	2020-02-21 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	XVS711	N	CA00653637, CA00653637, CA00653637, CA00653637	B, B, B, B	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-31 00:00:00	910015723	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-07-10 00:00:00	2019-07-10 00:00:00	Yes	2020-02-21 00:00:00	2020-01-31 00:00:00	A	A	20000	12000	0	12000	0	None	AGLZ11	Y	CA00653455, CA00653455, CA00653455, CA00653455	B, B, B, B	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-31 00:00:00	910015724	Closed	Citation	Citation Willful Material Omission (HSC 1424(f)(1))	Willful Material Omission	None	2019-11-06 00:00:00	2019-11-06 00:00:00	No	2020-02-21 00:00:00	None	WO	None	6000	6000	0	6000	0	None	OFP011	None	CA00662590, CA00662590	A, A	SFY2019-20
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-07 00:00:00	910015727	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-12-26 00:00:00	2019-12-26 00:00:00	No	2020-03-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	I83H11	N	None	None	SFY2019-20
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-07 00:00:00	910015729	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-09 00:00:00	2019-09-09 00:00:00	No	2020-03-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	I83H11	N	None	None	SFY2019-20
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-12 00:00:00	910015736	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-02 00:00:00	2019-07-02 00:00:00	Yes	2020-03-04 00:00:00	2020-02-28 00:00:00	B	None	2000	2000	0	2000	0	None	25QK11	N	CA00656217, CA00656217	B, B	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-12 00:00:00	910015737	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-17 00:00:00	2019-09-17 00:00:00	Yes	2020-03-04 00:00:00	2020-03-02 00:00:00	A	B	20000	20000	0	20000	0	None	ZVHI11	N	CA00655067	B	SFY2019-20
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-14 00:00:00	910015738	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-30 23:59:00	2019-11-30 23:59:00	No	2020-03-06 00:00:00	None	B	None	2000	2250	-700	1550	0	None	ILXZ11	N	CA00666225	B	SFY2019-20
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-14 00:00:00	910015741	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-12 00:00:00	2020-02-12 00:00:00	No	2020-03-06 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	WPZJ11	N	CA00666982	A	SFY2019-20
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-14 00:00:00	910015747	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-06-19 00:00:00	2018-06-19 00:00:00	No	2020-03-06 00:00:00	None	B	None	2000	6000	0	6000	0	None	4RER11	N	CA00627768	B	SFY2019-20
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-26 00:00:00	910015767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-30 00:00:00	2019-10-30 00:00:00	No	2020-03-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X7Z411	N	CA00661421	B	SFY2019-20
940000097	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-28 00:00:00	910015773	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-28 00:00:00	2019-11-28 00:00:00	Yes	2020-03-20 00:00:00	2020-03-16 00:00:00	A	A	20000	15150	-150	15000	0	None	HSXE11	N	CA00665657, CA00665657	B, B	SFY2019-20
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-05 00:00:00	910015785	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-12 00:00:00	2019-11-12 00:00:00	No	2020-03-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ITQS11	N	CA00665420, CA00665420, CA00665420, CA00666483, CA00666483, CA00668898	A, A, A, A, A, B	SFY2019-20
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-06 00:00:00	910015787	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-08 00:00:00	2019-11-08 00:00:00	No	2020-03-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QD2R11	N	CA00662889, CA00662889, CA00662889	A, A, A	SFY2019-20
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-06 00:00:00	910015788	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-05 00:00:00	2019-11-05 00:00:00	No	2020-03-27 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	BUDG11	N	CA00663629, CA00663629	B, B	SFY2019-20
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-06 00:00:00	910015790	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-11 00:00:00	2019-12-11 00:00:00	No	2020-03-27 00:00:00	None	B	None	2000	2200	-700	1500	0	None	X0XV11	N	CA00667093	A	SFY2019-20
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-12 00:00:00	910015805	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-01-23 00:00:00	2020-01-23 00:00:00	Yes	2020-04-02 00:00:00	2020-04-01 00:00:00	A	None	10000	10000	0	0	10000	None	8HJY11	N	None	None	SFY2019-20
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-13 00:00:00	910015806	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-12-03 00:00:00	2019-12-03 00:00:00	No	2020-04-03 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	N1RE11	Y	CA00665443, CA00665443, CA00667555, CA00667555, CA00667555, CA00667555	A, A, B, B, B, B	SFY2019-20
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-14 00:00:00	910015807	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-19 00:00:00	2019-12-19 00:00:00	No	2020-04-03 00:00:00	None	B	None	2000	2050	-700	1350	0	None	QFCV11	N	CA00668061, CA00668061	A, A	SFY2019-20
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-13 00:00:00	910015810	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-29 00:00:00	2019-11-29 00:00:00	No	2020-04-03 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	855W11	N	CA00665511, CA00665513, CA00668392, CA00670420	B, B, A, B	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-20 00:00:00	910015820	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2019-12-21 00:00:00	2019-12-21 00:00:00	Yes	2020-04-13 00:00:00	2020-04-10 00:00:00	A	B	20000	20000	0	5019.76	14980.24	None	XSQ511	N	CA00668644	A	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-20 00:00:00	910015821	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-12-21 00:00:00	2019-12-21 00:00:00	Yes	2020-04-10 00:00:00	2020-04-17 00:00:00	A	A	20000	12000	0	12000	0	None	XSQ511	N	CA00668644, CA00668644	A, A	SFY2019-20
940000091	PARAMOUNT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-25 00:00:00	910015825	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-09 00:00:00	2020-02-09 00:00:00	No	2020-04-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	KK1111	N	None	None	SFY2019-20
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-27 00:00:00	910015830	Open	Citation	Citation B (HSC 1424)	Other	Infection Control	2020-01-09 00:00:00	2020-01-09 00:00:00	Yes	2020-04-20 00:00:00	2020-04-13 00:00:00	B	None	2000	2300	0	0	2300	None	CY1I11	N	CA00670812, CA00670844	A, A	SFY2019-20
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-27 00:00:00	910015831	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-25 00:00:00	2019-09-25 00:00:00	Yes	2020-04-17 00:00:00	2020-04-01 00:00:00	A	A	20000	14000	0	14000	0	None	ILXG11	N	CA00656919	A	SFY2019-20
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-02 00:00:00	910015832	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-11 00:00:00	2019-11-11 00:00:00	Yes	2020-04-23 00:00:00	2020-04-03 00:00:00	A	A	20000	15000	0	15000	0	None	CMN511	N	CA00664374	B	SFY2019-20
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-03 00:00:00	910015833	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-14 00:00:00	2020-02-14 00:00:00	No	2020-04-24 00:00:00	None	B	None	2000	2300	0	2300	0	None	GHDW11	N	CA00676256	A	SFY2019-20
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-03 00:00:00	910015834	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-10-08 00:00:00	2019-10-08 00:00:00	No	2020-04-24 00:00:00	None	A	None	20000	20200	0	20200	0	None	IL4211	N	CA00659657	B	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-03 00:00:00	910015838	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-12-31 00:00:00	2019-12-31 00:00:00	Yes	2020-04-24 00:00:00	2020-04-17 00:00:00	A	A	10000	8000	0	8000	0	None	TJSF11	N	CA00670238	A	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-03 00:00:00	910015840	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-01-01 00:00:00	2020-01-01 00:00:00	No	2020-04-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	TJSF11	N	CA00670238, CA00670238	A, A	SFY2019-20
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-09 00:00:00	910015841	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-20 00:00:00	2020-02-20 00:00:00	No	2020-04-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MMTC11	N	CA00677308	A	SFY2019-20
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-09 00:00:00	910015842	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-27 00:00:00	2020-02-27 00:00:00	Yes	2020-04-30 00:00:00	2020-04-20 00:00:00	B	None	2000	2000	0	0	2000	None	ZPJO11	N	CA00678267	A	SFY2019-20
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-09 00:00:00	910015843	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-19 00:00:00	2019-11-19 00:00:00	No	2020-04-30 00:00:00	None	B	None	2000	6000	0	6000	0	None	RV2D11	N	CA00663875	B	SFY2019-20
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-09 00:00:00	910015845	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-07 00:00:00	2019-11-07 00:00:00	Yes	2020-04-30 00:00:00	2020-04-13 00:00:00	A	A	20000	16000	0	16000	0	None	Q4M811	N	CA00663720, CA00663720, CA00663832	B, B, B	SFY2019-20
940000043	EDGEWATER SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-10 00:00:00	910015846	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-06 00:00:00	2020-02-06 00:00:00	No	2020-05-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	F4J711	N	None	None	SFY2019-20
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-16 00:00:00	910015850	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-01-15 00:00:00	2020-01-15 00:00:00	No	2020-05-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VWZD11	N	CA00672050, CA00674368, CA00674708	B, B, A	SFY2019-20
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-20 00:00:00	910015852	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-05-04 00:00:00	2019-05-04 00:00:00	No	2020-05-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	XIGU11	N	CA00664445, CA00664445	B, B	SFY2019-20
940000072	MARLORA POST ACUTE REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-24 00:00:00	910015859	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-01-16 00:00:00	2020-01-16 00:00:00	Yes	2020-05-15 00:00:00	2020-05-04 00:00:00	A	A	20000	10150	-150	10000	0	None	RV8311	N	CA00665153	B	SFY2019-20
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-27 00:00:00	910015860	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-03-03 00:00:00	2020-03-03 00:00:00	Yes	2020-05-18 00:00:00	2020-05-04 00:00:00	A	A	20000	8500	0	8500	0	None	3O4F11	N	None	None	SFY2019-20
910000046	HARBOR POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-01 00:00:00	910015867	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-08 00:00:00	2019-12-08 00:00:00	No	2020-05-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	J0LF11	N	None	None	SFY2019-20
910000046	HARBOR POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-01 00:00:00	910015868	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-08 00:00:00	2019-12-08 00:00:00	No	2020-05-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	J0LF11	N	CA00674903, CA00675073	A, B	SFY2019-20
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-01 00:00:00	910015869	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-01 00:00:00	2020-02-01 00:00:00	No	2020-05-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	G9RF11	N	None	None	SFY2019-20
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-01 00:00:00	910015870	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-01 00:00:00	2020-02-01 00:00:00	No	2020-05-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	G9RF11	N	CA00678488, CA00678488, CA00678488, CA00678488, CA00678496	B, B, B, B, B	SFY2019-20
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-01 00:00:00	910015871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-05 00:00:00	2020-02-05 00:00:00	Yes	2020-05-22 00:00:00	2020-05-14 00:00:00	B	B	2000	2150	-550	1600	0	None	Z8K211	N	CA00674320	B	SFY2019-20
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-07 00:00:00	910015873	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-03 00:00:00	2019-12-03 00:00:00	No	2020-05-28 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	9HQZ11	N	CA00663530	B	SFY2019-20
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-07 00:00:00	910015874	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-03-18 00:00:00	2020-03-18 00:00:00	No	2020-05-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	SJNB11	N	CA00681352	A	SFY2019-20
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-07 00:00:00	910015875	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-03-18 00:00:00	2020-03-18 00:00:00	No	2020-05-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SJNB11	N	CA00681352, CA00681352	A, A	SFY2019-20
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-08 00:00:00	910015876	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-04-01 00:00:00	2019-04-01 00:00:00	Yes	2020-05-29 00:00:00	2020-05-15 00:00:00	A	A	20000	20150	-150	20000	0	None	T53P11	N	CA00678255, CA00678255, CA00678255	A, A, A	SFY2019-20
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-08 00:00:00	910015877	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-01 00:00:00	2019-04-01 00:00:00	Yes	2020-05-29 00:00:00	2020-05-15 00:00:00	B	None	2000	2000	0	0	2000	None	T53P11	N	CA00678255, CA00678255, CA00678255, CA00678255	A, A, A, A	SFY2019-20
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-11 00:00:00	910015878	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-11 00:00:00	2020-02-11 00:00:00	No	2020-06-01 00:00:00	None	B	None	2000	6050	0	6050	0	None	K6PW11	N	CA00675342, CA00676493, CA00676493	A, B, B	SFY2019-20
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-15 00:00:00	910015882	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-15 00:00:00	2019-12-15 00:00:00	Yes	2020-06-05 00:00:00	2020-05-21 00:00:00	B	None	2000	6000	0	0	6000	None	PQ4411	N	CA00667890, CA00667986	B, B	SFY2019-20
940000062	ALAMITOS BELMONT HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-15 00:00:00	910015883	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-18 00:00:00	2019-06-18 00:00:00	No	2020-06-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RJC811	N	CA00642768	A	SFY2019-20
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-21 00:00:00	910015885	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-21 00:00:00	2019-12-21 00:00:00	No	2020-06-12 00:00:00	None	B	None	1800	1800	-630	1170	0	None	M3GW11	N	CA00668838	B	SFY2019-20
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-21 00:00:00	910015886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-03 00:00:00	2019-10-03 00:00:00	No	2020-06-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LH3011	N	CA00659151	A	SFY2019-20
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-06-05 00:00:00	910015891	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2020-03-10 00:00:00	2020-03-10 00:00:00	Yes	2020-06-26 00:00:00	2020-06-15 00:00:00	B	None	2000	6000	0	0	6000	None	BT7E11	N	CA00679728, CA00679728, CA00679728	A, A, A	SFY2019-20
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-06-05 00:00:00	910015892	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-03-06 00:00:00	2020-03-06 00:00:00	No	2020-06-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LFKE11	N	CA00679440	A	SFY2019-20
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-06-09 00:00:00	910015894	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2020-03-19 00:00:00	2020-03-19 00:00:00	Yes	2020-06-30 00:00:00	2020-06-24 00:00:00	WF	WMF First	2000	0	0	0	0	None	DPUS11	None	None	None	SFY2019-20
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-06-10 00:00:00	910015895	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-03-19 00:00:00	2020-03-19 00:00:00	Yes	2020-07-01 00:00:00	2020-06-24 00:00:00	A	A	20000	15000	0	15000	0	None	DPUS11	Y	CA00680655, CA00680655, CA00680890, CA00680890	B, B, A, A	SFY2019-20
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-06-11 00:00:00	910015898	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-03-19 00:00:00	2020-03-19 00:00:00	Yes	2020-07-02 00:00:00	2020-06-24 00:00:00	A	B	20000	8000	0	8000	0	None	DPUS11	Y	CA00680655, CA00680655, CA00680890, CA00680890	B, B, A, A	SFY2019-20
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-06-12 00:00:00	910015900	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-03-02 00:00:00	2020-03-02 00:00:00	No	2020-07-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CUYB11	N	CA00679986, CA00679986, CA00680560, CA00680560	A, A, B, B	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-06-19 00:00:00	910015907	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-23 00:00:00	2020-02-23 00:00:00	Yes	2020-07-10 00:00:00	2020-07-10 00:00:00	A	A	20000	12450	0	0	12450	None	EWG011	N	CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614	A, A, A, A, A, B	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-06-19 00:00:00	910015908	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-23 00:00:00	2020-02-23 00:00:00	Yes	2020-07-10 00:00:00	2020-07-14 00:00:00	B	B	2000	1500	0	1500	0	None	EWG011	N	CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614, CA00677614	A, A, A, A, A, A, B, B	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-06-19 00:00:00	910015909	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-23 00:00:00	2020-02-23 00:00:00	Yes	2020-07-10 00:00:00	2020-07-10 00:00:00	A	A	20000	30750	0	0	30750	None	EWG011	N	CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614, CA00677614	A, A, A, A, A, A, B, B	SFY2019-20
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-06-19 00:00:00	910015910	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-16 00:00:00	2019-11-16 00:00:00	Yes	2020-07-10 00:00:00	2020-07-10 00:00:00	A	A	20000	36000	0	0	36000	None	EWG011	N	CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614, CA00677614	A, A, A, A, A, A, B, B	SFY2019-20
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-07-17 00:00:00	910015940	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-04-09 00:00:00	2020-04-09 00:00:00	Yes	2020-08-07 00:00:00	2020-07-22 00:00:00	B	None	2000	2000	0	0	2000	None	G5DX11	N	CA00684398	A	SFY2020-21
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-07-23 00:00:00	910015947	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-04 00:00:00	2019-11-04 00:00:00	No	2020-08-13 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	1YWG11	N	CA00662622, CA00662622	B, B	SFY2020-21
940000073	HUNTINGTON PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-07-23 00:00:00	910015948	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-12-20 00:00:00	2019-12-20 00:00:00	No	2020-08-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1ZWO11	N	CA00668696	A	SFY2020-21
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-07-24 00:00:00	910015949	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-11 00:00:00	2020-05-11 00:00:00	No	2020-08-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3CKM11	N	CA00688203	B	SFY2020-21
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-08-04 00:00:00	910015951	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-07 00:00:00	2020-02-07 00:00:00	Yes	2020-08-25 00:00:00	2020-08-17 00:00:00	B	B	2000	2400	-400	2000	0	None	BPAK11	N	CA00675457, CA00675457, CA00677340, CA00677340, CA00677340, CA00677340	B, B, A, A, A, A	SFY2020-21
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-07-27 00:00:00	910015952	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-21 00:00:00	2019-11-21 00:00:00	Yes	2020-08-17 00:00:00	2020-08-03 00:00:00	A	B	20000	17500	0	17500	0	None	KRRK11	N	None	None	SFY2020-21
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-08-04 00:00:00	910015965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-04-20 00:00:00	2020-04-20 00:00:00	Yes	2020-08-25 00:00:00	2020-08-14 00:00:00	B	B	2000	1800	0	1800	0	None	FSU811	N	CA00688273	B	SFY2020-21
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-08-13 00:00:00	910015974	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-01 00:00:00	2020-05-01 00:00:00	Yes	2020-09-03 00:00:00	2020-09-02 00:00:00	A	A	20000	40000	0	40000	0	None	RVP511	N	CA00690959, CA00690959, CA00690959, CA00690959, CA00690959	A, A, A, A, A	SFY2020-21
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-08-14 00:00:00	910015978	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-06 00:00:00	2020-05-06 00:00:00	No	2020-09-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BGLJ11	N	CA00689237, CA00689237, CA00689273, CA00689273	A, A, A, A	SFY2020-21
910000055	LOMITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-08-14 00:00:00	910015980	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2020-02-13 00:00:00	2020-02-13 00:00:00	Yes	2020-09-04 00:00:00	2020-09-03 00:00:00	AA	A	100000	40000	0	40000	0	None	I59Q11	Y	CA00680615, CA00680615, CA00680615	A, A, A	SFY2020-21
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-08-21 00:00:00	910015991	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-03-30 00:00:00	2020-03-30 00:00:00	No	2020-09-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	X66B11	N	CA00683676, CA00683676	A, A	SFY2020-21
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-08-21 00:00:00	910015993	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2019-12-10 00:00:00	2019-12-10 00:00:00	No	2020-09-14 00:00:00	None	WF	None	2500	2500	-875	1625	0	None	IW2911	None	CA00686230, CA00686230	A, A	SFY2020-21
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-03 00:00:00	910016018	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-11 00:00:00	2019-09-11 00:00:00	Yes	2020-09-25 00:00:00	2020-09-15 00:00:00	B	None	2000	2000	0	0	2000	None	P36711	N	CA00654579	A	SFY2020-21
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-09 00:00:00	910016028	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-03-13 00:00:00	2020-03-13 00:00:00	No	2020-09-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	1D2T11	N	CA00682083	B	SFY2020-21
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-11 00:00:00	910016032	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-21 00:00:00	2020-06-21 00:00:00	No	2020-10-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	V19811	N	CA00693565, CA00693565, CA00693733	A, A, A	SFY2020-21
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-23 00:00:00	910016045	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-22 00:00:00	2020-05-22 00:00:00	Yes	2020-10-14 00:00:00	2020-09-29 00:00:00	A	A	20000	45000	0	45000	0	None	KRPX11	N	CA00690520, CA00690520	B, B	SFY2020-21
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-24 00:00:00	910016046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-29 00:00:00	2019-11-29 00:00:00	No	2020-10-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	H7I611	N	CA00665630	B	SFY2020-21
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-23 00:00:00	910016047	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-30 00:00:00	2019-10-30 00:00:00	No	2020-10-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HNOP11	N	CA00660208, CA00660208	B, B	SFY2020-21
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-24 00:00:00	910016056	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-28 00:00:00	2019-11-28 00:00:00	Yes	2020-10-15 00:00:00	2020-10-07 00:00:00	A	A	20000	15000	0	15000	0	None	B4JN11	N	CA00665578	B	SFY2020-21
910000054	LITTLE SISTERS OF THE POOR	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-24 00:00:00	910016058	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-24 00:00:00	2018-11-24 00:00:00	No	2020-10-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RU9W11	N	CA00680591, CA00680591, CA00680591, CA00680591	B, B, B, B	SFY2020-21
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-25 00:00:00	910016062	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-13 00:00:00	2019-11-13 00:00:00	No	2020-10-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7LHS11	N	CA00694556, CA00694556	A, A	SFY2020-21
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-25 00:00:00	910016063	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-16 00:00:00	2019-02-16 00:00:00	No	2020-10-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	F6PC11	N	CA00625390	B	SFY2020-21
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-28 00:00:00	910016065	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-19 00:00:00	2019-06-19 00:00:00	Yes	2020-10-19 00:00:00	2020-10-16 00:00:00	A	B	20000	17500	0	17500	0	None	YZIC11	Y	CA00693508, CA00693508, CA00696234, CA00696234	B, B, A, A	SFY2020-21
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-28 00:00:00	910016066	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-03 00:00:00	2020-02-03 00:00:00	Yes	2020-10-19 00:00:00	2020-10-06 00:00:00	A	A	20000	15000	0	15000	0	None	5KRQ11	Y	CA00694624, CA00694624, CA00694624, CA00694624, CA00694624	A, A, A, A, A	SFY2020-21
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-02 00:00:00	910016077	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-10 00:00:00	2020-05-10 00:00:00	Yes	2020-10-23 00:00:00	2020-10-05 00:00:00	A	B	20000	20000	0	20000	0	None	IXQI11	N	CA00688725, CA00688725	B, B	SFY2020-21
940000097	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-09 00:00:00	910016083	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-02-09 00:00:00	2015-02-09 00:00:00	No	2020-10-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	GE2911	N	CA00428784	B	SFY2020-21
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-16 00:00:00	910016100	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-27 00:00:00	2020-08-27 00:00:00	Yes	2020-11-06 00:00:00	2020-11-06 00:00:00	B	None	2000	2250	0	0	2250	None	T6FB11	N	CA00702320	A	SFY2020-21
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-16 00:00:00	910016103	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-25 00:00:00	2019-06-25 00:00:00	Yes	2020-11-06 00:00:00	2020-11-06 00:00:00	A	B	20000	15250	-250	15000	0	None	T6FB11	Y	CA00702320	A	SFY2020-21
940000010	BEL VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-22 00:00:00	910016110	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-05-16 00:00:00	2016-05-16 00:00:00	No	2020-11-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WTCV11	N	CA00692522	A	SFY2020-21
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-22 00:00:00	910016111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-27 00:00:00	2019-03-27 00:00:00	No	2020-11-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HY7L11	N	CA00630688	A	SFY2020-21
910000091	TORRANCE CARE CENTER WEST, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-22 00:00:00	910016112	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-24 00:00:00	2020-07-24 00:00:00	No	2020-11-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NDCH11	N	CA00698799, CA00698799, CA00698799	A, A, A	SFY2020-21
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-23 00:00:00	910016113	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-08-20 00:00:00	2019-08-20 00:00:00	No	2020-11-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	KYF111	N	CA00654306, CA00654783, CA00654894, CA00654898	B, A, A, B	SFY2020-21
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-23 00:00:00	910016114	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-20 00:00:00	2019-08-20 00:00:00	No	2020-11-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KYF111	N	CA00654306, CA00654306, CA00654783, CA00654783, CA00654894, CA00654894, CA00654898, CA00654898	B, B, A, A, A, A, B, B	SFY2020-21
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-29 00:00:00	910016119	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-07-26 00:00:00	2020-07-26 00:00:00	No	2020-11-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	T2KB11	N	CA00699236, CA00699236, CA00699236	B, B, B	SFY2020-21
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-30 00:00:00	910016120	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-09-01 00:00:00	2020-09-01 00:00:00	No	2020-11-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NTUC11	N	CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184	B, B, B, B, B, B, B	SFY2020-21
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-29 00:00:00	910016121	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-08-03 00:00:00	2020-08-03 00:00:00	No	2020-11-20 00:00:00	None	B	None	2000	2000	0	0	2000	None	7Y0711	N	CA00699657, CA00699659, CA00699932	B, B, B	SFY2020-21
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-30 00:00:00	910016122	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-22 00:00:00	2020-08-22 00:00:00	No	2020-11-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NTUC11	N	CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184	B, B, B, B, B, B, B, B	SFY2020-21
940000044	EL RANCHO VISTA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-11-03 00:00:00	910016134	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-11 00:00:00	2020-06-11 00:00:00	No	2020-11-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8I7V11	N	CA00692277, CA00692277	B, B	SFY2020-21
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-11-04 00:00:00	910016137	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-26 00:00:00	2020-05-26 00:00:00	No	2020-11-30 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	IFXB11	N	CA00690453	B	SFY2020-21
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-11-12 00:00:00	910016149	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-22 00:00:00	2020-08-22 00:00:00	No	2020-12-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CTIQ11	N	CA00701214, CA00701214	B, B	SFY2020-21
940000020	COSTA DEL SOL HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-11-12 00:00:00	910016150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-26 00:00:00	2019-07-26 00:00:00	No	2020-12-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IDCI11	N	CA00648008	A	SFY2020-21
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-11-18 00:00:00	910016151	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-22 00:00:00	2020-02-22 00:00:00	No	2020-12-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	BJ2S11	N	CA00677690	A	SFY2020-21
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-11-18 00:00:00	910016160	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-24 00:00:00	2020-08-24 00:00:00	No	2020-12-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	42W211	N	CA00702887	B	SFY2020-21
910000060	MARYCREST MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-11-19 00:00:00	910016161	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-03-08 00:00:00	2020-03-08 00:00:00	No	2020-12-14 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	S0N711	N	CA00680018	B	SFY2020-21
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-02 00:00:00	910016176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-08 00:00:00	2018-04-08 00:00:00	No	2020-12-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	V3UX11	N	CA00581890	B	SFY2020-21
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-03 00:00:00	910016177	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-06 00:00:00	2020-10-06 00:00:00	No	2020-12-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9LWX11	N	CA00707182, CA00707182	B, B	SFY2020-21
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-04 00:00:00	910016184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-09-23 00:00:00	2020-09-23 00:00:00	No	2020-12-28 00:00:00	None	B	None	2000	2300	0	2300	0	None	PI1T11	N	CA00707798	A	SFY2020-21
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-04 00:00:00	910016185	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-09-10 00:00:00	2020-09-10 00:00:00	No	2020-12-28 00:00:00	None	A	None	20000	20000	0	20000	0	None	L3I311	Y	CA00704763, CA00704763	A, A	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-11 00:00:00	910016193	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-30 00:00:00	2020-06-30 00:00:00	No	2021-01-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	0NCS11	N	CA00705109, CA00705109	A, A	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-11 00:00:00	910016194	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2020-06-30 00:00:00	2020-06-30 00:00:00	No	2021-01-05 00:00:00	None	WF	None	2000	2000	0	2000	0	None	0NCS11	None	CA00705109, CA00705109, CA00705109	A, A, A	SFY2020-21
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-16 00:00:00	910016196	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-13 00:00:00	2020-07-13 00:00:00	No	2021-01-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M9SS11	N	CA00709215, CA00709215, CA00709215	B, B, B	SFY2020-21
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-16 00:00:00	910016197	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-16 00:00:00	2019-09-16 00:00:00	Yes	2021-01-08 00:00:00	2021-01-07 00:00:00	B	None	2000	2100	0	0	2100	None	DRXI11	N	CA00654995, CA00654995	A, A	SFY2020-21
940000069	BROOKFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-24 00:00:00	910016214	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-09-23 00:00:00	2020-09-23 00:00:00	No	2021-01-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	BEWE11	N	CA00706557	B	SFY2020-21
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-24 00:00:00	910016217	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-09-24 00:00:00	2020-09-24 00:00:00	No	2021-01-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9RDC11	N	CA00706712	B	SFY2020-21
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-31 00:00:00	910016222	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-09 00:00:00	2020-06-09 00:00:00	No	2021-01-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	BFU111	N	CA00707893, CA00707893	B, B	SFY2020-21
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-01-08 00:00:00	910016231	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2020-09-01 00:00:00	2020-09-01 00:00:00	Yes	2021-02-01 00:00:00	2021-01-15 00:00:00	AA	AA	100000	70750	-750	70000	0	None	F04E11	Y	CA00711980, CA00711980	A, A	SFY2020-21
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-01-07 00:00:00	910016232	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-07-06 00:00:00	2020-07-06 00:00:00	No	2021-01-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WRW411	N	CA00695788, CA00695788	B, B	SFY2020-21
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-01-13 00:00:00	910016238	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-22 00:00:00	2020-10-22 00:00:00	No	2021-02-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	SQCO11	N	CA00709714	B	SFY2020-21
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-01-14 00:00:00	910016241	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-09-01 00:00:00	2020-09-01 00:00:00	Yes	2021-02-05 00:00:00	2021-01-15 00:00:00	B	B	2000	2250	-450	1800	0	None	F04E11	Y	CA00711980, CA00711980	A, A	SFY2020-21
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-01-21 00:00:00	910016247	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-07-28 00:00:00	2020-07-28 00:00:00	No	2021-02-11 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	CGN911	N	CA00699255, CA00699255	A, A	SFY2020-21
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-01-27 00:00:00	910016253	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-21 00:00:00	2020-10-21 00:00:00	No	2021-02-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	T0OJ11	N	None	None	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-02-04 00:00:00	910016265	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-09 00:00:00	2020-11-09 00:00:00	No	2021-02-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QT4X11	N	CA00712165, CA00712165	B, B	SFY2020-21
910000046	HARBOR POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-02-11 00:00:00	910016279	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-01-10 00:00:00	2020-01-10 00:00:00	Yes	2021-03-05 00:00:00	2021-02-12 00:00:00	A	B	20000	20000	0	20000	0	None	1RH811	Y	CA00705431, CA00705431, CA00705431	B, B, B	SFY2020-21
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-02-12 00:00:00	910016283	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-22 00:00:00	2020-11-22 00:00:00	No	2021-03-08 00:00:00	None	A	A	20000	15000	0	15000	0	None	EGVZ11	N	CA00713691, CA00713691, CA00713691, CA00714547	A, A, A, A	SFY2020-21
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-02-26 00:00:00	910016312	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-23 00:00:00	2020-12-23 00:00:00	Yes	2021-03-19 00:00:00	2021-03-12 00:00:00	A	B	12000	12100	-100	12000	0	None	D9I811	Y	None	None	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-05 00:00:00	910016326	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-09 00:00:00	2020-12-09 00:00:00	No	2021-03-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	6KVO11	Y	CA00715583, CA00715583, CA00715588, CA00715597, CA00715694, CA00715716, CA00716027, CA00716027, CA00716071	B, B, B, B, B, B, B, B, A	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-05 00:00:00	910016327	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2020-12-09 00:00:00	2020-12-09 00:00:00	Yes	2021-03-26 00:00:00	2021-03-26 00:00:00	AA	A	100000	30000	0	30000	0	None	6KVO11	Y	CA00715583, CA00715583, CA00715588, CA00715597, CA00715694, CA00715716, CA00716027, CA00716027, CA00716071	B, B, B, B, B, B, B, B, A	SFY2020-21
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-05 00:00:00	910016329	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-31 00:00:00	2020-12-31 00:00:00	No	2021-03-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TXFB11	N	CA00719297	A	SFY2020-21
910000091	TORRANCE CARE CENTER WEST, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-12 00:00:00	910016340	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-14 00:00:00	2021-01-14 00:00:00	No	2021-04-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	G7LZ11	N	CA00721592	A	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-18 00:00:00	910016341	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-09-01 00:00:00	2020-09-01 00:00:00	No	2021-04-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	RR9711	N	CA00707125	B	SFY2020-21
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-17 00:00:00	910016359	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2020-12-28 00:00:00	2020-12-28 00:00:00	No	2021-04-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	9DQP11	N	CA00719341	A	SFY2020-21
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-17 00:00:00	910016363	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-11 00:00:00	2020-12-11 00:00:00	No	2021-04-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	0M0L11	N	CA00716544	A	SFY2020-21
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-24 00:00:00	910016373	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-28 00:00:00	2020-10-28 00:00:00	No	2021-04-15 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	LSQC11	N	CA00711135	B	SFY2020-21
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-25 00:00:00	910016374	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-26 00:00:00	2020-10-26 00:00:00	No	2021-04-16 00:00:00	None	B	None	2000	6500	0	6500	0	None	DWIE11	N	CA00711101	A	SFY2020-21
940000010	BEL VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-24 00:00:00	910016377	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-27 00:00:00	2019-09-27 00:00:00	No	2021-04-15 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	RYDD11	N	CA00656945	B	SFY2020-21
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-25 00:00:00	910016383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-20 00:00:00	2019-06-20 00:00:00	No	2021-04-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	L5S511	N	CA00642863	B	SFY2020-21
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-25 00:00:00	910016384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-06 00:00:00	2021-02-06 00:00:00	No	2021-04-16 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	L2O711	N	CA00725312	A	SFY2020-21
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-25 00:00:00	910016385	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-24 00:00:00	2021-01-24 00:00:00	No	2021-04-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3UJ311	N	CA00723465, CA00723465	B, B	SFY2020-21
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-01 00:00:00	910016392	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-30 00:00:00	2020-12-30 00:00:00	Yes	2021-04-22 00:00:00	2021-04-16 00:00:00	A	None	20000	20000	0	0	20000	None	6EHU11	N	CA00719216, CA00719216	B, B	SFY2020-21
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-02 00:00:00	910016396	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-07 00:00:00	2019-09-07 00:00:00	No	2021-04-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	KIG511	N	CA00653734	B	SFY2020-21
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-16 00:00:00	910016423	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-27 00:00:00	2021-02-27 00:00:00	No	2021-05-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	773411	N	CA00727240	A	SFY2020-21
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-16 00:00:00	910016424	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-31 00:00:00	2020-10-31 00:00:00	Yes	2021-05-07 00:00:00	2021-04-23 00:00:00	A	A	20000	13000	0	13000	0	None	4G0Q11	N	CA00711326	B	SFY2020-21
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-23 00:00:00	910016437	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-20 00:00:00	2021-02-20 00:00:00	No	2021-05-14 00:00:00	None	B	None	2000	6000	0	6000	0	None	UXL811	N	CA00726980, CA00726980, CA00727071, CA00727071, CA00727230, CA00727230, CA00727608, CA00727608, CA00727902, CA00727902, CA00727922, CA00727922	B, B, B, B, B, B, A, A, B, B, B, B	SFY2020-21
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-23 00:00:00	910016438	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-03 00:00:00	2020-10-03 00:00:00	No	2021-05-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	4BP311	N	CA00708278	B	SFY2020-21
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-23 00:00:00	910016439	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-28 00:00:00	2021-01-28 00:00:00	No	2021-05-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9OOY11	N	CA00723212	B	SFY2020-21
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-26 00:00:00	910016440	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-04 00:00:00	2021-01-04 00:00:00	No	2021-05-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9OOY11	Y	CA00723212, CA00723212	B, B	SFY2020-21
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-30 00:00:00	910016456	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-01-25 00:00:00	2021-01-25 00:00:00	Yes	2021-05-21 00:00:00	2021-05-17 00:00:00	AA	A	100000	75000	0	75000	0	None	54DN11	Y	CA00722186, CA00722186, CA00722479, CA00722479, CA00722479, CA00722479	A, A, B, B, B, B	SFY2020-21
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-30 00:00:00	910016457	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-02 00:00:00	2021-01-02 00:00:00	No	2021-05-21 00:00:00	None	A	None	20000	20000	0	20000	0	None	E2IR11	Y	CA00723608, CA00723608	B, B	SFY2020-21
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-30 00:00:00	910016458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-21 00:00:00	2020-12-21 00:00:00	No	2021-05-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	E2IR11	Y	CA00723608, CA00723608, CA00723608	B, B, B	SFY2020-21
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-05 00:00:00	910016473	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-24 00:00:00	2020-12-24 00:00:00	Yes	2021-05-26 00:00:00	2021-05-10 00:00:00	B	B	2000	1800	0	1800	0	None	D3PG11	N	CA00718697	A	SFY2020-21
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-06 00:00:00	910016479	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-07 00:00:00	2021-01-07 00:00:00	No	2021-05-27 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	71SJ11	Y	CA00722151, CA00722151	A, A	SFY2020-21
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-13 00:00:00	910016496	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-25 00:00:00	2021-01-25 00:00:00	Yes	2021-06-04 00:00:00	2021-05-20 00:00:00	A	A	20000	15000	0	15000	0	None	54DN11	Y	CA00722186, CA00722186, CA00722186, CA00722479, CA00722479, CA00722479, CA00722479, CA00722479	A, A, A, B, B, B, B, B	SFY2020-21
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-13 00:00:00	910016498	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-06 00:00:00	2021-03-06 00:00:00	Yes	2021-06-04 00:00:00	2021-06-03 00:00:00	A	A	20000	14450	-450	14000	0	None	OJ2711	N	CA00729119, CA00729119, CA00729140, CA00729140	A, A, A, A	SFY2020-21
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-13 00:00:00	910016499	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-10 00:00:00	2021-03-10 00:00:00	No	2021-06-04 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	TSVH11	N	CA00728749, CA00728749	B, B	SFY2020-21
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-14 00:00:00	910016501	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-12 00:00:00	2021-02-12 00:00:00	No	2021-06-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UJQ811	N	CA00726834, CA00726834	B, B	SFY2020-21
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-18 00:00:00	910016511	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-23 00:00:00	2021-03-23 00:00:00	No	2021-06-09 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	9U8D11	N	CA00729612, CA00729612	B, B	SFY2020-21
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-19 00:00:00	910016519	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-19 00:00:00	2021-03-19 00:00:00	No	2021-06-10 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	9U8D11	N	CA00729612, CA00729612, CA00729612, CA00729991, CA00730124	B, B, B, A, A	SFY2020-21
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-19 00:00:00	910016520	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-04 00:00:00	2017-12-04 00:00:00	No	2021-06-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HMIN11	N	CA00563729	A	SFY2020-21
940000024	NORWALK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-20 00:00:00	910016528	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-20 00:00:00	2021-03-20 00:00:00	No	2021-06-11 00:00:00	None	A	None	20000	20000	0	20000	0	None	1INL11	N	CA00729943, CA00730109, CA00730109, CA00730109	B, A, A, A	SFY2020-21
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-20 00:00:00	910016530	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-21 00:00:00	2021-03-21 00:00:00	No	2021-06-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9U8D11	N	CA00730124, CA00730124	A, A	SFY2020-21
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-26 00:00:00	910016542	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-28 00:00:00	2021-03-28 00:00:00	Yes	2021-06-17 00:00:00	2021-05-28 00:00:00	A	A	20000	17000	0	17000	0	None	YKFG11	N	CA00730949	B	SFY2020-21
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-27 00:00:00	910016546	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-13 00:00:00	2021-01-13 00:00:00	No	2021-06-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	O4MF11	N	CA00727078, CA00727078	B, B	SFY2020-21
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-04 00:00:00	910016566	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-05-14 00:00:00	2018-05-14 00:00:00	No	2021-06-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	164411	N	CA00586927	B	SFY2020-21
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-04 00:00:00	910016567	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-27 00:00:00	2020-12-27 00:00:00	No	2021-06-25 00:00:00	None	B	None	2000	6450	-2100	4350	0	None	4XU911	N	CA00720125, CA00720125	B, B	SFY2020-21
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-04 00:00:00	910016568	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-30 00:00:00	2020-12-30 00:00:00	Yes	2021-06-25 00:00:00	2021-06-11 00:00:00	A	A	20000	10450	-450	10000	0	None	GW4U11	N	CA00720002, CA00720002, CA00720002	A, A, A	SFY2020-21
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-08 00:00:00	910016570	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-06 00:00:00	2021-04-06 00:00:00	No	2021-06-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	NW4N11	N	None	None	SFY2020-21
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-07 00:00:00	910016572	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-15 00:00:00	2021-04-15 00:00:00	No	2021-06-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	7Z5P11	N	CA00732563	B	SFY2020-21
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-17 00:00:00	910016617	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-25 00:00:00	2021-03-25 00:00:00	No	2021-07-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	D6JQ11	N	CA00730628, CA00730693	A, A	SFY2020-21
940000016	BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-25 00:00:00	910016648	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-04 00:00:00	2021-04-04 00:00:00	No	2021-07-16 00:00:00	None	A	None	10000	10000	0	10000	0	None	SQY411	N	CA00731409, CA00731409, CA00731409	B, B, B	SFY2020-21
940000016	BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-25 00:00:00	910016649	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-04 00:00:00	2021-04-04 00:00:00	No	2021-07-16 00:00:00	None	A	None	10000	10000	0	10000	0	None	SQY411	N	CA00731409, CA00731409, CA00731409	B, B, B	SFY2020-21
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-25 00:00:00	910016652	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-10 00:00:00	2021-05-10 00:00:00	No	2021-07-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	70TL21	N	None	None	SFY2020-21
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-09 00:00:00	910016708	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-29 00:00:00	2018-04-29 00:00:00	No	2021-07-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VNR911	N	CA00585367	B	SFY2021-22
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-14 00:00:00	910016716	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-01 00:00:00	2019-09-01 00:00:00	No	2021-08-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6VM911	N	CA00652931, CA00652931	A, A	SFY2021-22
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-16 00:00:00	910016730	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-25 00:00:00	2021-05-25 00:00:00	No	2021-08-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	457711	N	None	None	SFY2021-22
910000055	LOMITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-16 00:00:00	910016731	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-14 00:00:00	2020-11-14 00:00:00	No	2021-08-06 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	F00511	N	CA00734032	B	SFY2021-22
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-23 00:00:00	910016757	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-23 00:00:00	2021-05-23 00:00:00	Yes	2021-08-13 00:00:00	2021-08-11 00:00:00	A	A	20000	18000	0	3000	15000	None	L9Z511	N	CA00738205, CA00738205	A, A	SFY2021-22
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-23 00:00:00	910016758	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-19 00:00:00	2021-04-19 00:00:00	Yes	2021-08-13 00:00:00	2021-08-09 00:00:00	A	A	10000	8650	-1150	7500	0	None	D13S11	N	CA00733495, CA00733495	B, B	SFY2021-22
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-23 00:00:00	910016759	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-10 00:00:00	2021-03-10 00:00:00	No	2021-08-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6RE111	N	CA00734179	B	SFY2021-22
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-28 00:00:00	910016767	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-23 00:00:00	2021-01-23 00:00:00	Yes	2021-08-18 00:00:00	2021-08-05 00:00:00	A	A	18000	16000	0	16000	0	None	ZSTS11	N	CA00722963, CA00722963	B, B	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-28 00:00:00	910016771	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-05 00:00:00	2021-05-05 00:00:00	Yes	2021-08-18 00:00:00	2021-08-16 00:00:00	A	A	20000	15000	0	15000	0	None	Y0CZ11	N	CA00734490, CA00734490, CA00734490, CA00734490	B, B, B, B	SFY2021-22
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-28 00:00:00	910016772	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-07-07 00:00:00	2020-07-07 00:00:00	Yes	2021-08-18 00:00:00	2021-08-05 00:00:00	A	A	20000	15000	0	15000	0	None	9W6J11	N	CA00696348	B	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-28 00:00:00	910016773	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-05 00:00:00	2021-05-05 00:00:00	No	2021-08-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y0CZ11	N	CA00734490, CA00734490, CA00734490, CA00734490	B, B, B, B	SFY2021-22
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-29 00:00:00	910016777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-01 00:00:00	2021-06-01 00:00:00	No	2021-08-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TTD811	N	CA00739674	A	SFY2021-22
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-08-13 00:00:00	910016819	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-18 00:00:00	2021-06-18 00:00:00	No	2021-09-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B0SI11	N	CA00740890	A	SFY2021-22
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-08-19 00:00:00	910016830	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-08-30 00:00:00	2020-08-30 00:00:00	No	2021-09-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	1E4B11	N	CA00739100, CA00739100, CA00739100	A, A, A	SFY2021-22
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-08-26 00:00:00	910016832	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-20 00:00:00	2021-07-20 00:00:00	No	2021-09-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9KF011	N	None	None	SFY2021-22
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-08-30 00:00:00	910016866	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-02 00:00:00	2021-08-02 00:00:00	No	2021-09-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	GSLP11	N	CA00746549, CA00746549	A, A	SFY2021-22
940000072	MARLORA POST ACUTE REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-03 00:00:00	910016871	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-09-22 00:00:00	2018-09-22 00:00:00	No	2021-09-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DT2T11	N	CA00605358, CA00605358	B, B	SFY2021-22
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-01 00:00:00	910016884	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-16 00:00:00	2021-01-16 00:00:00	No	2021-09-23 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	HS5O11	N	CA00732263, CA00732263, CA00732263	B, B, B	SFY2021-22
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-07 00:00:00	910016896	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-06-17 00:00:00	2021-06-17 00:00:00	No	2021-09-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QX4311	N	CA00742591, CA00742591	A, A	SFY2021-22
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-08 00:00:00	910016902	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-17 00:00:00	2021-06-17 00:00:00	No	2021-09-29 00:00:00	None	B	None	2000	6000	0	6000	0	None	QX4311	N	CA00742591, CA00742591, CA00742591	A, A, A	SFY2021-22
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-10 00:00:00	910016915	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-11 00:00:00	2021-06-11 00:00:00	Yes	2021-10-01 00:00:00	2021-09-14 00:00:00	A	A	20000	14500	0	14500	0	None	BW2F11	N	CA00740312, CA00740312	A, A	SFY2021-22
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-14 00:00:00	910016921	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-15 00:00:00	2021-06-15 00:00:00	No	2021-10-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	1EZL11	N	CA00740651, CA00740651, CA00740651, CA00740651, CA00741110	B, B, B, B, B	SFY2021-22
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-14 00:00:00	910016923	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-15 00:00:00	2021-06-15 00:00:00	No	2021-10-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	1EZL11	N	CA00740651, CA00740651, CA00740651, CA00740651, CA00740651, CA00741110, CA00741110	B, B, B, B, B, B, B	SFY2021-22
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-16 00:00:00	910016930	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-09 00:00:00	2021-06-09 00:00:00	Yes	2021-10-07 00:00:00	2021-10-06 00:00:00	A	A	15000	12000	0	12000	0	None	9X4W11	N	CA00740837, CA00740837, CA00741241, CA00741241, CA00741344	B, B, B, B, B	SFY2021-22
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-22 00:00:00	910016949	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-19 00:00:00	2021-06-19 00:00:00	No	2021-10-13 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	L6V811	N	CA00741501, CA00741501	B, B	SFY2021-22
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-29 00:00:00	910016967	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-06-10 00:00:00	2021-06-10 00:00:00	Yes	2021-10-20 00:00:00	2021-10-06 00:00:00	AA	A	100000	90000	0	90000	0	None	7I9K11	Y	CA00743409, CA00743409	A, A	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-08 00:00:00	910016997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-18 00:00:00	2021-06-18 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	JS8011	N	CA00737001	B	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-08 00:00:00	910016998	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-18 00:00:00	2021-06-18 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	JS8011	N	CA00737001, CA00737001	B, B	SFY2021-22
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-08 00:00:00	910016999	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-14 00:00:00	2021-08-14 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	48PO11	N	CA00743348, CA00743348	B, B	SFY2021-22
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-08 00:00:00	910017000	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-29 00:00:00	2021-07-29 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	31NT11	N	None	None	SFY2021-22
970000052	ST. ANDREWS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-18 00:00:00	910017022	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-08-18 00:00:00	2021-08-18 00:00:00	Yes	2021-11-08 00:00:00	2021-11-01 00:00:00	AA	AA	100000	100000	0	100000	0	None	62HS11	Y	CA00749038	A	SFY2021-22
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-26 00:00:00	910017044	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-23 00:00:00	2021-08-23 00:00:00	No	2021-11-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	FCQ111	N	CA00750019, CA00750019	A, A	SFY2021-22
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-28 00:00:00	910017048	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-10 00:00:00	2021-08-10 00:00:00	No	2021-11-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JOOY11	N	CA00747741, CA00747741	A, A	SFY2021-22
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-29 00:00:00	910017057	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-17 00:00:00	2020-10-17 00:00:00	Yes	2021-11-22 00:00:00	2021-11-18 00:00:00	A	A	12000	12000	0	12000	0	None	YXVN11	N	CA00709893	A	SFY2021-22
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-11-10 00:00:00	910017081	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-25 00:00:00	2021-09-25 00:00:00	No	2021-12-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	4JB911	N	CA00754612, CA00754612	A, A	SFY2021-22
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-11-17 00:00:00	910017107	Open	Citation	Citation B (HSC 1424)	Other	Dietary	2021-10-13 00:00:00	2021-10-13 00:00:00	Yes	2021-12-10 00:00:00	2021-12-13 00:00:00	B	None	2000	2000	0	0	2000	None	3E9511	N	None	None	SFY2021-22
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-11-18 00:00:00	910017108	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-16 00:00:00	2021-08-16 00:00:00	No	2021-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	06VS11	N	CA00749011	B	SFY2021-22
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-03 00:00:00	910017149	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-11 00:00:00	2021-05-11 00:00:00	Yes	2021-12-24 00:00:00	2021-12-13 00:00:00	A	A	16000	11200	0	11200	0	None	4I5B11	N	CA00736545	B	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-03 00:00:00	910017150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-15 00:00:00	2021-10-15 00:00:00	No	2021-12-24 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	6JTL11	N	CA00756647	A	SFY2021-22
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-03 00:00:00	910017151	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-13 00:00:00	2021-10-13 00:00:00	No	2021-12-24 00:00:00	None	B	None	2000	6000	0	6000	0	None	YTQ311	N	None	None	SFY2021-22
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-03 00:00:00	910017152	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-10-13 00:00:00	2021-10-13 00:00:00	Yes	2021-12-24 00:00:00	2021-12-13 00:00:00	AA	A	100000	100650	-650	100000	0	None	YTQ311	N	None	None	SFY2021-22
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-09 00:00:00	910017175	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-07 00:00:00	2020-10-07 00:00:00	No	2021-12-30 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	W4V611	N	CA00708310	B	SFY2021-22
940000073	HUNTINGTON PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-10 00:00:00	910017179	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-14 00:00:00	2018-04-14 00:00:00	No	2021-12-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WFPM11	N	CA00582832, CA00582832, CA00582832, CA00582832	B, B, B, B	SFY2021-22
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-13 00:00:00	910017186	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-21 00:00:00	2021-10-21 00:00:00	No	2022-01-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	W31N11	N	CA00757730	A	SFY2021-22
910000024	CLEAR VIEW CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-13 00:00:00	910017187	Closed	Citation	Citation B (HSC 1424)	Administration	None	2021-08-27 00:00:00	2021-08-27 00:00:00	No	2022-01-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	A6UV11	N	None	None	SFY2021-22
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-21 00:00:00	910017202	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-13 00:00:00	2021-10-13 00:00:00	No	2022-01-11 00:00:00	None	B	None	2000	6000	0	6000	0	None	YTQ311	N	None	None	SFY2021-22
940000044	EL RANCHO VISTA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-17 00:00:00	910017207	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-09-14 00:00:00	2021-09-14 00:00:00	Yes	2022-01-07 00:00:00	2021-12-28 00:00:00	A	B	20000	20000	0	20000	0	None	79F911	Y	CA00753888	A	SFY2021-22
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-20 00:00:00	910017209	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-07-18 00:00:00	2021-07-18 00:00:00	Yes	2022-01-10 00:00:00	2021-12-28 00:00:00	A	A	20000	20300	-300	20000	0	None	1VEG11	N	CA00745886, CA00745886	A, A	SFY2021-22
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-21 00:00:00	910017214	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-04 00:00:00	2021-02-04 00:00:00	No	2022-01-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DJCD11	N	CA00753926, CA00755120	B, B	SFY2021-22
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-29 00:00:00	910017234	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-05 00:00:00	2021-11-05 00:00:00	No	2022-01-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	TLIY11	N	CA00758483	B	SFY2021-22
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-30 00:00:00	910017240	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-25 00:00:00	2021-08-25 00:00:00	No	2022-01-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	VQWQ11	N	CA00749916, CA00749916	A, A	SFY2021-22
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-30 00:00:00	910017241	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Abuse/Self Reported	2021-10-13 00:00:00	2021-10-13 00:00:00	No	2022-01-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	2C8711	N	CA00756889	B	SFY2021-22
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-30 00:00:00	910017242	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-05 00:00:00	2021-05-05 00:00:00	Yes	2022-01-21 00:00:00	2022-01-05 00:00:00	A	B	20000	20000	0	20000	0	None	5AZW11	N	CA00735487, CA00735487	A, A	SFY2021-22
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-01-07 00:00:00	910017254	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-10 00:00:00	2021-08-10 00:00:00	No	2022-01-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NCEH11	N	CA00749245	A	SFY2021-22
940000097	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-01-07 00:00:00	910017255	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-11 00:00:00	2021-10-11 00:00:00	No	2022-01-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	WF3W11	N	CA00756612, CA00756612	B, B	SFY2021-22
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-01-13 00:00:00	910017267	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-17 00:00:00	2021-09-17 00:00:00	No	2022-02-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DJ4T11	N	CA00753422, CA00753438	B, B	SFY2021-22
940000016	BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-01-20 00:00:00	910017278	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-12-08 00:00:00	2021-12-08 00:00:00	No	2022-02-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FGL911	N	CA00763706	A	SFY2021-22
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-01-20 00:00:00	910017281	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-06 00:00:00	2021-07-06 00:00:00	No	2022-02-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UKU911	N	CA00745212	A	SFY2021-22
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-01-20 00:00:00	910017282	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-08 00:00:00	2021-10-08 00:00:00	No	2022-02-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	7FSI11	N	CA00756809	B	SFY2021-22
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-03 00:00:00	910017313	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-16 00:00:00	2021-12-16 00:00:00	No	2022-02-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B02P11	N	CA00764819	A	SFY2021-22
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-03 00:00:00	910017314	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-10-03 00:00:00	2021-10-03 00:00:00	No	2022-02-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	SOJK11	N	CA00758955	C	SFY2021-22
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-03 00:00:00	910017318	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-17 00:00:00	2021-12-17 00:00:00	Yes	2022-02-25 00:00:00	2022-02-23 00:00:00	B	B	2000	1600	0	1600	0	None	NSXE11	N	None	None	SFY2021-22
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-04 00:00:00	910017326	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-02-24 00:00:00	2021-02-24 00:00:00	No	2022-02-28 00:00:00	None	A	None	20000	20000	0	20000	0	None	2BNL11	N	CA00758656, CA00758656	B, B	SFY2021-22
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-08 00:00:00	910017327	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-23 00:00:00	2021-12-23 00:00:00	No	2022-03-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	6N6H11	N	CA00765708	A	SFY2021-22
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-07 00:00:00	910017328	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-13 00:00:00	2021-12-13 00:00:00	No	2022-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LWI911	N	None	None	SFY2021-22
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-08 00:00:00	910017329	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-07 00:00:00	2021-11-07 00:00:00	No	2022-03-02 00:00:00	None	B	None	2000	4800	-700	4100	0	None	NZG011	N	CA00761706	A	SFY2021-22
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-07 00:00:00	910017333	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-11-28 00:00:00	2021-11-28 00:00:00	No	2022-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LWI911	N	None	None	SFY2021-22
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-07 00:00:00	910017334	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-12-14 00:00:00	2021-12-14 00:00:00	No	2022-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LWI911	N	None	None	SFY2021-22
940000020	COSTA DEL SOL HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-09 00:00:00	910017340	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-23 00:00:00	2021-09-23 00:00:00	No	2022-03-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IQOZ11	N	CA00765332	B	SFY2021-22
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-17 00:00:00	910017367	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-23 00:00:00	2021-12-23 00:00:00	No	2022-03-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HJUM11	N	CA00764385, CA00764385, CA00764385	B, B, B	SFY2021-22
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-24 00:00:00	910017440	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-18 00:00:00	2021-12-18 00:00:00	No	2022-03-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9U0G11	N	None	None	SFY2021-22
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-01 00:00:00	910017452	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-30 00:00:00	2021-12-30 00:00:00	No	2022-03-22 00:00:00	None	B	None	1500	1600	-525	1075	0	None	8BYJ11	N	None	None	SFY2021-22
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-03 00:00:00	910017463	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-19 00:00:00	2022-01-19 00:00:00	No	2022-03-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	TDVP11	N	None	None	SFY2021-22
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-03 00:00:00	910017465	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-30 00:00:00	2021-12-30 00:00:00	No	2022-03-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	M2LQ11	N	CA00766823	B	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-14 00:00:00	910017493	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-27 00:00:00	2022-01-27 00:00:00	No	2022-04-05 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	W4RO11	N	CA00770468, CA00770898	B, B	SFY2021-22
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-17 00:00:00	910017505	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-16 00:00:00	2022-02-16 00:00:00	No	2022-04-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ODP811	N	CA00765523	B	SFY2021-22
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-17 00:00:00	910017510	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-26 00:00:00	2022-01-26 00:00:00	No	2022-04-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7TR111	N	CA00769895	B	SFY2021-22
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-23 00:00:00	910017523	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-09 00:00:00	2022-02-09 00:00:00	No	2022-04-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IG1Q11	N	None	None	SFY2021-22
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-04-01 00:00:00	910017538	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-09 00:00:00	2022-02-09 00:00:00	No	2022-04-22 00:00:00	None	A	None	20000	20000	0	20000	0	None	EMHR11	N	CA00772944, CA00772944	A, A	SFY2021-22
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-04-01 00:00:00	910017540	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-27 00:00:00	2021-12-27 00:00:00	Yes	2022-04-22 00:00:00	2022-04-19 00:00:00	A	None	20000	60000	0	0	60000	None	2BNL11	N	None	None	SFY2021-22
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-04-06 00:00:00	910017553	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-29 00:00:00	2022-01-29 00:00:00	No	2022-04-27 00:00:00	None	B	None	3000	3000	0	3000	0	None	FG7S11	N	None	None	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-04-15 00:00:00	910017578	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-12-09 00:00:00	2021-12-09 00:00:00	No	2022-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0JXD11	N	CA00764350	B	SFY2021-22
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-04-28 00:00:00	910017604	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-11-28 00:00:00	2021-11-28 00:00:00	No	2022-05-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	TPML11	N	CA00763222, CA00763222	B, B	SFY2021-22
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-04-29 00:00:00	910017608	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-14 00:00:00	2020-10-14 00:00:00	No	2022-05-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	J19Y11	N	CA00711465	B	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-05-12 00:00:00	910017638	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-27 00:00:00	2022-03-27 00:00:00	Yes	2022-06-03 00:00:00	2022-05-18 00:00:00	B	B	3000	7000	0	9000	-2000	None	CDJ711	N	CA00778358	B	SFY2021-22
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-05-20 00:00:00	910017653	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-04-04 00:00:00	2022-04-04 00:00:00	No	2022-06-13 00:00:00	None	B	None	2000	6000	0	6000	0	None	VVXL11	N	None	None	SFY2021-22
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-05-26 00:00:00	910017672	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-14 00:00:00	2022-04-14 00:00:00	No	2022-06-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QD3T11	N	CA00781168	A	SFY2021-22
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-03 00:00:00	910017684	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-04 00:00:00	2022-03-04 00:00:00	No	2022-06-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ODWN11	N	CA00776260, CA00776260, CA00776260	A, A, A	SFY2021-22
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-03 00:00:00	910017685	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-03-04 00:00:00	2022-03-04 00:00:00	No	2022-06-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ODWN11	N	CA00776260	A	SFY2021-22
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-02 00:00:00	910017688	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-25 00:00:00	2022-04-25 00:00:00	No	2022-06-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	PNSV11	N	CA00782255, CA00782255	A, A	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-22 00:00:00	910017717	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-06 00:00:00	2022-05-06 00:00:00	Yes	2022-07-14 00:00:00	2022-07-14 00:00:00	B	Drop>Deficiency	1500	4500	-4500	0	0	None	2GNO11	N	None	None	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-22 00:00:00	910017724	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-28 00:00:00	2021-01-28 00:00:00	Yes	2022-07-14 00:00:00	2022-07-14 00:00:00	B	B	2000	1700	0	1700	0	None	2GNO11	N	None	None	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-22 00:00:00	910017726	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-14 00:00:00	2022-02-14 00:00:00	Yes	2022-07-14 00:00:00	2022-07-14 00:00:00	B	B	1500	3825	0	3825	0	None	2GNO11	N	None	None	SFY2021-22
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-24 00:00:00	910017739	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-07 00:00:00	2022-05-07 00:00:00	No	2022-07-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	NCH011	N	CA00783962, CA00783962, CA00783962, CA00783962, CA00784090, CA00784090	A, A, A, A, B, B	SFY2021-22
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-24 00:00:00	910017742	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-23 00:00:00	2022-02-23 00:00:00	No	2022-07-18 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	R2BE11	N	CA00780669, CA00780669, CA00780669	A, A, A	SFY2021-22
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-28 00:00:00	910017743	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-03 00:00:00	2022-04-03 00:00:00	Yes	2022-07-20 00:00:00	2022-07-13 00:00:00	A	A	25000	18000	0	18000	0	None	9BPQ11	N	CA00779152, CA00779580	A, A	SFY2021-22
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-29 00:00:00	910017746	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-09 00:00:00	2022-05-09 00:00:00	No	2022-07-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WTUS11	N	CA00784074	A	SFY2021-22
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-01 00:00:00	910017760	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-03-08 00:00:00	2022-03-08 00:00:00	No	2022-07-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q0NP11	N	CA00777189	B	SFY2022-23
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-08 00:00:00	910017766	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-13 00:00:00	2021-10-13 00:00:00	No	2022-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	0PN111	Y	CA00757593	A	SFY2022-23
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-08 00:00:00	910017767	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-01 00:00:00	2022-01-01 00:00:00	No	2022-07-29 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	2UCY11	N	CA00773609	B	SFY2022-23
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-13 00:00:00	910017782	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-17 00:00:00	2022-01-17 00:00:00	Yes	2022-08-03 00:00:00	2022-07-26 00:00:00	A	A	25000	17500	0	17500	0	None	RMT311	N	CA00769429	B	SFY2022-23
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-13 00:00:00	910017783	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-20 00:00:00	2021-04-20 00:00:00	No	2022-08-03 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	SCEI11	N	CA00734735	B	SFY2022-23
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-19 00:00:00	910017793	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-29 00:00:00	2022-04-29 00:00:00	No	2022-08-09 00:00:00	None	B	None	3000	3000	0	0	3000	None	RIHP11	N	CA00783028, CA00783635, CA00786257	A, A, A	SFY2022-23
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-19 00:00:00	910017797	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-15 00:00:00	2022-06-15 00:00:00	No	2022-08-09 00:00:00	None	B	None	3000	3000	0	1950	1050	None	8WM111	N	CA00789207, CA00789207	A, A	SFY2022-23
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-21 00:00:00	910017810	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-05-04 00:00:00	2022-05-04 00:00:00	No	2022-08-11 00:00:00	None	B	None	3000	3000	0	3000	0	None	HFZ911	N	CA00783790	B	SFY2022-23
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-21 00:00:00	910017811	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-15 00:00:00	2022-06-15 00:00:00	No	2022-08-11 00:00:00	None	B	None	3000	3000	0	0	3000	None	8WM111	N	None	None	SFY2022-23
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-22 00:00:00	910017813	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-15 00:00:00	2022-06-15 00:00:00	No	2022-08-12 00:00:00	None	B	None	3000	3000	0	0	3000	None	8WM111	N	CA00789207	A	SFY2022-23
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-08-02 00:00:00	910017869	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-27 00:00:00	2022-02-27 00:00:00	No	2022-08-23 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	YWGV11	N	CA00774970, CA00774970	B, B	SFY2022-23
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-08-04 00:00:00	910017875	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-14 00:00:00	2022-04-14 00:00:00	No	2022-08-25 00:00:00	None	A	None	25000	25000	0	25000	0	None	CU4Q11	N	CA00781011	B	SFY2022-23
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-08-12 00:00:00	910017895	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-13 00:00:00	2022-04-13 00:00:00	No	2022-09-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	B38O11	N	CA00787799, CA00787799	A, A	SFY2022-23
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-08-25 00:00:00	910017933	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-05 00:00:00	2022-06-05 00:00:00	No	2022-09-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	NGX811	N	CA00788768, CA00788768	A, A	SFY2022-23
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-01 00:00:00	910017953	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-05-04 00:00:00	2022-05-04 00:00:00	No	2022-09-23 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	U8CD11	N	CA00786990, CA00786990, CA00787680, CA00787680	A, A, B, B	SFY2022-23
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-02 00:00:00	910017961	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-20 00:00:00	2021-04-20 00:00:00	No	2022-09-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	41T811	N	CA00744413	A	SFY2022-23
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-02 00:00:00	910017963	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-07-13 00:00:00	2022-07-13 00:00:00	No	2022-09-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	1J7E11	N	CA00792229	A	SFY2022-23
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-07 00:00:00	910017969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-07-13 00:00:00	2022-07-13 00:00:00	No	2022-09-28 00:00:00	None	B	None	3000	3000	0	3000	0	None	1J7E11	N	CA00792229	A	SFY2022-23
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-15 00:00:00	910017998	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-15 00:00:00	2022-06-15 00:00:00	No	2022-10-06 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	HE9211	N	None	None	SFY2022-23
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-29 00:00:00	910018027	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-08-19 00:00:00	2022-08-19 00:00:00	No	2022-10-20 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8YM611	N	CA00797082	A	SFY2022-23
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-29 00:00:00	910018029	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-12 00:00:00	2022-08-12 00:00:00	No	2022-10-20 00:00:00	None	B	None	3000	3000	0	3000	0	None	ML2011	N	None	None	SFY2022-23
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-30 00:00:00	910018038	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-17 00:00:00	2022-06-17 00:00:00	No	2022-10-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	NMLG11	N	CA00789786	A	SFY2022-23
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-10-07 00:00:00	910018065	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-23 00:00:00	2022-07-23 00:00:00	No	2022-10-28 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	X2VL11	N	CA00795827	B	SFY2022-23
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-10-07 00:00:00	910018069	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-06-09 00:00:00	2022-06-09 00:00:00	No	2022-10-28 00:00:00	None	B	None	3000	3000	0	3000	0	None	0TMY11	N	None	None	SFY2022-23
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-10-12 00:00:00	910018078	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-12 00:00:00	2022-07-12 00:00:00	No	2022-11-02 00:00:00	None	A	None	25000	25000	0	25000	0	None	X5QM11	N	CA00796753, CA00796753, CA00796753	B, B, B	SFY2022-23
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-10-12 00:00:00	910018081	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-03-01 00:00:00	2022-03-01 00:00:00	No	2022-11-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Y70E11	N	CA00779679, CA00779679	A, A	SFY2022-23
940000043	EDGEWATER SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-10-14 00:00:00	910018084	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-23 00:00:00	2022-06-23 00:00:00	No	2022-11-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	JCHN11	N	CA00790725, CA00790725	B, B	SFY2022-23
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-10-19 00:00:00	910018099	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-28 00:00:00	2022-08-28 00:00:00	No	2022-11-09 00:00:00	None	B	None	3000	3000	0	3000	0	None	G37511	N	CA00800562, CA00800665	A, A	SFY2022-23
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-10-21 00:00:00	910018110	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-17 00:00:00	2021-12-17 00:00:00	Yes	2022-11-14 00:00:00	2022-11-04 00:00:00	A	None	20000	20000	0	0	20000	None	PCTR11	N	CA00796927, CA00796927, CA00796927	B, B, B	SFY2022-23
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-02 00:00:00	910018132	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-14 00:00:00	2022-09-14 00:00:00	No	2022-11-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GBO111	N	CA00803302, CA00803302	A, A	SFY2022-23
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-03 00:00:00	910018133	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-07-06 00:00:00	2022-07-06 00:00:00	No	2022-11-28 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	DX6311	N	CA00789816, CA00792582	B, B	SFY2022-23
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-03 00:00:00	910018138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-19 00:00:00	2022-09-19 00:00:00	No	2022-11-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	0KK711	N	CA00803495, CA00803495	A, A	SFY2022-23
940000097	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-14 00:00:00	910018153	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-09-11 00:00:00	2022-09-11 00:00:00	No	2022-12-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	M5RV11	N	CA00802704	A	SFY2022-23
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-21 00:00:00	910018167	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-08 00:00:00	2022-10-08 00:00:00	No	2022-12-13 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	VHQW11	N	CA00806821, CA00806821	A, A	SFY2022-23
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-22 00:00:00	910018173	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-08-24 00:00:00	2022-08-24 00:00:00	Yes	2022-12-14 00:00:00	2022-12-14 00:00:00	A	None	25000	25000	0	0	25000	None	HUSX11	N	CA00799975	B	SFY2022-23
940000101	LONG BEACH POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-23 00:00:00	910018180	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-10 00:00:00	2022-10-10 00:00:00	No	2022-12-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MPRF11	N	None	None	SFY2022-23
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-23 00:00:00	910018183	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-31 00:00:00	2022-08-31 00:00:00	No	2022-12-16 00:00:00	None	B	None	3000	9550	0	9550	0	None	BZUH11	N	CA00801465	B	SFY2022-23
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-30 00:00:00	910018193	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-10 00:00:00	2022-10-10 00:00:00	No	2022-12-21 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	XM9I11	N	CA00807044, CA00807044	A, A	SFY2022-23
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-09 00:00:00	910018234	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-01 00:00:00	2022-11-01 00:00:00	No	2022-12-30 00:00:00	None	B	None	3000	9050	0	9050	0	None	NGYH11	N	CA00807973	B	SFY2022-23
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-09 00:00:00	910018235	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-01 00:00:00	2022-11-01 00:00:00	No	2022-12-30 00:00:00	None	B	None	3000	9050	0	9050	0	None	NGYH11	N	CA00807973	B	SFY2022-23
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-13 00:00:00	910018240	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-07 00:00:00	2022-10-07 00:00:00	Yes	2023-01-04 00:00:00	2022-12-14 00:00:00	A	None	20000	20000	0	0	20000	None	POKV11	N	None	None	SFY2022-23
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-14 00:00:00	910018242	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-28 00:00:00	2022-09-28 00:00:00	No	2023-01-04 00:00:00	None	A	None	25000	25000	0	0	25000	None	DC6611	N	CA00805418, CA00805483, CA00805483	B, B, B	SFY2022-23
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-14 00:00:00	910018245	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-10-18 00:00:00	2022-10-18 00:00:00	Yes	2023-01-05 00:00:00	2022-12-28 00:00:00	B	None	3000	3000	0	0	3000	None	QU1P11	N	CA00808785	A	SFY2022-23
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-16 00:00:00	910018249	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-05-17 00:00:00	2022-05-17 00:00:00	No	2023-01-09 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	SIIR11	N	CA00789822	B	SFY2022-23
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-27 00:00:00	910018260	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-05-14 00:00:00	2021-05-14 00:00:00	No	2023-01-19 00:00:00	None	B	None	1500	5450	-1575	3875	0	None	GJZV11	N	CA00737673, CA00737673	A, A	SFY2022-23
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-28 00:00:00	910018264	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-14 00:00:00	2022-03-14 00:00:00	Yes	2023-01-20 00:00:00	2023-01-10 00:00:00	A	None	25000	25000	0	0	25000	None	Q0W911	N	CA00777053	A	SFY2022-23
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-29 00:00:00	910018271	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-08 00:00:00	2022-10-08 00:00:00	Yes	2023-01-23 00:00:00	2023-01-20 00:00:00	A	None	25000	25000	0	0	25000	None	JWY711	N	CA00809171, CA00809171	A, A	SFY2022-23
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-12 00:00:00	910018300	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-05-09 00:00:00	2022-05-09 00:00:00	No	2023-02-03 00:00:00	None	B	None	1500	4500	-1575	2925	0	None	JH1E11	N	CA00809816, CA00809816, CA00809816, CA00809816, CA00809816, CA00809816, CA00809816	B, B, B, B, B, B, B	SFY2022-23
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-12 00:00:00	910018308	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-11-09 00:00:00	2022-11-09 00:00:00	Yes	2023-02-03 00:00:00	2023-01-17 00:00:00	A	None	20000	20000	0	0	20000	None	R24011	N	CA00811382, CA00811382, CA00811713, CA00811713	A, A, A, A	SFY2022-23
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-13 00:00:00	910018311	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-03 00:00:00	2019-10-03 00:00:00	No	2023-02-06 00:00:00	None	B	None	1500	1500	-525	975	0	None	YT0W11	N	CA00658059	B	SFY2022-23
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-18 00:00:00	910018322	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-15 00:00:00	2022-11-15 00:00:00	No	2023-02-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	BW6011	N	CA00812193	A	SFY2022-23
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-20 00:00:00	910018342	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-10-27 00:00:00	2022-10-27 00:00:00	No	2023-02-10 00:00:00	None	B	None	3000	3050	-1050	2000	0	None	VL5E11	N	CA00810375, CA00810375	B, B	SFY2022-23
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-02 00:00:00	910018375	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-11-28 00:00:00	2022-11-28 00:00:00	No	2023-02-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	O95W11	Y	CA00814321	A	SFY2022-23
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-03 00:00:00	910018376	Open	Citation	Citation B (HSC 1424)	Other	Infection Control	2022-12-26 00:00:00	2022-12-26 00:00:00	No	2023-02-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3D7611	N	CA00818100	B	SFY2022-23
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-03 00:00:00	910018378	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-10 00:00:00	2022-11-10 00:00:00	No	2023-02-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	V4M311	N	CA00811212, CA00811212, CA00811212, CA00819055	A, A, A, H	SFY2022-23
940000020	COSTA DEL SOL HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-07 00:00:00	910018383	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-08-20 00:00:00	2022-08-20 00:00:00	Yes	2023-03-01 00:00:00	2023-02-15 00:00:00	AA	None	100000	100000	0	0	100000	None	L1FV11	Y	CA00814110, CA00814110, CA00814110	A, A, A	SFY2022-23
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-08 00:00:00	910018387	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-11-09 00:00:00	2022-11-09 00:00:00	No	2023-03-02 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	T45511	N	CA00813080, CA00813080	B, B	SFY2022-23
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-09 00:00:00	910018396	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-13 00:00:00	2022-12-13 00:00:00	Yes	2023-03-03 00:00:00	2023-02-14 00:00:00	A	None	25000	25000	0	0	25000	None	E4K811	N	CA00817269, CA00817269	B, B	SFY2022-23
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-10 00:00:00	910018402	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-03-23 00:00:00	2020-03-23 00:00:00	No	2023-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BQ7311	Y	None	None	SFY2022-23
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-14 00:00:00	910018407	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-02 00:00:00	2021-12-02 00:00:00	No	2023-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SBJB11	N	CA00820087	B	SFY2022-23
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-16 00:00:00	910018408	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-23 00:00:00	2023-01-23 00:00:00	No	2023-03-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Y9PN11	N	CA00822200, CA00822200, CA00822200	A, A, A	SFY2022-23
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-17 00:00:00	910018422	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-30 00:00:00	2022-12-30 00:00:00	No	2023-03-13 00:00:00	None	A	None	25000	25000	0	25000	0	None	NPYM11	N	CA00818903	A	SFY2022-23
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-23 00:00:00	910018436	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-09 00:00:00	2023-01-09 00:00:00	No	2023-03-16 00:00:00	None	A	None	25000	25000	0	25000	0	None	3LRI11	N	None	None	SFY2022-23
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-02 00:00:00	910018465	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-01-06 00:00:00	2023-01-06 00:00:00	Yes	2023-03-23 00:00:00	2023-03-20 00:00:00	B	B	3000	2000	0	0	2000	None	F78B11	N	CA00820723, CA00820723	A, A	SFY2022-23
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-09 00:00:00	910018492	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-19 00:00:00	2023-01-19 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MH4H11	N	CA00821974, CA00822617	A, B	SFY2022-23
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-09 00:00:00	910018493	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-19 00:00:00	2023-01-19 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MH4H11	N	CA00821974, CA00821974, CA00822617, CA00822617	A, A, B, B	SFY2022-23
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-09 00:00:00	910018494	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-19 00:00:00	2023-01-19 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MH4H11	N	None	None	SFY2022-23
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-09 00:00:00	910018495	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-19 00:00:00	2023-01-19 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MH4H11	N	CA00821974, CA00821974, CA00822617, CA00822617	A, A, B, B	SFY2022-23
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-09 00:00:00	910018496	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-19 00:00:00	2023-01-19 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MH4H11	N	CA00821974, CA00821974, CA00822617, CA00822617	A, A, B, B	SFY2022-23
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-09 00:00:00	910018497	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-19 00:00:00	2023-01-19 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MH4H11	N	CA00821974, CA00821974, CA00822617, CA00822617	A, A, B, B	SFY2022-23
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-09 00:00:00	910018498	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-14 00:00:00	2023-01-14 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MH4H11	N	CA00821974, CA00821974, CA00822617, CA00822617	A, A, B, B	SFY2022-23
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-10 00:00:00	910018509	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-12 00:00:00	2022-12-12 00:00:00	No	2023-04-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	C21F11	N	CA00816515	A	SFY2022-23
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-16 00:00:00	910018520	Open	Citation	Citation A (HSC 1424)	Patient Rights	Abused/FAC.NotSelf Report	2022-12-19 00:00:00	2022-12-19 00:00:00	No	2023-04-07 00:00:00	None	A	None	25000	25000	0	0	25000	None	6WT011	N	CA00817321, CA00817321	A, A	SFY2022-23
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-16 00:00:00	910018521	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-01-25 00:00:00	2023-01-25 00:00:00	No	2023-04-07 00:00:00	None	B	None	3000	3000	0	3000	0	None	0HCZ11	N	None	None	SFY2022-23
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-16 00:00:00	910018523	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-01-09 00:00:00	2023-01-09 00:00:00	No	2023-04-07 00:00:00	None	WF	None	25000	25900	0	25000	900	None	0HCZ11	None	None	None	SFY2022-23
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-17 00:00:00	910018527	Closed	Citation	Citation A (HSC 1424)	Patient Rights	Abuse/Facility Not Self R	2022-12-01 00:00:00	2022-12-01 00:00:00	No	2023-04-10 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	HTCK11	N	CA00814814	B	SFY2022-23
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-17 00:00:00	910018528	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-12-01 00:00:00	2022-12-01 00:00:00	No	2023-04-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	HTCK11	N	CA00814814, CA00814814	B, B	SFY2022-23
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-17 00:00:00	910018529	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-17 00:00:00	2023-01-17 00:00:00	No	2023-04-10 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	KUSZ11	N	CA00822028, CA00822028, CA00823116	B, B, B	SFY2022-23
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-17 00:00:00	910018530	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-24 00:00:00	2023-01-24 00:00:00	No	2023-04-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	YC6F11	N	CA00823839, CA00823839, CA00823839, CA00823839	A, A, A, A	SFY2022-23
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-17 00:00:00	910018531	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-24 00:00:00	2022-10-24 00:00:00	No	2023-04-10 00:00:00	None	A	None	25000	25150	0	25150	0	None	FSRH11	N	CA00808744	B	SFY2022-23
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-22 00:00:00	910018554	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-09 00:00:00	2023-02-09 00:00:00	Yes	2023-04-13 00:00:00	2023-04-13 00:00:00	A	None	25000	25150	0	0	25150	None	64QL11	N	None	None	SFY2022-23
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-23 00:00:00	910018563	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-13 00:00:00	2022-10-13 00:00:00	No	2023-04-14 00:00:00	None	A	None	25000	25450	-8750	16700	0	None	PYK111	N	CA00807586, CA00823190, CA00823190	B, B, B	SFY2022-23
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-23 00:00:00	910018565	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-10 00:00:00	2023-02-10 00:00:00	No	2023-04-14 00:00:00	None	B	None	3000	3050	0	3050	0	None	OV9R11	N	CA00821814	A	SFY2022-23
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-23 00:00:00	910018566	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-10 00:00:00	2023-02-10 00:00:00	No	2023-04-14 00:00:00	None	B	None	3000	3200	0	3200	0	None	OV9R11	N	CA00821814, CA00821814	A, A	SFY2022-23
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-24 00:00:00	910018568	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-26 00:00:00	2022-12-26 00:00:00	No	2023-04-17 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	Q9Z511	N	CA00819510, CA00819510, CA00819510	B, B, B	SFY2022-23
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-24 00:00:00	910018569	Closed	Citation	Citation A (HSC 1424)	Patient Record	None	2023-02-09 00:00:00	2023-02-09 00:00:00	No	2023-04-17 00:00:00	None	A	None	25000	25050	0	25050	0	None	64QL11	N	None	None	SFY2022-23
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-24 00:00:00	910018573	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-06 00:00:00	2022-09-06 00:00:00	No	2023-04-17 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	1N1M11	N	CA00801868	B	SFY2022-23
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-24 00:00:00	910018574	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-11 00:00:00	2022-10-11 00:00:00	No	2023-04-17 00:00:00	None	B	None	3000	3000	0	0	3000	None	4G6M11	N	CA00807429	A	SFY2022-23
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-30 00:00:00	910018599	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-20 00:00:00	2023-01-20 00:00:00	No	2023-04-21 00:00:00	None	A	None	60000	60000	-21000	39000	0	None	0E1K11	Y	CA00822353, CA00822353, CA00822449, CA00822449	A, A, A, A	SFY2022-23
940000010	BEL VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-05 00:00:00	910018608	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-01 00:00:00	2023-02-01 00:00:00	No	2023-04-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JUZM11	N	CA00822481, CA00822481, CA00822481, CA00822481, CA00822481, CA00822481	B, B, B, B, B, B	SFY2022-23
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-06 00:00:00	910018615	Closed	Citation	Citation B (HSC 1424)	Other	Refusal to readmit	2023-02-09 00:00:00	2023-02-09 00:00:00	No	2023-04-27 00:00:00	None	B	None	3000	3050	-1050	2000	0	None	0JZD11	N	CA00826550	A	SFY2022-23
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-13 00:00:00	910018632	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-29 00:00:00	2022-12-29 00:00:00	Yes	2023-05-04 00:00:00	2023-04-21 00:00:00	A	None	25000	25000	0	0	25000	None	XMHD11	N	CA00818980, CA00818980, CA00820095	B, B, B	SFY2022-23
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-02 00:00:00	910018650	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-10 00:00:00	2023-03-10 00:00:00	Yes	2023-05-23 00:00:00	2023-05-12 00:00:00	A	None	25000	25000	0	0	25000	None	M85611	N	CA00830550	B	SFY2022-23
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-20 00:00:00	910018656	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-04 00:00:00	2023-03-04 00:00:00	No	2023-05-11 00:00:00	None	A	None	25000	25000	0	25000	0	None	GIH211	N	CA00829860	A	SFY2022-23
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-20 00:00:00	910018660	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2021-03-28 00:00:00	2021-03-28 00:00:00	No	2023-05-11 00:00:00	None	A	None	20000	20000	0	20000	0	None	MH2611	N	CA00735001	B	SFY2022-23
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-21 00:00:00	910018661	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-15 00:00:00	2022-11-15 00:00:00	Yes	2023-05-12 00:00:00	2023-05-09 00:00:00	B	B	3000	2100	0	2100	0	None	XNN311	N	CA00827002, CA00827002	B, B	SFY2022-23
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-21 00:00:00	910018662	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-11-15 00:00:00	2022-11-15 00:00:00	Yes	2023-05-12 00:00:00	2023-05-09 00:00:00	A	None	25000	25000	0	0	25000	None	XNN311	N	CA00827002, CA00827002, CA00827002	B, B, B	SFY2022-23
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-21 00:00:00	910018663	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-15 00:00:00	2023-02-15 00:00:00	No	2023-05-12 00:00:00	None	A	None	60000	60000	-21000	39000	0	None	YV2I11	Y	CA00827373, CA00827373, CA00827373, CA00827373, CA00827373, CA00827373, CA00827373	B, B, B, B, B, B, B	SFY2022-23
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-28 00:00:00	910018685	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-22 00:00:00	2022-10-22 00:00:00	Yes	2023-05-19 00:00:00	2023-05-16 00:00:00	A	None	25000	75000	0	0	75000	None	JM1J11	N	CA00808569	B	SFY2022-23
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-25 00:00:00	910018686	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2023-03-14 00:00:00	2023-03-14 00:00:00	No	2023-05-16 00:00:00	None	B	None	3000	9000	0	9000	0	None	N68Q11	N	None	None	SFY2022-23
910000035	LOTUS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-25 00:00:00	910018688	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-18 00:00:00	2023-03-18 00:00:00	No	2023-05-16 00:00:00	None	B	None	3000	3000	0	0	3000	None	OTNV11	N	CA00831967	A	SFY2022-23
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-02 00:00:00	910018712	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-18 00:00:00	2023-03-18 00:00:00	No	2023-05-23 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	V4J611	N	CA00832068	B	SFY2022-23
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-03 00:00:00	910018715	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-13 00:00:00	2023-03-13 00:00:00	No	2023-05-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	X6HO11	N	CA00832423	A	SFY2022-23
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-04 00:00:00	910018722	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-09 00:00:00	2023-03-09 00:00:00	No	2023-05-25 00:00:00	None	B	None	3000	3000	0	3000	0	None	F1K211	N	CA00834888	A	SFY2022-23
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-09 00:00:00	910018735	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-02-23 00:00:00	2023-02-23 00:00:00	No	2023-05-31 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	V79111	N	CA00828904	B	SFY2022-23
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-10 00:00:00	910018737	Open	Citation	Citation A (HSC 1424)	Other	QualityOfCare/NursingSvcs	2023-03-19 00:00:00	2023-03-19 00:00:00	No	2023-06-01 00:00:00	None	A	None	20000	20000	0	20000	0	None	1UEP11	N	CA00829728, CA00829728, CA00832391	B, B, B	SFY2022-23
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-10 00:00:00	910018738	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-03-19 00:00:00	2023-03-19 00:00:00	Yes	2023-06-01 00:00:00	2023-06-01 00:00:00	AA	None	115000	115000	0	0	115000	None	3D8T11	Y	CA00831998	A	SFY2022-23
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-10 00:00:00	910018739	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-19 00:00:00	2023-03-19 00:00:00	Yes	2023-06-01 00:00:00	2023-06-01 00:00:00	A	None	25000	25000	0	0	25000	None	3D8T11	Y	CA00831998, CA00831998	A, A	SFY2022-23
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-10 00:00:00	910018740	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-02 00:00:00	2023-03-02 00:00:00	No	2023-06-01 00:00:00	None	B	None	3000	3000	0	0	3000	None	LQSM11	N	CA00829401, CA00829401	B, B	SFY2022-23
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-10 00:00:00	910018741	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-18 00:00:00	2023-02-18 00:00:00	No	2023-06-01 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	SWL711	N	CA00826231	B	SFY2022-23
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-10 00:00:00	910018742	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-16 00:00:00	2023-03-16 00:00:00	No	2023-06-01 00:00:00	None	B	None	3000	9000	0	9000	0	None	YZPM11	N	CA00832583	A	SFY2022-23
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-11 00:00:00	910018746	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-31 00:00:00	2023-03-31 00:00:00	No	2023-06-02 00:00:00	None	B	None	3000	3000	0	3000	0	None	6YEQ11	N	CA00833964	A	SFY2022-23
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-17 00:00:00	910018761	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-11 00:00:00	2023-03-11 00:00:00	No	2023-06-08 00:00:00	None	A	None	25000	25000	0	16250	8750	None	E8EB11	N	CA00831160	B	SFY2022-23
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-19 00:00:00	910018774	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-21 00:00:00	2023-02-21 00:00:00	No	2023-06-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JUSI11	N	CA00831834, CA00831834, CA00831834, CA00831970, CA00831970, CA00831970, CA00831981, CA00831981, CA00831981	A, A, A, B, B, B, B, B, B	SFY2022-23
910000057	LOS PALOS POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-19 00:00:00	910018776	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-08 00:00:00	2023-01-08 00:00:00	No	2023-06-12 00:00:00	None	B	None	3000	3000	0	3000	0	None	49CW11	N	CA00830819, CA00830819	A, A	SFY2022-23
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-24 00:00:00	910018791	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-11 00:00:00	2023-03-11 00:00:00	No	2023-06-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	R3CZ11	N	CA00831584	B	SFY2022-23
940000024	NORWALK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-24 00:00:00	910018792	Closed	Citation	Citation B (HSC 1424)	Other	Refusal to Readmit	2023-04-14 00:00:00	2023-04-14 00:00:00	No	2023-06-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	7LCA11	N	CA00836144	A	SFY2022-23
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-24 00:00:00	910018793	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-11 00:00:00	2023-03-11 00:00:00	No	2023-06-15 00:00:00	None	B	None	3000	3000	0	0	3000	None	TQKV11	N	CA00834197, CA00834197, CA00834197, CA00834352, CA00834352, CA00834352, CA00834460, CA00834460, CA00834460, CA00837123	B, B, B, B, B, B, A, A, A, A	SFY2022-23
940000079	PICO RIVERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-25 00:00:00	910018797	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-25 00:00:00	2022-09-25 00:00:00	Yes	2023-06-16 00:00:00	2023-06-07 00:00:00	A	None	25000	25000	0	0	25000	None	PX7V11	N	CA00804922	B	SFY2022-23
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-25 00:00:00	910018800	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-18 00:00:00	2023-01-18 00:00:00	No	2023-06-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4WIS11	N	CA00819077	B	SFY2022-23
940000093	ARTESIA CHRISTIAN HOME INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-26 00:00:00	910018803	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-04 00:00:00	2023-01-04 00:00:00	No	2023-06-19 00:00:00	None	B	None	3000	3000	0	3000	0	None	87BZ11	N	CA00767734	B	SFY2022-23
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-26 00:00:00	910018807	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-03-26 00:00:00	2023-03-26 00:00:00	No	2023-06-19 00:00:00	None	AA	None	120000	120000	-42000	78000	0	None	XQT511	Y	CA00834850	B	SFY2022-23
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-01 00:00:00	910018818	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-05 00:00:00	2023-04-05 00:00:00	No	2023-06-22 00:00:00	None	B	None	3000	3000	0	3000	0	None	Y1TI11	N	CA00835827, CA00835827	B, B	SFY2022-23
970000054	WESTERN CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-05 00:00:00	910018828	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-04 00:00:00	2023-04-04 00:00:00	No	2023-06-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7WUP11	N	CA00837055, CA00837055	A, A	SFY2022-23
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-09 00:00:00	910018838	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-10 00:00:00	2023-03-10 00:00:00	No	2023-06-30 00:00:00	None	B	None	3000	3000	0	3000	0	None	QA2E11	N	CA00830617, CA00830617, CA00830617, CA00830617, CA00831620	B, B, B, B, A	SFY2022-23
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-09 00:00:00	910018839	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-28 00:00:00	2023-03-28 00:00:00	No	2023-06-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CG3U11	N	CA00833490, CA00833490	A, A	SFY2022-23
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-14 00:00:00	910018853	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-10-10 00:00:00	2022-10-10 00:00:00	No	2023-07-06 00:00:00	None	B	None	3000	3000	0	3000	0	None	XX7V11	N	CA00832217	A	SFY2022-23
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-15 00:00:00	910018864	Closed	Citation	Citation A (HSC 1424)	Medication	None	2022-09-07 00:00:00	2022-09-07 00:00:00	No	2023-07-07 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	Z72311	N	CA00832210, CA00832210, CA00832210, CA00832210	A, A, A, A	SFY2022-23
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-22 00:00:00	910018889	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-05-02 00:00:00	2023-05-02 00:00:00	No	2023-07-14 00:00:00	None	B	None	3000	3000	0	0	3000	None	6FSU11	N	CA00839451	A	SFY2022-23
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-23 00:00:00	910018892	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-29 00:00:00	2022-12-29 00:00:00	No	2023-07-17 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	7VT811	N	CA00838441	B	SFY2022-23
940000024	NORWALK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-23 00:00:00	910018894	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-21 00:00:00	2023-03-21 00:00:00	Yes	2023-07-17 00:00:00	2023-07-17 00:00:00	A	None	25000	25000	0	0	25000	None	B3EQ11	N	CA00839440, CA00839440, CA00839440	B, B, B	SFY2022-23
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-23 00:00:00	910018895	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-03 00:00:00	2023-02-03 00:00:00	No	2023-07-17 00:00:00	None	A	None	25000	25000	0	0	25000	None	IOMZ11	N	CA00839530	A	SFY2022-23
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-28 00:00:00	910018906	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-27 00:00:00	2023-04-27 00:00:00	Yes	2023-07-20 00:00:00	2023-07-21 00:00:00	A	None	25000	25150	0	0	25150	None	2G3111	N	CA00840325	A	SFY2022-23
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-30 00:00:00	910018917	Closed	Citation	Citation A (HSC 1424)	Patient Rights	Abuse/Facility not report	2023-04-21 00:00:00	2023-04-21 00:00:00	No	2023-07-24 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	VN8511	N	CA00837583	B	SFY2022-23
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-30 00:00:00	910018918	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-05-12 00:00:00	2023-05-12 00:00:00	No	2023-07-24 00:00:00	None	B	None	3000	3000	0	3000	0	None	GPRU11	N	CA00840753	A	SFY2022-23
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-30 00:00:00	910018920	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-04-12 00:00:00	2023-04-12 00:00:00	No	2023-07-24 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	88L611	N	CA00836095, CA00836095, CA00836095, CA00836095, CA00836095, CA00836095, CA00836095	B, B, B, B, B, B, B	SFY2022-23
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-05 00:00:00	910018925	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-07 00:00:00	2022-10-07 00:00:00	No	2023-07-26 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	K9W511	N	CA00808776	B	SFY2023-24
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-06 00:00:00	910018931	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-05-04 00:00:00	2023-05-04 00:00:00	No	2023-07-27 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	V8G211	N	CA00839165, CA00839165, CA00839165, CA00839733, CA00839733, CA00839733	A, A, A, B, B, B	SFY2023-24
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-11 00:00:00	910018942	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-22 00:00:00	2022-10-22 00:00:00	No	2023-08-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	UZST11	N	CA00808476	B	SFY2023-24
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-18 00:00:00	910018947	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-22 00:00:00	2022-10-22 00:00:00	No	2023-08-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	UZST11	N	CA00808476	B	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-18 00:00:00	910018970	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-05 00:00:00	2023-06-05 00:00:00	No	2023-08-08 00:00:00	None	A	None	25000	25000	0	25000	0	None	VBX111	N	CA00844216	B	SFY2023-24
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-19 00:00:00	910018973	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-05 00:00:00	2023-05-05 00:00:00	No	2023-08-09 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	M4BY11	N	CA00842994	A	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-20 00:00:00	910018983	Open	Citation	Citation A (HSC 1424)	Medication	None	2023-05-31 00:00:00	2023-05-31 00:00:00	No	2023-08-10 00:00:00	None	A	None	25000	25000	0	0	25000	None	KWUV11	N	CA00843474	A	SFY2023-24
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-25 00:00:00	910018995	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-15 00:00:00	2023-06-15 00:00:00	No	2023-08-15 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	74ZM11	N	CA00845913	B	SFY2023-24
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-26 00:00:00	910018999	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-09 00:00:00	2023-06-09 00:00:00	No	2023-08-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MBNS11	N	CA00843569, CA00845793, CA00847048	B, A, B	SFY2023-24
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-26 00:00:00	910019003	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-06 00:00:00	2023-06-06 00:00:00	No	2023-08-16 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	STVO11	N	CA00844640	B	SFY2023-24
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-26 00:00:00	910019004	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2023-05-25 00:00:00	2023-05-25 00:00:00	No	2023-08-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	W8DY11	N	CA00844776	B	SFY2023-24
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-01 00:00:00	910019017	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-05 00:00:00	2023-07-05 00:00:00	No	2023-08-22 00:00:00	None	B	None	3000	3000	0	3000	0	None	ZTS311	N	CA00847588, CA00847588	B, B	SFY2023-24
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-11 00:00:00	910019055	Open	Citation	Citation A (HSC 1424)	Medication	None	2023-06-11 00:00:00	2023-06-11 00:00:00	No	2023-09-01 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	21OK11	N	CA00846653, CA00846653	A, A	SFY2023-24
940000048	COTTAGE CREST POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-11 00:00:00	910019057	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-06-22 00:00:00	2023-06-22 00:00:00	No	2023-09-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	S6KN11	N	None	None	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-16 00:00:00	910019064	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-27 00:00:00	2023-06-27 00:00:00	No	2023-09-07 00:00:00	None	B	None	3000	3050	-1050	1950	50	None	60JU11	N	CA00847668	A	SFY2023-24
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-17 00:00:00	910019071	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2023-06-21 00:00:00	2023-06-21 00:00:00	No	2023-09-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JLIU11	N	CA00846525	A	SFY2023-24
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-23 00:00:00	910019090	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-17 00:00:00	2023-06-17 00:00:00	No	2023-09-14 00:00:00	None	B	None	3000	3000	0	0	3000	None	315N11	N	CA00851672	A	SFY2023-24
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-23 00:00:00	910019092	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-26 00:00:00	2023-07-26 00:00:00	No	2023-09-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	GJMT11	N	None	None	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-24 00:00:00	910019093	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-02 00:00:00	2023-07-02 00:00:00	No	2023-09-15 00:00:00	None	A	None	25000	25050	-8750	16250	50	None	EEOI11	N	CA00848516	B	SFY2023-24
910000025	CLEAR VIEW SANITARIUM	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-24 00:00:00	910019094	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-10 00:00:00	2023-07-10 00:00:00	No	2023-09-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	LLWO11	N	None	None	SFY2023-24
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-25 00:00:00	910019097	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-08-27 00:00:00	2022-08-27 00:00:00	Yes	2023-09-18 00:00:00	2023-10-13 00:00:00	A	None	25000	25000	0	0	25000	None	6CCA11	N	CA00848269, CA00848269, CA00848269	B, B, B	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-29 00:00:00	910019106	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-12 00:00:00	2023-06-12 00:00:00	No	2023-09-20 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	1VF711	N	CA00851069, CA00851069, CA00851069, CA00851069, CA00851069	A, A, A, A, A	SFY2023-24
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-29 00:00:00	910019109	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-07-13 00:00:00	2023-07-13 00:00:00	Yes	2023-09-20 00:00:00	2023-09-05 00:00:00	AA	None	120000	120000	0	0	120000	None	EK7111	Y	CA00850765, CA00850765, CA00851127, CA00851127, CA00851127, CA00851127	A, A, A, A, A, A	SFY2023-24
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-31 00:00:00	910019116	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Facility not report	2023-06-17 00:00:00	2023-06-17 00:00:00	No	2023-09-22 00:00:00	None	A	None	25000	25000	0	25000	0	None	315N11	N	CA00851199, CA00851672, CA00851672	A, A, A	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-01 00:00:00	910019126	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-20 00:00:00	2023-07-20 00:00:00	No	2023-09-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	1VF711	N	None	None	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-06 00:00:00	910019133	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-24 00:00:00	2023-07-24 00:00:00	No	2023-09-27 00:00:00	None	B	None	3000	3000	0	0	3000	None	DH7F11	N	CA00852139	B	SFY2023-24
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-07 00:00:00	910019137	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-07-26 00:00:00	2023-07-26 00:00:00	No	2023-09-28 00:00:00	None	B	None	3000	3000	0	3000	0	None	9MCM11	N	CA00852665	A	SFY2023-24
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-07 00:00:00	910019138	Open	Citation	Citation B (HSC 1424)	Other	Failure to Readmit	2023-06-20 00:00:00	2023-06-20 00:00:00	No	2023-09-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Z1Y611	N	CA00852821, CA00852821	A, A	SFY2023-24
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-08 00:00:00	910019140	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-07-21 00:00:00	2023-07-21 00:00:00	No	2023-09-29 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	K3X211	None	CA00850781	B	SFY2023-24
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-08 00:00:00	910019142	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-06 00:00:00	2023-06-06 00:00:00	No	2023-09-29 00:00:00	None	A	None	25000	25000	0	25000	0	None	B6KK11	N	CA00849839, CA00849839, CA00849839	B, B, B	SFY2023-24
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-08 00:00:00	910019143	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-22 00:00:00	2023-07-22 00:00:00	Yes	2023-09-29 00:00:00	2023-09-27 00:00:00	A	None	25000	25000	0	0	25000	None	G6QD11	N	CA00851955, CA00851955	B, B	SFY2023-24
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-11 00:00:00	910019147	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-08-06 00:00:00	2023-08-06 00:00:00	Yes	2023-10-02 00:00:00	2023-09-18 00:00:00	AA	None	100000	100000	0	0	100000	None	V7GB11	Y	CA00854608, CA00854608	A, A	SFY2023-24
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-12 00:00:00	910019155	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-02 00:00:00	2023-08-02 00:00:00	No	2023-10-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8SX811	N	CA00854064	A	SFY2023-24
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-14 00:00:00	910019162	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-09 00:00:00	2023-07-09 00:00:00	No	2023-10-05 00:00:00	None	B	None	3000	3000	0	3000	0	None	78JP11	N	CA00852982, CA00852982, CA00852982, CA00852982, CA00852982, CA00852985, CA00852985, CA00852985, CA00852985, CA00852985	A, A, A, A, A, B, B, B, B, B	SFY2023-24
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-14 00:00:00	910019163	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-13 00:00:00	2023-06-13 00:00:00	No	2023-10-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	37MH11	N	CA00856389	A	SFY2023-24
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-14 00:00:00	910019166	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2023-08-26 00:00:00	2023-08-26 00:00:00	No	2023-10-05 00:00:00	None	B	None	3000	3000	0	3000	0	None	I0LE11	N	CA00857926	A	SFY2023-24
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-15 00:00:00	910019168	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-21 00:00:00	2023-07-21 00:00:00	No	2023-10-06 00:00:00	None	B	None	3000	3000	0	3000	0	None	KMBL11	N	CA00852005	B	SFY2023-24
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-15 00:00:00	910019169	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-18 00:00:00	2023-07-18 00:00:00	No	2023-10-06 00:00:00	None	A	None	25000	25000	0	25000	0	None	H4JQ11	Y	CA00851037, CA00851037, CA00851037	B, B, B	SFY2023-24
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-18 00:00:00	910019170	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-06-10 00:00:00	2022-06-10 00:00:00	No	2023-10-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	L66V11	N	CA00853779	A	SFY2023-24
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-19 00:00:00	910019177	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-25 00:00:00	2023-07-25 00:00:00	No	2023-10-10 00:00:00	None	A	None	25000	25000	0	25000	0	None	5L9I11	N	CA00852720	B	SFY2023-24
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-19 00:00:00	910019178	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-02 00:00:00	2023-08-02 00:00:00	No	2023-10-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	BI0C11	N	CA00854598	A	SFY2023-24
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-19 00:00:00	910019179	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-14 00:00:00	2023-08-14 00:00:00	No	2023-10-10 00:00:00	None	B	None	3000	3150	0	0	3150	None	BI0C11	N	CA00855705	A	SFY2023-24
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-20 00:00:00	910019182	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-22 00:00:00	2023-04-22 00:00:00	Yes	2023-10-11 00:00:00	2023-09-25 00:00:00	A	None	25000	25000	0	0	25000	None	7K5O11	N	CA00852584, CA00852584, CA00852584	A, A, A	SFY2023-24
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-22 00:00:00	910019193	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-31 00:00:00	2023-07-31 00:00:00	No	2023-10-13 00:00:00	None	B	None	3000	3100	0	3100	0	None	2JKB11	N	CA00853198, CA00853979	B, B	SFY2023-24
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-22 00:00:00	910019195	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-16 00:00:00	2023-05-16 00:00:00	No	2023-10-13 00:00:00	None	A	None	25000	25000	0	0	25000	None	UDYJ11	N	CA00852627	B	SFY2023-24
940000043	EDGEWATER SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-27 00:00:00	910019208	Open	Citation	Citation B (HSC 1424)	Medication	None	2023-06-23 00:00:00	2023-06-23 00:00:00	No	2023-10-18 00:00:00	None	B	None	3000	3150	-1050	1950	150	None	7T0311	N	CA00854928	B	SFY2023-24
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-28 00:00:00	910019211	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-05 00:00:00	2023-08-05 00:00:00	No	2023-10-19 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	DPO311	N	CA00854701, CA00854701, CA00854701	A, A, A	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-05 00:00:00	910019230	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-17 00:00:00	2023-08-17 00:00:00	No	2023-10-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	G4W611	N	CA00856596	A	SFY2023-24
940000043	EDGEWATER SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-05 00:00:00	910019231	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-06-23 00:00:00	2023-06-23 00:00:00	No	2023-10-26 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	7T0311	None	CA00854928	B	SFY2023-24
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-06 00:00:00	910019234	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-26 00:00:00	2023-07-26 00:00:00	No	2023-10-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OEQ711	N	CA00857195, CA00857195	B, B	SFY2023-24
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-06 00:00:00	910019241	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-19 00:00:00	2023-08-19 00:00:00	No	2023-10-27 00:00:00	None	B	None	3000	3000	0	0	3000	None	IM9P11	N	CA00857173, CA00857173	A, A	SFY2023-24
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-10 00:00:00	910019248	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-08-26 00:00:00	2023-08-26 00:00:00	Yes	2023-10-31 00:00:00	2023-10-11 00:00:00	AA	None	120000	120000	0	0	120000	None	I0LE11	Y	None	None	SFY2023-24
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-11 00:00:00	910019253	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-11-05 00:00:00	2021-11-05 00:00:00	No	2023-11-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	JG5E11	N	CA00855504	B	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-18 00:00:00	910019269	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-27 00:00:00	2023-08-27 00:00:00	No	2023-11-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OYQY11	N	CA00859040, CA00859040	B, B	SFY2023-24
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-18 00:00:00	910019273	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-04 00:00:00	2023-09-04 00:00:00	Yes	2023-11-08 00:00:00	2023-10-25 00:00:00	B	B	3000	7200	0	7200	0	None	QWV111	N	CA00859116	B	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-20 00:00:00	910019287	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-05 00:00:00	2023-09-05 00:00:00	No	2023-11-13 00:00:00	None	A	None	20000	20000	0	0	20000	None	S2Y711	N	CA00858704, CA00858704, CA00858704, CA00858704, CA00859161, CA00859161, CA00859161, CA00859161	B, B, B, B, B, B, B, B	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-20 00:00:00	910019288	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-28 00:00:00	2023-08-28 00:00:00	No	2023-11-13 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	HH6B11	N	CA00858245, CA00858245, CA00858245	B, B, B	SFY2023-24
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-20 00:00:00	910019291	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Facility Not Report	2023-08-23 00:00:00	2023-08-23 00:00:00	No	2023-11-13 00:00:00	None	A	None	25000	75000	-26250	48750	0	None	RI8011	N	CA00857514, CA00857514	A, A	SFY2023-24
940000024	NORWALK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-27 00:00:00	910019314	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-12 00:00:00	2023-09-12 00:00:00	No	2023-11-20 00:00:00	None	B	None	3000	3000	0	3000	0	None	X8EL11	N	CA00860609	B	SFY2023-24
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-30 00:00:00	910019318	Closed	Citation	Citation B (HSC 1424)	Other	Failure to report unusual	2023-09-08 00:00:00	2023-09-08 00:00:00	No	2023-11-21 00:00:00	None	B	None	3000	3000	0	3000	0	None	0FUC11	N	None	None	SFY2023-24
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-31 00:00:00	910019323	Open	Citation	Citation B (HSC 1424)	Other	Failure to Report	2023-09-04 00:00:00	2023-09-04 00:00:00	No	2023-11-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CDJV11	N	CA00860474	A	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-02 00:00:00	910019335	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-08 00:00:00	2023-09-08 00:00:00	No	2023-11-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JUO711	N	CA00859814, CA00859814	B, B	SFY2023-24
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-03 00:00:00	910019341	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-30 00:00:00	2023-09-30 00:00:00	No	2023-11-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	SK5311	N	None	None	SFY2023-24
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-06 00:00:00	910019344	Open	Citation	Citation B (HSC 1424)	Other	Policy & Procedure: Repor	2023-09-18 00:00:00	2023-09-18 00:00:00	No	2023-11-30 00:00:00	None	B	None	3000	3000	0	3000	0	None	DH0411	N	CA00861892	B	SFY2023-24
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-08 00:00:00	910019345	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-11 00:00:00	2023-09-11 00:00:00	No	2023-12-04 00:00:00	None	A	None	25000	25000	0	25000	0	None	8BI011	N	CA00864395, CA00864395, CA00864395, CA00864395	A, A, A, A	SFY2023-24
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-08 00:00:00	910019347	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-09-26 00:00:00	2023-09-26 00:00:00	No	2023-12-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CDMQ11	N	CA00862295, CA00862295, CA00862755	A, A, B	SFY2023-24
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-08 00:00:00	910019349	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-18 00:00:00	2023-09-18 00:00:00	No	2023-12-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	10KD11	N	CA00862812, CA00863494	B, B	SFY2023-24
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-08 00:00:00	910019350	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-21 00:00:00	2023-08-21 00:00:00	No	2023-12-04 00:00:00	None	B	None	3000	3000	0	3000	0	None	67VN11	N	CA00860621, CA00860621, CA00860621, CA00860621	B, B, B, B	SFY2023-24
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-08 00:00:00	910019352	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-03 00:00:00	2023-10-03 00:00:00	No	2023-12-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	L55Y11	N	CA00865328, CA00865328	A, A	SFY2023-24
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-09 00:00:00	910019355	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-27 00:00:00	2023-09-27 00:00:00	No	2023-12-05 00:00:00	None	B	None	3000	3000	0	3000	0	None	CS4L11	N	CA00862917, CA00862917, CA00863155, CA00863155	A, A, A, A	SFY2023-24
940000069	BROOKFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-15 00:00:00	910019367	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-30 00:00:00	2023-07-30 00:00:00	No	2023-12-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UGE111	N	None	None	SFY2023-24
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-15 00:00:00	910019371	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-15 00:00:00	2023-05-15 00:00:00	No	2023-12-08 00:00:00	None	B	None	3000	3000	0	3000	0	None	JH7K11	N	CA00862083, CA00862083, CA00862339, CA00862339	B, B, B, B	SFY2023-24
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-16 00:00:00	910019375	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-07 00:00:00	2023-08-07 00:00:00	Yes	2023-12-11 00:00:00	2023-12-01 00:00:00	A	None	25000	25000	0	0	25000	None	14FB11	N	CA00863687, CA00863687, CA00863687	A, A, A	SFY2023-24
940000048	COTTAGE CREST POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-16 00:00:00	910019377	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-18 00:00:00	2023-09-18 00:00:00	No	2023-12-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	YBE211	N	CA00863609, CA00863609	A, A	SFY2023-24
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-17 00:00:00	910019382	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-21 00:00:00	2023-09-21 00:00:00	No	2023-12-12 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	N0T411	N	CA00863649, CA00863649, CA00863649, CA00863649, CA00863649	A, A, A, A, A	SFY2023-24
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-17 00:00:00	910019383	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-10-03 00:00:00	2023-10-03 00:00:00	No	2023-12-12 00:00:00	None	B	None	3000	3000	0	0	3000	None	4KO111	N	CA00863843	B	SFY2023-24
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-22 00:00:00	910019401	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-07 00:00:00	2023-10-07 00:00:00	No	2023-12-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	I64711	N	CA00864823	A	SFY2023-24
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-28 00:00:00	910019409	Closed	Citation	Citation B (HSC 1424)	Other	Failure to report COVID o	2023-10-10 00:00:00	2023-10-10 00:00:00	No	2023-12-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3SYT11	N	CA00866394, CA00867268	B, B	SFY2023-24
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-28 00:00:00	910019411	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-05 00:00:00	2023-10-05 00:00:00	No	2023-12-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KXMP11	N	CA00864312, CA00865347, CA00865347	B, B, B	SFY2023-24
940000024	NORWALK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-28 00:00:00	910019412	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-12 00:00:00	2023-07-12 00:00:00	No	2023-12-19 00:00:00	None	B	None	3000	3000	0	0	3000	None	MUUJ11	N	CA00866252	B	SFY2023-24
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-30 00:00:00	910019419	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-03 00:00:00	2023-02-03 00:00:00	No	2023-12-21 00:00:00	None	B	None	3000	3000	0	3000	0	None	3CJY11	N	CA00824923	B	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-01 00:00:00	910019432	Open	Citation	Citation B (HSC 1424)	Other	ABUSE SELF REPORTED	2023-10-09 00:00:00	2023-10-09 00:00:00	No	2023-12-22 00:00:00	None	B	None	3000	3000	0	3000	0	None	0YS111	N	CA00864800	B	SFY2023-24
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-06 00:00:00	910019447	Open	Citation	Citation A (HSC 1424)	Medication	None	2023-10-27 00:00:00	2023-10-27 00:00:00	No	2023-12-28 00:00:00	None	A	None	25000	75000	0	75000	0	None	OR4011	N	CA00867514, CA00867514	A, A	SFY2023-24
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-06 00:00:00	910019449	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-27 00:00:00	2023-10-27 00:00:00	No	2023-12-28 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	DMO911	N	CA00867699	A	SFY2023-24
910000048	HERITAGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-07 00:00:00	910019450	Open	Citation	Citation B (HSC 1424)	Other	Unusual Occurrence not re	2023-06-12 00:00:00	2023-06-12 00:00:00	Yes	2023-12-29 00:00:00	2023-12-21 00:00:00	B	None	3000	3000	0	0	3000	None	BW5O11	N	CA00866778	A	SFY2023-24
910000048	HERITAGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-08 00:00:00	910019456	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-13 00:00:00	2023-06-13 00:00:00	Yes	2024-01-01 00:00:00	2023-12-22 00:00:00	A	None	25000	25000	0	0	25000	None	BW5O11	N	CA00866778, CA00866778	A, A	SFY2023-24
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-08 00:00:00	910019458	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-10-14 00:00:00	2023-10-14 00:00:00	Yes	2024-01-02 00:00:00	2023-12-19 00:00:00	A	None	25000	25000	0	0	25000	None	1UTW11	N	CA00865885, CA00865885	B, B	SFY2023-24
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-12 00:00:00	910019471	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-07 00:00:00	2023-11-07 00:00:00	No	2024-01-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	P2D711	N	CA00868097	B	SFY2023-24
940000016	BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-15 00:00:00	910019501	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-11-01 00:00:00	2023-11-01 00:00:00	No	2024-01-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ZJTQ11	N	CA00868116, CA00868138	A, A	SFY2023-24
940000073	HUNTINGTON PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-18 00:00:00	910019509	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-01 00:00:00	2023-09-01 00:00:00	Yes	2024-01-10 00:00:00	2023-12-21 00:00:00	A	None	25000	25250	0	0	25250	None	BC4T11	N	CA00867020, CA00867020	B, B	SFY2023-24
910000048	HERITAGE REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-20 00:00:00	910019520	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-11-02 00:00:00	2023-11-02 00:00:00	No	2024-01-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CHS711	N	CA00868302	A	SFY2023-24
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-21 00:00:00	910019524	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-06 00:00:00	2023-11-06 00:00:00	No	2024-01-12 00:00:00	None	B	None	3000	3000	0	3000	0	None	D0FM11	N	CA00868790	B	SFY2023-24
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-27 00:00:00	910019536	Open	Citation	Citation B (HSC 1424)	Other	Infection Control	2023-10-24 00:00:00	2023-10-24 00:00:00	No	2024-01-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VW0I11	N	CA00866634, CA00867959, CA00867959, CA00867959, CA00867959, CA00868410, CA00868410	B, B, B, B, B, A, A	SFY2023-24
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-28 00:00:00	910019542	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-27 00:00:00	2023-11-27 00:00:00	No	2024-01-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	77QB11	N	CA00871351	B	SFY2023-24
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-28 00:00:00	910019543	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-07 00:00:00	2023-11-07 00:00:00	No	2024-01-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	HTJO11	N	CA00868920	B	SFY2023-24
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-28 00:00:00	910019544	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-16 00:00:00	2023-11-16 00:00:00	No	2024-01-18 00:00:00	None	B	None	3000	3000	0	3000	0	None	96AY11	N	CA00871259	B	SFY2023-24
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-29 00:00:00	910019545	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-10-18 00:00:00	2023-10-18 00:00:00	No	2024-01-19 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	NHL911	N	CA00866358, CA00866358, CA00866358	B, B, B	SFY2023-24
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-29 00:00:00	910019551	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-20 00:00:00	2023-11-20 00:00:00	No	2024-01-19 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	2IQW11	N	CA00870933, CA00874500	B, B	SFY2023-24
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-29 00:00:00	910019552	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-20 00:00:00	2023-11-20 00:00:00	No	2024-01-19 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	2IQW11	N	CA00870933, CA00874500	B, B	SFY2023-24
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-02 00:00:00	910019555	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-20 00:00:00	2023-11-20 00:00:00	No	2024-01-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2IQW11	N	None	None	SFY2023-24
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-02 00:00:00	910019557	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-08 00:00:00	2023-11-08 00:00:00	No	2024-01-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OZJ511	N	None	None	SFY2023-24
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-03 00:00:00	910019565	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-13 00:00:00	2023-11-13 00:00:00	No	2024-01-24 00:00:00	None	A	None	20000	20300	-7000	13300	0	None	0I8111	N	None	None	SFY2023-24
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-10 00:00:00	910019580	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-10 00:00:00	2023-12-10 00:00:00	No	2024-01-31 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	WDF511	N	CA00874225, CA00876820	B, B	SFY2023-24
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-10 00:00:00	910019582	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-02 00:00:00	2023-11-02 00:00:00	No	2024-01-31 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DGSW11	N	CA00871276, CA00871402, CA00871402, CA00871402, CA00871402	B, B, B, B, B	SFY2023-24
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-10 00:00:00	910019586	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-06 00:00:00	2023-12-06 00:00:00	No	2024-01-31 00:00:00	None	B	None	3000	3000	0	0	3000	None	ZZ1411	N	CA00874722	B	SFY2023-24
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-11 00:00:00	910019591	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2023-12-05 00:00:00	2023-12-05 00:00:00	No	2024-02-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	V9K411	N	CA00873150	B	SFY2023-24
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-12 00:00:00	910019598	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-15 00:00:00	2023-11-15 00:00:00	No	2024-02-05 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	5IHF11	N	CA00870702, CA00870702	B, B	SFY2023-24
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-16 00:00:00	910019604	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-01 00:00:00	2023-12-01 00:00:00	No	2024-02-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	UZKL11	N	CA00872610, CA00872610, CA00873493, CA00873493	B, B, B, B	SFY2023-24
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-17 00:00:00	910019611	Open	Citation	Citation B (HSC 1424)	Other	NO REPORT RES ELOPEMENT	2023-11-26 00:00:00	2023-11-26 00:00:00	No	2024-02-07 00:00:00	None	B	None	3000	3000	0	0	3000	None	9UUY11	N	CA00872336, CA00872336, CA00872336, CA00872336	A, A, A, A	SFY2023-24
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-25 00:00:00	910019639	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2023-12-12 00:00:00	2023-12-12 00:00:00	No	2024-02-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	T5VB11	N	CA00877923	A	SFY2023-24
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-26 00:00:00	910019659	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-11 00:00:00	2023-12-11 00:00:00	No	2024-02-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	981811	N	CA00874242, CA00874443, CA00874443	A, B, B	SFY2023-24
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-30 00:00:00	910019668	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Report OB	2024-01-08 00:00:00	2024-01-08 00:00:00	No	2024-02-20 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	D68311	N	CA00877704	B	SFY2023-24
930000436	PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-01 00:00:00	910019673	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-12-11 00:00:00	2023-12-11 00:00:00	No	2024-02-22 00:00:00	None	B	None	3000	3000	0	3000	0	None	4KK311	N	None	None	SFY2023-24
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-02 00:00:00	910019683	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-10 00:00:00	2023-12-10 00:00:00	No	2024-02-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	2LWN11	N	CA00874101, CA00874101, CA00874101, CA00874101	B, B, B, B	SFY2023-24
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-02 00:00:00	910019686	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurences	2023-12-13 00:00:00	2023-12-13 00:00:00	No	2024-02-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	INU611	N	CA00878830, CA00878830	A, A	SFY2023-24
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-06 00:00:00	910019700	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-12 00:00:00	2023-12-12 00:00:00	No	2024-02-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	T5VB11	N	CA00877019, CA00877019	B, B	SFY2023-24
940000016	BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-09 00:00:00	910019718	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-22 00:00:00	2023-11-22 00:00:00	Yes	2024-03-01 00:00:00	2024-02-09 00:00:00	A	None	25000	25000	0	0	25000	None	9JSB11	N	CA00873857, CA00873857	A, A	SFY2023-24
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-16 00:00:00	910019756	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-12 00:00:00	2023-12-12 00:00:00	No	2024-03-08 00:00:00	None	A	None	25000	25000	0	0	25000	None	VLS111	N	CA00874938, CA00874938	B, B	SFY2023-24
970000052	ST. ANDREWS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-16 00:00:00	910019757	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-23 00:00:00	2023-12-23 00:00:00	No	2024-03-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	P0J011	N	CA00876397, CA00876397	B, B	SFY2023-24
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-21 00:00:00	910019765	Open	Citation	Citation B (HSC 1424)	Other	Infection Control/UOR fac	2024-01-07 00:00:00	2024-01-07 00:00:00	No	2024-03-13 00:00:00	None	B	None	3000	3000	0	1950	1050	None	5UPC11	N	CA00878634	B	SFY2023-24
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-21 00:00:00	910019766	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-02 00:00:00	2024-01-02 00:00:00	No	2024-03-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	5RVH11	N	CA00877959, CA00878140	B, B	SFY2023-24
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-22 00:00:00	910019773	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-22 00:00:00	2023-12-22 00:00:00	No	2024-03-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MOKP11	N	CA00876393, CA00876393, CA00876393, CA00876393, CA00876393	B, B, B, B, B	SFY2023-24
940000079	PICO RIVERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-23 00:00:00	910019775	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-08 00:00:00	2023-11-08 00:00:00	No	2024-03-15 00:00:00	None	A	None	25000	25000	0	0	25000	None	4HLR11	Y	None	None	SFY2023-24
910000275	GARDENA CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-26 00:00:00	910019781	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2024-01-19 00:00:00	2024-01-19 00:00:00	No	2024-03-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	PIXV11	N	CA00880849	B	SFY2023-24
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-27 00:00:00	910019787	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-09 00:00:00	2024-01-09 00:00:00	No	2024-03-19 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	98BF11	N	CA00878887, CA00878887	B, B	SFY2023-24
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-27 00:00:00	910019788	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-11 00:00:00	2024-01-11 00:00:00	No	2024-03-19 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	98BF11	N	CA00879216	B	SFY2023-24
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-27 00:00:00	910019789	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-09 00:00:00	2024-01-09 00:00:00	No	2024-03-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3HSP11	N	CA00877285, CA00877285, CA00877285, CA00877285, CA00877285, CA00877285, CA00877285	B, B, B, B, B, B, B	SFY2023-24
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-27 00:00:00	910019791	Open	Citation	Citation B (HSC 1424)	Patient Record	None	2024-01-25 00:00:00	2024-01-25 00:00:00	Yes	2024-03-19 00:00:00	2024-03-18 00:00:00	B	None	3000	9100	0	0	9100	None	CEXJ11	N	CA00881778	A	SFY2023-24
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-27 00:00:00	910019793	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-24 00:00:00	2024-01-24 00:00:00	No	2024-03-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	O5HE11	N	CA00881433	B	SFY2023-24
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-28 00:00:00	910019798	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-06 00:00:00	2024-01-06 00:00:00	No	2024-03-20 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3NEP11	N	CA00878606	B	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-28 00:00:00	910019799	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-12 00:00:00	2023-09-12 00:00:00	No	2024-03-20 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	TCO611	N	CA00878656	B	SFY2023-24
940000062	ALAMITOS BELMONT HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-29 00:00:00	910019803	Closed	Citation	Citation A (HSC 1424)	Medication	None	2023-12-25 00:00:00	2023-12-25 00:00:00	No	2024-03-21 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	XR7611	N	CA00877090, CA00877090	B, B	SFY2023-24
940000048	COTTAGE CREST POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-29 00:00:00	910019804	Open	Citation	Citation AA (HSC 1424)	Other	Death/Dialysis	2024-01-06 00:00:00	2024-01-06 00:00:00	No	2024-03-21 00:00:00	None	AA	None	120000	120000	-42000	78000	0	None	JLNB11	Y	CA00880223, CA00880223, CA00880223	A, A, A	SFY2023-24
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-01 00:00:00	910019808	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-10 00:00:00	2024-01-10 00:00:00	No	2024-03-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2VTP11	N	None	None	SFY2023-24
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-06 00:00:00	910019830	Closed	Citation	Citation A (HSC 1424)	Other	Accidents and Supervision	2024-01-07 00:00:00	2024-01-07 00:00:00	No	2024-03-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	3NEP11	N	CA00878788, CA00878788	B, B	SFY2023-24
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-08 00:00:00	910019845	Closed	Citation	Citation B (HSC 1424)	Other	Accident/Hazards/supervis	2024-01-29 00:00:00	2024-01-29 00:00:00	No	2024-03-29 00:00:00	None	B	None	3000	9000	0	9000	0	None	7V5411	N	CA00881790, CA00881790	A, A	SFY2023-24
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-14 00:00:00	910019871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-18 00:00:00	2024-01-18 00:00:00	No	2024-04-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	K0LE11	N	CA00880517, CA00880517	B, B	SFY2023-24
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-19 00:00:00	910019882	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-03 00:00:00	2024-02-03 00:00:00	No	2024-04-10 00:00:00	None	B	None	3000	3000	0	3000	0	None	NSEB11	N	CA00883357	B	SFY2023-24
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-19 00:00:00	910019884	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-03 00:00:00	2024-02-03 00:00:00	No	2024-04-10 00:00:00	None	B	None	3000	3000	0	3000	0	None	EUXK11	N	None	None	SFY2023-24
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-21 00:00:00	910019894	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	16P111	N	CA00881906, CA00884118, CA00884118	B, B, B	SFY2023-24
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-22 00:00:00	910019900	Open	Citation	Citation A (HSC 1424)	Other	Accidents	2023-12-01 00:00:00	2023-12-01 00:00:00	No	2024-04-15 00:00:00	None	A	None	20000	20000	0	0	20000	None	7VDZ11	N	CA00880525, CA00880525, CA00880928, CA00880928	B, B, B, B	SFY2023-24
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-22 00:00:00	910019901	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-23 00:00:00	2024-02-23 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JX5N11	N	CA00886546, CA00886546	B, B	SFY2023-24
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-27 00:00:00	910019922	Closed	Citation	Citation A (HSC 1424)	Medication	None	2024-01-17 00:00:00	2024-01-17 00:00:00	No	2024-04-18 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	ZLPQ11	N	CA00881243	B	SFY2023-24
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-27 00:00:00	910019923	Closed	Citation	Citation B (HSC 1424)	Medication	None	2024-02-06 00:00:00	2024-02-06 00:00:00	No	2024-04-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ZLPQ11	N	CA00881243, CA00881243, CA00881243, CA00881243, CA00881243	B, B, B, B, B	SFY2023-24
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-27 00:00:00	910019924	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-09 00:00:00	2024-02-09 00:00:00	No	2024-04-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	602Q11	N	None	None	SFY2023-24
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-03 00:00:00	910019943	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-18 00:00:00	2024-01-18 00:00:00	No	2024-04-24 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	EEET11	N	None	None	SFY2023-24
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-03 00:00:00	910019947	Open	Citation	Citation B (HSC 1424)	Other	Admission, Transfer, Disc	2024-02-18 00:00:00	2024-02-18 00:00:00	No	2024-04-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	5IKU11	N	CA00886217, CA00886217, CA00886217, CA00886217	A, A, A, A	SFY2023-24
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-04 00:00:00	910019958	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-27 00:00:00	2022-10-27 00:00:00	No	2024-04-25 00:00:00	None	A	None	25000	25000	0	16250	8750	None	MC6511	N	None	None	SFY2023-24
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-04 00:00:00	910019960	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-28 00:00:00	2023-09-28 00:00:00	Yes	2024-04-25 00:00:00	2024-04-17 00:00:00	A	None	25000	25000	0	0	25000	None	YTGW11	N	None	None	SFY2023-24
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-04 00:00:00	910019961	Open	Citation	Citation A (HSC 1424)	Other	Resident Elopement	2024-02-09 00:00:00	2024-02-09 00:00:00	No	2024-04-25 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	ZUNH11	N	CA00884604, CA00884604, CA00884604	A, A, A	SFY2023-24
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-05 00:00:00	910019969	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-10 00:00:00	2024-02-10 00:00:00	Yes	2024-04-26 00:00:00	2024-04-22 00:00:00	A	None	25000	25050	0	0	25050	None	3OOZ11	N	CA00884586, CA00884586, CA00884586, CA00884586, CA00884586, CA00884586, CA00884586	A, A, A, A, A, A, A	SFY2023-24
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-05 00:00:00	910019970	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-27 00:00:00	2024-02-27 00:00:00	No	2024-04-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	X6W711	N	CA00887300	B	SFY2023-24
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-05 00:00:00	910019971	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-20 00:00:00	2024-02-20 00:00:00	No	2024-04-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	8BBG11	N	CA00885631	B	SFY2023-24
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-05 00:00:00	910019972	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-07 00:00:00	2024-02-07 00:00:00	No	2024-04-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	GOZS11	N	CA00883975, CA00883975, CA00883975	B, B, B	SFY2023-24
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-11 00:00:00	910019991	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-13 00:00:00	2024-03-13 00:00:00	No	2024-05-02 00:00:00	None	B	None	3000	3000	0	3000	0	None	6Z4A11	N	CA00889692	B	SFY2023-24
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-12 00:00:00	910020001	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-14 00:00:00	2024-02-14 00:00:00	No	2024-05-03 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	DDZM11	N	CA00889610, CA00889610, CA00889610	A, A, A	SFY2023-24
940000091	PARAMOUNT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-12 00:00:00	910020002	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-08 00:00:00	2024-02-08 00:00:00	No	2024-05-03 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	1LNL11	N	CA00886014, CA00886014	B, B	SFY2023-24
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-12 00:00:00	910020003	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-14 00:00:00	2024-02-14 00:00:00	No	2024-05-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	DDZM11	N	CA00889610, CA00889610, CA00889610, CA00889610	A, A, A, A	SFY2023-24
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-17 00:00:00	910020026	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-02 00:00:00	2024-03-02 00:00:00	No	2024-05-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MIYT11	N	CA00890788	B	SFY2023-24
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-17 00:00:00	910020027	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-17 00:00:00	2024-02-17 00:00:00	No	2024-05-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7N6X11	N	CA00885720, CA00885720	B, B	SFY2023-24
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-19 00:00:00	910020043	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-15 00:00:00	2024-02-15 00:00:00	No	2024-05-10 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	9BRC11	N	None	None	SFY2023-24
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-19 00:00:00	910020044	Closed	Citation	Citation B (HSC 1424)	Other	Accidents	2024-02-23 00:00:00	2024-02-23 00:00:00	No	2024-05-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	6CBD11	N	CA00886550	B	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-19 00:00:00	910020046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-09 00:00:00	2024-02-09 00:00:00	No	2024-05-10 00:00:00	None	B	None	3000	3000	0	3000	0	None	9NPI11	N	CA00885894, CA00885894, CA00885894, CA00885894	B, B, B, B	SFY2023-24
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-25 00:00:00	910020065	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-14 00:00:00	2024-03-14 00:00:00	No	2024-05-16 00:00:00	None	B	None	3000	3000	0	1800	1200	None	X87G11	N	CA00889940	B	SFY2023-24
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-01 00:00:00	910020090	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-04 00:00:00	2024-03-04 00:00:00	No	2024-05-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3JPO11	N	CA00888387, CA00888387, CA00888387	B, B, B	SFY2023-24
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-02 00:00:00	910020103	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-11 00:00:00	2024-03-11 00:00:00	No	2024-05-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DC6311	N	CA00889451, CA00889955	B, B	SFY2023-24
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-02 00:00:00	910020110	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-26 00:00:00	2024-03-26 00:00:00	No	2024-05-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EVE011	N	CA00887508, CA00887508, CA00887508, CA00887717, CA00887717	B, B, B, B, B	SFY2023-24
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-02 00:00:00	910020111	Open	Citation	Citation B (HSC 1424)	Other	Accidents	2024-03-26 00:00:00	2024-03-26 00:00:00	No	2024-05-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EVE011	N	CA00887508, CA00887508, CA00887508, CA00887556, CA00887717, CA00887717	B, B, B, B, B, B	SFY2023-24
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-03 00:00:00	910020116	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-03-04 00:00:00	2024-03-04 00:00:00	No	2024-05-24 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	6PGP11	N	CA00888743, CA00888743, CA00888743	B, B, B	SFY2023-24
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-08 00:00:00	910020139	Open	Citation	Citation A (HSC 1424)	Physical Environment	None	2024-03-10 00:00:00	2024-03-10 00:00:00	No	2024-05-30 00:00:00	None	A	None	25000	25000	0	0	25000	None	MNFA11	N	CA00889306, CA00889306, CA00889306, CA00889306	B, B, B, B	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-09 00:00:00	910020149	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Report	2024-03-18 00:00:00	2024-03-18 00:00:00	No	2024-05-31 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	1YJ611	N	None	None	SFY2023-24
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-09 00:00:00	910020150	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-03-19 00:00:00	2024-03-19 00:00:00	No	2024-05-31 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	ITRS11	N	CA00890916, CA00890916, CA00890916, CA00891191	B, B, B, B	SFY2023-24
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-09 00:00:00	910020153	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-03-20 00:00:00	2024-03-20 00:00:00	Yes	2024-05-31 00:00:00	2024-05-15 00:00:00	A	None	25000	25000	0	0	25000	None	IIDG11	Y	CA00891019, CA00891019, CA00891019	A, A, A	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-09 00:00:00	910020154	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-03-19 00:00:00	2024-03-19 00:00:00	No	2024-05-31 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	1YJ611	N	None	None	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-09 00:00:00	910020158	Closed	Citation	Citation A (HSC 1424)	Patient Record	None	2024-03-19 00:00:00	2024-03-19 00:00:00	No	2024-05-31 00:00:00	None	A	None	25000	25100	-8750	16350	0	None	1YJ611	N	None	None	SFY2023-24
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-10 00:00:00	910020162	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-01 00:00:00	2024-04-01 00:00:00	No	2024-06-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	HV9D11	N	CA00892510	B	SFY2023-24
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-10 00:00:00	910020166	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-14 00:00:00	2024-03-14 00:00:00	No	2024-06-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OQM911	N	CA00889767, CA00889767, CA00889767	B, B, B	SFY2023-24
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-10 00:00:00	910020173	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-13 00:00:00	2024-03-13 00:00:00	No	2024-06-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	X5LD11	N	CA00889723, CA00889723	A, A	SFY2023-24
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-13 00:00:00	910020178	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-16 00:00:00	2024-03-16 00:00:00	No	2024-06-04 00:00:00	None	B	None	3000	3000	0	3000	0	None	6PTH11	N	CA00890569, CA00890569, CA00890700	B, B, B	SFY2023-24
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-15 00:00:00	910020188	Closed	Citation	Citation B (HSC 1424)	Medication	None	2024-04-18 00:00:00	2024-04-18 00:00:00	No	2024-06-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	18A511	N	None	None	SFY2023-24
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-15 00:00:00	910020190	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-12 00:00:00	2024-03-12 00:00:00	No	2024-06-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OP7G11	N	CA00891145, CA00891145, CA00891145, CA00891145, CA00891187, CA00891187, CA00891221	A, A, A, A, B, B, B	SFY2023-24
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-16 00:00:00	910020195	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-24 00:00:00	2024-04-24 00:00:00	No	2024-06-07 00:00:00	None	B	None	3000	3050	-1050	1950	50	None	9VJ611	N	CA00896088, CA00896088	A, A	SFY2023-24
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-21 00:00:00	910020208	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-16 00:00:00	2024-04-16 00:00:00	No	2024-06-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	18A511	N	None	None	SFY2023-24
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-21 00:00:00	910020210	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-16 00:00:00	2024-04-16 00:00:00	No	2024-06-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	18A511	N	CA00895749, CA00895760, CA00895760, CA00895760, CA00895766, CA00895771, CA00895773, CA00895985	B, B, B, B, B, B, A, B	SFY2023-24
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-21 00:00:00	910020211	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-16 00:00:00	2024-04-16 00:00:00	No	2024-06-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	18A511	N	CA00895760, CA00895760, CA00895773	B, B, A	SFY2023-24
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-22 00:00:00	910020222	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-02 00:00:00	2024-03-02 00:00:00	No	2024-06-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	9RPW11	N	CA00894653	A	SFY2023-24
940000073	HUNTINGTON PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-23 00:00:00	910020230	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-12 00:00:00	2023-07-12 00:00:00	Yes	2024-06-14 00:00:00	2024-06-03 00:00:00	B	None	3000	3000	0	0	3000	None	UJS711	N	CA00893034, CA00893034, CA00893034, CA00893034, CA00893034, CA00893034, CA00893034	A, A, A, A, A, A, A	SFY2023-24
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-23 00:00:00	910020231	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-19 00:00:00	2024-04-19 00:00:00	No	2024-06-14 00:00:00	None	B	None	3000	3000	0	3000	0	None	QJ8T11	N	CA00896286	A	SFY2023-24
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-24 00:00:00	910020232	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2024-04-01 00:00:00	2024-04-01 00:00:00	No	2024-06-17 00:00:00	None	WF	None	10000	10000	-3500	6500	0	None	U3HG11	None	None	None	SFY2023-24
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-29 00:00:00	910020245	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2024-04-24 00:00:00	2024-04-24 00:00:00	Yes	2024-06-19 00:00:00	2024-06-04 00:00:00	A	None	20000	20000	0	0	20000	None	9VJ611	N	CA00896088, CA00896088	A, A	SFY2023-24
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-31 00:00:00	910020253	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-21 00:00:00	2022-04-21 00:00:00	No	2024-06-21 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	18A511	N	None	None	SFY2023-24
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-05 00:00:00	910020270	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-08 00:00:00	2023-12-08 00:00:00	No	2024-06-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	GEZ411	N	CA00894854, CA00894854, CA00894854	A, A, A	SFY2023-24
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-05 00:00:00	910020272	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-04-13 00:00:00	2024-04-13 00:00:00	Yes	2024-06-26 00:00:00	2024-06-20 00:00:00	A	None	25000	25000	0	0	25000	None	GEZ411	N	CA00894854, CA00894854, CA00894854	A, A, A	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-06 00:00:00	910020282	Open	Citation	Citation B (HSC 1424)	Medication	None	2024-03-28 00:00:00	2024-03-28 00:00:00	No	2024-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	SPLL11	N	CA00894695, CA00894695	B, B	SFY2023-24
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-11 00:00:00	910020300	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-23 00:00:00	2024-04-23 00:00:00	No	2024-07-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8GG911	N	CA00899394, CA00899394, CA00899394, CA00899394, CA00899394, CA00900547	B, B, B, B, B, B	SFY2023-24
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-12 00:00:00	910020310	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-04-14 00:00:00	2024-04-14 00:00:00	No	2024-07-03 00:00:00	None	A	None	25000	25000	0	0	25000	None	4VO311	N	CA00894929	B	SFY2023-24
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-13 00:00:00	910020320	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-13 00:00:00	2024-04-13 00:00:00	No	2024-07-05 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	5BB111	N	CA00895987	B	SFY2023-24
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-14 00:00:00	910020322	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-14 00:00:00	2024-03-14 00:00:00	No	2024-07-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	J0O211	N	CA00898765, CA00898765, CA00898765, CA00898765, CA00898765, CA00898765	A, A, A, A, A, A	SFY2023-24
940000043	EDGEWATER SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-14 00:00:00	910020325	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-04-11 00:00:00	2024-04-11 00:00:00	No	2024-07-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	0SNB11	N	CA00894864, CA00894864	B, B	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-14 00:00:00	910020328	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-04-19 00:00:00	2024-04-19 00:00:00	No	2024-07-08 00:00:00	None	A	None	25000	25000	0	0	25000	None	64T311	N	CA00896122, CA00896122, CA00896122	A, A, A	SFY2023-24
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-18 00:00:00	910020334	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-15 00:00:00	2024-04-15 00:00:00	No	2024-07-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ERZF11	N	CA00895975, CA00895975	B, B	SFY2023-24
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-20 00:00:00	910020342	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-15 00:00:00	2024-02-15 00:00:00	No	2024-07-12 00:00:00	None	A	None	25000	25000	0	0	25000	None	U1T011	Y	None	None	SFY2023-24
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-21 00:00:00	910020345	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-27 00:00:00	2024-04-27 00:00:00	No	2024-07-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	J0F011	N	None	None	SFY2023-24
940000020	COSTA DEL SOL HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-27 00:00:00	910020366	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-05-15 00:00:00	2024-05-15 00:00:00	No	2024-07-19 00:00:00	None	B	None	3000	3000	0	0	3000	None	5QZ811	N	CA00900220, CA00900220, CA00900220	B, B, B	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-28 00:00:00	910020367	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-05-14 00:00:00	2024-05-14 00:00:00	No	2024-07-22 00:00:00	None	B	None	3000	3000	0	0	3000	None	NOSI11	N	None	None	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-28 00:00:00	910020370	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-21 00:00:00	2024-04-21 00:00:00	No	2024-07-22 00:00:00	None	B	None	3000	3000	0	0	3000	None	NOSI11	N	None	None	SFY2023-24
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-28 00:00:00	910020371	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-05-08 00:00:00	2024-05-08 00:00:00	No	2024-07-22 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	7MV311	N	CA00898926	B	SFY2023-24
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-01-05 00:00:00	920001059	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-11-22 00:00:00	1999-11-22 00:00:00	Yes	2001-05-30 00:00:00	2000-01-19 00:00:00	B	B	1000	1000	0	1000	0	920005469	A99999	N	None	None	SFY1999-00
920000049	BERKLEY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-01-31 00:00:00	920001060	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-10 00:00:00	2000-01-31 00:00:00	Yes	2001-05-28 00:00:00	2000-02-10 00:00:00	B	B	600	500	0	500	0	920005493	A99999	N	None	None	SFY1999-00
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-02-04 00:00:00	920001061	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-27 00:00:00	2000-01-27 00:00:00	No	2000-03-01 00:00:00	None	B	None	800	800	-280	520	0	920005500	A99999	N	None	None	SFY1999-00
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-02-10 00:00:00	920001063	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-02 00:00:00	2000-02-02 00:00:00	No	2000-03-03 00:00:00	None	B	None	600	600	0	600	0	920005508	A99999	N	None	None	SFY1999-00
920000003	THE GROVE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-02-11 00:00:00	920001064	Closed	Citation	Citation A (HSC 1424)	Other	RETALIATION	1999-11-17 00:00:00	1999-11-17 00:00:00	Yes	2001-07-11 00:00:00	2000-05-17 00:00:00	A	Dismissed by Court	7000	0	0	0	0	920005505	A99999	N	None	None	SFY1999-00
920000049	BERKLEY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-02-25 00:00:00	920001065	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-02-22 00:00:00	2000-02-22 00:00:00	No	2000-03-24 00:00:00	None	B	None	400	400	0	400	0	920005519	A99999	N	None	None	SFY1999-00
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-29 00:00:00	920001066	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-02-23 00:00:00	2000-02-23 00:00:00	No	2000-03-21 00:00:00	None	B	None	500	500	0	500	0	920005524	A99999	N	None	None	SFY1999-00
920000010	GOOD SHEPHERD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-03-16 00:00:00	920001067	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-20 00:00:00	2000-01-20 00:00:00	Yes	2001-05-29 00:00:00	2000-04-04 00:00:00	B	B	700	700	0	700	0	920005540	A99999	N	None	None	SFY1999-00
920000002	ASTORIA NURSING AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-03-30 00:00:00	920001068	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-28 00:00:00	2000-03-28 00:00:00	No	2000-04-20 00:00:00	None	B	None	800	800	-280	520	0	920005548	A99999	Y	None	None	SFY1999-00
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-03-30 00:00:00	920001070	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-28 00:00:00	1999-12-28 00:00:00	Yes	2001-05-11 00:00:00	2000-04-07 00:00:00	B	B	600	600	-540	60	0	920005551	A99999	N	None	None	SFY1999-00
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-03-30 00:00:00	920001071	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-29 00:00:00	2000-01-29 00:00:00	Yes	2000-04-28 00:00:00	2000-04-10 00:00:00	B	None	800	800	0	800	0	920005552	A99999	N	None	None	SFY1999-00
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-03-31 00:00:00	920001072	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-03-23 00:00:00	2000-03-23 00:00:00	No	2000-04-21 00:00:00	None	B	None	600	600	0	600	0	920005545	A99999	N	None	None	SFY1999-00
920000086	GRANADA HILLS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-26 00:00:00	920001073	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-05 00:00:00	2000-04-11 00:00:00	No	2000-05-17 00:00:00	None	B	None	700	700	-245	455	0	920005572	A99999	N	None	None	SFY1999-00
920000010	GOOD SHEPHERD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-28 00:00:00	920001074	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-20 00:00:00	2000-02-20 00:00:00	Yes	2001-05-29 00:00:00	2000-05-12 00:00:00	B	B	700	700	0	700	0	920005576	A99999	N	None	None	SFY1999-00
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-28 00:00:00	920001075	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-13 00:00:00	2000-04-13 00:00:00	No	2000-05-19 00:00:00	None	B	None	800	800	-280	520	0	920005578	A99999	N	None	None	SFY1999-00
920000026	HIGH VALLEY LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-05-05 00:00:00	920001076	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-11 00:00:00	2000-02-11 00:00:00	Yes	2001-05-11 00:00:00	2000-05-11 00:00:00	B	B	800	800	0	800	0	920005586	A99999	N	None	None	SFY1999-00
920000055	GRAND VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-05-23 00:00:00	920001077	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-05-09 00:00:00	2000-05-09 00:00:00	No	2000-06-14 00:00:00	None	B	None	400	400	-140	260	0	920005601	A99999	N	None	None	SFY1999-00
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-05-19 00:00:00	920001078	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-03-30 00:00:00	2000-03-30 00:00:00	No	2000-06-09 00:00:00	None	WF	None	1000	1000	-350	650	0	920005602	A99999	None	None	None	SFY1999-00
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-05-26 00:00:00	920001079	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-07 00:00:00	2000-02-07 00:00:00	No	2000-06-16 00:00:00	None	A	None	10000	10000	0	10000	0	920005617	A99999	N	None	None	SFY1999-00
920000077	ALAMEDA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-06-30 00:00:00	920001080	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-06-26 00:00:00	2000-06-30 00:00:00	No	2000-07-24 00:00:00	None	B	None	400	400	0	400	0	920005652	A99999	N	None	None	SFY1999-00
920000077	ALAMEDA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-06-30 00:00:00	920001081	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-06-23 00:00:00	2000-06-23 00:00:00	No	2000-07-24 00:00:00	None	WF	None	1000	1000	0	1000	0	920005652	A99999	None	None	None	SFY1999-00
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-07-13 00:00:00	920001082	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-02 00:00:00	2000-07-02 00:00:00	No	2000-08-03 00:00:00	None	B	None	600	600	0	600	0	920005674	A99999	N	None	None	SFY2000-01
920000003	THE GROVE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-07-13 00:00:00	920001083	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-07-10 00:00:00	2000-07-13 00:00:00	No	2000-08-03 00:00:00	None	B	None	500	500	-175	325	0	920005675	A99999	N	None	None	SFY2000-01
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-07-23 00:00:00	920001085	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-06-26 00:00:00	2020-06-26 00:00:00	No	2020-08-13 00:00:00	None	B	None	2000	2000	-700	1300	0	920005726	PBO821	N	CA00694381	A	SFY2020-21
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-08-23 00:00:00	920001086	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-08-14 00:00:00	2000-08-14 00:00:00	Yes	2000-09-20 00:00:00	2000-08-28 00:00:00	WF	None	1000	1000	-342	658	0	920005726	A99999	None	None	None	SFY2000-01
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-10-06 00:00:00	920001087	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-28 00:00:00	2000-09-28 00:00:00	Yes	2000-11-07 00:00:00	2000-10-23 00:00:00	B	Drop>Deficiency	700	0	0	0	0	920005827	A99999	N	None	None	SFY2000-01
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-10-11 00:00:00	920001088	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-06 00:00:00	2000-10-06 00:00:00	Yes	2001-05-18 00:00:00	2000-10-18 00:00:00	B	B	500	500	0	500	0	920005830	A99999	N	None	None	SFY2000-01
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-10-27 00:00:00	920001090	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-10-12 00:00:00	2000-10-12 00:00:00	No	2000-11-20 00:00:00	None	B	None	800	800	-280	520	0	920005839	A99999	N	None	None	SFY2000-01
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-10-27 00:00:00	920001091	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-10-12 00:00:00	2000-10-12 00:00:00	No	2000-11-20 00:00:00	None	WF	None	1000	1000	-350	650	0	920005840	A99999	None	None	None	SFY2000-01
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-10-27 00:00:00	920001092	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-10-12 00:00:00	2000-10-12 00:00:00	No	2000-11-20 00:00:00	None	B	None	900	900	-315	585	0	920005841	A99999	N	None	None	SFY2000-01
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-11-03 00:00:00	920001093	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-10-30 00:00:00	2000-10-30 00:00:00	No	2000-11-29 00:00:00	None	B	None	1000	1000	-350	650	0	920005849	A99999	N	None	None	SFY2000-01
920000006	FORESTER HAVEN	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-11-07 00:00:00	920001094	Closed	Citation	Citation Retaliation/Discrimination (HSC 1432)	Patient Rights	None	2000-10-25 00:00:00	2000-10-25 00:00:00	Yes	2001-05-10 00:00:00	2000-11-15 00:00:00	RD	R/D=<$1000	700	700	0	700	0	920005852	A99999	None	None	None	SFY2000-01
920000033	ROCKHAVEN SANITARIUM	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-11-07 00:00:00	920001095	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-12 00:00:00	1999-12-12 00:00:00	No	2000-11-28 00:00:00	None	B	None	800	800	-280	520	0	920005855	A99999	N	None	None	SFY2000-01
920000073	VINELAND POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-12-14 00:00:00	920001096	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-03 00:00:00	2000-07-03 00:00:00	No	2001-01-08 00:00:00	None	B	None	800	2400	0	2400	0	920005894	A99999	N	None	None	SFY2000-01
920000073	VINELAND POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-12-14 00:00:00	920001097	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-12-09 00:00:00	2000-12-09 00:00:00	No	2001-01-08 00:00:00	None	B	None	900	900	0	900	0	920005895	A99999	N	None	None	SFY2000-01
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-12-19 00:00:00	920001098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-15 00:00:00	2000-12-19 00:00:00	Yes	2001-02-02 00:00:00	2001-01-08 00:00:00	B	Drop>Deficiency	1000	1050	0	1050	0	920005897	A99999	N	None	None	SFY2000-01
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-01-12 00:00:00	920001099	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-09-25 00:00:00	2000-09-25 00:00:00	Yes	2001-05-11 00:00:00	2001-05-15 00:00:00	A	B	7500	5000	0	5000	0	920005915	A99999	N	None	None	SFY2000-01
920000030	THE HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-01-24 00:00:00	920001101	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-29 00:00:00	2000-12-29 00:00:00	No	2001-02-15 00:00:00	None	B	None	700	700	-245	455	0	920005927	A99999	N	None	None	SFY2000-01
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-01-31 00:00:00	920001103	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-01 00:00:00	2000-10-01 00:00:00	Yes	2001-02-23 00:00:00	2001-02-13 00:00:00	A	A	20000	15000	0	15000	0	920005933	A99999	N	None	None	SFY2000-01
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-02-26 00:00:00	920001122	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-10 00:00:00	2001-02-10 00:00:00	No	2001-03-26 00:00:00	None	B	None	1000	1000	0	1000	0	920006044	A99999	N	None	None	SFY2000-01
920000021	BROADWAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-03-22 00:00:00	920001123	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1998-04-28 00:00:00	None	No	2001-05-03 00:00:00	None	B	Drop>Deficiency	1000	1150	-550	600	0	920006069	A99999	N	None	None	SFY2000-01
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-04-13 00:00:00	920001124	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-04-05 00:00:00	2001-04-05 00:00:00	No	2001-05-15 00:00:00	None	B	None	1000	1000	0	1000	0	920006081	A99999	N	None	None	SFY2000-01
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-06-01 00:00:00	920001125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-16 00:00:00	None	No	2001-06-29 00:00:00	None	B	None	700	700	-245	455	0	920006170	A99999	N	None	None	SFY2000-01
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-06-13 00:00:00	920001126	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-25 00:00:00	None	Yes	2001-10-04 00:00:00	2001-06-20 00:00:00	B	B	1000	1000	0	1000	0	920006120	A99999	N	None	None	SFY2000-01
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-06-19 00:00:00	920001128	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-07 00:00:00	2001-01-07 00:00:00	No	2001-07-24 00:00:00	None	B	None	800	800	-280	520	0	920006193	A99999	N	None	None	SFY2000-01
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-07-16 00:00:00	920001129	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-26 00:00:00	2001-06-26 00:00:00	Yes	2001-08-09 00:00:00	2001-07-20 00:00:00	B	Drop>Deficiency	800	0	0	0	0	920006223	A99999	N	None	None	SFY2001-02
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-07-17 00:00:00	920001130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-24 00:00:00	2001-06-24 00:00:00	No	2001-08-23 00:00:00	None	B	None	800	800	0	800	0	920006225	A99999	N	None	None	SFY2001-02
920000010	GOOD SHEPHERD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-08-14 00:00:00	920001131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-05 00:00:00	2001-07-11 00:00:00	No	2001-09-27 00:00:00	None	B	None	800	800	-280	520	0	920006207	A99999	N	None	None	SFY2001-02
920000021	BROADWAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-09-18 00:00:00	920001132	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-08-15 00:00:00	2001-08-15 00:00:00	Yes	2001-10-22 00:00:00	2001-09-25 00:00:00	B	B	800	600	0	600	0	920006069	A99999	N	None	None	SFY2001-02
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-11-30 00:00:00	920001133	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-11-15 00:00:00	2001-11-15 00:00:00	No	2002-01-10 00:00:00	None	B	None	500	500	-175	325	0	920006367	A99999	N	None	None	SFY2001-02
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-12-12 00:00:00	920001134	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-03 00:00:00	2001-12-12 00:00:00	No	2002-01-04 00:00:00	None	B	None	1000	1000	-350	650	0	920006348	A99999	N	None	None	SFY2001-02
920000026	HIGH VALLEY LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-01-29 00:00:00	920001135	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-01-05 00:00:00	2002-01-05 00:00:00	No	2002-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	920006415	A99999	N	None	None	SFY2001-02
920000026	HIGH VALLEY LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-01-29 00:00:00	920001139	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-01-19 00:00:00	2002-01-19 00:00:00	No	2002-02-26 00:00:00	None	B	None	500	500	-175	325	0	920006416	A99999	N	None	None	SFY2001-02
920000083	CANYON OAKS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-02-07 00:00:00	920001140	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-02-02 00:00:00	2002-02-02 00:00:00	No	2002-03-12 00:00:00	None	B	None	400	400	0	400	0	920006427	A99999	N	None	None	SFY2001-02
920000073	VINELAND POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-02-08 00:00:00	920001141	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-29 00:00:00	2002-01-08 00:00:00	No	2002-03-12 00:00:00	None	B	None	1000	1000	-350	650	0	920006429	A99999	N	None	None	SFY2001-02
920000073	VINELAND POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-02-08 00:00:00	920001142	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-01-29 00:00:00	2002-02-08 00:00:00	No	2002-03-06 00:00:00	None	B	None	400	400	-140	260	0	920006430	A99999	N	None	None	SFY2001-02
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-02-22 00:00:00	920001143	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-14 00:00:00	2002-02-14 00:00:00	Yes	2002-03-21 00:00:00	2002-03-06 00:00:00	B	B	1000	400	0	400	0	920006444	A99999	N	None	None	SFY2001-02
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-03-20 00:00:00	920001144	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-11 00:00:00	2002-03-11 00:00:00	Yes	2002-06-28 00:00:00	2002-03-27 00:00:00	B	B	800	800	0	800	0	920006484	A99999	N	None	None	SFY2001-02
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-03-29 00:00:00	920001145	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-03-19 00:00:00	2002-03-19 00:00:00	No	2002-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	920006492	A99999	N	None	None	SFY2001-02
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-03-29 00:00:00	920001146	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-20 00:00:00	2002-03-20 00:00:00	No	2002-05-02 00:00:00	None	B	None	500	500	-175	325	0	920006494	A99999	N	None	None	SFY2001-02
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-03-29 00:00:00	920001148	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-03-11 00:00:00	2002-03-11 00:00:00	No	2002-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	920006496	A99999	N	None	None	SFY2001-02
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-04-09 00:00:00	920001149	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2002-01-20 00:00:00	2002-04-09 00:00:00	No	2002-06-03 00:00:00	None	B	None	800	800	0	800	0	920006410	A99999	N	None	None	SFY2001-02
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-04-11 00:00:00	920001150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-09 00:00:00	2002-04-11 00:00:00	No	2002-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	920006503	A99999	N	None	None	SFY2001-02
920000010	GOOD SHEPHERD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-04-30 00:00:00	920001151	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-11 00:00:00	2002-04-30 00:00:00	Yes	2002-06-03 00:00:00	2002-05-13 00:00:00	B	None	1000	1000	0	1000	0	920006540	A99999	N	None	None	SFY2001-02
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-06-05 00:00:00	920001152	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-16 00:00:00	2002-06-05 00:00:00	No	2002-07-02 00:00:00	None	B	None	400	400	-140	260	0	920006483	A99999	N	None	None	SFY2001-02
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-06-14 00:00:00	920001153	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-26 00:00:00	2002-06-14 00:00:00	No	2002-07-17 00:00:00	None	B	None	900	900	-315	585	0	920006502	A99999	N	None	None	SFY2001-02
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-06-14 00:00:00	920001154	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-20 00:00:00	2002-06-14 00:00:00	Yes	2002-07-12 00:00:00	2002-07-02 00:00:00	B	B	900	675	0	675	0	920006588	A99999	N	None	None	SFY2001-02
920000077	ALAMEDA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-07-02 00:00:00	920001155	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-06-19 00:00:00	2002-07-02 00:00:00	No	2002-08-06 00:00:00	None	B	None	700	700	-245	455	0	920006627	A99999	N	None	None	SFY2002-03
920000002	ASTORIA NURSING AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-07-23 00:00:00	920001157	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-07 00:00:00	2002-03-07 00:00:00	Yes	2002-08-13 00:00:00	2002-08-02 00:00:00	B	Drop>Deficiency	800	800	0	800	0	920006652	A99999	N	None	None	SFY2002-03
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-08-07 00:00:00	920001158	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-20 00:00:00	2002-07-20 00:00:00	No	2002-09-03 00:00:00	None	B	None	800	800	0	800	0	920006674	A99999	N	None	None	SFY2002-03
920000073	VINELAND POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-09-03 00:00:00	920001159	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-25 00:00:00	2002-09-03 00:00:00	Yes	2003-03-07 00:00:00	2003-03-17 00:00:00	A	A	5000	5000	0	5000	0	920006723	A99999	N	None	None	SFY2002-03
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-09-16 00:00:00	920001160	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-28 00:00:00	2002-09-16 00:00:00	No	2002-10-16 00:00:00	None	B	None	900	2700	-945	1755	0	920006717	A99999	N	None	None	SFY2002-03
920000086	GRANADA HILLS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-09-19 00:00:00	920001161	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-11 00:00:00	2002-09-19 00:00:00	No	2002-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	920006756	A99999	N	None	None	SFY2002-03
920000086	GRANADA HILLS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-09-19 00:00:00	920001162	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-09-05 00:00:00	2002-09-05 00:00:00	No	2002-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	920006757	A99999	N	None	None	SFY2002-03
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-09-20 00:00:00	920001163	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-26 00:00:00	2002-09-20 00:00:00	No	2002-11-18 00:00:00	None	B	None	1000	1000	0	1000	0	920006743	A99999	N	None	None	SFY2002-03
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-09-26 00:00:00	920001164	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-11 00:00:00	None	Yes	2002-12-10 00:00:00	2002-11-21 00:00:00	B	Dismissed by Court	1000	0	0	0	0	920006698	A99999	N	None	None	SFY2002-03
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-10-09 00:00:00	920001165	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-22 00:00:00	2002-10-09 00:00:00	No	2002-11-12 00:00:00	None	B	None	750	750	0	750	0	920006650	A99999	N	None	None	SFY2002-03
920000083	CANYON OAKS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-10-29 00:00:00	920001166	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-05 00:00:00	2002-10-05 00:00:00	No	2003-01-08 00:00:00	None	B	None	900	900	0	900	0	920006821	A99999	N	None	None	SFY2002-03
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-11-14 00:00:00	920001167	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-05-15 00:00:00	2002-05-15 00:00:00	Yes	2002-12-13 00:00:00	2002-11-25 00:00:00	A	B	8000	10000	0	10000	0	920006843	A99999	N	None	None	SFY2002-03
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-12-04 00:00:00	920001168	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-13 00:00:00	None	No	2003-01-06 00:00:00	None	B	None	800	800	-280	520	0	920006759	A99999	N	None	None	SFY2002-03
920000055	GRAND VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-12-09 00:00:00	920001169	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-08 00:00:00	2002-12-09 00:00:00	Yes	2003-01-06 00:00:00	2002-12-24 00:00:00	B	None	800	800	0	800	0	920006892	A99999	N	None	None	SFY2002-03
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-12-11 00:00:00	920001170	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-13 00:00:00	2002-11-13 00:00:00	No	2003-01-08 00:00:00	None	B	None	1000	1000	-350	650	0	920006895	A99999	N	None	None	SFY2002-03
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-12-12 00:00:00	920001171	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-22 00:00:00	2002-12-12 00:00:00	No	2003-01-08 00:00:00	None	B	None	800	800	-280	520	0	920006880	A99999	N	None	None	SFY2002-03
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-12-20 00:00:00	920001172	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-23 00:00:00	2002-12-20 00:00:00	No	2003-01-22 00:00:00	None	B	None	600	600	-210	390	0	920006744	A99999	N	None	None	SFY2002-03
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-01-09 00:00:00	920001173	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-05 00:00:00	None	No	2003-02-10 00:00:00	None	B	None	1000	3000	-1050	1950	0	920006926	A99999	N	None	None	SFY2002-03
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-02-19 00:00:00	920001174	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-01-24 00:00:00	None	No	2003-03-19 00:00:00	None	B	None	1000	1000	-350	650	0	920006963	A99999	N	None	None	SFY2002-03
920000010	GOOD SHEPHERD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-02-26 00:00:00	920001175	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-12-20 00:00:00	2003-02-26 00:00:00	Yes	2003-03-24 00:00:00	2003-03-17 00:00:00	AA	A	100000	50000	0	50000	0	920006991	A99999	Y	None	None	SFY2002-03
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-02-27 00:00:00	920001176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-28 00:00:00	2003-01-28 00:00:00	No	2003-04-02 00:00:00	None	B	None	950	950	-332.5	617.5	0	920006980	A99999	N	None	None	SFY2002-03
920000054	PANORAMA GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-03-06 00:00:00	920001177	Closed	Citation	Citation A (HSC 1424)	Medication	None	2002-12-13 00:00:00	2002-12-13 00:00:00	Yes	2003-06-05 00:00:00	2003-06-05 00:00:00	A	A	17000	17000	0	17000	0	920007011	A99999	N	None	None	SFY2002-03
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-03-12 00:00:00	920001178	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-20 00:00:00	2003-02-21 00:00:00	Yes	2003-08-20 00:00:00	2003-08-14 00:00:00	B	B	1000	1500	0	1500	0	920007006	A99999	N	None	None	SFY2002-03
920000059	LAKE BALBOA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-03-19 00:00:00	920001179	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-03 00:00:00	2003-03-03 00:00:00	Yes	2003-06-09 00:00:00	2003-04-03 00:00:00	B	B	1000	6300	0	6300	0	920007042	A99999	N	None	None	SFY2002-03
920000059	LAKE BALBOA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-06-09 00:00:00	920001180	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2003-04-23 00:00:00	None	No	2003-07-11 00:00:00	None	WF	None	2000	2000	0	2000	0	920007093	A99999	None	None	None	SFY2002-03
920000089	THE REHABILITATION CENTER OF NORTH HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-06-09 00:00:00	920001181	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-28 00:00:00	None	Yes	2003-09-26 00:00:00	2003-09-18 00:00:00	B	Drop>Deficiency	1000	650	0	650	0	920007099	A99999	N	None	None	SFY2002-03
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-06-23 00:00:00	920001182	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-21 00:00:00	None	Yes	2003-07-21 00:00:00	2003-06-27 00:00:00	B	B	1000	600	0	600	0	920007096	A99999	N	None	None	SFY2002-03
920000049	BERKLEY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-08-07 00:00:00	920001183	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-09 00:00:00	None	Yes	2003-09-12 00:00:00	2003-08-20 00:00:00	B	B	850	850	0	850	0	920007161	A99999	N	None	None	SFY2003-04
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-09-08 00:00:00	920001184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-24 00:00:00	2003-09-05 00:00:00	Yes	2004-01-16 00:00:00	2003-09-19 00:00:00	B	B	400	400	0	400	0	920007316	A99999	N	None	None	SFY2003-04
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-09-15 00:00:00	920001185	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-26 00:00:00	2003-09-15 00:00:00	No	2003-10-06 00:00:00	None	B	None	1000	1000	-350	650	0	920007331	A99999	N	None	None	SFY2003-04
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-09-19 00:00:00	920001186	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-13 00:00:00	2003-06-13 00:00:00	Yes	2003-10-17 00:00:00	2003-10-06 00:00:00	B	None	1000	1000	0	1000	0	920007340	A99999	N	None	None	SFY2003-04
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-09-25 00:00:00	920001187	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-19 00:00:00	2003-12-19 00:00:00	No	2003-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	920007351	A99999	N	None	None	SFY2003-04
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-09-25 00:00:00	920001188	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-02-23 00:00:00	2003-02-23 00:00:00	No	2003-10-22 00:00:00	None	B	None	1000	1000	0	1000	0	920007352	A99999	N	None	None	SFY2003-04
920000073	VINELAND POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-09-25 00:00:00	920001189	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-30 00:00:00	2003-08-30 00:00:00	Yes	2004-01-20 00:00:00	2003-12-31 00:00:00	B	B	1000	250	0	250	0	920007354	A99999	N	None	None	SFY2003-04
920000083	CANYON OAKS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-10-21 00:00:00	920001190	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-17 00:00:00	2003-08-17 00:00:00	Yes	2004-03-26 00:00:00	2004-03-09 00:00:00	B	B	1000	0	0	0	0	920007396	A99999	N	None	None	SFY2003-04
920000059	LAKE BALBOA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-10-21 00:00:00	920001191	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-17 00:00:00	2003-06-17 00:00:00	No	2003-11-12 00:00:00	None	B	None	1000	1000	0	1000	0	920007381	A99999	N	None	None	SFY2003-04
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-11-12 00:00:00	920001192	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-22 00:00:00	2003-10-22 00:00:00	No	2003-12-10 00:00:00	None	B	None	900	900	-315	585	0	920007425	A99999	N	None	None	SFY2003-04
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-11-17 00:00:00	920001193	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-06 00:00:00	2003-03-06 00:00:00	Yes	2004-03-11 00:00:00	2004-03-01 00:00:00	B	B	800	800	0	800	0	920007427	A99999	N	None	None	SFY2003-04
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-11-26 00:00:00	920001194	Closed	Citation	Citation B (HSC 1424)	Other	C - PR	2003-11-07 00:00:00	2003-11-26 00:00:00	Yes	2003-12-19 00:00:00	2003-12-04 00:00:00	B	None	1000	1000	0	1000	0	920007445	A99999	N	None	None	SFY2003-04
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-11-26 00:00:00	920001195	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-11-07 00:00:00	2003-11-26 00:00:00	Yes	2003-12-24 00:00:00	2003-12-04 00:00:00	B	None	600	600	0	600	0	920007445	A99999	N	None	None	SFY2003-04
920000010	GOOD SHEPHERD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-12-12 00:00:00	920001196	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-09-27 00:00:00	2003-09-27 00:00:00	No	2004-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	920007466	A99999	N	None	None	SFY2003-04
920000082	WEST HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-12-22 00:00:00	920001197	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-02 00:00:00	2003-10-22 00:00:00	No	2004-01-20 00:00:00	None	B	B	1000	557	0	557	0	920007470	A99999	N	None	None	SFY2003-04
920000059	LAKE BALBOA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-01-08 00:00:00	920001198	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-27 00:00:00	2003-11-27 00:00:00	No	2004-02-09 00:00:00	None	B	None	800	800	0	800	0	920007503	A99999	N	None	None	SFY2003-04
920000026	HIGH VALLEY LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-03-04 00:00:00	920001199	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-05 00:00:00	2004-02-05 00:00:00	No	2004-03-25 00:00:00	None	B	None	1000	1000	-350	650	0	920007600	A99999	N	None	None	SFY2003-04
920000269	VILLA SCALABRINI SPECIAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-03-25 00:00:00	920001200	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-25 00:00:00	2004-01-25 00:00:00	No	2004-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	920007641	A99999	N	None	None	SFY2003-04
920000049	BERKLEY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-04-14 00:00:00	920001201	Closed	Citation	Citation B (HSC 1424)	Medication	None	2003-12-27 00:00:00	2003-12-27 00:00:00	Yes	2004-05-11 00:00:00	2004-04-26 00:00:00	B	None	800	800	0	800	0	920007664	A99999	N	None	None	SFY2003-04
920000076	VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-04-28 00:00:00	920001202	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-21 00:00:00	2004-03-21 00:00:00	Yes	2004-05-28 00:00:00	2004-05-12 00:00:00	B	B	800	400	0	400	0	920007635	A99999	N	None	None	SFY2003-04
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-05-13 00:00:00	920001203	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-26 00:00:00	2004-04-26 00:00:00	No	2004-06-15 00:00:00	None	B	None	800	800	-280	520	0	920007673	A99999	N	None	None	SFY2003-04
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-05-28 00:00:00	920001204	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-17 00:00:00	2004-04-17 00:00:00	Yes	2004-06-24 00:00:00	2004-06-04 00:00:00	B	None	1000	1000	0	1000	0	920007717	A99999	N	None	None	SFY2003-04
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-06-10 00:00:00	920001205	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-16 00:00:00	2004-02-16 00:00:00	No	2004-07-12 00:00:00	None	B	None	800	800	-280	520	0	920007598	A99999	N	None	None	SFY2003-04
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-08-20 00:00:00	920001206	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-03 00:00:00	2004-08-03 00:00:00	Yes	2004-09-20 00:00:00	2004-08-31 00:00:00	B	B	1000	500	0	500	0	920007816	A99999	N	None	None	SFY2004-05
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-10-20 00:00:00	920001207	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-05-03 00:00:00	2004-05-03 00:00:00	No	2004-11-17 00:00:00	None	A	None	20000	20000	0	20000	0	920007902	A99999	N	None	None	SFY2004-05
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-11-23 00:00:00	920001208	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-06 00:00:00	2004-09-06 00:00:00	Yes	2004-12-16 00:00:00	2004-11-29 00:00:00	B	B	1000	500	0	500	0	920007952	A99999	N	None	None	SFY2004-05
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-12-21 00:00:00	920001209	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-10 00:00:00	2004-11-10 00:00:00	Yes	2005-01-18 00:00:00	2004-12-23 00:00:00	B	B	1000	500	0	500	0	920007937	A99999	N	None	None	SFY2004-05
920000028	MONTROSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2004-12-27 00:00:00	920001210	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-03-02 00:00:00	2004-07-16 00:00:00	Yes	2005-01-18 00:00:00	2004-12-30 00:00:00	A	B	17000	17000	0	17000	0	920007985	A99999	N	None	None	SFY2004-05
920000069	THE CARE CENTER ON HAZELTINE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-01-13 00:00:00	920001211	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-30 00:00:00	2004-11-30 00:00:00	No	2005-02-11 00:00:00	None	B	None	800	800	-280	520	0	920007958	A99999	N	None	None	SFY2004-05
920000059	LAKE BALBOA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-01-13 00:00:00	920001212	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-02 00:00:00	2004-11-02 00:00:00	No	2005-02-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	920007934	A99999	N	None	None	SFY2004-05
920000066	SHERMAN OAKS HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-07-12 00:00:00	920001213	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-05 00:00:00	2005-06-05 00:00:00	Yes	2005-08-08 00:00:00	2005-07-27 00:00:00	B	None	1000	1000	0	1000	0	920008171	A99999	N	None	None	SFY2005-06
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-09-09 00:00:00	920001214	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-06-12 00:00:00	2005-06-12 00:00:00	No	2005-09-30 00:00:00	None	B	None	600	600	-210	390	0	920008186	A99999	N	None	None	SFY2005-06
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-03-02 00:00:00	920002888	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-15 00:00:00	2005-11-15 00:00:00	Yes	2006-03-23 00:00:00	2006-03-10 00:00:00	B	None	1000	1000	0	1000	0	None	43EA11	N	CA00070741	B	SFY2005-06
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-03-02 00:00:00	920002889	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-16 00:00:00	2005-11-16 00:00:00	Yes	2006-03-23 00:00:00	2006-03-10 00:00:00	B	None	1000	1000	0	1000	0	None	43EA11	N	CA00070741	B	SFY2005-06
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-03-02 00:00:00	920002890	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-14 00:00:00	2005-11-14 00:00:00	Yes	2006-03-28 00:00:00	2006-03-10 00:00:00	B	None	1000	1000	0	1000	0	None	43EA11	N	CA00070741	B	SFY2005-06
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-03-02 00:00:00	920002891	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-14 00:00:00	2005-11-14 00:00:00	Yes	2006-03-28 00:00:00	2006-03-10 00:00:00	B	None	1000	1000	0	1000	0	None	43EA11	N	CA00070741	B	SFY2005-06
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-03-02 00:00:00	920002892	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-16 00:00:00	2005-11-16 00:00:00	Yes	2006-03-28 00:00:00	2006-03-10 00:00:00	B	None	1000	1000	0	1000	0	None	43EA11	N	CA00070741	B	SFY2005-06
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-03-02 00:00:00	920002893	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-14 00:00:00	2005-11-14 00:00:00	Yes	2006-03-28 00:00:00	2006-03-10 00:00:00	B	None	1000	1000	0	1000	0	None	43EA11	N	CA00070741	B	SFY2005-06
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-03-02 00:00:00	920002894	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-14 00:00:00	2005-11-14 00:00:00	Yes	2006-03-28 00:00:00	2006-03-10 00:00:00	B	None	1000	1000	0	1000	0	None	43EA11	N	CA00070741	B	SFY2005-06
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-05-25 00:00:00	920003123	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-06 00:00:00	2006-05-06 00:00:00	Yes	2006-06-22 00:00:00	2006-06-08 00:00:00	B	None	900	900	0	900	0	None	8DSN11	N	CA00080132	A	SFY2005-06
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-06-22 00:00:00	920003175	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-02 00:00:00	2006-06-02 00:00:00	Yes	2006-07-26 00:00:00	2006-06-29 00:00:00	B	B	1000	530	0	530	0	None	L6U311	N	CA00082537	A	SFY2005-06
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-08-07 00:00:00	920003261	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2006-05-03 00:00:00	2006-05-03 00:00:00	No	2006-08-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	M5ZC11	N	CA00080043	B	SFY2006-07
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-08-21 00:00:00	920003297	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-28 00:00:00	2006-07-28 00:00:00	No	2006-09-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	C4F511	N	None	None	SFY2006-07
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-08-21 00:00:00	920003300	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-02 00:00:00	2006-08-02 00:00:00	No	2006-09-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q8YI11	N	None	None	SFY2006-07
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-08-21 00:00:00	920003301	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-01 00:00:00	2005-04-01 00:00:00	Yes	2006-09-12 00:00:00	2006-09-19 00:00:00	B	B	1000	500	0	500	0	None	GRVT11	N	CA00085615	A	SFY2006-07
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-08-21 00:00:00	920003302	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-01 00:00:00	2006-03-01 00:00:00	Yes	2006-09-12 00:00:00	2006-09-12 00:00:00	B	B	1000	500	0	500	0	None	UHNP1	N	CA00088807	A	SFY2006-07
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-08-21 00:00:00	920003303	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-03-01 00:00:00	2006-03-01 00:00:00	Yes	2006-09-12 00:00:00	2006-09-11 00:00:00	B	B	1000	500	0	500	0	None	UHNP1	N	CA00088807	A	SFY2006-07
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-08-25 00:00:00	920003309	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-15 00:00:00	2006-06-15 00:00:00	No	2006-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	DUS511	N	CA00071331, CA00071331	B, B	SFY2006-07
920000054	PANORAMA GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-11-22 00:00:00	920003519	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-13 00:00:00	2006-10-13 00:00:00	No	2007-01-04 00:00:00	None	B	None	900	900	0	900	0	None	SJYH11	N	CA00095884	A	SFY2006-07
920000056	THE MEADOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-12-08 00:00:00	920003565	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE-RESIDENT BEHAVIOR	2006-11-05 00:00:00	2006-11-05 00:00:00	No	2007-01-09 00:00:00	None	B	None	800	800	-280	520	0	None	OVU011	N	CA00098015, CA00098015	A, A	SFY2006-07
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-02-05 00:00:00	920003581	Closed	Citation	Citation A (HSC 1424)	Medication	None	2006-07-04 00:00:00	2006-07-04 00:00:00	Yes	2007-02-26 00:00:00	2007-02-20 00:00:00	A	None	20000	20000	0	20000	0	None	DJ5W11	N	CA00087354	B	SFY2006-07
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-03-16 00:00:00	920003804	Closed	Citation	Citation B (HSC 1424)	Patient Rights	PR	2007-01-21 00:00:00	2007-01-21 00:00:00	No	2007-04-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	8FXP11	N	CA00104790	A	SFY2006-07
920000055	GRAND VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-03-16 00:00:00	920003806	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-06 00:00:00	2006-12-06 00:00:00	Yes	2013-10-01 00:00:00	2007-04-09 00:00:00	B	B	1000	1000	0	1000	0	None	G3OQ11	N	CA00101451	A	SFY2006-07
920000063	NORTHRIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-04-23 00:00:00	920003917	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-12 00:00:00	2007-01-12 00:00:00	Yes	2007-05-21 00:00:00	2007-05-08 00:00:00	B	B	1000	750	0	750	0	None	PBXW11	N	CA00104923	B	SFY2006-07
920000003	THE GROVE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-04-25 00:00:00	920003920	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-12-09 00:00:00	2006-12-09 00:00:00	No	2007-05-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	8O5611	N	None	None	SFY2006-07
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-05-04 00:00:00	920003941	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-22 00:00:00	2007-04-22 00:00:00	Yes	2007-05-25 00:00:00	2007-05-30 00:00:00	B	B	1000	600	0	600	0	None	PKEX11	N	CA00112751	A	SFY2006-07
920000066	SHERMAN OAKS HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-05-15 00:00:00	920003961	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-04 00:00:00	2007-04-04 00:00:00	Yes	2007-06-05 00:00:00	2007-05-30 00:00:00	B	None	1000	1000	0	1000	0	None	I4S911	N	CA00105982	A	SFY2006-07
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-06-25 00:00:00	920004049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-21 00:00:00	2007-05-21 00:00:00	No	2007-07-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	VM1I11	N	CA00115409	A	SFY2006-07
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-07-09 00:00:00	920004079	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-18 00:00:00	2007-06-18 00:00:00	No	2007-07-30 00:00:00	None	B	None	800	800	0	800	0	None	Z1FW11	N	CA00117958	A	SFY2007-08
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-07-09 00:00:00	920004080	Closed	Citation	Citation Retaliation/Discrimination (HSC 1432)	Administration	Retaliation	2007-06-12 00:00:00	2007-06-12 00:00:00	No	2007-07-30 00:00:00	None	RD	None	1000	1000	-350	650	0	None	JXEQ11	None	CA00116726	B	SFY2007-08
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-07-09 00:00:00	920004081	Closed	Citation	Citation Retaliation/Discrimination (HSC 1432)	Administration	Retaliation	2007-06-12 00:00:00	2007-06-12 00:00:00	No	2007-07-30 00:00:00	None	RD	None	1000	1000	-350	650	0	None	JXEQ11	None	CA00116726	B	SFY2007-08
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-07-25 00:00:00	920004127	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-07 00:00:00	2007-06-07 00:00:00	No	2007-08-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	HMFE11	N	CA00118441, CA00118441, CA00118441	C, C, C	SFY2007-08
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-08-09 00:00:00	920004170	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-02 00:00:00	2007-06-02 00:00:00	No	2007-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	340511	N	CA00116722	A	SFY2007-08
920000069	THE CARE CENTER ON HAZELTINE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-08-09 00:00:00	920004171	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-06 00:00:00	2007-07-06 00:00:00	No	2007-08-30 00:00:00	None	B	None	800	800	0	800	0	None	FIHM11	N	CA00119643	A	SFY2007-08
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-09-10 00:00:00	920004267	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-08-30 00:00:00	2007-08-30 00:00:00	No	2007-10-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	N9L311	N	None	None	SFY2007-08
920000056	THE MEADOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-10-18 00:00:00	920004382	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-09 00:00:00	2007-09-09 00:00:00	Yes	2013-11-05 00:00:00	2007-10-31 00:00:00	B	B	800	800	0	800	0	None	XJ422	N	CA00128447	A	SFY2007-08
920000050	CALIFORNIA HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-11-14 00:00:00	920004444	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-12 00:00:00	2007-05-12 00:00:00	Yes	2007-12-07 00:00:00	2007-11-30 00:00:00	B	B	1000	400	0	400	0	None	DDFN11	N	CA00117750	B	SFY2007-08
920000050	CALIFORNIA HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-11-14 00:00:00	920004445	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-16 00:00:00	2007-05-16 00:00:00	Yes	2007-12-07 00:00:00	2007-11-18 00:00:00	B	B	1000	600	0	600	0	None	DDFN11	N	CA00117750	B	SFY2007-08
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-12-07 00:00:00	920004508	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-03 00:00:00	2007-10-03 00:00:00	No	2007-12-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	3IP511	N	CA00130833	A	SFY2007-08
920000090	CASITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-12-19 00:00:00	920004530	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-07-20 00:00:00	2007-07-20 00:00:00	No	2008-01-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	M7OT11	N	CA00124554	C	SFY2007-08
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-02-13 00:00:00	920004586	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-11-27 00:00:00	2007-11-27 00:00:00	No	2008-03-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	QLRT11	N	CA00132620	C	SFY2007-08
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-02-13 00:00:00	920004587	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-07-12 00:00:00	2007-07-12 00:00:00	Yes	2008-03-06 00:00:00	2008-03-03 00:00:00	A	A	20000	5000	0	5000	0	None	7ZNI11	N	CA00120983	B	SFY2007-08
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-02-13 00:00:00	920004589	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-12-29 00:00:00	2007-12-29 00:00:00	No	2008-03-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	QXTF11	N	CA00136313	C	SFY2007-08
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-02-14 00:00:00	920004695	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2008-01-16 00:00:00	2008-01-16 00:00:00	No	2008-03-07 00:00:00	None	WF	None	1000	1000	-350	650	0	None	MOX811	None	CA00138065	B	SFY2007-08
920000085	WEST VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-02-19 00:00:00	920004702	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-31 00:00:00	2007-12-31 00:00:00	Yes	2008-03-11 00:00:00	2008-03-03 00:00:00	B	B	1000	500	0	500	0	None	5X5W11	N	CA00139060	B	SFY2007-08
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-03-13 00:00:00	920004788	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-26 00:00:00	2008-02-26 00:00:00	No	2008-04-04 00:00:00	None	B	None	900	900	-315	585	0	None	4UVK11	N	CA00142048	A	SFY2007-08
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-03-13 00:00:00	920004790	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-06 00:00:00	2007-12-06 00:00:00	Yes	2008-04-04 00:00:00	2008-04-04 00:00:00	B	B	1000	500	0	500	0	None	Q4FH11	N	CA00139235	D	SFY2007-08
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-04-02 00:00:00	920004821	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-02-21 00:00:00	2008-02-21 00:00:00	Yes	2008-04-23 00:00:00	2008-04-02 00:00:00	A	B	15000	5000	0	5000	0	None	L0MI11	N	CA00141583	A	SFY2007-08
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-07-31 00:00:00	920005287	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-02 00:00:00	2008-07-02 00:00:00	No	2008-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	7WJN11	N	None	None	SFY2008-09
920000068	HOLIDAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-10-31 00:00:00	920005571	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-19 00:00:00	2008-09-19 00:00:00	No	2008-11-24 00:00:00	None	B	None	800	800	-280	520	0	None	GSMZ11	N	CA00164382	A	SFY2008-09
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-11-19 00:00:00	920005630	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-11-17 00:00:00	2008-11-17 00:00:00	No	2008-12-12 00:00:00	None	B	None	600	1600	-210	1390	0	None	0QRJ11	N	CA00165941	C	SFY2008-09
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-11-19 00:00:00	920005631	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2008-10-20 00:00:00	2008-10-20 00:00:00	No	2008-12-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	XYI511	N	CA00165805	B	SFY2008-09
920000005	COUNTRY MANOR HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-11-21 00:00:00	920005636	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-26 00:00:00	2008-10-26 00:00:00	No	2008-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	QDMV11	N	CA00167516	A	SFY2008-09
920000085	WEST VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-12-19 00:00:00	920005712	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-06 00:00:00	2008-11-06 00:00:00	Yes	2009-01-12 00:00:00	2008-12-26 00:00:00	B	None	1000	3000	-1050	1950	0	None	UHHB11	N	CA00169567	C	SFY2008-09
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-12-22 00:00:00	920005719	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-06 00:00:00	2008-03-06 00:00:00	Yes	2009-01-13 00:00:00	2009-01-02 00:00:00	B	B	1000	500	0	500	0	None	XQZ311	N	CA00162621	C	SFY2008-09
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-12-22 00:00:00	920005720	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-06 00:00:00	2008-03-06 00:00:00	Yes	2009-01-13 00:00:00	2009-01-02 00:00:00	B	B	1000	500	0	500	0	None	XQZ311	N	CA00162621	C	SFY2008-09
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-12-22 00:00:00	920005722	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-06 00:00:00	2008-03-06 00:00:00	Yes	2009-01-13 00:00:00	2009-01-02 00:00:00	B	B	1000	500	0	500	0	None	XQZ311	N	CA00162621	C	SFY2008-09
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-02-04 00:00:00	920005857	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-01-21 00:00:00	2009-01-21 00:00:00	No	2009-02-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	69K411	N	None	None	SFY2008-09
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-02-19 00:00:00	920005887	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-31 00:00:00	2008-12-31 00:00:00	Yes	2009-03-12 00:00:00	2009-02-23 00:00:00	B	B	1000	530	0	530	0	None	9MQM11	N	CA00175258	B	SFY2008-09
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-03-04 00:00:00	920005928	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-14 00:00:00	2009-01-14 00:00:00	No	2009-03-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	MCG511	N	CA00174770, CA00174778	B, B	SFY2008-09
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-03-04 00:00:00	920005930	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-08 00:00:00	2009-01-08 00:00:00	Yes	2009-03-25 00:00:00	2009-03-12 00:00:00	B	B	1000	650	0	650	0	None	LNB811	N	CA00174327	C	SFY2008-09
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-03-04 00:00:00	920005931	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-14 00:00:00	2009-01-14 00:00:00	No	2009-03-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	3GP711	N	CA00175147	A	SFY2008-09
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-05 00:00:00	920005935	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-22 00:00:00	2009-01-22 00:00:00	No	2009-03-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	3EWO11	N	CA00175467	A	SFY2008-09
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-12 00:00:00	920005964	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-02-11 00:00:00	2009-02-11 00:00:00	No	2009-04-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	4CNW11	N	CA00179625	A	SFY2008-09
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-13 00:00:00	920005972	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Administration	None	2009-02-01 00:00:00	2009-02-01 00:00:00	No	2009-04-06 00:00:00	None	WF	WMF<$1000	1000	650	0	650	0	None	WC8O11	None	CA00177099	B	SFY2008-09
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-13 00:00:00	920005973	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-23 00:00:00	2009-01-23 00:00:00	No	2009-04-06 00:00:00	None	B	B	1000	650	0	650	0	None	WC8O11	N	CA00177099	B	SFY2008-09
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-04-06 00:00:00	920006048	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-09 00:00:00	2009-01-09 00:00:00	Yes	2009-04-27 00:00:00	2009-04-17 00:00:00	B	None	1000	1000	0	0	1000	None	249611	N	CA00174782	D	SFY2008-09
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-04-07 00:00:00	920006058	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-10 00:00:00	2009-01-10 00:00:00	No	2009-04-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	WXP511	N	CA00175497	B	SFY2008-09
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-09-15 00:00:00	920006157	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-11-29 00:00:00	2008-11-29 00:00:00	Yes	2012-08-31 00:00:00	2009-09-29 00:00:00	A	A	12000	0	0	0	0	None	JB3B11	N	CA00171642	B	SFY2009-10
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-09-15 00:00:00	920006158	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-11-29 00:00:00	2008-11-29 00:00:00	Yes	2011-10-18 00:00:00	2011-09-27 00:00:00	A	A	12000	12000	0	12000	0	None	JB3B11	N	CA00171642	B	SFY2009-10
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-06-11 00:00:00	920006159	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-02-28 00:00:00	2009-02-28 00:00:00	Yes	2009-07-02 00:00:00	2009-06-30 00:00:00	AA	AA	100000	45000	0	45000	0	None	4CNW11	Y	CA00179625	A	SFY2008-09
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-05-29 00:00:00	920006227	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-18 00:00:00	2009-02-18 00:00:00	No	2009-06-19 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	KXME11	N	CA00178372	B	SFY2008-09
920000312	TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-09-09 00:00:00	920006447	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-11-17 00:00:00	2006-11-17 00:00:00	Yes	2012-07-18 00:00:00	2012-06-27 00:00:00	A	B	15000	9750	0	9750	0	None	Y4K611	N	CA00183796	D	SFY2009-10
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-08-14 00:00:00	920006467	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-20 00:00:00	2009-05-20 00:00:00	Yes	2009-09-04 00:00:00	2009-08-18 00:00:00	A	None	15000	15000	0	15000	0	None	RU0B11	N	CA00190240	C	SFY2009-10
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-09-04 00:00:00	920006537	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-06 00:00:00	2009-06-06 00:00:00	Yes	2009-09-28 00:00:00	2009-09-10 00:00:00	B	Drop>Deficiency	600	600	0	600	0	None	BCT211	N	CA00198098	A	SFY2009-10
920000089	THE REHABILITATION CENTER OF NORTH HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-09-30 00:00:00	920006576	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-08-03 00:00:00	2009-08-03 00:00:00	Yes	2009-10-22 00:00:00	2009-10-19 00:00:00	A	A	16000	16000	0	16000	0	None	ZH6D11	N	CA00197413	B	SFY2009-10
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-12-31 00:00:00	920006779	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-15 00:00:00	2009-10-15 00:00:00	Yes	2010-01-26 00:00:00	2010-01-19 00:00:00	A	Dismissed by Court	10000	0	0	0	0	None	5VXI11	N	None	None	SFY2009-10
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-12-31 00:00:00	920006781	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-15 00:00:00	2009-10-15 00:00:00	Yes	2010-01-26 00:00:00	2010-01-19 00:00:00	A	Dismissed by Court	10000	0	0	0	0	None	5VXI11	N	None	None	SFY2009-10
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-01-12 00:00:00	920006864	Closed	Citation	Citation A (HSC 1424)	Administration	None	2009-07-31 00:00:00	2009-07-31 00:00:00	Yes	2012-07-18 00:00:00	2012-06-27 00:00:00	A	A	12000	7000	0	7000	0	None	OORO11	N	CA00197737	B	SFY2009-10
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-01-14 00:00:00	920006890	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-19 00:00:00	2009-10-19 00:00:00	Yes	2010-02-09 00:00:00	2010-01-29 00:00:00	A	A	15000	15000	0	15000	0	None	PMZU11	N	CA00206051	B	SFY2009-10
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-02-02 00:00:00	920006896	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-01 00:00:00	2008-06-01 00:00:00	Yes	2013-01-15 00:00:00	2012-12-24 00:00:00	A	A	20000	20000	0	20000	0	None	ON7011	N	CA00155616	C	SFY2009-10
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-01-08 00:00:00	920006899	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-05 00:00:00	2009-02-05 00:00:00	Yes	2010-02-02 00:00:00	2010-01-14 00:00:00	B	B	1000	650	0	650	0	None	54JJ11	N	CA00175542	C	SFY2009-10
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-01-12 00:00:00	920006907	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-09 00:00:00	2009-12-09 00:00:00	Yes	2010-02-04 00:00:00	2010-01-20 00:00:00	B	B	1000	650	0	650	0	None	R1LC11	N	CA00211721	A	SFY2009-10
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-01-12 00:00:00	920006908	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrences	2009-12-09 00:00:00	2009-12-09 00:00:00	Yes	2010-02-04 00:00:00	2010-01-20 00:00:00	B	Dismissed by Court	1000	0	0	0	0	None	R1LC11	N	CA00211721	A	SFY2009-10
920000003	THE GROVE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-02-02 00:00:00	920006955	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2009-12-03 00:00:00	2009-12-03 00:00:00	No	2010-02-23 00:00:00	None	WF	None	800	800	-280	520	0	None	85PU11	None	CA00210233	B	SFY2009-10
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-03-25 00:00:00	920007075	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2010-01-10 00:00:00	2010-01-10 00:00:00	Yes	2010-04-16 00:00:00	2010-04-01 00:00:00	WF	None	1000	1000	-350	650	0	None	S22H11	None	None	None	SFY2009-10
920000002	ASTORIA NURSING AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-03-25 00:00:00	920007079	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-02-26 00:00:00	2010-02-26 00:00:00	Yes	2010-04-16 00:00:00	2010-04-01 00:00:00	B	None	800	800	0	800	0	None	3LK311	N	CA00219720	B	SFY2009-10
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-04-07 00:00:00	920007105	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2010-01-01 00:00:00	2010-01-01 00:00:00	Yes	2010-04-28 00:00:00	2010-04-14 00:00:00	B	None	1000	1000	0	1000	0	None	HDMT11	N	CA00213920	A	SFY2009-10
920000082	WEST HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-04-16 00:00:00	920007127	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-12-06 00:00:00	2009-12-06 00:00:00	Yes	2010-05-07 00:00:00	2010-05-21 00:00:00	A	B	10000	7000	0	7000	0	None	LV8P11	N	CA00210552, CA00211192	B, B	SFY2009-10
920000063	NORTHRIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-04-16 00:00:00	920007128	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-12-04 00:00:00	2009-12-04 00:00:00	Yes	2010-05-07 00:00:00	2010-05-20 00:00:00	A	A	16000	10400	0	10400	0	None	FNTM11	N	CA00214827	B	SFY2009-10
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-06-09 00:00:00	920007278	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-08-08 00:00:00	2009-08-08 00:00:00	Yes	2014-04-15 00:00:00	2010-07-26 00:00:00	B	B	1000	1000	0	1000	0	None	156G11	N	CA00227005	B	SFY2009-10
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-06-29 00:00:00	920007336	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-05-07 00:00:00	2010-05-07 00:00:00	Yes	2010-07-20 00:00:00	2010-07-22 00:00:00	A	A	20000	10000	0	10000	0	None	GCN511	N	CA00229017	B	SFY2009-10
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-07-08 00:00:00	920007361	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-06 00:00:00	2010-06-06 00:00:00	No	2010-07-29 00:00:00	None	B	None	800	850	-280	570	0	None	VPD311	N	CA00228372, CA00231471, CA00231488	B, B, B	SFY2010-11
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-08-04 00:00:00	920007461	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-24 00:00:00	2009-08-24 00:00:00	No	2010-08-25 00:00:00	None	B	None	800	800	0	800	0	None	N1YO11	N	CA00199727	B	SFY2010-11
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-11-23 00:00:00	920007691	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-03 00:00:00	2010-08-03 00:00:00	Yes	2010-12-16 00:00:00	2010-12-07 00:00:00	A	B	10000	10000	0	10000	0	None	KOKK11	N	CA00238183	B	SFY2010-11
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-11-23 00:00:00	920007692	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-07-24 00:00:00	2010-07-24 00:00:00	Yes	2010-12-16 00:00:00	2010-12-07 00:00:00	A	B	10000	10000	0	10000	0	None	KOKK11	N	CA00238414	B	SFY2010-11
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-12 00:00:00	920007870	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-29 00:00:00	2010-01-29 00:00:00	No	2013-05-03 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	N8UW11	N	CA00221968	B	SFY2012-13
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-03-04 00:00:00	920007955	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2011-01-13 00:00:00	2011-01-13 00:00:00	No	2011-03-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	J4GK11	N	CA00255558	A	SFY2010-11
970000081	LEISURE GLEN POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-05-17 00:00:00	920008221	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-02 00:00:00	2010-10-02 00:00:00	Yes	2011-06-08 00:00:00	2011-06-08 00:00:00	B	B	1000	800	0	800	0	None	0V9J11	N	CA00256431	B	SFY2010-11
920000062	EISENBERG VILLAGE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-06-10 00:00:00	920008298	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-05-16 00:00:00	2011-05-16 00:00:00	No	2011-07-01 00:00:00	None	B	None	500	500	0	500	0	None	5XV611	N	None	None	SFY2010-11
920000312	TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-07-20 00:00:00	920008394	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-07-09 00:00:00	2011-07-09 00:00:00	No	2011-08-10 00:00:00	None	B	None	500	500	0	500	0	None	98GX11	N	None	None	SFY2011-12
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-12-21 00:00:00	920008483	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-09-06 00:00:00	2010-09-06 00:00:00	Yes	2012-01-13 00:00:00	2011-12-30 00:00:00	AA	A	75000	40000	0	40000	0	None	FI4Z11	Y	CA00246399	B	SFY2011-12
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-09-07 00:00:00	920008499	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-07-17 00:00:00	2011-07-17 00:00:00	No	2011-09-29 00:00:00	None	A	None	7500	7500	-2625	4875	0	None	1QF011	N	CA00276212	B	SFY2011-12
920000085	WEST VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-08-25 00:00:00	920008502	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-24 00:00:00	2011-02-24 00:00:00	Yes	2011-09-16 00:00:00	2011-09-01 00:00:00	B	B	1000	1000	0	1000	0	None	Z0HX11	N	CA00261368	B	SFY2011-12
920000059	LAKE BALBOA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-10-06 00:00:00	920008605	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-21 00:00:00	2011-01-21 00:00:00	No	2011-10-27 00:00:00	None	B	None	750	750	0	750	0	None	YYZ611	N	CA00266915	B	SFY2011-12
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-06-18 00:00:00	920008624	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-12-27 00:00:00	2010-12-27 00:00:00	Yes	2013-07-10 00:00:00	2013-06-27 00:00:00	A	B	18000	15000	0	15000	0	None	OFFW11	N	CA00254197	B	SFY2012-13
920000032	LAKEVIEW TERRACE SPECIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-10-13 00:00:00	920008642	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-18 00:00:00	2011-04-18 00:00:00	Yes	2011-11-03 00:00:00	2011-10-24 00:00:00	B	None	1000	1000	0	1000	0	None	SM2E11	N	CA00266485	B	SFY2011-12
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-10-20 00:00:00	920008647	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2011-04-28 00:00:00	2011-04-28 00:00:00	No	2011-11-10 00:00:00	None	B	None	1000	1750	0	1750	0	None	BNHT11	N	CA00267662	B	SFY2011-12
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-11-10 00:00:00	920008737	Open	Citation	Citation B (HSC 1424)	Medication	None	2011-01-28 00:00:00	2011-01-28 00:00:00	Yes	2011-12-06 00:00:00	2011-11-14 00:00:00	B	None	750	750	0	0	750	None	KMMZ11	N	CA00261987	B	SFY2011-12
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-12-27 00:00:00	920008857	Closed	Citation	Citation B (HSC 1424)	Other	Misappropriation of funds	2011-02-26 00:00:00	2011-02-26 00:00:00	No	2012-01-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	4VMB11	N	CA00269041	B	SFY2011-12
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-01-12 00:00:00	920008894	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-10-12 00:00:00	2010-10-12 00:00:00	Yes	2012-02-03 00:00:00	2012-01-26 00:00:00	B	B	500	500	0	500	0	None	0RNT11	N	CA00271463	B	SFY2011-12
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-01-12 00:00:00	920008895	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-06-23 00:00:00	2011-06-23 00:00:00	Yes	2012-02-03 00:00:00	2012-01-26 00:00:00	B	B	500	500	0	500	0	None	OVV911	N	CA00273219	A	SFY2011-12
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-01 00:00:00	920008940	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-05-14 00:00:00	2011-05-14 00:00:00	No	2012-02-23 00:00:00	None	B	None	900	900	0	900	0	None	GRWP11	N	CA00269449	B	SFY2011-12
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-29 00:00:00	920008996	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-06-16 00:00:00	2011-06-16 00:00:00	No	2012-03-21 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	LOI511	N	CA00278295	B	SFY2011-12
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-06-01 00:00:00	920009039	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-14 00:00:00	2010-05-14 00:00:00	Yes	2012-06-22 00:00:00	2012-06-11 00:00:00	A	A	20000	13000	0	13000	0	None	8NY511	Y	CA00254976	B	SFY2011-12
920000032	LAKEVIEW TERRACE SPECIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-10-17 00:00:00	920009102	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-11 00:00:00	2011-10-11 00:00:00	No	2013-11-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	GZCQ11	N	CA00279277, CA00290303	B, C	SFY2013-14
920000003	THE GROVE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-03-15 00:00:00	920009103	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-12 00:00:00	2011-10-12 00:00:00	No	2012-04-05 00:00:00	None	B	None	1800	1800	-630	1170	0	None	MZXP11	N	None	None	SFY2011-12
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-03-16 00:00:00	920009122	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-01-11 00:00:00	2012-01-11 00:00:00	No	2012-04-06 00:00:00	None	B	None	500	500	0	500	0	None	05ET11	N	None	None	SFY2011-12
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-04-03 00:00:00	920009123	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-07-01 00:00:00	2011-07-01 00:00:00	No	2012-04-24 00:00:00	None	A	None	19000	19000	-6650	12350	0	None	D6R911	N	CA00275489	B	SFY2011-12
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-04-11 00:00:00	920009222	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2012-03-05 00:00:00	2012-03-05 00:00:00	No	2012-05-02 00:00:00	None	B	None	750	750	0	750	0	None	ERVG11	N	CA00273021	B	SFY2011-12
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-08-10 00:00:00	920009224	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-10 00:00:00	2010-08-10 00:00:00	No	2012-08-31 00:00:00	None	A	None	19000	19000	-6650	12350	0	None	NZUM11	N	CA00238817	B	SFY2012-13
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-09-19 00:00:00	920009239	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-07-20 00:00:00	2010-07-20 00:00:00	No	2012-10-10 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	OE3411	N	CA00237803, CA00237803	B, B	SFY2012-13
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-10-03 00:00:00	920009538	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-08-24 00:00:00	2012-08-24 00:00:00	No	2012-10-24 00:00:00	None	B	None	2000	2350	0	2350	0	None	FPSO11	N	CA00323206	B	SFY2012-13
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-12-10 00:00:00	920009667	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-20 00:00:00	2012-01-20 00:00:00	No	2013-01-02 00:00:00	None	B	None	2000	2050	-700	1350	0	None	QLS611	N	CA00296935, CA00297521	C, C	SFY2012-13
920000056	THE MEADOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-12-11 00:00:00	920009668	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-10-18 00:00:00	2012-10-18 00:00:00	Yes	2013-01-03 00:00:00	2012-12-14 00:00:00	B	None	700	750	0	0	750	None	CCI511	N	None	None	SFY2012-13
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-03-11 00:00:00	920009694	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-02-04 00:00:00	2011-02-04 00:00:00	Yes	2013-04-02 00:00:00	2013-03-18 00:00:00	A	A	19000	12350	0	12350	0	None	54O711	Y	CA00280263	B	SFY2012-13
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-04 00:00:00	920009726	Closed	Citation	Citation B (HSC 1424)	Physical Environment	Physical Environment	2012-03-03 00:00:00	2012-03-03 00:00:00	No	2013-02-26 00:00:00	None	B	None	700	700	-245	455	0	None	ZQIJ11	N	None	None	SFY2012-13
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-14 00:00:00	920009740	Closed	Citation	Citation B (HSC 1424)	Patient Care	Accidents	2012-10-15 00:00:00	2012-10-15 00:00:00	No	2013-03-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	R9U411	N	CA00329617	B	SFY2012-13
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-21 00:00:00	920009752	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-12 00:00:00	2010-12-12 00:00:00	No	2013-03-14 00:00:00	None	B	None	1500	1500	-525	975	0	None	74RX11	N	CA00343542	B	SFY2012-13
920000312	TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-07-18 00:00:00	920009791	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-11-22 00:00:00	2012-11-22 00:00:00	Yes	2013-08-08 00:00:00	2013-07-25 00:00:00	A	A Trebled	20000	60000	0	60000	0	None	UVBN11	Y	CA00334539, CA00335353	B, B	SFY2013-14
920000312	TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-05-14 00:00:00	920009807	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-04-20 00:00:00	2012-04-20 00:00:00	Yes	2013-06-05 00:00:00	2013-05-23 00:00:00	A	A	20000	20000	0	20000	0	None	NF5Q11	Y	CA00306119	B	SFY2012-13
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-11-13 00:00:00	920009827	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-07-31 00:00:00	2010-07-31 00:00:00	Yes	2013-12-06 00:00:00	2013-12-04 00:00:00	A	A	15000	7500	0	7500	0	None	LOBQ11	N	CA00237805	B	SFY2013-14
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-01-21 00:00:00	920009923	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-05 00:00:00	2011-03-05 00:00:00	Yes	2014-02-11 00:00:00	2014-01-27 00:00:00	A	A	7000	3500	0	0	3500	None	A11R11	N	CA00273033	B	SFY2013-14
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-09-26 00:00:00	920010030	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-08 00:00:00	2011-09-08 00:00:00	No	2013-10-17 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	8SYX11	N	CA00296541	B	SFY2013-14
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-10-02 00:00:00	920010177	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-16 00:00:00	2011-04-16 00:00:00	No	2013-10-23 00:00:00	None	B	None	1200	1200	-420	780	0	None	NTP511	N	CA00266658, CA00267632	B, B	SFY2013-14
970000085	GLENDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-10-10 00:00:00	920010179	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-18 00:00:00	2011-09-18 00:00:00	No	2013-10-31 00:00:00	None	B	None	1800	1800	-630	1170	0	None	ZU3L11	N	CA00284077	B	SFY2013-14
920000057	VALLEY PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-10-17 00:00:00	920010199	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-02-03 00:00:00	2013-02-03 00:00:00	No	2013-11-07 00:00:00	None	B	None	500	500	0	500	0	None	2ONZ11	N	None	None	SFY2013-14
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-03-02 00:00:00	920010224	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-15 00:00:00	2011-08-15 00:00:00	Yes	2017-03-23 00:00:00	2017-03-02 00:00:00	A	None	20000	20000	0	0	20000	None	KQ3I11	N	CA00281111	B	SFY2016-17
970000081	LEISURE GLEN POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-02-10 00:00:00	920010260	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-04-15 00:00:00	2013-04-15 00:00:00	Yes	2014-03-04 00:00:00	2014-02-18 00:00:00	A	A	15000	7000	0	7000	0	None	FP9711	N	None	None	SFY2013-14
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-01-29 00:00:00	920010415	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-13 00:00:00	2011-11-13 00:00:00	No	2014-02-20 00:00:00	None	B	None	1500	1500	-525	975	0	None	5JLN11	N	CA00290349	B	SFY2013-14
920000083	CANYON OAKS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-02-11 00:00:00	920010441	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2012-11-20 00:00:00	2012-11-20 00:00:00	Yes	2014-03-05 00:00:00	2014-02-26 00:00:00	A	None	17500	17500	0	0	17500	None	V0PF11	N	CA00336450, CA00340197	B, B	SFY2013-14
920000029	OAKPARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-02-12 00:00:00	920010469	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2014-01-24 00:00:00	2014-01-24 00:00:00	No	2014-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	I7HC11	N	CA00385052	A	SFY2013-14
920000292	ARARAT NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-02-13 00:00:00	920010473	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-30 00:00:00	2012-10-30 00:00:00	No	2014-03-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	YDYK11	N	CA00332395	B	SFY2013-14
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-05-22 00:00:00	920010739	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-01-26 00:00:00	2013-01-26 00:00:00	No	2014-06-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	2IOY11	N	CA00341181	A	SFY2013-14
920000086	GRANADA HILLS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-06-24 00:00:00	920010778	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-01-28 00:00:00	2013-01-28 00:00:00	No	2014-07-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R1BH11	N	None	None	SFY2013-14
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-06-18 00:00:00	920010821	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-06 00:00:00	2012-03-06 00:00:00	No	2014-07-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	1YY811	N	CA00303005	B	SFY2013-14
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-09-23 00:00:00	920010859	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2013-01-28 00:00:00	2013-01-28 00:00:00	Yes	2014-10-14 00:00:00	2014-09-29 00:00:00	AA	AA	75000	75000	0	75000	0	None	CW3N11	Y	CA00362971, CA00370141	B, B	SFY2014-15
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-08-15 00:00:00	920010936	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-19 00:00:00	2011-10-19 00:00:00	No	2014-09-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	TMQZ11	N	CA00287036	A	SFY2014-15
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-12-29 00:00:00	920011080	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-06-18 00:00:00	2014-06-18 00:00:00	No	2015-01-19 00:00:00	None	AA	None	75000	75000	-26250	48750	0	None	YU7X11	Y	CA00403130	B	SFY2014-15
920000056	THE MEADOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-11-10 00:00:00	920011102	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2014-03-11 00:00:00	2014-03-11 00:00:00	No	2014-12-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	0V2811	N	CA00390706	B	SFY2014-15
920000056	THE MEADOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-11-10 00:00:00	920011103	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2014-03-11 00:00:00	2014-03-11 00:00:00	No	2014-12-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	0V2811	N	CA00390706	B	SFY2014-15
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-12-24 00:00:00	920011177	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-09-16 00:00:00	2012-09-16 00:00:00	No	2015-01-16 00:00:00	None	B	None	1000	1300	-350	950	0	None	YXP111	N	CA00327550	B	SFY2014-15
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-12-17 00:00:00	920011186	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-11-06 00:00:00	2014-11-06 00:00:00	No	2015-01-08 00:00:00	None	B	None	1500	1500	-525	975	0	None	OVZY11	N	None	None	SFY2014-15
970000081	LEISURE GLEN POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-01-13 00:00:00	920011215	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Medication	None	2014-08-05 00:00:00	2014-08-05 00:00:00	Yes	2015-02-04 00:00:00	2015-01-20 00:00:00	WF	WMF>$1000	2000	1500	0	1500	0	None	OUWC11	None	CA00411117	B	SFY2014-15
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-02-05 00:00:00	920011265	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-11-15 00:00:00	2014-11-15 00:00:00	No	2015-02-27 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	BS4U11	N	CA00421023	B	SFY2014-15
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-04-09 00:00:00	920011270	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2012-01-21 00:00:00	2012-01-21 00:00:00	Yes	2015-04-30 00:00:00	2015-04-16 00:00:00	AA	A	60000	12400	0	12400	0	None	X5RS11	Y	CA00304071	B	SFY2014-15
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-03-18 00:00:00	920011285	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-11-29 00:00:00	2012-11-29 00:00:00	No	2015-04-09 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	6SLP11	N	CA00335660	B	SFY2014-15
920000068	HOLIDAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-08-25 00:00:00	920011508	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-05-23 00:00:00	2012-05-23 00:00:00	Yes	2015-09-16 00:00:00	2015-08-25 00:00:00	A	B	20000	15000	0	15000	0	None	I2I911	Y	CA00321696	B	SFY2015-16
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-10-21 00:00:00	920011517	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-12 00:00:00	2014-02-12 00:00:00	No	2016-11-14 00:00:00	None	A	None	20000	20000	0	0	20000	None	WS6F11	N	CA00390420	C	SFY2016-17
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-07-28 00:00:00	920011523	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-07 00:00:00	2014-07-07 00:00:00	No	2015-08-18 00:00:00	None	A	None	20000	20000	0	20000	0	None	K5KD11	N	CA00405668	A	SFY2015-16
920000029	OAKPARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-09-16 00:00:00	920011543	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2013-01-16 00:00:00	2013-01-16 00:00:00	No	2015-10-07 00:00:00	None	AA	None	75000	75000	-26250	48750	0	None	WFEC11	Y	CA00344878, CA00344878	B, B	SFY2015-16
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-08-05 00:00:00	920011654	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-02-11 00:00:00	2013-02-11 00:00:00	Yes	2015-08-26 00:00:00	2015-08-05 00:00:00	A	A	20000	8500	0	8500	0	None	EQ8F11	N	CA00348306, CA00348306	C, C	SFY2015-16
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-08-19 00:00:00	920011675	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-02 00:00:00	2015-06-02 00:00:00	No	2015-09-10 00:00:00	None	A	None	20000	20000	0	20000	0	None	I09Z11	N	CA00444164, CA00444322	A, B	SFY2015-16
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-09-08 00:00:00	920011703	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-06 00:00:00	2011-11-06 00:00:00	No	2015-09-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IO2L11	N	CA00289968	B	SFY2015-16
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-09-16 00:00:00	920011720	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2015-08-13 00:00:00	2015-08-13 00:00:00	No	2015-10-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7SZE11	N	CA00454463	A	SFY2015-16
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-09-25 00:00:00	920011721	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-13 00:00:00	2015-08-13 00:00:00	No	2015-10-16 00:00:00	None	A	None	20000	20000	0	20000	0	None	MRQO11	N	CA00453806, CA00454176, CA00454176	E, B, B	SFY2015-16
920000068	HOLIDAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-12-01 00:00:00	920011776	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-09-08 00:00:00	2014-09-08 00:00:00	Yes	2015-12-22 00:00:00	2015-12-08 00:00:00	AA	A	100000	50000	0	50000	0	None	B6O611	Y	CA00452371, CA00452371, CA00452371, CA00452371	B, B, B, B	SFY2015-16
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-10-13 00:00:00	920011782	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-09-04 00:00:00	2015-09-04 00:00:00	No	2015-11-03 00:00:00	None	B	None	2000	11750	-700	11050	0	None	SRZF11	N	CA00457138	B	SFY2015-16
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-10-16 00:00:00	920011785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-07 00:00:00	2015-07-07 00:00:00	No	2015-11-06 00:00:00	None	B	None	2000	6000	0	6000	0	None	3ND711	N	CA00449815, CA00449822	B, B	SFY2015-16
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-08-02 00:00:00	920011797	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-10-02 00:00:00	2014-10-02 00:00:00	Yes	2016-08-23 00:00:00	2016-08-05 00:00:00	AA	A	75000	40000	0	40000	0	None	WU6I11	Y	CA00415541	A	SFY2016-17
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-11-16 00:00:00	920011814	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-25 00:00:00	2015-07-25 00:00:00	No	2015-12-09 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	4IKB11	N	CA00455182	B	SFY2015-16
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-02-29 00:00:00	920011832	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-08-24 00:00:00	2014-08-24 00:00:00	Yes	2016-03-21 00:00:00	2016-03-21 00:00:00	AA	A	100000	75000	0	75000	0	None	52BA11	Y	CA00412160, CA00412160, CA00412160	B, B, B	SFY2015-16
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-10-04 00:00:00	920011836	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-08-24 00:00:00	2014-08-24 00:00:00	No	2016-10-25 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9TXR11	Y	CA00420797	A	SFY2016-17
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-11-12 00:00:00	920011837	Closed	Citation	Citation B (HSC 1424)	Medication	None	2015-07-03 00:00:00	2015-07-03 00:00:00	No	2015-12-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BGZF11	N	CA00450948	B	SFY2015-16
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-12-14 00:00:00	920011838	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2014-08-24 00:00:00	2014-08-24 00:00:00	Yes	2016-01-06 00:00:00	2015-12-28 00:00:00	WF	WMF>$1000	10000	10000	0	10000	0	None	52BA11	None	CA00412160, CA00412160, CA00412160	B, B, B	SFY2015-16
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-07-15 00:00:00	920011839	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2013-02-23 00:00:00	2013-02-23 00:00:00	Yes	2016-08-05 00:00:00	2016-08-01 00:00:00	AA	AA	75000	43750	0	43750	0	None	FNKM11	Y	CA00344709, CA00344709	A, A	SFY2016-17
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-12-22 00:00:00	920011898	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-29 00:00:00	2015-07-29 00:00:00	Yes	2016-01-13 00:00:00	2015-12-28 00:00:00	A	A	10000	10000	0	10000	0	None	JHC511	N	CA00452579, CA00452579	B, B	SFY2015-16
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-12-31 00:00:00	920011926	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-08-14 00:00:00	2015-08-14 00:00:00	No	2016-01-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DNJT11	N	CA00393136	C	SFY2015-16
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-12-31 00:00:00	920011927	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-08-15 00:00:00	2015-08-15 00:00:00	No	2016-01-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DNJT11	N	CA00393577	C	SFY2015-16
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-01-29 00:00:00	920011984	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-25 00:00:00	2015-07-25 00:00:00	Yes	2016-02-22 00:00:00	2016-02-22 00:00:00	A	None	20000	20000	0	5000	15000	None	E38S11	N	CA00469846	B	SFY2015-16
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-01-29 00:00:00	920011985	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-25 00:00:00	2015-07-25 00:00:00	Yes	2016-02-22 00:00:00	2016-02-22 00:00:00	A	None	20000	20000	0	5000	15000	None	E38S11	N	CA00469846	B	SFY2015-16
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-05-06 00:00:00	920012006	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-11 00:00:00	2010-01-11 00:00:00	Yes	2016-05-27 00:00:00	2016-05-25 00:00:00	A	None	20000	20000	0	0	20000	None	2UI511	N	CA00259372, CA00259372	B, B	SFY2015-16
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-04-20 00:00:00	920012029	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-04-18 00:00:00	2012-04-18 00:00:00	Yes	2016-05-11 00:00:00	2016-05-11 00:00:00	A	A	20000	15000	0	15000	0	None	0DJO11	N	CA00307311	B	SFY2015-16
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-04-21 00:00:00	920012129	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-05-10 00:00:00	2013-05-10 00:00:00	No	2016-05-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VLTT11	N	CA00354779	A	SFY2015-16
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-07-15 00:00:00	920012159	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2013-09-22 00:00:00	2013-09-22 00:00:00	No	2016-08-05 00:00:00	None	AA	None	75000	75000	-26250	48750	0	None	R08311	Y	CA00375819	C	SFY2016-17
920000055	GRAND VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-04-14 00:00:00	920012181	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-06-27 00:00:00	2015-06-27 00:00:00	Yes	2016-05-05 00:00:00	2016-04-15 00:00:00	B	B	2000	1000	0	1000	0	None	8RGX11	N	CA00473441	B	SFY2015-16
920000055	GRAND VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-04-14 00:00:00	920012182	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-06-29 00:00:00	2015-06-29 00:00:00	Yes	2016-05-05 00:00:00	2016-04-15 00:00:00	B	B	2000	1000	0	1000	0	None	8RGX11	N	CA00473441	B	SFY2015-16
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-05-04 00:00:00	920012214	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-02-20 00:00:00	2014-02-20 00:00:00	No	2016-05-25 00:00:00	None	B	None	2000	2050	0	2050	0	None	UDDK11	N	CA00390090	A	SFY2015-16
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-05-02 00:00:00	920012216	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-20 00:00:00	2016-01-20 00:00:00	Yes	2016-05-23 00:00:00	2016-05-12 00:00:00	A	B	20000	11000	0	11000	0	None	TP4J11	N	CA00473424	B	SFY2015-16
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-05-13 00:00:00	920012243	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-23 00:00:00	2015-12-23 00:00:00	No	2016-06-06 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	4ZSQ11	N	CA00470068	B	SFY2015-16
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-05-12 00:00:00	920012244	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-10-03 00:00:00	2015-10-03 00:00:00	No	2016-06-03 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	Q6QD11	N	CA00465107	B	SFY2015-16
970000081	LEISURE GLEN POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-05-12 00:00:00	920012245	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-25 00:00:00	2016-01-25 00:00:00	Yes	2016-06-03 00:00:00	2016-05-20 00:00:00	A	A	15000	10000	0	10000	0	None	SNDR11	N	CA00474067	B	SFY2015-16
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-02-08 00:00:00	920012307	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2011-03-04 00:00:00	2011-03-04 00:00:00	Yes	2017-03-02 00:00:00	2017-02-15 00:00:00	AA	A	100000	70000	0	70000	0	None	IVLG11	Y	CA00259236	C	SFY2016-17
920000021	BROADWAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-06-14 00:00:00	920012323	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-25 00:00:00	2016-02-25 00:00:00	Yes	2016-07-06 00:00:00	2016-06-20 00:00:00	A	B	10000	7500	0	7500	0	None	8UCX11	N	CA00478170	B	SFY2015-16
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-06-14 00:00:00	920012324	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-19 00:00:00	2016-04-19 00:00:00	No	2016-07-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5PHO11	N	CA00485008	B	SFY2015-16
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-07-29 00:00:00	920012329	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2012-01-06 00:00:00	2012-01-06 00:00:00	No	2016-08-19 00:00:00	None	A	None	20000	20000	0	0	20000	None	SE2Q11	N	CA00295281	B	SFY2016-17
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-07-15 00:00:00	920012335	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-21 00:00:00	2016-02-21 00:00:00	Yes	2016-08-05 00:00:00	2016-08-03 00:00:00	A	None	20000	20100	0	0	20100	None	3P4011	N	CA00478456, CA00478456	B, B	SFY2016-17
920000002	ASTORIA NURSING AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-06-29 00:00:00	920012339	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2014-06-18 00:00:00	2014-06-18 00:00:00	No	2016-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MVFV11	N	CA00397453	C	SFY2015-16
920000025	NEW VISTA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-08-03 00:00:00	920012446	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-05-26 00:00:00	2015-05-26 00:00:00	No	2016-08-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8L4D11	N	CA00444312	A	SFY2016-17
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-01 00:00:00	920012496	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-07 00:00:00	2015-12-07 00:00:00	Yes	2016-09-23 00:00:00	2016-09-26 00:00:00	A	A	20000	20000	0	20000	0	None	2Y3I11	N	CA00470570	B	SFY2016-17
920000030	THE HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-08-23 00:00:00	920012530	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-10-12 00:00:00	2015-10-12 00:00:00	No	2016-09-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H7JF11	N	CA00473943	B	SFY2016-17
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-01-27 00:00:00	920012545	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-03-09 00:00:00	2015-03-09 00:00:00	No	2017-02-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	33XF11	N	CA00434513	B	SFY2016-17
920000076	VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-10-28 00:00:00	920012557	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-23 00:00:00	2015-12-23 00:00:00	No	2016-11-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	C3F611	N	CA00470120	B	SFY2016-17
920000076	VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-11-10 00:00:00	920012571	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-28 00:00:00	2015-07-28 00:00:00	No	2016-12-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	BD6E11	N	CA00452698, CA00454958	B, B	SFY2016-17
970000039	HOLLYWOOD PREMIER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-10-14 00:00:00	920012638	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-27 00:00:00	2016-01-27 00:00:00	Yes	2016-11-04 00:00:00	2016-11-02 00:00:00	A	A	15000	9000	0	9000	0	None	IW0P11	N	CA00474589	B	SFY2016-17
920000056	THE MEADOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-01-09 00:00:00	920012653	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2013-03-22 00:00:00	2013-03-22 00:00:00	Yes	2017-01-31 00:00:00	2017-02-02 00:00:00	AA	AA	80000	50000	0	50000	0	None	GNL611	Y	CA00348202, CA00348202	B, B	SFY2016-17
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-10-27 00:00:00	920012654	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-29 00:00:00	2016-02-29 00:00:00	No	2016-11-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OD9211	N	CA00478973	B	SFY2016-17
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-10-27 00:00:00	920012672	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2016-06-22 00:00:00	2016-06-22 00:00:00	Yes	2016-11-18 00:00:00	2016-11-10 00:00:00	A	B	10000	8000	0	8000	0	None	SRLQ11	N	CA00492870	B	SFY2016-17
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-01-18 00:00:00	920012679	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-08-10 00:00:00	2014-08-10 00:00:00	Yes	2017-02-08 00:00:00	2017-02-03 00:00:00	A	A	20000	18750	0	18750	0	None	ODDW11	N	CA00409183	A	SFY2016-17
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-10-28 00:00:00	920012680	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-21 00:00:00	2016-06-21 00:00:00	Yes	2016-11-21 00:00:00	2016-11-02 00:00:00	A	B	15000	15000	0	15000	0	None	GGSG11	N	CA00492912	B	SFY2016-17
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-11-01 00:00:00	920012714	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-03-11 00:00:00	2016-03-11 00:00:00	No	2016-11-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	NDIN11	N	CA00492032	B	SFY2016-17
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-11-21 00:00:00	920012727	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-30 00:00:00	2015-12-30 00:00:00	Yes	2016-12-14 00:00:00	2016-11-28 00:00:00	A	None	15000	15000	0	0	15000	None	GX5V11	N	CA00494704	B	SFY2016-17
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-12-01 00:00:00	920012729	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-06 00:00:00	2016-05-06 00:00:00	No	2016-12-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9J6111	N	CA00493074	B	SFY2016-17
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-12-14 00:00:00	920012749	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-10-04 00:00:00	2015-10-04 00:00:00	No	2017-01-06 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	24Z411	N	CA00502813, CA00502923, CA00503312, CA00505363, CA00505918	C, B, C, B, A	SFY2016-17
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-12-06 00:00:00	920012785	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-06-15 00:00:00	2015-06-15 00:00:00	No	2016-12-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	LOTA11	N	CA00447356	C	SFY2016-17
920000077	ALAMEDA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-01-09 00:00:00	920012812	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2016-05-06 00:00:00	2016-05-06 00:00:00	Yes	2017-01-31 00:00:00	2017-01-11 00:00:00	A	A	10000	6750	0	6750	0	None	HSWW11	N	CA00487216	C	SFY2016-17
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-12-23 00:00:00	920012817	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-13 00:00:00	2016-10-13 00:00:00	No	2017-01-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	24Z411	N	None	None	SFY2016-17
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-12-21 00:00:00	920012826	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-12-13 00:00:00	2015-12-13 00:00:00	No	2017-01-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	38PH11	N	CA00469186	B	SFY2016-17
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-12-23 00:00:00	920012834	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-12-09 00:00:00	2016-12-09 00:00:00	No	2017-01-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RGV311	N	CA00513721	A	SFY2016-17
920000056	THE MEADOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-12-22 00:00:00	920012839	Closed	Citation	Citation B (HSC 1424)	Administration	None	2015-10-15 00:00:00	2015-10-15 00:00:00	No	2017-01-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	GNL611	N	CA00348202, CA00348202	B, B	SFY2016-17
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-04 00:00:00	920012843	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-24 00:00:00	2016-07-24 00:00:00	Yes	2017-01-26 00:00:00	2017-01-24 00:00:00	A	A	15000	36000	0	36000	0	None	WCF911	N	CA00496651	B	SFY2016-17
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-12-28 00:00:00	920012844	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-08-18 00:00:00	2016-08-18 00:00:00	No	2017-01-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	F2LX11	N	CA00499860	B	SFY2016-17
970000099	SOLHEIM SENIOR COMMUNITY	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-09 00:00:00	920012856	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-18 00:00:00	2016-05-18 00:00:00	No	2017-01-31 00:00:00	None	A	None	10000	10000	0	10000	0	None	YP7Z11	N	CA00489193	B	SFY2016-17
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-01-09 00:00:00	920012874	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-09-13 00:00:00	2016-09-13 00:00:00	No	2017-01-31 00:00:00	None	A	None	15000	15000	0	15000	0	None	7JR111	N	CA00503111	A	SFY2016-17
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-02-13 00:00:00	920012883	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-09-26 00:00:00	2015-09-26 00:00:00	Yes	2017-03-07 00:00:00	2017-02-13 00:00:00	A	B	20000	16000	0	16000	0	None	GGOY11	N	CA00460361, CA00508093	B, B	SFY2016-17
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-25 00:00:00	920012888	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-17 00:00:00	2016-11-17 00:00:00	No	2017-02-15 00:00:00	None	A	None	10000	30000	0	0	30000	None	57R511	N	CA00511585	A	SFY2016-17
920000057	VALLEY PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-02-02 00:00:00	920012900	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-09 00:00:00	2016-12-09 00:00:00	No	2017-02-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	G5G411	N	None	None	SFY2016-17
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-01-31 00:00:00	920012916	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-11-28 00:00:00	2016-11-28 00:00:00	No	2017-02-22 00:00:00	None	B	None	2000	4350	0	4350	0	None	44WY11	N	CA00512158, CA00515016	B, B	SFY2016-17
970000085	GLENDALE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-03-24 00:00:00	920012969	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-13 00:00:00	2016-11-13 00:00:00	No	2017-04-17 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	06WL11	N	None	None	SFY2016-17
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-02-14 00:00:00	920012970	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-05-01 00:00:00	2016-05-01 00:00:00	No	2017-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KBMB11	N	CA00486740	C	SFY2016-17
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-03-14 00:00:00	920012982	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-07 00:00:00	2016-12-07 00:00:00	Yes	2017-04-05 00:00:00	2017-04-05 00:00:00	A	B	20000	20000	0	20000	0	None	1JXC11	N	CA00514253	B	SFY2016-17
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-03-10 00:00:00	920013029	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-19 00:00:00	2016-08-19 00:00:00	No	2017-04-03 00:00:00	None	A	None	20000	20000	0	20000	0	None	HD1R11	N	CA00501197, CA00501197	B, B	SFY2016-17
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-05-05 00:00:00	920013064	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-22 00:00:00	2011-09-22 00:00:00	No	2017-05-26 00:00:00	None	A	None	20000	20000	0	0	20000	None	I55D11	Y	CA00285086, CA00285086	B, B	SFY2016-17
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-04-12 00:00:00	920013109	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-04 00:00:00	2016-11-04 00:00:00	No	2017-05-03 00:00:00	None	A	None	15000	45000	-15750	29250	0	None	4FGV11	N	None	None	SFY2016-17
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-04-12 00:00:00	920013110	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-01 00:00:00	2016-08-01 00:00:00	No	2017-05-03 00:00:00	None	A	None	10000	30000	-10500	19500	0	None	4FGV11	N	None	None	SFY2016-17
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-04-10 00:00:00	920013111	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-01-22 00:00:00	2017-01-22 00:00:00	No	2017-05-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8C4111	N	CA00519464	A	SFY2016-17
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-04-10 00:00:00	920013112	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-12-10 00:00:00	2016-12-10 00:00:00	No	2017-05-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	EU2811	N	CA00514154	A	SFY2016-17
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-04-10 00:00:00	920013113	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-10-11 00:00:00	2016-10-11 00:00:00	No	2017-05-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	EU2811	N	CA00514154	A	SFY2016-17
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-04-21 00:00:00	920013122	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-09 00:00:00	2017-01-09 00:00:00	No	2017-05-12 00:00:00	None	B	None	2000	2000	0	0	2000	None	QBO211	N	None	None	SFY2016-17
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-04-24 00:00:00	920013129	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-07 00:00:00	2017-01-07 00:00:00	Yes	2017-05-15 00:00:00	2017-04-27 00:00:00	A	None	20000	20000	0	0	20000	None	NV0W11	N	CA00517253	A	SFY2016-17
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-04-21 00:00:00	920013149	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-22 00:00:00	2017-02-22 00:00:00	No	2017-05-12 00:00:00	None	B	None	2000	2000	0	0	2000	None	QBO211	N	None	None	SFY2016-17
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-04-21 00:00:00	920013151	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-28 00:00:00	2017-02-28 00:00:00	No	2017-05-12 00:00:00	None	B	None	2000	2000	0	0	2000	None	QBO211	N	None	None	SFY2016-17
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-04-26 00:00:00	920013154	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-23 00:00:00	2017-01-23 00:00:00	No	2017-05-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	90S611	N	CA00519046	A	SFY2016-17
970000029	KINGSLEY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-05-10 00:00:00	920013186	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-05-18 00:00:00	2012-05-18 00:00:00	No	2017-06-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	BCW011	N	CA00311759	C	SFY2016-17
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-14 00:00:00	920013201	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2015-09-06 00:00:00	2015-09-06 00:00:00	Yes	2017-10-05 00:00:00	2017-09-25 00:00:00	AA	None	100000	100000	0	0	100000	None	KBI011	Y	CA00465036, CA00465036	A, A	SFY2017-18
920000062	EISENBERG VILLAGE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-05-16 00:00:00	920013202	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-02 00:00:00	2016-11-02 00:00:00	No	2017-06-07 00:00:00	None	A	B	10000	2000	0	2000	0	None	Y8WT11	N	CA00509795	B	SFY2016-17
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-05-17 00:00:00	920013204	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-11 00:00:00	2015-09-11 00:00:00	No	2017-06-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	ED7211	N	CA00457574, CA00458157	B, B	SFY2016-17
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-07-21 00:00:00	920013217	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-19 00:00:00	2017-04-19 00:00:00	Yes	2017-08-11 00:00:00	2017-08-03 00:00:00	A	A	20000	51000	0	51000	0	None	4FGV12	N	None	None	SFY2017-18
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-06-07 00:00:00	920013218	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-19 00:00:00	2017-04-19 00:00:00	Yes	2017-06-28 00:00:00	2017-06-16 00:00:00	A	None	15000	15050	0	0	15050	None	QBO212	N	None	None	SFY2016-17
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-06-07 00:00:00	920013219	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-26 00:00:00	2017-04-26 00:00:00	Yes	2017-06-28 00:00:00	2017-06-16 00:00:00	A	None	15000	45050	0	0	45050	None	QBO211	N	None	None	SFY2016-17
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-05-24 00:00:00	920013220	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-20 00:00:00	2017-02-20 00:00:00	No	2017-06-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZZI111	N	CA00523454	A	SFY2016-17
920000056	THE MEADOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-06-07 00:00:00	920013221	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-04 00:00:00	2017-04-04 00:00:00	Yes	2017-06-28 00:00:00	2017-07-17 00:00:00	A	B	20000	20000	0	20000	0	None	C6KO11	N	None	None	SFY2016-17
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-05-24 00:00:00	920013224	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2016-10-28 00:00:00	2016-10-28 00:00:00	No	2017-06-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	3ULR11	N	CA00333657	C	SFY2016-17
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-06-13 00:00:00	920013278	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-04-20 00:00:00	2017-04-20 00:00:00	No	2017-07-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SXWH11	N	CA00531997	B	SFY2016-17
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-06-23 00:00:00	920013281	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-24 00:00:00	2016-11-24 00:00:00	Yes	2017-07-17 00:00:00	2017-07-06 00:00:00	A	A	15000	10000	0	10000	0	None	B1UY11	N	CA00512126	B	SFY2016-17
970000089	COLLEGE VISTA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-07-07 00:00:00	920013323	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-05-20 00:00:00	2017-05-20 00:00:00	No	2017-07-28 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	FKWD11	N	None	None	SFY2017-18
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-07-08 00:00:00	920013324	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-21 00:00:00	2016-07-21 00:00:00	No	2017-07-28 00:00:00	None	A	None	20000	60000	0	60000	0	None	MTWY11	N	CA00496815	B	SFY2017-18
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-07-14 00:00:00	920013336	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-05 00:00:00	2017-01-05 00:00:00	No	2017-08-04 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	BOD711	N	CA00517195	B	SFY2017-18
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-07-14 00:00:00	920013337	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-21 00:00:00	2016-10-21 00:00:00	No	2017-08-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GEJG11	N	CA00513985	B	SFY2017-18
920000002	ASTORIA NURSING AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-07-12 00:00:00	920013340	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-23 00:00:00	2017-05-23 00:00:00	No	2017-08-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3QJ011	N	None	None	SFY2017-18
920000054	PANORAMA GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-07-24 00:00:00	920013357	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-13 00:00:00	2016-06-13 00:00:00	Yes	2017-08-14 00:00:00	2017-08-14 00:00:00	A	B	10000	10000	0	10000	0	None	CPDH11	N	CA00492605	B	SFY2017-18
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-07-20 00:00:00	920013362	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-06 00:00:00	2017-02-06 00:00:00	No	2017-08-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8SNY11	N	CA00519475	B	SFY2017-18
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-08-08 00:00:00	920013418	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-06-16 00:00:00	2017-06-16 00:00:00	Yes	2017-08-29 00:00:00	2017-08-28 00:00:00	B	None	2000	7200	0	0	7200	None	RW6F11	N	CA00540150, CA00546155, CA00546191	A, B, B	SFY2017-18
920000082	WEST HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-06 00:00:00	920013473	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2017-07-19 00:00:00	2017-07-19 00:00:00	No	2017-09-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WPYZ11	N	None	None	SFY2017-18
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-07 00:00:00	920013479	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Care	None	2017-08-09 00:00:00	2017-08-09 00:00:00	No	2017-09-28 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	8SNY11	None	CA00519475	B	SFY2017-18
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-18 00:00:00	920013484	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2017-08-21 00:00:00	2017-08-21 00:00:00	No	2017-10-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WPGE11	N	None	None	SFY2017-18
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-10 00:00:00	920013485	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2017-07-24 00:00:00	2017-07-24 00:00:00	No	2017-09-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	BFR311	N	None	None	SFY2017-18
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-10 00:00:00	920013486	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2017-07-25 00:00:00	2017-07-25 00:00:00	No	2017-09-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	BFR311	N	None	None	SFY2017-18
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-22 00:00:00	920013487	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-13 00:00:00	2017-04-13 00:00:00	Yes	2017-10-13 00:00:00	2017-10-02 00:00:00	A	A	20000	16500	0	16500	0	None	M7OJ11	N	CA00533063	A	SFY2017-18
920000310	THE GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-29 00:00:00	920013490	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-24 00:00:00	2017-08-24 00:00:00	No	2017-10-20 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	OJBN11	N	None	None	SFY2017-18
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-22 00:00:00	920013516	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-07-25 00:00:00	2017-07-25 00:00:00	No	2017-10-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	GDN111	N	CA00547161	B	SFY2017-18
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-29 00:00:00	920013525	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-13 00:00:00	2017-06-13 00:00:00	No	2017-10-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R2UT11	N	CA00539185	A	SFY2017-18
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-11-02 00:00:00	920013590	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-23 00:00:00	2017-09-23 00:00:00	No	2017-11-28 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	CYWN11	N	None	None	SFY2017-18
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-03 00:00:00	920013596	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-30 00:00:00	2017-07-30 00:00:00	Yes	2017-11-29 00:00:00	2017-11-09 00:00:00	A	B	20000	20000	0	20000	0	None	WM2W11	N	None	None	SFY2017-18
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-09 00:00:00	920013605	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-10-07 00:00:00	2014-10-07 00:00:00	No	2017-12-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	W8ZQ11	N	CA00421186	B	SFY2017-18
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-17 00:00:00	920013626	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-25 00:00:00	2017-09-25 00:00:00	No	2017-12-12 00:00:00	None	A	None	20000	20000	0	20000	0	None	GDN112	N	None	None	SFY2017-18
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-21 00:00:00	920013629	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-12 00:00:00	2017-10-12 00:00:00	No	2017-12-14 00:00:00	None	A	None	18000	54000	-18900	35100	0	None	6IC011	N	None	None	SFY2017-18
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-21 00:00:00	920013630	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-14 00:00:00	2017-03-14 00:00:00	No	2017-12-14 00:00:00	None	A	None	18000	18000	0	18000	0	None	6IC011	N	None	None	SFY2017-18
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-21 00:00:00	920013634	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2017-10-03 00:00:00	2017-10-03 00:00:00	No	2017-12-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6IC011	N	None	None	SFY2017-18
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-21 00:00:00	920013638	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-10-03 00:00:00	2017-10-03 00:00:00	No	2017-12-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6IC011	N	None	None	SFY2017-18
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-21 00:00:00	920013639	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-10-03 00:00:00	2017-10-03 00:00:00	No	2017-12-14 00:00:00	None	B	None	2000	3450	0	3450	0	None	6IC011	N	None	None	SFY2017-18
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-21 00:00:00	920013640	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-10-03 00:00:00	2017-10-03 00:00:00	No	2017-12-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6IC011	N	None	None	SFY2017-18
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-21 00:00:00	920013641	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-10-03 00:00:00	2017-10-03 00:00:00	No	2017-12-14 00:00:00	None	B	None	2000	3450	-700	1300	1450	None	6IC011	N	None	None	SFY2017-18
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-21 00:00:00	920013642	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-10-03 00:00:00	2017-10-03 00:00:00	No	2017-12-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6IC011	N	None	None	SFY2017-18
920000026	HIGH VALLEY LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-01-11 00:00:00	920013729	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2017-01-28 00:00:00	2017-01-28 00:00:00	No	2018-02-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	V83X21	N	None	None	SFY2017-18
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-01-19 00:00:00	920013753	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-11-10 00:00:00	2017-11-10 00:00:00	No	2018-02-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3O6W11	N	CA00560365	B	SFY2017-18
970000029	KINGSLEY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-01-22 00:00:00	920013755	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-06-18 00:00:00	2014-06-18 00:00:00	No	2018-02-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	94MU11	N	CA00403074	B	SFY2017-18
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-01-24 00:00:00	920013756	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-23 00:00:00	2017-09-23 00:00:00	No	2018-02-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	E3MF11	N	CA00554415, CA00554692	B, B	SFY2017-18
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-01-26 00:00:00	920013768	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-11-20 00:00:00	2017-11-20 00:00:00	No	2018-02-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B8HJ11	N	CA00561845	A	SFY2017-18
920000057	VALLEY PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-01 00:00:00	920013780	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-01 00:00:00	2017-10-01 00:00:00	No	2018-02-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QOQ111	N	CA00555634, CA00557245	B, B	SFY2017-18
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-07 00:00:00	920013788	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-08-14 00:00:00	2017-08-14 00:00:00	No	2018-02-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	K1TY11	N	CA00548956	B	SFY2017-18
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-07 00:00:00	920013789	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-01 00:00:00	2016-02-01 00:00:00	No	2018-03-01 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	OHID11	N	CA00472005, CA00472005	B, B	SFY2017-18
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-12 00:00:00	920013804	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-21 00:00:00	2017-12-21 00:00:00	Yes	2018-03-05 00:00:00	2018-02-26 00:00:00	A	B	18000	2000	0	2000	0	None	X27C11	N	None	None	SFY2017-18
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-12 00:00:00	920013805	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-05 00:00:00	2017-10-05 00:00:00	Yes	2018-03-05 00:00:00	2018-02-26 00:00:00	A	B	16000	2000	0	2000	0	None	X27C11	N	None	None	SFY2017-18
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-13 00:00:00	920013811	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-08-05 00:00:00	2016-08-05 00:00:00	No	2018-03-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	E08W21	N	None	None	SFY2017-18
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-26 00:00:00	920013829	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-02 00:00:00	2018-01-02 00:00:00	Yes	2018-03-19 00:00:00	2018-03-14 00:00:00	A	None	18000	18000	0	0	18000	None	RJ0V11	N	CA00567476	B	SFY2017-18
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-26 00:00:00	920013851	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-04-14 00:00:00	2017-04-14 00:00:00	No	2018-03-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	VNCW11	N	CA00552070, CA00552070, CA00552070	B, B, B	SFY2017-18
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-28 00:00:00	920013933	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-10 00:00:00	2018-02-10 00:00:00	Yes	2018-04-18 00:00:00	2018-04-18 00:00:00	A	B	18000	15000	0	15000	0	None	A31Z11	N	None	None	SFY2017-18
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-28 00:00:00	920013934	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-11 00:00:00	2018-02-11 00:00:00	No	2018-04-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	A31Z11	N	None	None	SFY2017-18
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-28 00:00:00	920013935	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-11 00:00:00	2018-02-11 00:00:00	No	2018-04-18 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	A31Z11	N	None	None	SFY2017-18
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-04-06 00:00:00	920013960	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-25 00:00:00	2018-01-25 00:00:00	No	2018-04-27 00:00:00	None	A	None	20000	20000	0	20000	0	None	XGNM11	N	None	None	SFY2017-18
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-04-06 00:00:00	920013961	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-08 00:00:00	2018-02-08 00:00:00	No	2018-04-27 00:00:00	None	A	None	15000	15000	0	15000	0	None	XGNM11	N	CA00574122, CA00574122	B, B	SFY2017-18
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-04-06 00:00:00	920013967	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-19 00:00:00	2017-11-19 00:00:00	No	2018-04-27 00:00:00	None	A	None	20000	20000	0	20000	0	None	H8O411	N	CA00564164	B	SFY2017-18
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-04-06 00:00:00	920013968	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-19 00:00:00	2017-11-19 00:00:00	No	2018-04-27 00:00:00	None	A	None	20000	20000	0	20000	0	None	H8O411	N	CA00564164	B	SFY2017-18
920000030	THE HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-04-12 00:00:00	920013995	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-13 00:00:00	2017-11-13 00:00:00	Yes	2018-05-03 00:00:00	2018-04-26 00:00:00	B	None	2000	2000	-700	1300	0	None	JR6011	N	None	None	SFY2017-18
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-04-18 00:00:00	920014006	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-16 00:00:00	2017-12-16 00:00:00	Yes	2018-05-09 00:00:00	2018-04-26 00:00:00	B	None	2000	2000	0	0	2000	None	T7IB11	N	CA00565880	B	SFY2017-18
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-05-09 00:00:00	920014036	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-09 00:00:00	2018-01-09 00:00:00	Yes	2018-05-30 00:00:00	2018-05-21 00:00:00	A	A	20000	13000	0	13000	0	None	CZ0E11	Y	CA00568730	B	SFY2017-18
920000083	CANYON OAKS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-05-08 00:00:00	920014051	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-27 00:00:00	2018-03-27 00:00:00	Yes	2018-05-29 00:00:00	2018-05-25 00:00:00	A	B	16000	12000	0	12000	0	None	RXQ711	N	None	None	SFY2017-18
920000292	ARARAT NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-05-23 00:00:00	920014096	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-04 00:00:00	2018-02-04 00:00:00	Yes	2018-06-13 00:00:00	2018-06-18 00:00:00	A	A	20000	10000	0	10000	0	None	O6EI11	N	None	None	SFY2017-18
920000292	ARARAT NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-05-23 00:00:00	920014097	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-30 00:00:00	2017-12-30 00:00:00	No	2018-06-13 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	O6EI11	N	None	None	SFY2017-18
920000063	NORTHRIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-12 00:00:00	920014145	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-06 00:00:00	2018-03-06 00:00:00	No	2018-07-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	B5TW11	N	CA00574938	B	SFY2017-18
920000063	NORTHRIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-12 00:00:00	920014146	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2018-03-06 00:00:00	2018-03-06 00:00:00	No	2018-07-03 00:00:00	None	WF	None	2000	2000	0	2000	0	None	B5TW11	None	CA00574938, CA00574938	B, B	SFY2017-18
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-15 00:00:00	920014149	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-13 00:00:00	2018-01-13 00:00:00	No	2018-07-09 00:00:00	None	A	None	17000	17000	-5950	11050	0	None	PB6S11	N	CA00572684	B	SFY2017-18
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-25 00:00:00	920014159	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-06 00:00:00	2018-03-06 00:00:00	No	2018-07-17 00:00:00	None	B	None	1800	1800	-630	1170	0	None	J56C11	N	CA00576669	B	SFY2017-18
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-07-03 00:00:00	920014211	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-07 00:00:00	2017-07-07 00:00:00	Yes	2018-07-25 00:00:00	2018-07-13 00:00:00	A	B	20000	17000	0	17000	0	None	DJWY11	Y	CA00576926, CA00576926	B, B	SFY2018-19
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-06 00:00:00	920014223	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-16 00:00:00	2018-03-16 00:00:00	Yes	2018-07-27 00:00:00	2018-07-20 00:00:00	B	None	2000	2000	0	0	2000	None	YS2X11	N	CA00578817	A	SFY2018-19
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-07-06 00:00:00	920014224	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-04-28 00:00:00	2014-04-28 00:00:00	No	2018-07-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4QF011	N	CA00393186	C	SFY2018-19
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-07-20 00:00:00	920014255	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-14 00:00:00	2017-10-14 00:00:00	No	2018-08-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ZX6I11	N	CA00555967	B	SFY2018-19
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-20 00:00:00	920014258	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-26 00:00:00	2018-03-26 00:00:00	No	2018-08-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EAGY11	N	CA00580337, CA00580337	A, A	SFY2018-19
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-27 00:00:00	920014284	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-15 00:00:00	2017-03-15 00:00:00	No	2018-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	T4TJ11	N	CA00581504, CA00581504, CA00581504	B, B, B	SFY2018-19
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-07-26 00:00:00	920014287	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-03-27 23:59:00	2018-03-27 23:59:00	No	2018-08-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	EGX011	N	CA00580850	B	SFY2018-19
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-07-27 00:00:00	920014290	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-05 00:00:00	2017-12-05 00:00:00	No	2018-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	70P811	N	CA00564039, CA00564039	B, B	SFY2018-19
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-07-27 00:00:00	920014291	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-24 00:00:00	2018-04-24 00:00:00	Yes	2018-08-17 00:00:00	2018-08-10 00:00:00	A	A	20000	15000	0	15000	0	None	CDKR11	N	CA00581886, CA00581886, CA00585441	B, B, B	SFY2018-19
910000073	BRENTWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-08-03 00:00:00	920014316	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-28 00:00:00	2018-03-28 00:00:00	No	2018-08-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SIXL11	N	CA00582038, CA00582805	B, B	SFY2018-19
970000133	GRAND PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-08-13 00:00:00	920014327	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-01 00:00:00	2018-05-01 00:00:00	Yes	2018-09-04 00:00:00	2018-08-24 00:00:00	A	A	20000	15100	-100	15000	0	None	4DIM11	N	CA00581264, CA00581264	B, B	SFY2018-19
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-08-23 00:00:00	920014359	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-04-25 00:00:00	2018-04-25 00:00:00	No	2018-09-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	Z9WI11	N	CA00584057, CA00584057	A, A	SFY2018-19
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-08-25 00:00:00	920014365	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-04-25 00:00:00	2018-04-25 00:00:00	Yes	2018-09-17 00:00:00	2018-09-14 00:00:00	AA	AA	100000	55000	0	55000	0	None	XYU511	Y	CA00584869, CA00584869, CA00584869, CA00584869	A, A, A, A	SFY2018-19
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-08-29 00:00:00	920014372	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-14 00:00:00	2018-03-14 00:00:00	Yes	2018-09-20 00:00:00	2018-09-07 00:00:00	B	None	2000	2000	0	0	2000	None	TOB911	N	CA00592065	B	SFY2018-19
920000062	EISENBERG VILLAGE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-08-31 00:00:00	920014374	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-09 00:00:00	2015-02-09 00:00:00	Yes	2018-09-24 00:00:00	2018-09-17 00:00:00	A	B	20000	5000	0	5000	0	None	3DCB11	Y	CA00431649	C	SFY2018-19
920000057	VALLEY PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-06 00:00:00	920014393	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-02-14 00:00:00	2018-02-14 00:00:00	No	2018-09-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z9R211	N	CA00586071	A	SFY2018-19
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-14 00:00:00	920014414	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-19 00:00:00	2017-06-19 00:00:00	No	2018-10-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4BPP11	N	CA00540548	B	SFY2018-19
920000076	VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-21 00:00:00	920014423	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-19 00:00:00	2018-01-19 00:00:00	Yes	2018-10-12 00:00:00	2019-01-10 00:00:00	A	A	18000	11700	0	11700	0	None	KKNW11	N	CA00570287	B	SFY2018-19
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-24 00:00:00	920014431	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-24 00:00:00	2018-05-24 00:00:00	No	2018-10-15 00:00:00	None	B	None	1800	1800	-630	1170	0	None	H9W411	N	CA00588053, CA00588053, CA00589078, CA00589078	B, B, B, B	SFY2018-19
920000085	WEST VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-27 00:00:00	920014441	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-14 00:00:00	2018-04-14 00:00:00	Yes	2018-10-18 00:00:00	2018-10-03 00:00:00	A	A	18000	8500	0	8500	0	None	P9KW11	N	CA00588960	B	SFY2018-19
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-10-10 00:00:00	920014481	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-21 00:00:00	2018-08-21 00:00:00	No	2018-10-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FTBG11	N	None	None	SFY2018-19
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-10-12 00:00:00	920014493	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-03-06 00:00:00	2018-03-06 00:00:00	No	2018-11-02 00:00:00	None	B	None	1800	1800	-630	1170	0	None	FTBG11	N	CA00599405	B	SFY2018-19
630016910	THE ELLISON JOHN TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-10-19 00:00:00	920014503	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-15 00:00:00	2018-05-15 00:00:00	Yes	2018-11-09 00:00:00	2018-10-24 00:00:00	A	B	20000	25000	0	25000	0	None	7O4P11	N	None	None	SFY2018-19
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-10-19 00:00:00	920014510	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2017-08-22 00:00:00	2017-08-22 00:00:00	Yes	2018-11-09 00:00:00	2018-11-08 00:00:00	A	A	15000	30000	0	30000	0	None	S2U311	N	CA00549358, CA00549358, CA00549411, CA00549411	B, B, B, B	SFY2018-19
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-10-26 00:00:00	920014530	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-07 00:00:00	2017-07-07 00:00:00	No	2018-11-19 00:00:00	None	B	None	2000	2150	-700	1450	0	None	HT5311	N	CA00577350, CA00577350	B, B	SFY2018-19
920000055	GRAND VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-10-25 00:00:00	920014531	Closed	Citation	Citation B (HSC 1424)	Other	Dietary Services	2018-09-04 00:00:00	2018-09-04 00:00:00	No	2018-11-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	I83W11	N	CA00602402, CA00602402	A, A	SFY2018-19
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-11-17 00:00:00	920014580	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-09-10 00:00:00	2018-09-10 00:00:00	No	2018-12-11 00:00:00	None	B	None	2000	6000	0	6000	0	None	985N11	N	None	None	SFY2018-19
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-11-17 00:00:00	920014591	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-10 00:00:00	2018-09-10 00:00:00	No	2018-12-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	985N11	N	None	None	SFY2018-19
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-11-26 00:00:00	920014607	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-29 00:00:00	2018-08-29 00:00:00	No	2018-12-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	VY1711	N	CA00602008, CA00602008	B, B	SFY2018-19
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-12-07 00:00:00	920014641	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-02 00:00:00	2018-11-02 00:00:00	No	2018-12-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZS1G11	Y	None	None	SFY2018-19
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-12-14 00:00:00	920014659	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-12 00:00:00	2018-09-12 00:00:00	No	2019-01-07 00:00:00	None	A	None	20000	60000	0	60000	0	None	FM8Y11	N	CA00604539, CA00604539, CA00604607, CA00604607	B, B, B, B	SFY2018-19
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-01-07 00:00:00	920014703	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-14 00:00:00	2018-08-14 00:00:00	Yes	2019-01-28 00:00:00	2019-01-11 00:00:00	B	None	2000	2000	0	0	2000	None	X5MC11	Y	CA00600211	B	SFY2018-19
970000062	GARDEN CREST REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-01-16 00:00:00	920014704	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-21 00:00:00	2018-04-21 00:00:00	No	2019-02-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2TZR11	Y	CA00599105	B	SFY2018-19
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-01-10 00:00:00	920014716	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-29 00:00:00	2018-09-29 00:00:00	Yes	2019-01-31 00:00:00	2019-01-10 00:00:00	A	A	20000	33032.94	0	33032.94	0	None	OF4M11	Y	CA00607209	B	SFY2018-19
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-01-11 00:00:00	920014719	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-03 00:00:00	2018-10-03 00:00:00	No	2019-02-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7KNT11	N	CA00606465, CA00608318	B, B	SFY2018-19
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-02-22 00:00:00	920014785	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2018-06-02 00:00:00	2018-06-02 00:00:00	No	2019-03-15 00:00:00	None	A	None	20000	60000	0	0	60000	None	VM0011	N	CA00589467, CA00589467	B, B	SFY2018-19
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-02-08 00:00:00	920014811	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-26 00:00:00	2018-10-26 00:00:00	No	2019-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4JW011	N	CA00609758, CA00612215, CA00612215	B, B, B	SFY2018-19
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-02-13 00:00:00	920014814	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-11 00:00:00	2018-11-11 00:00:00	No	2019-03-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	YBST11	N	CA00612384, CA00612384, CA00612384	B, B, B	SFY2018-19
970000081	LEISURE GLEN POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-02-14 00:00:00	920014820	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-10 00:00:00	2018-12-10 00:00:00	No	2019-03-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	USG811	N	None	None	SFY2018-19
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-03-21 00:00:00	920014904	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-10-26 00:00:00	2018-10-26 00:00:00	Yes	2019-04-11 00:00:00	2019-03-22 00:00:00	B	None	2000	6000	0	0	6000	None	JBZE11	N	CA00617485, CA00617485	B, B	SFY2018-19
970000081	LEISURE GLEN POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-04-03 00:00:00	920014930	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-13 00:00:00	2018-12-13 00:00:00	No	2019-04-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	62LM11	N	CA00618528, CA00618528	B, B	SFY2018-19
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-04-05 00:00:00	920014938	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-07-28 00:00:00	2018-07-28 00:00:00	No	2019-04-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	VE6611	N	CA00597941	B	SFY2018-19
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-04-12 00:00:00	920014954	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-01 00:00:00	2018-06-01 00:00:00	No	2019-05-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UT2T11	N	None	None	SFY2018-19
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-04-12 00:00:00	920014955	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-01-11 00:00:00	2019-01-11 00:00:00	No	2019-05-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UT2T11	N	CA00623327, CA00623327, CA00623327	B, B, B	SFY2018-19
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-04-22 00:00:00	920014970	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-08 00:00:00	2017-05-08 00:00:00	No	2019-05-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HIMH11	N	CA00536461, CA00536461	B, B	SFY2018-19
920000055	GRAND VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-04-25 00:00:00	920014997	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-01-21 00:00:00	2019-01-21 00:00:00	No	2019-05-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	VBJS11	N	None	None	SFY2018-19
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-03 00:00:00	920015007	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-29 00:00:00	2018-12-29 00:00:00	Yes	2019-05-24 00:00:00	2019-05-08 00:00:00	A	B	20000	15000	0	15000	0	None	CT6F11	Y	CA00621971	A	SFY2018-19
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-03 00:00:00	920015033	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-01-29 00:00:00	2019-01-29 00:00:00	No	2019-05-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	WUFO11	Y	CA00623235, CA00623235	A, A	SFY2018-19
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-03 00:00:00	920015034	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-05-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TBZY11	N	CA00625056, CA00625056, CA00625056	B, B, B	SFY2018-19
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-08 00:00:00	920015051	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-20 00:00:00	2018-08-20 00:00:00	No	2019-05-29 00:00:00	None	A	None	20000	20000	0	20000	0	None	F1QJ11	N	CA00623407, CA00623407	B, B	SFY2018-19
970000129	ALVARADO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-09 00:00:00	920015055	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-21 00:00:00	2019-03-21 00:00:00	Yes	2019-05-30 00:00:00	2019-05-22 00:00:00	B	None	2000	2000	0	0	2000	None	FLGI11	N	CA00630622	B	SFY2018-19
920000089	THE REHABILITATION CENTER OF NORTH HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-09 00:00:00	920015056	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2017-04-03 00:00:00	2017-04-03 00:00:00	No	2019-05-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1O4511	N	CA00618843, CA00618843, CA00618843	A, A, A	SFY2018-19
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-10 00:00:00	920015058	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-04 00:00:00	2018-10-04 00:00:00	Yes	2019-05-31 00:00:00	2019-05-31 00:00:00	A	A	20000	15000	0	15000	0	None	XHQN11	Y	CA00615641	B	SFY2018-19
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-10 00:00:00	920015064	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-09-09 00:00:00	2017-09-09 00:00:00	No	2019-05-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	35FC11	N	CA00552254	B	SFY2018-19
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-10 00:00:00	920015066	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-22 00:00:00	2018-12-22 00:00:00	Yes	2019-05-31 00:00:00	2019-09-11 00:00:00	A	B	20000	40000	0	40000	0	None	7QQ111	Y	CA00623707, CA00624608	B, A	SFY2018-19
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-16 00:00:00	920015080	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-04-05 00:00:00	2019-04-05 00:00:00	No	2019-06-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	96UH11	N	None	None	SFY2018-19
970000125	BONNIE BRAE SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-07-03 00:00:00	920015081	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-01-11 00:00:00	2013-01-11 00:00:00	Yes	2019-07-24 00:00:00	2019-07-15 00:00:00	A	B	20000	10000	0	10000	0	None	CZ5F11	N	CA00339735	B	SFY2019-20
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-16 00:00:00	920015083	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-04-09 00:00:00	2019-04-09 00:00:00	No	2019-06-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	96UH11	N	None	None	SFY2018-19
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-17 00:00:00	920015091	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-21 00:00:00	2019-02-21 00:00:00	No	2019-06-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	UK1W11	N	CA00622729	B	SFY2018-19
970000125	BONNIE BRAE SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-23 00:00:00	920015102	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-15 00:00:00	2019-04-15 00:00:00	No	2019-06-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	L2XR11	N	None	None	SFY2018-19
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-22 00:00:00	920015104	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2019-02-17 00:00:00	2019-02-17 00:00:00	No	2019-06-12 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	SIK711	None	CA00625740, CA00625740	B, B	SFY2018-19
970000009	VIEW PARK CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-06-01 00:00:00	920015121	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-13 00:00:00	2018-12-13 00:00:00	Yes	2019-06-21 00:00:00	2019-06-19 00:00:00	A	A	20000	13500	0	13500	0	None	RGNM11	N	CA00619470	B	SFY2018-19
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-06-10 00:00:00	920015139	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-06-01 00:00:00	2018-06-01 00:00:00	No	2019-07-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	GG8F11	N	CA00629234	B	SFY2018-19
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-06-13 00:00:00	920015160	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-06-29 00:00:00	2016-06-29 00:00:00	No	2019-07-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RSDW11	N	CA00621098, CA00621098	B, B	SFY2018-19
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-06-19 00:00:00	920015166	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-19 00:00:00	2019-03-19 00:00:00	Yes	2019-07-10 00:00:00	2019-07-10 00:00:00	B	None	2000	2000	0	0	2000	None	9ZU011	N	CA00636671	B	SFY2018-19
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-06-27 00:00:00	920015179	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-05-14 00:00:00	2019-05-14 00:00:00	Yes	2019-07-19 00:00:00	2019-06-28 00:00:00	B	B	2000	1600	0	1600	0	None	VZ8911	N	CA00632596, CA00632596, CA00632596, CA00632596	B, B, B, B	SFY2018-19
920000002	ASTORIA NURSING AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-07-25 00:00:00	920015246	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-15 00:00:00	2019-05-15 00:00:00	Yes	2019-08-15 00:00:00	2019-08-08 00:00:00	B	B	2000	1400	0	1400	0	None	2WPU11	N	CA00638197	B	SFY2019-20
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-07-29 00:00:00	920015250	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-08-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C1WT11	N	CA00637488	B	SFY2019-20
920000073	VINELAND POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-08-14 00:00:00	920015312	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-27 00:00:00	2019-03-27 00:00:00	No	2019-09-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8LHB11	N	None	None	SFY2019-20
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-08-15 00:00:00	920015316	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-20 00:00:00	2019-06-20 00:00:00	No	2019-09-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	B8R211	N	None	None	SFY2019-20
970000009	VIEW PARK CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-08-15 00:00:00	920015319	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-03-18 00:00:00	2019-03-18 00:00:00	No	2019-09-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O3C411	N	CA00629247	B	SFY2019-20
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-08-23 00:00:00	920015352	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-07-09 00:00:00	2019-07-09 00:00:00	No	2019-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z74611	N	None	None	SFY2019-20
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-08-23 00:00:00	920015353	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-05-05 00:00:00	2019-05-05 00:00:00	No	2019-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z74611	N	CA00645737	B	SFY2019-20
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-09-05 00:00:00	920015373	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-08 00:00:00	2019-06-08 00:00:00	Yes	2019-09-26 00:00:00	2019-09-12 00:00:00	B	None	2000	2000	0	0	2000	None	BE3X11	N	CA00641213	B	SFY2019-20
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-09-06 00:00:00	920015376	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-07-14 00:00:00	2019-07-14 00:00:00	No	2019-09-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MNW611	N	CA00642505	B	SFY2019-20
630011499	JOYCE EISENBERG KEEFER MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-09-11 00:00:00	920015387	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-27 00:00:00	2019-06-27 00:00:00	No	2019-10-02 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	494Q11	N	CA00644443	B	SFY2019-20
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-09-18 00:00:00	920015395	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2019-08-01 00:00:00	2019-08-01 00:00:00	No	2019-10-09 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	FIIC11	None	None	None	SFY2019-20
970000125	BONNIE BRAE SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-09-19 00:00:00	920015401	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-01-29 00:00:00	2019-01-29 00:00:00	No	2019-10-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	N3QM11	Y	CA00634365, CA00634365, CA00634365	A, A, A	SFY2019-20
920000030	THE HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-09-24 00:00:00	920015408	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-06-01 00:00:00	2019-06-01 00:00:00	No	2019-10-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	44JS11	N	CA00645526	A	SFY2019-20
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-09-27 00:00:00	920015424	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-07-01 00:00:00	2019-07-01 00:00:00	No	2019-10-18 00:00:00	None	B	None	1500	1600	0	1600	0	None	J1KJ11	N	CA00644533	B	SFY2019-20
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-10-04 00:00:00	920015428	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-18 00:00:00	2018-10-18 00:00:00	Yes	2019-10-25 00:00:00	2019-10-25 00:00:00	A	B	20000	10000	0	10000	0	None	9RKR11	N	CA00607057, CA00607057	B, B	SFY2019-20
910000019	NEW VISTA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-10-17 00:00:00	920015464	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-20 00:00:00	2019-07-20 00:00:00	Yes	2019-11-07 00:00:00	2019-11-01 00:00:00	B	Drop>Deficiency	2000	2000	0	2000	0	None	TGXS11	Y	CA00646893, CA00646893	A, A	SFY2019-20
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-10-30 00:00:00	920015500	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-07-24 00:00:00	2019-07-24 00:00:00	Yes	2019-11-20 00:00:00	2019-11-14 00:00:00	A	B	20000	10000	0	10000	0	None	E6KT11	Y	CA00640448	B	SFY2019-20
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-11-06 00:00:00	920015502	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-31 00:00:00	2017-10-31 00:00:00	No	2019-11-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	S7LD11	N	CA00559392	B	SFY2019-20
910000076	SUNSET PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-10-31 00:00:00	920015503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-12-30 00:00:00	2013-12-30 00:00:00	No	2019-11-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	M8NS11	N	CA00384155, CA00384155	B, B	SFY2019-20
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-11-07 00:00:00	920015515	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-26 00:00:00	2019-08-26 00:00:00	No	2019-11-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8MNW11	N	CA00650560, CA00650560	B, B	SFY2019-20
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-11-21 00:00:00	920015534	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-25 00:00:00	2019-08-25 00:00:00	No	2019-12-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	VZRZ11	N	CA00652238, CA00652238, CA00652349, CA00652349	B, B, B, B	SFY2019-20
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-11-25 00:00:00	920015536	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-03-26 00:00:00	2019-03-26 00:00:00	No	2019-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	KR8F11	N	CA00653057, CA00653057	A, A	SFY2019-20
970000001	ALCOTT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-11-15 00:00:00	920015537	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-08-12 00:00:00	2019-08-12 00:00:00	Yes	2019-12-06 00:00:00	2019-11-22 00:00:00	A	A	20000	13500	0	13500	0	None	U5XK11	N	CA00651003, CA00651003	B, B	SFY2019-20
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-12-04 00:00:00	920015542	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-03 00:00:00	2019-09-03 00:00:00	No	2019-12-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6UQ511	N	CA00653583	A	SFY2019-20
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-11-21 00:00:00	920015549	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-18 00:00:00	2019-08-18 00:00:00	No	2019-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	O4WR11	N	CA00651751, CA00651940	B, B	SFY2019-20
970000147	WESTLAKE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-12-05 00:00:00	920015582	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-04 00:00:00	2019-09-04 00:00:00	No	2019-12-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	0MSK11	Y	CA00653368, CA00653654	B, B	SFY2019-20
910000006	OCEAN POINTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-12-12 00:00:00	920015606	Closed	Citation	Citation B (HSC 1424)	Administration	None	2019-12-05 00:00:00	2019-12-05 00:00:00	No	2020-01-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BUQL11	N	CA00654904	B	SFY2019-20
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-12-13 00:00:00	920015612	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-12-27 00:00:00	2018-12-27 00:00:00	No	2020-01-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EP3K11	N	None	None	SFY2019-20
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-12-18 00:00:00	920015615	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-24 00:00:00	2018-10-24 00:00:00	No	2020-01-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	QPEE11	N	CA00609388	B	SFY2019-20
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-12-24 00:00:00	920015635	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-29 00:00:00	2019-09-29 00:00:00	No	2020-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	0VS111	N	CA00657273	B	SFY2019-20
920000005	COUNTRY MANOR HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-12-28 00:00:00	920015639	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-08-20 00:00:00	2019-08-20 00:00:00	Yes	2020-01-17 00:00:00	2020-01-13 00:00:00	A	B	15000	1500	0	1500	0	None	E1W511	N	CA00651472	B	SFY2019-20
970000039	HOLLYWOOD PREMIER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-12-27 00:00:00	920015642	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-07-29 00:00:00	2018-07-29 00:00:00	No	2020-01-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X8WF11	N	CA00598171	B	SFY2019-20
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-01-02 00:00:00	920015643	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-23 00:00:00	2019-08-23 00:00:00	No	2020-01-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OKOB11	N	CA00651918	B	SFY2019-20
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-01-02 00:00:00	920015648	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-18 00:00:00	2019-05-18 00:00:00	No	2020-01-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	35OM11	N	CA00639817	B	SFY2019-20
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-12-31 00:00:00	920015649	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-10-02 00:00:00	2019-10-02 00:00:00	No	2020-01-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0VD211	N	CA00658805, CA00658805	B, B	SFY2019-20
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-01-30 00:00:00	920015707	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-04 00:00:00	2019-11-04 00:00:00	Yes	2020-02-20 00:00:00	2020-02-10 00:00:00	A	A	20000	11500	0	11500	0	None	UKJZ11	Y	CA00662458	B	SFY2019-20
970000001	ALCOTT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-02-19 00:00:00	920015753	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-15 00:00:00	2019-06-15 00:00:00	No	2020-03-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	MU7H11	N	None	None	SFY2019-20
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-02-20 00:00:00	920015757	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-11 00:00:00	2019-09-11 00:00:00	No	2020-03-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LQ6W11	N	CA00654424	B	SFY2019-20
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-02-26 00:00:00	920015766	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-07 00:00:00	2014-04-07 00:00:00	No	2020-03-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9ZB611	N	CA00405079, CA00405079	B, B	SFY2019-20
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-03-04 00:00:00	920015778	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-28 00:00:00	2019-11-28 00:00:00	Yes	2020-03-25 00:00:00	2020-03-25 00:00:00	A	B	20000	12450	-450	12000	0	None	CPN711	N	CA00666460, CA00666460	B, B	SFY2019-20
910000332	THE REHABILITATION CENTER ON PICO	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-03-05 00:00:00	920015781	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-01-06 00:00:00	2020-01-06 00:00:00	No	2020-03-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GWIJ11	N	CA00670464, CA00670464, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921	A, A, B, B, B, B, B, B, B	SFY2019-20
910000332	THE REHABILITATION CENTER ON PICO	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-03-05 00:00:00	920015782	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-01-06 00:00:00	2020-01-06 00:00:00	No	2020-03-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GWIJ11	N	CA00670464, CA00670464, CA00670464, CA00670464, CA00670464, CA00670464, CA00670464, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921, CA00670921	A, A, A, A, A, A, A, B, B, B, B, B, B, B	SFY2019-20
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-03-06 00:00:00	920015786	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-07-27 00:00:00	2019-07-27 00:00:00	No	2020-03-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	LLQ511	N	CA00666456, CA00666456, CA00666844, CA00666844	B, B, B, B	SFY2019-20
970000039	HOLLYWOOD PREMIER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-03-19 00:00:00	920015815	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2019-03-28 00:00:00	2019-03-28 00:00:00	Yes	2020-04-09 00:00:00	2020-03-27 00:00:00	A	None	20000	20000	0	0	20000	None	5P2511	N	CA00630789, CA00630789	A, A	SFY2019-20
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-06 00:00:00	920015826	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2020-02-20 00:00:00	2020-02-20 00:00:00	No	2020-04-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	G5LP11	N	None	None	SFY2019-20
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-06 00:00:00	920015827	Closed	Citation	Citation B (HSC 1424)	Medication	None	2020-02-20 00:00:00	2020-02-20 00:00:00	No	2020-04-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	G5LP11	N	None	None	SFY2019-20
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-06 00:00:00	920015828	Closed	Citation	Citation B (HSC 1424)	Medication	None	2020-02-20 00:00:00	2020-02-20 00:00:00	No	2020-04-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	G5LP11	N	None	None	SFY2019-20
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-06 00:00:00	920015829	Closed	Citation	Citation B (HSC 1424)	Medication	None	2020-02-20 00:00:00	2020-02-20 00:00:00	No	2020-04-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	G5LP11	N	None	None	SFY2019-20
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-03 00:00:00	920015837	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-12-08 00:00:00	2019-12-08 00:00:00	No	2020-04-24 00:00:00	None	B	None	2000	2100	0	2100	0	None	1P9711	N	CA00670836	B	SFY2019-20
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-15 00:00:00	920015847	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-31 00:00:00	2019-08-31 00:00:00	No	2020-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EHPJ11	N	CA00653007	B	SFY2019-20
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-17 00:00:00	920015856	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-01-08 00:00:00	2020-01-08 00:00:00	No	2020-05-08 00:00:00	None	B	None	1500	1500	0	1500	0	None	C87G11	N	CA00672560, CA00672560, CA00672560, CA00672560	A, A, A, A	SFY2019-20
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-30 00:00:00	920015863	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2020-03-03 00:00:00	2020-03-03 00:00:00	No	2020-05-21 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	RK4Q11	None	CA00646847, CA00646847, CA00676288, CA00676288	A, A, B, B	SFY2019-20
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-30 00:00:00	920015864	Closed	Citation	Citation A (HSC 1424)	Medication	None	2020-04-30 00:00:00	2020-04-30 00:00:00	Yes	2020-05-21 00:00:00	2020-05-13 00:00:00	A	A	20000	14050	-50	14000	0	None	RK4Q11	N	None	None	SFY2019-20
910000038	FIRESIDE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-30 00:00:00	920015865	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-10-14 00:00:00	2019-10-14 00:00:00	No	2020-05-21 00:00:00	None	A	None	15000	15200	-5250	9950	0	None	GXPP11	Y	CA00673974, CA00673974	A, A	SFY2019-20
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-05-15 00:00:00	920015880	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-14 00:00:00	2020-02-14 00:00:00	Yes	2020-06-05 00:00:00	2020-05-18 00:00:00	A	B	20000	20000	0	20000	0	None	UJ3J11	Y	CA00676608	B	SFY2019-20
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-05-18 00:00:00	920015884	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-15 00:00:00	2020-02-15 00:00:00	No	2020-06-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	U8O511	N	CA00676946	B	SFY2019-20
970000039	HOLLYWOOD PREMIER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-06-23 00:00:00	920015896	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-12-25 00:00:00	2019-12-25 00:00:00	Yes	2020-07-14 00:00:00	2020-07-13 00:00:00	A	A	20000	15350	0	15350	0	None	XB7P11	Y	CA00683301, CA00683301	A, A	SFY2019-20
970000039	HOLLYWOOD PREMIER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-06-18 00:00:00	920015905	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2020-05-27 00:00:00	2020-06-18 00:00:00	No	2020-07-09 00:00:00	None	B	None	2000	3100	-700	2400	0	None	5QSI11	N	CA00690243	A	SFY2019-20
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-07-07 00:00:00	920015921	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-14 00:00:00	2019-10-14 00:00:00	No	2020-07-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HDUY11	N	CA00660093	B	SFY2020-21
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-07-09 00:00:00	920015922	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-02-07 00:00:00	2020-02-07 00:00:00	Yes	2020-07-30 00:00:00	2020-07-17 00:00:00	B	B	2000	1500	0	1500	0	None	LF9311	N	CA00684318, CA00684318, CA00686692, CA00686692, CA00686692	A, A, A, A, A	SFY2020-21
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-07-09 00:00:00	920015923	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-04-07 00:00:00	2020-04-07 00:00:00	Yes	2020-07-30 00:00:00	2020-07-17 00:00:00	B	B	2000	1950	-450	1500	0	None	LF9311	N	CA00684318, CA00684318, CA00686692, CA00686692, CA00686692	A, A, A, A, A	SFY2020-21
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-07-09 00:00:00	920015924	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-04-01 00:00:00	2020-04-01 00:00:00	Yes	2020-07-30 00:00:00	2020-07-17 00:00:00	B	B	2000	1500	0	1500	0	None	LF9311	N	CA00684318, CA00684318, CA00686692, CA00686692, CA00686692	A, A, A, A, A	SFY2020-21
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-07-09 00:00:00	920015925	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2019-07-15 00:00:00	2019-07-15 00:00:00	Yes	2020-07-30 00:00:00	2020-07-17 00:00:00	A	A	20000	14000	0	14000	0	None	LF9311	N	CA00684318, CA00684318, CA00686692, CA00686692, CA00686692	A, A, A, A, A	SFY2020-21
920000064	WEST VALLEY SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-07-21 00:00:00	920015941	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-09 00:00:00	2020-06-09 00:00:00	Yes	2020-08-11 00:00:00	2020-08-11 00:00:00	B	None	1500	1500	0	0	1500	None	STYP11	N	CA00691708, CA00691708, CA00691709, CA00691709, CA00691709	A, A, A, A, A	SFY2020-21
910000324	KENNEDY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-07-22 00:00:00	920015942	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-02-23 00:00:00	2019-02-23 00:00:00	Yes	2020-08-12 00:00:00	2020-08-11 00:00:00	A	B	20000	14400	-400	14000	0	None	UP6Q11	Y	CA00678600	B	SFY2020-21
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-08-13 00:00:00	920015973	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-07-23 00:00:00	2020-07-23 00:00:00	No	2020-09-03 00:00:00	None	B	None	2000	2500	0	2500	0	None	JHSJ21	N	CA00697974	A	SFY2020-21
920000054	PANORAMA GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-08-20 00:00:00	920015984	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-07-10 00:00:00	2020-07-10 00:00:00	No	2020-09-11 00:00:00	None	B	None	1500	1500	-525	975	0	None	KBEZ11	N	CA00690376	B	SFY2020-21
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-08-20 00:00:00	920015985	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-05-25 00:00:00	2020-05-25 00:00:00	Yes	2020-09-11 00:00:00	2020-08-25 00:00:00	B	None	1500	3000	0	0	3000	None	R3DW11	N	CA00689979	A	SFY2020-21
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-08-27 00:00:00	920015999	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-26 00:00:00	2020-05-26 00:00:00	No	2020-09-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UC6111	Y	CA00690619, CA00690619	A, A	SFY2020-21
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-08-31 00:00:00	920016002	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-30 00:00:00	2020-05-30 00:00:00	Yes	2020-09-22 00:00:00	2020-09-21 00:00:00	A	B	20000	2000	0	2000	0	None	HIS111	Y	CA00691108	B	SFY2020-21
970000125	BONNIE BRAE SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-09-03 00:00:00	920016020	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-16 00:00:00	2020-07-16 00:00:00	No	2020-09-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OQT811	N	CA00697030, CA00697030	A, A	SFY2020-21
910000074	SANTA MONICA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-09-10 00:00:00	920016025	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-10-17 00:00:00	2019-10-17 00:00:00	Yes	2020-10-01 00:00:00	2020-09-22 00:00:00	A	A	20000	13000	0	13000	0	None	SPMB11	N	CA00659851	B	SFY2020-21
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-09-11 00:00:00	920016031	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-06-18 00:00:00	2020-06-18 00:00:00	No	2020-10-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	EOB211	N	CA00693167, CA00693167	A, A	SFY2020-21
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-10-13 00:00:00	920016087	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2019-11-14 00:00:00	2019-11-14 00:00:00	Yes	2020-11-03 00:00:00	2020-10-21 00:00:00	A	A	20000	14600	-600	14000	0	None	SE4211	Y	CA00694456, CA00694456, CA00694456	A, A, A	SFY2020-21
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-10-16 00:00:00	920016102	Open	Citation	Citation B (HSC 1424)	Patient Care	infection control	2020-05-21 00:00:00	2020-05-21 00:00:00	Yes	2020-11-06 00:00:00	2020-10-19 00:00:00	B	None	2000	2200	0	0	2200	None	L6ME11	N	None	None	SFY2020-21
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-10-21 00:00:00	920016109	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-08-14 00:00:00	2020-08-14 00:00:00	Yes	2020-11-12 00:00:00	2020-10-30 00:00:00	B	None	2000	2000	0	0	2000	None	45EL11	N	CA00699564	B	SFY2020-21
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-11-06 00:00:00	920016142	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-07 00:00:00	2020-06-07 00:00:00	No	2020-12-02 00:00:00	None	B	None	2000	2300	-700	1600	0	None	RFVZ11	Y	CA00691552, CA00691552, CA00691552	B, B, B	SFY2020-21
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-11-13 00:00:00	920016148	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-07-02 00:00:00	2020-07-02 00:00:00	Yes	2020-12-08 00:00:00	2020-12-07 00:00:00	A	A	20000	14000	0	14000	0	None	BI6X11	N	CA00695531	B	SFY2020-21
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-11-18 00:00:00	920016158	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-19 00:00:00	2020-05-19 00:00:00	Yes	2020-12-11 00:00:00	2020-11-30 00:00:00	A	B	20000	10300	-300	10000	0	None	94JS11	Y	CA00701917, CA00701917	B, B	SFY2020-21
970000029	KINGSLEY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-11-25 00:00:00	920016166	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-15 00:00:00	2020-10-15 00:00:00	No	2020-12-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KJKY11	N	CA00709009	A	SFY2020-21
970000029	KINGSLEY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-11-25 00:00:00	920016167	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2020-10-15 00:00:00	2020-10-15 00:00:00	No	2020-12-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KJKY11	N	CA00709009	A	SFY2020-21
970000029	KINGSLEY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-11-25 00:00:00	920016168	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-10-15 00:00:00	2020-10-15 00:00:00	No	2020-12-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KJKY11	N	CA00709009, CA00709009, CA00709009	A, A, A	SFY2020-21
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-12-10 00:00:00	920016190	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-10-01 00:00:00	2020-10-01 00:00:00	No	2021-01-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	PR7411	N	CA00707709, CA00707709, CA00707709, CA00708659, CA00708659	A, A, A, B, B	SFY2020-21
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-12-24 00:00:00	920016215	Closed	Citation	Citation B (HSC 1424)	Medication	None	2020-11-27 00:00:00	2020-11-27 00:00:00	No	2021-01-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	J1LF11	N	CA00707093	A	SFY2020-21
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-12-24 00:00:00	920016216	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2020-11-27 00:00:00	2020-11-27 00:00:00	No	2021-01-19 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	J1LF11	None	CA00707093	A	SFY2020-21
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-12-28 00:00:00	920016218	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-10-03 00:00:00	2020-10-03 00:00:00	No	2021-01-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HSWN11	N	CA00707455	A	SFY2020-21
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-12-28 00:00:00	920016219	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2020-10-03 00:00:00	2020-10-03 00:00:00	No	2021-01-20 00:00:00	None	WF	None	2000	2450	-700	1750	0	None	HSWN11	None	CA00707455	A	SFY2020-21
920000055	GRAND VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-12-28 00:00:00	920016220	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-20 00:00:00	2020-11-20 00:00:00	No	2021-01-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	2SHQ11	N	CA00712814	A	SFY2020-21
910000006	OCEAN POINTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-01-05 00:00:00	920016226	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-10 00:00:00	2020-11-10 00:00:00	No	2021-01-27 00:00:00	None	B	None	2000	2050	0	2050	0	None	55QC11	N	CA00710223	B	SFY2020-21
910000075	OCEAN PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-01-08 00:00:00	920016235	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-12 00:00:00	2020-11-12 00:00:00	No	2021-02-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	5K0511	N	CA00713836	A	SFY2020-21
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-01-15 00:00:00	920016240	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-07-01 00:00:00	2020-07-01 00:00:00	No	2021-02-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	M1OU11	Y	CA00694516	B	SFY2020-21
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-01-27 00:00:00	920016251	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-02 00:00:00	2020-11-02 00:00:00	No	2021-02-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WQUV11	N	CA00711234, CA00711306	B, B	SFY2020-21
920000082	WEST HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-01-28 00:00:00	920016252	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-09-05 00:00:00	2020-09-05 00:00:00	Yes	2021-02-19 00:00:00	2021-01-28 00:00:00	A	A	15000	10500	0	10500	0	None	EHV011	Y	CA00704552	A	SFY2020-21
920000050	CALIFORNIA HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-01-29 00:00:00	920016254	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-12-03 00:00:00	2020-12-03 00:00:00	No	2021-02-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q74B11	N	CA00715110	A	SFY2020-21
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-02-05 00:00:00	920016256	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-19 00:00:00	2020-12-19 00:00:00	No	2021-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	L4E211	N	CA00717210, CA00717210	A, A	SFY2020-21
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-02-04 00:00:00	920016260	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-08 00:00:00	2020-05-08 00:00:00	Yes	2021-02-26 00:00:00	2021-02-12 00:00:00	A	None	20000	20000	0	0	20000	None	6E4Z11	N	CA00711676, CA00711676, CA00711676	B, B, B	SFY2020-21
910000316	WEST PICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-02-05 00:00:00	920016262	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-08 00:00:00	2020-12-08 00:00:00	No	2021-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1VL411	N	CA00715712, CA00715712	A, A	SFY2020-21
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-02-19 00:00:00	920016294	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-18 00:00:00	2020-12-18 00:00:00	No	2021-03-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M9LH11	N	CA00717396, CA00717396	B, B	SFY2020-21
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-02-24 00:00:00	920016304	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-27 00:00:00	2020-10-27 00:00:00	Yes	2021-03-17 00:00:00	2021-03-15 00:00:00	A	A	20000	12000	0	12000	0	None	ZQ3X11	N	CA00710647, CA00710739	B, B	SFY2020-21
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-03-04 00:00:00	920016323	Closed	Citation	Citation B (HSC 1424)	Administration	None	2021-01-07 00:00:00	2021-01-07 00:00:00	No	2021-03-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	L4YF11	N	CA00719647, CA00719647	B, B	SFY2020-21
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-03-10 00:00:00	920016336	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2020-11-21 00:00:00	2020-11-21 00:00:00	No	2021-04-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	91B411	N	None	None	SFY2020-21
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-03-12 00:00:00	920016344	Closed	Citation	Citation B (HSC 1424)	Other	Transfer-Discharge	2020-12-21 00:00:00	2020-12-21 00:00:00	No	2021-04-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y0YW11	N	CA00717908	A	SFY2020-21
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-03-16 00:00:00	920016352	Closed	Citation	Citation B (HSC 1424)	Administration	None	2021-02-17 00:00:00	2021-02-17 00:00:00	No	2021-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6VB111	N	CA00724700, CA00724700, CA00725419, CA00725419, CA00725419	B, B, B, B, B	SFY2020-21
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-03-19 00:00:00	920016360	Closed	Citation	Citation B (HSC 1424)	Other	Readmission	2020-12-21 00:00:00	2020-12-21 00:00:00	No	2021-04-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0KVY11	N	CA00717928, CA00717928	A, A	SFY2020-21
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-03-30 00:00:00	920016389	Closed	Citation	Citation B (HSC 1424)	Written Notification Remedy	None	2021-01-02 00:00:00	2021-01-02 00:00:00	No	2021-04-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	953811	N	CA00720490	B	SFY2020-21
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-04-09 00:00:00	920016411	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-08 00:00:00	2021-01-08 00:00:00	Yes	2021-04-30 00:00:00	2021-04-27 00:00:00	A	A	20000	14000	0	14000	0	None	89J811	Y	CA00720776, CA00720776, CA00720776	B, B, B	SFY2020-21
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-04-14 00:00:00	920016414	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-01 00:00:00	2021-03-01 00:00:00	No	2021-05-05 00:00:00	None	B	None	2000	2100	-700	1400	0	None	2QTX11	N	CA00727757, CA00727796	B, B	SFY2020-21
920000069	THE CARE CENTER ON HAZELTINE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-04-28 00:00:00	920016446	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-29 00:00:00	2021-01-29 00:00:00	No	2021-05-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FL6B11	Y	CA00723634, CA00723634, CA00723781, CA00723781	A, A, A, A	SFY2020-21
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-06 00:00:00	920016480	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-02-17 00:00:00	2021-02-17 00:00:00	No	2021-05-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8NBE11	N	CA00726089, CA00726196	B, B	SFY2020-21
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-06 00:00:00	920016481	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-30 00:00:00	2020-11-30 00:00:00	Yes	2021-05-27 00:00:00	2021-05-24 00:00:00	B	B	2000	1500	0	1500	0	None	7CI211	N	CA00717600	B	SFY2020-21
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-12 00:00:00	920016486	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-25 00:00:00	2021-02-25 00:00:00	No	2021-06-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3ORX11	N	CA00728327, CA00729399, CA00729570	B, A, A	SFY2020-21
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-12 00:00:00	920016487	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-02-05 00:00:00	2021-02-05 00:00:00	No	2021-06-03 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	3ORX11	N	CA00728327, CA00729399, CA00729570	B, A, A	SFY2020-21
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-12 00:00:00	920016488	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-02-10 00:00:00	2021-02-10 00:00:00	No	2021-06-03 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	97IU11	N	CA00725171, CA00726048, CA00726048	A, B, B	SFY2020-21
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-12 00:00:00	920016489	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-18 00:00:00	2020-12-18 00:00:00	Yes	2021-06-03 00:00:00	2021-05-28 00:00:00	A	A	20000	14000	0	14000	0	None	7CI211	Y	CA00717600	B	SFY2020-21
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-18 00:00:00	920016505	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-03-22 00:00:00	2021-03-22 00:00:00	No	2021-06-09 00:00:00	None	B	None	1500	1500	-525	975	0	None	7F4M11	N	None	None	SFY2020-21
920000064	WEST VALLEY SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-18 00:00:00	920016506	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-08-13 00:00:00	2020-08-13 00:00:00	Yes	2021-06-09 00:00:00	2021-05-21 00:00:00	A	A	20000	20000	0	17504.4	2495.6	None	GBTP11	N	CA00731747, CA00731747, CA00731747, CA00731747, CA00732073, CA00732073, CA00732073	B, B, B, B, B, B, B	SFY2020-21
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-19 00:00:00	920016507	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-02-18 00:00:00	2021-02-18 00:00:00	No	2021-06-10 00:00:00	None	A	None	15000	15450	0	15000	450	None	UVR511	N	CA00726007, CA00726007, CA00726007, CA00726007	B, B, B, B	SFY2020-21
970000127	BURLINGTON CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-21 00:00:00	920016536	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-01 00:00:00	2020-11-01 00:00:00	Yes	2021-06-14 00:00:00	2021-06-09 00:00:00	A	A	20000	16300	-300	16000	0	None	6RTH11	N	CA00711178	B	SFY2020-21
920000025	NEW VISTA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-27 00:00:00	920016547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-08 00:00:00	2021-04-08 00:00:00	Yes	2021-06-18 00:00:00	2021-06-18 00:00:00	B	B	2000	1800	0	1800	0	None	0Q3I11	N	None	None	SFY2020-21
920000025	NEW VISTA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-27 00:00:00	920016548	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-08 00:00:00	2021-04-08 00:00:00	Yes	2021-06-18 00:00:00	2021-06-18 00:00:00	B	B	2000	1800	0	1800	0	None	0Q3I11	N	None	None	SFY2020-21
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-04 00:00:00	920016560	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-04 00:00:00	2021-03-04 00:00:00	Yes	2021-06-25 00:00:00	2021-06-16 00:00:00	A	A	20000	15000	0	0	15000	None	PMOT11	N	CA00728686, CA00729577	A, A	SFY2020-21
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-10 00:00:00	920016575	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-03 00:00:00	2020-12-03 00:00:00	Yes	2021-07-01 00:00:00	2021-06-28 00:00:00	A	None	20000	20000	0	0	20000	None	EPDC11	N	CA00733940, CA00733940, CA00733940, CA00733940	A, A, A, A	SFY2020-21
970000133	GRAND PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-11 00:00:00	920016592	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-04 00:00:00	2021-03-04 00:00:00	No	2021-07-02 00:00:00	None	B	None	2000	2050	-700	1350	0	None	ZYFW11	N	CA00728224, CA00728224	B, B	SFY2020-21
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-16 00:00:00	920016608	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-13 00:00:00	2021-03-13 00:00:00	Yes	2021-07-07 00:00:00	2021-06-29 00:00:00	A	None	20000	20000	0	0	20000	None	BUV511	N	CA00729603	A	SFY2020-21
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-16 00:00:00	920016610	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2020-05-01 00:00:00	2020-05-01 00:00:00	No	2021-07-07 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	VUZC11	None	CA00732592	B	SFY2020-21
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-17 00:00:00	920016611	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-22 00:00:00	2020-12-22 00:00:00	No	2021-07-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N63S11	N	CA00730654	B	SFY2020-21
920000064	WEST VALLEY SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-24 00:00:00	920016633	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-08 00:00:00	2021-01-08 00:00:00	Yes	2021-07-15 00:00:00	2021-07-01 00:00:00	A	A	20000	20000	0	20000	0	None	W80X11	Y	CA00723655	A	SFY2020-21
970000029	KINGSLEY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-25 00:00:00	920016634	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-28 00:00:00	2017-04-28 00:00:00	No	2021-07-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OP8811	N	None	None	SFY2020-21
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-25 00:00:00	920016635	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-22 00:00:00	2021-03-22 00:00:00	Yes	2021-07-16 00:00:00	2021-07-15 00:00:00	A	None	20000	20000	0	20000	0	None	9HJO11	N	CA00731056	B	SFY2020-21
920000068	HOLIDAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-02 00:00:00	920016680	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-05-17 00:00:00	2021-05-17 00:00:00	Yes	2021-07-23 00:00:00	2021-07-12 00:00:00	B	B	2000	1600	0	1600	0	None	IUWE11	N	None	None	SFY2021-22
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-02 00:00:00	920016684	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-05-12 00:00:00	2021-05-12 00:00:00	No	2021-07-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4Q4C11	N	CA00736158	A	SFY2021-22
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-02 00:00:00	920016685	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-05-12 00:00:00	2021-05-12 00:00:00	No	2021-07-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4Q4C11	N	CA00736158	A	SFY2021-22
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-02 00:00:00	920016688	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-19 00:00:00	2017-06-19 00:00:00	Yes	2021-07-23 00:00:00	2021-07-12 00:00:00	A	None	20000	20000	0	0	20000	None	RLMB11	N	CA00539525	B	SFY2021-22
920000077	ALAMEDA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-02 00:00:00	920016689	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-09-04 00:00:00	2020-09-04 00:00:00	No	2021-07-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U9ZZ11	N	CA00704252	A	SFY2021-22
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-08 00:00:00	920016691	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-10 00:00:00	2021-04-10 00:00:00	No	2021-07-29 00:00:00	None	A	None	20000	20550	0	20550	0	None	9DHV11	N	None	None	SFY2021-22
920000064	WEST VALLEY SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-07 00:00:00	920016695	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-13 00:00:00	2021-03-13 00:00:00	Yes	2021-07-28 00:00:00	2021-07-16 00:00:00	B	B	2000	1400	0	0	1400	None	TTIC11	N	CA00734855	B	SFY2021-22
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-07 00:00:00	920016696	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-05-19 00:00:00	2021-05-19 00:00:00	No	2021-07-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	R15O11	N	CA00737225	A	SFY2021-22
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-08 00:00:00	920016702	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-05-25 00:00:00	2021-05-25 00:00:00	No	2021-07-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5BKQ11	N	None	None	SFY2021-22
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-16 00:00:00	920016710	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-21 00:00:00	2021-04-21 00:00:00	No	2021-08-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	NBYP11	N	CA00733800	B	SFY2021-22
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-13 00:00:00	920016712	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-04-17 00:00:00	2021-04-17 00:00:00	No	2021-08-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DWX811	N	CA00734219	B	SFY2021-22
970000029	KINGSLEY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-22 00:00:00	920016748	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-21 00:00:00	2021-04-21 00:00:00	No	2021-08-12 00:00:00	None	A	None	20000	20000	0	20000	0	None	T72811	N	CA00734174	A	SFY2021-22
630016910	THE ELLISON JOHN TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-22 00:00:00	920016751	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-04-09 00:00:00	2020-04-09 00:00:00	No	2021-08-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TSGN11	N	CA00734503	A	SFY2021-22
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-29 00:00:00	920016754	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-01 00:00:00	2021-04-01 00:00:00	No	2021-08-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	484311	N	CA00735695, CA00735695	B, B	SFY2021-22
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-23 00:00:00	920016755	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-19 00:00:00	2017-08-19 00:00:00	Yes	2021-08-13 00:00:00	2021-08-13 00:00:00	A	A	20000	14700	-700	14000	0	None	K08K11	N	CA00549038	A	SFY2021-22
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-29 00:00:00	920016768	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-13 00:00:00	2021-01-13 00:00:00	No	2021-08-19 00:00:00	None	A	None	20000	20000	0	20000	0	None	1GZT11	N	CA00721233, CA00721233	B, B	SFY2021-22
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-30 00:00:00	920016769	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-14 00:00:00	2021-05-14 00:00:00	No	2021-08-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	1K1R11	N	CA00737928	B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-30 00:00:00	920016774	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-25 00:00:00	2021-04-25 00:00:00	No	2021-08-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X6Q111	N	CA00735439	B	SFY2021-22
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-12 00:00:00	920016803	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-28 00:00:00	2021-04-28 00:00:00	No	2021-09-02 00:00:00	None	A	None	20000	20000	0	20000	0	None	FFDY11	N	CA00736824, CA00736824	B, B	SFY2021-22
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-13 00:00:00	920016808	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-28 00:00:00	2021-06-28 00:00:00	No	2021-09-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	394V11	N	CA00741974	A	SFY2021-22
920000089	THE REHABILITATION CENTER OF NORTH HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-13 00:00:00	920016820	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-22 00:00:00	2021-05-22 00:00:00	No	2021-09-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	9OVI11	N	CA00738044	B	SFY2021-22
920000025	NEW VISTA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-18 00:00:00	920016827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-24 00:00:00	2021-06-24 00:00:00	Yes	2021-09-09 00:00:00	2021-09-07 00:00:00	B	B	2000	1800	0	1800	0	None	FIVH11	N	CA00741594	A	SFY2021-22
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-26 00:00:00	920016842	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-19 00:00:00	2021-06-19 00:00:00	Yes	2021-09-17 00:00:00	2021-09-16 00:00:00	A	A	20000	41150	-150	41000	0	None	9FTH11	N	CA00742819	B	SFY2021-22
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-26 00:00:00	920016846	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-05-27 00:00:00	2021-05-27 00:00:00	Yes	2021-09-17 00:00:00	2021-09-16 00:00:00	AA	A	100000	20050	-50	20000	0	None	X13111	Y	CA00738375	A	SFY2021-22
920000086	GRANADA HILLS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-27 00:00:00	920016853	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-09 00:00:00	2021-06-09 00:00:00	Yes	2021-09-20 00:00:00	2021-09-14 00:00:00	B	B	2000	1800	0	1800	0	None	DNN111	N	CA00739803	A	SFY2021-22
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-26 00:00:00	920016854	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-02 00:00:00	2021-06-02 00:00:00	No	2021-09-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RJ2F11	N	CA00738881, CA00738881	B, B	SFY2021-22
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-27 00:00:00	920016858	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-30 00:00:00	2021-06-30 00:00:00	No	2021-09-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	8GT811	N	None	None	SFY2021-22
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-27 00:00:00	920016859	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-25 00:00:00	2019-06-25 00:00:00	No	2021-09-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	8GT811	Y	None	None	SFY2021-22
920000011	GOLDEN LEGACY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-27 00:00:00	920016860	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-25 00:00:00	2019-06-25 00:00:00	No	2021-09-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	8GT811	N	None	None	SFY2021-22
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-30 00:00:00	920016865	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-05-02 00:00:00	2021-05-02 00:00:00	No	2021-09-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EDB311	N	None	None	SFY2021-22
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-30 00:00:00	920016868	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-02 00:00:00	2021-05-02 00:00:00	No	2021-09-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	EDB311	N	None	None	SFY2021-22
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-03 00:00:00	920016881	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-02-17 00:00:00	2021-02-17 00:00:00	Yes	2021-09-27 00:00:00	2021-09-14 00:00:00	A	None	20000	20000	-7000	13000	0	None	ONFF11	N	CA00742436	A	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-02 00:00:00	920016886	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-29 00:00:00	2021-06-29 00:00:00	No	2021-09-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GUJQ11	N	CA00740291	A	SFY2021-22
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-03 00:00:00	920016887	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-08 00:00:00	2021-06-08 00:00:00	No	2021-09-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZL5Y11	N	CA00739406	A	SFY2021-22
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-10 00:00:00	920016903	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-19 00:00:00	2021-04-19 00:00:00	Yes	2021-10-01 00:00:00	2021-09-17 00:00:00	B	None	2000	2000	0	0	2000	None	4YHP11	N	None	None	SFY2021-22
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-10 00:00:00	920016908	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-15 00:00:00	2021-06-15 00:00:00	No	2021-10-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KSUI11	N	CA00740479	B	SFY2021-22
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-17 00:00:00	920016929	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-07-20 00:00:00	2021-07-20 00:00:00	Yes	2021-10-08 00:00:00	2021-10-06 00:00:00	A	A	20000	14000	0	14000	0	None	ZES511	N	None	None	SFY2021-22
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-17 00:00:00	920016932	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-05 00:00:00	2021-08-05 00:00:00	No	2021-10-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1CB011	N	CA00746910	B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-17 00:00:00	920016938	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-09-17 00:00:00	2021-09-17 00:00:00	No	2021-10-08 00:00:00	None	A	A	20000	15000	0	15000	0	None	3YMK11	N	CA00747736	B	SFY2021-22
920000063	NORTHRIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-17 00:00:00	920016939	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-08-10 00:00:00	2021-08-10 00:00:00	Yes	2021-10-08 00:00:00	2021-09-22 00:00:00	A	A	15000	10500	0	10500	0	None	5SNW11	N	CA00741440, CA00741949	B, B	SFY2021-22
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-24 00:00:00	920016941	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-15 00:00:00	2020-12-15 00:00:00	No	2021-10-15 00:00:00	None	A	None	20000	20000	0	20000	0	None	3USY11	N	CA00735603	B	SFY2021-22
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-22 00:00:00	920016946	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-24 00:00:00	2021-06-24 00:00:00	No	2021-10-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U6NA11	N	CA00741369	A	SFY2021-22
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-23 00:00:00	920016953	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-21 00:00:00	2021-04-21 00:00:00	No	2021-10-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6JTK11	N	CA00734244	B	SFY2021-22
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-10-07 00:00:00	920016992	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-12-23 00:00:00	2020-12-23 00:00:00	No	2021-10-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CLLS11	N	CA00743454, CA00744281	A, A	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-10-12 00:00:00	920017004	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-01 00:00:00	2021-06-01 00:00:00	No	2021-11-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8BCL21	N	CA00749802	B	SFY2021-22
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-10-26 00:00:00	920017039	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-08-02 00:00:00	2021-08-02 00:00:00	No	2021-11-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VYVN11	N	CA00746718	A	SFY2021-22
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-10-26 00:00:00	920017042	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-04 00:00:00	2021-08-04 00:00:00	No	2021-11-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VYVN11	N	CA00746718	A	SFY2021-22
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-04 00:00:00	920017065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-06 00:00:00	2021-04-06 00:00:00	No	2021-11-30 00:00:00	None	B	None	2000	6000	0	6000	0	None	2P0I11	N	None	None	SFY2021-22
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-15 00:00:00	920017075	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-07-22 00:00:00	2021-07-22 00:00:00	No	2021-12-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	LF9T11	N	CA00749019	B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-09 00:00:00	920017085	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-10-30 00:00:00	2018-10-30 00:00:00	No	2021-12-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	RG0R21	N	CA00751478	B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-09 00:00:00	920017086	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-10-30 00:00:00	2018-10-30 00:00:00	No	2021-12-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	RG0R21	N	CA00751478	B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-09 00:00:00	920017087	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-10-30 00:00:00	2018-10-30 00:00:00	No	2021-12-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	RG0R21	N	CA00751478	B	SFY2021-22
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-09 00:00:00	920017088	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-16 00:00:00	2021-08-16 00:00:00	No	2021-12-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	32EG11	N	CA00749593, CA00750786	B, B	SFY2021-22
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-17 00:00:00	920017097	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-03 00:00:00	2021-05-03 00:00:00	No	2021-12-10 00:00:00	None	A	None	20000	60000	0	60000	0	None	6BTI11	N	CA00735351	B	SFY2021-22
920000082	WEST HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-23 00:00:00	920017100	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-20 00:00:00	2021-06-20 00:00:00	Yes	2021-12-16 00:00:00	2021-11-29 00:00:00	A	None	20000	60000	0	0	60000	None	4Q2S11	N	CA00741391, CA00741693	B, B	SFY2021-22
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-18 00:00:00	920017101	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-30 00:00:00	2021-08-30 00:00:00	No	2021-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	022511	N	CA00750919, CA00751001	A, A	SFY2021-22
920000292	ARARAT NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-23 00:00:00	920017127	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-25 00:00:00	2021-07-25 00:00:00	No	2021-12-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KPOP11	N	CA00745511	B	SFY2021-22
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-02 00:00:00	920017139	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-11-10 00:00:00	2021-11-10 00:00:00	No	2021-12-23 00:00:00	None	B	None	2000	3050	-700	1300	1050	None	NGDB21	N	None	None	SFY2021-22
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-01 00:00:00	920017142	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-10-15 00:00:00	2021-10-15 00:00:00	No	2021-12-22 00:00:00	None	B	None	1500	1500	0	1500	0	None	8NQ511	N	CA00751768	B	SFY2021-22
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-02 00:00:00	920017143	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-20 00:00:00	2020-07-20 00:00:00	No	2021-12-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ITEQ11	N	CA00751706	B	SFY2021-22
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-02 00:00:00	920017146	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-10-16 00:00:00	2021-10-16 00:00:00	No	2021-12-23 00:00:00	None	A	None	20000	20000	0	20000	0	None	R0KO11	N	None	None	SFY2021-22
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-07 00:00:00	920017160	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-11-29 00:00:00	2021-11-29 00:00:00	No	2021-12-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	16IO11	N	CA00755908	B	SFY2021-22
970000127	BURLINGTON CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-08 00:00:00	920017165	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-08-09 00:00:00	2021-08-09 00:00:00	Yes	2021-12-29 00:00:00	2021-12-15 00:00:00	A	B	20000	30000	0	30000	0	None	HOMH11	N	CA00747951	B	SFY2021-22
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-16 00:00:00	920017169	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-09-04 00:00:00	2021-09-04 00:00:00	Yes	2022-01-06 00:00:00	2022-01-03 00:00:00	A	A	20000	14000	0	14000	0	None	4I2F11	N	None	None	SFY2021-22
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-15 00:00:00	920017190	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-07-06 00:00:00	2021-07-06 00:00:00	No	2022-01-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1M7T11	N	CA00753261, CA00753261	B, B	SFY2021-22
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-16 00:00:00	920017196	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-22 00:00:00	2021-09-22 00:00:00	No	2022-01-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XSQL11	N	CA00755757, CA00755757, CA00755757	A, A, A	SFY2021-22
920000025	NEW VISTA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-16 00:00:00	920017197	Closed	Citation	Citation B (HSC 1424)	Administration	None	2021-09-22 00:00:00	2021-09-22 00:00:00	No	2022-01-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	H3MB11	N	CA00753289, CA00753289, CA00753289, CA00753289, CA00753289	B, B, B, B, B	SFY2021-22
920000074	PROVIDENCE ST. ELIZABETH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-17 00:00:00	920017203	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2021-09-03 00:00:00	2021-09-03 00:00:00	No	2022-01-07 00:00:00	None	WF	None	2000	2000	0	2000	0	None	T3QZ11	None	CA00753895	B	SFY2021-22
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-21 00:00:00	920017211	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-25 00:00:00	2021-10-25 00:00:00	No	2022-01-11 00:00:00	None	B	None	2000	2350	0	2350	0	None	J33X11	N	CA00759012	A	SFY2021-22
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-21 00:00:00	920017212	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-25 00:00:00	2021-10-25 00:00:00	No	2022-01-11 00:00:00	None	B	None	2000	2350	0	2350	0	None	J33X11	N	CA00759012	A	SFY2021-22
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-23 00:00:00	920017215	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Posting	2021-11-06 00:00:00	2021-11-06 00:00:00	No	2022-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NGDB11	N	None	None	SFY2021-22
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-23 00:00:00	920017216	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-07 00:00:00	2021-11-07 00:00:00	No	2022-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NGDB11	N	None	None	SFY2021-22
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-22 00:00:00	920017217	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-03 00:00:00	2021-11-03 00:00:00	No	2022-01-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	6TMY11	N	None	None	SFY2021-22
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-23 00:00:00	920017220	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-22 00:00:00	2019-06-22 00:00:00	No	2022-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WT4K11	N	CA00643277, CA00643277	B, B	SFY2021-22
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-23 00:00:00	920017221	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-01 00:00:00	2021-11-01 00:00:00	No	2022-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NGDB11	N	None	None	SFY2021-22
920000049	BERKLEY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-30 00:00:00	920017237	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-01 00:00:00	2021-09-01 00:00:00	No	2022-01-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0STA11	N	CA00755916, CA00755916, CA00755916, CA00756741, CA00756741, CA00756741, CA00756741, CA00756741	B, B, B, B, B, B, B, B	SFY2021-22
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-05 00:00:00	920017249	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-11-18 00:00:00	2021-11-18 00:00:00	No	2022-01-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B3Q011	N	CA00761496	B	SFY2021-22
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-13 00:00:00	920017264	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-10-15 00:00:00	2021-10-15 00:00:00	No	2022-02-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	QIRE11	N	CA00757215, CA00757215, CA00757215	B, B, B	SFY2021-22
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-14 00:00:00	920017265	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-11-04 00:00:00	2021-11-04 00:00:00	No	2022-02-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	OTR111	N	CA00759994	B	SFY2021-22
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-20 00:00:00	920017279	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-01 00:00:00	2021-11-01 00:00:00	Yes	2022-02-10 00:00:00	2022-02-07 00:00:00	B	B	2000	4500	0	4500	0	None	K77I11	N	CA00759744, CA00759744, CA00759744	B, B, B	SFY2021-22
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-28 00:00:00	920017288	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-05 00:00:00	2021-11-05 00:00:00	No	2022-02-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	PYFE11	N	None	None	SFY2021-22
910000089	VISTA DEL SOL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-28 00:00:00	920017290	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-11-17 00:00:00	2021-11-17 00:00:00	No	2022-02-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	81OL11	N	CA00760381	B	SFY2021-22
910000038	FIRESIDE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-27 00:00:00	920017291	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-03 00:00:00	2021-11-03 00:00:00	No	2022-02-17 00:00:00	None	B	None	2000	2200	0	2200	0	None	1GCU11	N	None	None	SFY2021-22
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-28 00:00:00	920017293	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-07-05 00:00:00	2021-07-05 00:00:00	Yes	2022-02-18 00:00:00	2022-02-17 00:00:00	A	A	20000	60100	-60100	0	0	None	W12611	N	CA00742796	B	SFY2021-22
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-28 00:00:00	920017299	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-11-05 00:00:00	2021-11-05 00:00:00	No	2022-02-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	T5BL11	N	CA00760763	B	SFY2021-22
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-28 00:00:00	920017300	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-11-05 00:00:00	2021-11-05 00:00:00	No	2022-02-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	T5BL11	N	CA00760763	B	SFY2021-22
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-28 00:00:00	920017301	Closed	Citation	Citation A (HSC 1424)	Patient Rights	Abuse	2021-07-05 00:00:00	2021-07-05 00:00:00	Yes	2022-02-18 00:00:00	2022-02-18 00:00:00	A	A	20000	20000	0	20000	0	None	W12611	N	CA00742796, CA00742796	B, B	SFY2021-22
970000127	BURLINGTON CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-02-04 00:00:00	920017319	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-08-26 00:00:00	2021-08-26 00:00:00	Yes	2022-02-28 00:00:00	2022-02-14 00:00:00	A	None	20000	60000	0	0	60000	None	P71C11	N	CA00750271	B	SFY2021-22
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-02-04 00:00:00	920017324	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-02 00:00:00	2021-12-02 00:00:00	Yes	2022-02-28 00:00:00	2022-02-28 00:00:00	A	None	20000	60000	0	0	60000	None	2WW711	N	CA00763390, CA00763390	A, A	SFY2021-22
920000003	THE GROVE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-02-16 00:00:00	920017350	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-10 00:00:00	2022-01-10 00:00:00	No	2022-03-10 00:00:00	None	B	None	3000	3000	0	3000	0	None	75B711	N	CA00768330	B	SFY2021-22
920000050	CALIFORNIA HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-02-24 00:00:00	920017351	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-07 00:00:00	2021-10-07 00:00:00	No	2022-03-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UROE11	N	CA00756930, CA00756988	B, B	SFY2021-22
930000681	PROVIDENCE HOLY CROSS MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-02-16 00:00:00	920017353	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-12-14 00:00:00	2021-12-14 00:00:00	No	2022-03-10 00:00:00	None	B	None	2000	2400	0	2400	0	None	DM2K11	N	CA00764658	A	SFY2021-22
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-02-18 00:00:00	920017370	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-11-30 00:00:00	2021-11-30 00:00:00	No	2022-03-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ONYK11	N	None	None	SFY2021-22
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-02-24 00:00:00	920017422	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-08-23 00:00:00	2021-08-23 00:00:00	Yes	2022-03-17 00:00:00	2022-03-14 00:00:00	A	A	20000	15000	0	20000	-5000	None	EZTJ11	N	CA00759381	B	SFY2021-22
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-02-24 00:00:00	920017423	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-13 00:00:00	2021-12-13 00:00:00	Yes	2022-03-17 00:00:00	2022-03-01 00:00:00	A	None	20000	20000	0	20000	0	None	BDM511	N	CA00764677, CA00764677	A, A	SFY2021-22
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-02-25 00:00:00	920017447	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2022-01-11 00:00:00	2022-01-11 00:00:00	No	2022-03-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	D3V011	N	None	None	SFY2021-22
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-02 00:00:00	920017457	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-11 00:00:00	2021-12-11 00:00:00	No	2022-03-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	BFKL11	N	CA00764613	B	SFY2021-22
970000147	WESTLAKE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-09 00:00:00	920017479	Closed	Citation	Citation B (HSC 1424)	Administration	None	2022-02-24 00:00:00	2022-02-24 00:00:00	Yes	2022-03-30 00:00:00	2022-03-17 00:00:00	B	B	3000	2800	0	2800	0	None	HTVF11	N	CA00774671	B	SFY2021-22
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-17 00:00:00	920017498	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-07-21 00:00:00	2021-07-21 00:00:00	No	2022-04-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DO9O11	N	CA00766363, CA00766363	A, A	SFY2021-22
910000089	VISTA DEL SOL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-18 00:00:00	920017513	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-11-08 00:00:00	2021-11-08 00:00:00	No	2022-04-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	MZOB11	N	None	None	SFY2021-22
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-23 00:00:00	920017519	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-12-17 00:00:00	2021-12-17 00:00:00	No	2022-04-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	20YR11	N	CA00766280	A	SFY2021-22
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-24 00:00:00	920017520	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-02-15 00:00:00	2022-02-15 00:00:00	No	2022-04-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	0UX311	N	CA00772283	B	SFY2021-22
910000038	FIRESIDE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-25 00:00:00	920017530	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-12-13 00:00:00	2021-12-13 00:00:00	No	2022-04-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	YCEC11	N	None	None	SFY2021-22
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-30 00:00:00	920017534	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-01-18 00:00:00	2022-01-18 00:00:00	No	2022-04-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	GJII11	N	CA00768209	B	SFY2021-22
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-04 00:00:00	920017542	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-02-22 00:00:00	2022-02-22 00:00:00	No	2022-04-25 00:00:00	None	B	None	3000	3000	0	3000	0	None	CG0T11	N	CA00772309, CA00772309	B, B	SFY2021-22
920000089	THE REHABILITATION CENTER OF NORTH HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-05 00:00:00	920017544	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-02-05 00:00:00	2022-02-05 00:00:00	No	2022-04-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	19PL11	N	None	None	SFY2021-22
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-06 00:00:00	920017549	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-02-17 00:00:00	2022-02-17 00:00:00	No	2022-04-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MP1K11	N	CA00772504, CA00775183, CA00776182	B, B, B	SFY2021-22
920000057	VALLEY PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-06 00:00:00	920017550	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-02-18 00:00:00	2022-02-18 00:00:00	No	2022-04-27 00:00:00	None	B	None	3000	3000	0	3000	0	None	OWUP11	N	CA00772494	B	SFY2021-22
920000090	CASITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-07 00:00:00	920017554	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-02-22 00:00:00	2022-02-22 00:00:00	No	2022-04-28 00:00:00	None	B	None	3000	3000	0	3000	0	None	GVCR11	N	CA00772513	B	SFY2021-22
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-07 00:00:00	920017556	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-02-26 00:00:00	2022-02-26 00:00:00	No	2022-04-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	V7PL11	N	None	None	SFY2021-22
970000133	GRAND PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-15 00:00:00	920017572	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-11-01 00:00:00	2021-11-01 00:00:00	No	2022-05-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	NF6P11	N	CA00759314	B	SFY2021-22
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-15 00:00:00	920017576	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-11 00:00:00	2021-04-11 00:00:00	Yes	2022-05-06 00:00:00	2022-05-03 00:00:00	A	A	15000	11500	0	11500	0	None	DCMU11	N	CA00774468	B	SFY2021-22
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-15 00:00:00	920017579	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-15 00:00:00	2021-12-15 00:00:00	Yes	2022-05-06 00:00:00	2022-05-03 00:00:00	A	A	15000	10000	0	10000	0	None	DCMU11	N	None	None	SFY2021-22
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-20 00:00:00	920017582	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-12 00:00:00	2022-03-12 00:00:00	Yes	2022-05-11 00:00:00	2022-04-21 00:00:00	A	None	25000	25000	0	0	25000	None	3SYU11	N	CA00776681, CA00778115	A, A	SFY2021-22
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-22 00:00:00	920017584	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-02-24 00:00:00	2022-02-24 00:00:00	No	2022-05-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	79C511	N	CA00774841	B	SFY2021-22
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-21 00:00:00	920017588	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-02-26 00:00:00	2022-02-26 00:00:00	No	2022-05-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3Z6J11	Y	CA00775565	A	SFY2021-22
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-22 00:00:00	920017591	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-01-26 00:00:00	2022-01-26 00:00:00	No	2022-05-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	M88011	N	None	None	SFY2021-22
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-26 00:00:00	920017594	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-03-02 00:00:00	2022-03-02 00:00:00	No	2022-05-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	YI2J11	N	CA00775085	B	SFY2021-22
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-27 00:00:00	920017602	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-09 00:00:00	2022-03-09 00:00:00	No	2022-05-18 00:00:00	None	B	None	3000	3100	0	3000	100	None	V18D11	N	None	None	SFY2021-22
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-27 00:00:00	920017603	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-09 00:00:00	2022-03-09 00:00:00	No	2022-05-18 00:00:00	None	B	None	3000	3100	0	3100	0	None	V18D11	N	None	None	SFY2021-22
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-29 00:00:00	920017606	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-20 00:00:00	2022-01-20 00:00:00	No	2022-05-20 00:00:00	None	A	None	25000	75000	0	0	75000	None	XERD11	Y	CA00771544, CA00771544, CA00771544, CA00771544	B, B, B, B	SFY2021-22
920000058	VALLEY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-03 00:00:00	920017613	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-03-24 00:00:00	2022-03-24 00:00:00	No	2022-05-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EF1811	N	CA00778135	A	SFY2021-22
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-04 00:00:00	920017614	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-03-18 00:00:00	2022-03-18 00:00:00	No	2022-05-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JK7911	N	CA00777101, CA00777101	A, A	SFY2021-22
970000039	HOLLYWOOD PREMIER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-05 00:00:00	920017622	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-04 00:00:00	2022-04-04 00:00:00	No	2022-05-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QZDY11	N	None	None	SFY2021-22
910000326	WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-05 00:00:00	920017624	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-09 00:00:00	2022-02-09 00:00:00	No	2022-05-26 00:00:00	None	A	None	25000	75000	-26250	48750	0	None	VBE411	Y	CA00772695, CA00772695, CA00772695	B, B, B	SFY2021-22
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-12 00:00:00	920017630	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-11-13 00:00:00	2021-11-13 00:00:00	Yes	2022-06-03 00:00:00	2022-06-03 00:00:00	A	None	20000	60000	0	0	60000	None	B03J11	N	CA00762293	B	SFY2021-22
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-13 00:00:00	920017636	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-12-10 00:00:00	2021-12-10 00:00:00	No	2022-06-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JE1W11	N	CA00775122	A	SFY2021-22
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-18 00:00:00	920017645	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-02-26 00:00:00	2022-02-26 00:00:00	Yes	2022-06-09 00:00:00	2022-06-02 00:00:00	AA	None	100000	100000	0	0	100000	None	3Z6J11	Y	CA00775565	A	SFY2021-22
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-19 00:00:00	920017651	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-10-21 00:00:00	2021-10-21 00:00:00	Yes	2022-06-10 00:00:00	2022-06-08 00:00:00	AA	None	100000	100000	0	0	100000	None	L2QK11	Y	CA00756616	A	SFY2021-22
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-25 00:00:00	920017664	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-05 00:00:00	2021-11-05 00:00:00	No	2022-06-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1VG511	N	CA00777456, CA00777456, CA00777456	B, B, B	SFY2021-22
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-25 00:00:00	920017665	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-05 00:00:00	2021-11-05 00:00:00	No	2022-06-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1VG511	N	CA00777456, CA00777456, CA00777456	B, B, B	SFY2021-22
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-26 00:00:00	920017668	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-03-02 00:00:00	2022-03-02 00:00:00	Yes	2022-06-17 00:00:00	2022-06-09 00:00:00	B	B	3000	2400	0	2400	0	None	1MLB11	N	CA00775130, CA00775350	A, A	SFY2021-22
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-26 00:00:00	920017669	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-10 00:00:00	2021-12-10 00:00:00	Yes	2022-06-17 00:00:00	2022-06-16 00:00:00	A	B	20000	12000	0	12000	0	None	UVTC11	N	CA00764890, CA00764890	A, A	SFY2021-22
920000085	WEST VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-27 00:00:00	920017674	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2014-01-01 00:00:00	2014-01-01 00:00:00	No	2022-06-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	K5SU21	N	CA00779491	B	SFY2021-22
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-27 00:00:00	920017675	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-24 00:00:00	2022-02-24 00:00:00	Yes	2022-06-20 00:00:00	2022-06-17 00:00:00	A	None	15000	15000	0	0	15000	None	1DK011	N	CA00775038	A	SFY2021-22
910000334	WINDSOR GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-01 00:00:00	920017682	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-01-09 00:00:00	2022-01-09 00:00:00	Yes	2022-06-22 00:00:00	2022-06-08 00:00:00	AA	None	120000	120000	0	0	120000	None	BC4O11	Y	CA00775821, CA00775821, CA00775821, CA00775821	B, B, B, B	SFY2021-22
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-03 00:00:00	920017691	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-02-19 00:00:00	2022-02-19 00:00:00	No	2022-06-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RWY611	N	None	None	SFY2021-22
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-10 00:00:00	920017701	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-02-13 00:00:00	2022-02-13 00:00:00	No	2022-07-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	F63211	N	CA00782191	A	SFY2021-22
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-10 00:00:00	920017703	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-13 00:00:00	2022-02-13 00:00:00	No	2022-07-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	F63211	N	CA00782191	A	SFY2021-22
970000129	ALVARADO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-16 00:00:00	920017711	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-21 00:00:00	2022-03-21 00:00:00	Yes	2022-07-08 00:00:00	2022-07-01 00:00:00	A	B	25000	15750	-750	15000	0	None	TEQM11	N	CA00777682, CA00777682	B, B	SFY2021-22
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-23 00:00:00	920017727	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-29 00:00:00	2022-04-29 00:00:00	No	2022-07-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ECKH11	N	CA00778612, CA00778612, CA00778612	B, B, B	SFY2021-22
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-23 00:00:00	920017728	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-20 00:00:00	2022-03-20 00:00:00	No	2022-07-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ECKH11	N	CA00778612, CA00778612, CA00778612	B, B, B	SFY2021-22
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-23 00:00:00	920017731	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-26 00:00:00	2021-11-26 00:00:00	No	2022-07-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	D6BB11	N	CA00763271, CA00763271	B, B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-01 00:00:00	920017749	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-07 00:00:00	2022-03-07 00:00:00	No	2022-07-25 00:00:00	None	B	None	3000	3000	0	3000	0	None	H6WP11	N	CA00776053	B	SFY2022-23
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-01 00:00:00	920017750	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-04-17 00:00:00	2022-04-17 00:00:00	No	2022-07-25 00:00:00	None	B	None	3000	3000	0	3000	0	None	5NP711	N	CA00781762, CA00781762, CA00783535, CA00783535, CA00783535, CA00783535	A, A, A, A, A, A	SFY2022-23
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-30 00:00:00	920017755	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-05-07 00:00:00	2022-05-07 00:00:00	Yes	2022-07-22 00:00:00	2022-07-13 00:00:00	A	None	25000	75000	0	0	75000	None	OITF11	N	CA00784196, CA00784196, CA00784196	B, B, B	SFY2021-22
910000334	WINDSOR GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-08 00:00:00	920017765	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-29 00:00:00	2022-01-29 00:00:00	No	2022-07-29 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	V87G11	N	CA00771252	B	SFY2022-23
910000334	WINDSOR GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-13 00:00:00	920017768	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-22 00:00:00	2022-04-22 00:00:00	No	2022-08-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	HCTI11	N	CA00782354, CA00782354, CA00782354, CA00782354, CA00782354, CA00782354	B, B, B, B, B, B	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-15 00:00:00	920017775	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-29 00:00:00	2022-01-29 00:00:00	No	2022-08-05 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	W6CW11	N	CA00771270, CA00771270	A, A	SFY2022-23
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-14 00:00:00	920017784	Closed	Citation	Citation B (HSC 1424)	Physical Environment	Altercation of building	2022-06-22 00:00:00	2022-06-22 00:00:00	No	2022-08-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	MHG711	N	CA00788750, CA00788750	A, A	SFY2022-23
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-14 00:00:00	920017786	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-10 00:00:00	2022-03-10 00:00:00	No	2022-08-04 00:00:00	None	A	None	25000	75000	-26250	48750	0	None	MX4611	N	CA00776342, CA00776342, CA00776342	B, B, B	SFY2022-23
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-18 00:00:00	920017789	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-06-29 00:00:00	2022-06-29 00:00:00	No	2022-08-08 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	MQSR11	N	CA00790879, CA00790879, CA00790963, CA00790963	A, A, A, A	SFY2022-23
920000077	ALAMEDA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-19 00:00:00	920017791	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-06-15 00:00:00	2022-06-15 00:00:00	No	2022-08-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VDLY11	N	CA00786215	A	SFY2022-23
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-21 00:00:00	920017802	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-15 00:00:00	2022-04-15 00:00:00	No	2022-08-11 00:00:00	None	A	None	25000	25000	0	0	25000	None	UNOI11	N	CA00781957, CA00781957	A, A	SFY2022-23
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-22 00:00:00	920017806	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-18 00:00:00	2022-05-18 00:00:00	No	2022-08-12 00:00:00	None	B	None	3000	3200	-1050	2150	0	None	W0BQ11	N	CA00785411, CA00785431	B, B	SFY2022-23
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-21 00:00:00	920017807	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-25 00:00:00	2022-04-25 00:00:00	No	2022-08-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	FUKB11	N	CA00782082	B	SFY2022-23
920000025	NEW VISTA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-27 00:00:00	920017808	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-06-14 00:00:00	2022-06-14 00:00:00	No	2022-08-17 00:00:00	None	B	None	3000	3000	0	3000	0	None	JUFV11	N	CA00788797	A	SFY2022-23
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-22 00:00:00	920017817	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-15 00:00:00	2022-04-15 00:00:00	Yes	2022-08-12 00:00:00	2022-08-12 00:00:00	A	A	15000	11250	0	11250	0	None	DV5G11	N	CA00781769, CA00781769	B, B	SFY2022-23
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-26 00:00:00	920017822	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-12 00:00:00	2022-06-12 00:00:00	No	2022-08-16 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	IY5W11	N	None	None	SFY2022-23
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-28 00:00:00	920017826	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-05 00:00:00	2022-03-05 00:00:00	No	2022-08-18 00:00:00	None	A	None	25000	25700	-8750	16950	0	None	G3CR11	N	CA00786440, CA00786440, CA00786440, CA00786440, CA00786440, CA00786440	B, B, B, B, B, B	SFY2022-23
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-27 00:00:00	920017830	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-07 00:00:00	2022-01-07 00:00:00	Yes	2022-08-17 00:00:00	2022-08-05 00:00:00	A	None	25000	75000	0	0	75000	None	JRKN11	N	CA00787881, CA00787887, CA00787906, CA00787906, CA00787906, CA00787906, CA00787906, CA00787906, CA00787906	B, B, A, A, A, A, A, A, A	SFY2022-23
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-27 00:00:00	920017833	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2022-01-07 00:00:00	2022-01-07 00:00:00	Yes	2022-08-17 00:00:00	2022-08-15 00:00:00	WF	None	25000	25000	0	0	25000	None	JRKN11	None	CA00787881, CA00787887, CA00787906	B, B, A	SFY2022-23
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-08 00:00:00	920017881	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-06-28 00:00:00	2022-06-28 00:00:00	No	2022-08-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2Z9Q11	N	CA00790636, CA00790636, CA00790676, CA00790676	B, B, B, B	SFY2022-23
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-11 00:00:00	920017883	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-01 00:00:00	2022-06-01 00:00:00	Yes	2022-09-01 00:00:00	2022-08-30 00:00:00	A	None	15000	15000	0	0	15000	None	SU2D11	N	CA00785564, CA00785564, CA00785564	B, B, B	SFY2022-23
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-10 00:00:00	920017884	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-02 00:00:00	2022-06-02 00:00:00	No	2022-08-31 00:00:00	None	B	None	3000	3000	0	3000	0	None	Z4DL11	N	CA00786175	B	SFY2022-23
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-12 00:00:00	920017889	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-06-29 00:00:00	2022-06-29 00:00:00	No	2022-09-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MQSR11	N	CA00790879, CA00790963	A, A	SFY2022-23
910000032	CULVER WEST HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-19 00:00:00	920017901	Closed	Citation	Citation A (HSC 1424)	Patient Care	Accident Hazards	2022-04-27 00:00:00	2022-04-27 00:00:00	No	2022-09-12 00:00:00	None	A	None	20000	20000	0	20000	0	None	N1N511	N	CA00783276, CA00783276, CA00788437, CA00788437, CA00788437	B, B, A, A, A	SFY2022-23
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-19 00:00:00	920017905	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-01 00:00:00	2021-01-01 00:00:00	No	2022-09-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8CXT11	N	CA00720338	A	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-18 00:00:00	920017907	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-29 00:00:00	2022-06-29 00:00:00	No	2022-09-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MCM511	N	CA00791282, CA00791420	A, A	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-18 00:00:00	920017909	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-29 00:00:00	2022-06-29 00:00:00	No	2022-09-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MCM511	N	CA00791282, CA00791420	A, A	SFY2022-23
910000073	BRENTWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-19 00:00:00	920017910	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Facility not self-report	2022-06-06 00:00:00	2022-06-06 00:00:00	No	2022-09-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	V4RG11	N	None	None	SFY2022-23
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-19 00:00:00	920017913	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-01 00:00:00	2021-04-01 00:00:00	Yes	2022-09-12 00:00:00	2022-08-22 00:00:00	A	None	20000	20000	0	0	20000	None	0MMT11	N	CA00731444	B	SFY2022-23
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-30 00:00:00	920017917	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-02 00:00:00	2022-07-02 00:00:00	No	2022-09-21 00:00:00	None	A	None	25000	25050	-8750	16300	0	None	WC5611	N	CA00791842, CA00791842	B, B	SFY2022-23
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-24 00:00:00	920017918	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-05-23 00:00:00	2022-05-23 00:00:00	Yes	2022-09-15 00:00:00	2022-09-06 00:00:00	A	A	25000	17500	0	17500	0	None	JE6311	N	CA00786142	B	SFY2022-23
920000085	WEST VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-23 00:00:00	920017920	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-08 00:00:00	2022-06-08 00:00:00	No	2022-09-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	I63F11	N	CA00788510	A	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-25 00:00:00	920017925	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-05-14 00:00:00	2022-05-14 00:00:00	Yes	2022-09-16 00:00:00	2022-09-06 00:00:00	A	A	25000	17200	0	0	17200	None	JVHH11	N	CA00788883, CA00788883, CA00788883, CA00788883	B, B, B, B	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-02 00:00:00	920017926	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-09 00:00:00	2022-06-09 00:00:00	No	2022-09-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	4XK511	N	CA00789134, CA00789134, CA00789134, CA00789144, CA00789144, CA00789144, CA00789144, CA00789782, CA00789782	B, B, B, B, B, B, B, B, B	SFY2022-23
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-26 00:00:00	920017931	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-18 00:00:00	2022-03-18 00:00:00	No	2022-09-19 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	1D4C11	N	CA00777632	B	SFY2022-23
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-25 00:00:00	920017932	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-22 00:00:00	2022-03-22 00:00:00	No	2022-09-16 00:00:00	None	B	None	3000	3200	0	3200	0	None	1UJE11	N	CA00779974	B	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-26 00:00:00	920017936	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-25 00:00:00	2022-05-25 00:00:00	No	2022-09-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WWOR11	N	CA00787038, CA00788255	B, B	SFY2022-23
630016910	THE ELLISON JOHN TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-26 00:00:00	920017937	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-27 00:00:00	2022-04-27 00:00:00	Yes	2022-09-19 00:00:00	2022-08-26 00:00:00	A	None	25000	25000	0	0	25000	None	YQ2211	N	None	None	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-26 00:00:00	920017938	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2022-05-25 00:00:00	2022-05-25 00:00:00	No	2022-09-19 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	WWOR11	None	CA00787038, CA00787038, CA00787038, CA00787038, CA00788255, CA00788255, CA00788255	B, B, B, B, B, B, B	SFY2022-23
910000316	WEST PICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-06 00:00:00	920017946	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-05-17 00:00:00	2022-05-17 00:00:00	No	2022-09-27 00:00:00	None	A	None	25000	25000	0	25000	0	None	6VON11	N	CA00785335, CA00785335, CA00785938, CA00785938, CA00785938	B, B, B, B, B	SFY2022-23
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-02 00:00:00	920017948	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-19 00:00:00	2022-07-19 00:00:00	Yes	2022-09-26 00:00:00	2022-09-21 00:00:00	A	None	25000	75000	0	0	75000	None	Z2V511	N	CA00794378	A	SFY2022-23
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-01 00:00:00	920017951	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-05-17 00:00:00	2022-05-17 00:00:00	No	2022-09-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	EVGG11	N	CA00785459	B	SFY2022-23
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-01 00:00:00	920017952	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-07-18 00:00:00	2022-07-18 00:00:00	No	2022-09-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	1RX611	N	CA00791921, CA00791921, CA00791921, CA00795437, CA00795437	B, B, B, B, B	SFY2022-23
920000069	THE CARE CENTER ON HAZELTINE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-09 00:00:00	920017970	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-05 00:00:00	2022-06-05 00:00:00	No	2022-09-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	P03C11	N	CA00788090	B	SFY2022-23
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-08 00:00:00	920017973	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2020-12-12 00:00:00	2020-12-12 00:00:00	Yes	2022-09-29 00:00:00	2022-09-15 00:00:00	A	None	20000	20000	0	0	20000	None	U00111	N	None	None	SFY2022-23
920000085	WEST VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-08 00:00:00	920017974	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-07-07 00:00:00	2022-07-07 00:00:00	No	2022-09-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ZMEL11	N	CA00792471	A	SFY2022-23
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-09 00:00:00	920017981	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-07-15 00:00:00	2022-07-15 00:00:00	No	2022-09-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	NL9V11	N	CA00795191, CA00795191, CA00795191, CA00795191, CA00795537, CA00795537	A, A, A, A, A, A	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-09 00:00:00	920017982	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-17 00:00:00	2022-07-17 00:00:00	No	2022-09-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	NYBF11	Y	CA00789231, CA00789231, CA00789231	B, B, B	SFY2022-23
920000005	COUNTRY MANOR HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-13 00:00:00	920017985	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-05-23 00:00:00	2022-05-23 00:00:00	No	2022-10-04 00:00:00	None	B	None	2500	2500	0	2500	0	None	Y69T11	N	CA00786138	B	SFY2022-23
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-16 00:00:00	920017997	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-16 00:00:00	2022-06-16 00:00:00	Yes	2022-10-07 00:00:00	2022-10-07 00:00:00	A	None	25000	25000	0	0	25000	None	TFQS11	N	CA00790467	A	SFY2022-23
920000310	THE GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-16 00:00:00	920017999	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-14 00:00:00	2022-06-14 00:00:00	Yes	2022-10-07 00:00:00	2022-10-06 00:00:00	A	None	25000	25000	0	0	25000	None	GLWI11	N	CA00789313	B	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-16 00:00:00	920018001	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-20 00:00:00	2022-06-20 00:00:00	No	2022-10-07 00:00:00	None	A	None	25000	25100	-8750	16350	0	None	0DTE11	N	CA00790589	B	SFY2022-23
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-21 00:00:00	920018002	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-08-17 00:00:00	2022-08-17 00:00:00	Yes	2022-10-12 00:00:00	2022-09-26 00:00:00	A	None	25000	25000	0	0	25000	None	NNI711	Y	CA00799107, CA00799107, CA00799107	A, A, A	SFY2022-23
920000005	COUNTRY MANOR HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-19 00:00:00	920018004	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-13 00:00:00	2022-06-13 00:00:00	No	2022-10-10 00:00:00	None	B	None	2500	2500	0	2500	0	None	BQ1311	N	CA00788981	B	SFY2022-23
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-20 00:00:00	920018005	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-30 00:00:00	2022-06-30 00:00:00	No	2022-10-11 00:00:00	None	B	None	3000	9000	0	9000	0	None	EQ0L11	N	CA00792932	B	SFY2022-23
920000002	ASTORIA NURSING AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-20 00:00:00	920018006	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-07-29 00:00:00	2022-07-29 00:00:00	No	2022-10-11 00:00:00	None	B	None	2500	2500	-875	1625	0	None	MR8Y11	N	CA00796111	A	SFY2022-23
920000002	ASTORIA NURSING AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-20 00:00:00	920018007	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-07-29 00:00:00	2022-07-29 00:00:00	No	2022-10-11 00:00:00	None	B	None	2500	2500	-875	1625	0	None	MR8Y11	N	CA00796111	A	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-23 00:00:00	920018013	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-09-01 00:00:00	2022-09-01 00:00:00	No	2022-10-14 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	KYZY11	N	CA00800182	A	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-26 00:00:00	920018015	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-10-19 00:00:00	2021-10-19 00:00:00	No	2022-10-17 00:00:00	None	A	None	20000	20000	0	20000	0	None	5OAE11	N	CA00793738, CA00793738, CA00793738	B, B, B	SFY2022-23
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-28 00:00:00	920018018	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-08-29 00:00:00	2022-08-29 00:00:00	No	2022-10-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	9RPM11	N	CA00800175, CA00800175	B, B	SFY2022-23
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-30 00:00:00	920018025	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-08-01 00:00:00	2022-08-01 00:00:00	No	2022-10-21 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	N6EF11	Y	CA00796714	A	SFY2022-23
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-30 00:00:00	920018037	Closed	Citation	Citation B (HSC 1424)	Patient Care	Patient Care	2022-05-16 00:00:00	2022-05-16 00:00:00	Yes	2022-10-21 00:00:00	2022-10-18 00:00:00	B	B	2000	2250	-550	1700	0	None	7KZM11	N	CA00796094	B	SFY2022-23
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-10-06 00:00:00	920018054	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-03 00:00:00	2022-07-03 00:00:00	No	2022-10-27 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	7ISM11	N	CA00791771, CA00791771, CA00791771	B, B, B	SFY2022-23
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-10-07 00:00:00	920018064	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2022-08-27 00:00:00	2022-08-27 00:00:00	No	2022-10-28 00:00:00	None	B	None	2500	2500	-875	1625	0	None	ENLF11	N	CA00800404, CA00800404, CA00800642	A, A, A	SFY2022-23
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-10-14 00:00:00	920018085	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-28 00:00:00	2022-02-28 00:00:00	No	2022-11-04 00:00:00	None	A	None	25000	75000	-26250	48750	0	None	I4P411	N	CA00796130, CA00796130	B, B	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-10-20 00:00:00	920018100	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-04 00:00:00	2022-07-04 00:00:00	No	2022-11-10 00:00:00	None	A	None	25000	75000	-26250	48850	-100	None	GKAO11	N	CA00795570, CA00795570	B, B	SFY2022-23
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-10-21 00:00:00	920018105	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-09-01 00:00:00	2022-09-01 00:00:00	No	2022-11-14 00:00:00	None	B	None	3000	3000	0	3000	0	None	4V0B11	N	CA00801218, CA00803275	B, B	SFY2022-23
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-10-25 00:00:00	920018114	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2022-08-17 00:00:00	2022-08-17 00:00:00	No	2022-11-16 00:00:00	None	WF	None	3500	3500	0	3500	0	None	RK8P11	N	CA00798739	A	SFY2022-23
920000063	NORTHRIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-10-25 00:00:00	920018115	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-09 00:00:00	2022-09-09 00:00:00	Yes	2022-11-16 00:00:00	2022-11-08 00:00:00	A	B	20000	20000	0	20000	0	None	6UZR11	N	CA00802633, CA00803307	B, A	SFY2022-23
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-10-26 00:00:00	920018117	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-08-18 00:00:00	2022-09-10 00:00:00	No	2022-11-17 00:00:00	None	B	None	3000	4150	-1050	3100	0	None	T44K11	N	CA00802964	A	SFY2022-23
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-10-26 00:00:00	920018118	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-08-17 00:00:00	2022-09-10 00:00:00	No	2022-11-17 00:00:00	None	B	None	3000	4200	-1050	3150	0	None	T44K11	N	CA00802964, CA00802964	A, A	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-02 00:00:00	920018129	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-09-06 00:00:00	2022-09-06 00:00:00	No	2022-11-28 00:00:00	None	B	None	3000	3000	0	3000	0	None	7DYC11	N	CA00802192, CA00802192, CA00802192	A, A, A	SFY2022-23
910000334	WINDSOR GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-17 00:00:00	920018151	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-10-18 00:00:00	2022-10-18 00:00:00	No	2022-12-12 00:00:00	None	B	None	3000	5100	-1050	4050	0	None	9LNP11	N	CA00807802, CA00807802, CA00807802, CA00807802, CA00807802, CA00807802, CA00807802, CA00807802	A, A, A, A, A, A, A, A	SFY2022-23
910000334	WINDSOR GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-21 00:00:00	920018161	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-08-09 00:00:00	2022-08-09 00:00:00	No	2022-12-14 00:00:00	None	A	None	25000	25000	0	0	25000	None	B7BC11	N	CA00805294, CA00805799, CA00805799, CA00806200, CA00806200, CA00806200	B, A, A, A, A, A	SFY2022-23
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-21 00:00:00	920018163	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-14 00:00:00	2022-10-14 00:00:00	No	2022-12-14 00:00:00	None	A	None	25000	76500	-26250	50250	0	None	I18H11	N	CA00807580, CA00807580, CA00807580, CA00810538, CA00810538, CA00810538	B, B, B, A, A, A	SFY2022-23
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-21 00:00:00	920018164	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-05-23 00:00:00	2022-05-23 00:00:00	Yes	2022-12-14 00:00:00	2022-11-28 00:00:00	AA	None	120000	121200	0	0	121200	None	6N8W11	Y	CA00804866, CA00804866, CA00804866, CA00804866, CA00804866	A, A, A, A, A	SFY2022-23
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-23 00:00:00	920018168	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-10-09 00:00:00	2022-10-09 00:00:00	No	2022-12-16 00:00:00	None	B	None	3000	3000	0	0	3000	None	CRFS11	N	CA00807450	B	SFY2022-23
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-23 00:00:00	920018178	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Abuse Reporting	2022-08-19 00:00:00	2022-08-19 00:00:00	No	2022-12-16 00:00:00	None	B	None	3000	3000	0	3000	0	None	8KFG11	Y	CA00799946	B	SFY2022-23
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-23 00:00:00	920018179	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-08-18 00:00:00	2022-08-18 00:00:00	No	2022-12-16 00:00:00	None	A	None	25000	75050	0	0	75050	None	8KFG11	Y	CA00799946	B	SFY2022-23
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-23 00:00:00	920018181	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-07 00:00:00	2022-10-07 00:00:00	No	2022-12-15 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	4RLF11	N	CA00806550	B	SFY2022-23
920000030	THE HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-23 00:00:00	920018182	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2022-10-13 00:00:00	2022-10-13 00:00:00	No	2022-12-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4UMG11	N	None	None	SFY2022-23
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-02 00:00:00	920018204	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-05 00:00:00	2022-10-05 00:00:00	Yes	2022-12-23 00:00:00	2022-12-20 00:00:00	A	None	20000	20000	0	0	20000	None	5BOC11	N	CA00806278	B	SFY2022-23
920000083	CANYON OAKS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-09 00:00:00	920018232	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-18 00:00:00	2022-10-18 00:00:00	No	2022-12-30 00:00:00	None	A	None	20000	20000	0	20000	0	None	307F11	N	CA00808435	A	SFY2022-23
910000324	KENNEDY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-13 00:00:00	920018238	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-01 00:00:00	2022-09-01 00:00:00	No	2023-01-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OX1R11	N	CA00803715	B	SFY2022-23
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-14 00:00:00	920018243	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-23 00:00:00	2022-06-23 00:00:00	Yes	2023-01-05 00:00:00	2022-12-21 00:00:00	A	None	20000	20000	0	0	20000	None	OE2D11	N	CA00807110, CA00808300, CA00809042	B, B, B	SFY2022-23
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-14 00:00:00	920018244	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-09 00:00:00	2022-09-09 00:00:00	Yes	2023-01-05 00:00:00	2022-12-21 00:00:00	A	None	20000	20000	0	0	20000	None	OE2D11	N	CA00807110, CA00808300, CA00809042	B, B, B	SFY2022-23
910000073	BRENTWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-20 00:00:00	920018252	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-23 00:00:00	2022-09-23 00:00:00	No	2023-01-11 00:00:00	None	B	None	3000	3200	-1050	2150	0	None	PLVC11	Y	None	None	SFY2022-23
910000073	BRENTWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-20 00:00:00	920018254	Closed	Citation	Citation B (HSC 1424)	Administration	None	2022-11-18 00:00:00	2022-11-18 00:00:00	No	2023-01-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	PLVC11	N	None	None	SFY2022-23
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-22 00:00:00	920018258	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-10 00:00:00	2022-12-10 00:00:00	No	2023-01-13 00:00:00	None	A	None	20000	60000	0	60000	0	None	KM7211	N	CA00806850, CA00809985	B, A	SFY2022-23
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-28 00:00:00	920018265	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-13 00:00:00	2022-09-13 00:00:00	No	2023-01-20 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	9LIO11	N	CA00805475, CA00805475, CA00805475	B, B, B	SFY2022-23
910000320	GUARDIAN REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-29 00:00:00	920018272	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-03 00:00:00	2022-10-03 00:00:00	Yes	2023-01-23 00:00:00	2023-01-17 00:00:00	A	None	25000	25000	-8750	16250	0	None	K3T011	N	CA00806036, CA00806036	B, B	SFY2022-23
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-30 00:00:00	920018280	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-09-08 00:00:00	2022-09-08 00:00:00	Yes	2023-01-24 00:00:00	2023-01-23 00:00:00	AA	None	120000	120050	0	0	120050	None	NE3B11	Y	CA00803963, CA00803963	B, B	SFY2022-23
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-01-06 00:00:00	920018288	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-02-26 00:00:00	2021-02-26 00:00:00	No	2023-01-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	D6WB11	N	CA00810295	B	SFY2022-23
970000039	HOLLYWOOD PREMIER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-01-06 00:00:00	920018290	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-12 00:00:00	2022-10-12 00:00:00	No	2023-01-30 00:00:00	None	A	None	25000	25050	0	0	25050	None	R51711	N	CA00807085	B	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-01-11 00:00:00	920018297	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2022-09-30 00:00:00	2022-09-30 00:00:00	No	2023-02-02 00:00:00	None	WF	None	25000	25050	-8750	16300	0	None	RFZN11	None	CA00808935, CA00808935, CA00808935	B, B, B	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-01-11 00:00:00	920018299	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-29 00:00:00	2022-10-29 00:00:00	No	2023-02-02 00:00:00	None	A	None	25000	75000	-26250	48750	0	None	RFZN11	N	CA00808935, CA00808935, CA00808935	B, B, B	SFY2022-23
970000127	BURLINGTON CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-01-27 00:00:00	920018323	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-23 00:00:00	2022-11-23 00:00:00	No	2023-02-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KZV211	N	CA00812842	B	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-01-20 00:00:00	920018343	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-04-25 00:00:00	2022-04-25 00:00:00	No	2023-02-10 00:00:00	None	AA	None	120000	120000	0	120000	0	None	5FLI11	Y	CA00808938, CA00808938, CA00808938	A, A, A	SFY2022-23
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-01-25 00:00:00	920018355	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-12-02 00:00:00	2022-12-02 00:00:00	No	2023-02-15 00:00:00	None	AA	None	100000	100000	0	0	100000	None	UE8T11	Y	CA00815240	A	SFY2022-23
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-01-25 00:00:00	920018357	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-30 00:00:00	2022-10-30 00:00:00	No	2023-02-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	5YCJ11	N	CA00809685	B	SFY2022-23
920000089	THE REHABILITATION CENTER OF NORTH HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-02 00:00:00	920018373	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-11-04 00:00:00	2022-11-04 00:00:00	Yes	2023-02-24 00:00:00	2023-02-03 00:00:00	AA	None	100000	100000	0	0	100000	None	DWCJ11	Y	CA00811583	A	SFY2022-23
910000332	THE REHABILITATION CENTER ON PICO	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-10 00:00:00	920018386	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-11-06 00:00:00	2022-11-06 00:00:00	No	2023-03-06 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	EYGB11	N	CA00815155, CA00815155, CA00815155	B, B, B	SFY2022-23
910000032	CULVER WEST HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-10 00:00:00	920018390	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-12-17 00:00:00	2022-12-17 00:00:00	No	2023-03-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	57U911	N	CA00821000	B	SFY2022-23
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-16 00:00:00	920018417	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-22 00:00:00	2022-12-22 00:00:00	No	2023-03-10 00:00:00	None	A	None	25000	75100	0	0	75100	None	O1L911	N	CA00818204, CA00818204	A, A	SFY2022-23
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-16 00:00:00	920018418	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-11-01 00:00:00	2022-11-01 00:00:00	No	2023-03-10 00:00:00	None	A	None	25000	75050	-26250	48800	0	None	O1L911	N	CA00818204, CA00818204	A, A	SFY2022-23
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-17 00:00:00	920018423	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-11-11 00:00:00	2022-11-11 00:00:00	No	2023-03-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	35JC11	N	CA00814288, CA00814288, CA00814288, CA00814288	B, B, B, B	SFY2022-23
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-16 00:00:00	920018424	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-22 00:00:00	2022-12-22 00:00:00	No	2023-03-10 00:00:00	None	B	None	3000	3100	0	3100	0	None	O1L911	N	CA00818204, CA00818204	A, A	SFY2022-23
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-17 00:00:00	920018426	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-11 00:00:00	2022-11-11 00:00:00	No	2023-03-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	35JC11	N	CA00814288, CA00814288, CA00814288	B, B, B	SFY2022-23
970000039	HOLLYWOOD PREMIER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-23 00:00:00	920018438	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-24 00:00:00	2022-11-24 00:00:00	No	2023-03-16 00:00:00	None	B	None	3000	3000	0	3000	0	None	NT0O11	N	CA00813566, CA00813566	B, B	SFY2022-23
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-28 00:00:00	920018442	Closed	Citation	Citation B (HSC 1424)	Administration	None	2022-05-15 00:00:00	2022-05-15 00:00:00	No	2023-03-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JFC511	N	None	None	SFY2022-23
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-28 00:00:00	920018443	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-01-06 00:00:00	2023-01-06 00:00:00	No	2023-03-21 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	YXMD11	None	CA00819468, CA00819468	B, B	SFY2022-23
920000062	EISENBERG VILLAGE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-28 00:00:00	920018444	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-05-17 00:00:00	2022-05-17 00:00:00	No	2023-03-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	W7R611	N	CA00820553	B	SFY2022-23
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-01 00:00:00	920018457	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-05 00:00:00	2023-01-05 00:00:00	No	2023-03-22 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	RL3Y11	N	CA00819636, CA00819636, CA00819819, CA00819819, CA00819819	A, A, B, B, B	SFY2022-23
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-01 00:00:00	920018458	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-01-20 00:00:00	2023-01-20 00:00:00	No	2023-03-22 00:00:00	None	B	None	3000	3000	0	0	3000	None	6KT811	N	CA00818466, CA00818466, CA00818466	B, B, B	SFY2022-23
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-02 00:00:00	920018460	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-12-11 00:00:00	2022-12-11 00:00:00	No	2023-03-23 00:00:00	None	B	None	3000	9000	0	9000	0	None	BIO111	N	CA00816111, CA00821037, CA00821037, CA00821037	B, B, B, B	SFY2022-23
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-09 00:00:00	920018481	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-01-25 00:00:00	2023-01-25 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3WEL11	N	CA00822505, CA00822505, CA00822505	A, A, A	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-08 00:00:00	920018485	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-05 00:00:00	2023-01-05 00:00:00	No	2023-03-29 00:00:00	None	B	None	3000	3200	0	3200	0	None	471C11	N	CA00819585	B	SFY2022-23
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-10 00:00:00	920018487	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-02 00:00:00	2023-02-02 00:00:00	No	2023-04-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	OD5K11	N	CA00825306, CA00825809	A, B	SFY2022-23
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-10 00:00:00	920018488	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-02 00:00:00	2023-02-02 00:00:00	No	2023-04-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	OD5K11	N	None	None	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-15 00:00:00	920018508	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-03 00:00:00	2023-01-03 00:00:00	No	2023-04-06 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	5BW911	Y	CA00818458, CA00818458, CA00818458, CA00818458, CA00818458, CA00818974	B, B, B, B, B, A	SFY2022-23
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-17 00:00:00	920018524	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-01 00:00:00	2023-01-01 00:00:00	No	2023-04-10 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	SSH811	N	None	None	SFY2022-23
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-17 00:00:00	920018525	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-22 00:00:00	2019-11-22 00:00:00	No	2023-04-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	SSH811	N	None	None	SFY2022-23
630016910	THE ELLISON JOHN TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-17 00:00:00	920018526	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-23 00:00:00	2022-09-23 00:00:00	No	2023-04-10 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	L5ZC11	N	CA00824455	B	SFY2022-23
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-22 00:00:00	920018552	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-02 00:00:00	2022-12-02 00:00:00	No	2023-04-13 00:00:00	None	A	None	20000	20000	0	20000	0	None	I7G211	N	CA00814795, CA00814795	A, A	SFY2022-23
910000019	NEW VISTA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-03 00:00:00	920018579	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-02-27 00:00:00	2023-02-27 00:00:00	No	2023-04-24 00:00:00	None	WF	None	3500	3500	0	3500	0	None	JJ5411	N	CA00827951, CA00827951, CA00827951	B, B, B	SFY2022-23
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-29 00:00:00	920018593	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-16 00:00:00	2023-03-16 00:00:00	No	2023-04-20 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	1NI611	N	CA00830115, CA00830115	B, B	SFY2022-23
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-12 00:00:00	920018594	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-02-03 00:00:00	2023-02-03 00:00:00	No	2023-05-03 00:00:00	None	B	None	3000	3150	0	3150	0	None	C5HK11	N	CA00825857, CA00825857, CA00825857, CA00825857, CA00825857	B, B, B, B, B	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-04 00:00:00	920018600	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-01-15 00:00:00	2023-01-15 00:00:00	No	2023-04-25 00:00:00	None	WF	None	7500	7800	0	7800	0	None	IJ4K11	None	CA00826109, CA00826109, CA00826109	B, B, B	SFY2022-23
970000127	BURLINGTON CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-12 00:00:00	920018601	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-03 00:00:00	2023-01-03 00:00:00	No	2023-05-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	F68B11	N	None	None	SFY2022-23
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-04 00:00:00	920018602	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-02-15 00:00:00	2023-02-15 00:00:00	No	2023-04-25 00:00:00	None	B	None	3000	3250	-1050	2200	0	None	SP3Z11	N	None	None	SFY2022-23
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-12 00:00:00	920018617	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-02-07 00:00:00	2023-02-07 00:00:00	No	2023-05-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	LGNH11	N	CA00825756	B	SFY2022-23
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-12 00:00:00	920018618	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-07 00:00:00	2023-02-07 00:00:00	No	2023-05-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	LGNH11	N	CA00825756	B	SFY2022-23
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-10 00:00:00	920018621	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-01 00:00:00	2023-03-01 00:00:00	No	2023-05-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	LEDL11	N	CA00826544, CA00826544, CA00826544, CA00826544, CA00826544	B, B, B, B, B	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-13 00:00:00	920018628	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-23 00:00:00	2023-02-23 00:00:00	No	2023-05-04 00:00:00	None	B	None	3000	3350	-1050	2300	0	None	8U1N11	N	CA00828659, CA00828659	B, B	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-13 00:00:00	920018629	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-23 00:00:00	2023-02-23 00:00:00	No	2023-05-04 00:00:00	None	B	None	3000	3350	-1050	2300	0	None	8U1N11	N	CA00828659, CA00828659, CA00828659	B, B, B	SFY2022-23
920000085	WEST VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-14 00:00:00	920018635	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-02 00:00:00	2023-03-02 00:00:00	No	2023-05-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	254P11	N	CA00829320	A	SFY2022-23
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-18 00:00:00	920018645	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-04 00:00:00	2023-03-04 00:00:00	No	2023-05-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ZBVX11	N	CA00830175, CA00830175	B, B	SFY2022-23
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-20 00:00:00	920018652	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-16 00:00:00	2023-03-16 00:00:00	No	2023-05-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	9BFT11	N	CA00831667, CA00831700, CA00833516	A, A, B	SFY2022-23
910000019	NEW VISTA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-21 00:00:00	920018658	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-20 00:00:00	2023-02-20 00:00:00	No	2023-05-12 00:00:00	None	B	None	3000	3000	0	3000	0	None	FJ3S11	Y	CA00828184, CA00828184, CA00828184, CA00828860, CA00828860, CA00829199, CA00829199, CA00829199, CA00829199	A, A, A, A, A, A, A, A, A	SFY2022-23
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-20 00:00:00	920018659	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-10 00:00:00	2023-02-10 00:00:00	No	2023-05-11 00:00:00	None	A	None	25000	25000	0	0	25000	None	KLID11	N	CA00826514, CA00826514, CA00826514	B, B, B	SFY2022-23
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-21 00:00:00	920018664	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-14 00:00:00	2022-10-14 00:00:00	Yes	2023-05-12 00:00:00	2023-05-04 00:00:00	A	A	25000	58000	0	58000	0	None	F8FA11	N	CA00826064, CA00826064, CA00826064, CA00826064	B, B, B, B	SFY2022-23
910000316	WEST PICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-21 00:00:00	920018668	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-17 00:00:00	2023-02-17 00:00:00	Yes	2023-05-12 00:00:00	2023-05-12 00:00:00	A	None	25000	75000	0	0	75000	None	ZMPV11	N	CA00827754, CA00827754, CA00827754, CA00827754, CA00827754, CA00827754, CA00827754	A, A, A, A, A, A, A	SFY2022-23
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-25 00:00:00	920018683	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-23 00:00:00	2023-01-23 00:00:00	No	2023-05-16 00:00:00	None	B	None	3000	3000	0	3000	0	None	XR5H11	N	CA00824554, CA00824554	B, B	SFY2022-23
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-25 00:00:00	920018684	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-23 00:00:00	2023-01-23 00:00:00	No	2023-05-16 00:00:00	None	B	None	3000	3000	0	3000	0	None	XR5H11	N	CA00824554, CA00824554	B, B	SFY2022-23
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-25 00:00:00	920018687	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-15 00:00:00	2023-03-15 00:00:00	No	2023-05-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	BP5511	N	CA00829759, CA00829759, CA00829759	B, B, B	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-26 00:00:00	920018689	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-21 00:00:00	2023-02-21 00:00:00	No	2023-05-17 00:00:00	None	B	None	3000	3150	-1050	2100	0	None	CYUT11	N	CA00827857	B	SFY2022-23
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-26 00:00:00	920018691	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-15 00:00:00	2023-03-15 00:00:00	No	2023-05-17 00:00:00	None	B	None	3000	3100	0	0	3100	None	MEKQ11	N	CA00829943, CA00829943, CA00829943	B, B, B	SFY2022-23
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-25 00:00:00	920018694	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-15 00:00:00	2023-03-15 00:00:00	No	2023-05-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	BP5511	N	CA00829759, CA00829759, CA00829759, CA00829759	B, B, B, B	SFY2022-23
910000334	WINDSOR GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-27 00:00:00	920018698	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-22 00:00:00	2021-05-22 00:00:00	No	2023-05-18 00:00:00	None	A	None	20000	20000	0	0	20000	None	MTT611	Y	CA00824652, CA00824652, CA00824652, CA00824652, CA00824652, CA00824652	B, B, B, B, B, B	SFY2022-23
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-27 00:00:00	920018700	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-03-05 00:00:00	2023-03-05 00:00:00	No	2023-05-18 00:00:00	None	AA	None	120000	120000	-42000	78000	0	None	AK4X11	Y	CA00830041, CA00830325, CA00831186	A, B, A	SFY2022-23
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-28 00:00:00	920018705	Closed	Citation	Citation A (HSC 1424)	Medication	None	2023-02-09 00:00:00	2023-02-09 00:00:00	No	2023-05-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	5E1P11	N	CA00831645, CA00831645	B, B	SFY2022-23
970000009	VIEW PARK CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-10 00:00:00	920018730	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-18 00:00:00	2023-03-18 00:00:00	Yes	2023-06-01 00:00:00	2023-05-12 00:00:00	A	None	20000	20000	0	0	20000	None	7YUG11	N	CA00832171, CA00832171	A, A	SFY2022-23
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-11 00:00:00	920018736	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-03-21 00:00:00	2023-03-21 00:00:00	Yes	2023-06-02 00:00:00	2023-05-26 00:00:00	WF	None	3500	5000	0	0	5000	None	PDZM11	None	CA00831291, CA00831291	B, B	SFY2022-23
920000002	ASTORIA NURSING AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-11 00:00:00	920018745	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2021-11-21 00:00:00	2021-11-21 00:00:00	No	2023-06-02 00:00:00	None	WF	None	3000	3000	-1050	1950	0	None	4SX211	None	CA00834790, CA00834961, CA00834961, CA00834961, CA00834961	B, B, B, B, B	SFY2022-23
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-11 00:00:00	920018747	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-05-17 00:00:00	2022-05-17 00:00:00	No	2023-06-02 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	1QF411	N	CA00830835	B	SFY2022-23
920000050	CALIFORNIA HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-16 00:00:00	920018748	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-03-09 00:00:00	2023-03-09 00:00:00	Yes	2023-06-07 00:00:00	2023-05-17 00:00:00	AA	None	100000	100000	0	0	100000	None	7IZ611	Y	CA00830569	A	SFY2022-23
910000089	VISTA DEL SOL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-12 00:00:00	920018750	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-08 00:00:00	2023-03-08 00:00:00	No	2023-06-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JCWJ11	N	CA00830244	B	SFY2022-23
930001552	SHERMAN OAKS HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-12 00:00:00	920018751	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-31 00:00:00	2023-03-31 00:00:00	No	2023-06-05 00:00:00	None	B	None	3000	3000	0	3000	0	None	I3ZW11	N	None	None	SFY2022-23
920000292	ARARAT NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-01 00:00:00	920018759	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-03-11 00:00:00	2023-03-11 00:00:00	Yes	2023-06-22 00:00:00	2023-06-14 00:00:00	A	None	25000	25000	0	0	25000	None	TQS211	Y	CA00831523, CA00831523, CA00831523, CA00833802, CA00833802, CA00838613, CA00838613	A, A, A, B, B, B, B	SFY2022-23
920000310	THE GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-17 00:00:00	920018760	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-01 00:00:00	2023-02-01 00:00:00	No	2023-06-08 00:00:00	None	A	None	25000	75000	0	75000	0	None	QBP211	N	CA00832328, CA00833058	B, B	SFY2022-23
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-18 00:00:00	920018764	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-17 00:00:00	2023-04-17 00:00:00	No	2023-06-09 00:00:00	None	B	None	3000	9000	0	0	9000	None	TUFL11	N	CA00836735	B	SFY2022-23
910000013	BERKLEY WEST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-23 00:00:00	920018782	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-27 00:00:00	2023-03-27 00:00:00	No	2023-06-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	LFM311	N	CA00834053, CA00834053	B, B	SFY2022-23
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-25 00:00:00	920018794	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-07 00:00:00	2023-03-07 00:00:00	No	2023-06-16 00:00:00	None	B	None	3000	3000	0	3000	0	None	SU9D11	N	CA00829513, CA00829513, CA00829513, CA00830059, CA00830059, CA00830268, CA00830268	B, B, B, A, A, A, A	SFY2022-23
920000089	THE REHABILITATION CENTER OF NORTH HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-01 00:00:00	920018813	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-27 00:00:00	2022-12-27 00:00:00	No	2023-06-22 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	H4PL11	N	CA00835739, CA00836105, CA00837110	B, B, B	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-02 00:00:00	920018822	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-12-27 00:00:00	2022-12-27 00:00:00	Yes	2023-06-23 00:00:00	2023-06-12 00:00:00	AA	None	120000	120150	0	0	120150	None	IJ4K11	Y	CA00826109, CA00826109, CA00826109, CA00826109	B, B, B, B	SFY2022-23
970000062	GARDEN CREST REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-06 00:00:00	920018831	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-30 00:00:00	2023-04-30 00:00:00	No	2023-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	C56911	N	CA00838749	B	SFY2022-23
970000062	GARDEN CREST REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-06 00:00:00	920018833	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-30 00:00:00	2023-04-30 00:00:00	No	2023-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	C56911	N	CA00838749, CA00838749	B, B	SFY2022-23
920000055	GRAND VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-08 00:00:00	920018836	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-28 00:00:00	2023-04-28 00:00:00	No	2023-06-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	YCP711	N	CA00838604	B	SFY2022-23
910000013	BERKLEY WEST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-08 00:00:00	920018837	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-24 00:00:00	2023-04-24 00:00:00	No	2023-06-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	GG3911	N	CA00838157, CA00838157, CA00838157	A, A, A	SFY2022-23
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-09 00:00:00	920018842	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-17 00:00:00	2023-04-17 00:00:00	Yes	2023-06-30 00:00:00	2023-06-27 00:00:00	A	None	25000	75000	0	0	75000	None	MZ0511	N	CA00833612, CA00833612, CA00833624, CA00833624, CA00833908, CA00833908	B, B, B, B, B, B	SFY2022-23
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-09 00:00:00	920018843	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-04-12 00:00:00	2023-04-12 00:00:00	No	2023-06-30 00:00:00	None	B	None	3000	3000	0	3000	0	None	MZ0511	N	CA00833612, CA00833624, CA00833908, CA00835726	B, B, B, A	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-13 00:00:00	920018850	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-12 00:00:00	2023-04-12 00:00:00	No	2023-07-05 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	7QNW11	N	CA00836963, CA00836963	B, B	SFY2022-23
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-14 00:00:00	920018854	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-22 00:00:00	2023-04-22 00:00:00	No	2023-07-06 00:00:00	None	B	None	3000	4000	0	4000	0	None	6M5711	N	CA00837885, CA00840434	B, B	SFY2022-23
970000129	ALVARADO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-14 00:00:00	920018860	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-28 00:00:00	2023-04-28 00:00:00	No	2023-07-06 00:00:00	None	B	None	3000	3000	0	3000	0	None	3OJ811	N	CA00838716, CA00838733, CA00839236, CA00839236	A, B, B, B	SFY2022-23
970000129	ALVARADO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-14 00:00:00	920018861	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-28 00:00:00	2023-04-28 00:00:00	No	2023-07-06 00:00:00	None	B	None	3000	3000	0	3000	0	None	3OJ811	N	CA00838716, CA00838716, CA00838733, CA00838733, CA00839236, CA00839236, CA00839236	A, A, B, B, B, B, B	SFY2022-23
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-21 00:00:00	920018888	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-14 00:00:00	2023-03-14 00:00:00	Yes	2023-07-13 00:00:00	2023-06-30 00:00:00	A	None	25000	75050	0	0	75050	None	6OY311	N	CA00831494, CA00832076	B, B	SFY2022-23
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-26 00:00:00	920018898	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-16 00:00:00	2023-05-16 00:00:00	No	2023-07-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QITT11	N	None	None	SFY2022-23
910000089	VISTA DEL SOL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-29 00:00:00	920018899	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-02 00:00:00	2023-05-02 00:00:00	Yes	2023-07-21 00:00:00	2023-07-21 00:00:00	A	None	20000	20000	0	0	20000	None	DXZ211	N	CA00839086	B	SFY2022-23
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-28 00:00:00	920018901	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-04-01 00:00:00	2023-04-01 00:00:00	No	2023-07-20 00:00:00	None	WF	None	3500	4300	0	0	4300	None	6D5S11	None	CA00839581, CA00839835, CA00840441	B, B, A	SFY2022-23
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-30 00:00:00	920018902	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-17 00:00:00	2023-05-17 00:00:00	No	2023-07-24 00:00:00	None	B	None	3000	3000	0	3000	0	None	K32211	N	CA00840990, CA00840990, CA00840990, CA00840990	B, B, B, B	SFY2022-23
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-30 00:00:00	920018903	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-05-22 00:00:00	2023-05-22 00:00:00	No	2023-07-24 00:00:00	None	WF	None	3500	3500	0	2275	1225	None	4MEI11	None	CA00839798, CA00839798	B, B	SFY2022-23
920000062	EISENBERG VILLAGE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-29 00:00:00	920018908	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-23 00:00:00	2023-05-23 00:00:00	Yes	2023-07-21 00:00:00	2023-07-06 00:00:00	A	None	25000	25000	0	0	25000	None	87VO11	N	CA00842317	A	SFY2022-23
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-13 00:00:00	920018949	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-05-10 00:00:00	2023-05-10 00:00:00	No	2023-08-03 00:00:00	None	B	None	3000	3850	0	3000	850	None	MXTJ11	N	CA00843072, CA00843072	A, A	SFY2023-24
920000085	WEST VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-14 00:00:00	920018950	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-19 00:00:00	2023-05-19 00:00:00	No	2023-08-04 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	SKQY11	N	CA00842577, CA00842577, CA00842577, CA00842577, CA00842577	A, A, A, A, A	SFY2023-24
910000075	OCEAN PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-14 00:00:00	920018952	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-13 00:00:00	2022-12-13 00:00:00	No	2023-08-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	L3VD11	Y	CA00844353	A	SFY2023-24
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-14 00:00:00	920018954	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-06-07 00:00:00	2023-06-07 00:00:00	No	2023-08-04 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	UTK711	N	CA00843640, CA00843640, CA00843640, CA00843640, CA00843640, CA00843640, CA00843644, CA00843644	B, B, B, B, B, B, B, B	SFY2023-24
920000077	ALAMEDA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-20 00:00:00	920018975	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-25 00:00:00	2023-05-25 00:00:00	Yes	2023-08-10 00:00:00	2023-07-27 00:00:00	A	None	20000	20000	0	0	20000	None	G4GN11	N	CA00842827, CA00843578	B, B	SFY2023-24
910000006	OCEAN POINTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-08-11 00:00:00	920018987	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-02-18 00:00:00	2023-02-18 00:00:00	No	2023-09-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	HG2T11	N	CA00846684	A	SFY2023-24
910000019	NEW VISTA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-21 00:00:00	920018990	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-02-18 00:00:00	2023-02-18 00:00:00	No	2023-08-11 00:00:00	None	WF	None	3500	3500	0	3500	0	None	ZJB911	None	CA00843575	B	SFY2023-24
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-24 00:00:00	920018993	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-06-26 00:00:00	2023-06-26 00:00:00	No	2023-08-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	625I11	N	CA00845240	B	SFY2023-24
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-28 00:00:00	920019006	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-16 00:00:00	2023-06-16 00:00:00	No	2023-08-18 00:00:00	None	B	None	3000	4000	-1050	1950	1000	None	NC6P11	N	CA00847031	A	SFY2023-24
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-08-04 00:00:00	920019030	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-17 00:00:00	2023-06-17 00:00:00	No	2023-08-25 00:00:00	None	A	None	20000	20000	0	0	20000	None	2VXH11	N	CA00846533, CA00846533, CA00846533	A, A, A	SFY2023-24
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-08-07 00:00:00	920019035	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-06-19 00:00:00	2023-06-19 00:00:00	No	2023-08-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	39QO11	N	CA00846568, CA00846568	B, B	SFY2023-24
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-08-14 00:00:00	920019044	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-13 00:00:00	2023-07-13 00:00:00	Yes	2023-09-05 00:00:00	2023-08-29 00:00:00	A	None	20000	20650	0	0	20650	None	HJ8311	N	CA00850219, CA00850219, CA00850219	A, A, A	SFY2023-24
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-08-10 00:00:00	920019049	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-06-06 00:00:00	2023-06-06 00:00:00	No	2023-08-31 00:00:00	None	B	None	3000	3100	0	0	3100	None	Q6WS11	N	CA00845288, CA00845288, CA00845288	A, A, A	SFY2023-24
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-08-11 00:00:00	920019054	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-05 00:00:00	2023-04-05 00:00:00	Yes	2023-09-01 00:00:00	2023-08-31 00:00:00	A	None	25000	75000	0	0	75000	None	MVNF11	N	CA00844567, CA00844567, CA00844567, CA00844567, CA00844672, CA00844672, CA00844672, CA00844672, CA00844672	B, B, B, B, B, B, B, B, B	SFY2023-24
970000001	ALCOTT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-08-18 00:00:00	920019074	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-17 00:00:00	2023-06-17 00:00:00	No	2023-09-11 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	YDCF11	Y	CA00847057	A	SFY2023-24
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-08-22 00:00:00	920019085	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-05-11 00:00:00	2023-05-11 00:00:00	No	2023-09-13 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	RCJC11	N	CA00851635, CA00851635	B, B	SFY2023-24
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-08-23 00:00:00	920019089	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-17 00:00:00	2023-06-17 00:00:00	No	2023-09-14 00:00:00	None	B	None	3000	3000	0	3000	0	None	MRHB11	N	CA00846711, CA00846711	B, B	SFY2023-24
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-01 00:00:00	920019118	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-18 00:00:00	2023-07-18 00:00:00	Yes	2023-09-25 00:00:00	2023-09-13 00:00:00	A	None	25000	25000	0	0	25000	None	PVH911	N	CA00851256, CA00851256, CA00851256	A, A, A	SFY2023-24
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-01 00:00:00	920019127	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-18 00:00:00	2023-07-18 00:00:00	No	2023-09-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EEQZ11	N	CA00851223, CA00851223	A, A	SFY2023-24
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-06 00:00:00	920019130	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-27 00:00:00	2023-07-27 00:00:00	No	2023-09-27 00:00:00	None	B	None	3000	3000	0	0	3000	None	FMZ611	N	CA00852599, CA00852599, CA00852599, CA00852599, CA00852599	A, A, A, A, A	SFY2023-24
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-07 00:00:00	920019139	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-05-04 00:00:00	2023-05-04 00:00:00	Yes	2023-09-28 00:00:00	2023-09-27 00:00:00	AA	None	120000	120000	0	0	120000	None	K5X311	Y	CA00849619, CA00849619, CA00849619, CA00849619, CA00849619, CA00849619, CA00849619, CA00851412, CA00851412, CA00851412, CA00851412	B, B, B, B, B, B, B, A, A, A, A	SFY2023-24
910000075	OCEAN PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-12 00:00:00	920019149	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-03 00:00:00	2023-08-03 00:00:00	No	2023-10-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	IJ3U11	N	CA00851736	B	SFY2023-24
910000075	OCEAN PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-12 00:00:00	920019154	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-03 00:00:00	2023-08-03 00:00:00	No	2023-10-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	IJ3U11	N	CA00851736	B	SFY2023-24
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-19 00:00:00	920019173	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-09 00:00:00	2023-08-09 00:00:00	No	2023-10-10 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	D17111	N	CA00856967	B	SFY2023-24
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-19 00:00:00	920019176	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-08 00:00:00	2023-08-08 00:00:00	No	2023-10-10 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	D17111	N	CA00856967, CA00856967	B, B	SFY2023-24
920000089	THE REHABILITATION CENTER OF NORTH HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-21 00:00:00	920019185	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-09 00:00:00	2023-08-09 00:00:00	No	2023-10-12 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	747F11	N	CA00850756, CA00850756	A, A	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-22 00:00:00	920019189	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-08 00:00:00	2023-08-08 00:00:00	No	2023-10-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	6ESM11	N	CA00854733, CA00854733, CA00854733	A, A, A	SFY2023-24
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-21 00:00:00	920019190	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-09-01 00:00:00	2023-09-01 00:00:00	No	2023-10-12 00:00:00	None	B	None	3000	9250	0	9000	250	None	8Z7W11	N	CA00858758, CA00858758	B, B	SFY2023-24
630016910	THE ELLISON JOHN TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-22 00:00:00	920019194	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-04 00:00:00	2023-08-04 00:00:00	No	2023-10-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	EER611	N	CA00854963, CA00856009, CA00856009	A, B, B	SFY2023-24
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-25 00:00:00	920019199	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-05 00:00:00	2023-08-05 00:00:00	Yes	2023-10-16 00:00:00	2023-09-26 00:00:00	A	None	25000	25000	0	0	25000	None	DERK11	N	CA00854694, CA00854694, CA00854694	B, B, B	SFY2023-24
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-27 00:00:00	920019209	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-18 00:00:00	2023-08-18 00:00:00	No	2023-10-18 00:00:00	None	A	None	25000	75000	0	0	75000	None	GV6911	N	CA00856730, CA00856730	B, B	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-28 00:00:00	920019210	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-13 00:00:00	2023-08-13 00:00:00	Yes	2023-10-19 00:00:00	2023-10-13 00:00:00	A	None	25000	25000	0	0	25000	None	LQ1P11	N	CA00855844, CA00855844	A, A	SFY2023-24
920000074	PROVIDENCE ST. ELIZABETH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-28 00:00:00	920019213	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2023-06-03 00:00:00	2023-06-03 00:00:00	No	2023-10-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	501T11	N	CA00854465, CA00854465	B, B	SFY2023-24
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-29 00:00:00	920019216	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-12 00:00:00	2023-06-12 00:00:00	No	2023-10-20 00:00:00	None	B	None	3000	3150	0	3000	150	None	E7H011	Y	CA00856680, CA00856680, CA00856680, CA00856680, CA00856680, CA00856680, CA00856680	B, B, B, B, B, B, B	SFY2023-24
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-04 00:00:00	920019226	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-04 00:00:00	2023-07-04 00:00:00	No	2023-10-25 00:00:00	None	B	None	3000	3000	0	3000	0	None	XW0E11	N	CA00855873	B	SFY2023-24
970000062	GARDEN CREST REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-04 00:00:00	920019227	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-06 00:00:00	2023-07-06 00:00:00	No	2023-10-25 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	JHR511	N	CA00854393, CA00854393, CA00854393	B, B, B	SFY2023-24
970000062	GARDEN CREST REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-05 00:00:00	920019229	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-06 00:00:00	2023-07-06 00:00:00	No	2023-10-26 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	JHR511	N	CA00854393, CA00854393, CA00854393, CA00854393	B, B, B, B	SFY2023-24
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-06 00:00:00	920019239	Open	Citation	Citation A (HSC 1424)	Problem Transfer	None	2023-08-01 00:00:00	2023-08-01 00:00:00	Yes	2023-10-27 00:00:00	2023-10-23 00:00:00	A	None	25000	25000	0	0	25000	None	8U8Q11	N	CA00856456, CA00856456, CA00856456	A, A, A	SFY2023-24
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-06 00:00:00	920019240	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-07-05 00:00:00	2023-07-05 00:00:00	Yes	2023-10-27 00:00:00	2023-10-11 00:00:00	AA	None	120000	120000	0	0	120000	None	RVW111	Y	CA00851408, CA00852892	B, B	SFY2023-24
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-11 00:00:00	920019249	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-20 00:00:00	2023-08-20 00:00:00	No	2023-11-01 00:00:00	None	A	None	25000	25000	0	25000	0	None	4QQ711	N	CA00856712	A	SFY2023-24
910000006	OCEAN POINTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-10 00:00:00	920019250	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-18 00:00:00	2023-07-18 00:00:00	Yes	2023-10-31 00:00:00	2023-10-18 00:00:00	A	None	20000	20000	0	0	20000	None	EH6911	Y	CA00857495, CA00857495, CA00857495	A, A, A	SFY2023-24
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-13 00:00:00	920019257	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-09-01 00:00:00	2023-09-01 00:00:00	No	2023-11-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WQUE11	N	CA00858864	A	SFY2023-24
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-13 00:00:00	920019258	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-20 00:00:00	2023-08-20 00:00:00	No	2023-11-03 00:00:00	None	B	None	3000	4050	0	3000	1050	None	Y8JI11	N	CA00857869	A	SFY2023-24
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-13 00:00:00	920019260	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-12 00:00:00	2023-09-12 00:00:00	No	2023-11-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	LLOG11	N	CA00860554	B	SFY2023-24
920000310	THE GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-16 00:00:00	920019262	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-09-20 00:00:00	2023-09-20 00:00:00	No	2023-11-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	XH7F11	N	CA00862541	A	SFY2023-24
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-16 00:00:00	920019264	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-08-22 00:00:00	2023-08-23 00:00:00	No	2023-11-06 00:00:00	None	B	None	3000	3050	-1050	1982.5	17.5	None	TFGG11	N	CA00857104	A	SFY2023-24
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-19 00:00:00	920019275	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-21 00:00:00	2023-09-21 00:00:00	No	2023-11-09 00:00:00	None	B	None	3000	9000	0	0	9000	None	FMZ612	N	None	None	SFY2023-24
910000332	THE REHABILITATION CENTER ON PICO	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-19 00:00:00	920019282	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-31 00:00:00	2023-08-31 00:00:00	No	2023-11-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	TNWO11	N	CA00859602	A	SFY2023-24
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-20 00:00:00	920019285	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-03 00:00:00	2023-09-03 00:00:00	No	2023-11-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WQUE11	N	CA00858864, CA00858864	A, A	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-24 00:00:00	920019294	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-20 00:00:00	2023-09-20 00:00:00	No	2023-11-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	DVQX11	N	CA00862415, CA00862415, CA00862415	A, A, A	SFY2023-24
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-26 00:00:00	920019303	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-03 00:00:00	2023-09-03 00:00:00	No	2023-11-17 00:00:00	None	B	None	3000	3000	0	0	3000	None	EMQT11	N	CA00860073, CA00860073, CA00860073, CA00860073, CA00860073, CA00860073	A, A, A, A, A, A	SFY2023-24
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-26 00:00:00	920019304	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-03 00:00:00	2023-10-03 00:00:00	No	2023-11-17 00:00:00	None	B	None	3000	3000	0	0	3000	None	EMQT11	N	CA00860073, CA00860073, CA00860073, CA00860073, CA00860073, CA00860073	A, A, A, A, A, A	SFY2023-24
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-27 00:00:00	920019307	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-09-01 00:00:00	2023-09-01 00:00:00	No	2023-11-20 00:00:00	None	WF	None	3500	3500	0	3500	0	None	G0O511	None	CA00859647	A	SFY2023-24
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-27 00:00:00	920019308	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-06 00:00:00	2023-09-06 00:00:00	No	2023-11-20 00:00:00	None	A	None	25000	25000	0	0	25000	None	G0O511	N	CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647	A, A, A, A, A, A, A, A, A	SFY2023-24
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-27 00:00:00	920019316	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-05-20 00:00:00	2023-05-20 00:00:00	Yes	2023-11-20 00:00:00	2023-11-02 00:00:00	A	None	25000	25000	0	0	25000	None	L8WX11	N	CA00859648, CA00859916, CA00859916, CA00860041, CA00860041	B, A, A, A, A	SFY2023-24
910000032	CULVER WEST HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-01 00:00:00	920019324	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-23 00:00:00	2023-08-23 00:00:00	No	2023-11-27 00:00:00	None	A	None	20000	20000	0	20000	0	None	VXHD11	N	CA00858162, CA00858162, CA00858162	A, A, A	SFY2023-24
910000332	THE REHABILITATION CENTER ON PICO	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-31 00:00:00	920019326	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-05 00:00:00	2023-09-05 00:00:00	No	2023-11-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	V3JJ11	N	CA00859505	B	SFY2023-24
920000083	CANYON OAKS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-02 00:00:00	920019330	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-27 00:00:00	2023-08-27 00:00:00	No	2023-11-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	UXTM11	N	CA00859259, CA00859259, CA00859259, CA00859665, CA00859665, CA00859665	B, B, B, B, B, B	SFY2023-24
920000056	THE MEADOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-03 00:00:00	920019338	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-05 00:00:00	2023-09-05 00:00:00	No	2023-11-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MFYK11	Y	CA00859104	B	SFY2023-24
970000009	VIEW PARK CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-03 00:00:00	920019342	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-28 00:00:00	2023-08-28 00:00:00	Yes	2023-11-29 00:00:00	2023-11-08 00:00:00	A	None	25000	25000	0	0	25000	None	FM8F11	N	CA00862088, CA00862088, CA00862088, CA00862088, CA00862990, CA00862990, CA00862990	A, A, A, A, A, A, A	SFY2023-24
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-09 00:00:00	920019354	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-09-25 00:00:00	2023-09-25 00:00:00	No	2023-12-05 00:00:00	None	WF	None	3500	3500	0	0	3500	None	ND9I11	None	None	None	SFY2023-24
920000086	GRANADA HILLS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-09 00:00:00	920019356	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-12 00:00:00	2023-06-12 00:00:00	No	2023-12-05 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	7W8T11	N	None	None	SFY2023-24
910000076	SUNSET PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-09 00:00:00	920019357	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-01 00:00:00	2023-10-01 00:00:00	No	2023-12-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	787V11	N	CA00862242, CA00862242	B, B	SFY2023-24
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-13 00:00:00	920019362	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-05 00:00:00	2023-07-05 00:00:00	Yes	2023-12-06 00:00:00	2023-12-01 00:00:00	A	None	25000	25000	0	0	25000	None	P67F11	N	CA00861634, CA00861634, CA00861634	B, B, B	SFY2023-24
920000310	THE GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-14 00:00:00	920019364	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-14 00:00:00	2023-09-14 00:00:00	Yes	2023-12-07 00:00:00	2023-11-15 00:00:00	B	B	3000	3000	0	0	3000	None	V91V11	N	CA00865240, CA00865601, CA00865819, CA00869111	B, B, A, B	SFY2023-24
920000066	SHERMAN OAKS HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-15 00:00:00	920019366	Open	Citation	Citation A (HSC 1424)	Other	Nursing Services-IC	2020-07-26 00:00:00	2020-07-26 00:00:00	Yes	2023-12-08 00:00:00	2023-11-16 00:00:00	A	None	20000	20000	0	0	20000	None	Z5OX11	Y	CA00804958, CA00804958	B, B	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-16 00:00:00	920019378	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-04 00:00:00	2023-10-04 00:00:00	No	2023-12-11 00:00:00	None	B	None	3000	3000	0	3000	0	None	LSLZ11	N	CA00865570	A	SFY2023-24
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-17 00:00:00	920019379	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-10-04 00:00:00	2023-10-04 00:00:00	No	2023-12-12 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	4IKU11	None	None	None	SFY2023-24
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-17 00:00:00	920019380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-03 00:00:00	2023-10-03 00:00:00	No	2023-12-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4IKU11	N	None	None	SFY2023-24
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-17 00:00:00	920019381	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-31 00:00:00	2023-07-31 00:00:00	No	2023-12-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4IKU11	N	None	None	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-22 00:00:00	920019395	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-11 00:00:00	2023-10-11 00:00:00	No	2023-12-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	Y4J711	N	CA00865050	A	SFY2023-24
920000068	HOLIDAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-22 00:00:00	920019396	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-23 00:00:00	2023-09-23 00:00:00	No	2023-12-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MLWH11	N	CA00862728	B	SFY2023-24
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-22 00:00:00	920019399	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-10-04 00:00:00	2023-10-04 00:00:00	No	2023-12-15 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	5RAT11	N	CA00862262, CA00863178	B, B	SFY2023-24
920000063	NORTHRIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-27 00:00:00	920019402	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-26 00:00:00	2023-09-26 00:00:00	No	2023-12-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	66YP11	N	CA00863269	A	SFY2023-24
920000063	NORTHRIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-27 00:00:00	920019403	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-01 00:00:00	2023-10-01 00:00:00	No	2023-12-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	G2WR11	N	CA00863336	B	SFY2023-24
920000001	ALL SAINTS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-30 00:00:00	920019421	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-10-18 00:00:00	2023-10-18 00:00:00	No	2023-12-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	J7RW11	N	None	None	SFY2023-24
920000025	NEW VISTA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-01 00:00:00	920019427	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-10-04 00:00:00	2023-10-04 00:00:00	Yes	2023-12-22 00:00:00	2023-12-06 00:00:00	A	None	25000	43250	0	0	43250	None	YT1T11	N	None	None	SFY2023-24
920000025	NEW VISTA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-01 00:00:00	920019428	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-10-18 00:00:00	2023-10-18 00:00:00	Yes	2023-12-22 00:00:00	2023-12-06 00:00:00	WF	None	3500	3500	0	0	3500	None	YT1T11	None	None	None	SFY2023-24
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-01 00:00:00	920019429	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-11 00:00:00	2023-07-11 00:00:00	No	2023-12-22 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	548911	N	CA00862475, CA00862986	A, B	SFY2023-24
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-01 00:00:00	920019430	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-10 00:00:00	2023-10-10 00:00:00	No	2023-12-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	548911	N	CA00862475, CA00862986	A, B	SFY2023-24
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-01 00:00:00	920019435	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-29 00:00:00	2023-06-29 00:00:00	No	2023-12-22 00:00:00	None	A	None	25000	25050	0	25050	0	None	YOPN11	N	CA00864759, CA00864771, CA00864950	B, B, B	SFY2023-24
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-05 00:00:00	920019438	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-10-31 00:00:00	2023-10-31 00:00:00	No	2023-12-27 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	MU5P11	N	CA00866191, CA00866191	B, B	SFY2023-24
910000320	GUARDIAN REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-06 00:00:00	920019445	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-05-13 00:00:00	2022-05-13 00:00:00	No	2023-12-28 00:00:00	None	B	None	3000	3000	0	3000	0	None	UMT511	N	CA00867640, CA00867640	A, A	SFY2023-24
970000001	ALCOTT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-07 00:00:00	920019453	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-15 00:00:00	2023-10-15 00:00:00	No	2023-12-29 00:00:00	None	B	None	3000	3000	0	3000	0	None	E58111	N	CA00865650, CA00865650, CA00865928, CA00866000, CA00866000	B, B, B, B, B	SFY2023-24
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-08 00:00:00	920019457	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-17 00:00:00	2023-10-17 00:00:00	No	2024-01-01 00:00:00	None	B	None	3000	3000	0	0	3000	None	UVHR11	N	CA00865998, CA00866036, CA00866036, CA00866036	B, B, B, B	SFY2023-24
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-11 00:00:00	920019460	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-20 00:00:00	2023-11-20 00:00:00	No	2024-01-02 00:00:00	None	B	None	3000	3000	0	3000	0	None	OEWN11	N	CA00871134	A	SFY2023-24
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-12 00:00:00	920019465	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-08 00:00:00	2023-11-08 00:00:00	No	2024-01-03 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	EFIY11	N	CA00869305	B	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-13 00:00:00	920019478	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-11-25 00:00:00	2023-11-25 00:00:00	No	2024-01-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	O7JD11	N	None	None	SFY2023-24
970000001	ALCOTT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-14 00:00:00	920019484	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-30 00:00:00	2023-10-30 00:00:00	No	2024-01-05 00:00:00	None	B	None	3000	3000	0	3000	0	None	FUV511	N	None	None	SFY2023-24
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-14 00:00:00	920019493	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-05-06 00:00:00	2023-05-06 00:00:00	Yes	2024-01-05 00:00:00	2023-12-27 00:00:00	AA	None	120000	120000	0	0	120000	None	FIV611	Y	CA00869481, CA00869481, CA00869481, CA00869481, CA00869481, CA00869481, CA00869481	A, A, A, A, A, A, A	SFY2023-24
920000030	THE HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-15 00:00:00	920019497	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-25 00:00:00	2023-03-25 00:00:00	No	2024-01-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	9QW811	N	CA00867370	A	SFY2023-24
920000030	THE HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-15 00:00:00	920019498	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-10-20 00:00:00	2023-10-20 00:00:00	No	2024-01-08 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	0EYJ11	None	None	None	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-15 00:00:00	920019499	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-24 00:00:00	2023-09-24 00:00:00	No	2024-01-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	T37D11	N	CA00866100, CA00866100, CA00866100, CA00866100	B, B, B, B	SFY2023-24
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-15 00:00:00	920019500	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-11-06 00:00:00	2023-11-06 00:00:00	No	2024-01-08 00:00:00	None	WF	None	3500	10500	-3675	6825	0	None	H6XF11	None	CA00867452	B	SFY2023-24
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-18 00:00:00	920019506	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-16 00:00:00	2023-10-16 00:00:00	No	2024-01-09 00:00:00	None	B	None	3000	4100	0	4100	0	None	3OCK11	N	CA00866799, CA00866799	B, B	SFY2023-24
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-20 00:00:00	920019515	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-01 00:00:00	2023-11-01 00:00:00	No	2024-01-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	P9PI11	N	CA00868606	A	SFY2023-24
970000001	ALCOTT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-21 00:00:00	920019522	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-13 00:00:00	2023-11-13 00:00:00	No	2024-01-12 00:00:00	None	B	None	3000	3000	0	3000	0	None	NSRC11	N	CA00869726	A	SFY2023-24
970000062	GARDEN CREST REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-28 00:00:00	920019527	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-11 00:00:00	2023-11-11 00:00:00	No	2024-01-18 00:00:00	None	A	None	25000	75000	-26250	48750	0	None	IUG211	N	CA00863381	C	SFY2023-24
970000062	GARDEN CREST REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-26 00:00:00	920019528	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-28 00:00:00	2023-09-28 00:00:00	No	2024-01-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	IUG211	N	CA00863381, CA00863381	C, C	SFY2023-24
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-28 00:00:00	920019530	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-03 00:00:00	2023-07-03 00:00:00	No	2024-01-18 00:00:00	None	B	None	3000	3350	0	3350	0	None	LS3R11	N	CA00870706, CA00870706, CA00870706	B, B, B	SFY2023-24
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-02 00:00:00	920019531	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-19 00:00:00	2023-11-19 00:00:00	No	2024-01-23 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	QYRP11	N	CA00870815, CA00870815	B, B	SFY2023-24
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-28 00:00:00	920019534	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-10-25 00:00:00	2023-10-25 00:00:00	No	2024-01-18 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	YY3Z11	None	CA00867380, CA00867440	A, A	SFY2023-24
920000068	HOLIDAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-29 00:00:00	920019537	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-01 00:00:00	2023-11-01 00:00:00	No	2024-01-19 00:00:00	None	B	None	3000	3000	0	0	3000	None	FKYB11	N	CA00868153, CA00869541	B, B	SFY2023-24
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-29 00:00:00	920019549	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-24 00:00:00	2023-06-24 00:00:00	No	2024-01-19 00:00:00	None	A	None	20000	60000	0	0	60000	None	KJT511	N	CA00869683, CA00869683, CA00869683, CA00869683, CA00869809, CA00869809, CA00869809	B, B, B, B, A, A, A	SFY2023-24
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-02 00:00:00	920019554	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-30 00:00:00	2023-10-30 00:00:00	No	2024-01-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	OBVV11	N	CA00868328, CA00868328, CA00868328, CA00868328, CA00868328	B, B, B, B, B	SFY2023-24
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-05 00:00:00	920019563	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-11-13 00:00:00	2023-11-16 00:00:00	No	2024-01-26 00:00:00	None	B	None	3000	3150	-1050	2100	0	None	3IXW11	N	CA00870244	A	SFY2023-24
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-04 00:00:00	920019572	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-11 00:00:00	2023-11-11 00:00:00	No	2024-01-25 00:00:00	None	B	None	3000	9000	0	9000	0	None	7YDN11	N	CA00869680	A	SFY2023-24
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-05 00:00:00	920019575	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-07 00:00:00	2023-11-07 00:00:00	No	2024-01-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	SPUX11	N	CA00869297	B	SFY2023-24
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-09 00:00:00	920019579	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-22 00:00:00	2023-10-22 00:00:00	No	2024-01-30 00:00:00	None	B	None	3000	9000	0	9000	0	None	L05811	N	CA00866812	C	SFY2023-24
920000005	COUNTRY MANOR HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-10 00:00:00	920019587	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-16 00:00:00	2023-11-16 00:00:00	Yes	2024-01-31 00:00:00	2024-01-30 00:00:00	A	None	20000	20000	0	0	20000	None	ZCBX11	N	CA00870062, CA00870062, CA00870758, CA00870758, CA00870826, CA00870826, CA00870826	B, B, B, B, B, B, B	SFY2023-24
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-11 00:00:00	920019588	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-15 00:00:00	2023-01-15 00:00:00	No	2024-02-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3QHB11	N	CA00870633, CA00870633, CA00870633, CA00870633, CA00870633	B, B, B, B, B	SFY2023-24
920000302	WINDSOR TERRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-12 00:00:00	920019592	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-25 00:00:00	2023-09-25 00:00:00	No	2024-02-02 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	7IYW11	N	CA00871522, CA00871522	B, B	SFY2023-24
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-12 00:00:00	920019594	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-13 00:00:00	2023-11-13 00:00:00	No	2024-02-02 00:00:00	None	A	None	25000	25000	0	0	25000	None	OW2E11	N	CA00870076, CA00870267, CA00870534	B, B, B	SFY2023-24
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-19 00:00:00	920019612	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-16 00:00:00	2023-11-16 00:00:00	No	2024-02-09 00:00:00	None	B	None	3000	3000	0	3000	0	None	9K6311	N	CA00871414, CA00871414, CA00871414	A, A, A	SFY2023-24
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-19 00:00:00	920019619	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-10 00:00:00	2023-11-10 00:00:00	No	2024-02-09 00:00:00	None	A	None	15000	45000	-15750	29250	0	None	99G011	N	CA00870755, CA00871149, CA00874346	B, B, B	SFY2023-24
920000002	ASTORIA NURSING AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-23 00:00:00	920019625	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-03 00:00:00	2023-12-03 00:00:00	No	2024-02-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3DLY11	N	CA00872727, CA00872735	B, B	SFY2023-24
920000066	SHERMAN OAKS HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-25 00:00:00	920019630	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-21 00:00:00	2023-11-21 00:00:00	Yes	2024-02-15 00:00:00	2024-02-14 00:00:00	A	None	20000	20000	0	0	20000	None	NHE211	N	CA00869798, CA00871164	B, B	SFY2023-24
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-26 00:00:00	920019656	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-25 00:00:00	2023-11-25 00:00:00	No	2024-02-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QKGH11	N	CA00875981, CA00875981	B, B	SFY2023-24
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-26 00:00:00	920019657	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-25 00:00:00	2023-11-25 00:00:00	No	2024-02-16 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	QKGH11	N	CA00875981, CA00875981, CA00875981	B, B, B	SFY2023-24
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-26 00:00:00	920019658	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-27 00:00:00	2023-11-27 00:00:00	Yes	2024-02-16 00:00:00	2024-01-30 00:00:00	A	None	20000	60000	0	0	60000	None	9XEQ11	N	CA00872031	B	SFY2023-24
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-26 00:00:00	920019660	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-20 00:00:00	2023-12-20 00:00:00	No	2024-02-16 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	9XEQ11	N	CA00871136, CA00871479, CA00871479, CA00871479, CA00872031	B, B, B, B, B	SFY2023-24
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-29 00:00:00	920019662	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-25 00:00:00	2023-11-25 00:00:00	No	2024-02-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QKGH11	N	CA00875981, CA00875981, CA00875981	B, B, B	SFY2023-24
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-29 00:00:00	920019663	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-12-30 00:00:00	2023-12-30 00:00:00	No	2024-02-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QKGH11	N	CA00876918, CA00876918, CA00876918	A, A, A	SFY2023-24
910000032	CULVER WEST HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-30 00:00:00	920019664	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-14 00:00:00	2023-12-14 00:00:00	No	2024-02-20 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CR1211	N	CA00873561, CA00873561	B, B	SFY2023-24
630016910	THE ELLISON JOHN TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-01 00:00:00	920019676	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-04 00:00:00	2023-12-04 00:00:00	No	2024-02-22 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	OF1211	N	CA00872829	A	SFY2023-24
630016910	THE ELLISON JOHN TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-01 00:00:00	920019677	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-11-22 00:00:00	2023-11-22 00:00:00	No	2024-02-22 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	OF1211	N	CA00873518, CA00873518, CA00873518	B, B, B	SFY2023-24
920000076	VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-01 00:00:00	920019678	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-06 00:00:00	2023-12-06 00:00:00	No	2024-02-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	I0FD11	N	CA00873372	B	SFY2023-24
920000312	TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-02 00:00:00	920019679	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-15 00:00:00	2022-11-15 00:00:00	No	2024-02-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	JW1M11	N	None	None	SFY2023-24
920000312	TOTALLY KIDS SPECIALTY HEALTHCARE-SUN VALLEY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-02 00:00:00	920019682	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-20 00:00:00	2023-07-20 00:00:00	No	2024-02-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	JW1M11	N	None	None	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-02 00:00:00	920019685	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-28 00:00:00	2023-10-28 00:00:00	No	2024-02-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	JRWK11	N	CA00873380	A	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-02 00:00:00	920019688	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-01 00:00:00	2023-11-01 00:00:00	No	2024-02-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	JRWK11	Y	CA00873380	A	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-02 00:00:00	920019689	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-03 00:00:00	2023-12-03 00:00:00	No	2024-02-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	JRWK11	Y	CA00873380	A	SFY2023-24
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-02 00:00:00	920019691	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-25 00:00:00	2023-11-25 00:00:00	No	2024-02-23 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	QKGH11	Y	CA00876918, CA00876918, CA00876918	A, A, A	SFY2023-24
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-05 00:00:00	920019694	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-05 00:00:00	2023-12-05 00:00:00	Yes	2024-02-26 00:00:00	2024-02-12 00:00:00	A	None	25000	75000	0	0	75000	None	A0RQ11	N	CA00873958	B	SFY2023-24
920000025	NEW VISTA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-07 00:00:00	920019702	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-21 00:00:00	2023-12-21 00:00:00	No	2024-02-28 00:00:00	None	B	None	3000	3000	0	3000	0	None	EUXN11	N	CA00876096	B	SFY2023-24
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-07 00:00:00	920019703	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-24 00:00:00	2023-08-24 00:00:00	No	2024-02-29 00:00:00	None	B	None	3000	3200	-1050	1950	200	None	WYTP11	N	CA00872611, CA00875147	B, A	SFY2023-24
920000049	BERKLEY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-08 00:00:00	920019710	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-09 00:00:00	2023-01-09 00:00:00	No	2024-02-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	P5XW11	N	CA00872987, CA00873393	B, B	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-08 00:00:00	920019711	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-25 00:00:00	2023-12-25 00:00:00	No	2024-03-01 00:00:00	None	B	None	3000	9000	0	9000	0	None	SWB311	N	CA00876662, CA00876662	B, B	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-08 00:00:00	920019712	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-25 00:00:00	2023-12-25 00:00:00	No	2024-03-01 00:00:00	None	B	None	3000	9000	0	9000	0	None	SWB311	N	CA00876662, CA00876662	B, B	SFY2023-24
910000074	SANTA MONICA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-09 00:00:00	920019719	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-14 00:00:00	2023-12-14 00:00:00	No	2024-03-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	OJG411	N	CA00876006	B	SFY2023-24
910000032	CULVER WEST HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-12 00:00:00	920019724	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-15 00:00:00	2023-09-15 00:00:00	No	2024-03-05 00:00:00	None	B	None	3000	9600	0	9600	0	None	B94911	N	CA00878286, CA00878286	B, B	SFY2023-24
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-12 00:00:00	920019726	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-14 00:00:00	2023-12-14 00:00:00	No	2024-03-05 00:00:00	None	B	None	3000	9200	0	9200	0	None	N1GG11	N	CA00875552, CA00875552	A, A	SFY2023-24
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-14 00:00:00	920019742	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-10 00:00:00	2024-01-10 00:00:00	No	2024-03-06 00:00:00	None	B	None	3000	9100	-3150	5850	100	None	LS3R12	N	None	None	SFY2023-24
910000019	NEW VISTA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-23 00:00:00	920019767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-10 00:00:00	2022-03-10 00:00:00	No	2024-03-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	GCQO11	Y	CA00883344	A	SFY2023-24
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-22 00:00:00	920019768	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-04 00:00:00	2023-12-04 00:00:00	No	2024-03-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	K9ED11	N	CA00873258, CA00873258, CA00873302	B, B, B	SFY2023-24
970000001	ALCOTT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-29 00:00:00	920019790	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-07 00:00:00	2024-01-07 00:00:00	No	2024-03-21 00:00:00	None	A	None	25000	75000	-26250	48750	0	None	VZJR11	N	CA00878585	B	SFY2023-24
920000310	THE GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-29 00:00:00	920019801	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-13 00:00:00	2024-01-13 00:00:00	No	2024-03-21 00:00:00	None	A	None	25000	75000	-26250	48750	0	None	YKN411	N	CA00879659, CA00879940, CA00879940, CA00879990, CA00879990, CA00879990	A, B, B, B, B, B	SFY2023-24
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-29 00:00:00	920019805	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-23 00:00:00	2023-11-23 00:00:00	No	2024-03-21 00:00:00	None	A	None	20000	60000	0	0	60000	None	3ZLD11	N	CA00879116, CA00879116, CA00879116, CA00879228, CA00879228, CA00879228, CA00879228, CA00879228	B, B, B, A, A, A, A, A	SFY2023-24
970000133	GRAND PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-01 00:00:00	920019810	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2024-01-20 00:00:00	2024-01-30 00:00:00	No	2024-03-22 00:00:00	None	B	None	3000	3650	0	3500	150	None	Z8MS11	N	CA00881231	A	SFY2023-24
920000085	WEST VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-05 00:00:00	920019821	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-25 00:00:00	2023-12-25 00:00:00	No	2024-03-26 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	A1EM11	N	CA00876642	B	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-06 00:00:00	920019831	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-12-03 00:00:00	2023-12-03 00:00:00	Yes	2024-03-27 00:00:00	2024-03-13 00:00:00	AA	None	120000	120000	0	0	120000	None	EKQ811	Y	CA00879015	A	SFY2023-24
920000026	HIGH VALLEY LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-07 00:00:00	920019835	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-15 00:00:00	2023-04-15 00:00:00	No	2024-03-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	BOXC11	N	CA00877071, CA00877521	B, B	SFY2023-24
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-07 00:00:00	920019836	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-21 00:00:00	2024-01-21 00:00:00	No	2024-03-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	FFRB11	N	CA00880820	B	SFY2023-24
920000088	RINALDI CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-07 00:00:00	920019837	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2024-02-05 00:00:00	2024-02-05 00:00:00	No	2024-03-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	X92O11	N	CA00883468, CA00883468, CA00883508, CA00883508	A, A, A, A	SFY2023-24
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-07 00:00:00	920019842	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-08 00:00:00	2023-12-08 00:00:00	No	2024-03-28 00:00:00	None	A	None	25000	75000	0	0	75000	None	DQ3J11	N	None	None	SFY2023-24
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-08 00:00:00	920019843	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-22 00:00:00	2024-01-22 00:00:00	No	2024-03-29 00:00:00	None	B	None	3000	9000	0	0	9000	None	DQ3J11	N	CA00880645	B	SFY2023-24
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-08 00:00:00	920019847	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-24 00:00:00	2024-01-24 00:00:00	No	2024-03-29 00:00:00	None	B	None	3000	3000	0	0	3000	None	DQ3J11	N	None	None	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-11 00:00:00	920019854	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-13 00:00:00	2024-01-13 00:00:00	No	2024-04-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	H5UN11	N	CA00879988, CA00879988, CA00879988	A, A, A	SFY2023-24
970000121	ALDEN TERRACE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-12 00:00:00	920019858	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-04 00:00:00	2024-02-04 00:00:00	No	2024-04-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	75KZ11	N	CA00884302, CA00884302, CA00884302	A, A, A	SFY2023-24
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-12 00:00:00	920019859	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2024-01-25 00:00:00	2024-01-25 00:00:00	No	2024-04-03 00:00:00	None	WF	None	20000	20000	0	0	20000	None	DQ3J11	None	None	None	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-15 00:00:00	920019875	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2024-02-04 00:00:00	2024-02-04 00:00:00	No	2024-04-05 00:00:00	None	B	None	3000	3050	-1050	1950	50	None	UCQT11	N	CA00883645	A	SFY2023-24
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-15 00:00:00	920019876	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-19 00:00:00	2024-01-19 00:00:00	Yes	2024-04-05 00:00:00	2024-04-04 00:00:00	A	None	25000	75000	0	0	75000	None	JDG211	N	CA00881140, CA00881140, CA00881140	B, B, B	SFY2023-24
910000324	KENNEDY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-20 00:00:00	920019885	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-08 00:00:00	2024-02-08 00:00:00	No	2024-04-11 00:00:00	None	B	None	3000	3000	0	3000	0	None	TGLU11	N	CA00884011, CA00884011	B, B	SFY2023-24
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-27 00:00:00	920019921	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-26 00:00:00	2023-12-26 00:00:00	Yes	2024-04-18 00:00:00	2024-04-02 00:00:00	A	None	25000	25000	0	0	25000	None	K21S11	N	CA00883490, CA00883490, CA00883490, CA00883490	A, A, A, A	SFY2023-24
910000334	WINDSOR GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-29 00:00:00	920019930	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-25 00:00:00	2024-02-25 00:00:00	No	2024-04-22 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	0S9411	N	CA00886780, CA00886780, CA00886780	B, B, B	SFY2023-24
910000332	THE REHABILITATION CENTER ON PICO	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-04 00:00:00	920019949	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-17 00:00:00	2023-09-17 00:00:00	No	2024-04-25 00:00:00	None	A	None	25000	75000	-26250	48750	0	None	OKZI11	N	None	None	SFY2023-24
910000320	GUARDIAN REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-03 00:00:00	920019950	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2024-01-19 00:00:00	2024-03-05 00:00:00	No	2024-04-24 00:00:00	None	B	None	3000	5300	-1050	3445	805	None	XY9711	N	CA00886040, CA00886040	A, A	SFY2023-24
920000090	CASITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-05 00:00:00	920019966	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-23 00:00:00	2024-02-23 00:00:00	No	2024-04-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	U1YY11	N	None	None	SFY2023-24
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-10 00:00:00	920019986	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-28 00:00:00	2024-01-28 00:00:00	No	2024-05-01 00:00:00	None	B	None	3000	3100	-1050	1950	100	None	EI5I11	N	CA00882095, CA00882095	B, B	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-11 00:00:00	920019989	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-20 00:00:00	2024-02-20 00:00:00	No	2024-05-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	C4YF11	N	CA00886995	A	SFY2023-24
910000006	OCEAN POINTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-12 00:00:00	920019996	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-03-09 00:00:00	2024-03-09 00:00:00	No	2024-05-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	J1DY11	N	None	None	SFY2023-24
920000076	VALLEY VISTA NURSING AND TRANSITIONAL CARE, LLC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-12 00:00:00	920019997	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2024-04-04 00:00:00	2024-04-04 00:00:00	No	2024-05-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	YERJ21	N	CA00892442	B	SFY2023-24
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-12 00:00:00	920019999	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-31 00:00:00	2024-01-31 00:00:00	No	2024-05-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	60UW11	Y	CA00886055	A	SFY2023-24
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-12 00:00:00	920020004	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-21 00:00:00	2023-12-21 00:00:00	No	2024-05-03 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	U24S11	N	CA00885222, CA00885222	A, A	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-15 00:00:00	920020008	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-21 00:00:00	2024-03-21 00:00:00	No	2024-05-06 00:00:00	None	B	None	3000	9000	0	0	9000	None	B7IM11	N	CA00891219, CA00891219	B, B	SFY2023-24
910000089	VISTA DEL SOL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-17 00:00:00	920020029	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-23 00:00:00	2024-03-23 00:00:00	No	2024-05-08 00:00:00	None	B	None	3000	3000	0	0	3000	None	CWQ011	N	None	None	SFY2023-24
910000089	VISTA DEL SOL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-17 00:00:00	920020030	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-23 00:00:00	2024-03-23 00:00:00	No	2024-05-08 00:00:00	None	B	None	3000	3000	0	0	3000	None	CWQ011	N	None	None	SFY2023-24
910000312	BEVERLY HILLS REHABILITATION CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-19 00:00:00	920020045	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-27 00:00:00	2024-02-27 00:00:00	No	2024-05-10 00:00:00	None	B	None	3000	9000	0	9000	0	None	CLOE11	N	CA00886919, CA00886919	B, B	SFY2023-24
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-23 00:00:00	920020053	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-02 00:00:00	2024-03-02 00:00:00	No	2024-05-14 00:00:00	None	B	None	3000	9500	-3150	5850	500	None	0AGO11	N	CA00887790, CA00887790	A, A	SFY2023-24
910000320	GUARDIAN REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-23 00:00:00	920020060	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-16 00:00:00	2024-02-16 00:00:00	No	2024-05-14 00:00:00	None	B	None	3000	9000	0	5850	3150	None	1Q7B11	N	CA00886820	B	SFY2023-24
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-26 00:00:00	920020071	Closed	Citation	Citation B (HSC 1424)	Medication	None	2024-03-12 00:00:00	2024-03-12 00:00:00	No	2024-05-17 00:00:00	None	B	None	3000	3450	-1050	2400	0	None	GLCQ11	N	None	None	SFY2023-24
910000028	WESTWOOD POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-26 00:00:00	920020073	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-12 00:00:00	2024-02-12 00:00:00	No	2024-05-17 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	V7C311	Y	CA00888596	A	SFY2023-24
920000025	NEW VISTA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-02 00:00:00	920020100	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-08 00:00:00	2024-02-08 00:00:00	Yes	2024-05-23 00:00:00	2024-05-21 00:00:00	A	None	25000	25000	0	0	25000	None	F4FW11	N	CA00884043, CA00884978	B, A	SFY2023-24
920000069	THE CARE CENTER ON HAZELTINE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-02 00:00:00	920020102	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-10 00:00:00	2024-03-10 00:00:00	No	2024-05-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EZ8211	N	CA00889082	B	SFY2023-24
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-02 00:00:00	920020105	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-01 00:00:00	2024-02-01 00:00:00	Yes	2024-05-23 00:00:00	2024-05-15 00:00:00	A	None	25000	75000	0	0	75000	None	7W7W11	N	CA00883242, CA00883242	B, B	SFY2023-24
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-02 00:00:00	920020109	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-09 00:00:00	2024-02-09 00:00:00	Yes	2024-05-23 00:00:00	2024-05-15 00:00:00	A	None	25000	75000	0	0	75000	None	7W7W11	N	CA00885039	B	SFY2023-24
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-02 00:00:00	920020112	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-03-04 00:00:00	2024-03-04 00:00:00	No	2024-05-23 00:00:00	None	A	None	25000	75000	0	0	75000	None	BCVS11	N	CA00889498, CA00889498	B, B	SFY2023-24
920000068	HOLIDAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-03 00:00:00	920020114	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2024-03-14 00:00:00	2024-03-14 00:00:00	No	2024-05-24 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	SBU111	None	None	None	SFY2023-24
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-09 00:00:00	920020147	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-23 00:00:00	2024-03-23 00:00:00	No	2024-05-31 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	T7X611	N	CA00891576	A	SFY2023-24
910000332	THE REHABILITATION CENTER ON PICO	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-10 00:00:00	920020164	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-03-13 00:00:00	2024-03-13 00:00:00	No	2024-06-03 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	9KSV11	N	CA00889805, CA00889805, CA00889805	B, B, B	SFY2023-24
910000032	CULVER WEST HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-10 00:00:00	920020170	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-26 00:00:00	2023-11-26 00:00:00	No	2024-06-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	8FS211	N	None	None	SFY2023-24
910000332	THE REHABILITATION CENTER ON PICO	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-10 00:00:00	920020172	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-03-16 00:00:00	2024-03-16 00:00:00	No	2024-06-03 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	9KSV11	N	CA00890213	B	SFY2023-24
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-15 00:00:00	920020187	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-27 00:00:00	2024-03-27 00:00:00	No	2024-06-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	PC3I11	N	CA00892306	A	SFY2023-24
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-16 00:00:00	920020194	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-01 00:00:00	2024-04-01 00:00:00	No	2024-06-07 00:00:00	None	B	None	3000	9000	0	9000	0	None	SK7311	N	None	None	SFY2023-24
970000039	HOLLYWOOD PREMIER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-21 00:00:00	920020202	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-02 00:00:00	2023-06-02 00:00:00	No	2024-06-12 00:00:00	None	B	None	3000	3000	0	0	3000	None	5M5N11	Y	CA00893123	A	SFY2023-24
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-22 00:00:00	920020217	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-04-05 00:00:00	2024-04-05 00:00:00	No	2024-06-13 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	AUP811	N	CA00893352, CA00893352, CA00893533	B, B, B	SFY2023-24
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-22 00:00:00	920020221	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-10 00:00:00	2024-03-10 00:00:00	No	2024-06-13 00:00:00	None	B	None	3000	10350	0	0	10350	None	NFQH11	N	CA00891723, CA00891723, CA00891723, CA00891723	B, B, B, B	SFY2023-24
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-23 00:00:00	920020225	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-17 00:00:00	2024-04-17 00:00:00	No	2024-06-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	6NFE11	N	CA00895558, CA00895558	B, B	SFY2023-24
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-24 00:00:00	920020233	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-05 00:00:00	2024-04-05 00:00:00	No	2024-06-17 00:00:00	None	B	None	3000	3000	0	0	3000	None	MOWN11	N	CA00893581	A	SFY2023-24
930000681	PROVIDENCE HOLY CROSS MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-24 00:00:00	920020237	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-15 00:00:00	2024-01-15 00:00:00	No	2024-06-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	VXYQ11	N	None	None	SFY2023-24
920000084	CHATSWORTH PARK HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-30 00:00:00	920020238	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-07 00:00:00	2024-04-07 00:00:00	No	2024-06-20 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	8JWD11	N	CA00893487	B	SFY2023-24
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-31 00:00:00	920020250	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-23 00:00:00	2023-12-23 00:00:00	No	2024-06-21 00:00:00	None	A	None	25000	25000	0	0	25000	None	KLGB11	N	CA00888850	A	SFY2023-24
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-31 00:00:00	920020255	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-04-07 00:00:00	2024-04-07 00:00:00	No	2024-06-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IV5L11	N	CA00893971	B	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-04 00:00:00	920020257	Open	Citation	Citation B (HSC 1424)	Staffing	None	2024-04-21 00:00:00	2024-04-21 00:00:00	No	2024-06-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	H44P11	N	CA00896421, CA00896421, CA00896421	A, A, A	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-06 00:00:00	920020271	Open	Citation	Citation B (HSC 1424)	Administration	None	2023-09-07 00:00:00	2023-09-07 00:00:00	No	2024-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VIOT11	N	CA00894329, CA00894329	A, A	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-06 00:00:00	920020273	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-10 00:00:00	2024-04-10 00:00:00	No	2024-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VIOT11	Y	CA00894329	A	SFY2023-24
920000064	WEST VALLEY SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-07 00:00:00	920020286	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-01-22 00:00:00	2023-01-22 00:00:00	No	2024-06-28 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	Q6WV11	None	CA00895462, CA00895462, CA00895462, CA00895462, CA00895462, CA00895462, CA00895462	B, B, B, B, B, B, B	SFY2023-24
920000064	WEST VALLEY SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-07 00:00:00	920020287	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-23 00:00:00	2022-12-23 00:00:00	No	2024-06-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Q6WV11	N	CA00895462	B	SFY2023-24
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-11 00:00:00	920020296	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2024-02-20 00:00:00	2024-02-20 00:00:00	Yes	2024-07-02 00:00:00	2024-06-24 00:00:00	AA	None	100000	100000	0	0	100000	None	FW5Z11	N	None	None	SFY2023-24
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-12 00:00:00	920020301	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-20 00:00:00	2024-01-20 00:00:00	Yes	2024-07-03 00:00:00	2024-06-24 00:00:00	A	None	20000	20000	0	0	20000	None	FW5Z11	N	None	None	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-13 00:00:00	920020309	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2024-04-26 00:00:00	2024-04-26 00:00:00	No	2024-07-05 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	H44P11	None	CA00896178, CA00896178	B, B	SFY2023-24
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-13 00:00:00	920020313	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-14 00:00:00	2024-04-14 00:00:00	No	2024-07-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ZKE011	N	CA00895365	B	SFY2023-24
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-14 00:00:00	920020321	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-05-02 00:00:00	2024-05-02 00:00:00	Yes	2024-07-08 00:00:00	2024-06-27 00:00:00	A	None	25000	75000	0	0	75000	None	DH9V11	N	None	None	SFY2023-24
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-14 00:00:00	920020323	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-04-21 00:00:00	2024-04-21 00:00:00	Yes	2024-07-08 00:00:00	2024-06-27 00:00:00	A	None	20000	60000	0	0	60000	None	G58K11	N	CA00896133	B	SFY2023-24
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-14 00:00:00	920020324	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-19 00:00:00	2024-04-19 00:00:00	No	2024-07-08 00:00:00	None	B	None	3000	3000	0	0	3000	None	G58K11	N	CA00895955	B	SFY2023-24
970000039	HOLLYWOOD PREMIER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-21 00:00:00	920020344	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-05-08 00:00:00	2024-05-08 00:00:00	No	2024-07-15 00:00:00	None	B	None	3000	3000	0	0	3000	None	9LXO11	N	CA00900415, CA00900415	A, A	SFY2023-24
910000013	BERKLEY WEST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-21 00:00:00	920020346	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-20 00:00:00	2024-04-20 00:00:00	No	2024-07-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VVEC11	N	CA00900185, CA00900185	A, A	SFY2023-24
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-21 00:00:00	920020348	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-05-01 00:00:00	2024-05-01 00:00:00	No	2024-07-15 00:00:00	None	B	None	3000	9000	0	0	9000	None	85PZ11	N	CA00898044	B	SFY2023-24
970000121	ALDEN TERRACE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-27 00:00:00	920020364	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2024-05-12 00:00:00	2024-05-12 00:00:00	No	2024-07-19 00:00:00	None	WF	None	3500	3500	0	0	3500	None	U5LJ11	None	CA00900199	B	SFY2023-24
920000292	ARARAT NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-28 00:00:00	920020368	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2024-03-09 00:00:00	2024-03-09 00:00:00	Yes	2024-07-22 00:00:00	2024-07-08 00:00:00	AA	None	120000	120000	0	0	120000	None	VX8N11	Y	CA00896655, CA00896655, CA00896655	B, B, B	SFY2023-24
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-28 00:00:00	920020369	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2024-05-04 00:00:00	2024-05-04 00:00:00	Yes	2024-07-22 00:00:00	2024-07-02 00:00:00	AA	None	120000	120200	0	0	120200	None	2J8W11	Y	CA00898449, CA00898449	A, A	SFY2023-24
970000121	ALDEN TERRACE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-28 00:00:00	920020372	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-05-12 00:00:00	2024-05-12 00:00:00	No	2024-07-22 00:00:00	None	B	None	3000	9000	0	0	9000	None	U5LJ11	N	CA00900199, CA00900199, CA00900199, CA00900199	B, B, B, B	SFY2023-24
920000292	ARARAT NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-28 00:00:00	920020374	Open	Citation	Citation B (HSC 1424)	Administration	None	2024-05-13 00:00:00	2024-05-13 00:00:00	No	2024-07-22 00:00:00	None	B	None	2000	2000	0	0	2000	None	VX8N11	N	CA00896655, CA00896655, CA00896655	B, B, B	SFY2023-24
930000773	PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-01-11 00:00:00	930000313	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-26 00:00:00	None	Yes	2001-05-14 00:00:00	2001-05-10 00:00:00	A	B	6500	4875	0	4875	0	930010571	A99999	N	None	None	SFY1999-00
930000773	PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-01-11 00:00:00	930000314	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Care	None	1999-08-26 00:00:00	None	Yes	2001-05-21 00:00:00	2001-05-08 00:00:00	WF	WMO=<$1000	800	600	0	600	0	930010571	A99999	None	None	None	SFY1999-00
930001154	USC VERDUGO HILLS HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-01-26 00:00:00	930000315	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-03 00:00:00	None	No	2000-02-16 00:00:00	None	A	None	7000	7000	-2450	4550	0	930010611	A99999	N	None	None	SFY1999-00
930000436	PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-03-16 00:00:00	930000317	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-29 00:00:00	None	Yes	2001-05-21 00:00:00	2001-05-08 00:00:00	A	B	4000	9050	-50	9000	0	930010697	A99999	N	None	None	SFY1999-00
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	930000318	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-10 00:00:00	None	Yes	2001-05-15 00:00:00	2000-04-28 00:00:00	B	B	900	900	0	900	0	930010843	A99999	N	None	None	SFY1999-00
930001309	CITRUS VALLEY MEDICAL CENTER - QV CAMPUS D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-04-18 00:00:00	930000319	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2000-04-14 00:00:00	None	No	2000-05-09 00:00:00	None	B	None	750	750	-262.5	487.5	0	930010848	A99999	N	None	None	SFY1999-00
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-05-02 00:00:00	930000320	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-20 00:00:00	None	Yes	2001-05-31 00:00:00	2000-05-11 00:00:00	B	B	850	850	0	850	0	930010865	A99999	N	None	None	SFY1999-00
930001568	COAST PLAZA DOCTORS HOSPITAL, D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-05-17 00:00:00	930000321	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-06 00:00:00	None	Yes	2001-05-31 00:00:00	2000-05-26 00:00:00	A	A	5000	5000	0	5000	0	930010895	A99999	N	None	None	SFY1999-00
930001551	CASA COLINA HOSPITAL FOR REHAB. MEDICINE D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-02-06 00:00:00	930000324	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-29 00:00:00	None	No	2001-03-01 00:00:00	None	B	None	850	850	-297.5	552.5	0	930011644	A99999	N	None	None	SFY2000-01
930000622	CALIFORNIA HOSPITAL MEDICAL CENTER - L.A. D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-05-02 00:00:00	930000325	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-20 00:00:00	None	No	2001-05-23 00:00:00	None	B	None	800	800	0	800	0	930011857	A99999	N	None	None	SFY2000-01
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-05-31 00:00:00	930000326	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-28 00:00:00	None	No	2001-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	930011993	A99999	N	None	None	SFY2000-01
930000865	ENCINO HOSPITAL MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-06-06 00:00:00	930000327	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-07 00:00:00	None	Yes	2001-12-11 00:00:00	2001-06-12 00:00:00	A	A	7000	7400	-400	7000	0	930011923	A99999	N	None	None	SFY2000-01
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-02-11 00:00:00	930000329	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-24 00:00:00	None	No	2002-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	930012655	A99999	N	None	None	SFY2001-02
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-27 00:00:00	930000330	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-23 00:00:00	None	No	2002-03-20 00:00:00	None	B	None	1000	1050	0	1050	0	930012555	A99999	N	None	None	SFY2001-02
930001577	PRESBYTERIAN INTERCOMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-08-20 00:00:00	930000331	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-11 00:00:00	None	No	2002-09-23 00:00:00	None	A	None	12000	12000	-4200	7800	0	930013231	A99999	N	None	None	SFY2002-03
930000609	SANTA TERESITA HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-09-11 00:00:00	930000332	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-25 00:00:00	None	Yes	2002-12-10 00:00:00	2002-11-27 00:00:00	B	B	700	700	0	700	0	930013349	A99999	N	None	None	SFY2002-03
930001463	TORRANCE MEMORIAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-12-30 00:00:00	930000333	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-04 00:00:00	None	Yes	2003-05-21 00:00:00	2003-01-08 00:00:00	A	A	7500	7500	0	7500	0	930013681	A99999	N	None	None	SFY2002-03
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-01-24 00:00:00	930000335	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-01-07 00:00:00	None	No	2003-02-26 00:00:00	None	B	None	1000	2950	-350	2600	0	930013863	A99999	N	None	None	SFY2002-03
930001463	TORRANCE MEMORIAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-03-11 00:00:00	930000336	Closed	Citation	Citation A (HSC 1424)	Administration	None	2002-11-08 00:00:00	None	No	2003-04-02 00:00:00	None	A	None	9000	9000	-3150	5850	0	930014066	A99999	N	None	None	SFY2002-03
930000889	HENRY MAYO NEWHALL MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-04-16 00:00:00	930000337	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-03 00:00:00	None	No	2003-05-07 00:00:00	None	A	None	12000	12000	-4200	7800	0	930013996	A99999	N	None	None	SFY2002-03
930001544	MIDWAY HOSPITAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-06-23 00:00:00	930000338	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-17 00:00:00	None	No	2003-07-21 00:00:00	None	B	None	1000	1000	-350	650	0	930014325	A99999	N	None	None	SFY2002-03
930000564	SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-08-20 00:00:00	930000339	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-18 00:00:00	None	Yes	2004-01-22 00:00:00	2004-01-12 00:00:00	B	B	1000	1000	0	1000	0	930014271	A99999	N	None	None	SFY2003-04
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-09-05 00:00:00	930000340	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-05-22 00:00:00	None	No	2003-10-10 00:00:00	None	B	None	1000	1000	-350	650	0	930014491	A99999	N	None	None	SFY2003-04
930000564	SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-10-09 00:00:00	930000341	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-26 00:00:00	2003-05-26 00:00:00	Yes	2004-01-22 00:00:00	2004-01-12 00:00:00	B	B	1000	1000	0	1000	0	930014449	A99999	N	None	None	SFY2003-04
930000609	SANTA TERESITA HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-11-14 00:00:00	930000342	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-19 00:00:00	None	No	2003-12-22 00:00:00	None	B	None	1000	1000	-350	650	0	930014607	A99999	N	None	None	SFY2003-04
930001558	LOS ANGELES COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-11-14 00:00:00	930000343	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-16 00:00:00	2003-09-19 00:00:00	No	2004-01-06 00:00:00	None	B	None	1000	1000	-350	650	0	930014658	A99999	N	None	None	SFY2003-04
930001611	PROMISE HOSP OF EAST LOS ANGELES-SUB CAMPUS DP/SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2004-02-26 00:00:00	930000344	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-20 00:00:00	None	No	2004-04-06 00:00:00	None	B	None	1000	1000	-350	650	0	930014717	A99999	N	None	None	SFY2003-04
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-11-23 00:00:00	930000345	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-06-27 00:00:00	2004-06-27 00:00:00	Yes	2004-12-28 00:00:00	2004-11-24 00:00:00	B	B	1000	500	0	500	0	930015363	A99999	N	None	None	SFY2004-05
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-09-21 00:00:00	930000346	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2005-08-08 00:00:00	None	No	2005-10-25 00:00:00	None	B	None	1000	1000	-350	650	0	930015706	A99999	N	None	None	SFY2005-06
930001561	WEST COVINA MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-02-08 00:00:00	930000347	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2006-01-11 00:00:00	2006-01-11 00:00:00	Yes	2006-03-03 00:00:00	2006-02-13 00:00:00	B	B	900	450	0	450	0	930015807	A99999	N	None	None	SFY2005-06
930000436	PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-04-14 00:00:00	930003031	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-17 00:00:00	2006-03-17 00:00:00	No	2006-05-15 00:00:00	None	B	None	900	900	-315	585	0	None	1PIX11	N	CA00075234	A	SFY2005-06
930001577	PRESBYTERIAN INTERCOMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-04-23 00:00:00	930003672	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-24 00:00:00	2006-06-24 00:00:00	No	2007-05-14 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	6V5H11	N	CA00095430	C	SFY2006-07
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-03-09 00:00:00	930003773	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-12 00:00:00	2005-07-12 00:00:00	No	2007-03-30 00:00:00	None	B	None	900	900	-315	585	0	None	VZYE11	N	CA00065023	C	SFY2006-07
930000911	TEMPLE COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-05-14 00:00:00	930003954	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-05-02 00:00:00	2007-05-02 00:00:00	No	2007-06-04 00:00:00	None	B	None	900	900	-315	585	0	None	4DXQ11	N	None	None	SFY2006-07
930001561	WEST COVINA MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-08-15 00:00:00	930004180	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-13 00:00:00	2007-06-13 00:00:00	Yes	2007-09-06 00:00:00	2007-08-27 00:00:00	B	B	900	450	0	450	0	None	YBI211	N	None	None	SFY2007-08
630011499	JOYCE EISENBERG KEEFER MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-08-03 00:00:00	930006409	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-26 00:00:00	2009-02-26 00:00:00	Yes	2009-08-24 00:00:00	2009-08-14 00:00:00	A	None	5000	5000	0	5000	0	None	58NZ11	N	CA00181216	C	SFY2009-10
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-04-29 00:00:00	930007177	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-28 00:00:00	2009-05-28 00:00:00	No	2010-05-20 00:00:00	None	A	None	7500	7500	-2625	4875	0	None	EGNK11	N	CA00191435	C	SFY2009-10
930001185	POMONA VALLEY HOSPITAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-05-26 00:00:00	930007249	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-11-06 00:00:00	2009-11-06 00:00:00	No	2010-06-17 00:00:00	None	B	None	900	900	-315	585	0	None	CZG211	N	CA00209484	B	SFY2009-10
930000822	WHITE MEMORIAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-06-01 00:00:00	930007266	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-09 00:00:00	2010-02-09 00:00:00	No	2010-06-22 00:00:00	None	B	None	900	900	0	900	0	None	RM0311	N	CA00220319	C	SFY2009-10
930001558	LOS ANGELES COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-06-18 00:00:00	930007313	Closed	Citation	Citation A (HSC 1424)	Other	General Maintenance	2010-02-19 00:00:00	2010-02-19 00:00:00	No	2010-07-09 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	B22T11	N	CA00217751	C	SFY2009-10
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-02-01 00:00:00	930007848	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-06-04 00:00:00	2010-06-04 00:00:00	Yes	2011-02-23 00:00:00	2011-02-22 00:00:00	A	None	10000	10600	0	10600	0	None	XO4W11	N	CA00229837	B	SFY2010-11
630011499	JOYCE EISENBERG KEEFER MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-03-31 00:00:00	930008037	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2010-10-27 00:00:00	2010-10-27 00:00:00	No	2011-04-21 00:00:00	None	WF	None	2000	2000	0	2000	0	None	TV4411	None	None	None	SFY2010-11
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-06-27 00:00:00	930008083	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-02 00:00:00	2010-05-02 00:00:00	No	2011-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	4EZX11	N	CA00228597	C	SFY2010-11
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-06-27 00:00:00	930008084	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-04 00:00:00	2010-05-04 00:00:00	No	2011-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	4EZX11	N	CA00228593	C	SFY2010-11
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-12-29 00:00:00	930008531	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-10-17 00:00:00	2010-10-17 00:00:00	No	2012-01-23 00:00:00	None	AA	None	80000	80000	-28000	52000	0	None	06KL11	Y	CA00246798	C	SFY2011-12
930000773	PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-01-05 00:00:00	930008536	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-08-10 00:00:00	2011-08-10 00:00:00	Yes	2012-01-27 00:00:00	2012-01-27 00:00:00	B	B	1000	500	0	500	0	None	S9I211	N	CA00278966	A	SFY2011-12
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-07-17 00:00:00	930008863	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-26 00:00:00	2011-01-26 00:00:00	No	2012-08-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	UVXY11	N	CA00259085	C	SFY2012-13
930001498	EMANATE HEALTH INTER-COMMUNITY HOSPITAL, D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-02-24 00:00:00	930008929	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-10-20 00:00:00	2010-10-20 00:00:00	Yes	2012-03-16 00:00:00	2012-03-01 00:00:00	A	None	10000	10000	0	10000	0	None	VQ6T11	N	CA00248621	C	SFY2011-12
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-04-19 00:00:00	930009022	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-12 00:00:00	2011-12-12 00:00:00	No	2012-05-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	71MV11	N	CA00292802	C	SFY2011-12
630011499	JOYCE EISENBERG KEEFER MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-07-03 00:00:00	930009378	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-11 00:00:00	2011-09-11 00:00:00	Yes	2012-07-25 00:00:00	2012-07-13 00:00:00	A	B	15000	15000	0	15000	0	None	ZOV311	N	CA00283490	B	SFY2012-13
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-08-23 00:00:00	930009452	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2012-04-02 00:00:00	2012-04-02 00:00:00	No	2012-09-14 00:00:00	None	WF	None	900	900	-315	585	0	None	8YHS11	None	None	None	SFY2012-13
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-02 00:00:00	930011139	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2014-10-14 00:00:00	2014-10-14 00:00:00	No	2014-12-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	L0LZ21	N	None	None	SFY2014-15
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-02-05 00:00:00	930011151	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-06-02 00:00:00	2014-06-02 00:00:00	Yes	2015-02-27 00:00:00	2015-02-17 00:00:00	A	A	15000	9750	0	9750	0	None	L0LZ11	N	None	None	SFY2014-15
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-06-19 00:00:00	930011378	Closed	Citation	Citation A (HSC 1424)	Medication	None	2014-06-30 00:00:00	2014-06-30 00:00:00	No	2015-07-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	FNO511	N	None	None	SFY2014-15
930000793	ALHAMBRA HOSPITAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-07-30 00:00:00	930011599	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-16 00:00:00	2015-04-16 00:00:00	No	2015-08-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X7O812	N	None	None	SFY2015-16
930001558	LOS ANGELES COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-08-05 00:00:00	930011647	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-04-24 00:00:00	2015-04-24 00:00:00	No	2015-08-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	1WXY11	N	None	None	SFY2015-16
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-09-24 00:00:00	930011723	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-11-16 00:00:00	2010-11-16 00:00:00	No	2015-10-15 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	BD0Y11	N	CA00257469	B	SFY2015-16
630011499	JOYCE EISENBERG KEEFER MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-10-16 00:00:00	930011726	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-07-22 00:00:00	2015-07-22 00:00:00	No	2015-11-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	OTWT11	N	CA00451837	B	SFY2015-16
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-05 00:00:00	930012207	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-01-23 00:00:00	2016-01-23 00:00:00	No	2016-05-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NLBU11	N	None	None	SFY2015-16
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-05-18 00:00:00	930012259	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-02-03 00:00:00	2016-02-03 00:00:00	No	2016-06-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SJB511	N	None	None	SFY2015-16
930000773	PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-09-19 00:00:00	930013505	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-05-17 00:00:00	2017-05-17 00:00:00	No	2017-10-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	63XO11	N	CA00536005	A	SFY2017-18
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-29 00:00:00	930013650	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-23 00:00:00	2016-11-23 00:00:00	No	2017-12-20 00:00:00	None	A	None	18000	18000	0	18000	0	None	JI0S11	N	None	None	SFY2017-18
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-29 00:00:00	930013651	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-12 00:00:00	2017-10-12 00:00:00	No	2017-12-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	JI0S11	N	None	None	SFY2017-18
930000564	SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-22 00:00:00	930013930	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-10-28 00:00:00	2016-10-28 00:00:00	No	2018-04-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	ERD011	N	CA00509562	B	SFY2017-18
930000564	SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-22 00:00:00	930013931	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-02-28 00:00:00	2016-02-28 00:00:00	No	2018-04-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	ERD011	N	CA00509562	B	SFY2017-18
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-05-22 00:00:00	930014092	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-28 00:00:00	2018-03-28 00:00:00	No	2018-06-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	FYEQ11	N	CA00575757, CA00575757	B, B	SFY2017-18
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-08-22 00:00:00	930014342	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-27 00:00:00	2017-10-27 00:00:00	No	2018-09-13 00:00:00	None	A	None	15000	15000	0	15000	0	None	8OYU11	N	CA00558736	B	SFY2018-19
930001154	USC VERDUGO HILLS HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-11-08 00:00:00	930014574	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-03-26 00:00:00	2018-03-26 00:00:00	No	2018-12-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	QYPX11	N	CA00579993	B	SFY2018-19
930000575	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-11-19 00:00:00	930014583	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-18 00:00:00	2018-10-18 00:00:00	No	2018-12-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	UKKV11	N	None	None	SFY2018-19
630011499	JOYCE EISENBERG KEEFER MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-03-29 00:00:00	930014928	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-10 00:00:00	2018-10-10 00:00:00	Yes	2019-04-22 00:00:00	2019-04-10 00:00:00	A	B	20000	1000	0	1000	0	None	NB7I11	N	None	None	SFY2018-19
630011499	JOYCE EISENBERG KEEFER MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-03-29 00:00:00	930014929	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-18 00:00:00	2018-09-18 00:00:00	Yes	2019-04-19 00:00:00	2019-04-10 00:00:00	A	A	20000	3100	-100	3000	0	None	NB7I11	N	None	None	SFY2018-19
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-11 00:00:00	930015855	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-21 00:00:00	2019-09-21 00:00:00	No	2020-06-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TF4V11	N	CA00677556, CA00677556, CA00677556	B, B, B	SFY2019-20
930001561	WEST COVINA MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-22 00:00:00	930017707	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-24 00:00:00	2022-03-24 00:00:00	No	2022-07-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7GUP11	N	CA00778265, CA00778265	B, B	SFY2021-22
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-01-14 00:00:00	940001380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-03 00:00:00	None	Yes	2001-05-29 00:00:00	2000-01-26 00:00:00	B	B	1000	1000	0	1000	0	940005029	A99999	N	None	None	SFY1999-00
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-01-14 00:00:00	940001381	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-05 00:00:00	None	Yes	2000-02-07 00:00:00	2000-01-26 00:00:00	B	B	1000	1000	0	1000	0	940005029	A99999	N	None	None	SFY1999-00
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-02 00:00:00	940001382	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-31 00:00:00	None	No	2000-02-24 00:00:00	None	B	None	1000	3000	-1050	1950	0	940005043	A99999	N	None	None	SFY1999-00
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-02 00:00:00	940001383	Closed	Citation	Citation B (HSC 1424)	Other	ACCIDENTS	1999-11-06 00:00:00	None	No	2000-03-07 00:00:00	None	B	None	1000	1000	0	1000	0	940005047	A99999	N	None	None	SFY1999-00
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-09 00:00:00	940001384	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-09 00:00:00	None	Yes	2000-03-01 00:00:00	2000-02-21 00:00:00	B	None	750	750	0	750	0	940005057	A99999	N	None	None	SFY1999-00
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-11 00:00:00	940001385	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2000-02-11 00:00:00	None	No	2000-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	940005058	A99999	N	None	None	SFY1999-00
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-18 00:00:00	940001386	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-25 00:00:00	2000-02-18 00:00:00	No	2000-03-13 00:00:00	None	B	None	1000	1000	0	1000	0	940005066	A99999	N	None	None	SFY1999-00
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-18 00:00:00	940001387	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-02-11 00:00:00	None	No	2000-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	940005066	A99999	N	None	None	SFY1999-00
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-03-06 00:00:00	940001388	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-06 00:00:00	None	No	2000-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	940005083	A99999	N	None	None	SFY1999-00
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-03-09 00:00:00	940001389	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLECT	2000-03-03 00:00:00	2000-03-09 00:00:00	No	2000-03-30 00:00:00	None	B	None	1000	3000	-1050	1950	0	940005089	A99999	N	None	None	SFY1999-00
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-03-16 00:00:00	940001390	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-03-16 00:00:00	None	No	2000-04-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	940005098	A99999	N	None	None	SFY1999-00
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-03-30 00:00:00	940001391	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-02-23 00:00:00	2000-02-23 00:00:00	Yes	2001-05-15 00:00:00	2000-04-07 00:00:00	B	B Trebled	1000	3000	0	3000	0	940005108	A99999	N	None	None	SFY1999-00
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-05-03 00:00:00	940001392	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-03 00:00:00	None	No	2000-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	940005136	A99999	N	None	None	SFY1999-00
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-05-09 00:00:00	940001394	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLECT	2000-05-09 00:00:00	None	Yes	2001-05-11 00:00:00	2000-05-11 00:00:00	B	B	1000	1000	0	1000	0	940005140	A99999	N	None	None	SFY1999-00
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-05-24 00:00:00	940001395	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-15 00:00:00	2000-02-15 00:00:00	No	2000-06-14 00:00:00	None	B	None	950	950	-332.5	617.5	0	940005149	A99999	N	None	None	SFY1999-00
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-05-25 00:00:00	940001396	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-25 00:00:00	None	Yes	2001-05-22 00:00:00	2000-05-30 00:00:00	B	B	1000	1000	0	1000	0	940005112	A99999	N	None	None	SFY1999-00
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-05-25 00:00:00	940001397	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-25 00:00:00	None	Yes	2001-05-31 00:00:00	2000-05-30 00:00:00	B	B	1000	1000	0	1000	0	940005112	A99999	N	None	None	SFY1999-00
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-05-25 00:00:00	940001398	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-02 00:00:00	2000-05-05 00:00:00	No	2000-06-15 00:00:00	None	B	None	1000	1000	0	1000	0	940005155	A99999	N	None	None	SFY1999-00
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-06-26 00:00:00	940001399	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-29 00:00:00	None	No	2000-07-17 00:00:00	None	B	None	1000	1000	0	1000	0	940005187	A99999	N	None	None	SFY1999-00
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-07-21 00:00:00	940001400	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-16 00:00:00	None	No	2000-08-11 00:00:00	None	B	None	1000	1000	0	1000	0	940005208	A99999	N	None	None	SFY2000-01
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-08-03 00:00:00	940001401	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-26 00:00:00	None	No	2000-08-24 00:00:00	None	B	None	1000	1000	-350	650	0	940005233	A99999	N	None	None	SFY2000-01
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-09-20 00:00:00	940001402	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-10 00:00:00	None	No	2000-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	940005273	A99999	N	None	None	SFY2000-01
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-09-21 00:00:00	940001403	Closed	Citation	Citation B (HSC 1424)	Other	POLICY & PROCEDURES	2000-09-21 00:00:00	None	No	2000-10-13 00:00:00	None	B	None	1000	1000	-350	650	0	940005282	A99999	N	None	None	SFY2000-01
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-09-29 00:00:00	940001404	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-29 00:00:00	None	No	2000-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	940005294	A99999	N	None	None	SFY2000-01
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-11-17 00:00:00	940001405	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-11-17 00:00:00	None	No	2000-12-12 00:00:00	None	WF	None	1000	1000	-350	650	0	940005375	A99999	None	None	None	SFY2000-01
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-12-21 00:00:00	940001406	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-01 00:00:00	None	Yes	2001-05-11 00:00:00	2001-01-04 00:00:00	B	B	800	800	0	800	0	940005412	A99999	N	None	None	SFY2000-01
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-12-22 00:00:00	940001407	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-21 00:00:00	None	No	2001-01-12 00:00:00	None	B	None	600	600	-210	390	0	940005416	A99999	N	None	None	SFY2000-01
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-01-12 00:00:00	940001408	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-23 00:00:00	None	No	2001-02-05 00:00:00	None	B	None	1000	1000	-350	650	0	940005430	A99999	N	None	None	SFY2000-01
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-01-12 00:00:00	940001409	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-12-14 00:00:00	None	No	2001-02-05 00:00:00	None	B	None	1000	1000	-350	650	0	940005431	A99999	N	None	None	SFY2000-01
940000079	PICO RIVERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-01-18 00:00:00	940001410	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-12-29 00:00:00	None	No	2001-02-16 00:00:00	None	B	B	1000	1000	-800	200	0	940005438	A99999	N	None	None	SFY2000-01
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-01-19 00:00:00	940001411	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-13 00:00:00	None	Yes	2001-05-11 00:00:00	2001-04-20 00:00:00	B	B	800	800	0	800	0	940005445	A99999	N	None	None	SFY2000-01
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-03-26 00:00:00	940001412	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-12 00:00:00	None	No	2001-04-16 00:00:00	None	B	None	800	800	-280	520	0	940005512	A99999	N	None	None	SFY2000-01
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-03-28 00:00:00	940001413	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-21 00:00:00	None	No	2001-04-18 00:00:00	None	B	Drop>Deficiency	800	800	0	800	0	940005515	A99999	N	None	None	SFY2000-01
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-04-11 00:00:00	940001414	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-11 00:00:00	None	Yes	2001-05-02 00:00:00	2001-04-17 00:00:00	B	B	950	475	0	475	0	940005520	A99999	N	None	None	SFY2000-01
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-04-13 00:00:00	940001415	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-13 00:00:00	None	Yes	2001-06-25 00:00:00	2001-04-25 00:00:00	B	None	1000	1000	0	1000	0	940005530	A99999	N	None	None	SFY2000-01
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-04-13 00:00:00	940001416	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-13 00:00:00	None	No	2001-05-04 00:00:00	None	B	None	500	500	-175	325	0	940005532	A99999	N	None	None	SFY2000-01
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-04-18 00:00:00	940001417	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-23 00:00:00	None	No	2001-05-18 00:00:00	None	B	None	950	950	-332.5	617.5	0	940005537	A99999	N	None	None	SFY2000-01
940000020	COSTA DEL SOL HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-04-25 00:00:00	940001418	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-20 00:00:00	None	No	2001-05-16 00:00:00	None	B	None	500	500	-175	325	0	940005548	A99999	N	None	None	SFY2000-01
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-06-04 00:00:00	940001420	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2001-04-14 00:00:00	None	No	2001-07-16 00:00:00	None	A	B	10000	9000	0	9000	0	940005649	A99999	N	None	None	SFY2000-01
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-06-11 00:00:00	940001421	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-14 00:00:00	None	No	2001-07-19 00:00:00	None	B	None	800	800	-280	520	0	940005594	A99999	N	None	None	SFY2000-01
940000100	HARBOR VIEW BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-07-12 00:00:00	940001422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-03 00:00:00	None	Yes	2001-08-20 00:00:00	2001-08-20 00:00:00	B	B	800	800	-640	160	0	940005675	A99999	N	None	None	SFY2001-02
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-07-20 00:00:00	940001423	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-17 00:00:00	None	No	2001-08-30 00:00:00	None	B	None	800	2400	-840	1560	0	940005711	A99999	N	None	None	SFY2001-02
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-07-23 00:00:00	940001424	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-22 00:00:00	None	No	2001-08-13 00:00:00	None	B	None	1000	1000	-350	650	0	940005708	A99999	N	None	None	SFY2001-02
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-08-14 00:00:00	940001425	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2001-07-14 00:00:00	None	No	2001-11-05 00:00:00	None	WF	None	800	800	-280	520	0	940005713	A99999	None	None	None	SFY2001-02
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-08-14 00:00:00	940001426	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-17 00:00:00	None	No	2001-11-05 00:00:00	None	B	None	800	800	-280	520	0	940005713	A99999	N	None	None	SFY2001-02
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-08-14 00:00:00	940001427	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-14 00:00:00	None	No	2001-11-05 00:00:00	None	B	None	800	800	-280	520	0	940005713	A99999	N	None	None	SFY2001-02
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-08-22 00:00:00	940001429	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-07-27 00:00:00	None	Yes	2001-09-13 00:00:00	2001-09-06 00:00:00	B	None	800	900	0	900	0	940005770	A99999	N	None	None	SFY2001-02
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-08-21 00:00:00	940001430	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-06-22 00:00:00	None	Yes	2001-09-12 00:00:00	2001-08-31 00:00:00	A	A	5000	5000	0	5000	0	940005721	A99999	N	None	None	SFY2001-02
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-09-07 00:00:00	940001431	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-18 00:00:00	None	Yes	2001-12-07 00:00:00	2001-09-17 00:00:00	B	B	1000	1000	0	1000	0	940005743	A99999	N	None	None	SFY2001-02
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-09-07 00:00:00	940001432	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-12 00:00:00	None	Yes	2001-12-14 00:00:00	2001-09-17 00:00:00	B	B	1000	1000	0	1000	0	940005687	A99999	N	None	None	SFY2001-02
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-09-07 00:00:00	940001433	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-27 00:00:00	None	Yes	2002-01-14 00:00:00	2001-09-17 00:00:00	B	B	1000	1000	0	1000	0	940005743	A99999	N	None	None	SFY2001-02
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-09-19 00:00:00	940001434	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-11 00:00:00	None	No	2001-10-11 00:00:00	None	B	None	800	800	-280	520	0	940005725	A99999	N	None	None	SFY2001-02
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-09-17 00:00:00	940001435	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2001-07-16 00:00:00	None	Yes	2002-02-21 00:00:00	2001-09-21 00:00:00	B	B	1000	1000	0	1000	0	940005712	A99999	N	None	None	SFY2001-02
940000048	COTTAGE CREST POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-10-10 00:00:00	940001436	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2001-04-03 00:00:00	None	No	2001-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	940005837	A99999	N	None	None	SFY2001-02
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-10-25 00:00:00	940001437	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-23 00:00:00	None	No	2001-11-16 00:00:00	None	B	None	1000	1000	-350	650	0	940005647	A99999	N	None	None	SFY2001-02
940000007	ATLANTIC MEMORIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-10-25 00:00:00	940001438	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-07 00:00:00	None	No	2001-09-17 00:00:00	None	B	None	1000	1000	-350	650	0	940005636	A99999	N	None	None	SFY2001-02
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-11-14 00:00:00	940001439	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-10-15 00:00:00	None	No	2001-12-07 00:00:00	None	B	None	800	800	-280	520	0	940005852	A99999	N	None	None	SFY2001-02
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-11-14 00:00:00	940001440	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-27 00:00:00	None	No	2001-12-20 00:00:00	None	B	None	1000	1000	-350	650	0	940005848	A99999	N	None	None	SFY2001-02
940000091	PARAMOUNT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-11-15 00:00:00	940001441	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-30 00:00:00	None	Yes	2002-02-25 00:00:00	2001-11-29 00:00:00	B	B	1000	1000	0	1000	0	940005835	A99999	N	None	None	SFY2001-02
940000073	HUNTINGTON PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-12-05 00:00:00	940001442	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-10 00:00:00	None	No	2002-01-02 00:00:00	None	B	None	900	900	0	900	0	940005894	A99999	N	None	None	SFY2001-02
940000044	EL RANCHO VISTA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-12-12 00:00:00	940001443	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-08 00:00:00	None	No	2002-01-15 00:00:00	None	B	B	500	500	-450	50	0	940005839	A99999	N	None	None	SFY2001-02
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-01-07 00:00:00	940001444	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-20 00:00:00	None	No	2002-02-28 00:00:00	None	B	None	800	800	-280	520	0	940005897	A99999	N	None	None	SFY2001-02
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-01-07 00:00:00	940001445	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-11-20 00:00:00	None	No	2002-02-28 00:00:00	None	B	None	500	500	-175	325	0	940005897	A99999	N	None	None	SFY2001-02
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-01-23 00:00:00	940001446	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-12 00:00:00	2002-01-23 00:00:00	No	2002-02-26 00:00:00	None	B	None	800	800	-280	520	0	940005977	A99999	N	None	None	SFY2001-02
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-01-23 00:00:00	940001447	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-20 00:00:00	2002-01-23 00:00:00	No	2002-02-26 00:00:00	None	B	None	500	500	-175	325	0	940005977	A99999	N	None	None	SFY2001-02
940000016	BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-04 00:00:00	940001448	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-09 00:00:00	2002-02-04 00:00:00	No	2002-03-05 00:00:00	None	B	None	1000	1000	-350	650	0	940005906	A99999	N	None	None	SFY2001-02
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-08 00:00:00	940001449	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-30 00:00:00	None	No	2002-03-12 00:00:00	None	B	None	1000	1000	0	1000	0	940005900	A99999	N	None	None	SFY2001-02
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-08 00:00:00	940001450	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-30 00:00:00	None	Yes	2002-03-14 00:00:00	2002-03-05 00:00:00	B	Drop>Deficiency	1000	900	0	900	0	940005900	A99999	N	None	None	SFY2001-02
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-20 00:00:00	940001451	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-23 00:00:00	None	Yes	2002-03-28 00:00:00	2002-03-07 00:00:00	B	Dismissed by Court	800	0	0	0	0	940005917	A99999	N	None	None	SFY2001-02
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-20 00:00:00	940001452	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-23 00:00:00	None	Yes	2002-03-28 00:00:00	2002-03-07 00:00:00	B	Drop>Deficiency	1000	500	0	500	0	940005917	A99999	N	None	None	SFY2001-02
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-26 00:00:00	940001453	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-23 00:00:00	None	Yes	2002-03-28 00:00:00	2002-03-07 00:00:00	A	B	5000	5000	0	5000	0	940005917	A99999	N	None	None	SFY2001-02
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-03-15 00:00:00	940001454	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-27 00:00:00	None	No	2002-05-10 00:00:00	None	B	None	800	800	0	800	0	940005996	A99999	N	None	None	SFY2001-02
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-03-28 00:00:00	940001455	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-01-16 00:00:00	2002-03-27 00:00:00	Yes	2002-04-26 00:00:00	2002-04-09 00:00:00	B	B	800	400	0	400	0	940005983	A99999	N	None	None	SFY2001-02
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-04-09 00:00:00	940001456	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-27 00:00:00	None	Yes	2002-05-03 00:00:00	2002-04-29 00:00:00	B	Drop>Deficiency	400	300	0	300	0	940005830	A99999	N	None	None	SFY2001-02
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-04-10 00:00:00	940001457	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-27 00:00:00	None	No	2002-05-10 00:00:00	None	B	None	500	500	-175	325	0	940005920	A99999	N	None	None	SFY2001-02
940000100	HARBOR VIEW BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-04-11 00:00:00	940001458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-01 00:00:00	2002-04-11 00:00:00	No	2002-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	940005979	A99999	N	None	None	SFY2001-02
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-05-13 00:00:00	940001459	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-24 00:00:00	None	No	2002-06-12 00:00:00	None	B	None	1000	1000	-350	650	0	940006093	A99999	N	None	None	SFY2001-02
940000116	WHITTIER PACIFIC CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-05-16 00:00:00	940001460	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-26 00:00:00	None	Yes	2002-06-10 00:00:00	2002-05-21 00:00:00	B	B	500	500	0	500	0	940006109	A99999	N	None	None	SFY2001-02
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-05-22 00:00:00	940001461	Closed	Citation	Citation B (HSC 1424)	Other	PT CARE/ABUSE/NEGLEC	2002-01-17 00:00:00	None	Yes	2002-09-05 00:00:00	2002-08-22 00:00:00	B	Drop>Deficiency	700	700	0	700	0	940006112	A99999	N	None	None	SFY2001-02
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-06-05 00:00:00	940001462	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-16 00:00:00	None	No	2002-07-16 00:00:00	None	B	None	600	600	-210	390	0	940006108	A99999	N	None	None	SFY2001-02
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-06-28 00:00:00	940001463	Closed	Citation	Citation B (HSC 1424)	Other	RES BEHAVIOR FAC PRA	2002-06-15 00:00:00	None	No	2002-07-26 00:00:00	None	B	None	500	500	-175	325	0	940006160	A99999	N	None	None	SFY2001-02
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-07-01 00:00:00	940001464	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-15 00:00:00	None	No	2002-08-13 00:00:00	None	B	None	700	700	-245	455	0	940006161	A99999	N	None	None	SFY2002-03
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-07-03 00:00:00	940001466	Closed	Citation	Citation B (HSC 1424)	Other	PT CARE / NEGLECT	2002-06-17 00:00:00	None	Yes	2002-08-07 00:00:00	2002-07-19 00:00:00	B	None	700	700	-700	0	0	940006160	A99999	N	None	None	SFY2002-03
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-07-12 00:00:00	940001467	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-09 00:00:00	None	No	2002-08-02 00:00:00	None	B	None	950	950	-332.5	617.5	0	940006143	A99999	N	None	None	SFY2002-03
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-08-02 00:00:00	940001468	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2002-07-01 00:00:00	None	Yes	2002-09-05 00:00:00	2002-08-16 00:00:00	B	Drop>Deficiency	500	500	0	500	0	940006193	A99999	N	None	None	SFY2002-03
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-08-07 00:00:00	940001469	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-31 00:00:00	None	No	2002-08-28 00:00:00	None	B	None	700	700	-245	455	0	940006200	A99999	N	None	None	SFY2002-03
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-10-07 00:00:00	940001470	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-07-02 00:00:00	None	Yes	2003-02-24 00:00:00	2003-02-04 00:00:00	A	A	10000	10000	0	10000	0	940006273	A99999	N	None	None	SFY2002-03
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-10-11 00:00:00	940001471	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-07 00:00:00	None	No	2002-11-12 00:00:00	None	B	None	750	750	-262.5	487.5	0	940006175	A99999	N	None	None	SFY2002-03
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-10-11 00:00:00	940001472	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-09 00:00:00	None	No	2002-11-15 00:00:00	None	B	None	1000	1000	-350	650	0	940006278	A99999	N	None	None	SFY2002-03
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-10-11 00:00:00	940001473	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-03-09 00:00:00	2002-03-09 00:00:00	No	2002-11-15 00:00:00	None	B	None	800	800	-280	520	0	940006278	A99999	N	None	None	SFY2002-03
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-10-11 00:00:00	940001474	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-06-22 00:00:00	2002-06-22 00:00:00	No	2002-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	940006279	A99999	N	None	None	SFY2002-03
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-12-05 00:00:00	940001475	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-31 00:00:00	None	Yes	2003-03-18 00:00:00	2002-12-13 00:00:00	B	Dismissed by Court	350	0	0	0	0	940006388	A99999	N	None	None	SFY2002-03
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-12-26 00:00:00	940001476	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Rights	None	2002-04-14 00:00:00	None	No	2003-01-28 00:00:00	None	WF	None	2000	2000	-700	1300	0	940006344	A99999	None	None	None	SFY2002-03
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-12-13 00:00:00	940001477	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-19 00:00:00	None	No	2003-01-21 00:00:00	None	B	None	800	800	-280	520	0	940006315	A99999	N	None	None	SFY2002-03
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-12-19 00:00:00	940001478	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-16 00:00:00	None	No	2003-01-16 00:00:00	None	B	None	800	800	-280	520	0	940006426	A99999	N	None	None	SFY2002-03
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-01-06 00:00:00	940001479	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-09 00:00:00	None	No	2003-01-28 00:00:00	None	B	None	900	900	-315	585	0	940006283	A99999	N	None	None	SFY2002-03
940000116	WHITTIER PACIFIC CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-02-10 00:00:00	940001480	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-02 00:00:00	None	Yes	2003-03-11 00:00:00	2003-02-18 00:00:00	A	None	10000	10000	0	10000	0	940006446	A99999	N	None	None	SFY2002-03
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-02-24 00:00:00	940001481	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-26 00:00:00	None	Yes	2003-07-11 00:00:00	2003-06-27 00:00:00	B	B	800	800	-272	528	0	940006528	A99999	N	None	None	SFY2002-03
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-03-13 00:00:00	940001482	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-06 00:00:00	None	No	2003-04-28 00:00:00	None	B	None	1000	1000	0	1000	0	940006564	A99999	N	None	None	SFY2002-03
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-03-13 00:00:00	940001483	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-17 00:00:00	None	No	2003-04-28 00:00:00	None	B	None	1000	1000	0	1000	0	940006564	A99999	N	None	None	SFY2002-03
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-03-13 00:00:00	940001484	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-06 00:00:00	None	No	2003-04-28 00:00:00	None	B	None	1000	1000	0	1000	0	940006564	A99999	N	None	None	SFY2002-03
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-04-11 00:00:00	940001485	Closed	Citation	Citation B (HSC 1424)	Other	MISUSE OF PT FUNDS.	2003-01-25 00:00:00	None	Yes	2003-09-15 00:00:00	2003-04-23 00:00:00	B	B	400	100	0	100	0	940006591	A99999	N	None	None	SFY2002-03
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-04-11 00:00:00	940001486	Closed	Citation	Citation B (HSC 1424)	Other	MISUSE OF PT. FUNDS	2003-01-25 00:00:00	None	Yes	2003-09-15 00:00:00	2003-04-23 00:00:00	B	B	400	100	0	100	0	940006593	A99999	N	None	None	SFY2002-03
940000043	EDGEWATER SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-04-23 00:00:00	940001487	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-21 00:00:00	None	No	2003-05-22 00:00:00	None	B	None	1000	1000	-350	650	0	940006542	A99999	N	None	None	SFY2002-03
940000116	WHITTIER PACIFIC CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-05-06 00:00:00	940001488	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-04 00:00:00	None	No	2003-06-03 00:00:00	None	B	Drop>Deficiency	800	100	0	100	0	940006579	A99999	N	None	None	SFY2002-03
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-05-06 00:00:00	940001489	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-22 00:00:00	None	No	2003-06-05 00:00:00	None	B	None	800	800	0	800	0	940006534	A99999	N	None	None	SFY2002-03
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-06-23 00:00:00	940001490	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-14 00:00:00	None	No	2003-07-15 00:00:00	None	B	None	1000	1000	-350	650	0	940006607	A99999	N	None	None	SFY2002-03
940000030	VILLA SERENA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-06-23 00:00:00	940001491	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-24 00:00:00	None	No	2003-07-24 00:00:00	None	B	None	1000	1000	-350	650	0	940006650	A99999	N	None	None	SFY2002-03
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-08-08 00:00:00	940001492	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-28 00:00:00	None	No	2003-09-04 00:00:00	None	B	None	950	950	-332.5	617.5	0	940006717	A99999	N	None	None	SFY2003-04
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-08-19 00:00:00	940001493	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-05 00:00:00	None	No	2003-09-19 00:00:00	None	B	None	1000	1000	-350	650	0	940006656	A99999	N	None	None	SFY2003-04
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-10-07 00:00:00	940001494	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-22 00:00:00	None	No	2003-11-18 00:00:00	None	B	None	800	800	-280	520	0	940006818	A99999	N	None	None	SFY2003-04
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2004-02-04 00:00:00	940001495	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-17 00:00:00	None	No	2004-02-27 00:00:00	None	B	None	800	800	-280	520	0	940006922	A99999	N	None	None	SFY2003-04
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2004-02-06 00:00:00	940001496	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-22 00:00:00	None	No	2004-03-02 00:00:00	None	B	None	1000	1000	-350	650	0	940006924	A99999	N	None	None	SFY2003-04
940000062	ALAMITOS BELMONT HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 3	2004-02-27 00:00:00	940001497	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Medication	None	2003-11-24 00:00:00	None	No	2004-03-19 00:00:00	None	WF	None	2000	2000	-700	1300	0	940006926	A99999	None	None	None	SFY2003-04
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2004-02-26 00:00:00	940001498	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-14 00:00:00	None	No	2004-03-18 00:00:00	None	B	None	1000	1000	0	1000	0	940006912	A99999	N	None	None	SFY2003-04
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-02-02 00:00:00	940001499	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Medication	None	2005-01-05 00:00:00	None	No	2005-02-24 00:00:00	None	WF	None	2000	2000	-700	1300	0	940007369	A99999	None	None	None	SFY2004-05
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-02-25 00:00:00	940001500	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-27 00:00:00	None	No	2005-03-18 00:00:00	None	B	None	800	800	-280	520	0	940007392	A99999	N	None	None	SFY2004-05
940000007	ATLANTIC MEMORIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-04-05 00:00:00	940001501	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-02-04 00:00:00	None	No	2005-04-26 00:00:00	None	B	None	1000	1000	0	1000	0	940007386	A99999	N	None	None	SFY2004-05
940000100	HARBOR VIEW BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-04-21 00:00:00	940001502	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-15 00:00:00	None	No	2005-05-23 00:00:00	None	B	None	1000	1000	-350	650	0	940007387	A99999	N	None	None	SFY2004-05
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-06-21 00:00:00	940001503	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-24 00:00:00	None	No	2005-08-10 00:00:00	None	B	None	1000	1050	-350	700	0	940007473	A99999	N	None	None	SFY2004-05
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-08-25 00:00:00	940001504	Closed	Citation	Citation B (HSC 1424)	Other	FIDUCIARY ABUSE	2005-05-23 00:00:00	None	No	2005-09-16 00:00:00	None	B	None	1000	1000	-350	650	0	940007587	A99999	N	None	None	SFY2005-06
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-09-29 00:00:00	940001505	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-24 00:00:00	None	No	2005-10-21 00:00:00	None	B	None	1000	1000	-350	650	0	940007498	A99999	N	None	None	SFY2005-06
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-09-29 00:00:00	940001506	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-11 00:00:00	None	No	2005-10-21 00:00:00	None	B	None	1000	1000	0	1000	0	940007539	A99999	N	None	None	SFY2005-06
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-10-20 00:00:00	940001507	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-05-25 00:00:00	2004-05-25 00:00:00	Yes	2005-11-10 00:00:00	2005-11-03 00:00:00	B	None	1000	40500	0	40500	0	940007654	A99999	N	None	None	SFY2005-06
940000069	BROOKFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-10-24 00:00:00	940001508	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-09 00:00:00	None	No	2006-01-25 00:00:00	None	B	None	1000	1000	-350	650	0	940007553	A99999	N	None	None	SFY2005-06
940000069	BROOKFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-10-24 00:00:00	940001509	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-09 00:00:00	None	No	2006-01-25 00:00:00	None	B	None	1000	1000	-350	650	0	940007553	A99999	N	None	None	SFY2005-06
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-11-02 00:00:00	940001510	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-16 00:00:00	None	No	2006-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	940007660	A99999	N	None	None	SFY2005-06
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-11-10 00:00:00	940001511	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-31 00:00:00	None	No	2006-01-25 00:00:00	None	B	None	1000	3000	-1050	1950	0	940007605	A99999	N	None	None	SFY2005-06
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-11-16 00:00:00	940001512	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-12 00:00:00	None	No	2006-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	940007678	A99999	N	None	None	SFY2005-06
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-11-16 00:00:00	940001513	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-12 00:00:00	None	No	2006-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	940007679	A99999	N	None	None	SFY2005-06
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-12-15 00:00:00	940001514	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-18 00:00:00	None	No	2006-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	940007552	A99999	N	None	None	SFY2005-06
940000100	HARBOR VIEW BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-12-15 00:00:00	940001515	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-05 00:00:00	None	No	2006-01-25 00:00:00	None	B	None	1000	3000	-1050	1950	0	940007686	A99999	N	None	None	SFY2005-06
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-01-05 00:00:00	940001516	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-23 00:00:00	None	No	2006-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	940007669	A99999	N	None	None	SFY2005-06
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-01-06 00:00:00	940001517	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-10-21 00:00:00	None	Yes	2006-02-08 00:00:00	2006-02-27 00:00:00	B	B	1000	1000	0	1000	0	940007721	A99999	N	None	None	SFY2005-06
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-01-09 00:00:00	940001518	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-28 00:00:00	None	No	2006-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	940007549	A99999	N	None	None	SFY2005-06
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-02-03 00:00:00	940001519	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-31 00:00:00	2005-03-31 00:00:00	No	2006-02-28 00:00:00	None	B	None	1000	1000	0	1000	0	940007731	A99999	N	None	None	SFY2005-06
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-03-02 00:00:00	940002884	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-14 00:00:00	2005-05-14 00:00:00	Yes	2006-04-12 00:00:00	2006-03-20 00:00:00	B	B	1000	700	0	700	0	None	45CV11	N	CA00048392	B	SFY2005-06
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-03-02 00:00:00	940002885	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-29 00:00:00	2005-05-29 00:00:00	Yes	2006-04-12 00:00:00	2006-03-20 00:00:00	B	B	1000	700	0	700	0	None	45CV11	N	CA00053815	C	SFY2005-06
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-03-02 00:00:00	940002886	Closed	Citation	Citation B (HSC 1424)	Other	Resident Abuse	2004-12-21 00:00:00	2004-12-21 00:00:00	Yes	2006-04-07 00:00:00	2006-03-21 00:00:00	B	B	1000	650	0	650	0	None	OHPX11	N	CA00036202	A	SFY2005-06
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-03-21 00:00:00	940002934	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-02 00:00:00	2005-08-02 00:00:00	No	2006-04-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	AE8W11	N	CA00058081	C	SFY2005-06
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-03-21 00:00:00	940002939	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-12 00:00:00	2005-11-12 00:00:00	Yes	2006-04-20 00:00:00	2006-03-29 00:00:00	B	None	1000	1000	-1000	0	0	None	AE8W11	N	CA00066569	C	SFY2005-06
940000098	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-04-03 00:00:00	940003003	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-20 00:00:00	2005-11-20 00:00:00	Yes	2006-05-08 00:00:00	2006-04-17 00:00:00	B	None	1000	1000	0	1000	0	None	PBDT11	N	CA00066978	C	SFY2005-06
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-04-05 00:00:00	940003004	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-08 00:00:00	2005-01-08 00:00:00	No	2006-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	6B5I11	N	CA00059029	C	SFY2005-06
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-04-11 00:00:00	940003022	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-13 00:00:00	2005-07-13 00:00:00	Yes	2006-05-30 00:00:00	2006-04-25 00:00:00	B	B	1000	500	0	500	0	None	6B5I11	N	CA00059029	C	SFY2005-06
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-04-21 00:00:00	940003054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-18 00:00:00	2005-09-18 00:00:00	Yes	2006-05-26 00:00:00	2006-04-28 00:00:00	B	None	1000	1000	-1000	0	0	None	AE8W11	N	CA00061797	C	SFY2005-06
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-02-09 00:00:00	940003065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-07 00:00:00	2004-09-07 00:00:00	No	2007-03-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	YWJT11	N	CA00035257	C	SFY2006-07
940000024	NORWALK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-06-08 00:00:00	940003154	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-08-15 00:00:00	2005-08-15 00:00:00	Yes	2007-06-29 00:00:00	2007-06-12 00:00:00	AA	AA	80000	80000	-69484	10516	0	None	VIFF11	Y	CA00059797	C	SFY2006-07
940000116	WHITTIER PACIFIC CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-10-13 00:00:00	940003269	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-02 00:00:00	2006-06-02 00:00:00	Yes	2006-11-17 00:00:00	2006-10-16 00:00:00	B	None	1000	1000	0	1000	0	None	IK0W11	N	CA00071904	B	SFY2006-07
940000043	EDGEWATER SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-14 00:00:00	940003271	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-28 00:00:00	2006-05-28 00:00:00	No	2006-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	8WOW11	N	CA00084358	B	SFY2006-07
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-10-13 00:00:00	940003420	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-20 00:00:00	2006-09-20 00:00:00	No	2006-11-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	LGPT11	N	CA00094439	A	SFY2006-07
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-10-19 00:00:00	940003434	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-12 00:00:00	2005-12-12 00:00:00	No	2006-11-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	JZ6N11	N	CA00072004	C	SFY2006-07
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-10-25 00:00:00	940003443	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-13 00:00:00	2006-09-13 00:00:00	No	2006-11-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	GEDF11	N	CA00089977	B	SFY2006-07
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-11-03 00:00:00	940003463	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-10-16 00:00:00	2006-10-16 00:00:00	Yes	2006-11-29 00:00:00	2006-11-14 00:00:00	B	B	1000	1000	0	1000	0	None	XFWN11	N	CA00096646	B	SFY2006-07
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-11-08 00:00:00	940003467	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-07 00:00:00	2006-10-07 00:00:00	No	2006-12-04 00:00:00	None	B	None	800	800	0	800	0	None	IB0R11	N	CA00095528	B	SFY2006-07
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-11-09 00:00:00	940003478	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-27 00:00:00	2006-08-27 00:00:00	No	2006-12-15 00:00:00	None	B	None	800	800	0	800	0	None	R3MX11	N	CA00094570	C	SFY2006-07
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-11-17 00:00:00	940003497	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-27 00:00:00	2006-08-27 00:00:00	No	2006-12-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	LE6011	N	CA00094573	C	SFY2006-07
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-11-28 00:00:00	940003514	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-11-08 00:00:00	2005-11-08 00:00:00	Yes	2007-01-04 00:00:00	2006-12-11 00:00:00	B	B	1000	500	0	500	0	None	1NWB11	N	CA00094636	B	SFY2006-07
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-11-29 00:00:00	940003531	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-08-05 00:00:00	2006-08-05 00:00:00	No	2007-01-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	SB5911	N	CA00089492	A	SFY2006-07
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-13 00:00:00	940003570	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-16 00:00:00	2005-11-16 00:00:00	Yes	2007-01-31 00:00:00	2006-12-22 00:00:00	B	B	1000	550	0	550	0	None	XNZJ11	N	CA00066521	B	SFY2006-07
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-14 00:00:00	940003571	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-03 00:00:00	2006-05-03 00:00:00	No	2007-01-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	QDSG11	N	CA00080920	B	SFY2006-07
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-14 00:00:00	940003578	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-21 00:00:00	2005-08-21 00:00:00	No	2007-01-31 00:00:00	None	B	None	1000	1000	0	1000	0	None	5HPT11	N	CA00066815	B	SFY2006-07
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-19 00:00:00	940003585	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2006-05-04 00:00:00	2006-05-04 00:00:00	Yes	2007-01-11 00:00:00	2006-12-28 00:00:00	B	B	1000	1000	-869	131	0	None	ENEC11	N	CA00080607	C	SFY2006-07
940000091	PARAMOUNT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-01-02 00:00:00	940003597	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-24 00:00:00	2006-06-24 00:00:00	No	2007-01-23 00:00:00	None	B	None	800	800	0	800	0	None	U8VV11	N	CA00084734	A	SFY2006-07
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-01-02 00:00:00	940003598	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-15 00:00:00	2006-06-15 00:00:00	No	2007-02-05 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	VM6411	Y	CA00083918	C	SFY2006-07
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-27 00:00:00	940003606	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-20 00:00:00	2004-09-20 00:00:00	Yes	2007-01-18 00:00:00	2007-01-09 00:00:00	B	B	1000	500	0	500	0	None	LNB611	N	CA00061783	C	SFY2006-07
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-27 00:00:00	940003607	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-01 00:00:00	2005-07-01 00:00:00	No	2007-01-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	7T1611	N	CA00066468	B	SFY2006-07
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-27 00:00:00	940003608	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-01 00:00:00	2005-07-01 00:00:00	No	2007-01-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	7T1611	N	CA00066468	B	SFY2006-07
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-01-24 00:00:00	940003629	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-18 00:00:00	2006-11-18 00:00:00	No	2007-02-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	F3QK11	N	CA00101266, CA00101266	C, C	SFY2006-07
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-01-24 00:00:00	940003630	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-18 00:00:00	2006-11-18 00:00:00	No	2007-02-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	F3QK11	N	CA00101266	C	SFY2006-07
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-01-11 00:00:00	940003633	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-04 00:00:00	2006-11-04 00:00:00	No	2007-02-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	L7XM11	N	CA00098210	C	SFY2006-07
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-02-05 00:00:00	940003653	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-18 00:00:00	2006-11-18 00:00:00	No	2007-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	F3QK11	N	CA00101266	C	SFY2006-07
940000007	ATLANTIC MEMORIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-02-05 00:00:00	940003683	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-18 00:00:00	2006-05-18 00:00:00	No	2007-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	XNC511	N	CA00083372	C	SFY2006-07
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-02-09 00:00:00	940003701	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-23 00:00:00	2006-06-23 00:00:00	Yes	2007-04-04 00:00:00	2007-02-26 00:00:00	B	B	1000	500	0	500	0	None	55YC11	N	CA00084624	B	SFY2006-07
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-02-28 00:00:00	940003760	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-01-25 00:00:00	2007-01-25 00:00:00	No	2007-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	09JI11	N	CA00091797	B	SFY2006-07
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-03-19 00:00:00	940003816	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2006-06-23 00:00:00	2006-06-23 00:00:00	Yes	2007-04-09 00:00:00	2007-04-06 00:00:00	B	B	1000	500	0	500	0	None	4VWG11	N	CA00087718	A	SFY2006-07
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-05-02 00:00:00	940003922	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-13 00:00:00	2006-12-13 00:00:00	No	2007-07-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	P4HS11	N	CA00111232	C	SFY2006-07
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-05-02 00:00:00	940003923	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-12-13 00:00:00	2006-12-13 00:00:00	No	2007-07-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	P4HS11	N	CA00111232	C	SFY2006-07
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-05-15 00:00:00	940003949	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-20 00:00:00	2006-06-20 00:00:00	No	2007-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	CRE211	N	CA00085685	B	SFY2006-07
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-05-15 00:00:00	940003950	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-06-20 00:00:00	2006-06-20 00:00:00	No	2007-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	CRE211	N	CA00085685	B	SFY2006-07
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-06-29 00:00:00	940003955	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2007-03-28 00:00:00	2007-03-28 00:00:00	Yes	2007-07-23 00:00:00	2007-07-18 00:00:00	A	B	20000	10100	-100	10000	0	None	GEY111	N	CA00111425	C	SFY2006-07
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-05-25 00:00:00	940003992	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-24 00:00:00	2005-06-24 00:00:00	Yes	2007-06-15 00:00:00	2007-06-08 00:00:00	B	B	1000	500	0	500	0	None	IVQU11	N	CA00053399	A	SFY2006-07
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-06-07 00:00:00	940004012	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-07 00:00:00	2007-05-07 00:00:00	No	2007-07-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	7I5B11	N	CA00114939	B	SFY2006-07
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-06-08 00:00:00	940004019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-06 00:00:00	2007-03-06 00:00:00	No	2007-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	V73K11	N	CA00114240	C	SFY2006-07
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-06-08 00:00:00	940004020	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-27 00:00:00	2007-04-27 00:00:00	No	2007-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	V73K11	N	CA00114240	C	SFY2006-07
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-06-29 00:00:00	940004021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-19 00:00:00	2007-03-19 00:00:00	Yes	2007-07-23 00:00:00	2007-07-18 00:00:00	B	Drop>Deficiency	1000	100	-100	0	0	None	GEY111	N	CA00111425	C	SFY2006-07
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-06-29 00:00:00	940004022	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-04 00:00:00	2007-04-04 00:00:00	Yes	2007-07-23 00:00:00	2007-07-18 00:00:00	B	Drop>Deficiency	1000	100	-100	0	0	None	GEY111	N	CA00111425	C	SFY2006-07
940000020	COSTA DEL SOL HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-06-15 00:00:00	940004036	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-01-14 00:00:00	2007-01-14 00:00:00	No	2007-07-09 00:00:00	None	B	None	800	800	-280	520	0	None	LPMO11	N	CA00104172	C	SFY2006-07
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-07-09 00:00:00	940004082	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Abuse	2007-05-17 00:00:00	2007-05-17 00:00:00	Yes	2007-07-30 00:00:00	2007-07-18 00:00:00	B	B	1000	500	0	500	0	None	E2QH11	N	CA00114993	A	SFY2007-08
940000044	EL RANCHO VISTA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-08-12 00:00:00	940004104	Closed	Citation	Citation AA (HSC 1424)	Patient Care	Accidents/Supervision	2007-07-12 00:00:00	2007-07-12 00:00:00	Yes	2011-09-02 00:00:00	2011-09-07 00:00:00	AA	AA	80000	56000	0	56000	0	None	U4N911	Y	CA00120054	B	SFY2011-12
940000077	WHITTIER NURSING AND WELLNESS CENTER, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-08-17 00:00:00	940004189	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-07 00:00:00	2007-06-07 00:00:00	Yes	2011-08-30 00:00:00	2011-04-27 00:00:00	B	Dismissed by Court	1000	0	0	0	0	None	BMVR11	N	CA00120874	C	SFY2007-08
940000077	WHITTIER NURSING AND WELLNESS CENTER, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-08-17 00:00:00	940004190	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-02 00:00:00	2007-06-02 00:00:00	Yes	2011-08-30 00:00:00	2011-04-27 00:00:00	B	Drop>Deficiency	1000	0	0	0	0	None	BMVR11	N	CA00120874	C	SFY2007-08
940000077	WHITTIER NURSING AND WELLNESS CENTER, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-08-17 00:00:00	940004191	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-02 00:00:00	2007-06-02 00:00:00	Yes	2011-08-30 00:00:00	2011-04-27 00:00:00	B	Dismissed by Court	1000	0	0	0	0	None	BMVR11	N	CA00120874	C	SFY2007-08
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-09-26 00:00:00	940004202	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Verbal Abuse	2006-07-12 00:00:00	2006-07-12 00:00:00	No	2007-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z29611	N	CA00086572	B	SFY2007-08
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-08-31 00:00:00	940004215	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-18 00:00:00	2007-06-18 00:00:00	No	2007-09-24 00:00:00	None	B	None	800	800	0	800	0	None	999999	N	None	None	SFY2007-08
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-08-31 00:00:00	940004216	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-11 00:00:00	2007-07-11 00:00:00	No	2007-09-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	WUOC11	N	CA00119748	B	SFY2007-08
940000101	LONG BEACH POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-09-26 00:00:00	940004217	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-06-08 00:00:00	2007-06-08 00:00:00	No	2007-10-18 00:00:00	None	B	None	800	800	0	800	0	None	HPP511	N	CA00115700	C	SFY2007-08
940000101	LONG BEACH POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-09-26 00:00:00	940004218	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-06-11 00:00:00	2007-06-11 00:00:00	No	2007-10-18 00:00:00	None	B	None	800	800	-280	520	0	None	L2BS11	N	CA00115655	C	SFY2007-08
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-08-31 00:00:00	940004234	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2007-01-28 00:00:00	2007-01-28 00:00:00	No	2007-09-24 00:00:00	None	B	None	800	800	-280	520	0	None	3L1P11	N	None	None	SFY2007-08
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-09-19 00:00:00	940004285	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2007-03-09 00:00:00	2007-03-09 00:00:00	Yes	2007-10-11 00:00:00	2007-09-20 00:00:00	B	B	1000	500	0	500	0	None	KWHI11	N	CA00072855, CA00083355	B, B	SFY2007-08
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-09-19 00:00:00	940004286	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-09 00:00:00	2007-03-09 00:00:00	Yes	2007-10-11 00:00:00	2007-09-20 00:00:00	B	B	1000	500	0	500	0	None	KWHI11	N	CA00072855, CA00083355	B, B	SFY2007-08
940000048	COTTAGE CREST POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-12-10 00:00:00	940004370	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-22 00:00:00	2007-09-22 00:00:00	No	2008-01-02 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	LH0P11	N	CA00127596	C	SFY2007-08
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-04-15 00:00:00	940004421	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-01 00:00:00	2007-11-01 00:00:00	Yes	2008-05-06 00:00:00	2008-04-22 00:00:00	B	B	1000	1800	0	1800	0	None	J2CB11	N	CA00124203	D	SFY2007-08
940000076	GRANADA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-12-11 00:00:00	940004477	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-11 00:00:00	2007-09-11 00:00:00	No	2008-01-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	GGK011	N	CA00131232	B	SFY2007-08
940000076	GRANADA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-12-11 00:00:00	940004478	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-11-02 00:00:00	2007-11-02 00:00:00	No	2008-01-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	GGK011	N	CA00131232	B	SFY2007-08
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-01-07 00:00:00	940004553	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-18 00:00:00	2007-09-18 00:00:00	No	2008-01-29 00:00:00	None	B	None	1000	1450	0	1450	0	None	8ED811	N	CA00134191	C	SFY2007-08
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-01-29 00:00:00	940004627	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-18 00:00:00	2007-02-18 00:00:00	No	2008-02-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	FHYT11	N	CA00107545	B	SFY2007-08
940000098	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-02-14 00:00:00	940004696	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-05 00:00:00	2007-04-05 00:00:00	Yes	2008-03-07 00:00:00	2008-03-03 00:00:00	B	B	1000	1000	0	1000	0	None	CSMC11	N	CA00112173	C	SFY2007-08
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-03-27 00:00:00	940004839	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-29 00:00:00	2006-03-29 00:00:00	No	2008-04-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	3S8G11	N	CA00076516	A	SFY2007-08
940000048	COTTAGE CREST POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-04-09 00:00:00	940004886	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Administration	None	2007-11-01 00:00:00	2007-11-01 00:00:00	Yes	2008-04-30 00:00:00	2008-04-22 00:00:00	WF	None	2500	2500	0	2500	0	None	JVMG11	None	None	None	SFY2007-08
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-04-16 00:00:00	940004938	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-01-11 00:00:00	2008-01-11 00:00:00	Yes	2008-05-07 00:00:00	2008-04-17 00:00:00	B	B	800	460	0	460	0	None	RSMS11	N	CA00138840	B	SFY2007-08
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-05-22 00:00:00	940005069	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-28 00:00:00	2007-09-28 00:00:00	Yes	2008-06-13 00:00:00	2008-05-22 00:00:00	B	B	1000	750	0	750	0	None	L75N11	N	CA00127798	A	SFY2007-08
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-05-23 00:00:00	940005070	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-28 00:00:00	2007-01-28 00:00:00	Yes	2011-09-26 00:00:00	2011-09-20 00:00:00	A	A	20000	10000	0	10000	0	None	TXCY11	Y	CA00109996	B	SFY2007-08
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-05-23 00:00:00	940005074	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-31 00:00:00	2008-01-31 00:00:00	Yes	2008-06-16 00:00:00	2008-05-29 00:00:00	B	B	1000	750	0	750	0	None	DILN11	N	CA00136613, CA00136632	C, B	SFY2007-08
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-10-29 00:00:00	940005150	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-21 00:00:00	2007-09-21 00:00:00	Yes	2008-11-20 00:00:00	2008-11-13 00:00:00	A	A	20000	10000	0	10000	0	None	8NWI11	N	CA00128453	B	SFY2008-09
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-07-28 00:00:00	940005264	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-20 00:00:00	2007-03-20 00:00:00	Yes	2008-08-18 00:00:00	2008-08-11 00:00:00	B	B	1000	500	0	500	0	None	60NH11	N	CA00108387	C	SFY2008-09
940000020	COSTA DEL SOL HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-07-28 00:00:00	940005268	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-05 00:00:00	2008-05-05 00:00:00	No	2008-08-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	AWZZ11	N	CA00147391	C	SFY2008-09
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-09-25 00:00:00	940005470	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-22 00:00:00	2008-01-22 00:00:00	No	2008-10-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	0LLM11	N	CA00138935	B	SFY2008-09
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-10-10 00:00:00	940005518	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-10 00:00:00	2008-05-10 00:00:00	Yes	2008-11-03 00:00:00	2008-10-17 00:00:00	B	B	1000	500	0	500	0	None	3YK111	N	CA00150680	C	SFY2008-09
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-01-05 00:00:00	940005567	Closed	Citation	Citation A (HSC 1424)	Administration	None	2008-07-03 00:00:00	2008-07-03 00:00:00	Yes	2009-01-26 00:00:00	2009-01-06 00:00:00	A	A	5000	2000	0	2000	0	None	NFEE11	N	None	None	SFY2008-09
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-01-08 00:00:00	940005762	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-12-17 00:00:00	2008-12-17 00:00:00	No	2009-01-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	0WM811	N	CA00172470	C	SFY2008-09
940000069	BROOKFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-01-12 00:00:00	940005780	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-28 00:00:00	2008-08-28 00:00:00	No	2009-02-03 00:00:00	None	B	None	400	400	0	400	0	None	YBT711	N	CA00162072	A	SFY2008-09
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-01-20 00:00:00	940005808	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-25 00:00:00	2008-03-25 00:00:00	No	2009-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	HUMW11	N	CA00145216	B	SFY2008-09
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-03-06 00:00:00	940005817	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-12-23 00:00:00	2008-12-23 00:00:00	Yes	2009-03-27 00:00:00	2009-03-27 00:00:00	AA	AA	100000	35000	0	35000	0	None	7I0Q11	Y	CA00173598	C	SFY2008-09
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-02-09 00:00:00	940005867	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-21 00:00:00	2009-01-21 00:00:00	No	2009-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	IWUI11	N	CA00175390	C	SFY2008-09
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-02-10 00:00:00	940005871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-27 00:00:00	2009-01-27 00:00:00	No	2009-03-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	IWUI11	N	CA00175390	C	SFY2008-09
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-03-30 00:00:00	940005938	Closed	Citation	Citation A (HSC 1424)	Administration	None	2009-01-12 00:00:00	2009-01-12 00:00:00	Yes	2009-04-21 00:00:00	2009-04-10 00:00:00	A	B	20000	1000	0	1000	0	None	7I0Q11	Y	CA00173598	C	SFY2008-09
940000101	LONG BEACH POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-03-24 00:00:00	940006010	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-06-04 00:00:00	2008-06-04 00:00:00	No	2009-04-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	CEX511	N	CA00154143	C	SFY2008-09
940000024	NORWALK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-05-06 00:00:00	940006164	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-13 00:00:00	2008-05-13 00:00:00	No	2009-05-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	JO9I11	N	CA00152176	B	SFY2008-09
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-07-06 00:00:00	940006355	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-30 00:00:00	2009-05-30 00:00:00	No	2009-07-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	C00V11	N	CA00190449	C	SFY2009-10
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-07-29 00:00:00	940006426	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-26 00:00:00	2009-05-26 00:00:00	No	2009-08-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	DLMF11	N	CA00189927	C	SFY2009-10
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-09-15 00:00:00	940006432	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-06-13 00:00:00	2009-06-13 00:00:00	Yes	2012-06-18 00:00:00	2012-05-31 00:00:00	A	A	20000	20000	0	20000	0	None	527V11	N	CA00192043	C	SFY2009-10
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-10-07 00:00:00	940006511	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-01 00:00:00	2007-06-01 00:00:00	Yes	2009-10-29 00:00:00	2009-10-22 00:00:00	A	A	20000	11600	0	11600	0	None	XP4R11	N	CA00137036	C	SFY2009-10
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-09-15 00:00:00	940006515	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-06-13 00:00:00	2009-06-13 00:00:00	Yes	2012-06-15 00:00:00	2012-05-31 00:00:00	A	B	20000	10000	0	10000	0	None	527V11	N	CA00192043	C	SFY2009-10
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-03-10 00:00:00	940006558	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2009-03-24 00:00:00	2009-03-24 00:00:00	No	2011-04-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	YXQP11	N	CA00175910	A	SFY2010-11
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-01-11 00:00:00	940006832	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-22 00:00:00	2009-10-22 00:00:00	Yes	2010-02-03 00:00:00	2010-01-29 00:00:00	A	A	16000	9280	0	9280	0	None	K8KO11	N	None	None	SFY2009-10
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-01-11 00:00:00	940006855	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-20 00:00:00	2009-10-20 00:00:00	Yes	2010-02-03 00:00:00	2010-01-29 00:00:00	A	A	20000	11600	0	11600	0	None	K8KO11	N	None	None	SFY2009-10
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-01-11 00:00:00	940006856	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-19 00:00:00	2009-10-19 00:00:00	Yes	2010-02-03 00:00:00	2010-01-29 00:00:00	A	A	16000	9280	0	9280	0	None	K8KO11	N	None	None	SFY2009-10
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-01-19 00:00:00	940006857	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-11-30 00:00:00	2009-11-30 00:00:00	Yes	2010-02-09 00:00:00	2010-02-04 00:00:00	A	A	16000	16000	0	16000	0	None	RHYD11	N	None	None	SFY2009-10
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-01-11 00:00:00	940006858	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-29 00:00:00	2009-10-29 00:00:00	Yes	2010-02-03 00:00:00	2010-01-29 00:00:00	A	A	16000	9280	0	9280	0	None	0SL511	N	None	None	SFY2009-10
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-01-11 00:00:00	940006859	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-30 00:00:00	2009-10-30 00:00:00	Yes	2010-02-03 00:00:00	2010-01-29 00:00:00	A	A	20000	11600	0	11600	0	None	0SL511	N	None	None	SFY2009-10
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-01-15 00:00:00	940006860	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-23 00:00:00	2009-10-23 00:00:00	Yes	2010-02-08 00:00:00	2010-01-29 00:00:00	A	A	16000	9280	0	9280	0	None	K8KO11	N	None	None	SFY2009-10
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-04-07 00:00:00	940006956	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-05-19 00:00:00	2008-05-19 00:00:00	Yes	2011-01-26 00:00:00	2010-11-22 00:00:00	AA	A	100000	50000	0	50000	0	None	M1EX11	Y	CA00150565	C	SFY2009-10
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-03-15 00:00:00	940006975	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-11-30 00:00:00	2009-11-30 00:00:00	Yes	2010-04-06 00:00:00	2010-04-27 00:00:00	A	None	16000	16000	0	16000	0	None	RHYD11	N	None	None	SFY2009-10
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-03-15 00:00:00	940006976	Closed	Citation	Citation A (HSC 1424)	Dietary	None	2009-11-30 00:00:00	2009-11-30 00:00:00	Yes	2010-04-06 00:00:00	2010-03-23 00:00:00	A	A	16000	16000	0	16000	0	None	RHYD11	N	None	None	SFY2009-10
940000073	HUNTINGTON PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-02-10 00:00:00	940006987	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-10 00:00:00	2008-11-10 00:00:00	Yes	2010-03-03 00:00:00	2010-03-20 00:00:00	B	B	1000	1000	0	0	1000	None	48WB11	N	CA00169141	A	SFY2009-10
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-04-16 00:00:00	940007118	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-10 00:00:00	2010-03-10 00:00:00	Yes	2010-05-07 00:00:00	2010-07-14 00:00:00	B	B	1000	1000	-883.6	116.4	0	None	T2M011	N	CA00221018	C	SFY2009-10
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-04-16 00:00:00	940007119	Closed	Citation	Citation A (HSC 1424)	Administration	None	2010-02-11 00:00:00	2010-02-11 00:00:00	Yes	2013-04-22 00:00:00	2013-04-15 00:00:00	A	A	16000	16000	-14137.56	1862.44	0	None	T2M011	N	CA00221018	C	SFY2009-10
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-10-08 00:00:00	940007622	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-07-29 00:00:00	2010-07-29 00:00:00	Yes	2010-10-29 00:00:00	2010-10-19 00:00:00	B	B	1000	750	0	750	0	None	U4I211	N	CA00237223	A	SFY2010-11
940000093	ARTESIA CHRISTIAN HOME INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-04-19 00:00:00	940007724	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-09-30 00:00:00	2010-09-30 00:00:00	Yes	2011-05-10 00:00:00	2011-05-04 00:00:00	A	A	15000	15000	0	15000	0	None	C80M11	Y	CA00245336	C	SFY2010-11
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-03-25 00:00:00	940007797	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-08 00:00:00	2008-07-08 00:00:00	Yes	2011-04-18 00:00:00	2011-04-12 00:00:00	A	A	20000	20000	0	20000	0	None	LS6X11	N	CA00129672	B	SFY2010-11
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-02-24 00:00:00	940007928	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-28 00:00:00	2008-12-28 00:00:00	No	2011-03-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	09NX11	N	CA00173609	C	SFY2010-11
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-02-24 00:00:00	940007969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-31 00:00:00	2008-08-31 00:00:00	No	2011-03-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	KUMG11	N	CA00162266	C	SFY2010-11
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-03-02 00:00:00	940007985	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-10 00:00:00	2009-05-10 00:00:00	No	2011-03-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	Q5PQ11	N	CA00188082	C	SFY2010-11
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-03-02 00:00:00	940007993	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-01 00:00:00	2010-05-01 00:00:00	Yes	2011-03-23 00:00:00	2011-03-17 00:00:00	B	None	1000	1000	0	1000	0	None	HZ5O11	N	CA00228467	B	SFY2010-11
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-03-09 00:00:00	940008011	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-11-05 00:00:00	2009-11-05 00:00:00	Yes	2011-03-30 00:00:00	2011-03-24 00:00:00	B	B	500	375	0	375	0	None	ITOF11	N	CA00208176	C	SFY2010-11
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-03-09 00:00:00	940008016	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-22 00:00:00	2010-04-22 00:00:00	No	2011-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	B1LG11	N	None	None	SFY2010-11
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-01-20 00:00:00	940008078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-08 00:00:00	2011-03-08 00:00:00	No	2012-02-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IQ9K11	N	CA00258730, CA00258730, CA00258730	B, B, B	SFY2011-12
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-06-20 00:00:00	940008086	Closed	Citation	Citation A (HSC 1424)	Other	Quality of Care	2010-05-20 00:00:00	2010-05-20 00:00:00	Yes	2011-07-12 00:00:00	2011-06-28 00:00:00	A	B	10000	6500	0	6500	0	None	R8ER11	N	CA00255688, CA00255688	B, B	SFY2010-11
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-06-20 00:00:00	940008088	Closed	Citation	Citation A (HSC 1424)	Other	Quality of Care	2011-01-31 00:00:00	2011-01-31 00:00:00	Yes	2011-07-12 00:00:00	2011-06-28 00:00:00	A	A	15000	15000	0	15000	0	None	R8ER11	N	CA00255688, CA00255688	B, B	SFY2010-11
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-03-30 00:00:00	940008089	Open	Citation	Citation B (HSC 1424)	Other	Unusual Occurrence	2011-01-31 00:00:00	2011-01-31 00:00:00	Yes	2011-04-21 00:00:00	2011-04-06 00:00:00	B	None	1000	1000	0	0	1000	None	R8ER11	Y	CA00255688, CA00255688	B, B	SFY2010-11
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-04-19 00:00:00	940008102	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-05 00:00:00	2009-09-05 00:00:00	No	2011-05-10 00:00:00	None	B	None	1000	3000	0	3000	0	None	34BV11	N	None	None	SFY2010-11
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-04-20 00:00:00	940008175	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-17 00:00:00	2010-11-17 00:00:00	Yes	2011-05-11 00:00:00	2011-04-27 00:00:00	B	B	1000	530	0	530	0	None	UFV411	Y	CA00216242	C	SFY2010-11
940000073	HUNTINGTON PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-04-26 00:00:00	940008198	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-03-26 00:00:00	2011-03-26 00:00:00	Yes	2014-05-01 00:00:00	2014-04-11 00:00:00	B	B	1000	750	0	750	0	None	3ITL11	N	None	None	SFY2010-11
940000073	HUNTINGTON PARK NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-04-26 00:00:00	940008199	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-03-23 00:00:00	2011-03-23 00:00:00	Yes	2014-05-01 00:00:00	2014-04-11 00:00:00	B	B	1000	0	0	0	0	None	3ITL11	N	None	None	SFY2010-11
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-08-12 00:00:00	940008202	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-07-05 00:00:00	2008-07-05 00:00:00	Yes	2013-08-13 00:00:00	2013-07-23 00:00:00	AA	AA	75000	75000	0	75000	0	None	EQJS11	Y	CA00168749	C	SFY2011-12
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-05-26 00:00:00	940008206	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-20 00:00:00	2010-05-20 00:00:00	Yes	2011-06-17 00:00:00	2011-06-03 00:00:00	B	B	1000	900	0	900	0	None	R8ER11	N	CA00255688, CA00255688	B, B	SFY2010-11
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-05-12 00:00:00	940008224	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-24 00:00:00	2009-08-24 00:00:00	No	2011-06-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	F4L911	N	CA00199693	A	SFY2010-11
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-05-26 00:00:00	940008276	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-09-10 00:00:00	2008-09-10 00:00:00	Yes	2011-06-17 00:00:00	2011-05-27 00:00:00	B	Dismissed by Court	1000	0	0	0	0	None	LG5I11	N	CA00161725	C	SFY2010-11
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-05-26 00:00:00	940008277	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2007-07-28 00:00:00	2007-07-28 00:00:00	No	2011-06-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	KZFE11	N	CA00121721	B	SFY2010-11
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-08-31 00:00:00	940008524	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-10 00:00:00	2008-03-10 00:00:00	Yes	2011-09-22 00:00:00	2011-09-22 00:00:00	B	None	1000	1000	0	1000	0	None	81L011	N	CA00153066	C	SFY2011-12
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-09-13 00:00:00	940008565	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-10 00:00:00	2009-04-10 00:00:00	No	2011-10-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	H7G411	N	CA00185377	C	SFY2011-12
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-02-09 00:00:00	940008589	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-04-18 00:00:00	2010-04-18 00:00:00	Yes	2012-03-02 00:00:00	2012-02-23 00:00:00	A	A	20000	11600	0	11600	0	None	W0HL11	N	CA00226262, CA00226612, CA00227613	C, C, C	SFY2011-12
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-09-26 00:00:00	940008590	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-05-18 00:00:00	2011-05-18 00:00:00	No	2011-10-17 00:00:00	None	B	None	500	500	0	500	0	None	XRRB11	N	CA00272333	A	SFY2011-12
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-09-26 00:00:00	940008592	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-02-07 00:00:00	2011-02-07 00:00:00	No	2011-10-17 00:00:00	None	B	None	500	500	0	500	0	None	H9US11	N	CA00258541	B	SFY2011-12
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-09-27 00:00:00	940008595	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-17 00:00:00	2011-03-17 00:00:00	No	2011-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	2ROH11	N	CA00264964	B	SFY2011-12
970000070	INFINITY CARE OF EAST LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-09-27 00:00:00	940008596	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-02-17 00:00:00	2011-02-17 00:00:00	No	2011-10-18 00:00:00	None	B	None	500	500	0	500	0	None	K2JF11	N	CA00259821	B	SFY2011-12
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-02-06 00:00:00	940008612	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-01-06 00:00:00	2011-01-06 00:00:00	Yes	2012-02-28 00:00:00	2012-03-05 00:00:00	A	A	5000	2900	0	2900	0	None	J9D911	N	CA00259263	B	SFY2011-12
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-10 00:00:00	940008692	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-31 00:00:00	2009-10-31 00:00:00	Yes	2012-03-05 00:00:00	2012-03-12 00:00:00	A	B	15000	15000	0	15000	0	None	PFNX11	N	CA00223359	C	SFY2011-12
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-01-24 00:00:00	940008718	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-03-10 00:00:00	2010-03-10 00:00:00	Yes	2012-02-14 00:00:00	2012-01-26 00:00:00	AA	A	80000	70000	0	70000	0	None	ZFSX11	Y	CA00222026	C	SFY2011-12
940000030	VILLA SERENA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-01-25 00:00:00	940008722	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-25 00:00:00	2011-01-25 00:00:00	No	2012-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	NPQJ11	N	None	None	SFY2011-12
940000030	VILLA SERENA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-01-25 00:00:00	940008723	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-14 00:00:00	2011-09-14 00:00:00	No	2012-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	NPQJ11	N	None	None	SFY2011-12
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-01-19 00:00:00	940008813	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-11 00:00:00	2010-09-11 00:00:00	No	2012-02-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	JXI811	N	None	None	SFY2011-12
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-01-19 00:00:00	940008814	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Abuse/Facility Not Report	2011-10-14 00:00:00	2011-10-14 00:00:00	No	2012-02-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	JXI811	N	None	None	SFY2011-12
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-10 00:00:00	940008992	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-09-14 00:00:00	2011-09-14 00:00:00	No	2012-03-05 00:00:00	None	B	None	500	500	-175	325	0	None	9IPW11	N	None	None	SFY2011-12
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-02-27 00:00:00	940009045	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-30 00:00:00	2011-09-30 00:00:00	No	2012-03-19 00:00:00	None	B	None	1200	1200	-420	780	0	None	E8NU11	N	CA00286581	B	SFY2011-12
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-02-27 00:00:00	940009046	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2011-09-15 00:00:00	2011-09-15 00:00:00	No	2012-03-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	E8NU11	N	CA00286581	B	SFY2011-12
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-03-06 00:00:00	940009064	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-26 00:00:00	2011-11-26 00:00:00	Yes	2012-03-27 00:00:00	2012-04-06 00:00:00	B	None	1000	1000	-350	650	0	None	MOG811	N	CA00290918	B	SFY2011-12
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-08-07 00:00:00	940009065	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-11-08 00:00:00	2011-11-08 00:00:00	Yes	2012-08-28 00:00:00	2012-08-28 00:00:00	A	A	20000	10000	0	10000	0	None	VO3E11	Y	CA00289153	A	SFY2012-13
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-03-02 00:00:00	940009066	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-02-02 00:00:00	2012-02-02 00:00:00	No	2012-03-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	C74K11	N	None	None	SFY2011-12
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-04-03 00:00:00	940009093	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-02-02 00:00:00	2012-02-02 00:00:00	No	2012-04-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	C74K11	N	None	None	SFY2011-12
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-03-27 00:00:00	940009192	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-10-03 00:00:00	2011-10-03 00:00:00	Yes	2012-04-17 00:00:00	2012-03-30 00:00:00	B	None	1000	1000	0	0	1000	None	J73H11	N	CA00285647	B	SFY2011-12
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-04-27 00:00:00	940009244	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-12-01 00:00:00	2011-12-01 00:00:00	No	2012-05-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	P6UD11	N	CA00297004	B	SFY2011-12
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-04-27 00:00:00	940009245	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-12-17 00:00:00	2011-12-17 00:00:00	No	2012-05-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	P6UD11	N	CA00297004	B	SFY2011-12
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-05-09 00:00:00	940009289	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-23 00:00:00	2011-02-23 00:00:00	Yes	2012-05-31 00:00:00	2012-05-11 00:00:00	B	None	2000	2000	0	2000	0	None	IIYI11	N	CA00271732	C	SFY2011-12
940000100	HARBOR VIEW BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-05-09 00:00:00	940009293	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-28 00:00:00	2011-09-28 00:00:00	No	2012-05-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z6LS11	N	CA00289733	B	SFY2011-12
940000100	HARBOR VIEW BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-05-16 00:00:00	940009309	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-21 00:00:00	2009-10-21 00:00:00	No	2012-06-07 00:00:00	None	B	None	1200	1200	-420	780	0	None	PX4711	N	CA00206139	A	SFY2011-12
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-05-22 00:00:00	940009325	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-14 00:00:00	2012-03-14 00:00:00	No	2012-06-13 00:00:00	None	B	None	600	600	0	600	0	None	9Y2Y11	N	CA00303679, CA00304753	B, B	SFY2011-12
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-07-02 00:00:00	940009383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-05-08 00:00:00	2012-05-08 00:00:00	No	2012-07-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X8UW11	N	CA00309969	B	SFY2012-13
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-07-02 00:00:00	940009384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-25 00:00:00	2012-02-25 00:00:00	No	2012-07-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XEER11	N	CA00301239	B	SFY2012-13
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-07-10 00:00:00	940009393	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-06-12 00:00:00	2012-06-12 00:00:00	No	2012-07-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1W0211	N	None	None	SFY2012-13
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-07-18 00:00:00	940009400	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-07-12 00:00:00	2012-07-12 00:00:00	No	2012-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0DOF11	N	None	None	SFY2012-13
940000100	HARBOR VIEW BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-08-07 00:00:00	940009428	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-07-01 00:00:00	2012-07-01 00:00:00	No	2012-08-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WZ0E11	N	CA00316682	B	SFY2012-13
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-08-20 00:00:00	940009446	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-02-03 00:00:00	2011-02-03 00:00:00	No	2012-09-11 00:00:00	None	B	None	1600	1600	0	1600	0	None	H52E11	N	CA00264600	B	SFY2012-13
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-08-20 00:00:00	940009447	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2011-08-09 00:00:00	2011-08-09 00:00:00	No	2012-09-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	W3YY11	N	CA00280466	B	SFY2012-13
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-08-20 00:00:00	940009449	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-02 00:00:00	2011-04-02 00:00:00	No	2012-09-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	H52E11	N	CA00264630	B	SFY2012-13
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-08-21 00:00:00	940009451	Closed	Citation	Citation B (HSC 1424)	Other	Misappropriation of Prope	2011-10-28 00:00:00	2011-10-28 00:00:00	No	2012-09-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MWEH11	N	CA00286822	B	SFY2012-13
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-09-11 00:00:00	940009471	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-09 00:00:00	2011-03-09 00:00:00	Yes	2012-10-02 00:00:00	2012-09-24 00:00:00	A	B	18000	18000	0	18000	0	None	CMIK11	N	CA00264641	B	SFY2012-13
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-09-11 00:00:00	940009481	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-03-27 00:00:00	2012-03-27 00:00:00	No	2012-10-02 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	1O8611	N	CA00309309	B	SFY2012-13
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-09-11 00:00:00	940009482	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2012-03-27 00:00:00	2012-03-27 00:00:00	No	2012-10-02 00:00:00	None	B	None	1500	1500	-525	975	0	None	1O8611	N	CA00309309	B	SFY2012-13
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-09-12 00:00:00	940009484	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-12 00:00:00	2012-03-12 00:00:00	No	2012-10-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	1EJE11	N	None	None	SFY2012-13
940000072	MARLORA POST ACUTE REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-09-12 00:00:00	940009485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-09 00:00:00	2012-03-09 00:00:00	No	2012-10-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	CV2311	N	CA00304236	B	SFY2012-13
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-11-19 00:00:00	940009529	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-11-05 00:00:00	2011-11-05 00:00:00	No	2012-12-12 00:00:00	None	A	None	16000	16000	0	16000	0	None	PCS411	N	CA00290257	B	SFY2012-13
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-10-02 00:00:00	940009535	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-28 00:00:00	2012-08-28 00:00:00	No	2012-10-23 00:00:00	None	B	None	2000	6000	0	6000	0	None	LBL111	N	CA00323873	B	SFY2012-13
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-11-19 00:00:00	940009543	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-04-07 00:00:00	2012-04-07 00:00:00	No	2012-12-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	DVDQ11	N	CA00313712, CA00314680, CA00314680	B, B, B	SFY2012-13
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-11-20 00:00:00	940009609	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-10-21 00:00:00	2012-10-21 00:00:00	No	2012-12-13 00:00:00	None	A	None	15000	45000	-15750	29250	0	None	6P8211	N	CA00331033	C	SFY2012-13
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-11-28 00:00:00	940009627	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-16 00:00:00	2011-05-16 00:00:00	No	2012-12-19 00:00:00	None	B	None	1800	1800	-630	1170	0	None	Z7XL11	N	CA00269932	B	SFY2012-13
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-11-30 00:00:00	940009634	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-03 00:00:00	2012-02-03 00:00:00	No	2012-12-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	URF411	N	CA00301515	B	SFY2012-13
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-02-11 00:00:00	940009696	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-09-13 00:00:00	2012-09-13 00:00:00	Yes	2013-03-05 00:00:00	2013-02-15 00:00:00	A	A	18000	12000	0	12000	0	None	CL8911	N	CA00326879, CA00326889	C, B	SFY2012-13
940000030	VILLA SERENA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-02-11 00:00:00	940009709	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-11-23 00:00:00	2012-11-23 00:00:00	Yes	2013-03-05 00:00:00	2013-02-19 00:00:00	A	None	17000	17000	0	17000	0	None	L54Z11	N	None	None	SFY2012-13
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-01-25 00:00:00	940009719	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-11-07 00:00:00	2012-11-07 00:00:00	No	2013-02-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SV2Q11	N	CA00332557	A	SFY2012-13
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-01-30 00:00:00	940009723	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-07-30 00:00:00	2012-07-30 00:00:00	No	2013-02-21 00:00:00	None	B	None	500	500	-175	325	0	None	83PF11	N	CA00319483	B	SFY2012-13
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-01-30 00:00:00	940009724	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-07-12 00:00:00	2012-07-12 00:00:00	No	2013-02-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	83PF11	N	CA00318175	B	SFY2012-13
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-12 00:00:00	940009741	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-11-11 00:00:00	2012-11-11 00:00:00	No	2013-03-06 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	3ONJ11	N	None	None	SFY2012-13
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-12 00:00:00	940009742	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-11 00:00:00	2012-10-11 00:00:00	No	2013-03-06 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	3ONJ11	N	None	None	SFY2012-13
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-12 00:00:00	940009743	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-11 00:00:00	2012-10-11 00:00:00	No	2013-03-06 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	3ONJ11	N	None	None	SFY2012-13
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-12 00:00:00	940009744	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-11 00:00:00	2012-10-11 00:00:00	No	2013-03-06 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	3ONJ11	N	None	None	SFY2012-13
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-02-27 00:00:00	940009760	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-12-25 00:00:00	2012-12-25 00:00:00	No	2013-03-20 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	YPQR11	N	CA00338322	B	SFY2012-13
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-05-21 00:00:00	940009762	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-01-27 00:00:00	2010-01-27 00:00:00	Yes	2013-06-12 00:00:00	2013-05-31 00:00:00	AA	None	75000	75000	-66269.82	8730.18	0	None	HY1211	Y	CA00260266	B	SFY2012-13
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-08-06 00:00:00	940010074	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-05-16 00:00:00	2013-05-16 00:00:00	No	2013-08-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JOLV11	N	CA00355513	A	SFY2013-14
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-08-07 00:00:00	940010090	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-05-18 00:00:00	2013-05-18 00:00:00	No	2013-08-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GFZJ11	N	None	None	SFY2013-14
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-09-12 00:00:00	940010146	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-07-16 00:00:00	2013-07-16 00:00:00	No	2013-10-03 00:00:00	None	B	None	2000	2200	-700	1500	0	None	BSWW11	N	CA00364163	B	SFY2013-14
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-09-16 00:00:00	940010149	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-07-16 00:00:00	2013-07-16 00:00:00	No	2013-10-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BSWW11	N	CA00364163	B	SFY2013-14
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-09-26 00:00:00	940010164	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-05-14 00:00:00	2013-05-14 00:00:00	No	2013-10-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	90DN11	N	None	None	SFY2013-14
940000044	EL RANCHO VISTA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-11-19 00:00:00	940010271	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-09-05 00:00:00	2013-09-05 00:00:00	No	2013-12-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3Y5H11	N	CA00370957	B	SFY2013-14
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-12-23 00:00:00	940010297	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-11-06 00:00:00	2013-11-06 00:00:00	No	2014-01-15 00:00:00	None	B	None	1500	1500	0	1500	0	None	1VMM11	N	CA00376018	B	SFY2013-14
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-12-23 00:00:00	940010357	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-11-06 00:00:00	2013-11-06 00:00:00	No	2014-01-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	1VMM11	N	CA00376018	B	SFY2013-14
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-01-10 00:00:00	940010371	Closed	Citation	Citation B (HSC 1424)	Medication	None	2013-12-06 00:00:00	2013-12-06 00:00:00	No	2014-02-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B9QR11	N	CA00379346	B	SFY2013-14
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-02-12 00:00:00	940010466	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-06-03 00:00:00	2013-06-03 00:00:00	No	2014-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VPCD11	N	CA00363669	B	SFY2013-14
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-02-12 00:00:00	940010468	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-06-03 00:00:00	2013-06-03 00:00:00	No	2014-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VPCD11	N	CA00363900	B	SFY2013-14
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-03-06 00:00:00	940010523	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2013-10-21 00:00:00	2013-10-21 00:00:00	No	2014-03-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	K1BV11	N	CA00374667	A	SFY2013-14
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-04-03 00:00:00	940010598	Closed	Citation	Citation B (HSC 1424)	Administration	None	2014-01-23 00:00:00	2014-01-23 00:00:00	No	2014-04-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MEYO11	N	None	None	SFY2013-14
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-09-23 00:00:00	940010691	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-09-30 00:00:00	2013-09-30 00:00:00	No	2014-10-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	0FZ511	N	CA00372631, CA00372655	C, B	SFY2014-15
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-05-06 00:00:00	940010703	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-06-08 00:00:00	2013-06-08 00:00:00	No	2014-05-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	E1U611	N	CA00391699	C	SFY2013-14
940000048	COTTAGE CREST POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-02 00:00:00	940010714	Closed	Citation	Citation A (HSC 1424)	Medication	None	2014-02-19 00:00:00	2014-02-19 00:00:00	Yes	2014-06-23 00:00:00	2014-06-09 00:00:00	A	A	20000	13000	0	13000	0	None	S1Z811	N	CA00388285, CA00388285, CA00388285	B, B, B	SFY2013-14
940000048	COTTAGE CREST POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-02 00:00:00	940010742	Closed	Citation	Citation B (HSC 1424)	Medication	None	2014-03-03 00:00:00	2014-03-03 00:00:00	Yes	2014-06-23 00:00:00	2014-06-06 00:00:00	B	B	2000	2000	0	2000	0	None	S1Z811	N	CA00388285, CA00388285, CA00388285, CA00388285	B, B, B, B	SFY2013-14
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-10 00:00:00	940010743	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-03-28 00:00:00	2014-03-28 00:00:00	No	2014-07-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	2P7V11	N	None	None	SFY2013-14
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-10 00:00:00	940010746	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-28 00:00:00	2014-03-28 00:00:00	No	2014-07-01 00:00:00	None	A	None	10000	10000	-8835.98	1164.02	0	None	2P7V11	N	None	None	SFY2013-14
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-07-31 00:00:00	940010900	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2014-06-09 00:00:00	2014-06-09 00:00:00	Yes	2014-08-21 00:00:00	2014-08-07 00:00:00	B	None	2000	2000	0	0	2000	None	5QG411	N	CA00401276	B	SFY2014-15
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-08-21 00:00:00	940010945	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-07-11 00:00:00	2014-07-11 00:00:00	No	2014-09-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OQ6311	N	None	None	SFY2014-15
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-08-27 00:00:00	940010963	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-06-13 00:00:00	2013-06-13 00:00:00	No	2014-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	SE5511	N	CA00358555	A	SFY2014-15
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-23 00:00:00	940010998	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-01-17 00:00:00	2014-01-17 00:00:00	Yes	2015-01-15 00:00:00	2014-12-30 00:00:00	AA	A	75000	52500	0	52500	0	None	2XYV11	Y	CA00392280, CA00393859	B, C	SFY2014-15
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-23 00:00:00	940010999	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-07 00:00:00	2014-03-07 00:00:00	Yes	2015-01-15 00:00:00	2014-12-30 00:00:00	A	A	20000	14000	0	14000	0	None	2XYV11	N	None	None	SFY2014-15
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-04 00:00:00	940011067	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-04-23 00:00:00	2012-04-23 00:00:00	No	2014-12-26 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	DE8911	N	CA00308763	C	SFY2014-15
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-10-22 00:00:00	940011087	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-07 00:00:00	2014-08-07 00:00:00	No	2014-11-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	R4L011	N	None	None	SFY2014-15
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-11-12 00:00:00	940011123	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-08-10 00:00:00	2013-08-10 00:00:00	No	2014-12-05 00:00:00	None	B	None	2000	6000	0	6000	0	None	ZDZH11	N	CA00366498	B	SFY2014-15
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-12-10 00:00:00	940011129	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-09-25 00:00:00	2012-09-25 00:00:00	No	2015-01-02 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	21M911	N	CA00327335	C	SFY2014-15
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-10 00:00:00	940011134	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-11-08 00:00:00	2013-11-08 00:00:00	No	2015-01-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RKWZ11	N	CA00376515	A	SFY2014-15
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-10 00:00:00	940011147	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-10-20 00:00:00	2014-10-20 00:00:00	No	2015-01-02 00:00:00	None	A	None	10000	10000	0	10000	0	None	I4F611	N	CA00382650	B	SFY2014-15
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-23 00:00:00	940011181	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-09-22 00:00:00	2013-09-22 00:00:00	No	2015-01-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	KPLG11	N	CA00371320	B	SFY2014-15
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-18 00:00:00	940011184	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-03-11 00:00:00	2013-03-11 00:00:00	No	2015-01-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JP8T11	N	CA00349883	B	SFY2014-15
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-01-26 00:00:00	940011194	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-05-18 00:00:00	2014-05-18 00:00:00	No	2015-02-17 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	C5KX11	N	None	None	SFY2014-15
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-02-05 00:00:00	940011250	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-03-06 00:00:00	2012-03-06 00:00:00	Yes	2015-02-27 00:00:00	2015-02-18 00:00:00	A	A	20000	20000	0	20000	0	None	C9MU11	N	CA00326157	B	SFY2014-15
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-03-25 00:00:00	940011286	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-08-04 00:00:00	2014-08-04 00:00:00	Yes	2015-04-16 00:00:00	2015-08-27 00:00:00	A	A	20000	13000	0	13000	0	None	N3IW11	N	CA00408730	B	SFY2014-15
960001457	EL ENCANTO HEALTHCARE AND HABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-03-18 00:00:00	940011312	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-08-27 00:00:00	2013-08-27 00:00:00	No	2015-04-09 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	XCO611	N	CA00368644	B	SFY2014-15
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-03-31 00:00:00	940011362	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-05-19 00:00:00	2013-05-19 00:00:00	Yes	2015-04-21 00:00:00	2015-04-01 00:00:00	A	A	20000	20000	0	20000	0	None	X81111	N	None	None	SFY2014-15
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-04-20 00:00:00	940011365	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-02-09 00:00:00	2013-02-09 00:00:00	Yes	2015-05-11 00:00:00	2015-04-21 00:00:00	B	None	2000	2000	0	0	2000	None	217W11	N	CA00343375	B	SFY2014-15
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-05-04 00:00:00	940011388	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-04 00:00:00	2014-07-04 00:00:00	No	2015-05-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	PWXR11	Y	CA00404710	A	SFY2014-15
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-04-17 00:00:00	940011403	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2015-04-06 00:00:00	2015-04-06 00:00:00	Yes	2015-05-08 00:00:00	2015-04-21 00:00:00	B	None	2000	2000	0	2000	0	None	ZI5D11	N	None	None	SFY2014-15
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-04-24 00:00:00	940011417	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-27 00:00:00	2015-02-27 00:00:00	Yes	2015-05-15 00:00:00	2015-05-12 00:00:00	B	B	2000	2000	0	2000	0	None	5URS11	N	None	None	SFY2014-15
940000044	EL RANCHO VISTA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-04-29 00:00:00	940011424	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-03-20 00:00:00	2015-03-20 00:00:00	No	2015-05-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	4P7811	N	CA00433723	B	SFY2014-15
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-05-01 00:00:00	940011430	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-10-07 00:00:00	2013-10-07 00:00:00	No	2015-05-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0D5P11	N	None	None	SFY2014-15
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-05-06 00:00:00	940011431	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-07-07 00:00:00	2014-07-07 00:00:00	Yes	2015-05-28 00:00:00	2015-05-13 00:00:00	B	B	2000	2000	0	2000	0	None	WN3911	N	CA00413473, CA00413474, CA00413475, CA00413476	B, B, B, B	SFY2014-15
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-05-06 00:00:00	940011435	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-09-20 00:00:00	2014-09-20 00:00:00	Yes	2015-05-28 00:00:00	2015-05-13 00:00:00	A	A	20000	18000	0	18000	0	None	WN3911	N	CA00413475	B	SFY2014-15
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-05-06 00:00:00	940011447	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-12-30 00:00:00	2013-12-30 00:00:00	No	2015-05-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JKC311	N	CA00383209, CA00383221	E, E	SFY2014-15
940000098	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-05-13 00:00:00	940011469	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-07-03 00:00:00	2014-07-03 00:00:00	No	2015-06-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H9J711	N	CA00405852, CA00405852	A, A	SFY2014-15
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-05-13 00:00:00	940011470	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-01-15 00:00:00	2015-01-15 00:00:00	No	2015-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	V3K111	N	None	None	SFY2014-15
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-05-13 00:00:00	940011471	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-29 00:00:00	2014-03-29 00:00:00	No	2015-06-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	JR0411	N	None	None	SFY2014-15
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-05-20 00:00:00	940011481	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-11-06 00:00:00	2013-11-06 00:00:00	No	2015-06-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	UTJL11	N	None	None	SFY2014-15
940000020	COSTA DEL SOL HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-06-11 00:00:00	940011546	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-06-28 00:00:00	2014-06-28 00:00:00	Yes	2015-07-02 00:00:00	2015-06-23 00:00:00	A	B	20000	16000	0	16000	0	None	KWEW11	N	CA00403861, CA00403861	A, A	SFY2014-15
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-07-01 00:00:00	940011570	Closed	Citation	Citation A (HSC 1424)	Medication	None	2013-07-26 00:00:00	2013-07-26 00:00:00	Yes	2015-07-22 00:00:00	2015-07-08 00:00:00	A	A	20000	12500	0	12500	0	None	JKCM11	N	CA00382526, CA00382526, CA00382526, CA00382526, CA00382526	B, B, B, B, B	SFY2015-16
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-07-01 00:00:00	940011573	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-09-08 00:00:00	2013-09-08 00:00:00	Yes	2015-07-22 00:00:00	2015-07-08 00:00:00	A	B	20000	12500	0	12500	0	None	JKCM11	N	CA00382526, CA00382526, CA00382526, CA00382526, CA00382526	B, B, B, B, B	SFY2015-16
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-06-29 00:00:00	940011579	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-04-16 00:00:00	2012-04-16 00:00:00	No	2015-07-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	C6BJ11	N	CA00321666	A	SFY2014-15
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-07-02 00:00:00	940011590	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-04-27 00:00:00	2014-04-27 00:00:00	No	2015-07-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	P3VB11	N	CA00397098	B	SFY2015-16
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-07-10 00:00:00	940011606	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-12-01 00:00:00	2014-12-01 00:00:00	Yes	2015-07-31 00:00:00	2015-07-28 00:00:00	A	B	20000	15000	0	15000	0	None	E2EP11	N	None	None	SFY2015-16
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-07-09 00:00:00	940011609	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2015-06-08 00:00:00	2015-06-08 00:00:00	No	2015-07-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KOFO21	N	None	None	SFY2015-16
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-09-10 00:00:00	940011696	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-09-09 00:00:00	2014-09-09 00:00:00	No	2015-10-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	QGYZ11	N	CA00412849	A	SFY2015-16
940000044	EL RANCHO VISTA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-09-18 00:00:00	940011704	Closed	Citation	Citation A (HSC 1424)	Administration	None	2014-08-03 00:00:00	2014-08-03 00:00:00	No	2015-10-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9KT411	N	CA00408466	B	SFY2015-16
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-09-29 00:00:00	940011713	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-29 00:00:00	2015-06-29 00:00:00	No	2015-10-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	69GP11	N	CA00452623	B	SFY2015-16
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-09-30 00:00:00	940011762	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-10-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	6Z5X11	N	CA00431523	A	SFY2015-16
940000069	BROOKFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-10-30 00:00:00	940011766	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-07-18 00:00:00	2014-07-18 00:00:00	No	2015-11-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZDUZ11	N	CA00407775	B	SFY2015-16
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-10-02 00:00:00	940011768	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-05-15 00:00:00	2014-05-15 00:00:00	No	2015-10-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	750111	N	CA00399109	B	SFY2015-16
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-10-23 00:00:00	940011781	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-09-28 00:00:00	2015-09-28 00:00:00	No	2015-11-16 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	69GP12	N	CA00452623	B	SFY2015-16
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-12-02 00:00:00	940011818	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-18 00:00:00	2015-01-18 00:00:00	Yes	2015-12-23 00:00:00	2015-12-15 00:00:00	A	None	20000	20000	0	0	20000	None	UPUY11	N	CA00427793	B	SFY2015-16
940000098	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-12-03 00:00:00	940011853	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-12-13 00:00:00	2014-12-13 00:00:00	No	2015-12-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	QPB311	N	CA00423877	B	SFY2015-16
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-12-02 00:00:00	940011862	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-30 00:00:00	2015-06-30 00:00:00	No	2015-12-23 00:00:00	None	A	None	20000	60000	0	60000	0	None	V4XQ11	N	CA00463569	B	SFY2015-16
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-12-02 00:00:00	940011864	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-20 00:00:00	2015-02-20 00:00:00	No	2015-12-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	V4XQ11	N	CA00463569	B	SFY2015-16
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-04-08 00:00:00	940011868	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2014-12-22 00:00:00	2014-12-22 00:00:00	Yes	2016-04-29 00:00:00	2016-04-18 00:00:00	A	None	20000	20000	0	0	20000	None	7EQ211	N	CA00424777, CA00426417	B, B	SFY2015-16
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-12-02 00:00:00	940011876	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-17 00:00:00	2015-05-17 00:00:00	No	2015-12-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	BXS811	N	CA00443367	B	SFY2015-16
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-01-21 00:00:00	940011911	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-06 00:00:00	2014-07-06 00:00:00	Yes	2016-02-11 00:00:00	2016-02-08 00:00:00	A	A	20000	11000	0	11000	0	None	G34911	N	CA00405476	A	SFY2015-16
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-01-12 00:00:00	940011958	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-04-10 00:00:00	2015-04-10 00:00:00	No	2016-02-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JTSS11	N	CA00441833	A	SFY2015-16
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-01-21 00:00:00	940011982	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-07-06 00:00:00	2014-07-06 00:00:00	Yes	2016-02-11 00:00:00	2016-02-08 00:00:00	B	B	2000	800	0	800	0	None	G34911	N	CA00405476	A	SFY2015-16
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-02-12 00:00:00	940011990	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-12-11 00:00:00	2014-12-11 00:00:00	No	2016-03-07 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MP8811	N	CA00423393	A	SFY2015-16
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-02-04 00:00:00	940011998	Closed	Citation	Citation A (HSC 1424)	Medication	None	2015-10-18 00:00:00	2015-10-18 00:00:00	No	2016-02-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	RMRM11	N	None	None	SFY2015-16
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-02-04 00:00:00	940011999	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-10-18 00:00:00	2015-10-18 00:00:00	No	2016-02-26 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	RMRM11	N	None	None	SFY2015-16
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-02-12 00:00:00	940012009	Closed	Citation	Citation A (HSC 1424)	Medication	None	2015-04-17 00:00:00	2015-04-17 00:00:00	Yes	2016-03-07 00:00:00	2016-02-25 00:00:00	A	A	20000	12500	0	12500	0	None	NTFO11	N	CA00443994	B	SFY2015-16
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-02-12 00:00:00	940012011	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2015-07-05 00:00:00	2015-07-05 00:00:00	Yes	2016-03-07 00:00:00	2016-02-25 00:00:00	WF	WMF>$1000	2000	2000	0	2000	0	None	NTFO11	None	CA00443994	B	SFY2015-16
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-03-02 00:00:00	940012049	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-10-09 00:00:00	2014-10-09 00:00:00	No	2016-03-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2NOL11	N	CA00417029	B	SFY2015-16
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-03-29 00:00:00	940012126	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-10-10 00:00:00	2013-10-10 00:00:00	No	2016-04-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	M8BV11	N	CA00374430	B	SFY2015-16
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-03-29 00:00:00	940012148	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-31 00:00:00	2015-08-31 00:00:00	No	2016-04-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UM8U11	N	CA00456417	B	SFY2015-16
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-04-21 00:00:00	940012186	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-13 00:00:00	2015-12-13 00:00:00	No	2016-05-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	1E3211	N	None	None	SFY2015-16
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-04-21 00:00:00	940012187	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-03-17 00:00:00	2016-03-17 00:00:00	No	2016-05-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	1E3211	N	None	None	SFY2015-16
940000100	HARBOR VIEW BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-04-27 00:00:00	940012198	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-01-17 00:00:00	2016-01-17 00:00:00	No	2016-05-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	09XU11	N	CA00472912	B	SFY2015-16
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-26 00:00:00	940012227	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-03-20 00:00:00	2016-03-20 00:00:00	No	2016-06-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	59C811	N	CA00481117	B	SFY2015-16
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-26 00:00:00	940012231	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-10 00:00:00	2015-08-10 00:00:00	Yes	2016-06-17 00:00:00	2016-06-10 00:00:00	A	B	20000	10000	0	10000	0	None	59C811	N	CA00454015	B	SFY2015-16
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-26 00:00:00	940012232	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-01-18 00:00:00	2016-01-18 00:00:00	No	2016-06-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	59C811	N	None	None	SFY2015-16
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-26 00:00:00	940012233	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-18 00:00:00	2016-01-18 00:00:00	Yes	2016-06-17 00:00:00	2016-06-10 00:00:00	A	A	20000	10000	0	10000	0	None	59C811	N	CA00473520	A	SFY2015-16
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-26 00:00:00	940012234	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-04 00:00:00	2016-04-04 00:00:00	Yes	2016-06-17 00:00:00	2016-06-10 00:00:00	A	B	16000	3000	0	3000	0	None	59C811	N	CA00483076	B	SFY2015-16
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-11 00:00:00	940012236	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-27 00:00:00	2016-01-27 00:00:00	No	2016-06-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	X4NK11	N	CA00474146	A	SFY2015-16
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-26 00:00:00	940012278	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-10-29 00:00:00	2014-10-29 00:00:00	Yes	2016-06-17 00:00:00	2016-06-17 00:00:00	A	A	16000	1000	0	1000	0	None	QO1S11	N	CA00418864	B	SFY2015-16
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-26 00:00:00	940012287	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-09 00:00:00	2015-01-09 00:00:00	Yes	2016-06-17 00:00:00	2016-06-16 00:00:00	A	A	16000	10400	0	10400	0	None	DWZ111	N	CA00427557	A	SFY2015-16
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-10 00:00:00	940012314	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-07-11 00:00:00	2015-07-11 00:00:00	No	2016-07-01 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	47T411	N	CA00450112	B	SFY2015-16
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-28 00:00:00	940012352	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-10-24 00:00:00	2015-10-24 00:00:00	No	2016-07-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OO2K11	N	CA00463224, CA00463282, CA00463893	A, A, B	SFY2015-16
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-28 00:00:00	940012353	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-04-04 00:00:00	2014-04-04 00:00:00	Yes	2016-07-20 00:00:00	2016-07-18 00:00:00	A	A	20000	15000	0	15000	0	None	SONT11	N	CA00396680	A	SFY2015-16
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-24 00:00:00	940012354	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-05-22 00:00:00	2014-05-22 00:00:00	No	2016-07-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NUG411	N	CA00400282	A	SFY2015-16
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-28 00:00:00	940012355	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-18 00:00:00	2016-05-18 00:00:00	No	2016-07-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	E1ZX11	N	CA00488905	B	SFY2015-16
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-28 00:00:00	940012357	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-01 00:00:00	2016-01-01 00:00:00	No	2016-07-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UZ5O11	N	CA00471098	B	SFY2015-16
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-28 00:00:00	940012360	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Facility Not Report	2015-04-02 00:00:00	2015-04-02 00:00:00	No	2016-07-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	EW3811	N	CA00437533	A	SFY2015-16
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-07-13 00:00:00	940012367	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-27 00:00:00	2016-05-27 00:00:00	Yes	2016-08-03 00:00:00	2016-07-27 00:00:00	A	A	20000	10000	0	10000	0	None	VSL511	N	CA00490287	B	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-07-18 00:00:00	940012411	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-22 00:00:00	2015-09-22 00:00:00	No	2016-08-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	5LG411	N	CA00459380	B	SFY2016-17
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-11 00:00:00	940012432	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-10 00:00:00	2016-03-10 00:00:00	Yes	2016-09-01 00:00:00	2016-08-19 00:00:00	A	A	20000	14000	0	14000	0	None	4NLR11	N	CA00480034, CA00480082	B, B	SFY2016-17
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-02 00:00:00	940012435	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-14 00:00:00	2015-07-14 00:00:00	No	2016-08-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	99O511	N	CA00450452, CA00452004	B, B	SFY2016-17
940000044	EL RANCHO VISTA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-03 00:00:00	940012484	Closed	Citation	Citation B (HSC 1424)	Other	State Posting	2016-06-17 00:00:00	2016-06-17 00:00:00	No	2016-08-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	68YZ11	N	None	None	SFY2016-17
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-03 00:00:00	940012487	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-04 00:00:00	2015-08-04 00:00:00	No	2016-08-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NRJQ11	N	CA00454247, CA00454247, CA00454247	B, B, B	SFY2016-17
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-04 00:00:00	940012488	Closed	Citation	Citation B (HSC 1424)	Other	star posting	2016-07-26 00:00:00	2016-07-26 00:00:00	No	2016-08-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	CWU311	N	None	None	SFY2016-17
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-04 00:00:00	940012489	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-07-30 00:00:00	2015-07-30 00:00:00	No	2016-08-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EI1011	N	CA00452558, CA00453369	B, B	SFY2016-17
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-05 00:00:00	940012494	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrence	2015-07-13 00:00:00	2015-07-13 00:00:00	No	2016-08-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	36RS11	N	None	None	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-19 00:00:00	940012500	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-27 00:00:00	2014-07-27 00:00:00	No	2016-09-12 00:00:00	None	A	None	20000	20000	0	20000	0	None	MBD511	N	CA00407200	A	SFY2016-17
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-11 00:00:00	940012505	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-07-15 00:00:00	2015-07-15 00:00:00	No	2016-09-01 00:00:00	None	B	None	2000	2000	0	0	2000	None	VQIG11	N	CA00450731	A	SFY2016-17
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-09-12 00:00:00	940012507	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-30 00:00:00	2016-06-30 00:00:00	Yes	2016-10-03 00:00:00	2016-09-13 00:00:00	A	B	16000	10000	0	10000	0	None	0RCV11	N	None	None	SFY2016-17
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-19 00:00:00	940012519	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-04-18 00:00:00	2015-04-18 00:00:00	No	2016-09-12 00:00:00	None	B	None	2000	2000	0	0	2000	None	IN4W11	N	CA00439800, CA00442385	B, B	SFY2016-17
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-08-22 00:00:00	940012523	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-02-15 00:00:00	2016-02-15 00:00:00	No	2016-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JCP311	N	CA00481746	B	SFY2016-17
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-08-19 00:00:00	940012525	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-30 00:00:00	2015-08-30 00:00:00	No	2016-09-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OXUQ11	N	None	None	SFY2016-17
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-26 00:00:00	940012543	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-09 00:00:00	2015-09-09 00:00:00	No	2016-09-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	J3S611	N	CA00457446	B	SFY2016-17
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-09-23 00:00:00	940012596	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-15 00:00:00	2014-04-15 00:00:00	No	2016-10-14 00:00:00	None	B	None	2000	2000	0	0	2000	None	ZKPQ11	N	CA00397032	B	SFY2016-17
940000069	BROOKFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-09-30 00:00:00	940012602	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-10 00:00:00	2015-08-10 00:00:00	No	2016-10-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	5D4R11	N	CA00454389	B	SFY2016-17
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-09-30 00:00:00	940012610	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-06-17 00:00:00	2015-06-17 00:00:00	No	2016-10-21 00:00:00	None	B	None	2000	2000	0	0	2000	None	37SR11	N	None	None	SFY2016-17
940000101	LONG BEACH POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-10-11 00:00:00	940012624	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-12-29 00:00:00	2015-12-29 00:00:00	No	2016-11-01 00:00:00	None	B	None	500	500	0	500	0	None	HPGL11	N	CA00472065	B	SFY2016-17
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-10-06 00:00:00	940012629	Closed	Citation	Citation A (HSC 1424)	Other	Quality of Care	2016-03-30 00:00:00	2016-03-30 00:00:00	Yes	2016-10-27 00:00:00	2016-10-19 00:00:00	A	A	16000	16000	0	16000	0	None	BD7911	N	CA00481361	B	SFY2016-17
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-10-12 00:00:00	940012637	Closed	Citation	Citation A (HSC 1424)	Other	Quality of Care	2014-12-17 00:00:00	2014-12-17 00:00:00	No	2016-11-02 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ZJTD11	N	None	None	SFY2016-17
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-11-03 00:00:00	940012657	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-06 00:00:00	2016-07-06 00:00:00	Yes	2016-11-29 00:00:00	2016-11-18 00:00:00	A	A	20000	0	0	0	0	None	IZ6Z11	N	None	None	SFY2016-17
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-11-03 00:00:00	940012658	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-18 00:00:00	2016-07-18 00:00:00	Yes	2016-11-29 00:00:00	2016-11-18 00:00:00	A	A	20000	15000	0	15000	0	None	IZ6Z11	N	None	None	SFY2016-17
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-11-03 00:00:00	940012659	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-05 00:00:00	2016-07-05 00:00:00	Yes	2016-11-29 00:00:00	2016-11-18 00:00:00	A	A	20000	19000	0	19000	0	None	IZ6Z11	N	None	None	SFY2016-17
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-01 00:00:00	940012660	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-02 00:00:00	2016-03-02 00:00:00	Yes	2016-11-23 00:00:00	2016-11-08 00:00:00	A	A	16000	12000	0	12000	0	None	X0NL11	N	CA00494101	B	SFY2016-17
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-10-28 00:00:00	940012671	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-17 00:00:00	2016-01-17 00:00:00	No	2016-11-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	E9IR11	N	None	None	SFY2016-17
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-10-21 00:00:00	940012673	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-07 00:00:00	2016-08-07 00:00:00	No	2016-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FSWN11	N	CA00498490	A	SFY2016-17
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-10-25 00:00:00	940012686	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-10-15 00:00:00	2015-10-15 00:00:00	No	2016-11-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O6K411	N	CA00462207	B	SFY2016-17
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-10-31 00:00:00	940012694	Closed	Citation	Citation B (HSC 1424)	Other	Quality of Care	2016-03-06 00:00:00	2016-03-06 00:00:00	No	2016-11-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	9ICQ11	N	CA00479344	A	SFY2016-17
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-11-01 00:00:00	940012705	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-18 00:00:00	2015-08-18 00:00:00	Yes	2016-11-23 00:00:00	2016-11-17 00:00:00	A	A	20000	13000	0	13000	0	None	Y9CF11	N	CA00455277	B	SFY2016-17
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-10 00:00:00	940012718	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-09-07 00:00:00	2016-09-07 00:00:00	No	2016-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	V67811	N	CA00484953	B	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-18 00:00:00	940012732	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-29 00:00:00	2016-08-29 00:00:00	No	2016-12-13 00:00:00	None	A	None	20000	60000	0	60000	0	None	C2L511	N	CA00501263	A	SFY2016-17
940000076	GRANADA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-08 00:00:00	940012733	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-15 00:00:00	2016-09-15 00:00:00	No	2016-12-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IKW511	N	None	None	SFY2016-17
940000076	GRANADA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-08 00:00:00	940012734	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-15 00:00:00	2016-09-15 00:00:00	No	2016-12-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IKW511	N	None	None	SFY2016-17
940000076	GRANADA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-08 00:00:00	940012738	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-15 00:00:00	2016-09-15 00:00:00	No	2016-12-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IKW511	N	None	None	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-01-06 00:00:00	940012743	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-05-14 00:00:00	2014-05-14 00:00:00	No	2017-01-30 00:00:00	None	A	None	20000	20000	0	20000	0	None	750111	N	CA00399109	B	SFY2016-17
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-16 00:00:00	940012755	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-11-23 00:00:00	2014-11-23 00:00:00	No	2016-12-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	V8CM11	N	CA00421454	A	SFY2016-17
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-11-22 00:00:00	940012768	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-05-09 00:00:00	2016-05-09 00:00:00	No	2016-12-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	OILJ11	N	CA00500863	A	SFY2016-17
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-23 00:00:00	940012769	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2016-05-24 00:00:00	2016-05-24 00:00:00	No	2016-12-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	MJQ911	N	CA00491266	B	SFY2016-17
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-29 00:00:00	940012781	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-10 00:00:00	2016-07-10 00:00:00	No	2016-12-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q74R11	N	CA00500577	A	SFY2016-17
940000076	GRANADA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-29 00:00:00	940012783	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-04-05 00:00:00	2016-04-05 00:00:00	No	2016-12-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	K52711	N	CA00485230	A	SFY2016-17
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-01-06 00:00:00	940012864	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2014-12-15 00:00:00	2014-12-15 00:00:00	No	2017-01-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	L18H11	N	CA00423852	B	SFY2016-17
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-19 00:00:00	940012867	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-27 00:00:00	2016-03-27 00:00:00	No	2017-02-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	1MGY11	N	None	None	SFY2016-17
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-19 00:00:00	940012868	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-11-14 00:00:00	2016-11-14 00:00:00	No	2017-02-09 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	1MGY11	N	CA00511297	B	SFY2016-17
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-19 00:00:00	940012869	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-03-27 00:00:00	2016-03-27 00:00:00	No	2017-02-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1MGY11	N	None	None	SFY2016-17
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-23 00:00:00	940012870	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-24 00:00:00	2016-03-24 00:00:00	No	2017-04-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	391J11	N	CA00481720	A	SFY2016-17
970000037	FLOWER VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-01-07 00:00:00	940012872	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-09 00:00:00	2016-11-09 00:00:00	No	2017-01-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	JYRG11	N	None	None	SFY2016-17
940000043	EDGEWATER SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-01-09 00:00:00	940012873	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-19 00:00:00	2016-02-19 00:00:00	Yes	2017-01-31 00:00:00	2017-01-20 00:00:00	A	B	20000	20000	0	20000	0	None	FP8811	N	CA00478599	B	SFY2016-17
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-01-10 00:00:00	940012877	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-28 00:00:00	2016-04-28 00:00:00	No	2017-02-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KW5W11	N	CA00493830	B	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-01-13 00:00:00	940012879	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-10-01 00:00:00	2015-10-01 00:00:00	No	2017-02-06 00:00:00	None	A	None	20000	20000	0	20000	0	None	SYW011	N	CA00461261	B	SFY2016-17
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-01-18 00:00:00	940012886	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-12 00:00:00	2016-10-12 00:00:00	No	2017-02-08 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	BB5D11	N	CA00506511	A	SFY2016-17
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-01-20 00:00:00	940012895	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-25 00:00:00	2016-01-25 00:00:00	Yes	2017-02-10 00:00:00	2017-02-02 00:00:00	A	B	10000	10000	0	10000	0	None	FJ6Q11	N	CA00490332	A	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-01-26 00:00:00	940012909	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-24 00:00:00	2015-08-24 00:00:00	No	2017-02-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	O38L11	N	CA00461724	B	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-01-26 00:00:00	940012910	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-24 00:00:00	2015-08-24 00:00:00	No	2017-02-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	O38L11	N	CA00461724	B	SFY2016-17
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-31 00:00:00	940012913	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-09-25 00:00:00	2016-09-25 00:00:00	Yes	2017-04-21 00:00:00	2017-04-04 00:00:00	A	A	20000	35000	0	35000	0	None	VAOZ11	N	CA00504455	B	SFY2016-17
940000079	PICO RIVERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-06 00:00:00	940012944	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-02 00:00:00	2016-08-02 00:00:00	Yes	2017-02-28 00:00:00	2017-02-07 00:00:00	A	B	15000	10500	0	10500	0	None	W8LS11	N	None	None	SFY2016-17
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-04 00:00:00	940012949	Closed	Citation	Citation A (HSC 1424)	Other	Infection Control	2016-12-15 00:00:00	2016-12-15 00:00:00	Yes	2017-02-27 00:00:00	2017-02-08 00:00:00	A	B	16000	12000	0	12000	0	None	2YOC11	N	None	None	SFY2016-17
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-06 00:00:00	940012950	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-08 00:00:00	2016-06-08 00:00:00	Yes	2017-02-28 00:00:00	2017-02-08 00:00:00	A	B	16000	12000	0	12000	0	None	2YOC11	N	None	None	SFY2016-17
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-22 00:00:00	940012979	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-29 00:00:00	2016-08-29 00:00:00	No	2017-03-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	9UZX11	N	CA00502514	B	SFY2016-17
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-22 00:00:00	940012981	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-02 00:00:00	2016-09-02 00:00:00	No	2017-03-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9UZX11	N	CA00502516	B	SFY2016-17
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-24 00:00:00	940012984	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-09-04 00:00:00	2014-09-04 00:00:00	Yes	2017-03-17 00:00:00	2017-03-01 00:00:00	A	B	15000	10000	0	10000	0	None	L4HV11	N	CA00411926	B	SFY2016-17
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-01 00:00:00	940012986	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-02 00:00:00	2016-07-02 00:00:00	No	2017-03-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	22EX11	N	CA00509193	A	SFY2016-17
970000070	INFINITY CARE OF EAST LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-02-28 00:00:00	940012995	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-09-16 00:00:00	2016-09-16 00:00:00	No	2017-03-21 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	28G111	N	CA00504985	B	SFY2016-17
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-24 00:00:00	940013001	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-06-30 00:00:00	2016-06-30 00:00:00	No	2017-03-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	22EX11	N	CA00509193	A	SFY2016-17
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-24 00:00:00	940013002	Closed	Citation	Citation A (HSC 1424)	Other	Quality of Care	2016-07-14 00:00:00	2016-07-14 00:00:00	Yes	2017-03-17 00:00:00	2017-03-17 00:00:00	A	A	20000	15000	0	15000	0	None	22EX11	N	CA00509193	A	SFY2016-17
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-24 00:00:00	940013003	Closed	Citation	Citation A (HSC 1424)	Other	Quality of Care	2016-06-03 00:00:00	2016-06-03 00:00:00	No	2017-03-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	22EX11	N	CA00509193	A	SFY2016-17
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-01 00:00:00	940013004	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-08 00:00:00	2017-09-08 00:00:00	No	2017-12-22 00:00:00	None	A	None	20000	20000	0	20000	0	None	3WCT11	N	CA00509193, CA00509193, CA00509193, CA00509193, CA00509193, CA00551846	A, A, A, A, A, A	SFY2017-18
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-01 00:00:00	940013010	Open	Citation	Citation A (HSC 1424)	Other	Abuse	2017-01-07 00:00:00	2017-01-07 00:00:00	No	2017-03-22 00:00:00	None	A	None	20000	20000	0	0	20000	None	N5GN11	N	CA00517156, CA00517221	A, A	SFY2016-17
940000076	GRANADA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-01 00:00:00	940013011	Closed	Citation	Citation A (HSC 1424)	Dietary	None	2015-08-28 00:00:00	2015-08-28 00:00:00	No	2017-03-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	SF1H11	N	CA00457740	A	SFY2016-17
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-03 00:00:00	940013013	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-01-23 00:00:00	2017-01-23 00:00:00	No	2017-03-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	2I1B11	N	None	None	SFY2016-17
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-06 00:00:00	940013017	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-19 00:00:00	2017-01-19 00:00:00	No	2017-03-27 00:00:00	None	B	None	1800	1800	-630	1170	0	None	LPQO11	N	CA00519091	B	SFY2016-17
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013027	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-24 00:00:00	2017-01-24 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	0	2000	None	7ZJH11	N	CA00520971, CA00520971	B, B	SFY2016-17
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013031	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-29 00:00:00	2017-01-29 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	0	2000	None	7ZJH11	N	CA00520035, CA00520971, CA00520971	A, B, B	SFY2016-17
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013032	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-03 00:00:00	2016-12-03 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	0	2000	None	7ZJH11	N	CA00520971, CA00520971	B, B	SFY2016-17
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013033	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-01 00:00:00	2016-12-01 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	0	2000	None	7ZJH11	N	CA00520035, CA00520971	A, B	SFY2016-17
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013034	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-03 00:00:00	2016-12-03 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	0	2000	None	7ZJH11	N	CA00520971, CA00520971	B, B	SFY2016-17
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013035	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-28 00:00:00	2017-01-28 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	0	2000	None	7ZJH11	N	CA00520035, CA00520233, CA00520971	A, A, B	SFY2016-17
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013036	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-19 00:00:00	2016-10-19 00:00:00	No	2017-04-03 00:00:00	None	A	None	20000	20000	0	0	20000	None	7ZJH11	N	CA00520035, CA00520035, CA00520035, CA00521106	A, A, A, B	SFY2016-17
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013037	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-30 00:00:00	2017-01-30 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	0	2000	None	7ZJH11	N	CA00520035, CA00520971	A, B	SFY2016-17
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013038	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-30 00:00:00	2017-01-30 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	0	2000	None	7ZJH11	N	CA00520035, CA00520971, CA00520971	A, B, B	SFY2016-17
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013039	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-27 00:00:00	2017-01-27 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	0	2000	None	7ZJH11	N	CA00520035	A	SFY2016-17
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013040	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-15 00:00:00	2017-01-15 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	0	2000	None	7ZJH11	N	CA00520035	A	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013041	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-23 00:00:00	2016-09-23 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	EFHM11	N	CA00508023, CA00508023	A, A	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013042	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-14 00:00:00	2016-08-14 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	EFHM11	N	CA00508023, CA00508023	A, A	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-10 00:00:00	940013043	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-23 00:00:00	2016-09-23 00:00:00	No	2017-04-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	EFHM11	N	CA00508023, CA00508023	A, A	SFY2016-17
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-24 00:00:00	940013044	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-14 00:00:00	2017-02-14 00:00:00	No	2017-04-17 00:00:00	None	A	None	16000	16000	0	16000	0	None	2YOC12	N	None	None	SFY2016-17
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-15 00:00:00	940013046	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-15 00:00:00	2016-09-15 00:00:00	No	2017-04-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8TFL11	N	CA00503088	B	SFY2016-17
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-14 00:00:00	940013048	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-26 00:00:00	2016-12-26 00:00:00	No	2017-04-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FQT811	N	CA00516140	B	SFY2016-17
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-29 00:00:00	940013058	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-17 00:00:00	2016-12-17 00:00:00	No	2017-04-20 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	LBXN11	N	CA00515117	A	SFY2016-17
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-03-29 00:00:00	940013088	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-28 00:00:00	2017-02-28 00:00:00	No	2017-04-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	Z5R411	N	CA00516797	B	SFY2016-17
940000007	ATLANTIC MEMORIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-04-28 00:00:00	940013130	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-03-14 00:00:00	2017-03-14 00:00:00	No	2017-05-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	08F611	N	None	None	SFY2016-17
940000007	ATLANTIC MEMORIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-04-28 00:00:00	940013131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-14 00:00:00	2017-03-14 00:00:00	No	2017-05-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	08F611	N	None	None	SFY2016-17
940000007	ATLANTIC MEMORIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-04-28 00:00:00	940013132	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-14 00:00:00	2017-03-14 00:00:00	No	2017-05-19 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	08F611	N	None	None	SFY2016-17
940000007	ATLANTIC MEMORIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-04-28 00:00:00	940013133	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-07 00:00:00	2016-01-07 00:00:00	No	2017-05-19 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	08F611	N	None	None	SFY2016-17
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-05-31 00:00:00	940013137	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2016-11-02 00:00:00	2016-11-02 00:00:00	Yes	2017-06-21 00:00:00	2017-06-21 00:00:00	AA	AA	100000	75000	0	75000	0	None	575P11	Y	CA00516664, CA00516664, CA00516664	A, A, A	SFY2016-17
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-04-21 00:00:00	940013141	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-12 00:00:00	2017-02-12 00:00:00	No	2017-05-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	L3YT11	N	CA00522198	A	SFY2016-17
970000070	INFINITY CARE OF EAST LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-04-21 00:00:00	940013148	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-02-08 00:00:00	2017-02-08 00:00:00	No	2017-05-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PPI011	N	CA00521856	B	SFY2016-17
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-04-28 00:00:00	940013162	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-09 00:00:00	2017-01-09 00:00:00	Yes	2017-05-19 00:00:00	2017-08-29 00:00:00	B	None	2000	2000	0	2000	0	None	72ZN11	N	CA00517745	A	SFY2016-17
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-04-28 00:00:00	940013164	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-15 00:00:00	2016-02-15 00:00:00	No	2017-05-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	VGI511	N	CA00477457	B	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-05-23 00:00:00	940013192	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-11 00:00:00	2017-02-11 00:00:00	No	2017-06-14 00:00:00	None	A	None	20000	60000	0	60000	0	None	LCES11	N	CA00525819	A	SFY2016-17
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-05-26 00:00:00	940013210	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-12 00:00:00	2017-04-12 00:00:00	No	2017-06-19 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	TAV211	N	CA00527485	C	SFY2016-17
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-06-01 00:00:00	940013237	Closed	Citation	Citation A (HSC 1424)	Other	Accidents	2017-05-05 00:00:00	2017-05-05 00:00:00	Yes	2017-06-22 00:00:00	2017-06-21 00:00:00	A	A	20000	40000	0	40000	0	None	QYLD11	N	None	None	SFY2016-17
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-06-09 00:00:00	940013261	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-30 00:00:00	2016-10-30 00:00:00	Yes	2017-06-30 00:00:00	2017-06-09 00:00:00	A	None	20000	20000	0	0	20000	None	987Q11	N	CA00518324	B	SFY2016-17
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-06-14 00:00:00	940013285	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-04-04 00:00:00	2017-04-04 00:00:00	No	2017-07-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	LOJS11	N	CA00532209	B	SFY2016-17
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-06-14 00:00:00	940013286	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-04-04 00:00:00	2017-04-04 00:00:00	No	2017-07-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	LOJS11	N	CA00532209	B	SFY2016-17
940000044	EL RANCHO VISTA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-12 00:00:00	940013306	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-05 00:00:00	2017-03-05 00:00:00	No	2017-08-02 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	11FU11	N	CA00526643, CA00526824, CA00528497	B, B, A	SFY2017-18
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-06-23 00:00:00	940013309	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-23 00:00:00	2017-01-23 00:00:00	Yes	2017-07-17 00:00:00	2017-06-30 00:00:00	A	A	20000	13000	0	13000	0	None	ZN1K11	N	CA00519450	A	SFY2016-17
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013375	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-05-28 00:00:00	2017-05-28 00:00:00	No	2017-08-17 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	4UJK11	N	CA00537217, CA00537260, CA00538319	B, B, B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013376	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-14 00:00:00	2016-09-14 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00503202	B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013377	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-23 00:00:00	2016-09-23 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00504432	B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013378	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-11-30 00:00:00	2016-11-30 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00512639	B	SFY2017-18
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013379	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-08 00:00:00	2017-02-08 00:00:00	Yes	2017-08-17 00:00:00	2017-08-16 00:00:00	A	A	20000	14000	0	14000	0	None	C2UH11	N	CA00524093	A	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013380	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-10-14 00:00:00	2016-10-14 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00507156	B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013381	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-04-01 00:00:00	2017-04-01 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	None	None	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013382	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-05-27 00:00:00	2017-05-27 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00537281	B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013383	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-10 00:00:00	2016-07-10 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00494981, CA00504407	B, B	SFY2017-18
940000116	WHITTIER PACIFIC CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-07-28 00:00:00	940013384	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-16 00:00:00	2016-12-16 00:00:00	Yes	2017-08-18 00:00:00	2017-08-17 00:00:00	A	A	20000	15000	0	15000	0	None	M1C811	N	CA00522865	B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013385	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-05-17 00:00:00	2017-05-17 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00535971	B	SFY2017-18
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013389	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-08 00:00:00	2017-02-08 00:00:00	Yes	2017-08-17 00:00:00	2017-08-17 00:00:00	A	A	20000	14000	0	14000	0	None	C2UH11	N	CA00524093, CA00524093	A, A	SFY2017-18
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013390	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-02-08 00:00:00	2017-02-08 00:00:00	Yes	2017-08-17 00:00:00	2017-08-16 00:00:00	B	None	2000	2000	0	0	2000	None	C2UH11	N	CA00524093	A	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013391	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-02 00:00:00	2017-06-02 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00507604	B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013392	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-11-11 00:00:00	2016-11-11 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00510453	C	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013394	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-05-26 00:00:00	2017-05-26 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00537225	B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013400	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-10-14 00:00:00	2016-10-14 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00536845	B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013401	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-05-28 00:00:00	2017-05-28 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	4UJK11	N	CA00537217, CA00537260	B, B	SFY2017-18
940000007	ATLANTIC MEMORIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-08-15 00:00:00	940013427	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-01 00:00:00	2015-01-01 00:00:00	No	2017-09-06 00:00:00	None	A	None	20000	20000	0	20000	0	None	XSRW11	N	CA00443043	B	SFY2017-18
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-08-24 00:00:00	940013431	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-05-26 00:00:00	2017-05-26 00:00:00	No	2017-09-15 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	4RQ211	N	CA00536873, CA00536873, CA00536873, CA00536873	A, A, A, A	SFY2017-18
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-08-24 00:00:00	940013432	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-05-26 00:00:00	2017-05-26 00:00:00	No	2017-09-15 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	4RQ211	N	CA00536873	A	SFY2017-18
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-08-31 00:00:00	940013460	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-15 00:00:00	2017-04-15 00:00:00	Yes	2017-09-22 00:00:00	2017-09-05 00:00:00	A	A	20000	15000	0	15000	0	None	0F5P11	N	CA00535636	A	SFY2017-18
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-09-22 00:00:00	940013469	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-05-12 00:00:00	2017-05-12 00:00:00	Yes	2017-10-13 00:00:00	2017-10-13 00:00:00	A	B	16000	13000	0	13000	0	None	VGWG11	N	None	None	SFY2017-18
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-09-22 00:00:00	940013470	Closed	Citation	Citation A (HSC 1424)	Medication	None	2016-11-29 00:00:00	2016-11-29 00:00:00	Yes	2017-10-13 00:00:00	2017-10-13 00:00:00	A	A	16000	11000	0	11000	0	None	VGWG11	N	CA00544188	B	SFY2017-18
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-09-22 00:00:00	940013478	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-13 00:00:00	2017-05-13 00:00:00	No	2017-10-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C7CI11	N	CA00535564, CA00537830	C, A	SFY2017-18
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-09-08 00:00:00	940013482	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-05-23 00:00:00	2017-05-23 00:00:00	Yes	2017-09-29 00:00:00	2017-09-29 00:00:00	A	A	20000	13000	0	13000	0	None	YG6X11	N	CA00536882	A	SFY2017-18
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-09-12 00:00:00	940013491	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-31 00:00:00	2017-03-31 00:00:00	No	2017-10-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	6IWQ11	N	CA00538088	A	SFY2017-18
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-09-22 00:00:00	940013514	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-02 00:00:00	2017-07-02 00:00:00	No	2017-10-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	VGWG11	N	CA00544188	B	SFY2017-18
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-02 00:00:00	940013518	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-15 00:00:00	2017-02-15 00:00:00	No	2017-10-23 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	6G0K11	N	None	None	SFY2017-18
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-04 00:00:00	940013527	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-27 00:00:00	2017-03-27 00:00:00	No	2017-10-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RG7311	N	CA00538839, CA00538839, CA00538839	A, A, A	SFY2017-18
940000007	ATLANTIC MEMORIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-05 00:00:00	940013530	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-29 00:00:00	2017-05-29 00:00:00	No	2017-10-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MIW311	N	CA00538579	A	SFY2017-18
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-12 00:00:00	940013539	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-20 00:00:00	2017-06-20 00:00:00	Yes	2017-11-02 00:00:00	2017-10-25 00:00:00	A	None	16000	16000	-5600	10400	0	None	7FR711	N	CA00541006	A	SFY2017-18
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-12 00:00:00	940013541	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-17 00:00:00	2017-06-17 00:00:00	Yes	2017-11-02 00:00:00	2017-10-30 00:00:00	A	B	16000	3500	0	3500	0	None	K1ML11	N	CA00540331	A	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-12 00:00:00	940013543	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-08-12 00:00:00	2017-08-12 00:00:00	No	2017-11-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	999999	N	None	None	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-09 00:00:00	940013547	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-16 00:00:00	2017-08-16 00:00:00	No	2018-03-30 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	P3CY11	N	CA00549342	B	SFY2017-18
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-10-19 00:00:00	940013550	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-09 00:00:00	2017-06-09 00:00:00	Yes	2017-11-09 00:00:00	2017-11-20 00:00:00	A	A	20000	13000	0	13000	0	None	CA2R11	N	CA00539898, CA00540615	B, A	SFY2017-18
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-20 00:00:00	940013552	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-30 00:00:00	2017-06-30 00:00:00	No	2017-11-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	F2P111	N	CA00542317	B	SFY2017-18
940000025	VIEW HEIGHTS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-11-03 00:00:00	940013554	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-07-05 00:00:00	2017-07-05 00:00:00	Yes	2017-11-29 00:00:00	2017-11-13 00:00:00	AA	A	100000	40278.32	0	40278.32	0	None	ATHB11	Y	CA00542581	A	SFY2017-18
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-20 00:00:00	940013555	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-25 00:00:00	2017-06-25 00:00:00	No	2017-11-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4Y0L11	N	CA00541473	A	SFY2017-18
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-27 00:00:00	940013562	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-29 00:00:00	2017-04-29 00:00:00	No	2017-11-20 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	XKTW11	N	CA00534240	A	SFY2017-18
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-27 00:00:00	940013564	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-30 00:00:00	2017-04-30 00:00:00	No	2017-11-20 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	XKTW11	N	CA00534240	A	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-11-01 00:00:00	940013579	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-07-02 00:00:00	2017-07-02 00:00:00	No	2017-11-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	KJDL11	N	CA00542615	C	SFY2017-18
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-11-16 00:00:00	940013625	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-05 00:00:00	2017-07-05 00:00:00	No	2017-12-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FDER11	N	CA00545963	B	SFY2017-18
940000043	EDGEWATER SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-11-30 00:00:00	940013653	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-06 00:00:00	2017-08-06 00:00:00	Yes	2017-12-21 00:00:00	2017-12-13 00:00:00	A	None	16000	16000	0	0	16000	None	7U4Z11	N	CA00547299	A	SFY2017-18
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-01 00:00:00	940013658	Open	Citation	Citation B (HSC 1424)	Other	ABUSE	2017-07-07 00:00:00	2017-07-07 00:00:00	Yes	2017-12-22 00:00:00	2017-12-06 00:00:00	B	None	1000	1000	0	0	1000	None	9J5Y11	N	CA00543238	B	SFY2017-18
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-01 00:00:00	940013662	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2017-07-09 00:00:00	2017-07-09 00:00:00	No	2017-12-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	L97811	N	CA00543270	B	SFY2017-18
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-01 00:00:00	940013664	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-28 00:00:00	2016-11-28 00:00:00	Yes	2017-12-22 00:00:00	2017-12-11 00:00:00	A	A	20000	40000	0	40000	0	None	IS8011	N	CA00515924	B	SFY2017-18
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-06 00:00:00	940013673	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-11 00:00:00	2017-03-11 00:00:00	Yes	2017-12-28 00:00:00	2017-12-26 00:00:00	A	A	20000	40000	0	40000	0	None	VTFV11	N	CA00547665	B	SFY2017-18
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-07 00:00:00	940013674	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-19 00:00:00	2017-08-19 00:00:00	No	2017-12-29 00:00:00	None	A	None	20000	60000	0	0	60000	None	C9IS11	N	CA00549198	B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-08 00:00:00	940013677	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-12 00:00:00	2017-08-12 00:00:00	No	2018-01-02 00:00:00	None	A	None	20000	60000	0	0	60000	None	46EM11	N	CA00548280, CA00548299	B, B	SFY2017-18
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-08 00:00:00	940013680	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-07 00:00:00	2017-08-07 00:00:00	No	2018-01-01 00:00:00	None	A	None	20000	60000	0	0	60000	None	QECE11	N	CA00547284, CA00547284, CA00547658, CA00547658	B, B, B, B	SFY2017-18
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-14 00:00:00	940013683	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-24 00:00:00	2017-08-24 00:00:00	Yes	2018-01-05 00:00:00	2017-12-26 00:00:00	A	A	20000	40000	0	40000	0	None	UOMZ11	N	CA00548790, CA00548790	A, A	SFY2017-18
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-19 00:00:00	940013689	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-06 00:00:00	2017-07-06 00:00:00	Yes	2018-01-10 00:00:00	2017-12-26 00:00:00	A	A	20000	15000	0	15000	0	None	H3QS11	N	CA00543698	B	SFY2017-18
940000010	BEL VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-13 00:00:00	940013691	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-23 00:00:00	2017-08-23 00:00:00	No	2018-01-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	957T11	N	CA00549930	B	SFY2017-18
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-13 00:00:00	940013692	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-14 00:00:00	2017-08-14 00:00:00	Yes	2018-01-04 00:00:00	2017-12-20 00:00:00	B	None	2000	2000	0	0	2000	None	VW6V11	N	CA00548796, CA00549941, CA00550338	A, A, B	SFY2017-18
940000077	WHITTIER NURSING AND WELLNESS CENTER, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-12-15 00:00:00	940013693	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-30 00:00:00	2017-08-30 00:00:00	Yes	2018-01-08 00:00:00	2018-01-08 00:00:00	A	None	20000	20000	0	0	20000	None	H9UR11	N	CA00551122, CA00551122	B, B	SFY2017-18
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-15 00:00:00	940013694	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-05-25 00:00:00	2017-05-25 00:00:00	Yes	2018-01-08 00:00:00	2017-12-15 00:00:00	B	None	2000	2000	0	0	2000	None	3RRD11	N	CA00550094	A	SFY2017-18
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-04 00:00:00	940013708	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-04-22 00:00:00	2014-04-22 00:00:00	No	2018-01-25 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	MCO511	Y	CA00415246, CA00415377, CA00415377, CA00415377	B, B, B, B	SFY2017-18
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-04 00:00:00	940013709	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-01 00:00:00	2017-09-01 00:00:00	Yes	2018-01-25 00:00:00	2018-01-26 00:00:00	A	B	20000	10000	0	10000	0	None	HKPZ11	N	CA00551586, CA00551586, CA00551586, CA00551899, CA00551901	B, B, B, B, B	SFY2017-18
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-01-04 00:00:00	940013711	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-05 00:00:00	2017-11-05 00:00:00	No	2018-01-25 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	BYXQ11	N	None	None	SFY2017-18
940000093	ARTESIA CHRISTIAN HOME INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-12 00:00:00	940013726	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-12 00:00:00	2017-07-12 00:00:00	No	2018-02-02 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	2ZBT11	N	CA00543753	B	SFY2017-18
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-12 00:00:00	940013727	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-27 00:00:00	2017-03-27 00:00:00	No	2018-02-02 00:00:00	None	A	None	20000	20000	0	20000	0	None	IUCW11	N	CA00553456, CA00553456, CA00553456	B, B, B	SFY2017-18
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-19 00:00:00	940013731	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-04-26 00:00:00	2017-04-26 00:00:00	No	2018-02-09 00:00:00	None	B	None	2000	6000	0	6000	0	None	W4P711	N	CA00533041	B	SFY2017-18
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-01-12 00:00:00	940013734	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-09 00:00:00	2017-09-09 00:00:00	Yes	2018-02-02 00:00:00	2018-01-18 00:00:00	A	B	20000	1300	0	1300	0	None	FXYJ11	N	CA00553083	B	SFY2017-18
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-13 00:00:00	940013735	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-17 00:00:00	2017-06-17 00:00:00	Yes	2018-02-02 00:00:00	2018-01-17 00:00:00	A	A	20000	15500	0	15500	0	None	SNC211	N	CA00544468	A	SFY2017-18
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-19 00:00:00	940013740	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-16 00:00:00	2017-09-16 00:00:00	Yes	2018-02-09 00:00:00	2018-01-26 00:00:00	A	None	20000	20000	0	0	20000	None	H4ZX11	N	CA00553859, CA00553859	B, B	SFY2017-18
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-19 00:00:00	940013742	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-09 00:00:00	2017-03-09 00:00:00	No	2018-02-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	J29I11	N	CA00525948, CA00535947	B, B	SFY2017-18
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-26 00:00:00	940013758	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-19 00:00:00	2017-02-19 00:00:00	No	2018-02-16 00:00:00	None	A	None	20000	20000	0	20000	0	None	VNGC11	N	CA00555485	B	SFY2017-18
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-26 00:00:00	940013759	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-26 00:00:00	2017-04-26 00:00:00	No	2018-02-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UQ1O11	N	CA00555214, CA00555214	B, B	SFY2017-18
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-26 00:00:00	940013760	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-15 00:00:00	2017-04-15 00:00:00	No	2018-02-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	0W0J11	N	CA00531045, CA00531045	B, B	SFY2017-18
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-26 00:00:00	940013761	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-08 00:00:00	2017-08-08 00:00:00	No	2018-02-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y9JM11	N	CA00555133	B	SFY2017-18
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-01-30 00:00:00	940013769	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-11 00:00:00	2017-07-11 00:00:00	Yes	2018-02-20 00:00:00	2018-01-31 00:00:00	A	A	16000	13000	0	13000	0	None	XS9G11	N	CA00546327	B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-02-02 00:00:00	940013772	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-10-20 00:00:00	2017-10-20 00:00:00	No	2018-02-26 00:00:00	None	AA	None	100000	100200	0	100200	0	None	HXJE11	Y	CA00557785	A	SFY2017-18
970000037	FLOWER VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-08 00:00:00	940013787	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-23 00:00:00	2017-12-23 00:00:00	No	2018-03-01 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	WTEI11	N	None	None	SFY2017-18
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-02-28 00:00:00	940013813	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-06 00:00:00	2017-09-06 00:00:00	No	2018-03-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KGFK11	N	CA00555644	A	SFY2017-18
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-16 00:00:00	940013819	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-12-05 00:00:00	2017-12-05 00:00:00	Yes	2018-03-09 00:00:00	2018-02-27 00:00:00	B	Drop>Deficiency	2000	2000	0	2000	0	None	YEC311	N	CA00563826	A	SFY2017-18
920000021	BROADWAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-17 00:00:00	940013828	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-18 00:00:00	2017-06-18 00:00:00	No	2018-03-09 00:00:00	None	A	None	20000	20250	0	20250	0	None	N3VI11	N	CA00549338	A	SFY2017-18
970000117	HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-26 00:00:00	940013852	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-28 00:00:00	2017-01-28 00:00:00	No	2018-03-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3HPY11	N	CA00520301	B	SFY2017-18
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-08 00:00:00	940013881	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-23 00:00:00	2018-01-23 00:00:00	No	2018-03-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	FFNF11	N	None	None	SFY2017-18
940000097	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-15 00:00:00	940013897	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-27 23:59:00	2017-12-27 23:59:00	Yes	2018-04-05 00:00:00	2018-03-22 00:00:00	A	B	20000	2000	0	2000	0	None	FTTT11	N	CA00564143, CA00564143, CA00564143	B, B, B	SFY2017-18
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-16 00:00:00	940013902	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-11 00:00:00	2017-07-11 00:00:00	Yes	2018-04-06 00:00:00	2018-03-27 00:00:00	A	A	20000	30000	0	30000	0	None	ER0M11	N	CA00543707, CA00543707	B, B	SFY2017-18
940000077	WHITTIER NURSING AND WELLNESS CENTER, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-04-04 00:00:00	940013956	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-18 00:00:00	2017-11-18 00:00:00	No	2018-04-25 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MY4J11	N	CA00563638	B	SFY2017-18
940000097	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-04 00:00:00	940013958	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-02 00:00:00	2017-12-02 00:00:00	Yes	2018-04-25 00:00:00	2018-04-04 00:00:00	A	A	20000	20000	0	20000	0	None	R4RI11	N	CA00563635	B	SFY2017-18
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-06 00:00:00	940013963	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-04 00:00:00	2017-12-04 00:00:00	No	2018-04-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	SWLR11	N	CA00563455, CA00563455	B, B	SFY2017-18
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-12 00:00:00	940013964	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-24 00:00:00	2017-10-24 00:00:00	No	2018-05-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	O0IF11	N	CA00570125, CA00570205, CA00570372	A, B, A	SFY2017-18
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-19 00:00:00	940013969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-14 00:00:00	2017-10-14 00:00:00	Yes	2018-05-10 00:00:00	2018-05-07 00:00:00	B	None	2000	2000	0	2000	0	None	IXWL11	N	CA00565994	B	SFY2017-18
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-20 00:00:00	940013975	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-12-26 00:00:00	2017-12-26 00:00:00	Yes	2018-05-11 00:00:00	2018-04-26 00:00:00	AA	A	100000	60000	0	60000	0	None	56VB11	Y	CA00566768, CA00566768	A, A	SFY2017-18
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-20 00:00:00	940013977	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-11-30 00:00:00	2017-11-30 00:00:00	No	2018-05-11 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	GGHP11	Y	CA00563191, CA00563191, CA00581717, CA00581717	B, B, B, B	SFY2017-18
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-12 00:00:00	940013989	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-19 00:00:00	2018-01-19 00:00:00	No	2018-05-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	O0IF11	N	CA00570125, CA00570125, CA00570205, CA00570205, CA00570372, CA00570372	A, A, B, B, A, A	SFY2017-18
970000089	COLLEGE VISTA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-04-20 00:00:00	940014003	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-08-02 00:00:00	2017-08-02 00:00:00	No	2018-05-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	QXX811	N	CA00547002	B	SFY2017-18
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-27 00:00:00	940014014	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-20 00:00:00	2017-11-20 00:00:00	Yes	2018-05-18 00:00:00	2018-05-10 00:00:00	A	B	20000	6000	0	6000	0	None	GQN311	N	CA00562088, CA00562088, CA00562381, CA00562381	B, B, B, B	SFY2017-18
970000081	LEISURE GLEN POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-04-26 00:00:00	940014017	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-24 00:00:00	2017-12-24 00:00:00	Yes	2018-05-17 00:00:00	2018-05-16 00:00:00	A	None	20000	20000	0	0	20000	None	Z3YX11	N	CA00566437, CA00566437, CA00566726, CA00566726	B, B, B, B	SFY2017-18
970000081	LEISURE GLEN POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-04-26 00:00:00	940014018	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-19 00:00:00	2017-11-19 00:00:00	Yes	2018-05-17 00:00:00	2018-05-16 00:00:00	A	B	20000	10000	0	10000	0	None	QX9Y11	N	CA00563101	B	SFY2017-18
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-27 00:00:00	940014021	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-04 00:00:00	2017-09-04 00:00:00	No	2018-05-18 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	RL1D11	N	CA00559094, CA00559094, CA00559094	B, B, B	SFY2017-18
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-05-08 00:00:00	940014029	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-26 00:00:00	2018-01-26 00:00:00	No	2018-05-29 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	J59S11	N	CA00562891	B	SFY2017-18
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-26 00:00:00	940014033	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-06 00:00:00	2017-10-06 00:00:00	No	2018-05-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9XKQ11	N	CA00575460	A	SFY2017-18
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-27 00:00:00	940014034	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-29 00:00:00	2017-12-29 00:00:00	Yes	2018-05-18 00:00:00	2018-04-30 00:00:00	B	None	2000	6000	0	0	6000	None	TU1G11	N	CA00567157, CA00567891	A, C	SFY2017-18
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-05-11 00:00:00	940014066	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-20 00:00:00	2017-12-20 00:00:00	No	2018-06-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2CEK11	N	CA00568834, CA00568834	B, B	SFY2017-18
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-05-11 00:00:00	940014068	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-31 00:00:00	2018-01-31 00:00:00	Yes	2018-06-01 00:00:00	2018-05-10 00:00:00	A	A	20000	17500	0	17500	0	None	8N7W11	N	CA00569608	B	SFY2017-18
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-05-18 00:00:00	940014087	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-03 00:00:00	2017-03-03 00:00:00	No	2018-06-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	CCBM11	N	CA00570288	B	SFY2017-18
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-05-25 00:00:00	940014095	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-15 00:00:00	2018-03-15 00:00:00	No	2018-06-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	RDU811	N	CA00579272	A	SFY2017-18
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-01 00:00:00	940014106	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-21 00:00:00	2017-12-21 00:00:00	Yes	2018-06-22 00:00:00	2018-06-07 00:00:00	A	A	20000	15000	0	15000	0	None	4XYE11	N	CA00566300	A	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-08 00:00:00	940014109	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-27 00:00:00	2017-09-27 00:00:00	No	2018-06-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IEM311	Y	CA00573839, CA00573839, CA00573839	A, A, A	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-08 00:00:00	940014110	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-12-27 00:00:00	2017-12-27 00:00:00	No	2018-06-29 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	IEM311	N	CA00573839, CA00573839, CA00573839, CA00573839	A, A, A, A	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-08 00:00:00	940014111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-02-10 00:00:00	2018-02-10 00:00:00	No	2018-06-29 00:00:00	None	B	None	2000	6000	0	6000	0	None	IEM311	N	CA00573839, CA00573839, CA00573839, CA00573839	A, A, A, A	SFY2017-18
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-01 00:00:00	940014112	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-12 00:00:00	2018-01-12 00:00:00	Yes	2018-06-22 00:00:00	2018-06-05 00:00:00	A	B	20000	20000	0	20000	0	None	55CD11	N	CA00572390, CA00572390	B, B	SFY2017-18
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-01 00:00:00	940014113	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-12 00:00:00	2018-01-12 00:00:00	Yes	2018-06-22 00:00:00	2018-06-05 00:00:00	A	A	20000	20000	0	20000	0	None	55CD11	N	CA00572390, CA00572390, CA00572390	B, B, B	SFY2017-18
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-06-28 00:00:00	940014117	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-25 00:00:00	2017-09-25 00:00:00	No	2018-07-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	3IFU11	Y	CA00573452, CA00573452, CA00573452	A, A, A	SFY2017-18
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-01 00:00:00	940014119	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-12-13 00:00:00	2017-12-13 00:00:00	No	2018-06-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WSC311	N	CA00572729, CA00572729, CA00572729, CA00572729, CA00572729	A, A, A, A, A	SFY2017-18
940000097	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-11 00:00:00	940014121	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-30 00:00:00	2017-12-30 00:00:00	No	2018-07-02 00:00:00	None	A	None	20000	20000	0	20000	0	None	TDHF11	N	CA00573294	B	SFY2017-18
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-15 00:00:00	940014122	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-12 00:00:00	2018-02-12 00:00:00	No	2018-07-09 00:00:00	None	A	None	20000	60000	0	60000	0	None	27PD11	N	CA00574448, CA00574448	B, B	SFY2017-18
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-15 00:00:00	940014123	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-09 00:00:00	2018-04-09 00:00:00	No	2018-07-09 00:00:00	None	A	None	10000	30000	0	30000	0	None	FKEK11	N	CA00582122	A	SFY2017-18
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-06 00:00:00	940014127	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-26 00:00:00	2018-04-26 00:00:00	No	2018-06-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PLZZ11	N	None	None	SFY2017-18
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-18 00:00:00	940014138	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-15 00:00:00	2017-12-15 00:00:00	Yes	2018-07-10 00:00:00	2018-06-27 00:00:00	A	None	20000	20000	0	20000	0	None	QH5L11	N	CA00565297, CA00565297, CA00576295, CA00576295	B, B, B, B	SFY2017-18
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-15 00:00:00	940014139	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-10 00:00:00	2018-03-10 00:00:00	No	2018-07-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	70H211	N	CA00577597	B	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-15 00:00:00	940014140	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-02-12 00:00:00	2018-02-12 00:00:00	No	2018-07-09 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	VQP111	N	CA00574592, CA00574592, CA00574592	A, A, A	SFY2017-18
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-15 00:00:00	940014142	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-14 00:00:00	2018-02-14 00:00:00	No	2018-07-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	KFX311	N	CA00574836	B	SFY2017-18
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-22 00:00:00	940014170	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-25 00:00:00	2018-03-25 00:00:00	Yes	2018-07-16 00:00:00	2018-06-25 00:00:00	A	A	18000	12600	0	12600	0	None	E2MJ11	N	None	None	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-22 00:00:00	940014172	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-08 00:00:00	2018-02-08 00:00:00	No	2018-07-16 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	XVGB11	Y	CA00574618, CA00574618, CA00574618, CA00574618, CA00574618, CA00575079, CA00575079	A, A, A, A, A, B, B	SFY2017-18
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-24 00:00:00	940014176	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-26 00:00:00	2017-12-26 00:00:00	Yes	2018-07-16 00:00:00	2018-06-25 00:00:00	A	A	20000	13000	0	13000	0	None	VGSK11	N	CA00575702	B	SFY2017-18
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-22 00:00:00	940014179	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-05 00:00:00	2018-04-05 00:00:00	Yes	2018-07-16 00:00:00	2018-07-16 00:00:00	A	A	20000	30000	0	30000	0	None	FWGE11	N	CA00581958	A	SFY2017-18
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-06-29 00:00:00	940014200	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-14 00:00:00	2018-02-14 00:00:00	No	2018-07-23 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	4JJ111	N	CA00576399	B	SFY2017-18
940000097	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-05 00:00:00	940014203	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-05 00:00:00	2018-03-05 00:00:00	No	2018-07-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	GTZW11	Y	CA00576998	B	SFY2018-19
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-06 00:00:00	940014204	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-30 00:00:00	2017-12-30 00:00:00	Yes	2018-07-27 00:00:00	2018-07-26 00:00:00	A	B	16000	10000	0	10000	0	None	JVB411	Y	CA00568039, CA00568039, CA00568039	B, B, B	SFY2018-19
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-06 00:00:00	940014216	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-14 00:00:00	2018-01-14 00:00:00	Yes	2018-07-27 00:00:00	2018-07-17 00:00:00	A	A	20000	15000	0	15000	0	None	IPUG11	N	CA00577578, CA00577578	A, A	SFY2018-19
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-05 00:00:00	940014220	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-07 00:00:00	2017-03-07 00:00:00	No	2018-07-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EGFJ11	N	CA00525648	B	SFY2018-19
940000100	HARBOR VIEW BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-06 00:00:00	940014221	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-10-18 00:00:00	2016-10-18 00:00:00	No	2018-07-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TUJG11	N	CA00509908	B	SFY2018-19
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-13 00:00:00	940014231	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-29 00:00:00	2018-01-29 00:00:00	Yes	2018-08-03 00:00:00	2018-08-01 00:00:00	A	A	20000	17500	0	17500	0	None	81RM11	N	CA00568999	B	SFY2018-19
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-13 00:00:00	940014232	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-29 00:00:00	2018-01-29 00:00:00	Yes	2018-08-03 00:00:00	2018-08-01 00:00:00	A	B	20000	2000	0	2000	0	None	81RM11	N	CA00568999, CA00568999	B, B	SFY2018-19
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-27 00:00:00	940014247	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-03-30 00:00:00	2018-03-30 00:00:00	Yes	2018-08-17 00:00:00	2018-08-01 00:00:00	AA	A	100000	60000	0	60000	0	None	5FSM11	N	CA00580634, CA00580704, CA00580704, CA00580704, CA00580704, CA00580704	B, A, A, A, A, A	SFY2018-19
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-20 00:00:00	940014249	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-28 00:00:00	2018-03-28 00:00:00	Yes	2018-08-10 00:00:00	2018-08-06 00:00:00	B	B	2000	1000	0	1000	0	None	TTTM11	N	CA00582561, CA00582561	A, A	SFY2018-19
940000024	NORWALK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-20 00:00:00	940014257	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-14 00:00:00	2018-03-14 00:00:00	Yes	2018-08-10 00:00:00	2018-08-08 00:00:00	A	B	20000	2000	0	2000	0	None	CJTH11	N	CA00580497	A	SFY2018-19
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-20 00:00:00	940014260	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-07 00:00:00	2018-03-07 00:00:00	No	2018-08-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q7SJ11	N	CA00574021	B	SFY2018-19
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-26 00:00:00	940014271	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-11 00:00:00	2018-04-11 00:00:00	Yes	2018-08-16 00:00:00	2018-08-06 00:00:00	A	B	20000	2000	0	2000	0	None	MO4H11	N	CA00580395	B	SFY2018-19
940000097	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-26 00:00:00	940014279	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-02-02 00:00:00	2018-02-02 00:00:00	No	2018-08-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	XC0M11	N	CA00572350	A	SFY2018-19
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-03 00:00:00	940014298	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-03-08 00:00:00	2018-03-08 00:00:00	Yes	2018-08-24 00:00:00	2018-08-10 00:00:00	AA	A	100000	65000	0	65000	0	None	LFJQ11	Y	CA00581500, CA00581500	B, B	SFY2018-19
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-02 00:00:00	940014301	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-16 00:00:00	2017-11-16 00:00:00	No	2018-08-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2SVH11	N	CA00561457, CA00561457	B, B	SFY2018-19
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-08-02 00:00:00	940014308	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-21 00:00:00	2018-03-21 00:00:00	No	2018-08-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q9WH11	Y	CA00581053	A	SFY2018-19
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-03 00:00:00	940014310	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-07 00:00:00	2018-04-07 00:00:00	No	2018-08-24 00:00:00	None	A	None	6000	6000	-2100	3900	0	None	3PDJ11	N	CA00581652	A	SFY2018-19
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-02 00:00:00	940014311	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-29 00:00:00	2018-03-29 00:00:00	No	2018-08-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	30VC11	N	CA00582493, CA00582493	A, A	SFY2018-19
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-06 00:00:00	940014313	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-16 00:00:00	2018-03-16 00:00:00	Yes	2018-08-27 00:00:00	2018-08-10 00:00:00	A	A	20000	16000	0	16000	0	None	MU8J11	N	CA00582336, CA00582336	B, B	SFY2018-19
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-02 00:00:00	940014315	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-23 00:00:00	2017-09-23 00:00:00	No	2018-08-23 00:00:00	None	B	None	2000	6000	0	6000	0	None	1IDZ11	N	CA00554425, CA00554864, CA00554864	A, B, B	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-10 00:00:00	940014320	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-19 00:00:00	2018-04-19 00:00:00	No	2018-08-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3UBV11	N	CA00583775, CA00583997	B, B	SFY2018-19
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-08 00:00:00	940014323	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-06-13 00:00:00	2018-06-13 00:00:00	Yes	2018-08-29 00:00:00	2018-08-09 00:00:00	B	B	2000	1400	0	1400	0	None	RFFS11	N	None	None	SFY2018-19
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-10 00:00:00	940014324	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-19 00:00:00	2018-04-19 00:00:00	No	2018-08-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	S99711	N	CA00583150, CA00583150	B, B	SFY2018-19
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-10 00:00:00	940014328	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-04-08 00:00:00	2018-04-08 00:00:00	Yes	2018-08-31 00:00:00	2018-08-14 00:00:00	AA	A	100000	20000	0	20000	0	None	DG6W11	Y	CA00582724, CA00582724	A, A	SFY2018-19
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-15 00:00:00	940014331	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-10 00:00:00	2018-04-10 00:00:00	Yes	2018-09-06 00:00:00	2018-09-05 00:00:00	A	A	20000	35000	0	35000	0	None	Y88I11	N	CA00583053, CA00583053	B, B	SFY2018-19
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-17 00:00:00	940014333	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-21 00:00:00	2017-12-21 00:00:00	Yes	2018-09-10 00:00:00	2018-08-20 00:00:00	B	B	2000	1700	0	1700	0	None	ONR111	N	CA00566090	B	SFY2018-19
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-17 00:00:00	940014334	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-14 00:00:00	2017-10-14 00:00:00	No	2018-09-10 00:00:00	None	A	None	20000	20000	0	20000	0	None	4Q7V11	N	CA00583331, CA00583331, CA00583331, CA00583331	B, B, B, B	SFY2018-19
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-15 00:00:00	940014337	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-01 00:00:00	2018-04-01 00:00:00	No	2018-09-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	7LEY11	N	CA00582927, CA00582927, CA00582927	B, B, B	SFY2018-19
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-24 00:00:00	940014343	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-09-07 00:00:00	2013-09-07 00:00:00	Yes	2018-09-17 00:00:00	2018-09-13 00:00:00	A	B	20000	10000	0	10000	0	None	KBMD11	N	CA00382802	B	SFY2018-19
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-30 00:00:00	940014353	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-13 00:00:00	2018-03-13 00:00:00	Yes	2018-09-21 00:00:00	2018-09-06 00:00:00	A	None	20000	20000	0	0	20000	None	17MJ11	N	CA00585249	B	SFY2018-19
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-23 00:00:00	940014354	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-28 00:00:00	2017-01-28 00:00:00	No	2018-09-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FE8Z11	N	CA00584476	B	SFY2018-19
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-23 00:00:00	940014358	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-17 00:00:00	2017-11-17 00:00:00	Yes	2018-09-14 00:00:00	2018-08-28 00:00:00	B	None	2000	6000	0	0	6000	None	2I2D11	N	CA00561620, CA00561620	A, A	SFY2018-19
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-04 00:00:00	940014376	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-07 00:00:00	2018-05-07 00:00:00	No	2018-09-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	NZ6I11	N	CA00585896	A	SFY2018-19
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-05 00:00:00	940014389	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-27 00:00:00	2018-04-27 00:00:00	No	2018-09-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	3VIR11	N	CA00585892, CA00586511	A, A	SFY2018-19
940000078	GREENFIELD CARE CENTER OF SOUTH GATE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-07 00:00:00	940014394	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2018-07-20 00:00:00	2018-07-20 00:00:00	No	2018-09-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LMQ311	N	None	None	SFY2018-19
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-10 00:00:00	940014399	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-08 00:00:00	2016-04-08 00:00:00	No	2018-10-01 00:00:00	None	A	None	20000	20000	0	20000	0	None	0TVR11	Y	CA00578347, CA00578347, CA00578347	B, B, B	SFY2018-19
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-09-12 00:00:00	940014406	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-13 00:00:00	2018-05-13 00:00:00	No	2018-10-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	YKV411	N	CA00586997	B	SFY2018-19
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-09-13 00:00:00	940014409	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-05-12 00:00:00	2018-05-12 00:00:00	Yes	2018-10-04 00:00:00	2018-09-19 00:00:00	B	None	2000	2000	0	0	2000	None	TQBR11	N	CA00587329, CA00587329, CA00587329	A, A, A	SFY2018-19
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-10-04 00:00:00	940014420	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2017-12-11 00:00:00	2017-12-11 00:00:00	No	2018-10-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	92GS11	N	CA00589920	A	SFY2018-19
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-02 00:00:00	940014442	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-28 00:00:00	2017-02-28 00:00:00	Yes	2018-10-23 00:00:00	2018-10-11 00:00:00	A	A	20000	16000	0	16000	0	None	QHC511	Y	CA00519343, CA00519343	B, B	SFY2018-19
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-02 00:00:00	940014453	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2017-01-03 00:00:00	2017-01-03 00:00:00	Yes	2018-10-23 00:00:00	2018-10-12 00:00:00	WF	WMF>$1000	2000	2000	0	2000	0	None	QHC511	N	CA00519343, CA00519343	B, B	SFY2018-19
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-04 00:00:00	940014456	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-18 00:00:00	2018-04-18 00:00:00	Yes	2018-10-25 00:00:00	2018-10-12 00:00:00	A	B	16000	14000	0	14000	0	None	XVY511	N	CA00593605, CA00593605	B, B	SFY2018-19
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-04 00:00:00	940014459	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-18 00:00:00	2018-04-18 00:00:00	Yes	2018-10-25 00:00:00	2018-10-12 00:00:00	B	Drop>Deficiency	2000	2000	0	2000	0	None	XVY511	N	CA00593605, CA00593605, CA00593605	B, B, B	SFY2018-19
940000004	BAY VISTA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-05 00:00:00	940014463	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-12-26 00:00:00	2016-12-26 00:00:00	No	2018-10-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9VW011	N	CA00516744	B	SFY2018-19
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-05 00:00:00	940014464	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-19 00:00:00	2018-07-19 00:00:00	No	2018-10-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	O91V11	N	CA00596459, CA00596459	A, A	SFY2018-19
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-11 00:00:00	940014473	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-14 00:00:00	2017-06-14 00:00:00	No	2018-11-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	T3U111	N	CA00540091, CA00540091	B, B	SFY2018-19
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-12 00:00:00	940014475	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-16 00:00:00	2017-06-16 00:00:00	No	2018-11-02 00:00:00	None	A	None	15000	45000	-15750	29250	0	None	ZINQ11	N	CA00540422	B	SFY2018-19
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-19 00:00:00	940014500	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-09 00:00:00	2018-07-09 00:00:00	No	2018-11-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NQVV11	N	CA00596221, CA00596259	A, A	SFY2018-19
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-19 00:00:00	940014501	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-06-29 00:00:00	2018-06-29 00:00:00	No	2018-11-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	L7T511	N	CA00596495, CA00596495, CA00596495	B, B, B	SFY2018-19
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-24 00:00:00	940014514	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-23 00:00:00	2018-04-23 00:00:00	No	2018-11-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	5W3K11	N	CA00583753	B	SFY2018-19
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-24 00:00:00	940014526	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-06-27 00:00:00	2018-06-27 00:00:00	No	2018-11-15 00:00:00	None	B	None	1500	1500	-525	975	0	None	251T11	N	None	None	SFY2018-19
940000047	VILLA DEL SOL POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-02 00:00:00	940014549	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-17 00:00:00	2018-05-17 00:00:00	No	2018-11-28 00:00:00	None	A	None	20000	20000	0	20000	0	None	Z2MI11	N	CA00598472, CA00598472	B, B	SFY2018-19
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-02 00:00:00	940014555	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-02 00:00:00	2017-05-02 00:00:00	No	2018-11-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	7FKX11	N	CA00598877, CA00598877	B, B	SFY2018-19
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-14 00:00:00	940014578	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2018-12-07 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	NX1M11	N	CA00600053, CA00600053	B, B	SFY2018-19
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-17 00:00:00	940014582	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-07-21 00:00:00	2018-07-21 00:00:00	No	2018-12-11 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	6B9P11	N	CA00596461	B	SFY2018-19
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-16 00:00:00	940014590	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-08-06 00:00:00	2015-08-06 00:00:00	No	2018-12-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	KSJR11	N	CA00453800, CA00453800, CA00453800	B, B, B	SFY2018-19
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-21 00:00:00	940014595	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-20 00:00:00	2018-08-20 00:00:00	Yes	2018-12-14 00:00:00	2018-12-14 00:00:00	A	A	20000	20000	0	20000	0	None	3F0W11	N	CA00601129, CA00601129	A, A	SFY2018-19
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-21 00:00:00	940014598	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-07-26 00:00:00	2018-07-26 00:00:00	Yes	2018-12-14 00:00:00	2018-12-12 00:00:00	A	B	20000	39000	0	39000	0	None	R2HM11	Y	CA00597204, CA00597204	B, B	SFY2018-19
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-21 00:00:00	940014601	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-11 00:00:00	2018-09-11 00:00:00	No	2018-12-14 00:00:00	None	A	None	20000	20000	0	20000	0	None	9D2N11	N	CA00603924	B	SFY2018-19
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-07 00:00:00	940014625	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-23 00:00:00	2018-07-23 00:00:00	No	2018-12-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	50W911	N	CA00596891, CA00596891	A, A	SFY2018-19
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-07 00:00:00	940014628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-28 00:00:00	2018-08-28 00:00:00	No	2018-12-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EMC511	N	CA00603264, CA00603264, CA00603264	B, B, B	SFY2018-19
940000091	PARAMOUNT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-07 00:00:00	940014637	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-08-31 00:00:00	2018-08-31 00:00:00	No	2018-12-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XNGM11	N	CA00603191, CA00603191	A, A	SFY2018-19
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-07 00:00:00	940014639	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-07 00:00:00	2018-09-07 00:00:00	No	2018-12-31 00:00:00	None	B	None	2000	6000	0	6000	0	None	NN8311	N	CA00603297, CA00603297	B, B	SFY2018-19
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-21 00:00:00	940014667	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-02-08 00:00:00	2018-02-08 00:00:00	Yes	2019-01-14 00:00:00	2018-12-21 00:00:00	AA	A	100000	20000	0	20000	0	None	F5UW11	N	CA00593335	B	SFY2018-19
940000014	ROSE VILLA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-26 00:00:00	940014670	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-25 00:00:00	2018-09-25 00:00:00	Yes	2019-01-16 00:00:00	2019-01-15 00:00:00	A	A	20000	13000	0	13000	0	None	QJPV11	N	CA00605587, CA00605587	B, B	SFY2018-19
940000029	WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-21 00:00:00	940014675	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-18 00:00:00	2018-09-18 00:00:00	No	2019-01-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SO2N11	N	CA00604488, CA00604488, CA00604488, CA00604915, CA00604915, CA00604915	A, A, A, A, A, A	SFY2018-19
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-28 00:00:00	940014694	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-09-18 00:00:00	2018-09-18 00:00:00	No	2019-01-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CC0O11	N	CA00607273	B	SFY2018-19
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-04 00:00:00	940014698	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-08-12 00:00:00	2018-08-12 00:00:00	Yes	2019-01-25 00:00:00	2019-01-11 00:00:00	AA	A	100000	100000	0	100000	0	None	37FN11	Y	CA00607988, CA00607988, CA00607988	A, A, A	SFY2018-19
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-03 00:00:00	940014700	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-14 00:00:00	2018-11-14 00:00:00	Yes	2019-01-24 00:00:00	2019-01-11 00:00:00	A	A	17000	12050	-50	12000	0	None	U56Z11	Y	None	None	SFY2018-19
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-11 00:00:00	940014711	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-18 00:00:00	2018-10-18 00:00:00	Yes	2019-02-01 00:00:00	2019-01-15 00:00:00	A	None	20000	20000	0	20000	0	None	1OUR11	Y	CA00608396, CA00608396, CA00608396	A, A, A	SFY2018-19
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-11 00:00:00	940014713	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-23 00:00:00	2018-08-23 00:00:00	Yes	2019-02-01 00:00:00	2019-01-11 00:00:00	A	A	16000	12000	0	12000	0	None	BFCB11	N	CA00606213	A	SFY2018-19
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-11 00:00:00	940014717	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-23 00:00:00	2018-08-23 00:00:00	Yes	2019-02-01 00:00:00	2019-01-11 00:00:00	A	B	16000	16000	0	16000	0	None	6YIW11	N	CA00601151, CA00601151, CA00601151	B, B, B	SFY2018-19
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-15 00:00:00	940014722	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-18 00:00:00	2018-10-18 00:00:00	Yes	2019-02-05 00:00:00	2019-01-15 00:00:00	A	None	20000	20000	0	20000	0	None	XRH811	N	CA00607983, CA00607983, CA00607983, CA00607983	A, A, A, A	SFY2018-19
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-23 00:00:00	940014759	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-10 00:00:00	2018-04-10 00:00:00	No	2019-02-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MHGK11	N	CA00582185, CA00582185	A, A	SFY2018-19
940000062	ALAMITOS BELMONT HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-25 00:00:00	940014760	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-10 00:00:00	2017-09-10 00:00:00	Yes	2019-02-15 00:00:00	2019-01-25 00:00:00	A	None	16000	16000	0	16000	0	None	ZMJL11	N	CA00552299	B	SFY2018-19
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-25 00:00:00	940014762	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-10 00:00:00	2016-10-10 00:00:00	No	2019-02-15 00:00:00	None	A	None	20000	20000	-20000	0	0	None	XRHV11	N	CA00507193	B	SFY2018-19
940000011	BELL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-25 00:00:00	940014763	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-24 00:00:00	2018-10-24 00:00:00	No	2019-02-15 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	7MVJ11	N	CA00609537, CA00609537, CA00609537, CA00609659, CA00609659	B, B, B, A, A	SFY2018-19
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-25 00:00:00	940014764	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-22 00:00:00	2018-10-22 00:00:00	Yes	2019-02-15 00:00:00	2019-01-29 00:00:00	A	None	20000	20000	0	20000	0	None	JQ4O11	N	CA00608953	B	SFY2018-19
940000012	BRIARCREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-06 00:00:00	940014767	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-11-07 00:00:00	2018-11-07 00:00:00	No	2019-02-27 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	LBKM11	N	CA00611276, CA00611276, CA00611276	B, B, B	SFY2018-19
940000031	CATERED MANOR NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-01 00:00:00	940014769	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-04 00:00:00	2018-11-04 00:00:00	Yes	2019-02-22 00:00:00	2019-02-06 00:00:00	A	A	20000	14000	0	14000	0	None	EPSF11	Y	CA00610650	A	SFY2018-19
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-01 00:00:00	940014770	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-11-07 00:00:00	2018-11-07 00:00:00	No	2019-02-22 00:00:00	None	AA	None	100000	100000	0	100000	0	None	508311	Y	CA00602982, CA00602982	B, B	SFY2018-19
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-12 00:00:00	940014771	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-12 00:00:00	2016-10-12 00:00:00	No	2019-03-05 00:00:00	None	A	None	20000	20000	-20000	0	0	None	G81411	N	CA00507203	B	SFY2018-19
970000037	FLOWER VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-01-31 00:00:00	940014784	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-20 00:00:00	2018-10-20 00:00:00	No	2019-02-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	PVI811	N	None	None	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-05 00:00:00	940014788	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-08 00:00:00	2018-11-08 00:00:00	No	2019-02-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	H55I11	N	CA00610614, CA00610614, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962	A, A, A, A, A, A, A, B, B, A, A, A, A, A, A, A	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-05 00:00:00	940014793	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-01 00:00:00	2018-10-01 00:00:00	Yes	2019-02-26 00:00:00	2019-02-08 00:00:00	A	A	20000	17000	0	17000	0	None	H55I11	N	CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962	A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-05 00:00:00	940014795	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-25 00:00:00	2018-09-25 00:00:00	No	2019-02-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	H55I11	N	CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962	A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-08 00:00:00	940014798	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-04 00:00:00	2018-10-04 00:00:00	Yes	2019-03-01 00:00:00	2019-02-28 00:00:00	A	A	20000	17200	-200	17000	0	None	H55I11	N	CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962	A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-08 00:00:00	940014799	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-03 00:00:00	2018-11-03 00:00:00	Yes	2019-03-01 00:00:00	2019-02-28 00:00:00	A	A	16000	12000	0	12000	0	None	H55I11	N	CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962	A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-08 00:00:00	940014800	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-25 00:00:00	2018-08-25 00:00:00	Yes	2019-03-01 00:00:00	2019-02-28 00:00:00	A	B	12000	6000	0	6000	0	None	H55I11	N	CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962	A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-08 00:00:00	940014801	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-27 00:00:00	2018-08-27 00:00:00	No	2019-03-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	H55I11	N	CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962	A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-08 00:00:00	940014802	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-19 00:00:00	2018-08-19 00:00:00	No	2019-03-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	H55I11	N	CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962	A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A	SFY2018-19
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-02-06 00:00:00	940014805	Closed	Citation	Citation B (HSC 1424)	Administration	None	2018-12-21 00:00:00	2018-12-21 00:00:00	No	2019-02-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	90EO11	N	None	None	SFY2018-19
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-02-06 00:00:00	940014807	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2018-12-21 00:00:00	2018-12-21 00:00:00	No	2019-02-27 00:00:00	None	WF	None	1000	1000	-350	650	0	None	90EO11	None	None	None	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-08 00:00:00	940014808	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-06-07 00:00:00	2018-06-07 00:00:00	Yes	2019-03-01 00:00:00	2019-02-28 00:00:00	A	A	20000	25000	0	25000	0	None	H55I11	Y	CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962	A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-08 00:00:00	940014809	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-14 00:00:00	2018-10-14 00:00:00	Yes	2019-03-01 00:00:00	2019-02-28 00:00:00	A	A	20000	17000	0	17000	0	None	H55I11	N	CA00610614, CA00610614, CA00610614, CA00610874, CA00610874, CA00610874, CA00610949, CA00610949, CA00610949, CA00610954, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962, CA00610962	A, A, A, A, A, A, A, A, A, B, B, B, A, A, A, A, A, A, A, A, A	SFY2018-19
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-02-13 00:00:00	940014812	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-31 00:00:00	2018-03-31 00:00:00	No	2019-03-06 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	D2IV11	N	CA00580830	B	SFY2018-19
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-15 00:00:00	940014819	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrences	2018-11-17 00:00:00	2018-11-17 00:00:00	No	2019-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D3D911	Y	CA00614024	B	SFY2018-19
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-22 00:00:00	940014832	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-21 00:00:00	2018-11-21 00:00:00	No	2019-03-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JPVD11	N	CA00613450, CA00613450	B, B	SFY2018-19
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-02-22 00:00:00	940014834	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-15 00:00:00	2017-12-15 00:00:00	No	2019-03-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9GSR11	N	CA00565294	B	SFY2018-19
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-03-07 00:00:00	940014852	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-04 00:00:00	2018-12-04 00:00:00	Yes	2019-03-28 00:00:00	2019-03-27 00:00:00	A	B	15000	34250	0	34250	0	None	Q89P11	N	CA00614966, CA00616235	B, B	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-04-05 00:00:00	940014933	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-02-06 00:00:00	2019-02-06 00:00:00	Yes	2019-04-26 00:00:00	2019-04-08 00:00:00	A	A	20000	60000	0	60000	0	None	H55I11	N	CA00610614, CA00610614, CA00610874, CA00610874, CA00610949, CA00610949, CA00610954, CA00610954, CA00610958, CA00610958, CA00610958, CA00610958, CA00610962, CA00610962, CA00610962	A, A, A, A, A, A, B, B, A, A, A, A, A, A, A	SFY2018-19
950000006	FIDELITY HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-01-07 00:00:00	950001320	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-03-26 00:00:00	None	No	2000-02-18 00:00:00	None	B	None	1000	1000	-350	650	0	950006212	A99999	N	None	None	SFY1999-00
950000053	CLAREMONT MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-01-19 00:00:00	950001321	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-22 00:00:00	None	Yes	2000-02-25 00:00:00	2000-02-04 00:00:00	B	None	700	700	0	700	0	950006220	A99999	N	None	None	SFY1999-00
950000105	SUNSET MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-01-20 00:00:00	950001322	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-01-12 00:00:00	None	No	2000-02-10 00:00:00	None	B	None	500	500	-175	325	0	950006222	A99999	N	None	None	SFY1999-00
950000053	CLAREMONT MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-01-25 00:00:00	950001323	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-23 00:00:00	None	Yes	2001-05-10 00:00:00	2000-02-04 00:00:00	A	A	6000	6000	0	6000	0	950006230	A99999	N	None	None	SFY1999-00
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-01 00:00:00	950001324	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-20 00:00:00	2000-01-20 00:00:00	No	2000-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	950006227	A99999	N	None	None	SFY1999-00
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-08 00:00:00	950001325	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-18 00:00:00	None	No	2000-03-01 00:00:00	None	B	None	500	500	-175	325	0	950006254	A99999	N	None	None	SFY1999-00
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-08 00:00:00	950001326	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-20 00:00:00	None	No	2000-03-01 00:00:00	None	A	None	4000	4000	-1400	2600	0	950006254	A99999	N	None	None	SFY1999-00
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-15 00:00:00	950001327	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-15 00:00:00	None	No	2000-03-08 00:00:00	None	B	None	700	700	-245	455	0	950006267	A99999	N	None	None	SFY1999-00
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-17 00:00:00	950001328	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-07 00:00:00	None	No	2000-03-10 00:00:00	None	B	None	500	1500	0	1500	0	950006269	A99999	N	None	None	SFY1999-00
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-18 00:00:00	950001329	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-11 00:00:00	None	No	2000-03-13 00:00:00	None	B	None	500	1500	-525	975	0	950006270	A99999	N	None	None	SFY1999-00
950000014	COVINA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-29 00:00:00	950001330	Closed	Citation	Citation B (HSC 1424)	Other	WMF	2000-02-11 00:00:00	None	No	2000-03-21 00:00:00	None	B	None	1000	1000	0	1000	0	950006280	A99999	N	None	None	SFY1999-00
950000044	WEST HAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-03-08 00:00:00	950001331	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1998-09-28 00:00:00	None	Yes	2001-05-10 00:00:00	2000-03-28 00:00:00	A	A	3000	3000	0	3000	0	950006290	A99999	N	None	None	SFY1999-00
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-03-13 00:00:00	950001332	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-28 00:00:00	None	No	2000-04-24 00:00:00	None	B	None	500	500	-175	325	0	950006294	A99999	N	None	None	SFY1999-00
950000046	HARVARD CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-03-16 00:00:00	950001333	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-07 00:00:00	2000-03-09 00:00:00	No	2000-04-06 00:00:00	None	B	None	800	800	-280	520	0	950006299	A99999	N	None	None	SFY1999-00
950000046	HARVARD CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-03-23 00:00:00	950001334	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-27 00:00:00	1999-12-15 00:00:00	No	2000-04-28 00:00:00	None	B	None	1000	1000	-350	650	0	950006311	A99999	N	None	None	SFY1999-00
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-03-24 00:00:00	950001335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-15 00:00:00	None	No	2000-04-28 00:00:00	None	B	None	500	500	-175	325	0	950006267	A99999	N	None	None	SFY1999-00
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-04-14 00:00:00	950001336	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-01 00:00:00	None	No	2000-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	950006342	A99999	N	None	None	SFY1999-00
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-04-27 00:00:00	950001337	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-02 00:00:00	None	No	2000-05-18 00:00:00	None	B	None	600	600	-210	390	0	950006348	A99999	N	None	None	SFY1999-00
950000033	CHINO VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-05-24 00:00:00	950001338	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-07 00:00:00	None	Yes	2000-06-14 00:00:00	2000-05-31 00:00:00	B	Drop>Deficiency	800	800	0	800	0	950006381	A99999	N	None	None	SFY1999-00
950000002	CLAREMONT CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-05-25 00:00:00	950001339	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-14 00:00:00	None	No	2000-06-16 00:00:00	None	B	None	1000	1000	0	1000	0	950006382	A99999	N	None	None	SFY1999-00
950000044	WEST HAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-05-25 00:00:00	950001340	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-07 00:00:00	None	No	2000-06-16 00:00:00	None	B	None	700	700	-245	455	0	950006383	A99999	N	None	None	SFY1999-00
950000105	SUNSET MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-05-25 00:00:00	950001341	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-14 00:00:00	None	No	2001-05-11 00:00:00	None	B	B	600	600	0	600	0	950006384	A99999	N	None	None	SFY1999-00
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-05-30 00:00:00	950001342	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-27 00:00:00	None	No	2000-06-20 00:00:00	None	B	None	500	500	0	500	0	950006386	A99999	N	None	None	SFY1999-00
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-06-20 00:00:00	950001343	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-22 00:00:00	None	No	2000-07-12 00:00:00	None	B	None	1000	1000	-350	650	0	950006407	A99999	N	None	None	SFY1999-00
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-06-20 00:00:00	950001344	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-01-26 00:00:00	None	No	2000-07-12 00:00:00	None	B	None	900	900	-315	585	0	950006408	A99999	N	None	None	SFY1999-00
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-07-11 00:00:00	950001345	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-27 00:00:00	None	No	2000-08-01 00:00:00	None	B	None	800	800	-280	520	0	950006434	A99999	N	None	None	SFY2000-01
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-07-12 00:00:00	950001346	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-14 00:00:00	None	No	2000-08-02 00:00:00	None	B	None	800	800	-280	520	0	950006435	A99999	N	None	None	SFY2000-01
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-07-12 00:00:00	950001347	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-19 00:00:00	None	No	2000-08-02 00:00:00	None	B	None	300	300	-105	195	0	950006436	A99999	N	None	None	SFY2000-01
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-09 00:00:00	950001348	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-16 00:00:00	None	No	2000-08-30 00:00:00	None	B	None	800	800	-280	520	0	950006480	A99999	N	None	None	SFY2000-01
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-09 00:00:00	950001349	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-05-05 00:00:00	None	No	2000-08-30 00:00:00	None	WF	None	400	400	0	400	0	950006481	A99999	None	None	None	SFY2000-01
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-18 00:00:00	950001355	Closed	Citation	Citation B (HSC 1424)	Other	PHYSICAL ABUSE	2000-05-16 00:00:00	None	No	2000-09-11 00:00:00	None	B	None	400	400	-140	260	0	950006480	A99999	N	None	None	SFY2000-01
950000100	IVY CREEK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-21 00:00:00	950001356	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-02 00:00:00	None	No	2000-09-12 00:00:00	None	B	None	500	500	-175	325	0	950006494	A99999	N	None	None	SFY2000-01
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-09-06 00:00:00	950001358	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-15 00:00:00	None	Yes	2000-09-27 00:00:00	2000-09-18 00:00:00	B	None	500	500	0	500	0	950006528	A99999	N	None	None	SFY2000-01
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-09-25 00:00:00	950001361	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-07-19 00:00:00	2000-07-24 00:00:00	No	2000-10-17 00:00:00	None	A	None	8000	8000	-2800	5200	0	950006559	A99999	N	None	None	SFY2000-01
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-10-11 00:00:00	950001362	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-22 00:00:00	None	No	2000-11-01 00:00:00	None	B	None	500	500	-175	325	0	950006582	A99999	N	None	None	SFY2000-01
950000056	DEL MAR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-10-24 00:00:00	950001364	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-08-15 00:00:00	None	Yes	2001-05-11 00:00:00	2000-10-31 00:00:00	B	B	500	500	0	500	0	950006615	A99999	N	None	None	SFY2000-01
950000103	EASTLAND SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-10-25 00:00:00	950001365	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/FACILITY PRACT	1999-10-18 00:00:00	None	Yes	2001-05-11 00:00:00	2001-04-26 00:00:00	B	Dismissed by Court	1000	100	-100	0	0	950006380	A99999	N	None	None	SFY2000-01
950000002	CLAREMONT CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-10-26 00:00:00	950001366	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-28 00:00:00	None	No	2000-11-17 00:00:00	None	B	None	750	750	-262.5	487.5	0	950006619	A99999	N	None	None	SFY2000-01
950000038	ROSEMEAD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-11-03 00:00:00	950001367	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-09-06 00:00:00	None	No	2000-11-29 00:00:00	None	B	None	600	600	0	600	0	950006638	A99999	N	None	None	SFY2000-01
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-11-07 00:00:00	950001368	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-22 00:00:00	None	No	2000-11-28 00:00:00	None	B	None	1000	1000	-350	650	0	950006640	A99999	N	None	None	SFY2000-01
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-11-15 00:00:00	950001369	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-20 00:00:00	None	No	2000-12-08 00:00:00	None	B	None	1000	1000	-350	650	0	950006654	A99999	N	None	None	SFY2000-01
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-11-17 00:00:00	950001371	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-16 00:00:00	None	No	2000-12-08 00:00:00	None	B	None	900	900	0	900	0	950006657	A99999	N	None	None	SFY2000-01
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-11-30 00:00:00	950001374	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-06 00:00:00	None	No	2000-12-21 00:00:00	None	A	None	8000	8000	-2800	5200	0	950006677	A99999	N	None	None	SFY2000-01
950000033	CHINO VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-01-17 00:00:00	950001376	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-09 00:00:00	None	Yes	2001-02-07 00:00:00	2001-02-05 00:00:00	B	B	1000	750	0	750	0	950006642	A99999	N	None	None	SFY2000-01
950000002	CLAREMONT CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-12-12 00:00:00	950001377	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-28 00:00:00	None	No	2001-01-02 00:00:00	None	B	None	500	500	-175	325	0	950006703	A99999	N	None	None	SFY2000-01
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-12-15 00:00:00	950001378	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2000-11-21 00:00:00	None	No	2001-01-09 00:00:00	None	B	None	900	900	-315	585	0	950006713	A99999	N	None	None	SFY2000-01
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-12-15 00:00:00	950001379	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-15 00:00:00	None	No	2001-01-05 00:00:00	None	B	None	1000	1000	-350	650	0	950006714	A99999	N	None	None	SFY2000-01
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-01-22 00:00:00	950001380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-30 00:00:00	None	No	2001-02-13 00:00:00	None	B	None	1000	1000	0	1000	0	950006755	A99999	N	None	None	SFY2000-01
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-02-22 00:00:00	950001381	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-17 00:00:00	None	No	2001-04-19 00:00:00	None	B	B	1000	1300	-800	500	0	950006801	A99999	N	None	None	SFY2000-01
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-03-14 00:00:00	950001382	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2001-01-10 00:00:00	None	No	2001-04-23 00:00:00	None	B	None	750	750	0	750	0	950006809	A99999	N	None	None	SFY2000-01
950000044	WEST HAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-03-14 00:00:00	950001383	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-02-20 00:00:00	None	No	2001-06-19 00:00:00	None	B	None	500	500	-175	325	0	950006812	A99999	N	None	None	SFY2000-01
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-03-15 00:00:00	950001384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-02 00:00:00	None	No	2001-03-30 00:00:00	None	B	None	600	600	0	600	0	950006813	A99999	N	None	None	SFY2000-01
950000077	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-03-15 00:00:00	950001385	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-26 00:00:00	None	No	2001-04-19 00:00:00	None	B	None	1000	1000	-350	650	0	950006814	A99999	N	None	None	SFY2000-01
950000002	CLAREMONT CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-03-16 00:00:00	950001387	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2000-09-17 00:00:00	None	No	2001-04-23 00:00:00	None	B	B	1000	1050	-800	250	0	950006811	A99999	N	None	None	SFY2000-01
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-03-23 00:00:00	950001388	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-02-27 00:00:00	None	No	2001-04-20 00:00:00	None	B	None	500	500	0	500	0	950006821	A99999	N	None	None	SFY2000-01
950000068	LAUREL PARK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-04-05 00:00:00	950001389	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-12-16 00:00:00	None	No	2001-05-23 00:00:00	None	B	B	900	900	-810	90	0	950006856	A99999	N	None	None	SFY2000-01
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-05-03 00:00:00	950001390	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-18 00:00:00	None	Yes	2001-07-31 00:00:00	2001-05-10 00:00:00	B	B	1000	1000	0	1000	0	950006922	A99999	N	None	None	SFY2000-01
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-05-31 00:00:00	950001391	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-17 00:00:00	None	Yes	2001-07-17 00:00:00	2001-06-14 00:00:00	B	None	700	700	0	700	0	950006943	A99999	N	None	None	SFY2000-01
950000063	THE GARDENS OF EL MONTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-06-01 00:00:00	950001392	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-15 00:00:00	None	No	2001-07-06 00:00:00	None	B	None	800	800	0	800	0	950006947	A99999	N	None	None	SFY2000-01
950000030	BROADWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-06-07 00:00:00	950001393	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-23 00:00:00	None	No	2001-07-18 00:00:00	None	B	None	850	850	0	850	0	950006957	A99999	N	None	None	SFY2000-01
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-06-08 00:00:00	950001394	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2001-06-01 00:00:00	None	Yes	2001-07-27 00:00:00	2001-06-26 00:00:00	B	None	1000	1000	0	1000	0	950006960	A99999	N	None	None	SFY2000-01
950000045	ARCADIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-06-12 00:00:00	950001395	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-31 00:00:00	None	No	2001-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	950006964	A99999	N	None	None	SFY2000-01
950000045	ARCADIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-06-12 00:00:00	950001396	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-31 00:00:00	None	Yes	2001-09-24 00:00:00	2001-07-02 00:00:00	B	B	1000	1000	0	1000	0	950006964	A99999	N	None	None	SFY2000-01
950000051	MARGUERITE GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-06-07 00:00:00	950001397	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-18 00:00:00	None	Yes	2001-06-28 00:00:00	2001-07-20 00:00:00	B	B	800	800	0	800	0	950006937	A99999	N	None	None	SFY2000-01
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-07-20 00:00:00	950001398	Closed	Citation	Citation B (HSC 1424)	Other	PATIENTS' MONIES	2001-06-29 00:00:00	None	No	2001-08-17 00:00:00	None	B	None	800	800	-280	520	0	950007005	A99999	N	None	None	SFY2001-02
950000040	COUNTRY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-07-25 00:00:00	950001399	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-07-13 00:00:00	None	No	2001-09-13 00:00:00	None	B	None	600	600	-210	390	0	950007004	A99999	N	None	None	SFY2001-02
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-07-25 00:00:00	950001400	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-11 00:00:00	None	Yes	2001-08-27 00:00:00	2001-08-07 00:00:00	B	None	800	800	0	800	0	950006974	A99999	N	None	None	SFY2001-02
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-08-10 00:00:00	950001401	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-05 00:00:00	None	No	2001-09-17 00:00:00	None	B	None	800	800	-280	520	0	950007046	A99999	N	None	None	SFY2001-02
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-08-10 00:00:00	950001402	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-05 00:00:00	None	No	2001-09-17 00:00:00	None	B	None	800	800	-280	520	0	950007046	A99999	N	None	None	SFY2001-02
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-08-22 00:00:00	950001403	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-10 00:00:00	None	Yes	2001-12-14 00:00:00	2001-08-31 00:00:00	B	B	1000	3000	0	3000	0	950007027	A99999	N	None	None	SFY2001-02
950000006	FIDELITY HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-09-28 00:00:00	950001404	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2001-08-01 00:00:00	None	No	2001-12-13 00:00:00	None	B	None	800	800	-280	520	0	950007030	A99999	N	None	None	SFY2001-02
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-10-16 00:00:00	950001405	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-28 00:00:00	None	Yes	2002-02-19 00:00:00	2001-10-31 00:00:00	B	B	900	2700	0	2700	0	950007120	A99999	N	None	None	SFY2001-02
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-10-19 00:00:00	950001406	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-20 00:00:00	None	Yes	2002-02-21 00:00:00	2001-10-25 00:00:00	B	B	1000	1000	0	1000	0	950007103	A99999	N	None	None	SFY2001-02
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-11-02 00:00:00	950001407	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-12 00:00:00	None	No	2001-11-28 00:00:00	None	B	None	500	1500	-525	975	0	950007125	A99999	N	None	None	SFY2001-02
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-12-21 00:00:00	950001408	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-04 00:00:00	None	No	2002-01-30 00:00:00	None	B	None	1000	3000	-1050	1950	0	950007153	A99999	N	None	None	SFY2001-02
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-01-22 00:00:00	950001409	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-03 00:00:00	None	No	2002-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	950007239	A99999	N	None	None	SFY2001-02
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-03-27 00:00:00	950001410	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-04 00:00:00	None	No	2002-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	950007312	A99999	N	None	None	SFY2001-02
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-03-29 00:00:00	950001411	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-25 00:00:00	None	No	2002-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	950007284	A99999	N	None	None	SFY2001-02
950000014	COVINA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-04-11 00:00:00	950001412	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2001-12-11 00:00:00	None	No	2002-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	950007243	A99999	N	None	None	SFY2001-02
950000046	HARVARD CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-05-08 00:00:00	950001413	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-01-03 00:00:00	None	Yes	2002-06-12 00:00:00	2002-05-15 00:00:00	A	Dismissed by Court	10000	10000	0	10000	0	950007220	A99999	Y	None	None	SFY2001-02
950000054	BEACON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-05-09 00:00:00	950001414	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-24 00:00:00	None	No	2002-06-10 00:00:00	None	B	None	1000	1000	-350	650	0	950007374	A99999	N	None	None	SFY2001-02
950000002	CLAREMONT CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-06-05 00:00:00	950001415	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-04 00:00:00	None	No	2002-07-05 00:00:00	None	B	None	1000	1000	-350	650	0	950007339	A99999	N	None	None	SFY2001-02
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-07-12 00:00:00	950001416	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-11 00:00:00	None	No	2002-08-02 00:00:00	None	B	None	950	950	-332.5	617.5	0	950007337	A99999	N	None	None	SFY2002-03
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-07-18 00:00:00	950001417	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-03-18 00:00:00	None	Yes	2002-11-19 00:00:00	2002-08-07 00:00:00	B	B	700	700	0	700	0	950007326	A99999	N	None	None	SFY2002-03
950000018	SIERRA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-07-25 00:00:00	950001418	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-31 00:00:00	2002-07-25 00:00:00	No	2002-10-08 00:00:00	None	B	None	950	950	-332.5	617.5	0	950007335	A99999	N	None	None	SFY2002-03
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-10-01 00:00:00	950001419	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-08 00:00:00	None	No	2002-11-01 00:00:00	None	B	None	1000	1000	-350	650	0	950007555	A99999	N	None	None	SFY2002-03
950000015	BALDWIN GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-10-11 00:00:00	950001420	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-12 00:00:00	None	No	2002-11-18 00:00:00	None	B	None	750	750	-262.5	487.5	0	950007397	A99999	N	None	None	SFY2002-03
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-10-15 00:00:00	950001421	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-08 00:00:00	None	No	2002-11-15 00:00:00	None	B	None	700	700	-245	455	0	950007533	A99999	N	None	None	SFY2002-03
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-12-31 00:00:00	950001422	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-03 00:00:00	None	No	2003-01-30 00:00:00	None	B	None	600	600	-210	390	0	950007683	A99999	N	None	None	SFY2002-03
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-02-12 00:00:00	950001423	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-11 00:00:00	None	No	2003-03-06 00:00:00	None	B	None	700	700	-245	455	0	950007726	A99999	N	None	None	SFY2002-03
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-02-12 00:00:00	950001424	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-07 00:00:00	None	No	2003-03-17 00:00:00	None	B	None	650	650	0	650	0	950007695	A99999	N	None	None	SFY2002-03
950000033	CHINO VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-04-25 00:00:00	950001425	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-15 00:00:00	None	No	2003-05-22 00:00:00	None	B	None	600	600	0	600	0	950007778	A99999	N	None	None	SFY2002-03
950000039	ATHERTON BAPTIST HOME-SAM B. WEST	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-05-15 00:00:00	950001426	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-02-11 00:00:00	None	Yes	2003-06-13 00:00:00	2003-06-06 00:00:00	A	A	5000	2000	0	2000	0	950007773	A99999	N	None	None	SFY2002-03
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-23 00:00:00	950001427	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-07 00:00:00	None	No	2003-07-21 00:00:00	None	B	None	500	500	0	500	0	950007879	A99999	N	None	None	SFY2002-03
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-08-15 00:00:00	950001428	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-29 00:00:00	None	Yes	2003-09-08 00:00:00	2003-08-21 00:00:00	A	A	10000	5738	0	5738	0	950007998	A99999	N	None	None	SFY2003-04
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-08-15 00:00:00	950001429	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-29 00:00:00	None	Yes	2003-09-08 00:00:00	2003-08-25 00:00:00	B	B	1000	574	0	574	0	950007998	A99999	N	None	None	SFY2003-04
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-11-13 00:00:00	950001431	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-10-08 00:00:00	2003-10-09 00:00:00	No	2003-12-16 00:00:00	None	B	None	600	600	0	600	0	950008051	A99999	N	None	None	SFY2003-04
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-11-13 00:00:00	950001432	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-02 00:00:00	None	No	2003-12-08 00:00:00	None	B	None	900	900	-315	585	0	950008061	A99999	N	None	None	SFY2003-04
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2004-01-16 00:00:00	950001433	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-12-08 00:00:00	2004-01-16 00:00:00	No	2004-03-01 00:00:00	None	B	None	1000	1000	-350	650	0	950008165	A99999	N	None	None	SFY2003-04
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2004-01-27 00:00:00	950001434	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-12-04 00:00:00	2004-01-27 00:00:00	No	2004-03-02 00:00:00	None	B	None	1000	1000	-350	650	0	950008164	A99999	N	None	None	SFY2003-04
950000072	MISSION LODGE SANITARIUM	LTC	SNF	Skilled Nursing Facility	LA Region 1	2004-02-27 00:00:00	950001435	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-27 00:00:00	2004-01-27 00:00:00	Yes	2004-04-02 00:00:00	2004-03-03 00:00:00	B	B	600	300	0	300	0	950008231	A99999	N	None	None	SFY2003-04
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2004-04-16 00:00:00	950001436	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-02-02 00:00:00	None	Yes	2004-06-08 00:00:00	2004-04-28 00:00:00	B	B	1000	500	0	500	0	950008244	A99999	N	None	None	SFY2003-04
950000014	COVINA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2004-04-29 00:00:00	950001437	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-04 00:00:00	None	Yes	2004-06-08 00:00:00	2004-05-07 00:00:00	B	B	1000	700	0	700	0	950008221	A99999	N	None	None	SFY2003-04
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2004-08-27 00:00:00	950001438	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-01 00:00:00	2004-05-06 00:00:00	No	2004-09-20 00:00:00	None	B	None	1000	1000	0	1000	0	950008314	A99999	N	None	None	SFY2004-05
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2005-04-12 00:00:00	950001439	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2004-07-02 00:00:00	None	Yes	2005-05-10 00:00:00	2005-04-27 00:00:00	AA	A	50000	37500	0	37500	0	950008449	A99999	Y	None	None	SFY2004-05
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2005-07-11 00:00:00	950001440	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-14 00:00:00	None	No	2005-08-01 00:00:00	None	B	None	800	800	0	800	0	950008467	A99999	N	None	None	SFY2005-06
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2005-10-14 00:00:00	950001441	Closed	Citation	Citation B (HSC 1424)	Other	VERBAL ABUSE	2005-08-11 00:00:00	None	No	2005-11-21 00:00:00	None	B	None	1000	1000	-350	650	0	950008548	A99999	N	None	None	SFY2005-06
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2005-10-14 00:00:00	950001442	Closed	Citation	Citation B (HSC 1424)	Other	VERBAL ABUSE	2005-08-11 00:00:00	None	No	2005-11-21 00:00:00	None	B	None	1000	1000	-350	650	0	950008548	A99999	N	None	None	SFY2005-06
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2005-11-10 00:00:00	950001443	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-10-28 00:00:00	None	Yes	2005-12-06 00:00:00	2005-11-23 00:00:00	B	None	1000	1000	-1000	0	0	950008581	A99999	N	None	None	SFY2005-06
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2005-11-10 00:00:00	950001444	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-07 00:00:00	2005-10-07 00:00:00	No	2005-12-06 00:00:00	None	B	None	300	300	-105	195	0	950008582	A99999	N	None	None	SFY2005-06
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-01-13 00:00:00	950001445	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-10-27 00:00:00	None	Yes	2006-02-21 00:00:00	2006-02-13 00:00:00	B	B	1000	500	0	500	0	950008615	A99999	N	None	None	SFY2005-06
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-01-31 00:00:00	950001446	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-08-30 00:00:00	None	No	2006-03-07 00:00:00	None	B	None	1000	1000	-350	650	0	950008620	A99999	N	None	None	SFY2005-06
950000015	BALDWIN GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-03-21 00:00:00	950002965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-07 00:00:00	2005-07-07 00:00:00	No	2006-04-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	R8QH11	Y	CA00054242	A	SFY2005-06
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-06-09 00:00:00	950003153	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-04-06 00:00:00	2006-04-06 00:00:00	No	2006-06-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	5T6P11	N	None	None	SFY2005-06
950000046	HARVARD CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-08-11 00:00:00	950003278	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-01 00:00:00	2005-11-01 00:00:00	No	2006-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	XYID11	N	CA00065301	B	SFY2006-07
950000038	ROSEMEAD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-08-02 00:00:00	950004160	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-03-26 00:00:00	2007-03-26 00:00:00	Yes	2007-08-23 00:00:00	2007-08-22 00:00:00	B	B	1000	500	0	500	0	None	MCR911	N	CA00110303	C	SFY2007-08
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-09-25 00:00:00	950004293	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-09-05 00:00:00	2007-09-05 00:00:00	No	2007-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	999999	N	None	None	SFY2007-08
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-10-12 00:00:00	950004352	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-12 00:00:00	2007-09-12 00:00:00	No	2007-11-02 00:00:00	None	B	None	600	750	-210	540	0	None	999999	N	None	None	SFY2007-08
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-12-28 00:00:00	950004545	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-24 00:00:00	2007-08-24 00:00:00	No	2008-01-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	53LD11	N	CA00124557	C	SFY2007-08
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-01-22 00:00:00	950004603	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-11-08 00:00:00	2007-11-08 00:00:00	No	2008-02-13 00:00:00	None	B	B	1000	1350	-1173	177	0	None	INN411	N	CA00131310	A	SFY2007-08
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-01-22 00:00:00	950004604	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-11-08 00:00:00	2007-11-08 00:00:00	No	2008-02-13 00:00:00	None	B	B	1000	1050	-912	138	0	None	7ZT511	N	CA00131563	A	SFY2007-08
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-12-19 00:00:00	950005366	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-27 00:00:00	2007-10-27 00:00:00	Yes	2009-01-12 00:00:00	2009-01-12 00:00:00	B	B	1000	500	0	500	0	None	D1RC11	N	CA00130756	C	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-12-19 00:00:00	950005411	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-10-27 00:00:00	2007-10-27 00:00:00	Yes	2009-12-14 00:00:00	2009-12-09 00:00:00	A	B	20000	6500	0	6500	0	None	D1RC11	N	CA00130756	C	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-12-19 00:00:00	950005435	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-10-27 00:00:00	2007-10-27 00:00:00	Yes	2009-01-13 00:00:00	2009-12-09 00:00:00	AA	B	100000	6500	0	6500	0	None	D1RC11	Y	CA00130756	C	SFY2008-09
950000100	IVY CREEK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-10-28 00:00:00	950005556	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-07-29 00:00:00	2008-07-29 00:00:00	Yes	2008-11-19 00:00:00	2008-11-01 00:00:00	B	B	500	250	0	250	0	None	RWV611	N	CA00159157	A	SFY2008-09
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-05-18 00:00:00	950005577	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-01-28 00:00:00	2008-01-28 00:00:00	Yes	2009-06-09 00:00:00	2009-05-28 00:00:00	AA	A	100000	60000	0	60000	0	None	MBUQ11	Y	CA00139885	C	SFY2008-09
950000030	BROADWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-02 00:00:00	950005896	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-11 00:00:00	2009-02-11 00:00:00	Yes	2009-03-23 00:00:00	2009-03-19 00:00:00	B	B	1000	700	-50	650	0	None	Z8F711	N	CA00178032	B	SFY2008-09
950000069	LUTHERAN HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-04 00:00:00	950005898	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-18 00:00:00	2009-02-18 00:00:00	Yes	2009-03-25 00:00:00	2009-03-17 00:00:00	B	B	1000	650	0	650	0	None	7YTH11	N	CA00177971	A	SFY2008-09
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-03 00:00:00	950005899	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-19 00:00:00	2009-02-19 00:00:00	No	2009-03-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	5WQC11	N	CA00178034	B	SFY2008-09
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-30 00:00:00	950005989	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-27 00:00:00	2008-03-27 00:00:00	Yes	2009-05-04 00:00:00	2009-04-15 00:00:00	A	A	10000	10000	0	10000	0	None	S2O311	N	CA00146618	C	SFY2008-09
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-08-31 00:00:00	950005991	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-04-16 00:00:00	2008-04-16 00:00:00	No	2009-09-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	150M11	N	CA00160041	A	SFY2009-10
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-08-31 00:00:00	950005995	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-04-16 00:00:00	2008-04-16 00:00:00	No	2009-09-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	150M11	N	CA00160041	A	SFY2009-10
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-12-22 00:00:00	950005996	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-10-31 00:00:00	2008-10-31 00:00:00	Yes	2012-01-17 00:00:00	2012-01-09 00:00:00	A	A	10000	10000	0	10000	0	None	V1GW11	N	CA00168000	H	SFY2011-12
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-31 00:00:00	950006014	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	Yes	2009-04-21 00:00:00	2009-04-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	LMCN11	N	None	None	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-31 00:00:00	950006015	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	Yes	2009-04-21 00:00:00	2009-04-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	LMCN11	N	None	None	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-31 00:00:00	950006016	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	Yes	2009-04-21 00:00:00	2009-04-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	LMCN11	N	None	None	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-31 00:00:00	950006021	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	Yes	2009-04-21 00:00:00	2009-04-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	LMCN11	N	None	None	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-31 00:00:00	950006023	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	Yes	2009-04-21 00:00:00	2009-04-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	LMCN11	N	None	None	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-31 00:00:00	950006024	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	Yes	2009-04-21 00:00:00	2009-04-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	LMCN11	N	None	None	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-31 00:00:00	950006032	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	Yes	2009-04-21 00:00:00	2009-04-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	LMCN11	N	None	None	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-31 00:00:00	950006033	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	Yes	2009-04-21 00:00:00	2009-04-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	LMCN11	N	None	None	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-31 00:00:00	950006034	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	Yes	2009-04-21 00:00:00	2009-04-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	LMCN11	N	None	None	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-31 00:00:00	950006035	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	Yes	2009-04-21 00:00:00	2009-04-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	LMCN11	N	None	None	SFY2008-09
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-31 00:00:00	950006041	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-23 00:00:00	2009-02-23 00:00:00	Yes	2009-04-21 00:00:00	2009-04-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	LMCN11	N	None	None	SFY2008-09
950000100	IVY CREEK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-06-03 00:00:00	950006147	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-09 00:00:00	2009-04-09 00:00:00	Yes	2009-06-24 00:00:00	2009-06-03 00:00:00	A	A	10000	10000	0	10000	0	None	WTOJ11	N	None	None	SFY2008-09
950000100	IVY CREEK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-06-08 00:00:00	950006148	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-09 00:00:00	2009-04-09 00:00:00	Yes	2009-06-29 00:00:00	2009-06-11 00:00:00	A	A	20000	11000	0	11000	0	None	WTOJ11	N	None	None	SFY2008-09
950000100	IVY CREEK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-06-03 00:00:00	950006150	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-06 00:00:00	2009-04-06 00:00:00	Yes	2009-06-24 00:00:00	2013-05-29 00:00:00	A	A	20000	10000	0	10000	0	None	WTOJ11	N	None	None	SFY2008-09
950000100	IVY CREEK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-06-08 00:00:00	950006155	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-06 00:00:00	2009-04-06 00:00:00	Yes	2009-06-29 00:00:00	2009-06-11 00:00:00	A	A	20000	11000	0	11000	0	None	WTOJ11	N	None	None	SFY2008-09
950000069	LUTHERAN HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-09-15 00:00:00	950006523	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-01-29 00:00:00	2009-01-29 00:00:00	Yes	2011-08-18 00:00:00	2011-06-23 00:00:00	A	B	12000	12000	0	12000	0	None	H92D11	N	None	None	SFY2009-10
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-01-13 00:00:00	950006912	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2009-12-18 00:00:00	2009-12-18 00:00:00	No	2010-02-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	HIG711	N	CA00208864	A	SFY2009-10
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-02-17 00:00:00	950007002	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-01-22 00:00:00	2010-01-22 00:00:00	No	2010-03-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	SJCI11	N	CA00215079	H	SFY2009-10
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-02-17 00:00:00	950007003	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-24 00:00:00	2009-10-24 00:00:00	No	2010-03-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	SJCI11	N	CA00215079	H	SFY2009-10
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-02-17 00:00:00	950007004	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-01-22 00:00:00	2010-01-22 00:00:00	No	2010-03-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	SJCI11	N	CA00215079	H	SFY2009-10
950000018	SIERRA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-05-25 00:00:00	950007248	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-12-19 00:00:00	2009-12-19 00:00:00	Yes	2010-06-16 00:00:00	2010-06-16 00:00:00	B	B	1000	650	0	650	0	None	PBTY11	N	CA00212432	B	SFY2009-10
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-10-15 00:00:00	950007462	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-04-12 00:00:00	2010-04-12 00:00:00	No	2010-11-08 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	459D11	N	None	None	SFY2010-11
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-10-15 00:00:00	950007463	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-10 00:00:00	2010-04-10 00:00:00	No	2010-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	459D11	N	None	None	SFY2010-11
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-10-15 00:00:00	950007464	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-06 00:00:00	2010-03-06 00:00:00	No	2010-11-08 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	459D11	N	None	None	SFY2010-11
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-10-15 00:00:00	950007465	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-06 00:00:00	2010-03-06 00:00:00	No	2010-11-08 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	459D11	N	None	None	SFY2010-11
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-10-15 00:00:00	950007478	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-06 00:00:00	2010-03-06 00:00:00	Yes	2010-11-08 00:00:00	2010-11-10 00:00:00	A	A	5000	5000	0	5000	0	None	459D11	N	None	None	SFY2010-11
970000184	PASADENA PARK HEALTHCARE AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-08-11 00:00:00	950007485	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-24 00:00:00	2009-04-24 00:00:00	Yes	2010-09-01 00:00:00	2013-04-15 00:00:00	A	A	20000	10000	0	10000	0	None	0T7Q11	N	CA00187425	C	SFY2010-11
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-09-20 00:00:00	950007527	Closed	Citation	Citation A (HSC 1424)	Administration	None	2010-01-22 00:00:00	2010-01-22 00:00:00	No	2010-10-11 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	SJCI11	N	CA00215079	H	SFY2010-11
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-06-02 00:00:00	950007574	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-28 00:00:00	2009-04-28 00:00:00	Yes	2013-01-14 00:00:00	2012-12-20 00:00:00	A	A	20000	20000	0	20000	0	None	MU5611	N	CA00186536	H	SFY2010-11
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-11-22 00:00:00	950007696	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-30 00:00:00	2010-05-30 00:00:00	No	2010-12-21 00:00:00	None	A	None	10000	10000	0	10000	0	None	459D11	N	None	None	SFY2010-11
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-02-03 00:00:00	950007915	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-10-27 00:00:00	2010-10-27 00:00:00	No	2011-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	00IY11	N	CA00245931	B	SFY2010-11
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-02-03 00:00:00	950007917	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-13 00:00:00	2010-04-13 00:00:00	No	2011-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	7CBF11	N	CA00223510	B	SFY2010-11
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-05-27 00:00:00	950008158	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-08 00:00:00	2010-08-08 00:00:00	Yes	2011-06-20 00:00:00	2011-06-14 00:00:00	A	A	10000	6750	-250	6500	0	None	W0Q411	N	CA00239502	B	SFY2010-11
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-04-26 00:00:00	950008192	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-10-05 00:00:00	2010-10-05 00:00:00	No	2011-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	00IY11	N	CA00245931	B	SFY2010-11
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-09-19 00:00:00	950008449	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-07-13 00:00:00	2009-07-13 00:00:00	No	2011-10-10 00:00:00	None	A	None	15000	15050	0	15050	0	None	K04T11	N	CA00192629	H	SFY2011-12
950000047	COAST CARE CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-08-09 00:00:00	950008454	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-26 00:00:00	2011-05-26 00:00:00	No	2011-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	K5Q711	N	CA00224230	B	SFY2011-12
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-09-23 00:00:00	950008473	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-14 00:00:00	2010-04-14 00:00:00	No	2011-10-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	XG9N11	N	CA00223928	B	SFY2011-12
950000015	BALDWIN GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-08-26 00:00:00	950008511	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2011-07-25 00:00:00	2011-07-25 00:00:00	No	2011-09-19 00:00:00	None	WF	None	2500	2500	-875	1625	0	None	FN4711	None	None	None	SFY2011-12
970000068	GEM TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-08-30 00:00:00	950008519	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-16 00:00:00	2011-03-16 00:00:00	No	2011-09-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	EYKN11	N	None	None	SFY2011-12
950000047	COAST CARE CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-09-07 00:00:00	950008528	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-24 00:00:00	2010-08-24 00:00:00	No	2011-09-29 00:00:00	None	B	None	800	800	-280	520	0	None	Q0KQ11	N	CA00236244	B	SFY2011-12
950000047	COAST CARE CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-10-06 00:00:00	950008618	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-07 00:00:00	2009-08-07 00:00:00	No	2011-10-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	E9YW11	N	CA00197392	H	SFY2011-12
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-10-20 00:00:00	950008652	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-14 00:00:00	2009-10-14 00:00:00	No	2011-11-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	QJ4R11	N	CA00200871	A	SFY2011-12
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-10-21 00:00:00	950008654	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-01 00:00:00	2008-07-01 00:00:00	No	2011-11-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	VFG611	N	CA00203516	A	SFY2011-12
950000077	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-11-01 00:00:00	950008685	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-17 00:00:00	2008-04-17 00:00:00	No	2011-11-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	XNIK11	N	CA00147472	C	SFY2011-12
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-11-01 00:00:00	950008687	Closed	Citation	Citation B (HSC 1424)	Other	Failed to post rating	2011-09-16 00:00:00	2011-09-16 00:00:00	No	2011-11-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	GQCI11	N	None	None	SFY2011-12
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-11-10 00:00:00	950008741	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-03 00:00:00	2009-12-03 00:00:00	No	2011-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	QGX211	N	CA00206383	B	SFY2011-12
950000014	COVINA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-01-31 00:00:00	950008890	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-12-10 00:00:00	2009-12-10 00:00:00	Yes	2012-02-22 00:00:00	2012-02-09 00:00:00	A	A	10000	6500	0	6500	0	None	396911	N	CA00209584	C	SFY2011-12
950000029	VALLEY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-01-27 00:00:00	950008893	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-01-21 00:00:00	2011-01-21 00:00:00	No	2012-02-17 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	0Y5B11	N	CA00246937	B	SFY2011-12
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-01-13 00:00:00	950008909	Closed	Citation	Citation B (HSC 1424)	Other	unusual occurences	2011-12-30 00:00:00	2011-12-30 00:00:00	No	2012-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	XN8F11	N	None	None	SFY2011-12
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-02-01 00:00:00	950008966	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2011-07-11 00:00:00	2011-07-11 00:00:00	No	2012-02-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	36GN11	N	CA00275397	B	SFY2011-12
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-02-01 00:00:00	950008968	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2011-07-11 00:00:00	2011-07-11 00:00:00	No	2012-02-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	36GN11	N	CA00275397	B	SFY2011-12
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-02-01 00:00:00	950008969	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-10-15 00:00:00	2011-10-15 00:00:00	No	2012-02-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3WD611	N	CA00287777	B	SFY2011-12
950000029	VALLEY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-02-07 00:00:00	950008981	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-01-26 00:00:00	2010-01-26 00:00:00	No	2012-02-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	05XU11	N	CA00217184	B	SFY2011-12
970000066	THE CALIFORNIAN PASADENA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-05-18 00:00:00	950009266	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-06-24 00:00:00	2008-06-24 00:00:00	Yes	2012-06-11 00:00:00	2012-06-22 00:00:00	B	None	2000	2000	0	2000	0	None	0B6111	N	CA00153221	B	SFY2011-12
970000066	THE CALIFORNIAN PASADENA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-05-18 00:00:00	950009267	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-06-24 00:00:00	2008-06-24 00:00:00	Yes	2012-06-11 00:00:00	2012-06-22 00:00:00	B	None	2000	2000	0	2000	0	None	0B6111	N	CA00153221	B	SFY2011-12
950000045	ARCADIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-06-04 00:00:00	950009303	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-03 00:00:00	2011-08-03 00:00:00	Yes	2012-06-25 00:00:00	2012-06-22 00:00:00	A	A	10000	5000	0	5000	0	None	PEKW11	N	CA00278771	B	SFY2011-12
970000066	THE CALIFORNIAN PASADENA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-05-18 00:00:00	950009317	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-06-24 00:00:00	2008-06-24 00:00:00	Yes	2012-06-11 00:00:00	2012-06-22 00:00:00	B	None	2000	2000	0	2000	0	None	0B6111	N	CA00153221	B	SFY2011-12
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-05-24 00:00:00	950009333	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-07 00:00:00	2012-02-07 00:00:00	No	2012-06-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	1BSL11	N	CA00298753	A	SFY2011-12
950000105	SUNSET MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-06-15 00:00:00	950009365	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-24 00:00:00	2010-08-24 00:00:00	No	2012-07-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IC4M11	N	CA00240050	B	SFY2011-12
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-06-19 00:00:00	950009368	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-03 00:00:00	2012-04-03 00:00:00	No	2012-07-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H6GQ11	N	None	None	SFY2011-12
950000006	FIDELITY HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-07-03 00:00:00	950009371	Closed	Citation	Citation AA (HSC 1424)	Physical Environment	None	2011-12-28 00:00:00	2011-12-28 00:00:00	Yes	2012-07-25 00:00:00	2012-07-17 00:00:00	AA	AA	80000	52000	-0.01	51999.99	0	None	6M4I11	Y	CA00259599	A	SFY2012-13
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-06-27 00:00:00	950009379	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-23 00:00:00	2008-10-23 00:00:00	Yes	2012-07-19 00:00:00	2012-07-10 00:00:00	B	None	2000	6000	0	0	6000	None	56LI11	N	CA00166896	H	SFY2011-12
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-07-18 00:00:00	950009401	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2012-04-03 00:00:00	2012-04-03 00:00:00	No	2012-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H6GQ11	N	None	None	SFY2012-13
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-07-18 00:00:00	950009402	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-03 00:00:00	2012-04-03 00:00:00	No	2012-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H6GQ11	N	None	None	SFY2012-13
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-07-18 00:00:00	950009403	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-03-28 00:00:00	2012-03-28 00:00:00	No	2012-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BE9Q11	N	CA00299715	B	SFY2012-13
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-08-10 00:00:00	950009436	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-07 00:00:00	2010-01-07 00:00:00	No	2012-08-31 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	3N6I11	N	CA00206945	B	SFY2012-13
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-08-23 00:00:00	950009456	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-09-09 00:00:00	2010-09-09 00:00:00	Yes	2012-09-14 00:00:00	2012-09-06 00:00:00	B	None	2000	2000	0	2000	0	None	QEB611	N	CA00277821	A	SFY2012-13
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-09-11 00:00:00	950009483	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-25 00:00:00	2011-02-25 00:00:00	Yes	2012-10-02 00:00:00	2012-09-21 00:00:00	B	None	2000	2000	-700	1300	0	None	JMK511	N	None	None	SFY2012-13
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-09-20 00:00:00	950009514	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-06-16 00:00:00	2010-06-16 00:00:00	No	2012-10-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TB3811	N	CA00232191	B	SFY2012-13
950000046	HARVARD CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-11-05 00:00:00	950009552	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-08-16 00:00:00	2012-08-16 00:00:00	No	2012-11-29 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	1TGK11	N	CA00213197	B	SFY2012-13
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-11-06 00:00:00	950009584	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-03 00:00:00	2009-10-03 00:00:00	No	2012-11-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	QZGM11	N	CA00204106	B	SFY2012-13
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-11-21 00:00:00	950009616	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-08-31 00:00:00	2011-08-31 00:00:00	Yes	2012-12-14 00:00:00	2012-12-12 00:00:00	B	None	2000	2000	0	0	2000	None	H9G411	N	CA00281630	A	SFY2012-13
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-11-29 00:00:00	950009632	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2012-11-08 00:00:00	2012-11-08 00:00:00	No	2012-12-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D74711	N	None	None	SFY2012-13
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-11-29 00:00:00	950009633	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-11-08 00:00:00	2012-11-08 00:00:00	No	2012-12-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D74711	N	None	None	SFY2012-13
950000047	COAST CARE CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-12-26 00:00:00	950009689	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-11-30 00:00:00	2012-11-30 00:00:00	No	2013-01-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U71W11	N	None	None	SFY2012-13
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-01-24 00:00:00	950009714	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-15 00:00:00	2011-02-15 00:00:00	No	2013-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8NHZ11	N	CA00257734	B	SFY2012-13
950000047	COAST CARE CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-02-08 00:00:00	950009735	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-11-27 00:00:00	2012-11-27 00:00:00	No	2013-03-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U71W21	N	None	None	SFY2012-13
950000019	ROYAL VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-02-28 00:00:00	950009759	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-24 00:00:00	2012-10-24 00:00:00	No	2013-03-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HH3111	N	CA00330594	A	SFY2012-13
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-19 00:00:00	950009804	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-29 00:00:00	2011-03-29 00:00:00	No	2013-05-10 00:00:00	None	A	None	10000	10000	0	10000	0	None	M2VJ11	N	CA00262232	B	SFY2012-13
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-26 00:00:00	950009824	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-02-14 00:00:00	2013-02-14 00:00:00	Yes	2013-05-17 00:00:00	2013-05-06 00:00:00	A	None	10000	10000	0	10000	0	None	EZF611	N	None	None	SFY2012-13
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-03 00:00:00	950009828	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-30 00:00:00	2010-04-30 00:00:00	No	2013-04-24 00:00:00	None	B	None	2000	6000	0	6000	0	None	SVD411	N	CA00227190	A	SFY2012-13
950000100	IVY CREEK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-05 00:00:00	950009830	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-02-14 00:00:00	2013-02-14 00:00:00	No	2013-04-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QV8M11	N	None	None	SFY2012-13
950000033	CHINO VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-03-25 00:00:00	950009835	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-11-23 00:00:00	2010-11-23 00:00:00	Yes	2014-04-16 00:00:00	2014-03-27 00:00:00	AA	A	100000	65000	0	65000	0	None	XV4H11	Y	CA00250612	A	SFY2013-14
950000038	ROSEMEAD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-18 00:00:00	950009844	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-11-26 00:00:00	2012-11-26 00:00:00	No	2013-05-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	9OQV11	N	CA00345111	B	SFY2012-13
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-07-03 00:00:00	950009849	Closed	Citation	Citation B (HSC 1424)	Medication	None	2012-11-08 00:00:00	2012-11-08 00:00:00	Yes	2013-07-25 00:00:00	2013-07-25 00:00:00	B	None	2000	2000	-2000	0	0	None	D74711	N	None	None	SFY2013-14
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-22 00:00:00	950009850	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-01-16 00:00:00	2013-01-16 00:00:00	No	2013-05-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4JL511	N	CA00339811	A	SFY2012-13
970000176	TWO PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-22 00:00:00	950009852	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-12-11 00:00:00	2012-12-11 00:00:00	No	2013-05-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UD4Y11	N	None	None	SFY2012-13
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-30 00:00:00	950009866	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-06 00:00:00	2010-07-06 00:00:00	No	2013-05-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1BSG11	N	CA00233137	B	SFY2012-13
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-05-01 00:00:00	950009868	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-06-06 00:00:00	2012-06-06 00:00:00	No	2013-05-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DCBS11	N	CA00293238	A	SFY2012-13
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-06-25 00:00:00	950009975	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-11-21 00:00:00	2012-11-21 00:00:00	No	2013-07-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	COWG11	N	CA00325620	B	SFY2012-13
950000029	VALLEY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-07-01 00:00:00	950009987	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-28 00:00:00	2012-02-28 00:00:00	No	2013-07-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EDNB11	N	None	None	SFY2013-14
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-07-01 00:00:00	950009988	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-01-23 00:00:00	2013-01-23 00:00:00	No	2013-07-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	LVX921	N	None	None	SFY2013-14
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-07-24 00:00:00	950010023	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-08-31 00:00:00	2010-08-31 00:00:00	No	2013-08-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BO2G11	N	CA00219600, CA00220415	B, B	SFY2013-14
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-21 00:00:00	950010088	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2015-04-15 00:00:00	2015-04-15 00:00:00	Yes	2016-10-12 00:00:00	2016-09-29 00:00:00	A	None	20000	20000	0	0	20000	None	RR2311	N	CA00438738	A	SFY2016-17
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-08-12 00:00:00	950010089	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-25 00:00:00	2012-04-25 00:00:00	No	2013-09-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UJWR11	N	CA00306664	B	SFY2013-14
970000167	SAINT VINCENT HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-08-20 00:00:00	950010103	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-02-22 00:00:00	2013-02-22 00:00:00	No	2013-09-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	KOYV11	N	None	None	SFY2013-14
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-08-22 00:00:00	950010116	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2012-10-30 00:00:00	2012-10-30 00:00:00	No	2013-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D5TB11	N	CA00331031	B	SFY2013-14
950000030	BROADWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-12-10 00:00:00	950010234	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-06-11 00:00:00	2012-06-11 00:00:00	No	2014-01-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	XHIM11	Y	CA00311957	B	SFY2013-14
950000018	SIERRA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-03-13 00:00:00	950010484	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-11-30 00:00:00	2010-11-30 00:00:00	No	2014-04-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	YN9111	N	CA00249854	B	SFY2013-14
970000075	THE BELLEFONTAINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-02-20 00:00:00	950010488	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-09-24 00:00:00	2013-09-24 00:00:00	No	2014-03-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	QOR211	N	None	None	SFY2013-14
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-04-08 00:00:00	950010603	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-09-28 00:00:00	2013-09-28 00:00:00	No	2014-04-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	GGNJ11	N	None	None	SFY2013-14
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-04-24 00:00:00	950010661	Closed	Citation	Citation B (HSC 1424)	Other	HSC 1418.21 (a)	2014-03-24 00:00:00	2014-03-24 00:00:00	No	2014-05-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	446M11	N	CA00390605	B	SFY2013-14
950000100	IVY CREEK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-09-03 00:00:00	950010956	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-21 00:00:00	2014-07-21 00:00:00	Yes	2014-09-24 00:00:00	2014-09-15 00:00:00	A	A	20000	14000	0	14000	0	None	NT8N11	N	CA00405622	A	SFY2014-15
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-09-12 00:00:00	950010968	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-03-13 00:00:00	2012-03-13 00:00:00	No	2014-10-03 00:00:00	None	A	None	20000	20000	0	20000	0	None	BZTP11	N	CA00232299	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-11-26 00:00:00	950011142	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-15 00:00:00	2014-08-15 00:00:00	No	2014-12-19 00:00:00	None	B	None	2000	2200	-700	1500	0	None	519411	N	CA00362425, CA00362450, CA00363066	B, B, B	SFY2014-15
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-12-17 00:00:00	950011183	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-11-24 00:00:00	2013-11-24 00:00:00	No	2015-01-09 00:00:00	None	B	None	500	500	0	500	0	None	ZOVU11	N	CA00380033	B	SFY2014-15
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-01-02 00:00:00	950011212	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-07-25 00:00:00	2013-07-25 00:00:00	Yes	2015-01-26 00:00:00	2015-01-28 00:00:00	B	None	2000	2000	-1767.2	232.8	0	None	LW4S11	N	CA00363164	A	SFY2014-15
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-02-06 00:00:00	950011266	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-12-09 00:00:00	2013-12-09 00:00:00	Yes	2015-03-02 00:00:00	2015-03-01 00:00:00	A	None	15000	15000	-13253.96	1746.04	0	None	Z1LV11	N	CA00378323	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-03 00:00:00	950011289	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-11-10 00:00:00	2014-11-10 00:00:00	No	2015-04-24 00:00:00	None	A	None	20000	20100	0	20100	0	None	07IS11	Y	CA00419738, CA00419744	A, A	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-03-05 00:00:00	950011293	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-05-16 00:00:00	2014-05-16 00:00:00	Yes	2015-03-26 00:00:00	2015-03-24 00:00:00	A	A	20000	12500	0	12500	0	None	3MWO11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011326	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-09 00:00:00	2015-02-09 00:00:00	No	2015-05-01 00:00:00	None	A	None	10000	10000	0	10000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011327	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-11 00:00:00	2015-01-11 00:00:00	No	2015-05-01 00:00:00	None	A	None	7500	7500	0	7500	0	None	DM3W11	N	CA00429179	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011328	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-11 00:00:00	2015-02-11 00:00:00	No	2015-05-01 00:00:00	None	A	None	8000	8000	0	8000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011329	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-10-14 00:00:00	2014-10-14 00:00:00	No	2015-05-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DM3W11	N	CA00429230	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011330	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-27 00:00:00	2015-01-27 00:00:00	No	2015-05-01 00:00:00	None	A	None	12000	12000	0	12000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011334	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2015-05-01 00:00:00	None	B	None	750	750	0	750	0	None	DM3W11	N	CA00429349	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-06-08 00:00:00	2014-06-08 00:00:00	No	2015-05-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DM3W11	N	CA00429349	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011336	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-01-17 00:00:00	2014-01-17 00:00:00	No	2015-05-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DM3W11	N	CA00429199	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011337	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-10-11 00:00:00	2014-10-11 00:00:00	No	2015-05-01 00:00:00	None	B	None	750	750	0	750	0	None	DM3W11	N	CA00429242	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011338	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-10-22 00:00:00	2014-10-22 00:00:00	No	2015-05-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DM3W11	N	CA00429248	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011349	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2014-12-01 00:00:00	2014-12-01 00:00:00	No	2015-05-01 00:00:00	None	B	None	1500	1500	0	1500	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011350	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-24 00:00:00	2014-05-24 00:00:00	No	2015-05-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011366	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-05-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	DM3W11	N	CA00429084	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011367	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2015-05-01 00:00:00	None	B	None	2000	2250	0	2250	0	None	3MWO11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011368	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-05-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	DM3W11	N	CA00429084	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011370	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-11-25 00:00:00	2014-11-25 00:00:00	No	2015-05-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	C15011	N	CA00420866	C	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-17 00:00:00	950011371	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-05-08 00:00:00	None	A	None	20000	20000	0	20000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011381	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-05-01 00:00:00	None	A	None	20000	20000	0	20000	0	None	DM3W11	Y	CA00429054	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011382	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-11-05 00:00:00	2013-11-05 00:00:00	No	2015-05-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y0FK11	N	CA00375648	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-17 00:00:00	950011396	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-04-02 00:00:00	2015-04-02 00:00:00	No	2015-05-08 00:00:00	None	A	None	20000	20000	0	20000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-17 00:00:00	950011399	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-10-07 00:00:00	2014-10-07 00:00:00	No	2015-05-08 00:00:00	None	A	None	20000	20000	0	20000	0	None	MO4S11	N	CA00410156	A	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-17 00:00:00	950011405	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-05-08 00:00:00	None	A	None	20000	20000	0	20000	0	None	DM3W11	N	None	None	SFY2014-15
950000060	ROYAL TERRACE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-05-22 00:00:00	950011504	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-06-20 00:00:00	2013-06-20 00:00:00	No	2015-06-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0SUD11	N	None	None	SFY2014-15
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-06-19 00:00:00	950011518	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-05-25 00:00:00	2014-05-25 00:00:00	No	2015-07-10 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	KWS411	Y	CA00399766	A	SFY2014-15
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-09-01 00:00:00	950011688	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-05-06 00:00:00	2014-05-06 00:00:00	No	2015-09-23 00:00:00	None	A	None	20000	20000	0	0	20000	None	EIIZ11	N	CA00275823	A	SFY2015-16
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-09-25 00:00:00	950011747	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-05-06 00:00:00	2014-05-06 00:00:00	No	2015-10-16 00:00:00	None	B	None	2000	2000	0	0	2000	None	EIIZ11	N	CA00275823	A	SFY2015-16
950000260	ROYAL OAKS MANOR - BRADBURY OAKS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-06-03 00:00:00	950012031	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-01 00:00:00	2015-08-01 00:00:00	No	2016-06-24 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	XQPH11	N	CA00456086	B	SFY2015-16
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-03-16 00:00:00	950012052	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-03-24 00:00:00	2015-03-24 00:00:00	No	2016-04-07 00:00:00	None	A	None	14000	14550	-4900	9650	0	None	UXKS11	N	CA00436069	A	SFY2015-16
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-03-16 00:00:00	950012058	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-30 00:00:00	2015-06-30 00:00:00	Yes	2016-04-07 00:00:00	2016-04-07 00:00:00	A	A	20000	12500	0	12500	0	None	6TR011	N	CA00421735	B	SFY2015-16
950000006	FIDELITY HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-05-24 00:00:00	950012064	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2015-03-05 00:00:00	2015-03-05 00:00:00	Yes	2016-06-15 00:00:00	2016-06-15 00:00:00	AA	AA	100000	50000	0	50000	0	None	E5GN11	Y	CA00433847	A	SFY2015-16
950000060	ROYAL TERRACE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-05-17 00:00:00	950012073	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-08-04 00:00:00	2014-08-04 00:00:00	No	2016-06-08 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	LQJV11	N	CA00406765	B	SFY2015-16
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-03-18 00:00:00	950012125	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-21 00:00:00	2015-05-21 00:00:00	No	2016-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GG5Z11	N	CA00443667	A	SFY2015-16
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-03-18 00:00:00	950012127	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-09-24 00:00:00	2014-09-24 00:00:00	No	2016-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MU0511	N	CA00414262	B	SFY2015-16
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-03-23 00:00:00	950012144	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-26 00:00:00	2011-10-26 00:00:00	No	2016-04-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	0WEZ11	N	CA00287664	A	SFY2015-16
950000019	ROYAL VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-03-24 00:00:00	950012147	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-01-16 00:00:00	2015-01-16 00:00:00	No	2016-04-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	3YJX11	N	CA00427313, CA00432905	B, B	SFY2015-16
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-04-07 00:00:00	950012150	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-13 00:00:00	2015-08-13 00:00:00	Yes	2016-04-28 00:00:00	2016-04-21 00:00:00	A	A	14000	14000	0	14000	0	None	PMRJ11	N	CA00452872	B	SFY2015-16
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-04-11 00:00:00	950012179	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-12 00:00:00	2015-02-12 00:00:00	Yes	2016-05-02 00:00:00	2016-05-06 00:00:00	B	B	2000	1500	0	1500	0	None	YT9C11	Y	CA00429163	B	SFY2015-16
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-04-20 00:00:00	950012203	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-11-23 00:00:00	2012-11-23 00:00:00	No	2016-05-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RHFF11	N	CA00335899	A	SFY2015-16
950000054	BEACON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-07-14 00:00:00	950012210	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-25 00:00:00	2014-02-25 00:00:00	No	2016-08-04 00:00:00	None	A	None	20000	20000	-20000	0	0	None	QZKS11	N	CA00387559	B	SFY2016-17
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-06-03 00:00:00	950012230	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-09-04 00:00:00	2014-09-04 00:00:00	Yes	2016-06-24 00:00:00	2016-06-23 00:00:00	A	B	14000	11500	0	11500	0	None	F2X311	N	CA00412059	A	SFY2015-16
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-07-25 00:00:00	950012240	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-08-06 00:00:00	2014-08-06 00:00:00	No	2016-08-15 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	IPCW11	N	CA00408570	A	SFY2016-17
950000103	EASTLAND SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-05-09 00:00:00	950012248	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-09-14 00:00:00	2013-09-14 00:00:00	No	2016-05-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	CK3111	N	None	None	SFY2015-16
950000260	ROYAL OAKS MANOR - BRADBURY OAKS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-06-03 00:00:00	950012311	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-10-28 00:00:00	2013-10-28 00:00:00	No	2016-06-24 00:00:00	None	B	None	1500	1500	-525	975	0	None	2WT711	N	None	None	SFY2015-16
950000260	ROYAL OAKS MANOR - BRADBURY OAKS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-07-18 00:00:00	950012334	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-10-28 00:00:00	2013-10-28 00:00:00	No	2016-08-08 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	2WT711	N	None	None	SFY2016-17
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-02 00:00:00	950012558	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-01 00:00:00	2016-08-01 00:00:00	No	2016-09-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	1QXO11	N	None	None	SFY2016-17
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-02 00:00:00	950012560	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-01 00:00:00	2016-08-01 00:00:00	No	2016-09-26 00:00:00	None	B	None	2000	2000	0	0	2000	None	1QXO11	N	None	None	SFY2016-17
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-02 00:00:00	950012561	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2015-06-01 00:00:00	2015-06-01 00:00:00	Yes	2016-09-26 00:00:00	2016-09-23 00:00:00	B	None	2000	2000	0	0	2000	None	VD6M11	N	None	None	SFY2016-17
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-02 00:00:00	950012562	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2015-06-01 00:00:00	2015-06-01 00:00:00	Yes	2016-09-26 00:00:00	2016-09-23 00:00:00	B	None	2000	2000	0	0	2000	None	VD6M11	N	None	None	SFY2016-17
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-08 00:00:00	950012566	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-09-24 00:00:00	2015-09-24 00:00:00	No	2016-09-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	BB8A11	N	CA00447549	A	SFY2016-17
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-14 00:00:00	950012569	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-18 00:00:00	2016-03-18 00:00:00	No	2016-10-05 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	F2K311	N	None	None	SFY2016-17
950000084	PILGRIM PLACE HEALTH SERVICES CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-23 00:00:00	950012592	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-28 00:00:00	2014-03-28 00:00:00	No	2016-10-14 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	86OS11	N	CA00392476	B	SFY2016-17
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-26 00:00:00	950012598	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-29 00:00:00	2015-12-29 00:00:00	Yes	2016-10-17 00:00:00	2016-09-27 00:00:00	A	A	16000	5000	0	5000	0	None	TFYZ11	N	CA00470176	A	SFY2016-17
950000002	CLAREMONT CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-30 00:00:00	950012606	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-03 00:00:00	2016-08-03 00:00:00	No	2016-10-21 00:00:00	None	A	None	16000	16000	0	16000	0	None	V3H811	N	CA00498181	B	SFY2016-17
950000078	MOUNT SAN ANTONIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-10-04 00:00:00	950012615	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-28 00:00:00	2016-07-28 00:00:00	No	2016-10-25 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	SM2111	N	CA00496923	A	SFY2016-17
950000078	MOUNT SAN ANTONIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-10-04 00:00:00	950012621	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-28 00:00:00	2016-07-28 00:00:00	No	2016-10-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SM2111	N	CA00496923	A	SFY2016-17
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-10-28 00:00:00	950012695	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2013-05-03 00:00:00	2013-05-03 00:00:00	No	2016-11-21 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	7QQF11	N	CA00352794	B	SFY2016-17
950000060	ROYAL TERRACE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-11-01 00:00:00	950012707	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2016-01-05 00:00:00	2016-01-05 00:00:00	No	2016-11-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z8J411	N	CA00471302	A	SFY2016-17
950000060	ROYAL TERRACE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-11-01 00:00:00	950012710	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2016-01-05 00:00:00	2016-01-05 00:00:00	No	2016-11-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z8J411	N	CA00471302	A	SFY2016-17
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-11-16 00:00:00	950012756	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-08 00:00:00	2016-07-08 00:00:00	No	2016-12-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RRDF11	N	CA00494079	B	SFY2016-17
950000045	ARCADIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-11-17 00:00:00	950012761	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-27 00:00:00	2016-08-27 00:00:00	No	2016-12-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	49QC11	N	CA00501412	A	SFY2016-17
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-11-21 00:00:00	950012770	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-08-19 00:00:00	2015-08-19 00:00:00	No	2016-12-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5WXC11	N	CA00447235	C	SFY2016-17
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-11-21 00:00:00	950012771	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-08-19 00:00:00	2015-08-19 00:00:00	No	2016-12-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5WXC11	N	CA00447235	C	SFY2016-17
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-11-23 00:00:00	950012772	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-08-17 00:00:00	2016-08-17 00:00:00	No	2016-12-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3X2712	N	None	None	SFY2016-17
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-11-23 00:00:00	950012777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-06-30 00:00:00	2016-06-30 00:00:00	No	2016-12-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OY1P11	N	CA00493616	B	SFY2016-17
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-12-22 00:00:00	950012799	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2016-09-27 00:00:00	2016-09-27 00:00:00	Yes	2017-01-13 00:00:00	2016-12-30 00:00:00	A	None	20000	20000	0	0	20000	None	R0KX11	N	None	None	SFY2016-17
950000104	ROYAL GARDENS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-12-14 00:00:00	950012814	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-07 00:00:00	2015-06-07 00:00:00	Yes	2017-01-05 00:00:00	2016-12-28 00:00:00	A	A	15000	11000	0	11000	0	None	NEJT11	N	None	None	SFY2016-17
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-12-14 00:00:00	950012815	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-09-03 00:00:00	2015-09-03 00:00:00	No	2017-01-05 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	DKN811	N	None	None	SFY2016-17
950000047	COAST CARE CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-12-14 00:00:00	950012821	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-13 00:00:00	2016-09-13 00:00:00	No	2017-01-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RR6711	N	CA00503005	B	SFY2016-17
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-12-21 00:00:00	950012829	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-31 00:00:00	2016-08-31 00:00:00	Yes	2017-01-12 00:00:00	2017-01-19 00:00:00	A	A	16000	12000	0	12000	0	None	2SUI11	N	CA00501426	B	SFY2016-17
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-12-22 00:00:00	950012831	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-17 00:00:00	2016-08-17 00:00:00	No	2017-01-13 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	3X2711	N	None	None	SFY2016-17
950000103	EASTLAND SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-06 00:00:00	950012855	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2016-10-11 00:00:00	2016-10-11 00:00:00	Yes	2017-01-30 00:00:00	2017-01-11 00:00:00	A	B	16000	10500	0	10500	0	None	T2JM11	N	CA00506451	A	SFY2016-17
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-18 00:00:00	950012889	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-13 00:00:00	2016-07-13 00:00:00	No	2017-02-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3X2711	N	None	None	SFY2016-17
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-18 00:00:00	950012890	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-13 00:00:00	2016-07-13 00:00:00	No	2017-02-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3X2711	N	None	None	SFY2016-17
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-18 00:00:00	950012891	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-13 00:00:00	2016-07-13 00:00:00	No	2017-02-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3X2711	N	None	None	SFY2016-17
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-18 00:00:00	950012892	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-12 00:00:00	2017-01-12 00:00:00	No	2017-02-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3X2711	N	None	None	SFY2016-17
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-18 00:00:00	950012893	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-12 00:00:00	2017-01-12 00:00:00	No	2017-02-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3X2711	N	None	None	SFY2016-17
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-18 00:00:00	950012894	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-13 00:00:00	2016-07-13 00:00:00	No	2017-02-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3X2711	N	None	None	SFY2016-17
970000163	CAMELLIA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-26 00:00:00	950012911	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-26 00:00:00	2016-10-26 00:00:00	No	2017-02-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	L1RH11	N	CA00507233	B	SFY2016-17
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-02-24 00:00:00	950012914	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-03-20 00:00:00	2015-03-20 00:00:00	Yes	2017-03-17 00:00:00	2017-02-28 00:00:00	A	B	16000	10000	0	10000	0	None	S0L311	N	CA00436145	B	SFY2016-17
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-02-15 00:00:00	950012924	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-09-10 00:00:00	2015-09-10 00:00:00	No	2017-03-09 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	F7AG11	N	CA00458401, CA00462210	B, B	SFY2016-17
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-02-03 00:00:00	950012941	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-30 00:00:00	2016-07-30 00:00:00	Yes	2017-02-27 00:00:00	2017-02-27 00:00:00	A	None	10000	10100	0	0	10100	None	4T3O11	N	CA00498850	B	SFY2016-17
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-02-03 00:00:00	950012946	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-05 00:00:00	2017-01-05 00:00:00	Yes	2017-02-27 00:00:00	2017-02-27 00:00:00	B	None	2000	2000	0	0	2000	None	CEGV11	N	CA00381575	B	SFY2016-17
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-02-03 00:00:00	950012947	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-05 00:00:00	2017-01-05 00:00:00	Yes	2017-02-27 00:00:00	2017-02-27 00:00:00	B	None	2000	2000	0	0	2000	None	CEGV11	N	CA00381575	B	SFY2016-17
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-02-24 00:00:00	950012992	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-26 00:00:00	2016-10-26 00:00:00	No	2017-03-17 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	MCGE11	N	CA00507206	B	SFY2016-17
950000101	ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-02-24 00:00:00	950013006	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-09 00:00:00	2016-12-09 00:00:00	No	2017-03-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ESPO11	N	CA00513848	B	SFY2016-17
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-03-07 00:00:00	950013018	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-01 00:00:00	2017-02-01 00:00:00	Yes	2017-03-28 00:00:00	2017-06-28 00:00:00	A	A	15000	9750	0	9750	0	None	QXKN11	N	None	None	SFY2016-17
950000077	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-03-21 00:00:00	950013065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-02 00:00:00	2017-03-02 00:00:00	No	2017-04-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3MU411	N	CA00521751, CA00521751	B, B	SFY2016-17
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-03-21 00:00:00	950013067	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-10 00:00:00	2017-02-10 00:00:00	No	2017-04-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9BZP11	N	CA00516360	C	SFY2016-17
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-03-21 00:00:00	950013068	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-10 00:00:00	2017-02-10 00:00:00	No	2017-04-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9BZP11	N	CA00516360	C	SFY2016-17
950000084	PILGRIM PLACE HEALTH SERVICES CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-03-24 00:00:00	950013078	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-07 00:00:00	2017-03-07 00:00:00	No	2017-04-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	YYJZ11	N	CA00494123	B	SFY2016-17
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-04 00:00:00	950013176	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-22 00:00:00	2017-02-22 00:00:00	No	2017-05-25 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	XI2D11	N	CA00523027	B	SFY2016-17
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-03 00:00:00	950013177	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-03-18 00:00:00	2017-03-18 00:00:00	Yes	2017-05-24 00:00:00	2017-05-23 00:00:00	B	B	2000	2000	0	2000	0	None	MTDH11	N	None	None	SFY2016-17
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-04 00:00:00	950013182	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-04 00:00:00	2017-01-04 00:00:00	No	2017-05-25 00:00:00	None	A	None	18000	18000	0	18000	0	None	LEUB11	N	CA00517013	B	SFY2016-17
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-04 00:00:00	950013183	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-24 00:00:00	2016-11-24 00:00:00	No	2017-05-25 00:00:00	None	A	None	20000	20000	0	20000	0	None	FYED11	N	CA00512032	B	SFY2016-17
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-12 00:00:00	950013193	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-31 00:00:00	2017-01-31 00:00:00	No	2017-06-05 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	2S5H11	N	CA00520811	A	SFY2016-17
950000019	ROYAL VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-18 00:00:00	950013198	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-07 00:00:00	2017-04-07 00:00:00	No	2017-06-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	2H4H11	N	None	None	SFY2016-17
950000019	ROYAL VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-18 00:00:00	950013199	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-07 00:00:00	2017-04-07 00:00:00	No	2017-06-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	2H4H11	N	CA00529489	C	SFY2016-17
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-17 00:00:00	950013203	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-13 00:00:00	2017-03-13 00:00:00	Yes	2017-06-08 00:00:00	2017-06-06 00:00:00	A	A	20000	15000	0	15000	0	None	WYW711	N	None	None	SFY2016-17
970000066	THE CALIFORNIAN PASADENA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-31 00:00:00	950013240	Closed	Citation	Citation B (HSC 1424)	Other	Quality of Care	2017-04-30 00:00:00	2017-04-30 00:00:00	Yes	2017-06-21 00:00:00	2017-06-07 00:00:00	B	None	2000	2000	-2000	0	0	None	5PU211	N	None	None	SFY2016-17
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-06-02 00:00:00	950013251	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2014-02-23 00:00:00	2014-02-23 00:00:00	No	2017-06-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z2B411	N	CA00388849	B	SFY2016-17
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-06-09 00:00:00	950013272	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-31 00:00:00	2017-03-31 00:00:00	No	2017-06-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	S1QZ11	N	CA00527062, CA00527062	B, B	SFY2016-17
950000006	FIDELITY HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-06-09 00:00:00	950013274	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-04-04 00:00:00	2017-04-04 00:00:00	No	2017-06-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9LZI11	N	CA00527715	B	SFY2016-17
950000039	ATHERTON BAPTIST HOME-SAM B. WEST	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-06-16 00:00:00	950013297	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2017-05-20 00:00:00	2017-05-20 00:00:00	No	2017-07-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	THR311	N	CA00536375	B	SFY2016-17
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-06-26 00:00:00	950013316	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-08 00:00:00	2017-06-08 00:00:00	Yes	2017-07-18 00:00:00	2017-06-30 00:00:00	B	None	2000	2000	-700	1300	0	None	B3L111	N	None	None	SFY2016-17
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-06-30 00:00:00	950013322	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-12 00:00:00	2017-01-12 00:00:00	Yes	2017-07-24 00:00:00	2017-07-13 00:00:00	B	B	2000	1200	0	1200	0	None	QVCT11	N	CA00518133	B	SFY2016-17
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-07-05 00:00:00	950013327	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Fin Occur/Fin Abuse Misap	2017-05-17 00:00:00	2017-05-17 00:00:00	No	2017-07-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	CGXI11	N	CA00536117, CA00536117	A, A	SFY2017-18
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-07-10 00:00:00	950013334	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-02 00:00:00	2017-06-02 00:00:00	No	2017-07-31 00:00:00	None	B	None	1000	1000	0	1000	0	None	F2G511	N	CA00541319	A	SFY2017-18
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-07-18 00:00:00	950013353	Closed	Citation	Citation B (HSC 1424)	Other	Free of accident harzards	2017-05-26 00:00:00	2017-05-26 00:00:00	No	2017-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RPDW11	N	CA00537480	A	SFY2017-18
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-07-18 00:00:00	950013354	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrences	2017-05-26 00:00:00	2017-05-26 00:00:00	No	2017-08-08 00:00:00	None	B	None	500	500	-175	325	0	None	RPDW11	N	CA00537480, CA00537480	A, A	SFY2017-18
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-07-27 00:00:00	950013388	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-30 00:00:00	2017-06-30 00:00:00	Yes	2017-08-17 00:00:00	2017-08-17 00:00:00	A	B	10000	7500	0	7500	0	None	JNWW11	N	CA00533461, CA00533461, CA00533461	A, A, A	SFY2017-18
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-09-18 00:00:00	950013504	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-03 00:00:00	2017-08-03 00:00:00	No	2017-10-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M38911	N	None	None	SFY2017-18
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-10-19 00:00:00	950013553	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-08 00:00:00	2017-09-08 00:00:00	No	2017-11-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UV8O11	N	None	None	SFY2017-18
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-10-24 00:00:00	950013566	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-07-14 00:00:00	2017-07-14 00:00:00	No	2017-11-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	QHWG11	N	None	None	SFY2017-18
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-10-30 00:00:00	950013581	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-30 00:00:00	2017-06-30 00:00:00	No	2017-11-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IN0511	N	CA00541935, CA00542041	A, A	SFY2017-18
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-10-30 00:00:00	950013587	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-30 00:00:00	2017-06-30 00:00:00	No	2017-11-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IN0511	N	CA00541935, CA00541935, CA00541935, CA00542041, CA00542041	A, A, A, A, A	SFY2017-18
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-10-30 00:00:00	950013588	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-30 00:00:00	2017-06-30 00:00:00	No	2017-11-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IN0511	N	CA00541935, CA00542041	A, A	SFY2017-18
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-11-17 00:00:00	950013631	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-17 00:00:00	2017-10-17 00:00:00	No	2017-12-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R7MN11	N	CA00553383	C	SFY2017-18
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-11-17 00:00:00	950013632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-17 00:00:00	2017-10-17 00:00:00	No	2017-12-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R7MN11	N	CA00553387	C	SFY2017-18
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-11-17 00:00:00	950013633	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-17 00:00:00	2017-10-17 00:00:00	No	2017-12-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R7MN11	N	None	None	SFY2017-18
950000006	FIDELITY HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-11-22 00:00:00	950013644	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-06 00:00:00	2017-11-06 00:00:00	No	2017-12-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	J7UT11	N	CA00554654	B	SFY2017-18
950000006	FIDELITY HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-11-22 00:00:00	950013645	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-06 00:00:00	2017-11-06 00:00:00	No	2017-12-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	J7UT11	N	None	None	SFY2017-18
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-12-01 00:00:00	950013666	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2017-08-08 00:00:00	2017-08-08 00:00:00	No	2017-12-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	P6EM11	N	CA00546808	A	SFY2017-18
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-12-01 00:00:00	950013667	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurence	2017-05-25 00:00:00	2017-05-25 00:00:00	No	2017-12-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	P6EM11	N	CA00546808	A	SFY2017-18
950000077	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-12-06 00:00:00	950013678	Open	Citation	Citation B (HSC 1424)	Other	Accidents	2017-10-29 00:00:00	2017-10-29 00:00:00	Yes	2017-12-28 00:00:00	2017-12-18 00:00:00	B	None	2000	2000	0	0	2000	None	3TR311	N	None	None	SFY2017-18
950000057	PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-01-10 00:00:00	950013725	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-29 00:00:00	2017-10-29 00:00:00	No	2018-01-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z1XI11	N	None	None	SFY2017-18
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-02 00:00:00	950013771	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-09 00:00:00	2017-02-09 00:00:00	Yes	2018-02-26 00:00:00	2018-02-26 00:00:00	A	None	20000	60000	0	0	60000	None	OVGF11	N	CA00555279	B	SFY2017-18
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-05 00:00:00	950013783	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-19 00:00:00	2017-06-19 00:00:00	No	2018-02-26 00:00:00	None	A	None	20000	20000	0	20000	0	None	G8DE11	N	None	None	SFY2017-18
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-07 00:00:00	950013785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-01 00:00:00	2017-08-01 00:00:00	No	2018-02-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MCIU11	N	CA00546891	B	SFY2017-18
950000044	WEST HAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-23 00:00:00	950013847	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-12-31 00:00:00	2017-12-31 00:00:00	No	2018-03-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	MXV711	N	CA00567344	B	SFY2017-18
950000044	WEST HAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-23 00:00:00	950013848	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-01-09 00:00:00	2018-01-09 00:00:00	No	2018-03-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	O9TS11	N	CA00568697	B	SFY2017-18
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-02 00:00:00	950013862	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-19 00:00:00	2018-01-19 00:00:00	Yes	2018-03-23 00:00:00	2018-05-03 00:00:00	A	B	20000	15000	0	15000	0	None	BQTD11	N	None	None	SFY2017-18
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-03 00:00:00	950013874	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-20 00:00:00	2016-12-20 00:00:00	Yes	2018-03-23 00:00:00	2018-03-05 00:00:00	A	None	20000	20000	-7000	13000	0	None	J2GM11	N	CA00551527	A	SFY2017-18
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-09 00:00:00	950013882	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-09 00:00:00	2017-11-09 00:00:00	Yes	2018-03-30 00:00:00	2018-03-29 00:00:00	A	B	10000	4100	0	4100	0	None	HIOC11	N	None	None	SFY2017-18
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013894	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-07 00:00:00	2017-02-07 00:00:00	No	2018-04-11 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	4J0I11	N	CA00562364	B	SFY2017-18
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013911	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-17 00:00:00	2018-01-17 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	025511	N	CA00571041	A	SFY2017-18
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013912	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-22 00:00:00	2018-01-22 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	025511	N	CA00571041, CA00571041	A, A	SFY2017-18
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013913	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-17 00:00:00	2018-01-17 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	025511	N	CA00571041, CA00571041	A, A	SFY2017-18
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013914	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-18 00:00:00	2018-01-18 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	025511	N	CA00571041, CA00571041	A, A	SFY2017-18
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013915	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-22 00:00:00	2018-01-22 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	025511	N	CA00571041, CA00571041	A, A	SFY2017-18
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013923	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-23 00:00:00	2018-01-23 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4J0I11	N	CA00572688	B	SFY2017-18
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-30 00:00:00	950013949	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-12-03 00:00:00	2017-12-03 00:00:00	No	2018-04-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IC7X11	N	CA00563492	A	SFY2017-18
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-04-11 00:00:00	950013976	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-10 00:00:00	2017-12-10 00:00:00	No	2018-05-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	T33O11	N	CA00564643	A	SFY2017-18
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-05-03 00:00:00	950014031	Closed	Citation	Citation A (HSC 1424)	Patient Care	QUALITY OF CARE	2017-10-07 23:59:00	2017-10-07 23:59:00	No	2018-05-24 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	FOOK11	N	None	None	SFY2017-18
950000040	COUNTRY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-04-27 00:00:00	950014032	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-13 00:00:00	2017-10-13 00:00:00	Yes	2018-05-18 00:00:00	2018-05-03 00:00:00	A	B	20000	24000	0	24000	0	None	I3NE11	Y	CA00558971	A	SFY2017-18
950000006	FIDELITY HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-05-02 00:00:00	950014042	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-27 00:00:00	2017-10-27 00:00:00	No	2018-05-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MBYW11	N	CA00559802, CA00559802	B, B	SFY2017-18
970000075	THE BELLEFONTAINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-05-02 00:00:00	950014043	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-02-11 00:00:00	2018-02-11 00:00:00	Yes	2018-05-23 00:00:00	2018-05-07 00:00:00	B	None	2000	2000	0	0	2000	None	WGOL11	N	CA00578231	B	SFY2017-18
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-06-12 00:00:00	950014141	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrence	2017-10-02 00:00:00	2017-10-02 00:00:00	No	2018-07-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	M7MT11	Y	CA00566931	B	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-15 00:00:00	950014155	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-04-01 00:00:00	2018-04-01 00:00:00	Yes	2018-07-09 00:00:00	2018-06-28 00:00:00	B	None	2000	2000	0	2000	0	None	TYZC11	N	CA00583908	B	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-15 00:00:00	950014157	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-01 00:00:00	2018-04-01 00:00:00	Yes	2018-07-09 00:00:00	2018-06-28 00:00:00	B	None	2000	2000	0	2000	0	None	TYZC11	N	CA00583908	B	SFY2017-18
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-06-23 00:00:00	950014182	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-02-05 00:00:00	2018-02-05 00:00:00	No	2018-07-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NLL811	N	CA00575814	B	SFY2017-18
950000060	ROYAL TERRACE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-11 00:00:00	950014199	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-15 00:00:00	2018-01-15 00:00:00	No	2018-08-01 00:00:00	None	A	None	20000	20000	0	20000	0	None	65RU11	Y	CA00569431, CA00569431	A, A	SFY2018-19
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-06-29 00:00:00	950014205	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-22 00:00:00	2018-02-22 00:00:00	No	2018-07-23 00:00:00	None	A	None	20000	20000	0	20000	0	None	KF5611	Y	CA00576294	A	SFY2017-18
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-06 00:00:00	950014225	Open	Citation	Citation B (HSC 1424)	Patient Record	None	2018-03-19 00:00:00	2018-03-19 00:00:00	Yes	2018-07-27 00:00:00	2018-07-20 00:00:00	B	None	2000	2000	0	0	2000	None	YS2X11	N	CA00578817	A	SFY2018-19
950000063	THE GARDENS OF EL MONTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-18 00:00:00	950014250	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2018-08-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	VBDZ11	N	CA00578992	A	SFY2018-19
950000063	THE GARDENS OF EL MONTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-18 00:00:00	950014252	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2018-08-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	VBDZ11	N	CA00578992, CA00578992	A, A	SFY2018-19
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-27 00:00:00	950014280	Closed	Citation	Citation B (HSC 1424)	Patient Record	Documentation	2017-12-04 00:00:00	2017-12-04 00:00:00	No	2018-08-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	K7PI11	Y	CA00582060, CA00582060, CA00582060	B, B, B	SFY2018-19
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-27 00:00:00	950014281	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-12-04 00:00:00	2017-12-04 00:00:00	Yes	2018-08-17 00:00:00	2018-07-30 00:00:00	A	A	20000	17500	0	17500	0	None	K7PI11	Y	CA00582060, CA00582060, CA00582060	B, B, B	SFY2018-19
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-27 00:00:00	950014292	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-24 00:00:00	2018-01-24 00:00:00	No	2018-08-17 00:00:00	None	A	None	20000	20000	0	20000	0	None	0SFS11	Y	CA00571343, CA00571343	A, A	SFY2018-19
950000006	FIDELITY HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-08-16 00:00:00	950014341	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-31 00:00:00	2018-01-31 00:00:00	No	2018-09-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	O2XG11	N	CA00571859, CA00571859, CA00574968	B, B, A	SFY2018-19
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-08-17 00:00:00	950014344	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-02-14 00:00:00	2018-02-14 00:00:00	Yes	2018-09-10 00:00:00	2018-09-10 00:00:00	B	B	2000	1200	0	1200	0	None	LZ6J11	N	CA00574494	A	SFY2018-19
950000054	BEACON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-08-31 00:00:00	950014373	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-06-18 00:00:00	2018-06-18 00:00:00	No	2018-09-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	ZWJ311	N	CA00593866, CA00595935, CA00601055, CA00601055	A, A, A, A	SFY2018-19
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-09-14 00:00:00	950014413	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-05-19 00:00:00	2018-05-19 00:00:00	No	2018-10-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	ERLH11	N	CA00587731, CA00588158	A, A	SFY2018-19
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-10-05 00:00:00	950014465	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-10 00:00:00	2018-05-10 00:00:00	Yes	2018-10-26 00:00:00	2018-10-18 00:00:00	B	None	2000	2000	0	0	2000	None	NE3H11	N	None	None	SFY2018-19
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-10-19 00:00:00	950014509	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-07-20 00:00:00	2018-07-20 00:00:00	Yes	2018-11-09 00:00:00	2018-11-02 00:00:00	B	None	2000	2000	0	0	2000	None	SMNM11	N	CA00596497, CA00596497, CA00596663, CA00596663	B, B, B, B	SFY2018-19
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-10-25 00:00:00	950014517	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-12 00:00:00	2018-04-12 00:00:00	No	2018-11-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	6VYH11	Y	CA00585132, CA00585132	B, B	SFY2018-19
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-11-14 00:00:00	950014518	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-12 00:00:00	2018-04-12 00:00:00	No	2018-12-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KGSL11	N	CA00589496	A	SFY2018-19
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-10-30 00:00:00	950014545	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-11-05 00:00:00	2017-11-05 00:00:00	No	2018-11-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3EL411	N	CA00559916	B	SFY2018-19
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-09 00:00:00	950014576	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-08-08 00:00:00	2018-08-08 00:00:00	No	2018-12-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QNZI11	N	CA00599544	B	SFY2018-19
970000068	GEM TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-11-16 00:00:00	950014585	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-08-21 00:00:00	2018-08-21 00:00:00	No	2018-12-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q66P11	N	CA00601828, CA00605580	A, A	SFY2018-19
970000117	HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-11-26 00:00:00	950014604	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-08-23 00:00:00	2018-08-23 00:00:00	No	2018-12-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	R4BY11	N	CA00602103, CA00602103	A, A	SFY2018-19
950000260	ROYAL OAKS MANOR - BRADBURY OAKS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-11-30 00:00:00	950014611	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-13 00:00:00	2018-11-13 00:00:00	Yes	2018-12-21 00:00:00	2018-12-04 00:00:00	A	B	20000	10000	0	10000	0	None	7FRU11	N	None	None	SFY2018-19
970000163	CAMELLIA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-11-29 00:00:00	950014612	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-10 00:00:00	2018-08-10 00:00:00	No	2018-12-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HCQM11	N	CA00602662	B	SFY2018-19
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-12-04 00:00:00	950014626	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-08-29 00:00:00	2018-08-29 00:00:00	No	2018-12-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	F3W911	N	CA00602886, CA00602886	A, A	SFY2018-19
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-12-04 00:00:00	950014629	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-09-07 00:00:00	2018-09-07 00:00:00	No	2018-12-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5V1L11	N	CA00602799	A	SFY2018-19
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-12-07 00:00:00	950014638	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-13 00:00:00	2018-10-13 00:00:00	No	2018-12-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0YH311	N	CA00608062	A	SFY2018-19
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-12-14 00:00:00	950014660	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-03 00:00:00	2018-09-03 00:00:00	Yes	2019-01-07 00:00:00	2018-12-27 00:00:00	A	B	20000	20000	0	20000	0	None	ZAMA11	N	CA00604651	B	SFY2018-19
970000075	THE BELLEFONTAINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-12-21 00:00:00	950014662	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-25 00:00:00	2018-08-25 00:00:00	Yes	2019-01-14 00:00:00	2019-01-03 00:00:00	A	A	20000	10000	0	10000	0	None	3LR211	N	CA00605487	B	SFY2018-19
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-12-21 00:00:00	950014678	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-07-07 00:00:00	2018-07-07 00:00:00	No	2019-01-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	I21111	N	CA00605484	A	SFY2018-19
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-12-27 00:00:00	950014688	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-03 00:00:00	2018-05-03 00:00:00	No	2019-01-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6K9G11	N	CA00585504, CA00606442	B, B	SFY2018-19
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-01-11 00:00:00	950014712	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-26 00:00:00	2018-09-26 00:00:00	Yes	2019-02-01 00:00:00	2019-02-01 00:00:00	A	B	20000	16000	0	16000	0	None	7O9P11	Y	CA00608148	A	SFY2018-19
970000068	GEM TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-01-10 00:00:00	950014718	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-11-28 00:00:00	2018-11-28 00:00:00	No	2019-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	U7F511	N	None	None	SFY2018-19
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-01-23 00:00:00	950014755	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-01-22 00:00:00	2019-01-22 00:00:00	No	2019-02-13 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	NU9X11	N	CA00615083	B	SFY2018-19
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-01-30 00:00:00	950014780	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-10-17 00:00:00	2018-10-17 00:00:00	No	2019-02-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6G0N11	N	CA00610343, CA00610343	A, A	SFY2018-19
950000029	VALLEY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-02-01 00:00:00	950014782	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-05 00:00:00	2018-12-05 00:00:00	Yes	2019-02-22 00:00:00	2019-02-15 00:00:00	A	A	15000	7500	0	7500	0	None	381311	N	None	None	SFY2018-19
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-02-08 00:00:00	950014803	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-19 00:00:00	2018-10-19 00:00:00	Yes	2019-03-01 00:00:00	2019-03-01 00:00:00	A	B	20000	10000	0	10000	0	None	JYSE11	N	CA00608994, CA00608994	B, B	SFY2018-19
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-02-22 00:00:00	950014835	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-11-23 00:00:00	2018-11-23 00:00:00	No	2019-03-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N25E11	N	CA00613451	A	SFY2018-19
940000006	LAKEWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-03-14 00:00:00	950014884	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-11-01 00:00:00	2018-11-01 00:00:00	No	2019-04-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IPVS11	N	CA00616629	B	SFY2018-19
950000078	MOUNT SAN ANTONIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-03-14 00:00:00	950014885	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-21 00:00:00	2018-10-21 00:00:00	Yes	2019-04-04 00:00:00	2019-04-02 00:00:00	B	None	2000	2000	-700	1300	0	None	448V11	N	None	None	SFY2018-19
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-03-21 00:00:00	950014900	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-12 00:00:00	2018-12-12 00:00:00	Yes	2019-04-11 00:00:00	2019-03-22 00:00:00	B	None	2000	6000	0	0	6000	None	JBZE11	N	CA00617485	B	SFY2018-19
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-03-21 00:00:00	950014903	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-19 00:00:00	2018-12-19 00:00:00	Yes	2019-04-11 00:00:00	2019-03-22 00:00:00	B	None	2000	6000	0	0	6000	None	JBZE11	N	CA00617485, CA00617485	B, B	SFY2018-19
970000117	HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-03-22 00:00:00	950014910	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-12-04 00:00:00	2018-12-04 00:00:00	No	2019-04-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	AFNO11	N	CA00617471	B	SFY2018-19
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-04-04 00:00:00	950014935	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-14 00:00:00	2019-01-14 00:00:00	No	2019-04-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7NDW11	N	CA00618866, CA00618866, CA00620107, CA00620107	B, B, B, B	SFY2018-19
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-04-11 00:00:00	950014951	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-16 00:00:00	2018-09-16 00:00:00	Yes	2019-05-02 00:00:00	2019-04-16 00:00:00	A	B	20000	15000	0	15000	0	None	ZUHI11	Y	CA00619634	A	SFY2018-19
920000021	BROADWAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-04-17 00:00:00	950014963	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-18 00:00:00	2018-10-18 00:00:00	No	2019-05-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	PJBG11	Y	CA00620616	A	SFY2018-19
920000021	BROADWAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-04-17 00:00:00	950014966	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2018-10-18 00:00:00	2018-10-18 00:00:00	No	2019-05-08 00:00:00	None	WF	None	1000	1000	-350	650	0	None	PJBG11	None	CA00620616	A	SFY2018-19
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-05-08 00:00:00	950015043	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-10 00:00:00	2018-12-10 00:00:00	No	2019-05-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	EY5711	N	CA00615509	B	SFY2018-19
950000105	SUNSET MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-05-15 00:00:00	950015060	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-31 00:00:00	2018-12-31 00:00:00	No	2019-06-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	01LE11	N	CA00624660	A	SFY2018-19
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-05-24 00:00:00	950015110	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-04-18 00:00:00	2019-04-18 00:00:00	No	2019-06-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	U5ES11	N	CA00626698	B	SFY2018-19
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-06-21 00:00:00	950015178	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-01 00:00:00	2019-02-01 00:00:00	No	2019-07-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	JXRH11	N	CA00630534, CA00630534	B, B	SFY2018-19
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-06-20 00:00:00	950015188	Closed	Citation	Citation A (HSC 1424)	Other	Quality of Care	2019-03-22 00:00:00	2019-03-22 00:00:00	No	2019-07-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OE7X11	N	CA00630618	B	SFY2018-19
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-07-03 00:00:00	950015216	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-16 00:00:00	2019-03-16 00:00:00	No	2019-07-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N5ZY11	N	CA00632022	B	SFY2019-20
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-07-15 00:00:00	950015232	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-14 00:00:00	2019-02-14 00:00:00	No	2019-08-05 00:00:00	None	B	None	1500	1500	0	1500	0	None	6F0711	N	CA00624437, CA00624437	B, B	SFY2019-20
950000018	SIERRA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-07-26 00:00:00	950015247	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-03-01 00:00:00	2019-03-01 00:00:00	Yes	2019-08-16 00:00:00	2019-10-01 00:00:00	A	A	20000	14000	0	14000	0	None	9WP411	Y	CA00627215, CA00627215	A, A	SFY2019-20
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-08-09 00:00:00	950015288	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-05-16 00:00:00	2019-05-16 00:00:00	No	2019-08-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QN8211	N	CA00637939	B	SFY2019-20
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-08-09 00:00:00	950015289	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-05-16 00:00:00	2019-05-16 00:00:00	No	2019-08-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QN8211	N	CA00637939	B	SFY2019-20
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-08-09 00:00:00	950015291	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-28 00:00:00	2018-10-28 00:00:00	No	2019-08-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0YQ611	N	CA00637548	B	SFY2019-20
920000306	AUTUMN HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-08-13 00:00:00	950015303	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-20 00:00:00	2019-05-20 00:00:00	Yes	2019-09-03 00:00:00	2019-09-03 00:00:00	B	B	2000	1600	0	1600	0	None	MSM711	N	CA00639436	B	SFY2019-20
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-20 00:00:00	950015335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-02 00:00:00	2019-07-02 00:00:00	No	2019-10-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q9UC11	N	CA00643073, CA00643073, CA00643073, CA00643073, CA00643309, CA00643309, CA00643309, CA00643309, CA00645226, CA00645226, CA00645226, CA00645226, CA00645226	B, B, B, B, A, A, A, A, B, B, B, B, B	SFY2019-20
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-20 00:00:00	950015336	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-07-02 00:00:00	2019-07-02 00:00:00	No	2019-10-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q9UC11	N	CA00643073, CA00643073, CA00643073, CA00643073, CA00643309, CA00643309, CA00643309, CA00643309, CA00645226, CA00645226, CA00645226, CA00645226, CA00645226	B, B, B, B, A, A, A, A, B, B, B, B, B	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-19 00:00:00	950015338	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-10-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RXTC11	N	CA00636749, CA00638666, CA00639257, CA00640788	A, A, B, B	SFY2019-20
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-03 00:00:00	950015363	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-02 00:00:00	2019-03-02 00:00:00	No	2019-09-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	L4DM11	N	None	None	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-19 00:00:00	950015397	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-10-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	RXTC11	N	CA00636749, CA00636749, CA00636749, CA00638666, CA00638666, CA00638666, CA00638666, CA00639257, CA00639257, CA00640788, CA00640788, CA00640788, CA00640788	A, A, A, A, A, A, A, B, B, B, B, B, B	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-19 00:00:00	950015398	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-10-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	RXTC11	N	CA00636749, CA00636749, CA00636749, CA00638666, CA00638666, CA00638666, CA00638666, CA00639257, CA00639257, CA00640788, CA00640788, CA00640788	A, A, A, A, A, A, A, B, B, B, B, B	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-19 00:00:00	950015399	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-10-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	RXTC11	N	CA00636749, CA00636749, CA00636749, CA00638666, CA00638666, CA00638666, CA00638666, CA00639257, CA00639257, CA00640788, CA00640788, CA00640788	A, A, A, A, A, A, A, B, B, B, B, B	SFY2019-20
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-26 00:00:00	950015418	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-14 00:00:00	2018-11-14 00:00:00	No	2019-10-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3RSL11	N	CA00610605	B	SFY2019-20
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-10-11 00:00:00	950015452	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-18 00:00:00	2018-05-18 00:00:00	No	2019-11-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	V19C11	Y	CA00589344, CA00589344, CA00589344	A, A, A	SFY2019-20
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-10-18 00:00:00	950015466	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-06 00:00:00	2019-08-06 00:00:00	No	2019-11-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	K6JL11	N	CA00647268	B	SFY2019-20
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-10-24 00:00:00	950015474	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-11-08 00:00:00	2018-11-08 00:00:00	No	2019-11-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	ERFB11	N	CA00647701	B	SFY2019-20
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-10-25 00:00:00	950015478	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-04-08 00:00:00	2019-04-08 00:00:00	No	2019-11-15 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	4XNI11	N	CA00647872	B	SFY2019-20
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-10-25 00:00:00	950015482	Closed	Citation	Citation B (HSC 1424)	Administration	None	2019-03-22 00:00:00	2019-03-22 00:00:00	No	2019-11-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BB2711	N	CA00647988	A	SFY2019-20
940000026	LA PAZ GEROPSYCHIATRIC CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-30 00:00:00	950015485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-02 00:00:00	2019-09-02 00:00:00	No	2019-11-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3POG11	N	CA00653172	B	SFY2019-20
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-11-01 00:00:00	950015505	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-05-09 00:00:00	2019-05-09 00:00:00	No	2019-11-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	WQN511	N	CA00649160, CA00649160	A, A	SFY2019-20
940000116	WHITTIER PACIFIC CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-11-07 00:00:00	950015523	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-09 00:00:00	2019-06-09 00:00:00	No	2019-11-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	S70511	N	CA00641334, CA00641334	B, B	SFY2019-20
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-11-27 00:00:00	950015559	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-01 00:00:00	2019-08-01 00:00:00	No	2019-12-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	71PW11	N	CA00652514, CA00652514, CA00653951, CA00653951, CA00653951	B, B, A, A, A	SFY2019-20
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-12-12 00:00:00	950015607	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2019-07-15 00:00:00	2019-07-15 00:00:00	No	2020-01-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EECP11	N	None	None	SFY2019-20
970000089	COLLEGE VISTA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-01-10 00:00:00	950015674	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-12-29 00:00:00	2019-12-29 00:00:00	No	2020-01-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	C17Z11	N	CA00659241	B	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-01-17 00:00:00	950015692	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2019-11-26 00:00:00	2019-11-26 00:00:00	No	2020-02-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X5F911	N	CA00665263	A	SFY2019-20
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-02-12 00:00:00	950015735	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-15 00:00:00	2019-09-15 00:00:00	No	2020-03-04 00:00:00	None	B	None	2000	2350	0	2350	0	None	LBG411	N	None	None	SFY2019-20
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-03-19 00:00:00	950015755	Closed	Citation	Citation A (HSC 1424)	Other	Abuse	2019-02-14 00:00:00	2019-02-14 00:00:00	Yes	2020-04-09 00:00:00	2020-04-06 00:00:00	A	A	20000	14000	0	14000	0	None	3TSR11	N	CA00625874, CA00627571	A, A	SFY2019-20
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-03-12 00:00:00	950015800	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-01-09 00:00:00	2020-01-09 00:00:00	No	2020-04-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	I4M311	N	CA00670900	A	SFY2019-20
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-03-12 00:00:00	950015803	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-12-07 00:00:00	2019-12-07 00:00:00	No	2020-04-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	P55L11	N	CA00666961	A	SFY2019-20
950000029	VALLEY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-04-02 00:00:00	950015808	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-10-15 00:00:00	2019-10-15 00:00:00	No	2020-04-23 00:00:00	None	B	None	2000	2500	-700	1800	0	None	5NEF11	N	CA00659364	B	SFY2019-20
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-03-19 00:00:00	950015814	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-24 00:00:00	2019-09-24 00:00:00	Yes	2020-04-10 00:00:00	2020-03-25 00:00:00	A	B	20000	20300	-300	20000	0	None	X2BU11	N	CA00657063, CA00657063, CA00664497, CA00664497	B, B, B, B	SFY2019-20
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-04-03 00:00:00	950015836	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-19 00:00:00	2020-02-19 00:00:00	No	2020-04-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ML6Z11	N	None	None	SFY2019-20
950000104	ROYAL GARDENS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-04-16 00:00:00	950015849	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-25 00:00:00	2020-02-25 00:00:00	No	2020-05-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	KI0J11	N	CA00677751	A	SFY2019-20
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-04-17 00:00:00	950015853	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-04-16 00:00:00	2020-04-16 00:00:00	No	2020-05-08 00:00:00	None	A	None	20000	20000	0	20000	0	None	5WU611	N	CA00672565, CA00672565, CA00672565	A, A, A	SFY2019-20
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-04-17 00:00:00	950015854	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-04-16 00:00:00	2020-04-16 00:00:00	No	2020-05-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	5WU611	N	CA00672565, CA00672565	A, A	SFY2019-20
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-04-23 00:00:00	950015857	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-01-29 00:00:00	2020-01-29 00:00:00	Yes	2020-05-14 00:00:00	2020-04-23 00:00:00	A	B	16000	16000	0	16000	0	None	Q71B11	N	None	None	SFY2019-20
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-05-01 00:00:00	950015866	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-14 00:00:00	2020-02-14 00:00:00	No	2020-05-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	903811	N	CA00676304	A	SFY2019-20
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-05-08 00:00:00	950015872	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-12 00:00:00	2020-02-12 00:00:00	No	2020-05-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	6CFJ11	N	CA00676321, CA00676321	A, A	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-05-27 00:00:00	950015887	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-11-18 00:00:00	2019-11-18 00:00:00	No	2020-06-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	TF2M11	N	CA00678264	A	SFY2019-20
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-06-12 00:00:00	950015897	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-03-10 00:00:00	2020-03-10 00:00:00	Yes	2020-07-03 00:00:00	2020-06-17 00:00:00	A	None	20000	20150	0	20150	0	None	17LP11	Y	CA00680747	B	SFY2019-20
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-06-25 00:00:00	950015912	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-27 00:00:00	2020-05-27 00:00:00	No	2020-07-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	84UX11	N	CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106	A, A, A, A, A, A	SFY2019-20
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-06-30 00:00:00	950015913	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-27 00:00:00	2020-05-27 00:00:00	No	2020-07-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	84UX11	N	CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106	A, A, A, A, A, A	SFY2019-20
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-06-26 00:00:00	950015914	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-27 00:00:00	2020-05-27 00:00:00	No	2020-07-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	84UX11	N	CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106	A, A, A, A, A, A	SFY2019-20
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-06-25 00:00:00	950015915	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-27 00:00:00	2020-05-27 00:00:00	No	2020-07-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	84UX11	N	CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106	A, A, A, A, A, A	SFY2019-20
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-06-26 00:00:00	950015916	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-27 00:00:00	2020-05-27 00:00:00	No	2020-07-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	84UX11	N	CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106	A, A, A, A, A, A	SFY2019-20
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-05-27 00:00:00	950015950	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-27 00:00:00	2020-05-27 00:00:00	No	2020-06-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	84UX11	N	CA00690106, CA00690106, CA00690106, CA00690106, CA00690106, CA00690106	A, A, A, A, A, A	SFY2019-20
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-07-31 00:00:00	950015963	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-06 00:00:00	2020-06-06 00:00:00	No	2020-08-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O7EW11	N	CA00691538, CA00691538, CA00691650, CA00691650	A, A, B, B	SFY2020-21
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-08-07 00:00:00	950015964	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-27 00:00:00	2020-05-27 00:00:00	No	2020-08-28 00:00:00	None	A	None	20000	20000	-20000	0	0	None	X3W711	N	CA00688967	A	SFY2020-21
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-08-07 00:00:00	950015968	Closed	Citation	Citation A (HSC 1424)	Medication	None	2020-05-20 00:00:00	2020-05-20 00:00:00	No	2020-08-28 00:00:00	None	A	None	20000	20000	-20000	0	0	None	FGHK11	N	CA00689421	B	SFY2020-21
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-08-07 00:00:00	950015969	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-27 00:00:00	2020-05-27 00:00:00	No	2020-08-28 00:00:00	None	A	None	20000	20000	-20000	0	0	None	84UX11	N	CA00690106	A	SFY2020-21
970000176	TWO PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-08-14 00:00:00	950015975	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-26 00:00:00	2020-06-26 00:00:00	No	2020-09-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VY6V11	N	CA00694274, CA00694274, CA00694467	A, A, A	SFY2020-21
970000176	TWO PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-08-14 00:00:00	950015976	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-27 00:00:00	2020-06-27 00:00:00	No	2020-09-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VY6V11	N	CA00694274, CA00694274, CA00694274, CA00694467, CA00694467	A, A, A, A, A	SFY2020-21
920000304	GLENHAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-08-14 00:00:00	950015977	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-24 00:00:00	2020-05-24 00:00:00	No	2020-09-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	T9PD11	N	CA00689848	A	SFY2020-21
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-08-19 00:00:00	950015983	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-04 00:00:00	2020-06-04 00:00:00	No	2020-09-10 00:00:00	None	B	None	2000	2000	-2000	0	0	None	YUUR11	N	CA00691200, CA00691200	A, A	SFY2020-21
970000070	INFINITY CARE OF EAST LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-08-21 00:00:00	950015987	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-24 00:00:00	2020-06-24 00:00:00	No	2020-09-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O6X211	N	CA00693769, CA00693769	A, A	SFY2020-21
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-09-10 00:00:00	950016021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-03 00:00:00	2020-08-03 00:00:00	No	2020-10-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	L6R611	N	CA00696803	A	SFY2020-21
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-09-17 00:00:00	950016039	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-08-04 00:00:00	2020-08-04 00:00:00	No	2020-10-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Y5VO11	N	CA00699701	A	SFY2020-21
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-09-18 00:00:00	950016040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-09 00:00:00	2020-07-09 00:00:00	No	2020-10-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	J1V311	N	CA00696216, CA00696216	A, A	SFY2020-21
970000174	FOOTHILL HEIGHTS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-10-09 00:00:00	950016044	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-20 00:00:00	2020-08-20 00:00:00	No	2020-10-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NQG011	N	CA00701853, CA00701853	A, A	SFY2020-21
970000081	LEISURE GLEN POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-09-25 00:00:00	950016055	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-13 00:00:00	2020-08-13 00:00:00	Yes	2020-10-16 00:00:00	2020-09-30 00:00:00	B	None	2000	2000	0	2000	0	None	DC4011	N	CA00701161	A	SFY2020-21
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-09-25 00:00:00	950016060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-01-12 00:00:00	2020-01-12 00:00:00	Yes	2020-10-16 00:00:00	2020-10-16 00:00:00	A	B	20000	9500	0	9500	0	None	233911	Y	CA00671404, CA00671404	A, A	SFY2020-21
970000174	FOOTHILL HEIGHTS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-09-25 00:00:00	950016061	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-30 00:00:00	2020-05-30 00:00:00	No	2020-10-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WHCB11	N	CA00690707, CA00690743	A, A	SFY2020-21
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-12-09 00:00:00	950016116	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-11 00:00:00	2016-10-11 00:00:00	No	2020-12-31 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	JD5N11	N	CA00480344, CA00480344	A, A	SFY2020-21
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-04 00:00:00	950016135	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-24 00:00:00	2020-07-24 00:00:00	No	2020-11-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HBMP11	N	CA00700915	A	SFY2020-21
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-04 00:00:00	950016136	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-24 00:00:00	2020-07-24 00:00:00	No	2020-11-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HBMP11	N	CA00700915, CA00700915	A, A	SFY2020-21
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-06 00:00:00	950016139	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-08-10 00:00:00	2020-08-10 00:00:00	No	2020-12-02 00:00:00	None	B	None	2000	8100	0	8100	0	None	IIO511	N	CA00700694, CA00700694, CA00700882, CA00700882, CA00700889, CA00700889, CA00701262, CA00701262, CA00703394	A, A, A, A, A, A, A, A, B	SFY2020-21
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-06 00:00:00	950016143	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-09-20 00:00:00	2020-09-20 00:00:00	Yes	2020-12-02 00:00:00	2020-11-06 00:00:00	A	None	20000	20000	0	20000	0	None	YFDC11	N	CA00655775	B	SFY2020-21
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-12 00:00:00	950016146	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2020-09-04 00:00:00	2020-09-04 00:00:00	Yes	2020-12-07 00:00:00	2020-12-04 00:00:00	B	None	2000	2000	0	0	2000	None	09FC11	N	CA00704056, CA00704056, CA00704159, CA00704159	A, A, B, B	SFY2020-21
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-12 00:00:00	950016147	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-09-04 00:00:00	2020-09-04 00:00:00	Yes	2020-12-07 00:00:00	2020-12-04 00:00:00	A	None	20000	20000	0	0	20000	None	09FC11	N	CA00704056, CA00704056, CA00704056	A, A, A	SFY2020-21
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-12 00:00:00	950016152	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-09-04 00:00:00	2020-09-04 00:00:00	Yes	2020-12-07 00:00:00	2020-12-04 00:00:00	B	B	2000	1800	0	1800	0	None	09FC11	N	CA00704056, CA00704056, CA00704056, CA00704159, CA00704159, CA00704159	A, A, A, B, B, B	SFY2020-21
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-12 00:00:00	950016153	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-09-04 00:00:00	2020-09-04 00:00:00	Yes	2020-12-07 00:00:00	2020-12-04 00:00:00	A	None	20000	20000	0	0	20000	None	09FC11	N	CA00704056, CA00704056, CA00704056, CA00704159, CA00704159, CA00704159	A, A, A, B, B, B	SFY2020-21
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-17 00:00:00	950016157	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-04 00:00:00	2020-11-04 00:00:00	No	2020-12-10 00:00:00	None	B	None	2000	2350	-700	1650	0	None	IKXN11	N	CA00711346	A	SFY2020-21
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-20 00:00:00	950016163	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2020-11-16 00:00:00	2020-11-16 00:00:00	Yes	2020-12-15 00:00:00	2020-12-11 00:00:00	A	A	20000	12000	0	12000	0	None	JVN411	N	CA00663996, CA00663996, CA00664127, CA00664127, CA00664131, CA00664131	B, B, B, B, B, B	SFY2020-21
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-20 00:00:00	950016164	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-21 00:00:00	2020-08-21 00:00:00	No	2020-12-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	W0VX11	N	CA00702532, CA00702532, CA00702532, CA00702532	B, B, B, B	SFY2020-21
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-25 00:00:00	950016169	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-16 00:00:00	2020-10-16 00:00:00	No	2020-12-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GVY411	N	CA00709046, CA00709046, CA00709046	B, B, B	SFY2020-21
970000174	FOOTHILL HEIGHTS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-25 00:00:00	950016170	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-10-01 00:00:00	2020-10-01 00:00:00	No	2020-12-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CVGL11	N	CA00707189, CA00707189, CA00708050, CA00708050	A, A, B, B	SFY2020-21
970000099	SOLHEIM SENIOR COMMUNITY	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-12-04 00:00:00	950016174	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-08-31 00:00:00	2020-08-31 00:00:00	Yes	2020-12-28 00:00:00	2020-12-28 00:00:00	A	A	20000	12600	-100	12500	0	None	47LN11	N	CA00703561	B	SFY2020-21
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-12-02 00:00:00	950016175	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-09-04 00:00:00	2020-09-04 00:00:00	No	2020-12-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	F3YQ11	N	CA00703838, CA00703866, CA00703912	B, B, B	SFY2020-21
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-12-04 00:00:00	950016181	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-04-12 00:00:00	2020-04-12 00:00:00	Yes	2020-12-28 00:00:00	2020-12-09 00:00:00	A	A	20000	13000	0	13000	0	None	QLOX11	Y	CA00687029, CA00687029, CA00687029	B, B, B	SFY2020-21
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-12-04 00:00:00	950016183	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-01 00:00:00	2020-11-01 00:00:00	No	2020-12-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3ICO11	N	CA00710953	A	SFY2020-21
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-12-11 00:00:00	950016192	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-09-12 00:00:00	2020-09-12 00:00:00	No	2021-01-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IS1D11	N	CA00704881, CA00704881, CA00704881, CA00704881, CA00704881, CA00704881	A, A, A, A, A, A	SFY2020-21
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-12-11 00:00:00	950016195	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-29 00:00:00	2020-10-29 00:00:00	Yes	2021-01-05 00:00:00	2020-12-30 00:00:00	B	None	2000	2000	0	0	2000	None	6MVR11	N	CA00710735	A	SFY2020-21
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-01-07 00:00:00	950016230	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-08-31 00:00:00	2020-08-31 00:00:00	No	2021-01-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UHJV11	N	CA00703228	A	SFY2020-21
960001457	EL ENCANTO HEALTHCARE AND HABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-01-10 00:00:00	950016236	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-09-24 00:00:00	2020-09-24 00:00:00	Yes	2021-02-01 00:00:00	2021-01-29 00:00:00	A	A	20000	15000	0	15000	0	None	B66511	N	CA00706663, CA00708950	B, B	SFY2020-21
920000021	BROADWAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-01-14 00:00:00	950016242	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-02 00:00:00	2020-12-02 00:00:00	No	2021-02-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	011F11	N	None	None	SFY2020-21
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-01-22 00:00:00	950016248	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-15 00:00:00	2020-11-15 00:00:00	Yes	2021-02-12 00:00:00	2021-02-09 00:00:00	B	None	2000	2000	0	0	2000	None	6DRN11	N	CA00712621	A	SFY2020-21
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-01-29 00:00:00	950016258	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-07 00:00:00	2019-10-07 00:00:00	No	2021-02-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	MBID11	N	CA00711458, CA00711458, CA00711458	A, A, A	SFY2020-21
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-03 00:00:00	950016261	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-30 00:00:00	2020-11-30 00:00:00	No	2021-02-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	KU5H11	N	CA00715348	A	SFY2020-21
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-04 00:00:00	950016263	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-06 00:00:00	2020-05-06 00:00:00	No	2021-02-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	JJ6I11	Y	CA00704229	A	SFY2020-21
950000006	FIDELITY HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-11 00:00:00	950016276	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-10-02 00:00:00	2020-10-02 00:00:00	No	2021-03-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PHOG11	N	CA00712662, CA00713242, CA00713242	A, B, B	SFY2020-21
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-12 00:00:00	950016277	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-22 00:00:00	2020-11-22 00:00:00	No	2021-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3NLN11	N	CA00713520, CA00713520, CA00713520, CA00713526, CA00713526, CA00713526, CA00714431, CA00714431, CA00714533, CA00714533, CA00714533	A, A, A, A, A, A, B, B, B, B, B	SFY2020-21
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-12 00:00:00	950016278	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-21 00:00:00	2020-11-21 00:00:00	Yes	2021-03-08 00:00:00	2021-02-26 00:00:00	A	None	20000	20000	0	0	20000	None	3NLN11	N	CA00713520, CA00713520, CA00713526, CA00713526, CA00714431, CA00714533, CA00714533	A, A, A, A, B, B, B	SFY2020-21
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-12 00:00:00	950016280	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-22 00:00:00	2020-11-22 00:00:00	Yes	2021-03-08 00:00:00	2021-02-26 00:00:00	A	None	20000	20000	0	0	20000	None	3NLN11	N	CA00713520, CA00713520, CA00713520, CA00713526, CA00713526, CA00713526, CA00714431, CA00714431, CA00714533, CA00714533, CA00714533	A, A, A, A, A, A, B, B, B, B, B	SFY2020-21
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-12 00:00:00	950016281	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-21 00:00:00	2020-11-21 00:00:00	Yes	2021-03-08 00:00:00	2021-02-26 00:00:00	A	None	20000	20000	0	0	20000	None	3NLN11	Y	CA00713520, CA00713520, CA00713520, CA00713526, CA00713526, CA00713526, CA00714431, CA00714431, CA00714533, CA00714533, CA00714533	A, A, A, A, A, A, B, B, B, B, B	SFY2020-21
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-12 00:00:00	950016282	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-21 00:00:00	2020-11-21 00:00:00	Yes	2021-03-08 00:00:00	2021-02-26 00:00:00	A	None	20000	20000	0	0	20000	None	3NLN11	Y	CA00713520, CA00713520, CA00713520, CA00713526, CA00713526, CA00713526, CA00714431, CA00714431, CA00714533, CA00714533, CA00714533	A, A, A, A, A, A, B, B, B, B, B	SFY2020-21
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-12 00:00:00	950016284	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-22 00:00:00	2020-11-22 00:00:00	No	2021-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3NLN11	N	CA00713520, CA00713520, CA00713526, CA00713526, CA00714431, CA00714533, CA00714533	A, A, A, A, B, B, B	SFY2020-21
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-12 00:00:00	950016285	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-22 00:00:00	2020-11-22 00:00:00	Yes	2021-03-08 00:00:00	2021-03-02 00:00:00	B	None	2000	2000	0	0	2000	None	3NLN11	N	CA00713520, CA00713520, CA00713526, CA00713526, CA00714431, CA00714533, CA00714533	A, A, A, A, B, B, B	SFY2020-21
950000039	ATHERTON BAPTIST HOME-SAM B. WEST	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-12 00:00:00	950016286	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-11 00:00:00	2020-12-11 00:00:00	No	2021-03-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	D63411	N	CA00715957, CA00715957	B, B	SFY2020-21
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-12 00:00:00	950016288	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-01 00:00:00	2020-10-01 00:00:00	No	2021-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GDP811	N	CA00708634	B	SFY2020-21
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-17 00:00:00	950016309	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-18 00:00:00	2018-12-18 00:00:00	No	2021-04-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	TVL811	N	CA00616542	B	SFY2020-21
970000070	INFINITY CARE OF EAST LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-11 00:00:00	950016310	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-07-27 00:00:00	2017-07-27 00:00:00	No	2021-04-02 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	VRH511	Y	CA00547569	A	SFY2020-21
950000002	CLAREMONT CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-25 00:00:00	950016311	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-29 00:00:00	2020-11-29 00:00:00	No	2021-03-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZFYH11	N	CA00714259	A	SFY2020-21
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-04 00:00:00	950016316	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-26 00:00:00	2020-11-26 00:00:00	Yes	2021-03-25 00:00:00	2021-03-26 00:00:00	A	A	20000	16300	-300	16000	0	None	9YHF11	N	CA00714719	A	SFY2020-21
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-02 00:00:00	950016321	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-08 00:00:00	2020-12-08 00:00:00	No	2021-03-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	0RBG11	N	CA00715535, CA00715535, CA00715569, CA00715569	B, B, B, B	SFY2020-21
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-05 00:00:00	950016324	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-24 00:00:00	2020-11-24 00:00:00	No	2021-03-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	DO9M11	N	CA00720218, CA00720218, CA00720218, CA00720218	A, A, A, A	SFY2020-21
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-05 00:00:00	950016325	Closed	Citation	Citation B (HSC 1424)	Administration	None	2020-12-30 00:00:00	2020-12-30 00:00:00	No	2021-03-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	XVOG11	Y	CA00719810, CA00719810, CA00719810	A, A, A	SFY2020-21
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-05 00:00:00	950016328	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-01-04 00:00:00	2021-01-04 00:00:00	Yes	2021-03-26 00:00:00	2021-03-26 00:00:00	AA	AA	100000	65000	0	65000	0	None	DO9M11	Y	CA00720218, CA00720218, CA00720218, CA00720218, CA00720218	A, A, A, A, A	SFY2020-21
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-09 00:00:00	950016335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-13 00:00:00	2021-01-13 00:00:00	No	2021-03-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UHJV11	N	CA00703228, CA00703228	A, A	SFY2020-21
950000105	SUNSET MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-11 00:00:00	950016339	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-12-18 00:00:00	2020-12-18 00:00:00	No	2021-04-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DKIF11	N	CA00717995	B	SFY2020-21
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-12 00:00:00	950016345	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-14 00:00:00	2021-01-14 00:00:00	No	2021-04-05 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	2HBL11	N	CA00721332	A	SFY2020-21
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-12 00:00:00	950016346	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2021-01-14 00:00:00	2021-01-14 00:00:00	No	2021-04-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2HBL11	N	CA00721332, CA00721332	A, A	SFY2020-21
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-16 00:00:00	950016347	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-24 00:00:00	2020-12-24 00:00:00	Yes	2021-04-07 00:00:00	2021-04-07 00:00:00	A	A	20000	15000	0	15000	0	None	7VL111	N	CA00669029	B	SFY2020-21
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-25 00:00:00	950016379	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-17 00:00:00	2021-02-17 00:00:00	No	2021-04-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X0NP11	N	CA00721496	B	SFY2020-21
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-26 00:00:00	950016380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-04 00:00:00	2021-01-04 00:00:00	No	2021-04-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	3U5Y11	N	CA00722119	B	SFY2020-21
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-25 00:00:00	950016382	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-07 00:00:00	2019-11-07 00:00:00	No	2021-04-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	16FB11	N	CA00662864	A	SFY2020-21
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-04-08 00:00:00	950016408	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-22 00:00:00	2021-02-22 00:00:00	No	2021-04-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CN3X11	N	None	None	SFY2020-21
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-04-14 00:00:00	950016418	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-14 00:00:00	2021-01-14 00:00:00	No	2021-05-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	EHOQ11	N	CA00721321, CA00721321, CA00721321, CA00721794, CA00721801	A, A, A, B, B	SFY2020-21
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-04-15 00:00:00	950016419	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-18 00:00:00	2021-02-18 00:00:00	No	2021-05-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	T4EO11	N	CA00727665, CA00727665	A, A	SFY2020-21
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-04-23 00:00:00	950016441	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-01-07 00:00:00	2021-01-07 00:00:00	Yes	2021-05-14 00:00:00	2021-04-26 00:00:00	AA	None	100000	100000	0	0	100000	None	WDT711	Y	CA00722820, CA00722820	A, A	SFY2020-21
950000068	LAUREL PARK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-04-28 00:00:00	950016447	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-12 00:00:00	2021-01-12 00:00:00	No	2021-05-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MJ7X11	N	CA00729156	A	SFY2020-21
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-04-29 00:00:00	950016453	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-01-05 00:00:00	2021-01-05 00:00:00	No	2021-05-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H30V11	N	CA00720604	A	SFY2020-21
920000304	GLENHAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-05-05 00:00:00	950016471	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-02 00:00:00	2020-02-02 00:00:00	No	2021-05-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	3FPE11	N	CA00674743, CA00674743	B, B	SFY2020-21
950000044	WEST HAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-05-05 00:00:00	950016474	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-26 00:00:00	2021-03-26 00:00:00	No	2021-05-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	MZW411	N	CA00730592	A	SFY2020-21
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-05-14 00:00:00	950016500	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-26 00:00:00	2021-03-26 00:00:00	No	2021-06-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KLN811	N	CA00729501	B	SFY2020-21
970000089	COLLEGE VISTA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-05-19 00:00:00	950016509	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-07-29 00:00:00	2020-07-29 00:00:00	No	2021-06-10 00:00:00	None	B	None	2000	6000	0	6000	0	None	TV2O11	N	CA00699076	B	SFY2020-21
970000089	COLLEGE VISTA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-05-19 00:00:00	950016517	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-07-29 00:00:00	2020-07-29 00:00:00	No	2021-06-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	TV2O11	N	CA00699076	B	SFY2020-21
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-05-20 00:00:00	950016521	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-08-24 00:00:00	2019-08-24 00:00:00	No	2021-06-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9G9Z11	N	CA00652111, CA00652111	B, B	SFY2020-21
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-05-21 00:00:00	950016532	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-31 00:00:00	2021-01-31 00:00:00	No	2021-06-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	4PR511	N	CA00726380, CA00726380, CA00726380, CA00726380, CA00726380	A, A, A, A, A	SFY2020-21
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-05-26 00:00:00	950016541	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-16 00:00:00	2017-03-16 00:00:00	No	2021-06-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IV6O11	N	CA00528315	B	SFY2020-21
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-02 00:00:00	950016559	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-20 00:00:00	2021-01-20 00:00:00	No	2021-06-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	912T11	N	None	None	SFY2020-21
950000015	BALDWIN GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-14 00:00:00	950016574	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-15 00:00:00	2020-02-15 00:00:00	Yes	2021-07-05 00:00:00	2021-07-02 00:00:00	A	B	20000	13500	0	13000	500	None	FZTG11	N	CA00676496	B	SFY2020-21
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-11 00:00:00	950016577	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-04-29 00:00:00	2021-04-29 00:00:00	No	2021-07-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y7TZ11	N	CA00734574, CA00734574	A, A	SFY2020-21
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-11 00:00:00	950016579	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-04-29 00:00:00	2021-04-29 00:00:00	No	2021-07-02 00:00:00	None	B	None	2000	3150	0	3150	0	None	NYPM11	N	CA00734724	A	SFY2020-21
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-09 00:00:00	950016581	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-02-24 00:00:00	2021-02-24 00:00:00	No	2021-06-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IRIG11	N	None	None	SFY2020-21
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-09 00:00:00	950016584	Closed	Citation	Citation A (HSC 1424)	Medication	None	2021-04-23 00:00:00	2021-04-23 00:00:00	No	2021-06-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IRIG11	N	None	None	SFY2020-21
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-09 00:00:00	950016585	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-23 00:00:00	2021-04-23 00:00:00	No	2021-06-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IRIG11	N	None	None	SFY2020-21
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-11 00:00:00	950016602	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-10 00:00:00	2021-03-10 00:00:00	No	2021-07-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	U67011	N	CA00728848, CA00728848, CA00729252, CA00729252	A, A, A, A	SFY2020-21
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-17 00:00:00	950016621	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-20 00:00:00	2021-02-20 00:00:00	No	2021-07-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	DJAN11	N	None	None	SFY2020-21
950000019	ROYAL VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-18 00:00:00	950016622	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-15 00:00:00	2021-02-15 00:00:00	No	2021-07-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	8FI511	N	None	None	SFY2020-21
950000044	WEST HAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-25 00:00:00	950016650	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-30 00:00:00	2021-03-30 00:00:00	No	2021-07-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	INKM11	N	CA00730959	A	SFY2020-21
950000045	ARCADIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-29 00:00:00	950016651	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-14 00:00:00	2021-05-14 00:00:00	No	2021-07-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	UUXN11	N	CA00737317	A	SFY2020-21
970000176	TWO PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-28 00:00:00	950016654	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-04-30 00:00:00	2021-04-30 00:00:00	No	2021-07-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	103I11	N	CA00734692, CA00734692	A, A	SFY2020-21
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-01 00:00:00	950016676	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-02 00:00:00	2021-03-02 00:00:00	No	2021-07-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	1JCC11	N	CA00731462	A	SFY2021-22
950000279	SANTA TERESITA MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-01 00:00:00	950016681	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-05-12 00:00:00	2021-05-12 00:00:00	No	2021-07-22 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	A6ZF11	Y	CA00736584, CA00736584	A, A	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-02 00:00:00	950016690	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-04-27 00:00:00	2021-04-27 00:00:00	No	2021-07-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	MD1B11	N	None	None	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-07 00:00:00	950016699	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-18 00:00:00	2021-05-18 00:00:00	No	2021-07-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	NRCG11	N	CA00735643, CA00735643, CA00735931, CA00735931, CA00737113, CA00737113, CA00737113	B, B, B, B, B, B, B	SFY2021-22
950000084	PILGRIM PLACE HEALTH SERVICES CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-07 00:00:00	950016704	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-17 00:00:00	2021-04-17 00:00:00	No	2021-07-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IMWV11	N	CA00733425	A	SFY2021-22
950000057	PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-15 00:00:00	950016727	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2021-06-18 00:00:00	2021-07-15 00:00:00	Yes	2021-08-05 00:00:00	2021-07-19 00:00:00	B	B	2000	6100	-1350	4750	0	None	JLVN11	N	CA00743816	A	SFY2021-22
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-23 00:00:00	950016741	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-05-01 00:00:00	2021-05-01 00:00:00	No	2021-08-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	8NVA11	N	CA00738564	A	SFY2021-22
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-23 00:00:00	950016743	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-04-28 00:00:00	2021-04-28 00:00:00	No	2021-08-13 00:00:00	None	B	None	2000	2350	0	2350	0	None	18XN11	N	CA00734410, CA00734410, CA00734410	A, A, A	SFY2021-22
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-23 00:00:00	950016745	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-04-12 00:00:00	2021-04-12 00:00:00	No	2021-08-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	4VNU11	N	CA00732537, CA00738538, CA00739312, CA00739312	A, A, B, B	SFY2021-22
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-29 00:00:00	950016778	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-05-27 00:00:00	2021-05-27 00:00:00	No	2021-08-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	EYWR11	N	CA00738571	B	SFY2021-22
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-20 00:00:00	950016790	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2020-11-02 00:00:00	2020-11-02 00:00:00	Yes	2021-09-13 00:00:00	2021-09-13 00:00:00	AA	None	100000	100000	-35000	65000	0	None	30I611	Y	CA00733275, CA00733275, CA00734860	B, B, B	SFY2021-22
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-06 00:00:00	950016797	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2021-05-19 00:00:00	2021-05-19 00:00:00	No	2021-08-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1I0O11	N	CA00736002	B	SFY2021-22
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-12 00:00:00	950016804	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-21 00:00:00	2021-06-21 00:00:00	No	2021-09-02 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	YYSG11	N	CA00741512	A	SFY2021-22
970000163	CAMELLIA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-13 00:00:00	950016807	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-15 00:00:00	2021-06-15 00:00:00	No	2021-09-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	S37Y11	N	None	None	SFY2021-22
970000163	CAMELLIA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-13 00:00:00	950016814	Closed	Citation	Citation B (HSC 1424)	Patient Care	Accidents	2021-06-23 00:00:00	2021-06-23 00:00:00	No	2021-09-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	S37Y11	N	None	None	SFY2021-22
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-20 00:00:00	950016836	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-14 00:00:00	2021-06-14 00:00:00	No	2021-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	G48W11	N	CA00739226	B	SFY2021-22
950000033	CHINO VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-20 00:00:00	950016837	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-06-20 00:00:00	2020-06-20 00:00:00	Yes	2021-09-13 00:00:00	2021-08-27 00:00:00	B	Drop>Deficiency	2000	2000	0	2000	0	None	MAB011	N	CA00743055, CA00743055	A, A	SFY2021-22
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-20 00:00:00	950016838	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-23 00:00:00	2021-05-23 00:00:00	No	2021-09-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	YGI111	N	None	None	SFY2021-22
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-26 00:00:00	950016856	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-17 00:00:00	2021-07-17 00:00:00	No	2021-09-17 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	1SMT11	N	CA00744858, CA00744858	A, A	SFY2021-22
950000002	CLAREMONT CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-27 00:00:00	950016862	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-13 00:00:00	2021-07-13 00:00:00	No	2021-09-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	32UI11	N	None	None	SFY2021-22
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-27 00:00:00	950016864	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-30 00:00:00	2021-04-30 00:00:00	No	2021-09-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UCW011	N	CA00735273	B	SFY2021-22
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-03 00:00:00	950016870	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-20 00:00:00	2021-05-20 00:00:00	No	2021-09-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	N2MH11	N	CA00739402, CA00739402	A, A	SFY2021-22
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-01 00:00:00	950016872	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-01-28 00:00:00	2021-01-28 00:00:00	No	2021-09-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	EF5911	N	CA00739031, CA00739031	B, B	SFY2021-22
970000117	HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-01 00:00:00	950016873	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-25 00:00:00	2020-11-25 00:00:00	No	2021-09-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	43I011	N	None	None	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-03 00:00:00	950016889	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-03 00:00:00	2021-04-03 00:00:00	No	2021-09-27 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	WUCI11	N	CA00732043	B	SFY2021-22
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-03 00:00:00	950016890	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-07 00:00:00	2021-02-07 00:00:00	No	2021-09-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	JCD411	N	None	None	SFY2021-22
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-03 00:00:00	950016891	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-09 00:00:00	2021-06-09 00:00:00	No	2021-09-27 00:00:00	None	B	None	2000	2000	-700	1700	-400	None	DPYV11	N	CA00743956	B	SFY2021-22
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-09 00:00:00	950016904	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-28 00:00:00	2021-05-28 00:00:00	No	2021-09-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	2DTO11	N	None	None	SFY2021-22
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-10 00:00:00	950016910	Closed	Citation	Citation B (HSC 1424)	Patient Care	Discharge Planning Proces	2021-06-09 00:00:00	2021-06-09 00:00:00	No	2021-10-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JD0111	N	CA00740213, CA00740213	B, B	SFY2021-22
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-10 00:00:00	950016911	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-27 00:00:00	2021-07-27 00:00:00	No	2021-10-01 00:00:00	None	B	None	2000	2000	-700	1700	-400	None	CJV111	N	None	None	SFY2021-22
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-10 00:00:00	950016914	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-06-08 00:00:00	2021-06-08 00:00:00	No	2021-10-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	8GO011	N	None	None	SFY2021-22
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-24 00:00:00	950016960	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-29 00:00:00	2021-06-29 00:00:00	Yes	2021-10-15 00:00:00	2021-10-14 00:00:00	A	A	20000	17000	0	17000	0	None	T78E11	N	CA00735463, CA00735463, CA00735463	A, A, A	SFY2021-22
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-29 00:00:00	950016968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-05 00:00:00	2021-07-05 00:00:00	No	2021-10-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	NV4L11	N	CA00743049, CA00743049	A, A	SFY2021-22
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-01 00:00:00	950016977	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-01 00:00:00	2021-05-01 00:00:00	Yes	2021-10-22 00:00:00	2021-10-26 00:00:00	A	B	20000	15000	0	15000	0	None	7XG311	N	CA00736572, CA00737008	A, A	SFY2021-22
970000089	COLLEGE VISTA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-15 00:00:00	950016987	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-04-26 00:00:00	2019-04-26 00:00:00	Yes	2021-11-05 00:00:00	2021-10-26 00:00:00	A	A	20000	14000	0	14000	0	None	88H311	N	CA00745003	A	SFY2021-22
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-06 00:00:00	950016989	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-23 00:00:00	2021-08-23 00:00:00	No	2021-10-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q7NG11	N	CA00749444	B	SFY2021-22
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-08 00:00:00	950016993	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-10 00:00:00	2021-05-10 00:00:00	No	2021-10-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	YMHW11	N	CA00737140, CA00737483, CA00737483	B, B, B	SFY2021-22
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-08 00:00:00	950016994	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-05 00:00:00	2021-05-05 00:00:00	No	2021-10-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	YMHW11	N	CA00737140, CA00737140, CA00737483, CA00737483, CA00737483	B, B, B, B, B	SFY2021-22
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-08 00:00:00	950016995	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-05 00:00:00	2021-05-05 00:00:00	No	2021-10-29 00:00:00	None	A	None	20000	20100	-7000	13100	0	None	YMHW11	N	CA00737140, CA00737140, CA00737483, CA00737483, CA00737483	B, B, B, B, B	SFY2021-22
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-08 00:00:00	950016996	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-11 00:00:00	2021-08-11 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NXDG11	N	CA00747957, CA00747957	B, B	SFY2021-22
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-15 00:00:00	950017018	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-18 00:00:00	2021-08-18 00:00:00	No	2021-11-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WFWI11	N	CA00748659	B	SFY2021-22
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-15 00:00:00	950017019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-15 00:00:00	2021-08-15 00:00:00	No	2021-11-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VMN011	N	CA00749120	B	SFY2021-22
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-15 00:00:00	950017020	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-08-15 00:00:00	2021-08-15 00:00:00	No	2021-11-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VMN011	N	CA00749120	B	SFY2021-22
970000174	FOOTHILL HEIGHTS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-15 00:00:00	950017021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-29 00:00:00	2021-03-29 00:00:00	No	2021-11-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IHKC11	N	CA00737426, CA00737426	A, A	SFY2021-22
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-20 00:00:00	950017028	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-01 00:00:00	2021-08-01 00:00:00	No	2021-11-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GVN011	N	CA00751125, CA00751125	B, B	SFY2021-22
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-22 00:00:00	950017034	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-15 00:00:00	2021-07-15 00:00:00	Yes	2021-11-15 00:00:00	2021-11-05 00:00:00	B	B	2000	1700	0	1700	0	None	WS2B11	N	CA00747947, CA00748120, CA00748727, CA00748913, CA00748913, CA00751749, CA00751749, CA00752666	B, B, B, B, B, A, A, A	SFY2021-22
970000091	ARARAT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-26 00:00:00	950017041	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-09-27 00:00:00	2020-09-27 00:00:00	No	2021-11-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	403R11	N	CA00707048	B	SFY2021-22
950000029	VALLEY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-28 00:00:00	950017052	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-07 00:00:00	2021-09-07 00:00:00	No	2021-11-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5TY611	N	None	None	SFY2021-22
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-29 00:00:00	950017054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-23 00:00:00	2021-08-23 00:00:00	No	2021-11-22 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	XBCX11	N	CA00747913, CA00747913, CA00749025, CA00749025	B, B, A, A	SFY2021-22
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-29 00:00:00	950017055	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-02 00:00:00	2021-08-02 00:00:00	No	2021-11-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D0HX11	N	None	None	SFY2021-22
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-29 00:00:00	950017058	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-15 00:00:00	2021-09-15 00:00:00	No	2021-11-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	GP1F11	N	None	None	SFY2021-22
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-08 00:00:00	950017062	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-08-04 00:00:00	2021-08-04 00:00:00	No	2021-12-02 00:00:00	None	A	None	20000	20000	0	20000	0	None	8U1811	N	CA00747109, CA00747109, CA00747486, CA00747486, CA00747747, CA00747747, CA00747747, CA00747747	B, B, B, B, B, B, B, B	SFY2021-22
920000021	BROADWAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-04 00:00:00	950017063	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-09 00:00:00	2021-08-09 00:00:00	No	2021-11-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C2JF11	N	CA00747490, CA00747490	B, B	SFY2021-22
970000117	HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-04 00:00:00	950017074	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-10-28 00:00:00	2021-10-28 00:00:00	No	2021-11-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	DZK911	N	CA00759125	A	SFY2021-22
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-12 00:00:00	950017091	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-10 00:00:00	2021-06-10 00:00:00	No	2021-12-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M08Z11	N	CA00739938, CA00739938	A, A	SFY2021-22
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-12 00:00:00	950017092	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-10 00:00:00	2021-06-10 00:00:00	No	2021-12-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M08Z11	N	CA00739938, CA00739938, CA00739938	A, A, A	SFY2021-22
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-15 00:00:00	950017096	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-26 00:00:00	2021-06-26 00:00:00	No	2021-12-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	R88V11	N	CA00741742, CA00748519, CA00748519	A, B, B	SFY2021-22
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-23 00:00:00	950017134	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-15 00:00:00	2021-08-15 00:00:00	No	2021-12-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	5V7T11	N	CA00750410, CA00750410	B, B	SFY2021-22
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-24 00:00:00	950017138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-08 00:00:00	2021-10-08 00:00:00	No	2021-12-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	A67B11	N	CA00756979, CA00756979	A, A	SFY2021-22
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-02 00:00:00	950017148	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-21 00:00:00	2021-10-21 00:00:00	No	2021-12-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	CDKP11	N	CA00758060, CA00758060	A, A	SFY2021-22
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-10 00:00:00	950017164	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-02-22 00:00:00	2021-02-22 00:00:00	No	2021-12-31 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	YWW011	N	CA00728086	B	SFY2021-22
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-09 00:00:00	950017166	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-06-17 00:00:00	2021-06-17 00:00:00	No	2021-12-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	L6SQ11	N	CA00737690, CA00737690, CA00737698, CA00737698, CA00737698, CA00739498, CA00739498, CA00740510, CA00740510, CA00740851, CA00740851, CA00740906, CA00740906	B, B, A, A, A, B, B, B, B, B, B, A, A	SFY2021-22
950000019	ROYAL VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-08 00:00:00	950017167	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-10 00:00:00	2021-09-10 00:00:00	No	2021-12-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	RCFG11	N	CA00752136, CA00752136	A, A	SFY2021-22
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-08 00:00:00	950017170	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-11-04 00:00:00	2021-11-04 00:00:00	No	2021-12-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	H36311	N	CA00759885	A	SFY2021-22
950000077	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-10 00:00:00	950017178	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-10-26 00:00:00	2021-10-26 00:00:00	Yes	2021-12-31 00:00:00	2021-12-14 00:00:00	A	A	20000	18000	0	18000	0	None	123B11	N	None	None	SFY2021-22
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-16 00:00:00	950017198	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-09-24 00:00:00	2021-09-24 00:00:00	No	2022-01-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	7P6X11	N	CA00754233	A	SFY2021-22
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-27 00:00:00	950017224	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-09-29 00:00:00	2021-09-29 00:00:00	No	2022-01-18 00:00:00	None	B	None	2000	3550	-700	2850	0	None	U5BX11	N	CA00754300	A	SFY2021-22
950000103	EASTLAND SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-29 00:00:00	950017228	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2021-10-01 00:00:00	2021-10-01 00:00:00	No	2022-01-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	V97D11	N	CA00755143	B	SFY2021-22
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-29 00:00:00	950017232	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-09 00:00:00	2021-11-09 00:00:00	No	2022-01-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0KBZ11	N	None	None	SFY2021-22
920000028	MONTROSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-04 00:00:00	950017248	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-06-12 00:00:00	2021-06-12 00:00:00	No	2022-01-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	92Y511	N	CA00741365	B	SFY2021-22
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-07 00:00:00	950017250	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-25 00:00:00	2021-09-25 00:00:00	Yes	2022-01-31 00:00:00	2022-01-26 00:00:00	B	B	2000	1600	0	1600	0	None	3K2L11	N	CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599	B, B, A, A, A, A, A	SFY2021-22
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-07 00:00:00	950017253	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-25 00:00:00	2021-09-25 00:00:00	Yes	2022-01-31 00:00:00	2022-01-26 00:00:00	B	B	2000	1600	0	1600	0	None	3K2L11	N	CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599	B, B, A, A, A, A, A	SFY2021-22
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-07 00:00:00	950017256	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-04-12 00:00:00	2021-04-12 00:00:00	Yes	2022-01-31 00:00:00	2022-01-26 00:00:00	B	B	2000	1400	0	1400	0	None	3K2L11	N	CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599	B, B, A, A, A, A, A	SFY2021-22
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-07 00:00:00	950017258	Open	Citation	Citation A (HSC 1424)	Other	Abuse	2021-09-25 00:00:00	2021-09-25 00:00:00	Yes	2022-01-31 00:00:00	2022-01-26 00:00:00	A	None	20000	20000	0	0	20000	None	3K2L11	N	CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599	B, B, A, A, A, A, A	SFY2021-22
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-12 00:00:00	950017262	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-05 00:00:00	2020-12-05 00:00:00	No	2022-02-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	9F0N11	N	CA00716096	B	SFY2021-22
950000060	ROYAL TERRACE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-19 00:00:00	950017272	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-12-07 00:00:00	2021-12-07 00:00:00	No	2022-02-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	224911	N	CA00763709	A	SFY2021-22
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-20 00:00:00	950017275	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-10 00:00:00	2021-05-10 00:00:00	No	2022-02-10 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	0CNQ11	N	CA00736178	B	SFY2021-22
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-21 00:00:00	950017283	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-07 00:00:00	2021-09-07 00:00:00	No	2022-02-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	OD2D11	N	CA00758692, CA00758692	A, A	SFY2021-22
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-28 00:00:00	950017289	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-04 00:00:00	2021-05-04 00:00:00	Yes	2022-02-18 00:00:00	2022-02-17 00:00:00	A	B	20000	17000	0	17000	0	None	YQBT11	N	CA00759416, CA00759416, CA00759416	B, B, B	SFY2021-22
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-02 00:00:00	950017311	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-25 00:00:00	2021-03-25 00:00:00	Yes	2022-02-24 00:00:00	2022-02-11 00:00:00	B	None	2000	2000	0	0	2000	None	58XG11	N	CA00752196, CA00752196, CA00752196, CA00752196, CA00752196, CA00752196	A, A, A, A, A, A	SFY2021-22
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-04 00:00:00	950017325	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-12-21 00:00:00	2021-12-21 00:00:00	No	2022-02-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	4H9B11	N	CA00765618	A	SFY2021-22
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-10 00:00:00	950017330	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-27 00:00:00	2020-11-27 00:00:00	Yes	2022-03-04 00:00:00	2022-03-01 00:00:00	A	A	20000	20000	0	0	20000	None	5NGR11	N	CA00761336, CA00761336, CA00761336, CA00761901, CA00761901, CA00761901	A, A, A, A, A, A	SFY2021-22
970000099	SOLHEIM SENIOR COMMUNITY	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-10 00:00:00	950017332	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-15 00:00:00	2021-12-15 00:00:00	No	2022-03-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5BR011	N	CA00766157	A	SFY2021-22
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-10 00:00:00	950017339	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-29 00:00:00	2020-11-29 00:00:00	No	2022-03-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5NGR11	Y	CA00761336, CA00761336, CA00761336, CA00761336, CA00761901, CA00761901, CA00761901, CA00761901	A, A, A, A, A, A, A, A	SFY2021-22
950000006	FIDELITY HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-11 00:00:00	950017344	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-11-29 00:00:00	2021-11-29 00:00:00	No	2022-03-07 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	06DN11	N	CA00761364	B	SFY2021-22
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-11 00:00:00	950017345	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-15 00:00:00	2021-11-15 00:00:00	No	2022-03-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ECSM11	N	CA00761733, CA00761733	A, A	SFY2021-22
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-18 00:00:00	950017371	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-23 00:00:00	2021-11-23 00:00:00	No	2022-03-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	R1U911	N	CA00762080, CA00762080, CA00762080, CA00762080, CA00762080	A, A, A, A, A	SFY2021-22
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-02 00:00:00	950017454	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-28 00:00:00	2021-12-28 00:00:00	No	2022-03-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	G2YE11	N	CA00766953, CA00766953	A, A	SFY2021-22
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-02 00:00:00	950017456	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-13 00:00:00	2022-01-13 00:00:00	No	2022-03-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WC9F11	N	CA00768871, CA00768871	A, A	SFY2021-22
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-04 00:00:00	950017464	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-12 00:00:00	2021-11-12 00:00:00	No	2022-03-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	SFGT11	N	CA00763841, CA00763841, CA00763841	B, B, B	SFY2021-22
920000304	GLENHAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-10 00:00:00	950017475	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-04-24 00:00:00	2021-04-24 00:00:00	No	2022-04-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2E7V11	N	CA00734675	A	SFY2021-22
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-10 00:00:00	950017481	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-13 00:00:00	2022-01-13 00:00:00	No	2022-04-01 00:00:00	None	B	None	2000	6000	0	6000	0	None	3E6O11	N	CA00768555	B	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-10 00:00:00	950017483	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-02-02 00:00:00	2022-02-02 00:00:00	No	2022-04-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	O32V11	N	CA00771715	A	SFY2021-22
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-11 00:00:00	950017485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-29 00:00:00	2022-01-29 00:00:00	No	2022-04-04 00:00:00	None	B	None	3000	3000	0	3000	0	None	VBKT11	N	CA00771079	A	SFY2021-22
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-15 00:00:00	950017494	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-12-28 00:00:00	2021-12-28 00:00:00	No	2022-04-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	6F0N11	N	CA00766681, CA00768855	B, B	SFY2021-22
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-16 00:00:00	950017504	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-07 00:00:00	2021-09-07 00:00:00	No	2022-04-07 00:00:00	None	B	None	2000	6000	0	6000	0	None	6TSV11	N	CA00751975, CA00751975	A, A	SFY2021-22
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-18 00:00:00	950017514	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-05 00:00:00	2021-09-05 00:00:00	No	2022-04-11 00:00:00	None	B	None	2000	2000	0	0	2000	None	1W8811	N	CA00756208	B	SFY2021-22
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-24 00:00:00	950017521	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-02-10 00:00:00	2022-02-10 00:00:00	No	2022-04-15 00:00:00	None	B	None	2500	2500	-875	1625	0	None	8NOD11	N	CA00772250, CA00772250, CA00772250, CA00772250, CA00772250	A, A, A, A, A	SFY2021-22
950000103	EASTLAND SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-24 00:00:00	950017527	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-03-09 00:00:00	2022-03-09 00:00:00	No	2022-04-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VCI711	N	CA00776337	A	SFY2021-22
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-24 00:00:00	950017529	Closed	Citation	Citation B (HSC 1424)	Other	General Maintenance	2022-02-15 00:00:00	2022-02-15 00:00:00	No	2022-04-15 00:00:00	None	B	None	2500	2500	0	2500	0	None	BWCN21	N	CA00773431, CA00773431	A, A	SFY2021-22
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-30 00:00:00	950017535	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-01-19 00:00:00	2022-01-19 00:00:00	Yes	2022-04-21 00:00:00	2022-04-07 00:00:00	AA	A	120000	50000	0	50000	0	None	8EOE11	N	CA00770038, CA00770038	A, A	SFY2021-22
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-08 00:00:00	950017551	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-16 00:00:00	2022-02-16 00:00:00	No	2022-04-29 00:00:00	None	B	None	2500	2500	-875	1625	0	None	4OB111	N	CA00773878, CA00773878, CA00773878	A, A, A	SFY2021-22
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-08 00:00:00	950017558	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-01-26 00:00:00	2022-01-26 00:00:00	No	2022-04-29 00:00:00	None	B	None	3000	3200	0	3200	0	None	SNLW11	N	CA00768435	B	SFY2021-22
950000068	LAUREL PARK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-11 00:00:00	950017561	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-02-15 00:00:00	2022-02-15 00:00:00	No	2022-05-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4QHE11	N	CA00774306, CA00774306	A, A	SFY2021-22
970000169	HERITAGE MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-13 00:00:00	950017570	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-23 00:00:00	2022-01-23 00:00:00	No	2022-05-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U0U611	N	CA00770187, CA00770187	A, A	SFY2021-22
940000116	WHITTIER PACIFIC CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-13 00:00:00	950017571	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-15 00:00:00	2022-01-15 00:00:00	No	2022-05-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ENKQ11	N	CA00769762	B	SFY2021-22
950000030	BROADWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-15 00:00:00	950017580	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-01 00:00:00	2022-02-01 00:00:00	No	2022-05-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	5M4E11	N	CA00769531	B	SFY2021-22
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-22 00:00:00	950017590	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-08 00:00:00	2022-03-08 00:00:00	No	2022-05-13 00:00:00	None	B	None	2500	2500	-875	1625	0	None	6R9111	N	CA00776387	A	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-22 00:00:00	950017595	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-04-14 00:00:00	2022-04-22 00:00:00	No	2022-05-13 00:00:00	None	B	None	3000	3400	0	0	3400	None	NCG011	N	CA00780870	A	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-22 00:00:00	950017596	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-04-15 00:00:00	2022-04-22 00:00:00	No	2022-05-13 00:00:00	None	B	None	3000	3350	0	0	3350	None	NCG011	N	CA00781120	A	SFY2021-22
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-25 00:00:00	950017597	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2022-03-08 00:00:00	2022-03-08 00:00:00	No	2022-05-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CE3Z11	N	None	None	SFY2021-22
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-29 00:00:00	950017607	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-01-29 00:00:00	2022-01-29 00:00:00	No	2022-05-20 00:00:00	None	B	None	1500	4500	-1575	2925	0	None	A2L211	N	CA00771165, CA00771165, CA00771165	A, A, A	SFY2021-22
950000279	SANTA TERESITA MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-04 00:00:00	950017615	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-14 00:00:00	2021-10-14 00:00:00	No	2022-05-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	CR6L11	N	CA00757359, CA00757359	B, B	SFY2021-22
950000019	ROYAL VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-04 00:00:00	950017616	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-12-18 00:00:00	2019-12-18 00:00:00	No	2022-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NZCP11	N	CA00668390	B	SFY2021-22
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-04 00:00:00	950017617	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-02 00:00:00	2021-08-02 00:00:00	No	2022-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	67NV11	N	CA00746973	B	SFY2021-22
950000014	COVINA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-04 00:00:00	950017618	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-18 00:00:00	2020-12-18 00:00:00	No	2022-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FWJ311	N	CA00719159	B	SFY2021-22
950000260	ROYAL OAKS MANOR - BRADBURY OAKS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-04 00:00:00	950017620	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-30 00:00:00	2022-01-30 00:00:00	No	2022-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z0YC11	Y	CA00772034, CA00772034	A, A	SFY2021-22
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-04 00:00:00	950017621	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-04-25 00:00:00	2022-04-25 00:00:00	No	2022-05-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	T8O311	N	CA00782488	A	SFY2021-22
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-05 00:00:00	950017625	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-11 00:00:00	2021-09-11 00:00:00	No	2022-05-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	LGYS11	N	CA00752629	B	SFY2021-22
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-06 00:00:00	950017627	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-06 00:00:00	2022-02-06 00:00:00	No	2022-05-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O1ER11	N	CA00772568, CA00772626	B, B	SFY2021-22
950000101	ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-06 00:00:00	950017628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-27 00:00:00	2022-01-27 00:00:00	No	2022-05-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	QVIF11	N	CA00772256, CA00772256	B, B	SFY2021-22
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-06 00:00:00	950017629	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-07 00:00:00	2022-02-07 00:00:00	No	2022-05-27 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	LZXD11	Y	CA00772449, CA00772449, CA00772543, CA00772543, CA00772543, CA00772543	A, A, A, A, A, A	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-20 00:00:00	950017655	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-05 00:00:00	2022-04-05 00:00:00	No	2022-06-13 00:00:00	None	B	None	3000	3000	0	0	3000	None	17F111	N	CA00779614, CA00779614, CA00779614	B, B, B	SFY2021-22
950000103	EASTLAND SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-24 00:00:00	950017663	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-04-14 00:00:00	2022-05-24 00:00:00	No	2022-06-15 00:00:00	None	B	None	3000	11000	0	11000	0	None	J6ZL11	N	CA00783878, CA00783878	A, A	SFY2021-22
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-26 00:00:00	950017671	Closed	Citation	Citation B (HSC 1424)	Other	Infection control	2022-01-01 00:00:00	2022-01-01 00:00:00	No	2022-06-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	04HB11	N	CA00774797	B	SFY2021-22
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-27 00:00:00	950017677	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-08-08 00:00:00	2021-08-08 00:00:00	Yes	2022-06-20 00:00:00	2022-06-30 00:00:00	A	A	20000	17000	0	17000	0	None	HYZR11	Y	CA00747605	B	SFY2021-22
950000103	EASTLAND SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-03 00:00:00	950017689	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-17 00:00:00	2022-04-17 00:00:00	No	2022-06-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	IH4711	N	CA00781642, CA00781642, CA00781642	B, B, B	SFY2021-22
950000014	COVINA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-02 00:00:00	950017690	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-03 00:00:00	2022-03-03 00:00:00	No	2022-06-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Y55611	N	CA00775617, CA00775617, CA00775623	B, B, B	SFY2021-22
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-09 00:00:00	950017695	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-28 00:00:00	2022-01-28 00:00:00	No	2022-06-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	XDS611	N	CA00776963, CA00776963	A, A	SFY2021-22
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-09 00:00:00	950017696	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-09 00:00:00	2022-03-09 00:00:00	No	2022-06-30 00:00:00	None	B	None	3000	3000	0	3000	0	None	TIU911	Y	CA00776535	A	SFY2021-22
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-08 00:00:00	950017697	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-25 00:00:00	2022-01-25 00:00:00	No	2022-06-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	R0EP11	N	CA00776306	A	SFY2021-22
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-08 00:00:00	950017698	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-04-28 00:00:00	2022-04-28 00:00:00	No	2022-06-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EIOT11	N	CA00782721, CA00782721, CA00782764, CA00782764	A, A, A, A	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-09 00:00:00	950017702	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-28 00:00:00	2022-04-28 00:00:00	No	2022-06-30 00:00:00	None	B	None	2000	2000	0	0	2000	None	YM8911	N	CA00776502, CA00776502	B, B	SFY2021-22
970000089	COLLEGE VISTA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-16 00:00:00	950017712	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-03 00:00:00	2021-12-03 00:00:00	No	2022-07-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	8DP311	N	CA00762736, CA00763315	B, B	SFY2021-22
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-17 00:00:00	950017713	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-11 00:00:00	2022-03-11 00:00:00	No	2022-07-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4CVC11	N	CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830	A, A, A, A, A, A, A, A, A	SFY2021-22
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-17 00:00:00	950017714	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-11 00:00:00	2022-03-11 00:00:00	No	2022-07-11 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	4CVC11	N	CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830	A, A, A, A, A, A, A, A, A, A	SFY2021-22
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-30 00:00:00	950017744	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-07-07 00:00:00	2021-07-07 00:00:00	Yes	2022-07-22 00:00:00	2022-07-15 00:00:00	A	None	20000	20000	0	0	20000	None	WD5711	N	CA00784523, CA00784523	A, A	SFY2021-22
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-30 00:00:00	950017754	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-07-07 00:00:00	2021-07-07 00:00:00	Yes	2022-07-22 00:00:00	2022-07-15 00:00:00	B	B	2000	2000	0	2000	0	None	WD5711	N	CA00784523, CA00784523, CA00784523	A, A, A	SFY2021-22
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-01 00:00:00	950017756	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-11-09 00:00:00	2021-11-09 00:00:00	No	2022-07-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	24VS11	N	CA00779345, CA00779345	B, B	SFY2022-23
950000060	ROYAL TERRACE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-01 00:00:00	950017757	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-13 00:00:00	2022-05-13 00:00:00	No	2022-07-25 00:00:00	None	B	None	3000	3000	0	3000	0	None	JPRY11	N	CA00784928	B	SFY2022-23
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-22 00:00:00	950017763	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-21 00:00:00	2022-05-21 00:00:00	No	2022-08-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7S9411	N	CA00785876	B	SFY2022-23
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-07 00:00:00	950017764	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-28 00:00:00	2022-04-28 00:00:00	No	2022-07-28 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	QSWV11	N	CA00783557	B	SFY2022-23
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-13 00:00:00	950017780	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-04-07 00:00:00	2022-04-07 00:00:00	No	2022-08-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FRKJ11	N	CA00780014, CA00780014	B, B	SFY2022-23
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-14 00:00:00	950017785	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-15 00:00:00	2022-03-15 00:00:00	Yes	2022-08-04 00:00:00	2022-07-19 00:00:00	A	None	25000	25000	0	0	25000	None	MF0411	N	None	None	SFY2022-23
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-19 00:00:00	950017798	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-18 00:00:00	2022-02-18 00:00:00	No	2022-08-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	FY8I11	N	CA00781185, CA00781185, CA00781185	B, B, B	SFY2022-23
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-21 00:00:00	950017809	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-04-22 00:00:00	2022-04-22 00:00:00	Yes	2022-08-11 00:00:00	2022-08-03 00:00:00	AA	None	120000	120000	0	0	120000	None	MI5811	Y	CA00781869, CA00781869, CA00781869, CA00781869	A, A, A, A	SFY2022-23
950000045	ARCADIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-22 00:00:00	950017818	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-04-06 00:00:00	2022-04-06 00:00:00	No	2022-08-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	GUTO11	N	CA00783125	A	SFY2022-23
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-28 00:00:00	950017851	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-07-21 00:00:00	2021-07-21 00:00:00	No	2022-08-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	OQAR11	N	CA00744596	A	SFY2022-23
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-28 00:00:00	950017854	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-07-15 00:00:00	2021-07-15 00:00:00	No	2022-08-18 00:00:00	None	B	None	2000	2000	0	0	2000	None	OQAR11	N	CA00744596, CA00744596	A, A	SFY2022-23
950000104	ROYAL GARDENS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-28 00:00:00	950017855	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-03 00:00:00	2022-05-03 00:00:00	No	2022-08-18 00:00:00	None	B	None	3000	3000	0	0	3000	None	G7IR11	N	CA00783150, CA00783150, CA00784294	A, A, B	SFY2022-23
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-28 00:00:00	950017856	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2016-03-20 00:00:00	2016-03-20 00:00:00	No	2022-08-18 00:00:00	None	B	None	2000	2000	0	0	2000	None	NTBG11	Y	CA00506029, CA00506029, CA00506029, CA00506029	B, B, B, B	SFY2022-23
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-29 00:00:00	950017862	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-31 00:00:00	2019-08-31 00:00:00	No	2022-08-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Y5H411	N	CA00653002	A	SFY2022-23
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-29 00:00:00	950017863	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2019-07-09 00:00:00	2019-07-09 00:00:00	No	2022-08-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9UKD11	N	CA00645265	B	SFY2022-23
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-29 00:00:00	950017864	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-01-21 00:00:00	2022-01-21 00:00:00	No	2022-08-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DYNH11	N	CA00768861	B	SFY2022-23
950000060	ROYAL TERRACE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-08-05 00:00:00	950017879	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-04 00:00:00	2022-03-04 00:00:00	No	2022-08-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	80SI11	N	CA00784208, CA00784208, CA00784208	A, A, A	SFY2022-23
950000029	VALLEY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-08-05 00:00:00	950017880	Closed	Citation	Citation B (HSC 1424)	Other	Patient Abuse	2022-05-27 00:00:00	2022-05-27 00:00:00	No	2022-08-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JLNZ11	N	CA00789410	A	SFY2022-23
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-08-12 00:00:00	950017894	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-14 00:00:00	2022-06-14 00:00:00	No	2022-09-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	6OKO11	N	CA00789813, CA00789813	A, A	SFY2022-23
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-08-19 00:00:00	950017911	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-06-02 00:00:00	2022-06-02 00:00:00	No	2022-09-12 00:00:00	None	B	None	2500	2500	0	0	2500	None	QGD111	N	CA00788040	A	SFY2022-23
950000104	ROYAL GARDENS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-08-29 00:00:00	950017941	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-08-04 00:00:00	2022-08-04 00:00:00	No	2022-09-20 00:00:00	None	B	None	3000	3000	0	3000	0	None	XU6W11	N	CA00791448, CA00791448	B, B	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-02 00:00:00	950017962	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-16 00:00:00	2022-06-16 00:00:00	No	2022-09-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	UPCY11	N	CA00790036, CA00790036	A, A	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-08 00:00:00	950017967	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-25 00:00:00	2022-03-25 00:00:00	No	2022-09-29 00:00:00	None	B	None	3000	3000	0	0	3000	None	YRPU11	N	CA00789261	B	SFY2022-23
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-15 00:00:00	950017994	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-07-07 00:00:00	2022-07-07 00:00:00	No	2022-10-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	HWOM11	N	CA00792497	A	SFY2022-23
950000077	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-15 00:00:00	950017995	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-05-27 00:00:00	2022-05-27 00:00:00	No	2022-10-06 00:00:00	None	B	None	3000	3000	0	3000	0	None	HICW11	N	CA00796629	A	SFY2022-23
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-15 00:00:00	950018000	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-15 00:00:00	2022-06-15 00:00:00	No	2022-10-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	7KXZ11	N	CA00789292, CA00789292	B, B	SFY2022-23
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-21 00:00:00	950018009	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-20 00:00:00	2022-06-20 00:00:00	Yes	2022-10-12 00:00:00	2022-09-28 00:00:00	A	None	25000	25000	0	25000	0	None	CFCM11	N	CA00790385, CA00790385, CA00790385	B, B, B	SFY2022-23
950000029	VALLEY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-23 00:00:00	950018014	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-08-12 00:00:00	2022-08-12 00:00:00	No	2022-10-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	HICX11	N	CA00796623, CA00796623	B, B	SFY2022-23
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-27 00:00:00	950018016	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-01-22 00:00:00	2021-01-22 00:00:00	No	2022-10-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	YI7Z11	N	CA00722622	A	SFY2022-23
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-28 00:00:00	950018020	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-17 00:00:00	2022-06-17 00:00:00	No	2022-10-19 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	U4XV11	N	CA00791387	B	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-29 00:00:00	950018026	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-08-17 00:00:00	2022-08-17 00:00:00	No	2022-10-20 00:00:00	None	B	None	3000	3000	0	3000	0	None	2CN011	N	CA00797018, CA00797018, CA00797018	B, B, B	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-29 00:00:00	950018028	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-08-17 00:00:00	2022-08-17 00:00:00	No	2022-10-20 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2CN011	N	CA00797018, CA00797018, CA00797018, CA00797018	B, B, B, B	SFY2022-23
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-05 00:00:00	950018048	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-04-28 00:00:00	2022-04-28 00:00:00	No	2022-10-26 00:00:00	None	B	None	2000	6000	0	6000	0	None	IGWB11	N	CA00782774	B	SFY2022-23
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-05 00:00:00	950018049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-19 00:00:00	2022-04-19 00:00:00	No	2022-10-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	VY7J11	N	CA00781347, CA00781347	A, A	SFY2022-23
970000156	HOLLENBECK PALMS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-06 00:00:00	950018051	Open	Citation	Citation AA (HSC 1424)	Physical Environment	None	2022-07-31 00:00:00	2022-07-31 00:00:00	Yes	2022-10-27 00:00:00	2022-10-24 00:00:00	AA	AA	120000	100000	0	50000	50000	None	3W1V11	Y	CA00796469, CA00796469, CA00796469	A, A, A	SFY2022-23
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-06 00:00:00	950018055	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-05-24 00:00:00	2022-05-24 00:00:00	No	2022-10-27 00:00:00	None	B	None	2000	6000	0	6000	0	None	5K3D11	N	CA00786207	A	SFY2022-23
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-06 00:00:00	950018057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-08 00:00:00	2022-06-08 00:00:00	No	2022-10-27 00:00:00	None	B	None	2000	6000	0	6000	0	None	C9QD11	N	CA00787420	B	SFY2022-23
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-06 00:00:00	950018058	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-09-06 00:00:00	2022-09-06 00:00:00	No	2022-10-27 00:00:00	None	B	None	2500	2500	-875	1625	0	None	YK2C11	N	CA00801405, CA00801405	A, A	SFY2022-23
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-06 00:00:00	950018059	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-09-18 00:00:00	2022-09-18 00:00:00	No	2022-10-27 00:00:00	None	B	None	2500	2500	0	0	2500	None	YK2C11	N	CA00801405, CA00801405	A, A	SFY2022-23
950000002	CLAREMONT CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-06 00:00:00	950018060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-20 00:00:00	2022-07-20 00:00:00	No	2022-10-27 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	4KNV11	N	CA00794962	B	SFY2022-23
950000002	CLAREMONT CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-06 00:00:00	950018061	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-12 00:00:00	2022-06-12 00:00:00	No	2022-10-27 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	4KNV11	N	CA00795492	A	SFY2022-23
950000014	COVINA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-07 00:00:00	950018067	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-07-20 00:00:00	2022-07-20 00:00:00	No	2022-10-28 00:00:00	None	B	None	3000	3000	0	3000	0	None	TRWP11	N	CA00796373, CA00796373	A, A	SFY2022-23
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-14 00:00:00	950018087	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-08-12 00:00:00	2022-08-12 00:00:00	No	2022-11-04 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	HYJV11	N	CA00798411, CA00798411, CA00798411	B, B, B	SFY2022-23
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-20 00:00:00	950018101	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-09-07 00:00:00	2022-09-07 00:00:00	No	2022-11-10 00:00:00	None	B	None	2500	2500	-875	1625	0	None	DHUL11	N	CA00801697, CA00801697	A, A	SFY2022-23
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-24 00:00:00	950018112	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-18 00:00:00	2022-08-18 00:00:00	No	2022-11-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	9J2011	N	CA00799635	A	SFY2022-23
950000029	VALLEY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-27 00:00:00	950018124	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-06-01 00:00:00	2022-06-01 00:00:00	No	2022-11-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KVZ711	N	CA00787409	A	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-27 00:00:00	950018125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-07-22 00:00:00	2022-07-22 00:00:00	No	2022-11-18 00:00:00	None	B	None	3000	3000	0	3000	0	None	7KN111	N	CA00798472	B	SFY2022-23
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-03 00:00:00	950018140	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-10-02 00:00:00	2021-10-02 00:00:00	Yes	2022-11-28 00:00:00	2022-11-05 00:00:00	A	None	20000	20000	0	0	20000	None	7SON11	N	CA00755622	B	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-10 00:00:00	950018150	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-11 00:00:00	2022-09-11 00:00:00	No	2022-12-06 00:00:00	None	B	None	3000	3000	0	0	3000	None	I4S211	N	CA00802685, CA00802685	A, A	SFY2022-23
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-17 00:00:00	950018159	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-11 00:00:00	2022-01-11 00:00:00	No	2022-12-12 00:00:00	None	B	None	2000	6000	0	6000	0	None	2IKD11	N	CA00768733	A	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-18 00:00:00	950018160	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-15 00:00:00	2022-05-15 00:00:00	No	2022-12-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	UJZK11	N	CA00785508	B	SFY2022-23
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-18 00:00:00	950018162	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-08-19 00:00:00	2022-08-19 00:00:00	Yes	2022-12-13 00:00:00	2022-11-29 00:00:00	A	None	25000	25000	0	0	25000	None	FZWJ11	N	CA00799715, CA00799715	A, A	SFY2022-23
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-22 00:00:00	950018166	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-02 00:00:00	2022-09-02 00:00:00	No	2022-12-15 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	M3CJ11	N	CA00801486, CA00802869, CA00802869	B, B, B	SFY2022-23
950000029	VALLEY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-22 00:00:00	950018171	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-07 00:00:00	2022-10-07 00:00:00	No	2022-12-15 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	BVGY11	Y	CA00806781, CA00806781	A, A	SFY2022-23
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-30 00:00:00	950018190	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-24 00:00:00	2021-07-24 00:00:00	No	2022-12-21 00:00:00	None	B	None	2000	2000	0	0	2000	None	PG0511	N	CA00745482	B	SFY2022-23
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-01 00:00:00	950018192	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-05-06 00:00:00	2022-05-06 00:00:00	No	2022-12-22 00:00:00	None	B	None	3000	3000	0	0	3000	None	F4QX11	N	CA00806826, CA00807089, CA00807089, CA00807627, CA00807627	B, A, A, A, A	SFY2022-23
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-01 00:00:00	950018195	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-05-06 00:00:00	2022-05-06 00:00:00	No	2022-12-22 00:00:00	None	B	None	3000	3000	0	0	3000	None	F4QX11	N	CA00806826, CA00806826, CA00807089, CA00807089, CA00807089, CA00807627, CA00807627, CA00807627	B, B, A, A, A, A, A, A	SFY2022-23
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-01 00:00:00	950018202	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-05-06 00:00:00	2022-05-06 00:00:00	No	2022-12-22 00:00:00	None	B	None	3000	3000	0	0	3000	None	F4QX11	N	CA00806826, CA00806826, CA00807089, CA00807089, CA00807089, CA00807627, CA00807627, CA00807627	B, B, A, A, A, A, A, A	SFY2022-23
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-01 00:00:00	950018203	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-05-06 00:00:00	2022-05-06 00:00:00	No	2022-12-22 00:00:00	None	B	None	3000	3000	0	0	3000	None	F4QX11	N	CA00806826, CA00806826, CA00807089, CA00807089, CA00807089, CA00807627, CA00807627, CA00807627	B, B, A, A, A, A, A, A	SFY2022-23
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-02 00:00:00	950018209	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-10 00:00:00	2022-01-10 00:00:00	No	2022-12-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	VKOL11	N	CA00803392, CA00803392, CA00803392, CA00803392, CA00803402, CA00803402, CA00803402, CA00804749, CA00804749, CA00804749, CA00804749, CA00804749, CA00804749, CA00804749	B, B, B, B, B, B, B, A, A, A, A, A, A, A	SFY2022-23
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-02 00:00:00	950018211	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-19 00:00:00	2022-09-19 00:00:00	No	2022-12-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	U7KH11	N	CA00803831	A	SFY2022-23
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-08 00:00:00	950018222	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-08-01 00:00:00	2022-08-01 00:00:00	No	2022-12-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	M1HQ11	N	CA00796381	A	SFY2022-23
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-08 00:00:00	950018230	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-29 00:00:00	2022-09-29 00:00:00	No	2022-12-29 00:00:00	None	B	None	3000	3000	0	3000	0	None	VLF411	N	CA00805752	A	SFY2022-23
970000169	HERITAGE MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-09 00:00:00	950018233	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-13 00:00:00	2022-10-13 00:00:00	No	2022-12-30 00:00:00	None	B	None	3000	3000	0	3000	0	None	I7MJ11	N	CA00808002	B	SFY2022-23
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-21 00:00:00	950018256	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-25 00:00:00	2022-09-25 00:00:00	No	2023-01-12 00:00:00	None	B	None	3000	3000	0	3000	0	None	MKPS11	N	CA00804791	B	SFY2022-23
920000304	GLENHAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-29 00:00:00	950018266	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2022-10-28 00:00:00	2022-10-28 00:00:00	No	2023-01-23 00:00:00	None	A	None	25000	25000	0	25000	0	None	IJI611	N	CA00811679	A	SFY2022-23
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-29 00:00:00	950018268	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-11 00:00:00	2022-11-11 00:00:00	No	2023-01-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	RFHI11	N	None	None	SFY2022-23
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-29 00:00:00	950018270	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-11 00:00:00	2022-11-11 00:00:00	No	2023-01-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	RFHI11	N	None	None	SFY2022-23
950000047	COAST CARE CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-29 00:00:00	950018275	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-11-09 00:00:00	2022-11-09 00:00:00	No	2023-01-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	NW3M11	N	None	None	SFY2022-23
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-29 00:00:00	950018278	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-09-02 00:00:00	2022-09-02 00:00:00	No	2023-01-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	UOZH11	N	CA00801294	B	SFY2022-23
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-30 00:00:00	950018279	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-07 00:00:00	2022-10-07 00:00:00	No	2023-01-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	HWPR11	N	CA00806980	B	SFY2022-23
950000063	THE GARDENS OF EL MONTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-05 00:00:00	950018286	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-11-23 00:00:00	2022-11-23 00:00:00	No	2023-01-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	UD8K11	N	CA00810945	B	SFY2022-23
930001561	WEST COVINA MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-06 00:00:00	950018295	Open	Citation	Citation B (HSC 1424)	Other	No IP nurse	2022-12-06 00:00:00	2022-12-06 00:00:00	No	2023-01-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	BH3Q11	N	None	None	SFY2022-23
960001457	EL ENCANTO HEALTHCARE AND HABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-11 00:00:00	950018298	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-12-03 00:00:00	2022-12-03 00:00:00	No	2023-02-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	B6V411	N	CA00815039	A	SFY2022-23
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-12 00:00:00	950018303	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-17 00:00:00	2022-10-17 00:00:00	Yes	2023-02-03 00:00:00	2023-01-16 00:00:00	A	B	25000	14000	0	14000	0	None	2W3Z11	N	CA00807992	A	SFY2022-23
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-12 00:00:00	950018305	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-10-15 00:00:00	2022-10-15 00:00:00	No	2023-02-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KFJZ11	N	CA00808618, CA00808618, CA00808618	B, B, B	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-18 00:00:00	950018320	Open	Citation	Citation B (HSC 1424)	Dietary	None	2022-11-30 00:00:00	2022-11-30 00:00:00	No	2023-02-08 00:00:00	None	B	None	3000	3000	0	0	3000	None	XN3F11	N	CA00811934, CA00811934	B, B	SFY2022-23
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-19 00:00:00	950018326	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-07 00:00:00	2022-10-07 00:00:00	No	2023-02-09 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	IV5911	Y	CA00809094	A	SFY2022-23
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-25 00:00:00	950018360	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-10-17 00:00:00	2022-10-17 00:00:00	No	2023-02-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	TWGX11	N	None	None	SFY2022-23
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-27 00:00:00	950018366	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-12-01 00:00:00	2022-12-19 00:00:00	No	2023-02-17 00:00:00	None	B	None	3000	3900	-1050	2850	0	None	F0TC11	N	CA00814361, CA00814361, CA00814361, CA00815404	A, A, A, A	SFY2022-23
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-03 00:00:00	950018374	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-12-19 00:00:00	2022-12-19 00:00:00	No	2023-02-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	D7O311	N	CA00815507, CA00817212	B, A	SFY2022-23
970000068	GEM TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-03 00:00:00	950018377	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-07-29 00:00:00	2022-07-29 00:00:00	No	2023-02-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Z97111	N	CA00810914, CA00810914, CA00810914, CA00810914	A, A, A, A	SFY2022-23
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-08 00:00:00	950018384	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-01-05 00:00:00	2023-01-05 00:00:00	No	2023-03-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	YN5111	N	CA00822971	B	SFY2022-23
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-09 00:00:00	950018392	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-18 00:00:00	2022-11-18 00:00:00	No	2023-03-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	YBEQ11	N	CA00812394	A	SFY2022-23
950000047	COAST CARE CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-09 00:00:00	950018397	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-12-13 00:00:00	2022-12-13 00:00:00	No	2023-03-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	J8EX11	N	CA00816128	A	SFY2022-23
950000054	BEACON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-15 00:00:00	950018414	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-05-03 00:00:00	2022-05-03 00:00:00	No	2023-03-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	LPLQ11	N	CA00816647, CA00816647	B, B	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-17 00:00:00	950018419	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-12-02 00:00:00	2022-12-02 00:00:00	No	2023-03-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	HXJ311	N	CA00815862, CA00815862	B, B	SFY2022-23
950000068	LAUREL PARK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-16 00:00:00	950018420	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-17 00:00:00	2022-12-17 00:00:00	No	2023-03-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	684H11	N	CA00817108	A	SFY2022-23
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-17 00:00:00	950018421	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-16 00:00:00	2022-11-16 00:00:00	No	2023-03-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	S1BB11	N	CA00812703, CA00812703, CA00812703	B, B, B	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-22 00:00:00	950018435	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-30 00:00:00	2022-12-30 00:00:00	No	2023-03-15 00:00:00	None	B	None	3000	3000	0	0	3000	None	XJBO11	N	CA00818705, CA00818705, CA00818705	A, A, A	SFY2022-23
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-23 00:00:00	950018439	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-21 00:00:00	2022-10-21 00:00:00	No	2023-03-16 00:00:00	None	A	None	25000	25000	0	0	25000	None	Q6EX11	N	CA00815062, CA00815062	B, B	SFY2022-23
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-24 00:00:00	950018441	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-20 00:00:00	2022-01-20 00:00:00	No	2023-03-17 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	BZDH11	N	CA00770297	B	SFY2022-23
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-28 00:00:00	950018450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-16 00:00:00	2022-11-16 00:00:00	No	2023-03-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2KPU11	N	None	None	SFY2022-23
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-28 00:00:00	950018454	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-02-12 00:00:00	2023-02-12 00:00:00	No	2023-03-21 00:00:00	None	B	None	2500	2500	-875	1625	0	None	HL9L11	N	CA00828402	A	SFY2022-23
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-02 00:00:00	950018459	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-12-15 00:00:00	2022-12-15 00:00:00	No	2023-03-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	1BLX11	N	CA00814484, CA00814484	B, B	SFY2022-23
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-02 00:00:00	950018466	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-21 00:00:00	2022-12-21 00:00:00	No	2023-03-23 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	YGY111	N	CA00817745	B	SFY2022-23
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-09 00:00:00	950018489	Open	Citation	Citation AA (HSC 1424)	Medication	None	2023-01-10 00:00:00	2023-01-10 00:00:00	Yes	2023-03-30 00:00:00	2023-03-27 00:00:00	AA	None	120000	120000	0	0	120000	None	LCOJ11	Y	CA00821511, CA00821511, CA00821511	A, A, A	SFY2022-23
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-09 00:00:00	950018500	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-02 00:00:00	2023-01-02 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	H7NH11	N	CA00819256, CA00819256, CA00819256, CA00819276, CA00819276, CA00819421, CA00819421	A, A, A, A, A, B, B	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-09 00:00:00	950018501	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2023-02-07 00:00:00	2023-02-07 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	0	3000	0	None	O4KD11	N	CA00815393, CA00815393	A, A	SFY2022-23
950000057	PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-10 00:00:00	950018503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-08 00:00:00	2022-12-08 00:00:00	No	2023-04-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	S6P611	N	CA00815815, CA00815815	B, B	SFY2022-23
950000053	CLAREMONT MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-10 00:00:00	950018507	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-01 00:00:00	2023-01-01 00:00:00	No	2023-04-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	O06X11	N	None	None	SFY2022-23
950000015	BALDWIN GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-13 00:00:00	950018511	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-02-06 00:00:00	2023-02-06 00:00:00	No	2023-04-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	RJ2J11	N	CA00825110	A	SFY2022-23
970000070	INFINITY CARE OF EAST LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-16 00:00:00	950018517	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-04 00:00:00	2023-01-04 00:00:00	No	2023-04-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	TXNN11	N	CA00817328	B	SFY2022-23
960001457	EL ENCANTO HEALTHCARE AND HABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-16 00:00:00	950018518	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-19 00:00:00	2022-12-19 00:00:00	No	2023-04-07 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	24JD11	N	CA00817496	B	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-17 00:00:00	950018532	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-13 00:00:00	2023-03-13 00:00:00	No	2023-04-10 00:00:00	None	B	None	3000	3000	0	3000	0	None	TLDP11	N	CA00830956	A	SFY2022-23
950000038	ROSEMEAD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-21 00:00:00	950018539	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-10 00:00:00	2023-02-10 00:00:00	No	2023-04-12 00:00:00	None	B	None	3000	3000	0	3000	0	None	Q6UY11	N	None	None	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-21 00:00:00	950018540	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-01-18 00:00:00	2023-01-18 00:00:00	No	2023-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	9XC211	N	CA00822075, CA00822075, CA00822075, CA00822075, CA00822075	A, A, A, A, A	SFY2022-23
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-22 00:00:00	950018551	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-22 00:00:00	2023-01-22 00:00:00	Yes	2023-04-13 00:00:00	2023-04-12 00:00:00	A	None	25000	25000	0	0	25000	None	0DKX11	N	CA00822871	B	SFY2022-23
950000019	ROYAL VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-23 00:00:00	950018557	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-29 00:00:00	2022-11-29 00:00:00	No	2023-04-14 00:00:00	None	B	None	2000	6000	0	6000	0	None	IEYB11	N	CA00813995, CA00813995	B, B	SFY2022-23
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-23 00:00:00	950018562	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-14 00:00:00	2022-12-14 00:00:00	No	2023-04-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3U8M11	N	CA00822231	B	SFY2022-23
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-23 00:00:00	950018564	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-09 00:00:00	2023-01-09 00:00:00	No	2023-04-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	82GZ11	N	CA00821560, CA00824671	B, B	SFY2022-23
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-30 00:00:00	950018595	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-11 00:00:00	2023-02-11 00:00:00	Yes	2023-04-21 00:00:00	2023-04-12 00:00:00	A	None	25000	25000	0	0	25000	None	W2FV11	Y	CA00826913, CA00826913, CA00826913, CA00826913	A, A, A, A	SFY2022-23
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-05 00:00:00	950018609	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-07 00:00:00	2023-02-07 00:00:00	Yes	2023-04-26 00:00:00	2023-04-12 00:00:00	A	None	25000	25000	0	0	25000	None	8DDU11	N	CA00822840, CA00822840	B, B	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-07 00:00:00	950018616	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-07 00:00:00	2023-01-07 00:00:00	No	2023-04-28 00:00:00	None	B	None	3000	3000	0	3000	0	None	ZHQ711	N	CA00820273	B	SFY2022-23
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-12 00:00:00	950018624	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-07-20 00:00:00	2022-07-20 00:00:00	No	2023-05-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	OEF311	N	CA00827735, CA00827735, CA00827735	A, A, A	SFY2022-23
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-14 00:00:00	950018637	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-01 00:00:00	2023-03-01 00:00:00	No	2023-05-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	TVQO21	N	CA00829330	A	SFY2022-23
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-18 00:00:00	950018643	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-26 00:00:00	2023-02-26 00:00:00	No	2023-05-09 00:00:00	None	B	None	3000	3000	0	3000	0	None	KB4B11	N	CA00828864, CA00828864	A, A	SFY2022-23
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-20 00:00:00	950018654	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-07 00:00:00	2023-03-07 00:00:00	No	2023-05-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	UT1711	N	None	None	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-21 00:00:00	950018665	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-22 00:00:00	2023-03-22 00:00:00	No	2023-05-12 00:00:00	None	B	None	3000	3000	0	0	3000	None	9YWU11	N	CA00835040	A	SFY2022-23
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-24 00:00:00	950018676	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-25 00:00:00	2022-10-25 00:00:00	No	2023-05-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	78IE11	N	CA00825701, CA00825701, CA00825701, CA00825701, CA00825701, CA00825701, CA00825701	A, A, A, A, A, A, A	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-24 00:00:00	950018678	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-13 00:00:00	2023-03-13 00:00:00	No	2023-05-15 00:00:00	None	B	None	3000	3000	0	0	3000	None	TTUX11	N	CA00830937	B	SFY2022-23
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-28 00:00:00	950018701	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-01-11 00:00:00	2023-01-11 00:00:00	No	2023-05-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CMVI11	N	CA00824590, CA00824590, CA00824590	B, B, B	SFY2022-23
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-28 00:00:00	950018702	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-03-13 00:00:00	2023-03-13 00:00:00	No	2023-05-19 00:00:00	None	B	None	3000	9000	0	9000	0	None	9YPE11	N	None	None	SFY2022-23
950000018	SIERRA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-28 00:00:00	950018704	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-05 00:00:00	2022-04-05 00:00:00	No	2023-05-19 00:00:00	None	B	None	3000	3000	0	3000	0	None	F6XQ11	N	CA00829369, CA00830245, CA00830245	B, B, B	SFY2022-23
970000117	HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-28 00:00:00	950018706	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-02-10 00:00:00	2023-02-10 00:00:00	No	2023-05-19 00:00:00	None	B	None	3000	3000	0	3000	0	None	06C011	N	CA00826233	B	SFY2022-23
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-28 00:00:00	950018707	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-03-13 00:00:00	2023-03-13 00:00:00	No	2023-05-19 00:00:00	None	B	None	3000	9000	0	9000	0	None	9YPE11	N	None	None	SFY2022-23
970000105	ARARAT POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-28 00:00:00	950018708	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-17 00:00:00	2023-03-17 00:00:00	No	2023-05-19 00:00:00	None	B	None	3000	3000	0	3000	0	None	MGS811	N	CA00831749	A	SFY2022-23
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-28 00:00:00	950018709	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-03-13 00:00:00	2023-03-13 00:00:00	No	2023-05-19 00:00:00	None	B	None	3000	9000	0	9000	0	None	9YPE11	N	None	None	SFY2022-23
950000057	PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-04 00:00:00	950018720	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-13 00:00:00	2023-02-13 00:00:00	No	2023-05-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MEU911	N	CA00826586, CA00826586, CA00826595, CA00826595	B, B, B, B	SFY2022-23
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-05 00:00:00	950018723	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-13 00:00:00	2023-03-13 00:00:00	No	2023-05-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	9MJ611	N	CA00831069	B	SFY2022-23
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-05 00:00:00	950018724	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-08 00:00:00	2023-04-08 00:00:00	No	2023-05-26 00:00:00	None	B	None	3000	3000	0	0	3000	None	2UYV11	N	CA00835339, CA00835339, CA00835339	A, A, A	SFY2022-23
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-05 00:00:00	950018725	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-04-08 00:00:00	2023-04-08 00:00:00	No	2023-05-26 00:00:00	None	B	None	3000	3000	0	0	3000	None	2UYV11	N	CA00835339, CA00835339, CA00835339, CA00835339	A, A, A, A	SFY2022-23
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-11 00:00:00	950018744	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-21 00:00:00	2023-03-21 00:00:00	No	2023-06-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	37J711	N	CA00832547, CA00832547	A, A	SFY2022-23
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-12 00:00:00	950018749	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-24 00:00:00	2023-03-24 00:00:00	No	2023-06-05 00:00:00	None	B	None	3000	3000	0	3000	0	None	JRQE11	N	CA00833018, CA00833503	B, B	SFY2022-23
950000015	BALDWIN GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-17 00:00:00	950018758	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-04-12 00:00:00	2023-04-12 00:00:00	No	2023-06-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	GSU911	N	CA00835129	A	SFY2022-23
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-23 00:00:00	950018787	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-16 00:00:00	2023-03-16 00:00:00	No	2023-06-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	0C7L11	N	CA00830137, CA00830137, CA00830137, CA00830137, CA00830137, CA00830137	B, B, B, B, B, B	SFY2022-23
950000063	THE GARDENS OF EL MONTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-23 00:00:00	950018788	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-11 00:00:00	2023-04-11 00:00:00	No	2023-06-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ILHW11	N	None	None	SFY2022-23
950000040	COUNTRY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-23 00:00:00	950018789	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-10 00:00:00	2023-04-10 00:00:00	No	2023-06-14 00:00:00	None	B	None	3000	3000	0	3000	0	None	XSTK11	N	CA00836796, CA00836865, CA00836986, CA00837609, CA00837721, CA00837721, CA00837820, CA00837964, CA00837964, CA00838043, CA00838195, CA00838195, CA00838195, CA00838198, CA00838198, CA00838198, CA00838383, CA00838383, CA00838383	B, B, B, B, B, B, A, A, A, B, A, A, A, B, B, B, B, B, B	SFY2022-23
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-24 00:00:00	950018790	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-27 00:00:00	2023-03-27 00:00:00	No	2023-06-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	9X1P11	N	CA00834792, CA00835626, CA00835626, CA00835626	A, A, A, A	SFY2022-23
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-24 00:00:00	950018796	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-03-18 00:00:00	2023-03-18 00:00:00	No	2023-06-15 00:00:00	None	A	None	25000	25000	0	25000	0	None	JTBH11	N	CA00831961, CA00831985	B, A	SFY2022-23
950000039	ATHERTON BAPTIST HOME-SAM B. WEST	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-02 00:00:00	950018817	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-15 00:00:00	2023-04-15 00:00:00	No	2023-06-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	IWWD11	N	CA00836697	A	SFY2022-23
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-02 00:00:00	950018824	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-11-11 00:00:00	2022-11-11 00:00:00	No	2023-06-23 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	4AYD11	N	None	None	SFY2022-23
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-02 00:00:00	950018825	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-04-20 00:00:00	2023-04-20 00:00:00	No	2023-06-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4AYD11	N	None	None	SFY2022-23
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-02 00:00:00	950018826	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-12 00:00:00	2023-04-12 00:00:00	No	2023-06-23 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	4AYD11	N	None	None	SFY2022-23
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-12 00:00:00	950018844	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-27 00:00:00	2023-04-27 00:00:00	No	2023-07-03 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	TR2M11	Y	CA00838711	B	SFY2022-23
970000091	ARARAT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-14 00:00:00	950018858	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2023-03-31 00:00:00	2023-03-31 00:00:00	No	2023-07-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	1SNF11	N	CA00835700, CA00835700	A, A	SFY2022-23
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-15 00:00:00	950018867	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-04-24 00:00:00	2023-04-24 00:00:00	No	2023-07-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	SCQL11	N	CA00838474	B	SFY2022-23
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-16 00:00:00	950018872	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-11 00:00:00	2023-04-11 00:00:00	No	2023-07-10 00:00:00	None	B	None	3000	3000	0	0	3000	None	NF2V11	N	CA00837342, CA00837342, CA00837342, CA00837342, CA00838505, CA00838505, CA00838505, CA00838505, CA00838508, CA00838508, CA00838508, CA00838508	B, B, B, B, A, A, A, A, A, A, A, A	SFY2022-23
970000184	PASADENA PARK HEALTHCARE AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-23 00:00:00	950018896	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-05-24 00:00:00	2023-05-24 00:00:00	No	2023-07-17 00:00:00	None	B	None	3000	3000	0	3000	0	None	XS4O11	N	CA00841916	B	SFY2022-23
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-05 00:00:00	950018912	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-13 00:00:00	2023-04-13 00:00:00	No	2023-07-26 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	K2CJ11	Y	CA00839347, CA00839347, CA00839347, CA00840888, CA00840888, CA00840888, CA00840888, CA00840888	B, B, B, A, A, A, A, A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-30 00:00:00	950018913	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-06 00:00:00	2023-05-06 00:00:00	No	2023-07-24 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	I37311	N	CA00840256, CA00840256	A, A	SFY2022-23
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-05 00:00:00	950018924	Open	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-04-12 00:00:00	2023-04-12 00:00:00	No	2023-07-26 00:00:00	None	WF	None	3500	3500	0	2275	1225	None	K2CJ11	None	CA00839347, CA00839347, CA00839347, CA00839347, CA00840888, CA00840888, CA00840888, CA00840888, CA00840888, CA00840888	B, B, B, B, A, A, A, A, A, A	SFY2023-24
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-10 00:00:00	950018932	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-23 00:00:00	2023-05-23 00:00:00	No	2023-07-31 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	U9MT11	N	CA00842392, CA00842392, CA00842507, CA00842507, CA00842507, CA00842507, CA00842507	B, B, A, A, A, A, A	SFY2023-24
920000028	MONTROSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-11 00:00:00	950018935	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-06-23 00:00:00	2023-06-23 00:00:00	No	2023-08-01 00:00:00	None	B	None	3000	3000	0	0	3000	None	QFSK11	N	CA00848545	A	SFY2023-24
950000077	VICTORIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-11 00:00:00	950018937	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-06-10 00:00:00	2023-06-10 00:00:00	No	2023-08-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	W25811	N	CA00845184	A	SFY2023-24
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-11 00:00:00	950018939	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-08 00:00:00	2023-05-08 00:00:00	No	2023-08-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	HQYJ11	N	CA00840164	B	SFY2023-24
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-11 00:00:00	950018940	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-05-10 00:00:00	2023-05-10 00:00:00	No	2023-08-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	I7XP11	N	CA00841487	A	SFY2023-24
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-12 00:00:00	950018944	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-05-29 00:00:00	2023-05-29 00:00:00	No	2023-08-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	SSVJ11	N	CA00843112, CA00843834	A, A	SFY2023-24
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-18 00:00:00	950018971	Closed	Citation	Citation B (HSC 1424)	Other	Staff Qualifications	2023-05-24 00:00:00	2023-05-24 00:00:00	No	2023-08-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4AYD12	N	None	None	SFY2023-24
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-20 00:00:00	950018978	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-03 00:00:00	2023-05-03 00:00:00	No	2023-08-10 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	QQ6211	N	None	None	SFY2023-24
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-20 00:00:00	950018980	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2023-06-08 00:00:00	2023-06-08 00:00:00	No	2023-08-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QQ6211	N	None	None	SFY2023-24
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-20 00:00:00	950018984	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-20 00:00:00	2023-03-20 00:00:00	No	2023-08-10 00:00:00	None	B	None	3000	3000	0	3000	0	None	TJKN11	N	CA00841911, CA00841911	B, B	SFY2023-24
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-21 00:00:00	950018986	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-13 00:00:00	2023-05-13 00:00:00	No	2023-08-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QQ6211	N	None	None	SFY2023-24
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-21 00:00:00	950018989	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-06-08 00:00:00	2023-06-08 00:00:00	No	2023-08-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QQ6221	N	None	None	SFY2023-24
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-31 00:00:00	950019011	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-29 00:00:00	2023-05-29 00:00:00	No	2023-08-21 00:00:00	None	B	None	3000	3150	-1050	1950	150	None	KVTV11	N	CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759	B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A	SFY2023-24
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-31 00:00:00	950019012	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-21 00:00:00	2023-05-21 00:00:00	No	2023-08-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KVTV11	N	CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759	B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A	SFY2023-24
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-31 00:00:00	950019013	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-08 00:00:00	2023-06-08 00:00:00	No	2023-08-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KVTV11	N	CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759	B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A	SFY2023-24
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-31 00:00:00	950019014	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-22 00:00:00	2023-05-22 00:00:00	No	2023-08-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KVTV11	N	CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759	B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A	SFY2023-24
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-31 00:00:00	950019015	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-29 00:00:00	2023-05-29 00:00:00	No	2023-08-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KVTV11	N	CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759	B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A	SFY2023-24
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-31 00:00:00	950019016	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-08 00:00:00	2023-06-08 00:00:00	No	2023-08-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KVTV11	N	CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759	B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A	SFY2023-24
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-02 00:00:00	950019024	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-06-21 00:00:00	2023-06-21 00:00:00	No	2023-08-23 00:00:00	None	B	None	3000	3000	0	0	3000	None	BY0U11	N	CA00845582, CA00845631	B, B	SFY2023-24
950000104	ROYAL GARDENS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-03 00:00:00	950019029	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-07-20 00:00:00	2023-07-20 00:00:00	No	2023-08-24 00:00:00	None	B	None	3000	9000	0	0	9000	None	J10K11	N	CA00850126	B	SFY2023-24
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-04 00:00:00	950019032	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-07-25 00:00:00	2023-07-25 00:00:00	No	2023-08-25 00:00:00	None	B	None	3000	3400	-1050	2350	0	None	QGQE11	N	CA00852022, CA00852022, CA00852022	A, A, A	SFY2023-24
970000156	HOLLENBECK PALMS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-11 00:00:00	950019056	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-07-05 00:00:00	2023-07-05 00:00:00	No	2023-09-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KNJU11	N	CA00848792, CA00848792	A, A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-17 00:00:00	950019066	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-30 00:00:00	2023-04-30 00:00:00	No	2023-09-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	KSQA11	N	CA00844002, CA00844002, CA00844002	A, A, A	SFY2023-24
950000256	GLENDORA CANYON TRANSITIONAL CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-18 00:00:00	950019078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-06 00:00:00	2023-07-06 00:00:00	No	2023-09-11 00:00:00	None	B	None	3000	3000	0	3000	0	None	AAVV11	N	CA00849980	A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-22 00:00:00	950019087	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-25 00:00:00	2023-05-25 00:00:00	No	2023-09-13 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	QK1211	N	CA00842770, CA00843986	B, B	SFY2023-24
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-23 00:00:00	950019091	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-29 00:00:00	2023-06-29 00:00:00	No	2023-09-14 00:00:00	None	B	None	3000	3000	0	0	3000	None	W20R11	N	CA00849798, CA00849927	A, A	SFY2023-24
970000068	GEM TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-25 00:00:00	950019098	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-10 00:00:00	2023-06-10 00:00:00	No	2023-09-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	O9O311	N	CA00845243, CA00846609	B, B	SFY2023-24
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-31 00:00:00	950019119	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-22 00:00:00	2023-07-22 00:00:00	No	2023-09-22 00:00:00	None	B	None	3000	3000	0	3000	0	None	74O111	N	CA00851951	B	SFY2023-24
950000053	CLAREMONT MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-31 00:00:00	950019121	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-07-15 00:00:00	2023-07-15 00:00:00	No	2023-09-22 00:00:00	None	B	None	3000	3000	0	3000	0	None	78XN11	N	CA00851666, CA00851666	B, B	SFY2023-24
950000104	ROYAL GARDENS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-01 00:00:00	950019124	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-02 00:00:00	2023-07-02 00:00:00	No	2023-09-25 00:00:00	None	B	None	3000	3000	0	3000	0	None	6JNU11	N	CA00848590, CA00848590	B, B	SFY2023-24
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-01 00:00:00	950019125	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-25 00:00:00	2023-07-25 00:00:00	No	2023-09-25 00:00:00	None	B	None	3000	3000	0	0	3000	None	QIRU11	N	CA00852670, CA00852670	A, A	SFY2023-24
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-06 00:00:00	950019129	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-07-30 00:00:00	2023-07-30 00:00:00	No	2023-09-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3I3N11	N	CA00853227	A	SFY2023-24
950000063	THE GARDENS OF EL MONTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-07 00:00:00	950019135	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-28 00:00:00	2023-07-28 00:00:00	No	2023-09-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MB6011	N	CA00851109	B	SFY2023-24
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-08 00:00:00	950019141	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-25 00:00:00	2023-07-25 00:00:00	No	2023-09-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CGGX11	N	CA00852605	B	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-11 00:00:00	950019144	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-22 00:00:00	2023-07-22 00:00:00	No	2023-10-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Z3VM11	N	CA00852580, CA00852580	A, A	SFY2023-24
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-12 00:00:00	950019151	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-07-19 00:00:00	2023-07-19 00:00:00	No	2023-10-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MC1P11	N	CA00854842	A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-13 00:00:00	950019156	Open	Citation	Citation AA (HSC 1424)	Patient Record	None	2023-07-25 00:00:00	2023-07-25 00:00:00	Yes	2023-10-04 00:00:00	2023-10-04 00:00:00	AA	None	120000	120000	0	0	120000	None	Z3VM11	Y	CA00852568	A	SFY2023-24
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-13 00:00:00	950019159	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-07-19 00:00:00	2023-07-19 00:00:00	No	2023-10-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CDJI11	N	CA00850001	B	SFY2023-24
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-15 00:00:00	950019167	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-03 00:00:00	2023-06-03 00:00:00	No	2023-10-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	UXFV11	N	CA00854030, CA00854030	A, A	SFY2023-24
950000014	COVINA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-20 00:00:00	950019180	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-11 00:00:00	2023-08-11 00:00:00	No	2023-10-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VD7011	N	CA00853987, CA00853987, CA00853987	B, B, B	SFY2023-24
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-20 00:00:00	950019186	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-05 00:00:00	2023-08-05 00:00:00	No	2023-10-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OL2011	N	CA00854436, CA00854436, CA00854482, CA00854482	A, A, A, A	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-21 00:00:00	950019187	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-09-02 00:00:00	2023-09-02 00:00:00	No	2023-10-12 00:00:00	None	B	None	3000	3000	0	3000	0	None	7R1Z11	N	CA00859267, CA00859267	B, B	SFY2023-24
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-22 00:00:00	950019192	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-01 00:00:00	2023-08-01 00:00:00	No	2023-10-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	S1C511	N	CA00854484, CA00854484, CA00854484, CA00854484	A, A, A, A	SFY2023-24
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-27 00:00:00	950019203	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-02 00:00:00	2023-08-02 00:00:00	No	2023-10-18 00:00:00	None	B	None	3000	3450	-1050	1950	450	None	HW2O11	N	CA00851950, CA00851950, CA00852680, CA00852680, CA00852680, CA00853636, CA00853636	B, B, B, B, B, A, A	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-28 00:00:00	950019206	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-12 00:00:00	2023-08-12 00:00:00	No	2023-10-19 00:00:00	None	B	None	3000	9000	0	0	9000	None	Z10H11	N	CA00855882	A	SFY2023-24
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-03 00:00:00	950019222	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-09-13 00:00:00	2023-09-13 00:00:00	No	2023-10-24 00:00:00	None	B	None	3000	3000	0	3000	0	None	WV4Q11	N	CA00860769	B	SFY2023-24
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-11 00:00:00	950019243	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-16 00:00:00	2023-08-16 00:00:00	No	2023-11-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	NFBR11	N	CA00856380	B	SFY2023-24
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-11 00:00:00	950019244	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-16 00:00:00	2023-08-16 00:00:00	No	2023-11-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	NFBR11	N	CA00856380	B	SFY2023-24
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-11 00:00:00	950019245	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-08-16 00:00:00	2023-08-16 00:00:00	No	2023-11-01 00:00:00	None	AA	None	120000	120000	0	0	120000	None	NFBR11	Y	CA00857259, CA00857259, CA00857259	A, A, A	SFY2023-24
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-11 00:00:00	950019247	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-16 00:00:00	2023-08-16 00:00:00	No	2023-11-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	NFBR11	N	CA00856398, CA00856398	B, B	SFY2023-24
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-12 00:00:00	950019255	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-24 00:00:00	2023-08-24 00:00:00	No	2023-11-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	9VGD11	N	CA00857683, CA00858505	B, B	SFY2023-24
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-14 00:00:00	950019261	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2023-08-30 00:00:00	2023-08-30 00:00:00	No	2023-11-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7P2B11	N	CA00856903, CA00856903, CA00856903, CA00856903	B, B, B, B	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-19 00:00:00	950019271	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-24 00:00:00	2023-08-24 00:00:00	No	2023-11-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7R1Z11	N	CA00857171, CA00859724	B, B	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-19 00:00:00	950019276	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2023-08-25 00:00:00	2023-08-25 00:00:00	No	2023-11-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7R1Z11	N	CA00858050, CA00858138	A, B	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-19 00:00:00	950019277	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-03 00:00:00	2023-09-03 00:00:00	No	2023-11-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	89NR11	N	CA00859261, CA00859261	A, A	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-19 00:00:00	950019278	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-24 00:00:00	2023-08-24 00:00:00	No	2023-11-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7R1Z11	N	CA00857171, CA00859724	B, B	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-19 00:00:00	950019281	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-14 00:00:00	2023-07-14 00:00:00	No	2023-11-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	85YI11	N	CA00859485, CA00859485	A, A	SFY2023-24
940000015	THE ORCHARD - POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-19 00:00:00	950019283	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-12 00:00:00	2023-08-12 00:00:00	Yes	2023-11-09 00:00:00	2023-11-08 00:00:00	A	None	20000	20000	0	0	20000	None	G9H511	Y	CA00856555, CA00856555, CA00856555, CA00856555, CA00856555, CA00856555	A, A, A, A, A, A	SFY2023-24
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-25 00:00:00	950019295	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2023-09-12 00:00:00	2023-09-12 00:00:00	No	2023-11-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	V2XP11	N	CA00857956, CA00857956	B, B	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-26 00:00:00	950019296	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-27 00:00:00	2023-08-27 00:00:00	No	2023-11-17 00:00:00	None	B	None	3000	3000	0	3000	0	None	DVM211	N	CA00857901, CA00857901, CA00858191, CA00858191	B, B, B, B	SFY2023-24
970000176	TWO PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-26 00:00:00	950019299	Closed	Citation	Citation B (HSC 1424)	Other	PropertyMisappropriation	2023-08-23 00:00:00	2023-08-23 00:00:00	No	2023-11-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	18ZR11	Y	CA00858552	B	SFY2023-24
950000068	LAUREL PARK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-26 00:00:00	950019305	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-09-17 00:00:00	2023-09-17 00:00:00	No	2023-11-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3JYL11	N	CA00861070	B	SFY2023-24
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-27 00:00:00	950019310	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-08-30 00:00:00	2023-08-30 00:00:00	No	2023-11-20 00:00:00	None	A	None	20000	20000	0	20000	0	None	LNX311	N	CA00859143, CA00859327	B, A	SFY2023-24
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-27 00:00:00	950019311	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-09-16 00:00:00	2023-09-16 00:00:00	No	2023-11-20 00:00:00	None	B	None	3000	3000	0	3000	0	None	81G311	N	CA00862424	B	SFY2023-24
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-27 00:00:00	950019312	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-16 00:00:00	2023-09-16 00:00:00	No	2023-11-20 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	81G311	N	CA00862424, CA00863374	B, B	SFY2023-24
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-27 00:00:00	950019313	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-30 00:00:00	2023-08-30 00:00:00	No	2023-11-20 00:00:00	None	B	None	3000	3050	0	3000	50	None	LNX311	N	CA00859143, CA00859327	B, A	SFY2023-24
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-27 00:00:00	950019315	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-03-16 00:00:00	2023-03-16 00:00:00	No	2023-11-20 00:00:00	None	A	None	25000	25000	0	0	25000	None	2TPG11	N	CA00860791, CA00860791, CA00860791, CA00860791	A, A, A, A	SFY2023-24
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-02 00:00:00	950019331	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-05 00:00:00	2023-09-05 00:00:00	No	2023-11-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DQLI11	N	CA00861116, CA00861598	A, A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-09 00:00:00	950019348	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-22 00:00:00	2023-09-22 00:00:00	No	2023-12-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VPX411	N	CA00861581, CA00861581, CA00861581, CA00861581	A, A, A, A	SFY2023-24
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-09 00:00:00	950019351	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-09-23 00:00:00	2023-09-23 00:00:00	No	2023-12-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	LDJ511	N	CA00862405, CA00862596, CA00862596, CA00862596, CA00862596, CA00862596	A, A, A, A, A, A	SFY2023-24
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-09 00:00:00	950019353	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-09-23 00:00:00	2023-09-23 00:00:00	No	2023-12-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	LDJ511	N	CA00862405, CA00862596, CA00862596, CA00862596, CA00862596, CA00862596	A, A, A, A, A, A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-14 00:00:00	950019363	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-21 00:00:00	2023-09-21 00:00:00	No	2023-12-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DUNI11	N	CA00861979, CA00861979, CA00861979, CA00861988, CA00861988, CA00861988	B, B, B, B, B, B	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-15 00:00:00	950019372	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-03-20 00:00:00	2023-03-20 00:00:00	No	2023-12-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	XJO111	N	CA00862285	A	SFY2023-24
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-15 00:00:00	950019374	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-10-10 00:00:00	2023-10-10 00:00:00	No	2023-12-08 00:00:00	None	A	None	25000	25000	0	25000	0	None	QNH211	N	None	None	SFY2023-24
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-22 00:00:00	950019397	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-07 00:00:00	2023-10-07 00:00:00	No	2023-12-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	4IO611	N	CA00864314	A	SFY2023-24
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-22 00:00:00	950019398	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-07 00:00:00	2023-10-07 00:00:00	No	2023-12-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4IO611	N	CA00864314	A	SFY2023-24
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-30 00:00:00	950019426	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-11-08 00:00:00	2023-11-08 00:00:00	No	2023-12-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	752Q11	N	CA00869386, CA00869586	A, B	SFY2023-24
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-01 00:00:00	950019434	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-04 00:00:00	2023-10-04 00:00:00	No	2023-12-22 00:00:00	None	B	None	3000	3000	0	3000	0	None	X1II11	N	None	None	SFY2023-24
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-05 00:00:00	950019440	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-28 00:00:00	2023-08-28 00:00:00	No	2023-12-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VMBG11	N	CA00866692	A	SFY2023-24
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-07 00:00:00	950019451	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-09 00:00:00	2023-10-09 00:00:00	No	2023-12-29 00:00:00	None	B	None	3000	3000	0	3000	0	None	9SG311	N	CA00864805	B	SFY2023-24
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-08 00:00:00	950019459	Closed	Citation	Citation B (HSC 1424)	Other	Rehab Services Physician	2023-10-14 00:00:00	2023-10-14 00:00:00	No	2024-01-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	9CYS11	N	CA00865871, CA00865871	B, B	SFY2023-24
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-12 00:00:00	950019466	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-17 00:00:00	2023-10-17 00:00:00	No	2024-01-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3KJW11	N	CA00866067	B	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-12 00:00:00	950019470	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-05-11 00:00:00	2023-05-11 00:00:00	No	2024-01-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	FVY011	N	CA00868350	A	SFY2023-24
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-14 00:00:00	950019492	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-10-20 00:00:00	2023-10-20 00:00:00	No	2024-01-05 00:00:00	None	B	None	3000	3000	0	3000	0	None	C5K711	N	CA00866614	B	SFY2023-24
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-15 00:00:00	950019494	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-10-31 00:00:00	2023-10-31 00:00:00	No	2024-01-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	FV1811	N	CA00868276	A	SFY2023-24
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-18 00:00:00	950019505	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-11-26 00:00:00	2023-11-26 00:00:00	No	2024-01-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8X5R11	N	CA00871707, CA00871707, CA00871707	B, B, B	SFY2023-24
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-19 00:00:00	950019507	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-10-22 00:00:00	2023-10-22 00:00:00	No	2024-01-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	YWBQ11	N	CA00866519	B	SFY2023-24
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-19 00:00:00	950019510	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-21 00:00:00	2023-10-21 00:00:00	No	2024-01-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	R1L311	N	CA00867018, CA00867018	B, B	SFY2023-24
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-19 00:00:00	950019512	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-17 00:00:00	2023-10-17 00:00:00	No	2024-01-10 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	E1E711	N	CA00867215, CA00867215, CA00868099, CA00868099, CA00868277, CA00868277, CA00868329, CA00868329	B, B, B, B, B, B, B, B	SFY2023-24
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-22 00:00:00	950019525	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-09 00:00:00	2023-11-09 00:00:00	No	2024-01-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	4GGQ11	N	CA00869560	A	SFY2023-24
950000056	DEL MAR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-26 00:00:00	950019526	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-12-08 00:00:00	2023-12-08 00:00:00	No	2024-01-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JVHC21	N	CA00873888, CA00874466	A, A	SFY2023-24
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-27 00:00:00	950019529	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-11-15 00:00:00	2023-11-15 00:00:00	No	2024-01-17 00:00:00	None	B	None	3000	3000	0	3000	0	None	OPEU11	N	CA00870381	A	SFY2023-24
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-29 00:00:00	950019548	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-08 00:00:00	2023-05-08 00:00:00	No	2024-01-19 00:00:00	None	B	None	3000	3000	0	3000	0	None	9JY211	N	CA00870405, CA00870405	B, B	SFY2023-24
970000169	HERITAGE MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-02 00:00:00	950019556	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-11-21 00:00:00	2023-11-21 00:00:00	No	2024-01-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OWOP11	N	CA00870237	B	SFY2023-24
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-05 00:00:00	950019574	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-11-21 00:00:00	2023-11-21 00:00:00	No	2024-01-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	PR7K11	N	CA00870989	A	SFY2023-24
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-11 00:00:00	950019590	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-12-27 00:00:00	2023-12-27 00:00:00	No	2024-02-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	6VJZ11	N	None	None	SFY2023-24
950000014	COVINA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-12 00:00:00	950019597	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-22 00:00:00	2023-11-22 00:00:00	No	2024-02-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WS2H11	N	CA00869891, CA00869891	B, B	SFY2023-24
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-19 00:00:00	950019613	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-12-01 00:00:00	2023-12-01 00:00:00	Yes	2024-02-09 00:00:00	2024-01-31 00:00:00	AA	None	120000	120000	0	0	120000	None	DPQV11	Y	CA00872691, CA00873769	A, A	SFY2023-24
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-17 00:00:00	950019614	Closed	Citation	Citation B (HSC 1424)	Other	Free from accident hazard	2023-12-02 00:00:00	2023-12-02 00:00:00	No	2024-02-07 00:00:00	None	B	None	3000	3000	0	3000	0	None	E0UK11	N	CA00872422, CA00872956	A, A	SFY2023-24
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-19 00:00:00	950019615	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-12-14 00:00:00	2023-12-17 00:00:00	No	2024-02-09 00:00:00	None	B	None	3000	3150	-1050	2100	0	None	CU7411	N	CA00874872, CA00874872	A, A	SFY2023-24
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-19 00:00:00	950019617	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-30 00:00:00	2023-11-30 00:00:00	No	2024-02-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	PTEU11	N	CA00872510	A	SFY2023-24
950000103	EASTLAND SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-19 00:00:00	950019618	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-03 00:00:00	2023-12-03 00:00:00	Yes	2024-02-09 00:00:00	2024-01-29 00:00:00	A	None	25000	25000	0	0	25000	None	E00H11	Y	CA00872709, CA00872709	A, A	SFY2023-24
950000029	VALLEY VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-19 00:00:00	950019621	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-18 00:00:00	2023-10-18 00:00:00	No	2024-02-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	6TBO11	N	CA00871258, CA00871258, CA00871258, CA00871258, CA00871258	B, B, B, B, B	SFY2023-24
950000068	LAUREL PARK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-26 00:00:00	950019646	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-17 00:00:00	2023-08-17 00:00:00	No	2024-02-16 00:00:00	None	B	None	3000	3000	0	3000	0	None	1KYE11	N	None	None	SFY2023-24
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-26 00:00:00	950019653	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-24 00:00:00	2023-11-24 00:00:00	No	2024-02-16 00:00:00	None	A	None	25000	25000	0	25000	0	None	HQWZ11	N	CA00872067, CA00872067	B, B	SFY2023-24
970000105	ARARAT POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-02 00:00:00	950019675	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-10-29 00:00:00	2023-10-29 00:00:00	Yes	2024-02-26 00:00:00	2024-02-09 00:00:00	AA	None	120000	120000	0	0	120000	None	PF8D11	Y	None	None	SFY2023-24
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-02 00:00:00	950019684	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-10-31 00:00:00	2023-10-31 00:00:00	No	2024-02-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	5LGY11	N	CA00872426	B	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-07 00:00:00	950019699	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/Investigation w/out	2023-12-28 00:00:00	2023-12-28 00:00:00	No	2024-02-28 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	TDUO11	N	CA00877396, CA00877396, CA00877396	A, A, A	SFY2023-24
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-07 00:00:00	950019705	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-21 00:00:00	2023-12-21 00:00:00	No	2024-02-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	762D11	N	CA00875819, CA00875819	A, A	SFY2023-24
920000021	BROADWAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-07 00:00:00	950019708	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-11 00:00:00	2023-12-11 00:00:00	No	2024-02-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	AVGT11	N	CA00875484	B	SFY2023-24
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-08 00:00:00	950019717	Open	Citation	Citation B (HSC 1424)	Administration	None	2024-01-10 00:00:00	2024-01-10 00:00:00	No	2024-02-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	O32U11	N	CA00879127	B	SFY2023-24
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-13 00:00:00	950019737	Closed	Citation	Citation B (HSC 1424)	Other	Nursing Services	2024-01-02 00:00:00	2024-01-02 00:00:00	No	2024-03-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	V7E911	N	CA00877793, CA00877793, CA00877793	B, B, B	SFY2023-24
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-14 00:00:00	950019739	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-23 00:00:00	2023-11-23 00:00:00	No	2024-03-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KTCZ11	N	CA00877037, CA00877037, CA00877402, CA00877402, CA00877402	A, A, A, A, A	SFY2023-24
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-15 00:00:00	950019741	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2023-12-20 00:00:00	2023-12-20 00:00:00	No	2024-03-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2BSZ11	N	CA00875987	B	SFY2023-24
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-15 00:00:00	950019743	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-12-25 00:00:00	2023-12-28 00:00:00	No	2024-03-07 00:00:00	None	B	None	3000	3150	-1050	1982.5	117.5	None	2BSZ11	N	CA00876647, CA00876825	A, B	SFY2023-24
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-15 00:00:00	950019749	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-26 00:00:00	2023-12-26 00:00:00	No	2024-03-07 00:00:00	None	B	None	3000	3000	0	3000	0	None	7ILP11	N	None	None	SFY2023-24
970000105	ARARAT POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-15 00:00:00	950019750	Open	Citation	Citation B (HSC 1424)	Administration	None	2023-12-21 00:00:00	2023-12-21 00:00:00	No	2024-03-07 00:00:00	None	B	None	3000	3000	0	3000	0	None	1WU511	N	CA00882005	B	SFY2023-24
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-15 00:00:00	950019752	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-26 00:00:00	2023-12-26 00:00:00	No	2024-03-07 00:00:00	None	B	None	3000	3000	0	3000	0	None	7ILP11	N	CA00876702, CA00876702	B, B	SFY2023-24
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-17 00:00:00	950019759	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-12-26 00:00:00	2023-12-28 00:00:00	No	2024-03-08 00:00:00	None	B	None	3000	3100	-1050	2050	0	None	CWT811	N	CA00876852, CA00876852	A, A	SFY2023-24
950000045	ARCADIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-21 00:00:00	950019761	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-02 00:00:00	2024-01-02 00:00:00	No	2024-03-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	URUY11	N	CA00877983, CA00877983	B, B	SFY2023-24
940000019	WHITTIER HILLS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-22 00:00:00	950019769	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-29 00:00:00	2023-04-29 00:00:00	No	2024-03-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OI2R11	N	None	None	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-27 00:00:00	950019785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-19 00:00:00	2023-11-19 00:00:00	No	2024-03-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	1HFW11	N	CA00878069	B	SFY2023-24
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-06 00:00:00	950019828	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-18 00:00:00	2024-01-18 00:00:00	No	2024-03-27 00:00:00	None	B	None	3000	3000	0	3000	0	None	3W1111	N	CA00880300, CA00880300, CA00880300	A, A, A	SFY2023-24
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-06 00:00:00	950019832	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-03 00:00:00	2024-02-03 00:00:00	No	2024-03-27 00:00:00	None	B	None	2000	6000	0	6000	0	None	DILQ11	N	CA00883256	B	SFY2023-24
940000116	WHITTIER PACIFIC CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-07 00:00:00	950019841	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-01-25 00:00:00	2024-01-25 00:00:00	No	2024-03-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KRX011	N	None	None	SFY2023-24
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-11 00:00:00	950019848	Closed	Citation	Citation B (HSC 1424)	Administration	None	2024-01-14 00:00:00	2024-01-14 00:00:00	No	2024-04-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	P2H211	N	CA00880665	B	SFY2023-24
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-12 00:00:00	950019860	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-12 00:00:00	2023-12-12 00:00:00	Yes	2024-04-03 00:00:00	2024-03-18 00:00:00	A	None	25000	25000	0	0	25000	None	RU6Y11	N	CA00879536, CA00879536	B, B	SFY2023-24
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-13 00:00:00	950019861	Open	Citation	Citation B (HSC 1424)	Medication	None	2024-01-24 00:00:00	2024-01-24 00:00:00	No	2024-04-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	9FVG11	N	None	None	SFY2023-24
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-13 00:00:00	950019862	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-31 00:00:00	2023-12-31 00:00:00	No	2024-04-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	2NPH11	N	None	None	SFY2023-24
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-13 00:00:00	950019865	Open	Citation	Citation B (HSC 1424)	Medication	None	2024-01-22 00:00:00	2024-01-22 00:00:00	No	2024-04-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	9FVG11	N	None	None	SFY2023-24
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-15 00:00:00	950019872	Open	Citation	Citation B (HSC 1424)	Other	ENVIRONMENTAL CONDITION	2024-02-06 00:00:00	2024-02-06 00:00:00	No	2024-04-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VNQU11	N	None	None	SFY2023-24
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-15 00:00:00	950019873	Open	Citation	Citation B (HSC 1424)	Other	Dietary	2024-02-06 00:00:00	2024-02-06 00:00:00	No	2024-04-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VNQU11	N	None	None	SFY2023-24
950000019	ROYAL VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-18 00:00:00	950019878	Open	Citation	Citation B (HSC 1424)	Other	Patient Safety Elopement	2024-01-30 00:00:00	2024-01-30 00:00:00	No	2024-04-08 00:00:00	None	B	None	3000	3000	0	3000	0	None	E13311	N	CA00881836, CA00881836, CA00882849, CA00882849	B, B, A, A	SFY2023-24
920000017	GLENOAKS CONV. HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-21 00:00:00	950019892	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-14 00:00:00	2024-02-14 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	G0OF11	N	CA00884888	B	SFY2023-24
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-22 00:00:00	950019897	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-24 00:00:00	2024-01-24 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	68TQ11	N	CA00883198, CA00883198, CA00883198	A, A, A	SFY2023-24
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-22 00:00:00	950019898	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-04-29 00:00:00	2023-04-29 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	B6Y811	N	None	None	SFY2023-24
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-22 00:00:00	950019899	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-12-08 00:00:00	2023-12-08 00:00:00	No	2024-04-12 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	MCZ211	Y	CA00883846, CA00883846	A, A	SFY2023-24
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-22 00:00:00	950019903	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-07 00:00:00	2024-02-07 00:00:00	No	2024-04-12 00:00:00	None	B	None	1500	4500	-1575	2925	0	None	5QE611	N	CA00883961	B	SFY2023-24
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-26 00:00:00	950019911	Closed	Citation	Citation B (HSC 1424)	Administration	None	2024-02-01 00:00:00	2024-02-01 00:00:00	No	2024-04-17 00:00:00	None	B	None	3000	3000	0	3000	0	None	G48B11	N	CA00885345	A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-27 00:00:00	950019913	Closed	Citation	Citation B (HSC 1424)	Other	Quality of Care	2024-02-12 00:00:00	2024-02-12 00:00:00	No	2024-04-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	E42611	N	CA00882133, CA00882133, CA00882375, CA00882375	B, B, B, B	SFY2023-24
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-27 00:00:00	950019918	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-10 00:00:00	2024-02-10 00:00:00	No	2024-04-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	NH6011	N	CA00884518	A	SFY2023-24
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-27 00:00:00	950019920	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-29 00:00:00	2024-01-29 00:00:00	No	2024-04-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VNQU11	N	None	None	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-29 00:00:00	950019928	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-12 00:00:00	2024-02-12 00:00:00	No	2024-04-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	LZJL11	N	CA00885266	A	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-29 00:00:00	950019934	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-11 00:00:00	2024-02-11 00:00:00	No	2024-04-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	LZJL11	N	CA00885073	A	SFY2023-24
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-29 00:00:00	950019937	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2024-03-15 00:00:00	2024-03-15 00:00:00	No	2024-04-22 00:00:00	None	B	None	2000	2850	0	2850	0	None	RND511	N	CA00889986	B	SFY2023-24
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-29 00:00:00	950019938	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2024-03-15 00:00:00	2024-03-15 00:00:00	No	2024-04-22 00:00:00	None	B	None	2000	2850	0	2850	0	None	RND511	N	CA00889986, CA00889986	B, B	SFY2023-24
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-03 00:00:00	950019951	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-21 00:00:00	2024-02-21 00:00:00	No	2024-04-24 00:00:00	None	B	None	3000	3000	0	0	3000	None	RUUZ11	N	None	None	SFY2023-24
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-04 00:00:00	950019952	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-01 00:00:00	2024-02-01 00:00:00	No	2024-04-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	PXJ011	N	None	None	SFY2023-24
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-04 00:00:00	950019955	Open	Citation	Citation B (HSC 1424)	Dietary	Food & Nutrition	2024-02-05 00:00:00	2024-02-05 00:00:00	No	2024-04-25 00:00:00	None	B	None	3000	3000	0	0	3000	None	RUUZ11	N	None	None	SFY2023-24
950000103	EASTLAND SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-04 00:00:00	950019963	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-20 00:00:00	2024-01-20 00:00:00	No	2024-04-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8X8S11	N	CA00885443, CA00885443, CA00885443, CA00885443	A, A, A, A	SFY2023-24
950000068	LAUREL PARK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-05 00:00:00	950019968	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-15 00:00:00	2024-02-15 00:00:00	No	2024-04-26 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	0UY111	N	CA00885309	B	SFY2023-24
940000116	WHITTIER PACIFIC CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-10 00:00:00	950019981	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-16 00:00:00	2024-02-16 00:00:00	No	2024-05-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	0QDN11	N	CA00885616, CA00885635, CA00885635, CA00885746, CA00885746	B, B, B, B, B	SFY2023-24
950000038	ROSEMEAD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-12 00:00:00	950020000	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-19 00:00:00	2024-02-19 00:00:00	No	2024-05-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8QVT11	N	CA00885794	B	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-18 00:00:00	950020032	Closed	Citation	Citation B (HSC 1424)	Administration	None	2024-02-08 00:00:00	2024-02-08 00:00:00	No	2024-05-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	J1R511	N	CA00887819, CA00887819, CA00887819, CA00888379, CA00888379, CA00888379, CA00888426, CA00888426, CA00888485, CA00888485	A, A, A, B, B, B, B, B, A, A	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-18 00:00:00	950020033	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-06 00:00:00	2024-03-06 00:00:00	No	2024-05-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EZUN11	N	CA00888356	B	SFY2023-24
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-18 00:00:00	950020036	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-24 00:00:00	2024-02-24 00:00:00	No	2024-05-09 00:00:00	None	A	None	10000	30000	0	30000	0	None	HBIU11	N	CA00886684	B	SFY2023-24
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-18 00:00:00	950020037	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-25 00:00:00	2024-02-25 00:00:00	No	2024-05-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ET5A11	N	None	None	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-19 00:00:00	950020038	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-03 00:00:00	2024-03-03 00:00:00	No	2024-05-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	C01Q11	N	CA00887768	A	SFY2023-24
950000044	WEST HAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-23 00:00:00	950020052	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-10 00:00:00	2024-03-10 00:00:00	No	2024-05-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4MIE11	N	CA00888230, CA00888230, CA00888230	B, B, B	SFY2023-24
950000063	THE GARDENS OF EL MONTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-24 00:00:00	950020059	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-15 00:00:00	2024-03-15 00:00:00	No	2024-05-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CDB611	N	None	None	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-25 00:00:00	950020062	Open	Citation	Citation B (HSC 1424)	Administration	None	2024-03-12 00:00:00	2024-03-12 00:00:00	No	2024-05-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	XDIZ11	N	None	None	SFY2023-24
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-25 00:00:00	950020066	Open	Citation	Citation B (HSC 1424)	Medication	None	2024-03-14 00:00:00	2024-03-14 00:00:00	No	2024-05-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VIX111	N	CA00891825, CA00891825, CA00891825	A, A, A	SFY2023-24
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-26 00:00:00	950020074	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-01 00:00:00	2024-03-01 00:00:00	No	2024-05-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	NCSW11	N	CA00887807, CA00887807	B, B	SFY2023-24
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-26 00:00:00	950020075	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-01 00:00:00	2024-03-01 00:00:00	No	2024-05-17 00:00:00	None	B	None	3000	3000	0	3000	0	None	NCSW11	N	CA00886750	B	SFY2023-24
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-02 00:00:00	950020098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-10 00:00:00	2024-03-10 00:00:00	No	2024-05-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	7BNB11	N	CA00889145	A	SFY2023-24
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-02 00:00:00	950020101	Open	Citation	Citation B (HSC 1424)	Other	Pharmaceutical Service	2024-03-01 00:00:00	2024-03-01 00:00:00	No	2024-05-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QI6Q11	N	CA00888152	B	SFY2023-24
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-02 00:00:00	950020104	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-14 00:00:00	2024-02-14 00:00:00	No	2024-05-23 00:00:00	None	B	None	2500	7500	-2625	4875	0	None	T61P11	N	CA00890434	A	SFY2023-24
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-03 00:00:00	950020117	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2024-03-09 00:00:00	2024-03-09 00:00:00	No	2024-05-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	V9GU11	N	CA00891591	A	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-10 00:00:00	950020148	Open	Citation	Citation B (HSC 1424)	Other	Nursing Service	2024-03-21 00:00:00	2024-03-21 00:00:00	No	2024-06-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4O3J11	N	None	None	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-10 00:00:00	950020167	Open	Citation	Citation B (HSC 1424)	Administration	None	2024-01-22 00:00:00	2024-01-22 00:00:00	No	2024-06-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4O3J11	N	CA00891597	A	SFY2023-24
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-10 00:00:00	950020169	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-22 00:00:00	2024-01-22 00:00:00	No	2024-06-03 00:00:00	None	A	None	60000	60000	-21000	39000	0	None	4O3J11	Y	CA00891597	A	SFY2023-24
950000022	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-10 00:00:00	950020171	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-18 00:00:00	2024-03-18 00:00:00	No	2024-06-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QY6E11	N	CA00890190, CA00890490	A, A	SFY2023-24
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-14 00:00:00	950020181	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-03-31 00:00:00	2024-03-31 00:00:00	No	2024-06-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KR5411	N	CA00892387	A	SFY2023-24
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-15 00:00:00	950020185	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-04-01 00:00:00	2024-04-01 00:00:00	No	2024-06-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	BT0B11	N	CA00892449	A	SFY2023-24
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-15 00:00:00	950020192	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-29 00:00:00	2024-03-29 00:00:00	No	2024-06-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KS3T11	N	CA00892403	A	SFY2023-24
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-17 00:00:00	950020199	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-30 00:00:00	2024-03-30 00:00:00	No	2024-06-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	6TG511	N	CA00892444	B	SFY2023-24
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-23 00:00:00	950020227	Closed	Citation	Citation B (HSC 1424)	Other	Nursing Service	2024-03-24 00:00:00	2024-03-24 00:00:00	No	2024-06-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	1D6B11	N	CA00891796	B	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-24 00:00:00	950020228	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2024-04-12 00:00:00	2024-04-12 00:00:00	Yes	2024-06-17 00:00:00	2024-06-07 00:00:00	AA	None	120000	120000	0	0	120000	None	5O3211	Y	CA00892812, CA00892812, CA00893587, CA00893587, CA00894512, CA00894512, CA00894820, CA00894820, CA00894820	B, B, A, A, A, A, A, A, A	SFY2023-24
970000169	HERITAGE MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-24 00:00:00	950020235	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-08 00:00:00	2024-02-08 00:00:00	No	2024-06-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	95DV11	N	None	None	SFY2023-24
950000260	ROYAL OAKS MANOR - BRADBURY OAKS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-28 00:00:00	950020239	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-03-29 00:00:00	2024-03-29 00:00:00	No	2024-06-18 00:00:00	None	A	None	20000	20000	0	0	20000	None	Z0UL11	N	CA00892494	B	SFY2023-24
950000063	THE GARDENS OF EL MONTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-29 00:00:00	950020240	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-04-15 00:00:00	2024-04-15 00:00:00	No	2024-06-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	5RIZ11	N	CA00894874, CA00894874, CA00894874, CA00894874	A, A, A, A	SFY2023-24
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-31 00:00:00	950020247	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-11 00:00:00	2024-04-11 00:00:00	No	2024-06-21 00:00:00	None	B	None	3000	3000	0	0	3000	None	085211	N	CA00894573, CA00894573, CA00894790, CA00894790	A, A, A, A	SFY2023-24
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-31 00:00:00	950020248	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-04-11 00:00:00	2024-04-11 00:00:00	No	2024-06-21 00:00:00	None	B	None	3000	3000	0	0	3000	None	085211	N	CA00894573, CA00894790	A, A	SFY2023-24
950000040	COUNTRY OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-31 00:00:00	950020249	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-04-17 00:00:00	2024-04-17 00:00:00	No	2024-06-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	39D211	N	CA00892882	B	SFY2023-24
950000101	ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-31 00:00:00	950020254	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2024-04-17 00:00:00	2024-04-17 00:00:00	Yes	2024-06-21 00:00:00	2024-06-12 00:00:00	AA	None	120000	120000	0	0	120000	None	OFYG11	Y	CA00895525	A	SFY2023-24
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-03 00:00:00	950020258	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2024-04-19 00:00:00	2024-04-19 00:00:00	No	2024-06-24 00:00:00	None	AA	None	120000	120000	-42000	78000	0	None	10YV11	Y	CA00896040	A	SFY2023-24
970000081	LEISURE GLEN POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-05 00:00:00	950020262	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-14 00:00:00	2024-04-14 00:00:00	No	2024-06-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ZM2O11	N	CA00894834, CA00894834, CA00895544, CA00895544, CA00895544	B, B, A, A, A	SFY2023-24
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-05 00:00:00	950020266	Open	Citation	Citation B (HSC 1424)	Other	Transfer and discharge	2024-04-11 00:00:00	2024-04-11 00:00:00	No	2024-06-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Q8JP11	N	CA00896485	A	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-05 00:00:00	950020268	Open	Citation	Citation B (HSC 1424)	Other	Nursing Services	2024-04-30 00:00:00	2024-04-30 00:00:00	No	2024-06-26 00:00:00	None	B	None	3000	3000	0	0	3000	None	K9II11	N	CA00898079	B	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-05 00:00:00	950020269	Open	Citation	Citation B (HSC 1424)	Administration	None	2024-04-30 00:00:00	2024-04-30 00:00:00	No	2024-06-26 00:00:00	None	B	None	3000	3000	0	0	3000	None	K9II11	N	CA00898079, CA00898079	B, B	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-06 00:00:00	950020281	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-16 00:00:00	2024-04-16 00:00:00	No	2024-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	5ZF711	N	CA00895317, CA00895317, CA00896156, CA00896156, CA00896156, CA00896498, CA00896498	A, A, A, A, A, A, A	SFY2023-24
950000036	OLIVE VISTA BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-06 00:00:00	950020283	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-05-19 00:00:00	2024-05-19 00:00:00	No	2024-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2O6811	N	CA00900990	A	SFY2023-24
950000009	GLENDORA GRAND, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-07 00:00:00	950020285	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-24 00:00:00	2024-04-24 00:00:00	No	2024-06-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	10YV11	N	CA00896867	B	SFY2023-24
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-07 00:00:00	950020288	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-04-10 00:00:00	2024-04-10 00:00:00	Yes	2024-06-28 00:00:00	2024-06-13 00:00:00	A	None	25000	25000	0	0	25000	None	TBUP11	N	CA00894185	B	SFY2023-24
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-07 00:00:00	950020289	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-24 00:00:00	2024-04-24 00:00:00	No	2024-06-28 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	9A1E11	N	CA00896832, CA00896832	B, B	SFY2023-24
950000044	WEST HAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-12 00:00:00	950020308	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-05-01 00:00:00	2024-05-01 00:00:00	No	2024-07-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	KU9O11	N	CA00897922, CA00897922, CA00897922	A, A, A	SFY2023-24
950000060	ROYAL TERRACE HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-13 00:00:00	950020318	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-08 00:00:00	2024-04-08 00:00:00	No	2024-07-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2DC411	N	CA00894668	B	SFY2023-24
950000052	CASA BONITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-17 00:00:00	950020329	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2024-06-17 00:00:00	2024-06-17 00:00:00	No	2024-07-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	1BBC11	N	CA00903061, CA00903061	B, B	SFY2023-24
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-18 00:00:00	950020337	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2024-04-17 00:00:00	2024-04-17 00:00:00	No	2024-07-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ESS711	N	CA00896338	B	SFY2023-24
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-21 00:00:00	950020340	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2024-04-12 00:00:00	2024-04-12 00:00:00	Yes	2024-07-15 00:00:00	2024-06-27 00:00:00	AA	None	100000	100000	0	0	100000	None	ORRL11	Y	CA00895969	B	SFY2023-24
950000066	LANDMARK MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-20 00:00:00	950020341	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-05-19 00:00:00	2024-05-19 00:00:00	No	2024-07-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4EQS11	N	CA00900710	A	SFY2023-24
960001459	EL ENCANTO HEALTHCARE & HABILIATION CTR D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-04 00:00:00	960000820	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-12-22 00:00:00	None	Yes	2000-01-26 00:00:00	2000-01-13 00:00:00	A	A	10000	9000	0	9000	0	960006783	A99999	N	None	None	SFY1999-00
960001718	NEW HORIZONS C	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-04 00:00:00	960000821	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-12-01 00:00:00	None	Yes	2000-01-26 00:00:00	2001-02-20 00:00:00	A	A	5000	3500	0	3500	0	960006784	A99999	N	None	None	SFY1999-00
960000872	ROSE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-06 00:00:00	960000822	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-30 00:00:00	None	Yes	2000-01-28 00:00:00	2000-01-06 00:00:00	B	None	900	900	0	900	0	960006794	A99999	N	None	None	SFY1999-00
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-13 00:00:00	960000823	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-13 00:00:00	None	Yes	2001-02-20 00:00:00	2001-05-15 00:00:00	B	B	600	600	0	600	0	960006809	A99999	N	None	None	SFY1999-00
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-13 00:00:00	960000824	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-13 00:00:00	None	Yes	2001-02-20 00:00:00	2001-05-15 00:00:00	B	B	600	600	0	600	0	960006810	A99999	N	None	None	SFY1999-00
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-18 00:00:00	960000825	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-22 00:00:00	None	Yes	2001-05-09 00:00:00	2000-02-04 00:00:00	A	A	5000	5000	0	5000	0	960006819	A99999	N	None	None	SFY1999-00
960001043	PHOENIX DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-21 00:00:00	960000826	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-29 00:00:00	None	No	2000-02-17 00:00:00	None	B	None	1000	1000	-350	650	0	960006826	A99999	N	None	None	SFY1999-00
960001677	SPECIAL ADULT CARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-21 00:00:00	960000827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-03 00:00:00	None	No	2000-02-17 00:00:00	None	B	None	800	800	-280	520	0	960006827	A99999	N	None	None	SFY1999-00
960001977	REALITOS DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-24 00:00:00	960000828	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-20 00:00:00	None	Yes	2001-03-14 00:00:00	2000-01-24 00:00:00	B	B	600	600	0	600	0	960006833	A99999	N	None	None	SFY1999-00
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-28 00:00:00	960000829	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-27 00:00:00	None	No	2000-02-28 00:00:00	None	B	None	800	800	-280	520	0	960006839	A99999	N	None	None	SFY1999-00
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-31 00:00:00	960000830	Closed	Citation	Citation B (HSC 1424)	Other	ACTIVE TREATMENT	2000-01-12 00:00:00	None	No	2000-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	960006844	A99999	N	None	None	SFY1999-00
960000907	EDGEWOOD CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-02-16 00:00:00	960000831	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT	1999-08-10 00:00:00	None	Yes	2001-05-08 00:00:00	2001-05-15 00:00:00	B	B	1000	1000	0	1000	0	960006872	A99999	N	None	None	SFY1999-00
960001221	UNITED CARE HOMES, INC. - CAMWOOD	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-02-16 00:00:00	960000832	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-31 00:00:00	None	No	2000-03-09 00:00:00	None	B	None	700	700	-245	455	0	960006873	A99999	N	None	None	SFY1999-00
960001807	UNITED CARE HOMES-VALINDA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-02-17 00:00:00	960000833	Closed	Citation	Citation B (HSC 1424)	Other	CLIENTS' TRUST ACCTS	2000-02-01 00:00:00	None	No	2000-03-10 00:00:00	None	B	None	1000	1250	-350	900	0	960006881	A99999	N	None	None	SFY1999-00
960001150	CAMELOT DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-02-25 00:00:00	960000834	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-01 00:00:00	None	No	2000-03-17 00:00:00	None	B	None	600	600	-210	390	0	960006894	A99999	N	None	None	SFY1999-00
960001907	FAIRVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-14 00:00:00	960000835	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-23 00:00:00	None	No	2000-04-04 00:00:00	None	B	None	1000	3000	0	3000	0	960006924	A99999	N	None	None	SFY1999-00
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-15 00:00:00	960000836	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLECT	2000-02-15 00:00:00	None	Yes	2000-04-05 00:00:00	2000-03-30 00:00:00	B	Dismissed by Court	1000	0	0	0	0	960006930	A99999	N	None	None	SFY1999-00
960001898	EMILY CARE CENTER II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-15 00:00:00	960000837	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-08 00:00:00	None	No	2000-04-05 00:00:00	None	A	None	8000	8000	-2800	5200	0	960006927	A99999	N	None	None	SFY1999-00
960001071	MINUET DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-17 00:00:00	960000838	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-24 00:00:00	None	Yes	2001-04-04 00:00:00	2000-03-21 00:00:00	B	B	600	600	0	600	0	960006946	A99999	N	None	None	SFY1999-00
960002352	MATHARU ASSISTED LIVING #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-22 00:00:00	960000839	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-14 00:00:00	None	No	2000-04-12 00:00:00	None	B	None	500	500	-175	325	0	960006951	A99999	N	None	None	SFY1999-00
960001973	ROSCIEL'S HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-28 00:00:00	960000840	Closed	Citation	Citation A (HSC 1424)	Other	NEGLECT/PATIENT CARE	2000-03-07 00:00:00	None	Yes	2000-04-21 00:00:00	2000-04-18 00:00:00	A	A	10000	5000	0	5000	0	960006964	A99999	N	None	None	SFY1999-00
960002310	OCCIDENTAL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-28 00:00:00	960000841	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-04 00:00:00	None	Yes	2000-04-24 00:00:00	2000-04-04 00:00:00	B	None	500	500	0	500	0	960006967	A99999	N	None	None	SFY1999-00
960001973	ROSCIEL'S HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-28 00:00:00	960000842	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-07 00:00:00	None	Yes	2000-04-21 00:00:00	2000-04-17 00:00:00	B	B	1000	1000	-1000	0	0	960006970	A99999	N	None	None	SFY1999-00
960002399	VISTA DEL VALLE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-29 00:00:00	960000843	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-02-24 00:00:00	None	Yes	2001-05-09 00:00:00	2001-05-03 00:00:00	A	Dismissed by Court	6000	0	0	0	0	960006974	A99999	N	None	None	SFY1999-00
960002358	PATE & INGRAM HOME I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-29 00:00:00	960000844	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-05 00:00:00	None	No	2000-04-19 00:00:00	None	B	None	500	500	-175	325	0	960006975	A99999	N	None	None	SFY1999-00
960002316	FLORINDA STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-30 00:00:00	960000845	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-17 00:00:00	None	No	2000-04-20 00:00:00	None	B	None	800	800	0	800	0	960006950	A99999	N	None	None	SFY1999-00
960002308	BRIAN AVENUE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-04-05 00:00:00	960000846	Closed	Citation	Citation A (HSC 1424)	Medication	None	2000-03-09 00:00:00	None	Yes	2001-05-11 00:00:00	2001-05-15 00:00:00	A	A	10000	7500	0	7500	0	960006988	A99999	N	None	None	SFY1999-00
960001522	EMILY'S RESIDENTIAL CARE CENTER, LLC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-04-05 00:00:00	960000847	Closed	Citation	Citation A (HSC 1424)	Other	NEGLECT	2000-03-04 00:00:00	None	No	2000-05-02 00:00:00	None	A	None	10000	10000	-3500	6500	0	960006994	A99999	N	None	None	SFY1999-00
960001522	EMILY'S RESIDENTIAL CARE CENTER, LLC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-04-05 00:00:00	960000848	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-04 00:00:00	None	No	2000-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	960006995	A99999	N	None	None	SFY1999-00
960002308	BRIAN AVENUE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-04-12 00:00:00	960000849	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-10 00:00:00	None	Yes	2001-05-08 00:00:00	2001-05-15 00:00:00	B	B	1000	750	0	750	0	960007017	A99999	N	None	None	SFY1999-00
960001817	VIRGINIA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-04-20 00:00:00	960000850	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-12 00:00:00	None	No	2000-05-11 00:00:00	None	B	None	1000	1000	0	1000	0	960007046	A99999	N	None	None	SFY1999-00
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-04-26 00:00:00	960000851	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-19 00:00:00	None	Yes	2001-05-08 00:00:00	2000-05-16 00:00:00	B	B	700	700	0	700	0	960007058	A99999	N	None	None	SFY1999-00
960001050	HOLY INFANT HOME FOR CHILDREN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-04-27 00:00:00	960000852	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-12 00:00:00	None	No	2000-05-18 00:00:00	None	B	None	600	600	0	600	0	960007059	A99999	N	None	None	SFY1999-00
960002104	BIOLA DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-05-09 00:00:00	960000853	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-04-29 00:00:00	None	No	2000-05-31 00:00:00	None	A	None	6000	6000	-2100	3900	0	960007079	A99999	N	None	None	SFY1999-00
960001221	UNITED CARE HOMES, INC. - CAMWOOD	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-06-12 00:00:00	960000854	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-17 00:00:00	None	No	2000-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	960007134	A99999	N	None	None	SFY1999-00
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-06-16 00:00:00	960000855	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-19 00:00:00	None	No	2000-07-10 00:00:00	None	B	None	800	800	-280	520	0	960007143	A99999	N	None	None	SFY1999-00
960001694	ASTORIA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-06-30 00:00:00	960000856	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-10 00:00:00	None	No	2000-07-24 00:00:00	None	B	None	600	600	-210	390	0	960007167	A99999	N	None	None	SFY1999-00
960001898	EMILY CARE CENTER II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-07-06 00:00:00	960000857	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-12 00:00:00	None	No	2000-07-27 00:00:00	None	B	None	800	800	-280	520	0	960007168	A99999	N	None	None	SFY2000-01
960001306	OASIS HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-07-10 00:00:00	960000858	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-27 00:00:00	None	No	2000-07-31 00:00:00	None	B	None	500	500	0	500	0	960007180	A99999	N	None	None	SFY2000-01
960001306	OASIS HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-07-10 00:00:00	960000859	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-27 00:00:00	None	No	2000-07-31 00:00:00	None	B	None	850	850	0	850	0	960007180	A99999	N	None	None	SFY2000-01
960001351	CEDAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-07-11 00:00:00	960000860	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-06-30 00:00:00	2000-06-30 00:00:00	Yes	2000-08-01 00:00:00	2000-07-18 00:00:00	B	B	1000	1000	0	1000	0	960007182	A99999	N	None	None	SFY2000-01
960001366	SCHMIDT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-07-12 00:00:00	960000862	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2000-07-05 00:00:00	2000-07-05 00:00:00	No	2000-08-02 00:00:00	None	B	None	700	700	0	700	0	960007184	A99999	N	None	None	SFY2000-01
960001671	BRITTANY'S PLACE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-07-14 00:00:00	960000863	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-10 00:00:00	2000-07-11 00:00:00	No	2000-08-04 00:00:00	None	B	None	700	700	-245	455	0	960007189	A99999	N	None	None	SFY2000-01
960001677	SPECIAL ADULT CARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-07-21 00:00:00	960000864	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-10 00:00:00	None	No	2000-08-11 00:00:00	None	B	None	800	800	-280	520	0	960007195	A99999	N	None	None	SFY2000-01
960002312	GRAND AVENUE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-07-27 00:00:00	960000865	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-18 00:00:00	None	Yes	2001-05-09 00:00:00	2000-07-31 00:00:00	B	Dismissed by Court	600	0	0	0	0	960007200	A99999	N	None	None	SFY2000-01
960002312	GRAND AVENUE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-07-27 00:00:00	960000866	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-07-18 00:00:00	None	Yes	2001-05-29 00:00:00	2001-05-15 00:00:00	B	B	800	800	0	800	0	960007201	A99999	N	None	None	SFY2000-01
960002142	MATHARU ASSISTED LIVING #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-08-09 00:00:00	960000867	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-07 00:00:00	None	No	2000-08-30 00:00:00	None	B	None	800	800	-280	520	0	960007230	A99999	N	None	None	SFY2000-01
960000985	BERRYMAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-08-09 00:00:00	960000868	Closed	Citation	Citation B (HSC 1424)	Other	TRUST ACCOUNTS	2000-07-31 00:00:00	None	No	2000-08-30 00:00:00	None	B	None	800	1050	0	1050	0	960007233	A99999	N	None	None	SFY2000-01
960000985	BERRYMAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-08-10 00:00:00	960000869	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-31 00:00:00	None	No	2000-08-31 00:00:00	None	B	None	1000	1000	0	1000	0	960007234	A99999	N	None	None	SFY2000-01
960001738	VALLEY VILLAGE ALTANO HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-08-10 00:00:00	960000870	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-31 00:00:00	None	No	2000-08-31 00:00:00	None	B	None	1000	1000	-350	650	0	960007239	A99999	N	None	None	SFY2000-01
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-08-31 00:00:00	960000871	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2000-08-17 00:00:00	None	Yes	2001-05-09 00:00:00	2000-09-05 00:00:00	B	B	800	850	0	850	0	960007263	A99999	N	None	None	SFY2000-01
960001522	EMILY'S RESIDENTIAL CARE CENTER, LLC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-09-13 00:00:00	960000872	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-09-05 00:00:00	None	No	2000-10-06 00:00:00	None	B	None	700	700	-245	455	0	960007277	A99999	N	None	None	SFY2000-01
960002089	SUNBURST CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-10-05 00:00:00	960000873	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-14 00:00:00	None	No	2000-10-27 00:00:00	None	B	None	600	600	0	600	0	960007321	A99999	N	None	None	SFY2000-01
960002089	SUNBURST CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-10-05 00:00:00	960000874	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-05 00:00:00	None	No	2000-10-27 00:00:00	None	B	None	1000	1000	0	1000	0	960007322	A99999	N	None	None	SFY2000-01
960000872	ROSE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-10-06 00:00:00	960000875	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-28 00:00:00	None	No	2000-10-30 00:00:00	None	B	None	900	2700	-945	1755	0	960007323	A99999	N	None	None	SFY2000-01
960001787	ELLENBOGEN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-10-20 00:00:00	960000876	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-02 00:00:00	None	No	2000-11-13 00:00:00	None	B	None	1000	1350	0	1350	0	960007351	A99999	N	None	None	SFY2000-01
960001601	NORMANDIE PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-10-19 00:00:00	960000877	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-10-03 00:00:00	None	No	2000-11-09 00:00:00	None	A	None	6000	6000	-2100	3900	0	960007352	A99999	N	None	None	SFY2000-01
960000897	MOMENTUM AGENCIES ICF/DD-N NEWPORT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-10-24 00:00:00	960000878	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-16 00:00:00	None	No	2000-11-15 00:00:00	None	B	None	700	700	-245	455	0	960007359	A99999	N	None	None	SFY2000-01
960002310	OCCIDENTAL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-11-06 00:00:00	960000879	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-18 00:00:00	None	Yes	2001-05-09 00:00:00	2001-04-19 00:00:00	A	A	10000	7500	0	7500	0	960007378	A99999	N	None	None	SFY2000-01
960001871	JO-MI ALTA 5	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-12-12 00:00:00	960000880	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-23 00:00:00	None	Yes	2001-05-30 00:00:00	2000-12-28 00:00:00	B	B	600	600	0	600	0	960007438	A99999	N	None	None	SFY2000-01
960001457	EL ENCANTO HEALTHCARE AND HABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-12-15 00:00:00	960000881	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-10-23 00:00:00	None	No	2001-01-05 00:00:00	None	WF	None	800	800	-280	520	0	960007445	A99999	None	None	None	SFY2000-01
960001765	ST. MARY'S HOME ICF - DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-12-19 00:00:00	960000882	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-11-30 00:00:00	None	No	2001-01-11 00:00:00	None	B	None	700	700	0	700	0	960007452	A99999	N	None	None	SFY2000-01
960002399	VISTA DEL VALLE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-01-04 00:00:00	960000883	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-11-28 00:00:00	None	Yes	2001-07-09 00:00:00	2001-06-12 00:00:00	A	A	10000	10000	0	10000	0	960007481	A99999	N	None	None	SFY2000-01
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-02-01 00:00:00	960000884	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-05 00:00:00	None	No	2001-02-26 00:00:00	None	B	None	600	600	-210	390	0	960007505	A99999	N	None	None	SFY2000-01
960000919	SVS MOUNT WASHINGTON GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-01-24 00:00:00	960000885	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-16 00:00:00	None	No	2001-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	960007514	A99999	N	None	None	SFY2000-01
960001907	FAIRVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-02-14 00:00:00	960000886	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-22 00:00:00	None	No	2001-03-21 00:00:00	None	B	None	1000	1050	0	1050	0	960007526	A99999	N	None	None	SFY2000-01
960002360	PATE & INGRAM HOME II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-03-07 00:00:00	960000887	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-21 00:00:00	None	No	2001-04-03 00:00:00	None	B	None	1000	1000	-350	650	0	960007562	A99999	N	None	None	SFY2000-01
960002036	JENYMEL'S HOME CARE INC. III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-03-07 00:00:00	960000888	Closed	Citation	Citation B (HSC 1424)	Other	ACTIVE TREATMENT	2001-01-29 00:00:00	None	No	2001-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	960007563	A99999	N	None	None	SFY2000-01
960001984	ARLETA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-03-21 00:00:00	960000889	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-02-22 00:00:00	None	No	2001-05-18 00:00:00	None	B	None	600	600	-210	390	0	960007582	A99999	N	None	None	SFY2000-01
960001150	CAMELOT DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-03-22 00:00:00	960000890	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-27 00:00:00	None	No	2001-06-18 00:00:00	None	B	None	600	600	0	600	0	960007584	A99999	N	None	None	SFY2000-01
960001949	BURTON HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-04-19 00:00:00	960000891	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-05 00:00:00	None	Yes	2001-08-02 00:00:00	2001-05-01 00:00:00	B	B	900	900	0	900	0	960007632	A99999	N	None	None	SFY2000-01
960001771	VALLEY VILLAGE TUPPERHOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-04-17 00:00:00	960000892	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-07 00:00:00	None	No	2001-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	960007636	A99999	N	None	None	SFY2000-01
960001894	RCN PEDIATRIC CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-04-18 00:00:00	960000893	Closed	Citation	Citation B (HSC 1424)	Other	CLIENT TRUST ACCOUNT	2001-03-29 00:00:00	None	No	2001-06-01 00:00:00	None	B	None	1000	1000	0	1000	0	960007638	A99999	N	None	None	SFY2000-01
960001605	TRINITY HOME III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-02 00:00:00	960000894	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-04-03 00:00:00	None	No	2001-06-18 00:00:00	None	B	None	1000	1000	-350	650	0	960007673	A99999	N	None	None	SFY2000-01
960001756	EBORA GUEST HOME #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-04 00:00:00	960000895	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-08 00:00:00	None	No	2001-05-25 00:00:00	None	B	None	950	950	-332.5	617.5	0	960007676	A99999	N	None	None	SFY2000-01
960002352	MATHARU ASSISTED LIVING #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-09 00:00:00	960000896	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-30 00:00:00	None	No	2001-06-22 00:00:00	None	B	None	1000	1000	-350	650	0	960007688	A99999	N	None	None	SFY2000-01
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-14 00:00:00	960000897	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-16 00:00:00	None	Yes	2001-12-24 00:00:00	2001-05-31 00:00:00	B	B	1000	1000	0	1000	0	960007715	A99999	N	None	None	SFY2000-01
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-14 00:00:00	960000898	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-07 00:00:00	None	No	2001-06-20 00:00:00	None	B	None	1000	1000	-350	650	0	960007716	A99999	N	None	None	SFY2000-01
960002411	LA CASA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-16 00:00:00	960000899	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-09 00:00:00	None	No	2001-06-18 00:00:00	None	B	None	900	900	-315	585	0	960007723	A99999	N	None	None	SFY2000-01
960002411	LA CASA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-16 00:00:00	960000900	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-09 00:00:00	None	No	2001-06-18 00:00:00	None	B	None	900	900	-315	585	0	960007724	A99999	N	None	None	SFY2000-01
960001790	OAKBANK HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-18 00:00:00	960000901	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-03-22 00:00:00	None	No	2001-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	960007737	A99999	N	None	None	SFY2000-01
960002276	MORRIS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-24 00:00:00	960000902	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-18 00:00:00	None	No	2001-07-24 00:00:00	None	B	None	700	700	-245	455	0	960007760	A99999	N	None	None	SFY2000-01
960002276	MORRIS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-24 00:00:00	960000903	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-18 00:00:00	None	No	2001-07-24 00:00:00	None	B	None	800	800	-280	520	0	960007761	A99999	N	None	None	SFY2000-01
960002115	TEMPLE GARDEN HOMES #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-29 00:00:00	960000904	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-15 00:00:00	None	No	2001-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	960007774	A99999	N	None	None	SFY2000-01
960001809	TEMPLE GARDEN HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-05 00:00:00	960000905	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-08 00:00:00	None	Yes	2001-07-17 00:00:00	2001-06-06 00:00:00	B	Dismissed by Court	800	50	-50	0	0	960007787	A99999	N	None	None	SFY2000-01
960002170	ROBILYN'S GUEST HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-05 00:00:00	960000906	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-05-18 00:00:00	None	No	2001-07-09 00:00:00	None	B	None	800	800	-280	520	0	960007803	A99999	N	None	None	SFY2000-01
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-05 00:00:00	960000907	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-10 00:00:00	None	No	2001-07-10 00:00:00	None	B	None	2400	2400	-840	1560	0	960007804	A99999	N	None	None	SFY2000-01
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-05 00:00:00	960000908	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-10 00:00:00	None	No	2001-07-03 00:00:00	None	B	None	800	800	-280	520	0	960007805	A99999	N	None	None	SFY2000-01
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-05 00:00:00	960000909	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-10 00:00:00	None	No	2001-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	960007808	A99999	N	None	None	SFY2000-01
960002170	ROBILYN'S GUEST HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-05 00:00:00	960000910	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-08 00:00:00	None	No	2001-07-11 00:00:00	None	A	None	10000	10000	0	10000	0	960007811	A99999	N	None	None	SFY2000-01
960001605	TRINITY HOME III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-05 00:00:00	960000911	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-24 00:00:00	None	No	2001-07-09 00:00:00	None	B	None	900	900	-315	585	0	960007812	A99999	N	None	None	SFY2000-01
960002467	COMMUNITY CARE SERVICES - ARMSTEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-06 00:00:00	960000912	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-05-29 00:00:00	None	No	2001-07-17 00:00:00	None	B	None	1000	1000	-350	650	0	960007819	A99999	N	None	None	SFY2000-01
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-18 00:00:00	960000913	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-11 00:00:00	None	No	2001-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	960007848	A99999	N	None	None	SFY2000-01
960002295	FORBES DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-28 00:00:00	960000914	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-04 00:00:00	None	No	2001-08-10 00:00:00	None	B	None	1000	1000	-350	650	0	960007866	A99999	N	None	None	SFY2000-01
960001148	GRANADA DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-07-02 00:00:00	960000915	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-09 00:00:00	None	No	2001-09-26 00:00:00	None	B	None	1000	1000	0	1000	0	960007869	A99999	N	None	None	SFY2001-02
960000887	MOMENTUM AGENCIES ICF/DD-N WESTLAKE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-07-03 00:00:00	960000916	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-06-14 00:00:00	None	No	2001-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	960007871	A99999	N	None	None	SFY2001-02
960002360	PATE & INGRAM HOME II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-07-06 00:00:00	960000917	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-06-25 00:00:00	None	No	2001-07-27 00:00:00	None	B	None	1000	1000	-350	650	0	960007882	A99999	N	None	None	SFY2001-02
960000930	SVS SAN GABRIEL GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-07-11 00:00:00	960000918	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-06 00:00:00	None	No	2001-10-03 00:00:00	None	B	None	500	500	-175	325	0	960007889	A99999	N	None	None	SFY2001-02
960001875	K & S GROUP HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-07-23 00:00:00	960000919	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-06-25 00:00:00	None	No	2001-09-13 00:00:00	None	B	None	1000	1000	-350	650	0	960007902	A99999	N	None	None	SFY2001-02
960001482	ARLINGTON HOME #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-07-31 00:00:00	960000920	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-20 00:00:00	None	No	2001-09-14 00:00:00	None	A	None	3000	3100	-1050	2050	0	960007928	A99999	N	None	None	SFY2001-02
960002089	SUNBURST CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-03 00:00:00	960000921	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-07-18 00:00:00	None	No	2001-09-20 00:00:00	None	B	None	500	650	-175	475	0	960007939	A99999	N	None	None	SFY2001-02
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-03 00:00:00	960000922	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-07-18 00:00:00	None	No	2001-09-20 00:00:00	None	B	None	500	650	-175	475	0	960007940	A99999	N	None	None	SFY2001-02
960002089	SUNBURST CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-03 00:00:00	960000923	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-18 00:00:00	None	No	2001-09-20 00:00:00	None	B	None	500	650	-175	475	0	960007941	A99999	N	None	None	SFY2001-02
960002087	SIERRA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-14 00:00:00	960000924	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-07-31 00:00:00	None	No	2001-09-14 00:00:00	None	B	None	800	800	-280	520	0	960007957	A99999	N	None	None	SFY2001-02
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-14 00:00:00	960000925	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-07 00:00:00	None	No	2001-09-17 00:00:00	None	B	None	500	500	-175	325	0	960007958	A99999	N	None	None	SFY2001-02
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-14 00:00:00	960000926	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-07 00:00:00	None	No	2001-09-14 00:00:00	None	B	None	500	500	-175	325	0	960007960	A99999	N	None	None	SFY2001-02
960001351	CEDAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-15 00:00:00	960000927	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-06 00:00:00	None	Yes	2001-12-11 00:00:00	2001-09-05 00:00:00	B	B	1000	1000	0	1000	0	960007867	A99999	N	None	None	SFY2001-02
960002401	CASA DEL SOL DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-14 00:00:00	960000928	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-02 00:00:00	None	No	2001-09-14 00:00:00	None	B	None	800	800	-280	520	0	960007961	A99999	N	None	None	SFY2001-02
960001351	CEDAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-15 00:00:00	960000930	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-10 00:00:00	None	Yes	2001-12-14 00:00:00	2001-09-05 00:00:00	B	B	1000	1000	0	1000	0	960007867	A99999	N	None	None	SFY2001-02
960001351	CEDAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-15 00:00:00	960000931	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-10 00:00:00	None	Yes	2001-12-26 00:00:00	2001-09-05 00:00:00	B	B	1000	1000	0	1000	0	960007867	A99999	N	None	None	SFY2001-02
960001351	CEDAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-15 00:00:00	960000932	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-05 00:00:00	None	Yes	2001-12-26 00:00:00	2001-09-05 00:00:00	B	B	1000	1000	0	1000	0	960007867	A99999	N	None	None	SFY2001-02
960002205	MIMIS HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-17 00:00:00	960000933	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-27 00:00:00	None	No	2001-10-05 00:00:00	None	B	None	800	800	0	800	0	960007926	A99999	N	None	None	SFY2001-02
960000907	EDGEWOOD CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-30 00:00:00	960000934	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-12 00:00:00	None	Yes	2001-12-11 00:00:00	2001-09-12 00:00:00	B	B	1000	1000	0	1000	0	960007985	A99999	N	None	None	SFY2001-02
960000930	SVS SAN GABRIEL GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-09-20 00:00:00	960000935	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-31 00:00:00	None	No	2001-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	960008030	A99999	N	None	None	SFY2001-02
960002411	LA CASA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-09-26 00:00:00	960000936	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-08-25 00:00:00	None	No	2001-11-16 00:00:00	None	B	None	500	500	-175	325	0	960007988	A99999	N	None	None	SFY2001-02
960000947	HELEN EVANS HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-10-09 00:00:00	960000937	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-28 00:00:00	None	No	2001-11-19 00:00:00	None	B	None	700	700	-245	455	0	960008073	A99999	N	None	None	SFY2001-02
960001457	EL ENCANTO HEALTHCARE AND HABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-10-12 00:00:00	960000938	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-15 00:00:00	None	No	2001-11-15 00:00:00	None	B	None	800	800	-280	520	0	960008061	A99999	N	None	None	SFY2001-02
960002096	CANYON HOME II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-10-18 00:00:00	960000939	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-10-05 00:00:00	None	No	2001-11-21 00:00:00	None	B	None	600	650	-210	440	0	960008098	A99999	N	None	None	SFY2001-02
960001949	BURTON HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-11-20 00:00:00	960000940	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-24 00:00:00	None	No	2001-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	960008116	A99999	N	None	None	SFY2001-02
960001316	PALM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-11-26 00:00:00	960000941	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-02 00:00:00	None	Yes	2002-05-02 00:00:00	2001-11-26 00:00:00	B	B	1000	1000	0	1000	0	960008160	A99999	N	None	None	SFY2001-02
960001831	ARLINGTON HOME #6	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-11-30 00:00:00	960000942	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-15 00:00:00	None	No	2001-12-21 00:00:00	None	B	None	800	800	0	800	0	960008179	A99999	N	None	None	SFY2001-02
960002104	BIOLA DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-12-04 00:00:00	960000943	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-03 00:00:00	None	Yes	2002-01-25 00:00:00	2001-12-13 00:00:00	B	Drop>Deficiency	1000	1050	0	1050	0	960008035	A99999	N	None	None	SFY2001-02
960002036	JENYMEL'S HOME CARE INC. III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-12-07 00:00:00	960000944	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-11-26 00:00:00	None	No	2001-12-31 00:00:00	None	B	None	1000	1000	-350	650	0	960008197	A99999	N	None	None	SFY2001-02
960001522	EMILY'S RESIDENTIAL CARE CENTER, LLC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-12-10 00:00:00	960000945	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-10-18 00:00:00	None	No	2002-01-02 00:00:00	None	A	None	10000	10000	-3500	6500	0	960008198	A99999	N	None	None	SFY2001-02
960001826	G M HOME II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-12-10 00:00:00	960000946	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-11 00:00:00	None	No	2002-01-10 00:00:00	None	B	None	1000	1000	-350	650	0	960008084	A99999	N	None	None	SFY2001-02
960002407	ELBEN DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-12-12 00:00:00	960000947	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-23 00:00:00	None	No	2002-01-04 00:00:00	None	B	None	1000	1000	0	1000	0	960008125	A99999	N	None	None	SFY2001-02
960000869	MOMENTUM AGENCIES ICF/DD-N WENDT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-12-20 00:00:00	960000949	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-25 00:00:00	None	No	2002-01-30 00:00:00	None	A	None	9000	9000	-3150	5850	0	960008149	A99999	N	None	None	SFY2001-02
960002606	PRIMARY RELIANCE - VICTORIA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-01-08 00:00:00	960000950	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-25 00:00:00	None	No	2002-02-07 00:00:00	None	A	None	5000	5000	-1750	3250	0	960008020	A99999	N	None	None	SFY2001-02
960001715	GOLDEN CARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-01-10 00:00:00	960000952	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-13 00:00:00	None	No	2002-02-07 00:00:00	None	B	None	1000	1000	-350	650	0	960008270	A99999	N	None	None	SFY2001-02
960000951	PROJECT HOMELIFE - PARISE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-01-17 00:00:00	960000953	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-26 00:00:00	None	No	2002-02-21 00:00:00	None	B	None	600	600	-210	390	0	960008284	A99999	N	None	None	SFY2001-02
960000951	PROJECT HOMELIFE - PARISE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-01-17 00:00:00	960000954	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-12-26 00:00:00	None	No	2002-02-21 00:00:00	None	B	None	800	800	-280	520	0	960008285	A99999	N	None	None	SFY2001-02
960000897	MOMENTUM AGENCIES ICF/DD-N NEWPORT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-01-18 00:00:00	960000955	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-02 00:00:00	None	No	2002-02-11 00:00:00	None	B	None	800	800	-280	520	0	960008288	A99999	N	None	None	SFY2001-02
960000962	BURNETTS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-02-05 00:00:00	960000956	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-18 00:00:00	None	No	2002-03-08 00:00:00	None	B	None	600	600	-210	390	0	960008341	A99999	N	None	None	SFY2001-02
960000962	BURNETTS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-02-05 00:00:00	960000957	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-23 00:00:00	None	No	2002-03-08 00:00:00	None	B	None	1000	1000	-350	650	0	960008341	A99999	N	None	None	SFY2001-02
960000904	MOMENTUM AGENCIES ICF/DD-H BLEDSOE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-02-11 00:00:00	960000958	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-18 00:00:00	None	No	2002-03-12 00:00:00	None	A	None	5000	5000	-1750	3250	0	960008185	A99999	N	CA00096726	H	SFY2001-02
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-02-26 00:00:00	960000959	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-02-12 00:00:00	None	Yes	2002-06-25 00:00:00	2002-03-18 00:00:00	B	B	1000	1000	0	1000	0	960008374	A99999	N	None	None	SFY2001-02
960001605	TRINITY HOME III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-02-25 00:00:00	960000960	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-12-12 00:00:00	None	No	2002-03-22 00:00:00	None	A	None	6000	6000	-2100	3900	0	960008354	A99999	N	None	None	SFY2001-02
960001603	R & D HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-02-26 00:00:00	960000961	Closed	Citation	Citation B (HSC 1424)	Other	MEDICATION/PATIENTRT	2002-01-31 00:00:00	None	No	2002-05-02 00:00:00	None	B	None	900	900	-315	585	0	960008379	A99999	N	None	None	SFY2001-02
960000997	MOMENTUM AGENCIES ICF/DD-H HARBOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-03-20 00:00:00	960000962	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-19 00:00:00	None	No	2002-04-17 00:00:00	None	B	None	1000	1000	-350	650	0	960008388	A99999	N	None	None	SFY2001-02
960002310	OCCIDENTAL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-03-25 00:00:00	960000963	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-15 00:00:00	None	No	2002-04-26 00:00:00	None	B	None	1000	1000	-350	650	0	960008425	A99999	N	None	None	SFY2001-02
960001323	QUARTZ HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-03-27 00:00:00	960000964	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-02-08 00:00:00	None	Yes	2002-06-18 00:00:00	2002-06-12 00:00:00	A	Dismissed by Court	10000	0	0	0	0	960008353	A99999	N	None	None	SFY2001-02
960001836	IDEAL HOME CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-03-26 00:00:00	960000965	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-15 00:00:00	None	Yes	2002-06-19 00:00:00	2002-03-26 00:00:00	B	B	1000	1000	0	1000	0	960008427	A99999	N	None	None	SFY2001-02
960001055	BEACH AVENUE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-03-27 00:00:00	960000966	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-19 00:00:00	None	Yes	2002-09-09 00:00:00	2002-03-28 00:00:00	B	Dismissed by Court	1000	0	0	0	0	960008273	A99999	N	None	None	SFY2001-02
960002687	CROCKETT DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-04-12 00:00:00	960000967	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2002-01-08 00:00:00	None	No	2002-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	960008267	A99999	N	None	None	SFY2001-02
960001646	ARLINGTON HOME #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-04-17 00:00:00	960000968	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-02 00:00:00	None	No	2002-05-28 00:00:00	None	B	None	1000	1000	-350	650	0	960008206	A99999	N	None	None	SFY2001-02
960001306	OASIS HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-04-19 00:00:00	960000969	Closed	Citation	Citation B (HSC 1424)	Other	POLICY & PROCEDURE	2002-01-28 00:00:00	None	No	2002-05-29 00:00:00	None	B	None	500	500	-175	325	0	960008345	A99999	N	None	None	SFY2001-02
960000914	MOMENTUM AGENCIES ICF/DD-N BRADLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-05-10 00:00:00	960000970	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-04-15 00:00:00	None	No	2002-06-18 00:00:00	None	B	None	600	600	-210	390	0	960008514	A99999	N	None	None	SFY2001-02
960002558	CERRITOS HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-05-21 00:00:00	960000971	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-05-07 00:00:00	None	No	2002-06-17 00:00:00	None	B	None	1000	1000	-350	650	0	960008554	A99999	N	None	None	SFY2001-02
960001748	FERNWOOD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-05-22 00:00:00	960000972	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-05-15 00:00:00	None	No	2002-06-13 00:00:00	None	B	None	600	600	-210	390	0	960008557	A99999	N	None	None	SFY2001-02
960002295	FORBES DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-05-24 00:00:00	960000973	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-20 00:00:00	None	No	2002-06-17 00:00:00	None	B	None	1000	1000	-350	650	0	960008564	A99999	N	None	None	SFY2001-02
960002077	MARY'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-05-30 00:00:00	960000974	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-15 00:00:00	None	No	2002-06-26 00:00:00	None	B	None	1000	1000	-350	650	0	960008567	A99999	N	None	None	SFY2001-02
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-13 00:00:00	960000975	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-06-04 00:00:00	None	No	2002-08-06 00:00:00	None	B	None	600	600	-210	390	0	960008585	A99999	N	None	None	SFY2001-02
960002027	MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-14 00:00:00	960000976	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-30 00:00:00	None	No	2002-07-08 00:00:00	None	B	None	800	800	-280	520	0	960008571	A99999	N	None	None	SFY2001-02
960002024	MOMENTUM AGENCIES ICF/DD-H AMESTOY SOUTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-14 00:00:00	960000977	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-30 00:00:00	None	No	2002-07-15 00:00:00	None	B	None	700	700	-245	455	0	960008572	A99999	N	None	None	SFY2001-02
960002368	LOOP HOME FOUNDATION, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-20 00:00:00	960000978	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-06 00:00:00	None	No	2002-08-02 00:00:00	None	B	None	1000	1000	-350	650	0	960008606	A99999	N	None	None	SFY2001-02
960002360	PATE & INGRAM HOME II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-21 00:00:00	960000979	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-06-12 00:00:00	None	No	2002-08-01 00:00:00	None	B	None	700	700	-245	455	0	960008608	A99999	N	None	None	SFY2001-02
960002352	MATHARU ASSISTED LIVING #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-25 00:00:00	960000980	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-13 00:00:00	None	No	2002-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	960008599	A99999	N	None	None	SFY2001-02
960001885	BENWICK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-28 00:00:00	960000981	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-01-01 00:00:00	None	No	2002-07-26 00:00:00	None	B	None	1000	1000	-350	650	0	960008524	A99999	N	None	None	SFY2001-02
960001885	BENWICK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-28 00:00:00	960000982	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-01-01 00:00:00	None	No	2002-07-26 00:00:00	None	B	None	1000	1000	0	1000	0	960008524	A99999	N	None	None	SFY2001-02
960000900	MOMENTUM AGENCIES ICF/DD-N MAX FACTOR HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-07-09 00:00:00	960000983	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-06-21 00:00:00	None	No	2002-08-08 00:00:00	None	B	None	700	700	-245	455	0	960008623	A99999	N	None	None	SFY2002-03
960001643	ARLINGTON HOME #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-07-10 00:00:00	960000984	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-03 00:00:00	None	No	2002-08-09 00:00:00	None	B	None	1000	1000	-350	650	0	960008656	A99999	N	None	None	SFY2002-03
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-07-19 00:00:00	960000985	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-29 00:00:00	None	No	2002-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	960008673	A99999	N	None	None	SFY2002-03
960001416	INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-08-05 00:00:00	960000986	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-17 00:00:00	None	No	2002-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	960008711	A99999	N	None	None	SFY2002-03
960001148	GRANADA DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-10-02 00:00:00	960000987	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-27 00:00:00	None	No	2002-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	960008817	A99999	N	None	None	SFY2002-03
960002326	BLAISDELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-10-03 00:00:00	960000988	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-13 00:00:00	None	No	2002-11-05 00:00:00	None	B	None	800	800	0	800	0	960008821	A99999	N	None	None	SFY2002-03
960001150	CAMELOT DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-10-11 00:00:00	960000989	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-16 00:00:00	None	No	2002-11-14 00:00:00	None	B	None	650	650	-227.5	422.5	0	960008835	A99999	N	None	None	SFY2002-03
960001148	GRANADA DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-10-15 00:00:00	960000990	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-30 00:00:00	None	No	2002-11-14 00:00:00	None	B	None	800	800	0	800	0	960008795	A99999	N	None	None	SFY2002-03
960002043	PARTHENIA NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-10-31 00:00:00	960000991	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-18 00:00:00	None	Yes	2003-04-10 00:00:00	2002-11-19 00:00:00	B	B	1000	1000	0	1000	0	960008851	A99999	N	None	None	SFY2002-03
960001896	JANRAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-11-04 00:00:00	960000992	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-26 00:00:00	None	No	2002-12-04 00:00:00	None	B	None	600	600	-210	390	0	960008824	A99999	N	None	None	SFY2002-03
960002027	MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-11-07 00:00:00	960000993	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-28 00:00:00	None	No	2002-12-10 00:00:00	None	B	None	1000	1000	-350	650	0	960008855	A99999	N	None	None	SFY2002-03
960002689	G & E CARE HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-11-21 00:00:00	960000994	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-09-01 00:00:00	None	No	2002-12-20 00:00:00	None	B	None	1000	1000	-350	650	0	960008904	A99999	N	None	None	SFY2002-03
960002142	MATHARU ASSISTED LIVING #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-11-21 00:00:00	960000995	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-08 00:00:00	None	No	2002-12-31 00:00:00	None	B	None	1000	1000	-350	650	0	960008838	A99999	N	None	None	SFY2002-03
960000882	MOMENTUM AGENCIES ICF/DD-H HUBBARD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-12-02 00:00:00	960000996	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-05 00:00:00	None	No	2002-12-23 00:00:00	None	B	None	800	800	-280	520	0	960008879	A99999	N	None	None	SFY2002-03
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-12-05 00:00:00	960000997	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-23 00:00:00	None	No	2003-01-07 00:00:00	None	B	None	500	500	0	500	0	960008886	A99999	N	None	None	SFY2002-03
960002066	HAWAIIAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-12-26 00:00:00	960000998	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-12-11 00:00:00	None	No	2003-01-17 00:00:00	None	B	None	1000	1000	-350	650	0	960008928	A99999	N	None	None	SFY2002-03
960000874	UCP SAN PEDRO HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-12-30 00:00:00	960000999	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-11 00:00:00	None	No	2003-01-28 00:00:00	None	A	None	10000	10000	-3500	6500	0	960008850	A99999	N	None	None	SFY2002-03
960002407	ELBEN DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-01-10 00:00:00	960001000	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-26 00:00:00	None	No	2003-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	960008949	A99999	N	None	None	SFY2002-03
960001984	ARLETA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-01-29 00:00:00	960001001	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-01-08 00:00:00	None	No	2003-02-25 00:00:00	None	B	None	900	900	0	900	0	960008981	A99999	N	None	None	SFY2002-03
960002076	THE LIGHTHOUSE CENTER I	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-01-29 00:00:00	960001002	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-01-12 00:00:00	None	No	2003-02-28 00:00:00	None	B	None	1000	1000	0	1000	0	960008982	A99999	N	None	None	SFY2002-03
960001625	THE JALS II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-01-29 00:00:00	960001003	Closed	Citation	Citation B (HSC 1424)	Other	ACTIVE TREATMENT	2003-01-12 00:00:00	None	No	2003-02-21 00:00:00	None	B	None	1000	1000	-350	650	0	960008999	A99999	N	None	None	SFY2002-03
960002705	JADE RANCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-02-10 00:00:00	960001004	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-30 00:00:00	None	Yes	2003-05-27 00:00:00	2003-05-14 00:00:00	B	B	1000	1000	0	1000	0	960009004	A99999	N	None	None	SFY2002-03
960000951	PROJECT HOMELIFE - PARISE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-02-11 00:00:00	960001005	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-30 00:00:00	None	No	2003-03-12 00:00:00	None	B	None	1000	1000	-350	650	0	960009005	A99999	N	None	None	SFY2002-03
960000951	PROJECT HOMELIFE - PARISE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-02-13 00:00:00	960001006	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-01-30 00:00:00	None	No	2003-03-14 00:00:00	None	B	None	1000	1000	-350	650	0	960009015	A99999	N	None	None	SFY2002-03
960002015	DURNESS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-02-24 00:00:00	960001007	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-11 00:00:00	None	No	2003-03-24 00:00:00	None	B	None	800	800	-280	520	0	960008962	A99999	N	None	None	SFY2002-03
960000984	HARBOR HEALTH CARE, INC. - BAYLOR DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-03-07 00:00:00	960001008	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-27 00:00:00	None	Yes	2003-06-05 00:00:00	2003-03-12 00:00:00	B	Dismissed by Court	800	0	0	0	0	960008988	A99999	N	None	None	SFY2002-03
960001584	JOYCE MARIE HOMES INC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-03-12 00:00:00	960001009	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-12 00:00:00	None	No	2003-04-10 00:00:00	None	B	None	1000	1000	-350	650	0	960009047	A99999	N	None	None	SFY2002-03
960001584	JOYCE MARIE HOMES INC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-03-20 00:00:00	960001010	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-11 00:00:00	None	No	2003-04-18 00:00:00	None	B	None	1000	1000	-350	650	0	960009068	A99999	N	None	None	SFY2002-03
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-03-20 00:00:00	960001011	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-02-27 00:00:00	None	No	2003-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	960009070	A99999	N	None	None	SFY2002-03
960002084	HOME CARE FORTE, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-04-08 00:00:00	960001012	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-17 00:00:00	None	No	2003-06-02 00:00:00	None	B	None	1000	1000	0	1000	0	960009100	A99999	N	None	None	SFY2002-03
960002558	CERRITOS HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-04-19 00:00:00	960001013	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-30 00:00:00	None	No	2003-06-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	960009116	A99999	N	None	None	SFY2002-03
960002558	CERRITOS HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-04-19 00:00:00	960001014	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-03-29 00:00:00	None	No	2003-06-02 00:00:00	None	B	None	1000	1000	-350	650	0	960009116	A99999	N	None	None	SFY2002-03
960002204	J-J EXCELCARE HOME 2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-04-29 00:00:00	960001015	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-03-28 00:00:00	None	No	2003-05-28 00:00:00	None	B	None	800	800	-280	520	0	960009131	A99999	N	None	None	SFY2002-03
960000997	MOMENTUM AGENCIES ICF/DD-H HARBOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-04-30 00:00:00	960001016	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-04-09 00:00:00	None	Yes	2003-09-15 00:00:00	2003-09-12 00:00:00	B	B	800	400	0	400	0	960009106	A99999	N	None	None	SFY2002-03
960002170	ROBILYN'S GUEST HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-05-06 00:00:00	960001017	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-12 00:00:00	None	No	2003-06-06 00:00:00	None	B	None	800	800	-280	520	0	960009134	A99999	N	None	None	SFY2002-03
960002170	ROBILYN'S GUEST HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-05-06 00:00:00	960001018	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-18 00:00:00	None	No	2003-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	960009145	A99999	N	None	None	SFY2002-03
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-05-20 00:00:00	960001019	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-02 00:00:00	None	No	2003-06-18 00:00:00	None	B	None	1000	1000	-350	650	0	960009102	A99999	N	None	None	SFY2002-03
960002170	ROBILYN'S GUEST HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-05-21 00:00:00	960001020	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-04-12 00:00:00	None	No	2003-06-20 00:00:00	None	B	None	1000	1000	-350	650	0	960009134	A99999	N	None	None	SFY2002-03
960002077	MARY'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-05-30 00:00:00	960001021	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-05-16 00:00:00	None	No	2003-06-20 00:00:00	None	B	None	800	800	-280	520	0	960009176	A99999	N	None	None	SFY2002-03
960001605	TRINITY HOME III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-06-09 00:00:00	960001022	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-07 00:00:00	None	No	2003-07-23 00:00:00	None	B	None	1000	1000	-350	650	0	960009211	A99999	N	None	None	SFY2002-03
960001898	EMILY CARE CENTER II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-06-17 00:00:00	960001023	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-12 00:00:00	None	No	2003-07-23 00:00:00	None	B	None	800	800	-280	520	0	960009228	A99999	N	None	None	SFY2002-03
960001807	UNITED CARE HOMES-VALINDA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-06-17 00:00:00	960001024	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-05-27 00:00:00	None	No	2003-07-09 00:00:00	None	B	None	800	800	-280	520	0	960009229	A99999	N	None	None	SFY2002-03
960001482	ARLINGTON HOME #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-07-18 00:00:00	960001025	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-20 00:00:00	None	No	2003-08-15 00:00:00	None	B	None	1000	1000	-350	650	0	960009272	A99999	N	None	None	SFY2003-04
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-07-21 00:00:00	960001026	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-06-06 00:00:00	None	No	2003-08-20 00:00:00	None	B	None	1000	1000	-350	650	0	960009273	A99999	N	None	None	SFY2003-04
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-07-21 00:00:00	960001027	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-06-18 00:00:00	None	No	2003-08-21 00:00:00	None	B	None	800	800	-280	520	0	960009275	A99999	N	None	None	SFY2003-04
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-07-21 00:00:00	960001028	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-06-17 00:00:00	None	No	2003-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	960009276	A99999	N	None	None	SFY2003-04
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-07-22 00:00:00	960001029	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-18 00:00:00	None	No	2003-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	960009277	A99999	N	None	None	SFY2003-04
960002393	PACIFIC HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-07-31 00:00:00	960001030	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-07-29 00:00:00	None	No	2003-09-08 00:00:00	None	B	None	1000	1000	-350	650	0	960009292	A99999	N	None	None	SFY2003-04
960001280	INDEPENDENT OPTIONS, INC./KIOWA CREST II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-08-14 00:00:00	960001032	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-09 00:00:00	None	No	2003-09-24 00:00:00	None	B	None	1000	1000	-350	650	0	960009311	A99999	N	None	None	SFY2003-04
960002393	PACIFIC HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-08-25 00:00:00	960001033	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-29 00:00:00	None	No	2003-09-23 00:00:00	None	B	None	1000	1000	-350	650	0	960009292	A99999	N	None	None	SFY2003-04
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-09-26 00:00:00	960001034	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-04 00:00:00	None	Yes	2004-01-27 00:00:00	2003-10-06 00:00:00	B	B	1000	1500	-500	1000	0	960009320	A99999	N	None	None	SFY2003-04
960000943	FENTON HOUSE ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-10-01 00:00:00	960001035	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-07-11 00:00:00	None	No	2003-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	960009405	A99999	N	None	None	SFY2003-04
960001553	HOLY HILL HOME CARE/BENFIELD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-10-14 00:00:00	960001036	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-09-19 00:00:00	None	No	2003-11-10 00:00:00	None	B	None	800	800	0	800	0	960009392	A99999	N	None	None	SFY2003-04
960000869	MOMENTUM AGENCIES ICF/DD-N WENDT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-10-31 00:00:00	960001037	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-30 00:00:00	None	No	2003-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	960009447	A99999	N	None	None	SFY2003-04
960002326	BLAISDELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-11-05 00:00:00	960001038	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-15 00:00:00	None	Yes	2004-03-12 00:00:00	2003-11-23 00:00:00	B	Dismissed by Court	900	0	0	0	0	960009452	A99999	N	None	None	SFY2003-04
960001316	PALM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-11-07 00:00:00	960001039	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-15 00:00:00	None	No	2003-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	960009460	A99999	N	None	None	SFY2003-04
960002087	SIERRA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-11-10 00:00:00	960001040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-23 00:00:00	None	No	2003-12-19 00:00:00	None	B	None	1000	1000	0	1000	0	960009458	A99999	N	None	None	SFY2003-04
960002087	SIERRA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-11-14 00:00:00	960001041	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-24 00:00:00	None	No	2003-12-19 00:00:00	None	B	None	1000	1000	0	1000	0	960009457	A99999	N	None	None	SFY2003-04
960002060	RAYMOND HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-11-26 00:00:00	960001042	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-11-13 00:00:00	None	No	2004-01-08 00:00:00	None	B	None	800	800	-280	520	0	960009488	A99999	N	None	None	SFY2003-04
960000962	BURNETTS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-12-10 00:00:00	960001043	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-11-26 00:00:00	None	No	2004-01-08 00:00:00	None	B	None	700	700	-245	455	0	960009495	A99999	N	None	None	SFY2003-04
960002205	MIMIS HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-12-18 00:00:00	960001044	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-12-03 00:00:00	None	No	2004-01-21 00:00:00	None	B	None	1000	1000	-350	650	0	960009499	A99999	N	None	None	SFY2003-04
960001833	MARIE'S HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-12-18 00:00:00	960001045	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-12-04 00:00:00	None	No	2004-01-20 00:00:00	None	B	None	1000	1000	-350	650	0	960009518	A99999	N	None	None	SFY2003-04
960001833	MARIE'S HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-12-18 00:00:00	960001046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-03 00:00:00	None	No	2004-01-20 00:00:00	None	B	None	900	900	-315	585	0	960009518	A99999	N	None	None	SFY2003-04
960000956	HARBOR HEALTH CARE, INC. - HOBACK DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-12-30 00:00:00	960001047	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-21 00:00:00	None	Yes	2004-06-04 00:00:00	2004-01-06 00:00:00	B	Dismissed by Court	900	0	0	0	0	960009486	A99999	N	None	None	SFY2003-04
960000951	PROJECT HOMELIFE - PARISE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-01-20 00:00:00	960001048	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-02 00:00:00	None	No	2004-02-20 00:00:00	None	B	None	1000	1000	-350	650	0	960009540	A99999	N	None	None	SFY2003-04
960002312	GRAND AVENUE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-02-03 00:00:00	960001049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-05 00:00:00	None	No	2004-03-12 00:00:00	None	B	None	1000	1000	0	1000	0	960009496	A99999	N	None	None	SFY2003-04
960002467	COMMUNITY CARE SERVICES - ARMSTEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-02-23 00:00:00	960001050	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-11-30 00:00:00	None	Yes	2004-04-05 00:00:00	2004-03-03 00:00:00	B	B	1000	1000	-1000	0	0	960009542	A99999	N	None	None	SFY2003-04
960002467	COMMUNITY CARE SERVICES - ARMSTEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-02-23 00:00:00	960001051	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-12-09 00:00:00	None	Yes	2004-08-12 00:00:00	2004-03-03 00:00:00	B	B	1000	3150	-2150	1000	0	960009559	A99999	N	None	None	SFY2003-04
960002467	COMMUNITY CARE SERVICES - ARMSTEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-02-23 00:00:00	960001052	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-11-30 00:00:00	None	Yes	2004-08-12 00:00:00	2004-03-03 00:00:00	B	Drop>Deficiency	800	0	0	0	0	960009542	A99999	N	None	None	SFY2003-04
960002467	COMMUNITY CARE SERVICES - ARMSTEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-02-23 00:00:00	960001053	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-12-09 00:00:00	None	Yes	2004-03-15 00:00:00	2004-03-03 00:00:00	B	B	1000	1000	-1000	0	0	960009559	A99999	N	None	None	SFY2003-04
960002467	COMMUNITY CARE SERVICES - ARMSTEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-02-23 00:00:00	960001054	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-09 00:00:00	None	Yes	2004-04-05 00:00:00	2004-03-03 00:00:00	B	None	1000	1000	-1000	0	0	960009559	A99999	N	None	None	SFY2003-04
960002467	COMMUNITY CARE SERVICES - ARMSTEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-02-23 00:00:00	960001055	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-12-01 00:00:00	None	Yes	2004-03-15 00:00:00	2004-03-03 00:00:00	B	B	1000	1050	-1050	0	0	960009559	A99999	N	None	None	SFY2003-04
960002467	COMMUNITY CARE SERVICES - ARMSTEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-02-24 00:00:00	960001056	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-12-09 00:00:00	None	Yes	2006-03-10 00:00:00	2004-03-03 00:00:00	B	B	1000	1000	-1000	0	0	960009559	A99999	N	None	None	SFY2003-04
960002467	COMMUNITY CARE SERVICES - ARMSTEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-02-24 00:00:00	960001057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-09 00:00:00	None	Yes	2006-03-20 00:00:00	2004-03-03 00:00:00	B	B	1000	1000	-1000	0	0	960009559	A99999	N	None	None	SFY2003-04
960002467	COMMUNITY CARE SERVICES - ARMSTEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-02-26 00:00:00	960001058	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-09 00:00:00	None	Yes	2004-04-05 00:00:00	2004-03-03 00:00:00	B	B	1000	1000	-1000	0	0	960009559	A99999	N	None	None	SFY2003-04
960001221	UNITED CARE HOMES, INC. - CAMWOOD	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-02-27 00:00:00	960001059	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-13 00:00:00	None	No	2004-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	960009609	A99999	N	None	None	SFY2003-04
960001756	EBORA GUEST HOME #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-03-03 00:00:00	960001060	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-01-21 00:00:00	None	No	2004-04-12 00:00:00	None	B	None	1000	1000	-350	650	0	960009587	A99999	N	None	None	SFY2003-04
960002394	BEACHSIDE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-03-08 00:00:00	960001061	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-12 00:00:00	None	No	2004-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	960009629	A99999	N	None	None	SFY2003-04
960001718	NEW HORIZONS C	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-03-30 00:00:00	960001062	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-23 00:00:00	None	No	2004-04-30 00:00:00	None	B	None	1000	1000	-350	650	0	960009643	A99999	N	None	None	SFY2003-04
960001718	NEW HORIZONS C	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-03-30 00:00:00	960001063	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-02-23 00:00:00	None	No	2004-04-30 00:00:00	None	B	None	1000	1000	-350	650	0	960009643	A99999	N	None	None	SFY2003-04
960002084	HOME CARE FORTE, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-03-30 00:00:00	960001064	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-11-25 00:00:00	None	No	2004-04-30 00:00:00	None	B	None	1000	1000	-350	650	0	960009638	A99999	N	None	None	SFY2003-04
960001720	CASA MONTANA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-04-02 00:00:00	960001065	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-15 00:00:00	None	No	2004-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	960009651	A99999	N	None	None	SFY2003-04
960001412	NEW HORIZONS B	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-04-20 00:00:00	960001066	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-02-27 00:00:00	None	No	2004-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	960009627	A99999	N	None	None	SFY2003-04
960000966	ROBILYN GUEST HOME IV	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-04-30 00:00:00	960001067	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-03-30 00:00:00	None	No	2004-05-21 00:00:00	None	B	None	1000	1000	-350	650	0	960009680	A99999	N	None	None	SFY2003-04
960001826	G M HOME II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-04-30 00:00:00	960001069	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-03-12 00:00:00	None	No	2004-06-03 00:00:00	None	B	None	1000	1000	-350	650	0	960009697	A99999	N	None	None	SFY2003-04
960001097	PURE JOY #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-05-26 00:00:00	960001071	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-03-26 00:00:00	None	No	2004-07-14 00:00:00	None	B	None	1000	1000	-350	650	0	960009733	A99999	N	None	None	SFY2003-04
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-05-27 00:00:00	960001072	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-03-23 00:00:00	None	Yes	2011-04-26 00:00:00	2011-04-13 00:00:00	B	B	1000	500	0	500	0	960009661	A99999	N	None	None	SFY2003-04
960002836	MOMENTUM AGENCIES ICF/DD-H MISSION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-05-27 00:00:00	960001073	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-01 00:00:00	None	No	2004-07-13 00:00:00	None	B	None	1000	1000	-350	650	0	960009677	A99999	N	None	None	SFY2003-04
960002403	NORRIS DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-06-04 00:00:00	960001074	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-05 00:00:00	None	Yes	2004-07-13 00:00:00	2004-06-09 00:00:00	B	Dismissed by Court	1000	0	0	0	0	960009676	A99999	N	None	None	SFY2003-04
960001818	ACRE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-06-04 00:00:00	960001075	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-10 00:00:00	None	No	2004-07-13 00:00:00	None	B	None	1000	1000	0	1000	0	960009712	A99999	N	None	None	SFY2003-04
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-06-07 00:00:00	960001076	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-30 00:00:00	None	No	2004-07-13 00:00:00	None	B	None	1000	1000	-350	650	0	960009705	A99999	N	None	None	SFY2003-04
960001643	ARLINGTON HOME #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-06-15 00:00:00	960001077	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-28 00:00:00	None	No	2004-07-20 00:00:00	None	B	None	800	800	-280	520	0	960009759	A99999	N	None	None	SFY2003-04
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-06-25 00:00:00	960001078	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-06-08 00:00:00	None	No	2004-08-04 00:00:00	None	B	None	1000	1000	-350	650	0	960009774	A99999	N	None	None	SFY2003-04
960001416	INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-07-06 00:00:00	960001079	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-08 00:00:00	None	No	2004-07-27 00:00:00	None	B	None	1000	1000	-350	650	0	960009749	A99999	N	None	None	SFY2004-05
960002084	HOME CARE FORTE, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-07-12 00:00:00	960001080	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-06 00:00:00	None	No	2004-09-03 00:00:00	None	B	None	1000	1000	-350	650	0	960009804	A99999	N	None	None	SFY2004-05
960001413	NEW HORIZONS A	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-07-21 00:00:00	960001081	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-06-18 00:00:00	None	No	2004-08-19 00:00:00	None	B	None	1000	1000	-350	650	0	960009782	A99999	N	None	None	SFY2004-05
960001679	PECK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-07-22 00:00:00	960001082	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-06-17 00:00:00	None	No	2004-08-25 00:00:00	None	B	None	800	800	-280	520	0	960009788	A99999	N	None	None	SFY2004-05
960001255	JO-MI INTERMEDIATE CARE FAC/DEVELOPMENTALLY-NRSG	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-07-23 00:00:00	960001083	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-06-07 00:00:00	None	No	2004-09-17 00:00:00	None	B	None	800	800	-280	520	0	960009773	A99999	N	None	None	SFY2004-05
960002324	DAWNVIEW HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-07-29 00:00:00	960001084	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-06-21 00:00:00	None	Yes	2011-06-30 00:00:00	2011-04-13 00:00:00	B	B	1000	500	0	500	0	960009838	A99999	N	None	None	SFY2004-05
960000984	HARBOR HEALTH CARE, INC. - BAYLOR DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-08-02 00:00:00	960001085	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-06-23 00:00:00	None	No	2004-09-03 00:00:00	None	B	None	1000	1000	0	1000	0	960009789	A99999	N	None	None	SFY2004-05
960001548	BROWN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-08-11 00:00:00	960001086	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-07-23 00:00:00	None	No	2004-09-28 00:00:00	None	B	None	900	900	0	900	0	960009834	A99999	N	None	None	SFY2004-05
960001619	WEST LA SUPPORT SERVICES HOME #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-08-12 00:00:00	960001087	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-08 00:00:00	None	Yes	2004-09-30 00:00:00	2004-08-23 00:00:00	B	Dismissed by Court	900	0	0	0	0	960009831	A99999	N	None	None	SFY2004-05
960000874	UCP SAN PEDRO HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-08-13 00:00:00	960001088	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-21 00:00:00	None	No	2004-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	960009827	A99999	N	None	None	SFY2004-05
960002036	JENYMEL'S HOME CARE INC. III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-08-18 00:00:00	960001089	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-08-06 00:00:00	None	No	2004-11-05 00:00:00	None	B	None	900	900	-315	585	0	960009856	A99999	N	None	None	SFY2004-05
960002040	RAINBOW HORIZONS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-08-20 00:00:00	960001090	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-02 00:00:00	None	No	2004-09-13 00:00:00	None	B	None	1000	1000	-350	650	0	960009756	A99999	N	None	None	SFY2004-05
960001172	MOUNTAINGATE HOUSE - PROJECT SIX	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-08-23 00:00:00	960001091	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-23 00:00:00	None	No	2004-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	960009878	A99999	N	None	None	SFY2004-05
960001274	VALLEY VILLAGE PARTHENIA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-08-20 00:00:00	960001092	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-09 00:00:00	None	No	2004-09-30 00:00:00	None	B	None	1000	1000	-350	650	0	960009822	A99999	N	None	None	SFY2004-05
960002849	VALVERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-10-08 00:00:00	960001093	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-24 00:00:00	None	No	2004-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	960009924	A99999	N	None	None	SFY2004-05
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-10-26 00:00:00	960001094	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-23 00:00:00	None	No	2004-12-14 00:00:00	None	B	None	1000	1000	-350	650	0	960009941	A99999	N	None	None	SFY2004-05
960001172	MOUNTAINGATE HOUSE - PROJECT SIX	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-12-03 00:00:00	960001096	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-08-29 00:00:00	None	No	2005-01-11 00:00:00	None	B	None	1000	1000	-350	650	0	960009982	A99999	N	None	None	SFY2004-05
960002358	PATE & INGRAM HOME I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-12-03 00:00:00	960001097	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-10-01 00:00:00	None	No	2005-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	960009983	A99999	N	None	None	SFY2004-05
960001482	ARLINGTON HOME #2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-12-03 00:00:00	960001098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-22 00:00:00	None	No	2005-01-19 00:00:00	None	B	None	1000	1000	-350	650	0	960009984	A99999	N	None	None	SFY2004-05
960001922	NORTH HILLS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-01-14 00:00:00	960001099	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-12-14 00:00:00	None	No	2005-02-07 00:00:00	None	B	None	800	800	-280	520	0	960010028	A99999	N	None	None	SFY2004-05
960001351	CEDAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-01-14 00:00:00	960001100	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-14 00:00:00	None	No	2005-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	960010029	A99999	N	None	None	SFY2004-05
960001924	MATHARU ASSISTED LIVING	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-02-11 00:00:00	960001101	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-25 00:00:00	None	No	2005-07-12 00:00:00	None	B	None	500	500	-175	325	0	960010048	A99999	N	None	None	SFY2004-05
960002084	HOME CARE FORTE, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-02-14 00:00:00	960001102	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-24 00:00:00	None	No	2005-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	960010043	A99999	N	None	None	SFY2004-05
960002084	HOME CARE FORTE, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-02-14 00:00:00	960001103	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-24 00:00:00	None	No	2005-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	960010043	A99999	N	None	None	SFY2004-05
960002084	HOME CARE FORTE, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-02-14 00:00:00	960001104	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-24 00:00:00	None	No	2005-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	960010043	A99999	N	None	None	SFY2004-05
960000997	MOMENTUM AGENCIES ICF/DD-H HARBOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-02-25 00:00:00	960001105	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-08 00:00:00	None	No	2005-07-08 00:00:00	None	B	None	800	800	-280	520	0	960010039	A99999	N	None	None	SFY2004-05
960002027	MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-04-01 00:00:00	960001106	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-03-21 00:00:00	None	No	2005-07-08 00:00:00	None	B	None	800	800	-280	520	0	960010122	A99999	N	None	None	SFY2004-05
960000967	BURNETT'S #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-03-24 00:00:00	960001107	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-21 00:00:00	None	No	2005-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	960010123	A99999	N	None	None	SFY2004-05
960000967	BURNETT'S #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-04-06 00:00:00	960001108	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-21 00:00:00	2005-03-24 00:00:00	No	2005-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	960010123	A99999	N	None	None	SFY2004-05
960001975	ARMSTRONG HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-04-08 00:00:00	960001109	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-22 00:00:00	2005-03-25 00:00:00	No	2005-05-16 00:00:00	None	B	None	1000	1000	-350	650	0	960010127	A99999	N	None	None	SFY2004-05
960001412	NEW HORIZONS B	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-04-15 00:00:00	960001110	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-02-17 00:00:00	None	No	2005-07-08 00:00:00	None	B	None	1000	1000	-350	650	0	960010099	A99999	N	None	None	SFY2004-05
960001643	ARLINGTON HOME #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-04-22 00:00:00	960001111	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-07 00:00:00	None	No	2005-05-25 00:00:00	None	B	None	1000	1000	-350	650	0	960010137	A99999	N	None	None	SFY2004-05
960002058	BEST CARE HOME II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-04-26 00:00:00	960001112	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-01 00:00:00	None	No	2005-06-06 00:00:00	None	B	None	800	1150	-280	870	0	960010132	A99999	N	None	None	SFY2004-05
960001694	ASTORIA HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-05-19 00:00:00	960001113	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-02 00:00:00	None	No	2005-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	960010165	A99999	N	None	None	SFY2004-05
960002077	MARY'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-05-24 00:00:00	960001114	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-04-25 00:00:00	None	No	2005-06-15 00:00:00	None	B	None	700	700	-245	455	0	960010159	A99999	N	None	None	SFY2004-05
960001875	K & S GROUP HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-05-23 00:00:00	960001115	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-29 00:00:00	None	No	2005-06-20 00:00:00	None	B	None	800	800	-280	520	0	960010167	A99999	N	None	None	SFY2004-05
960001754	MARIE'S PRIVATE QUARTERS #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-05-25 00:00:00	960001116	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-04-12 00:00:00	None	No	2005-07-19 00:00:00	None	B	None	800	800	-280	520	0	960010144	A99999	N	None	None	SFY2004-05
960001754	MARIE'S PRIVATE QUARTERS #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-05-25 00:00:00	960001117	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-04-12 00:00:00	None	No	2005-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	960010144	A99999	N	None	None	SFY2004-05
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-06-06 00:00:00	960001118	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-25 00:00:00	None	No	2005-07-08 00:00:00	None	B	None	1000	1000	-350	650	0	960010170	A99999	N	None	None	SFY2004-05
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-06-06 00:00:00	960001119	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-26 00:00:00	None	No	2005-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	960010170	A99999	N	None	None	SFY2004-05
960000929	JULIAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-06-08 00:00:00	960001121	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-04 00:00:00	None	No	2005-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	960010139	A99999	N	None	None	SFY2004-05
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-06-15 00:00:00	960001122	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-09 00:00:00	None	No	2005-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	960010170	A99999	N	None	None	SFY2004-05
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-06-09 00:00:00	960001123	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-05-23 00:00:00	None	No	2005-07-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	960010188	A99999	N	None	None	SFY2004-05
960001789	MARKWAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-06-10 00:00:00	960001124	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-18 00:00:00	2005-05-20 00:00:00	No	2005-07-12 00:00:00	None	B	None	1000	1000	-350	650	0	960010187	A99999	N	None	None	SFY2004-05
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-06-15 00:00:00	960001125	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-29 00:00:00	None	No	2005-07-19 00:00:00	None	B	None	500	1500	-525	975	0	960010170	A99999	N	None	None	SFY2004-05
960000874	UCP SAN PEDRO HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-06-16 00:00:00	960001127	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-04-26 00:00:00	None	Yes	2005-07-27 00:00:00	2005-07-14 00:00:00	B	B	1000	500	0	500	0	960010185	A99999	N	None	None	SFY2004-05
960002724	TEMPLE GARDEN HOMES IV	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-07-18 00:00:00	960001128	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-06-21 00:00:00	None	No	2005-08-08 00:00:00	None	B	None	800	800	0	800	0	960010227	A99999	N	None	None	SFY2005-06
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-07-21 00:00:00	960001129	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-21 00:00:00	None	Yes	2005-08-11 00:00:00	2005-09-15 00:00:00	B	None	1000	1200	0	1200	0	960010226	A99999	N	None	None	SFY2005-06
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-07-29 00:00:00	960001130	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-12 00:00:00	None	No	2005-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	960010154	A99999	N	None	None	SFY2005-06
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-07-29 00:00:00	960001131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-12 00:00:00	None	No	2005-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	960010154	A99999	N	None	None	SFY2005-06
960002102	LAFONDA DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-08-03 00:00:00	960001132	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-17 00:00:00	None	No	2005-09-19 00:00:00	None	B	None	1000	1000	-350	650	0	960010243	A99999	N	None	None	SFY2005-06
960001412	NEW HORIZONS B	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-08-03 00:00:00	960001133	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-06-17 00:00:00	None	No	2005-09-19 00:00:00	None	B	None	1000	1000	-350	650	0	960010242	A99999	N	None	None	SFY2005-06
960001412	NEW HORIZONS B	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-08-03 00:00:00	960001134	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-06-17 00:00:00	None	No	2005-09-19 00:00:00	None	B	None	1000	1000	-350	650	0	960010242	A99999	N	None	None	SFY2005-06
960002865	DISCOVERING HORIZONS-BALBOA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-08-03 00:00:00	960001135	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-05-31 00:00:00	None	No	2005-09-19 00:00:00	None	B	None	500	500	-175	325	0	960010264	A99999	N	None	None	SFY2005-06
960002347	G M HOME III	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-08-15 00:00:00	960001136	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-07-20 00:00:00	None	No	2005-09-15 00:00:00	None	B	None	800	800	-280	520	0	960010261	A99999	N	None	None	SFY2005-06
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-09-09 00:00:00	960001137	Closed	Citation	Citation A (HSC 1424)	Administration	None	2005-09-09 00:00:00	None	No	2005-10-25 00:00:00	None	A	None	5000	5000	-1750	3250	0	960010154	A99999	N	None	None	SFY2005-06
960002358	PATE & INGRAM HOME I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-09-06 00:00:00	960001139	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-03 00:00:00	None	No	2005-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	960010248	A99999	N	None	None	SFY2005-06
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-09-09 00:00:00	960001140	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-04 00:00:00	None	Yes	2011-06-08 00:00:00	2011-04-13 00:00:00	B	B	1000	500	0	500	0	960010251	A99999	N	None	None	SFY2005-06
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-09-09 00:00:00	960001141	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-04 00:00:00	None	Yes	2011-06-08 00:00:00	2011-04-13 00:00:00	B	B	1000	500	0	500	0	960010251	A99999	N	None	None	SFY2005-06
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-09-09 00:00:00	960001142	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-03 00:00:00	None	Yes	2011-06-08 00:00:00	2011-04-13 00:00:00	B	B	1000	500	0	500	0	960010251	A99999	N	None	None	SFY2005-06
960002687	CROCKETT DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-09-14 00:00:00	960001143	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-19 00:00:00	None	No	2005-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	960010287	A99999	N	None	None	SFY2005-06
960001459	EL ENCANTO HEALTHCARE & HABILIATION CTR D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-09-15 00:00:00	960001144	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-04 00:00:00	None	No	2005-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	960010271	A99999	N	None	None	SFY2005-06
960001459	EL ENCANTO HEALTHCARE & HABILIATION CTR D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-09-15 00:00:00	960001145	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-08 00:00:00	None	No	2005-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	960010271	A99999	N	None	None	SFY2005-06
960001323	QUARTZ HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-09-22 00:00:00	960001146	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-22 00:00:00	None	No	2005-10-25 00:00:00	None	B	None	1000	1250	0	1250	0	960010309	A99999	N	None	None	SFY2005-06
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-10-04 00:00:00	960001147	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-29 00:00:00	None	No	2005-10-26 00:00:00	None	B	None	800	1200	0	1200	0	960010303	A99999	N	None	None	SFY2005-06
960001097	PURE JOY #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-10-04 00:00:00	960001149	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-29 00:00:00	None	No	2005-11-16 00:00:00	None	B	None	800	1150	0	1150	0	960010341	A99999	N	None	None	SFY2005-06
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-10-07 00:00:00	960001150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-13 00:00:00	None	No	2005-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	960010305	A99999	N	None	None	SFY2005-06
960001906	NEARGROVE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-10-20 00:00:00	960001151	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-01-30 00:00:00	None	No	2005-11-10 00:00:00	None	A	None	10000	10000	-3500	6500	0	960010362	A99999	Y	None	None	SFY2005-06
960002874	SGM FOSTER	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-10-27 00:00:00	960001152	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-19 00:00:00	None	No	2005-12-05 00:00:00	None	B	None	1000	1000	-350	650	0	960010368	A99999	N	None	None	SFY2005-06
960002863	CHELSEA HOME CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-10-28 00:00:00	960001153	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-20 00:00:00	2005-09-20 00:00:00	No	2005-11-21 00:00:00	None	B	None	1000	1650	0	1650	0	960010348	A99999	N	None	None	SFY2005-06
960002849	VALVERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-11-10 00:00:00	960001154	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-24 00:00:00	None	No	2005-12-06 00:00:00	None	B	None	900	900	-315	585	0	960010376	A99999	N	None	None	SFY2005-06
960002060	RAYMOND HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-11-16 00:00:00	960001155	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-25 00:00:00	None	No	2006-01-03 00:00:00	None	B	None	1000	1000	-350	650	0	960010381	A99999	N	None	None	SFY2005-06
960002060	RAYMOND HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-11-16 00:00:00	960001156	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-10-29 00:00:00	None	No	2006-01-06 00:00:00	None	B	None	1000	1000	-350	650	0	960010381	A99999	N	None	None	SFY2005-06
960002865	DISCOVERING HORIZONS-BALBOA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-11-16 00:00:00	960001157	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-24 00:00:00	None	No	2005-12-21 00:00:00	None	B	None	900	900	-315	585	0	960010371	A99999	N	None	None	SFY2005-06
960002099	SPRING GABLES ICF/DDH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-11-16 00:00:00	960001158	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-11-02 00:00:00	None	No	2005-12-09 00:00:00	None	B	None	1000	1000	-350	650	0	960010387	A99999	N	None	None	SFY2005-06
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-11-17 00:00:00	960001159	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2005-10-29 00:00:00	None	No	2006-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	960010390	A99999	N	None	None	SFY2005-06
960002705	JADE RANCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-12-13 00:00:00	960001160	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-12 00:00:00	None	Yes	2006-01-05 00:00:00	2005-12-28 00:00:00	B	None	1000	1000	-350	650	0	960010366	A99999	N	None	None	SFY2005-06
960002705	JADE RANCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-12-13 00:00:00	960001161	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-19 00:00:00	None	No	2006-01-26 00:00:00	None	B	None	1000	1000	-350	650	0	960010366	A99999	N	None	None	SFY2005-06
960001522	EMILY'S RESIDENTIAL CARE CENTER, LLC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-12-14 00:00:00	960001162	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-21 00:00:00	None	No	2006-01-17 00:00:00	None	B	None	1000	1000	-350	650	0	960010405	A99999	N	None	None	SFY2005-06
960001833	MARIE'S HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-12-17 00:00:00	960001163	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-11 00:00:00	None	No	2006-01-26 00:00:00	None	B	None	1000	1000	-350	650	0	960010415	A99999	N	None	None	SFY2005-06
960002066	HAWAIIAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-12-23 00:00:00	960001164	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-28 00:00:00	None	No	2006-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	960010388	A99999	N	None	None	SFY2005-06
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-12-29 00:00:00	960001165	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-11-23 00:00:00	None	No	2006-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	960010420	A99999	N	None	None	SFY2005-06
960000954	HARBOR HEALTH CARE, INC. ANTONIO DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-01-06 00:00:00	960001166	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-07 00:00:00	None	No	2006-02-16 00:00:00	None	B	None	1000	1000	-350	650	0	960010435	A99999	N	None	None	SFY2005-06
960000954	HARBOR HEALTH CARE, INC. ANTONIO DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-01-10 00:00:00	960001167	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-17 00:00:00	None	Yes	2006-02-16 00:00:00	2006-01-12 00:00:00	B	None	1000	1000	0	1000	0	960010435	A99999	N	None	None	SFY2005-06
960001553	HOLY HILL HOME CARE/BENFIELD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-01-19 00:00:00	960001168	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-07 00:00:00	None	Yes	2006-03-13 00:00:00	2006-01-19 00:00:00	B	None	1000	1000	-350	650	0	960010423	A99999	N	None	None	SFY2005-06
960002072	DANIEL'S CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-02-08 00:00:00	960001169	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-20 00:00:00	2006-01-20 00:00:00	No	2006-03-03 00:00:00	None	B	None	1000	1000	-350	650	0	960010481	A99999	N	None	None	SFY2005-06
960002877	TEMPLE GARDEN HOMES #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-02-09 00:00:00	960001170	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-24 00:00:00	None	No	2006-03-16 00:00:00	None	B	None	1000	1000	0	1000	0	960010482	A99999	N	None	None	SFY2005-06
960001659	CASA CARLOS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-02-09 00:00:00	960001171	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-14 00:00:00	2005-06-14 00:00:00	No	2006-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	960010463	A99999	N	None	None	SFY2005-06
960001904	LIN-ROS BEST HOME CARE, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-02-16 00:00:00	960001172	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-01-21 00:00:00	2006-01-21 00:00:00	No	2006-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	960010484	A99999	N	None	None	SFY2005-06
960001904	LIN-ROS BEST HOME CARE, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-02-16 00:00:00	960001173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-21 00:00:00	2006-01-21 00:00:00	No	2006-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	960010484	A99999	N	None	None	SFY2005-06
960001904	LIN-ROS BEST HOME CARE, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-02-16 00:00:00	960001174	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-21 00:00:00	2006-01-21 00:00:00	No	2006-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	960010484	A99999	N	None	None	SFY2005-06
960001794	TLC - RINALDI HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-03-08 00:00:00	960002909	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-01-19 00:00:00	2006-01-19 00:00:00	No	2006-04-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	8ZJF11	N	None	None	SFY2005-06
960001787	ELLENBOGEN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-03-15 00:00:00	960002938	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-28 00:00:00	2006-02-28 00:00:00	No	2006-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	5GQN11	N	None	None	SFY2005-06
960001713	BEST CARE HOME I, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-03-21 00:00:00	960002973	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-02-15 00:00:00	2006-02-15 00:00:00	No	2006-04-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	035H11	N	CA00072403	B	SFY2005-06
960001718	NEW HORIZONS C	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-03-22 00:00:00	960002976	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-02-25 00:00:00	2006-02-25 00:00:00	No	2006-05-09 00:00:00	None	B	None	800	800	-280	520	0	None	3K3V11	N	None	None	SFY2005-06
960002849	VALVERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-03-31 00:00:00	960002995	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-01-27 00:00:00	2006-01-27 00:00:00	No	2006-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	1ZHM11	N	CA00068765, CA00070606	C, B	SFY2005-06
960002849	VALVERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-03-31 00:00:00	960002996	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-01-27 00:00:00	2006-01-27 00:00:00	No	2006-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	1ZHM11	N	CA00068765, CA00070606	C, B	SFY2005-06
960001900	ABLANO HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-03-29 00:00:00	960002999	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-17 00:00:00	2006-02-17 00:00:00	No	2006-05-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	E04P11	N	None	None	SFY2005-06
960002558	CERRITOS HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-04-10 00:00:00	960003021	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-20 00:00:00	2006-03-20 00:00:00	No	2006-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	0DL811	N	None	None	SFY2005-06
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-04-14 00:00:00	960003028	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-23 00:00:00	2006-03-23 00:00:00	No	2006-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	R6K911	N	None	None	SFY2005-06
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-04-14 00:00:00	960003029	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-19 00:00:00	2006-03-19 00:00:00	No	2006-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	R6K911	N	None	None	SFY2005-06
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-04-14 00:00:00	960003030	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-19 00:00:00	2005-03-19 00:00:00	No	2006-05-23 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	BMTI11	N	None	None	SFY2005-06
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-04-21 00:00:00	960003051	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-04-01 00:00:00	2006-04-01 00:00:00	Yes	2006-05-25 00:00:00	2006-05-05 00:00:00	B	B	1000	500	0	500	0	None	CLPZ11	N	CA00076483	C	SFY2005-06
960002151	CASA JOHN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-04-21 00:00:00	960003052	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-03-28 00:00:00	2006-03-28 00:00:00	No	2006-05-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	RZRE11	N	CA00076334	B	SFY2005-06
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-05-04 00:00:00	960003079	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-28 00:00:00	2006-03-28 00:00:00	No	2006-05-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	BRVO11	N	CA00076156	C	SFY2005-06
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-05-04 00:00:00	960003080	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-28 00:00:00	2006-03-28 00:00:00	Yes	2006-07-07 00:00:00	2006-06-09 00:00:00	B	B	1000	1000	-500	500	0	None	BRVO11	N	None	None	SFY2005-06
960002202	CASA TERRY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-05-09 00:00:00	960003088	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-04-14 00:00:00	2006-04-14 00:00:00	No	2006-05-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	D5SZ11	N	None	None	SFY2005-06
960001323	QUARTZ HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-05-24 00:00:00	960003114	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-05 00:00:00	2006-05-05 00:00:00	No	2006-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	PQBD11	N	CA00080124	A	SFY2005-06
960002316	FLORINDA STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-05-25 00:00:00	960003120	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-03-19 00:00:00	2006-03-19 00:00:00	No	2006-07-06 00:00:00	None	B	None	800	800	-280	520	0	None	X4C111	N	CA00075852	B	SFY2005-06
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-05-31 00:00:00	960003130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-02-07 00:00:00	2006-02-07 00:00:00	No	2006-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	OYPV11	N	None	None	SFY2005-06
960001898	EMILY CARE CENTER II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-06-02 00:00:00	960003135	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-02-09 00:00:00	2006-02-09 00:00:00	No	2006-06-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	VMYN11	N	None	None	SFY2005-06
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-06-08 00:00:00	960003151	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-12-03 00:00:00	2005-12-03 00:00:00	Yes	2006-07-12 00:00:00	2006-06-29 00:00:00	A	A	10000	6500	0	6500	0	None	MCJS11	N	CA00069274, CA00073915	C, C	SFY2005-06
960000929	JULIAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-06-14 00:00:00	960003160	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-02 00:00:00	2005-06-02 00:00:00	Yes	2006-07-21 00:00:00	2006-06-15 00:00:00	B	B	1000	500	0	500	0	None	OTXO11	N	None	None	SFY2005-06
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-06-14 00:00:00	960003161	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-17 00:00:00	2005-04-17 00:00:00	No	2006-07-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	HCST11	N	None	None	SFY2005-06
960000929	JULIAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-06-15 00:00:00	960003167	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-06 00:00:00	2006-05-06 00:00:00	Yes	2006-07-21 00:00:00	2006-06-15 00:00:00	B	B	1000	500	0	500	0	None	OTXO11	N	None	None	SFY2005-06
960001904	LIN-ROS BEST HOME CARE, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-06-29 00:00:00	960003186	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2006-05-12 00:00:00	2006-05-12 00:00:00	No	2006-07-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	M34R11	N	CA00081009	A	SFY2005-06
960001904	LIN-ROS BEST HOME CARE, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-06-29 00:00:00	960003188	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-05-10 00:00:00	2006-05-10 00:00:00	No	2006-07-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	M34R11	N	CA00081009	A	SFY2005-06
960001911	FELIZ HEALTH CARE CENTER II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-06-30 00:00:00	960003189	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-03-13 00:00:00	2004-03-13 00:00:00	No	2006-07-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	629J11	N	None	None	SFY2005-06
960001904	LIN-ROS BEST HOME CARE, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-07-07 00:00:00	960003194	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-10 00:00:00	2006-05-10 00:00:00	No	2006-07-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	M34R11	N	CA00081009	A	SFY2006-07
960001841	HOLY HILL HOME CARE/BELLFLOWER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-07-07 00:00:00	960003195	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-04 00:00:00	2006-05-04 00:00:00	No	2006-09-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	76NO11	N	CA00081021	C	SFY2006-07
960001841	HOLY HILL HOME CARE/BELLFLOWER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-07-07 00:00:00	960003196	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-05-04 00:00:00	2006-05-04 00:00:00	No	2006-09-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	76NO11	N	CA00081021	C	SFY2006-07
960000984	HARBOR HEALTH CARE, INC. - BAYLOR DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-07-11 00:00:00	960003199	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-07-04 00:00:00	2006-07-04 00:00:00	Yes	2006-08-30 00:00:00	2006-08-08 00:00:00	B	Dismissed by Court	1000	0	0	0	0	None	C8XU11	N	None	None	SFY2006-07
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-07-14 00:00:00	960003209	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-31 00:00:00	2006-03-31 00:00:00	No	2006-08-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	OYPV11	N	None	None	SFY2006-07
960001416	INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-08-17 00:00:00	960003291	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-25 00:00:00	2006-07-25 00:00:00	Yes	2006-10-31 00:00:00	2006-10-05 00:00:00	B	B	1000	500	0	500	0	None	5XKL11	N	CA00086404	A	SFY2006-07
960001416	INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-08-17 00:00:00	960003292	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-13 00:00:00	2006-07-13 00:00:00	Yes	2006-10-31 00:00:00	2006-10-12 00:00:00	B	B	1000	500	0	500	0	None	5XKL11	N	CA00086404	A	SFY2006-07
960001416	INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-08-17 00:00:00	960003294	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-26 00:00:00	2006-07-26 00:00:00	Yes	2006-10-31 00:00:00	2006-10-12 00:00:00	B	B	1000	500	0	500	0	None	5XKL11	N	None	None	SFY2006-07
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-09-12 00:00:00	960003336	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-19 00:00:00	2006-08-19 00:00:00	No	2006-10-31 00:00:00	None	B	None	900	900	-315	585	0	None	2P7511	N	None	None	SFY2006-07
960002347	G M HOME III	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-09-28 00:00:00	960003379	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-12 00:00:00	2006-08-12 00:00:00	No	2006-11-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	AI2E11	N	None	None	SFY2006-07
960000925	SILVER SPRAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-10-02 00:00:00	960003385	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-28 00:00:00	2006-08-28 00:00:00	Yes	2006-11-02 00:00:00	2006-10-11 00:00:00	B	B	1000	500	0	500	0	None	GF7W11	N	CA00093445	A	SFY2006-07
960002877	TEMPLE GARDEN HOMES #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-10-24 00:00:00	960003441	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-08-18 00:00:00	2006-08-18 00:00:00	Yes	2006-12-22 00:00:00	2006-10-31 00:00:00	B	B	1000	1000	0	1000	0	None	6PLZ11	N	CA00094943	C	SFY2006-07
960002295	FORBES DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-10-24 00:00:00	960003442	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-08 00:00:00	2006-06-08 00:00:00	No	2006-11-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z1NY11	N	CA00083286	D	SFY2006-07
960001416	INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-11-02 00:00:00	960003459	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-12 00:00:00	2006-10-12 00:00:00	Yes	2006-12-14 00:00:00	2006-11-28 00:00:00	B	B	1000	500	0	500	0	None	5XKL12	N	None	None	SFY2006-07
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-11-13 00:00:00	960003487	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-10-10 00:00:00	2006-10-10 00:00:00	No	2006-12-06 00:00:00	None	B	None	1000	3750	0	3750	0	None	W1P811	N	CA00083232	C	SFY2006-07
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-11-13 00:00:00	960003488	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-10 00:00:00	2006-10-10 00:00:00	No	2006-12-06 00:00:00	None	B	None	1000	2850	0	2850	0	None	W1P811	N	CA00083232	C	SFY2006-07
960001280	INDEPENDENT OPTIONS, INC./KIOWA CREST II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-12-18 00:00:00	960003583	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-29 00:00:00	2006-11-29 00:00:00	Yes	2007-01-31 00:00:00	2007-01-08 00:00:00	B	B	1000	500	0	500	0	None	MI0011	N	None	None	SFY2006-07
960002099	SPRING GABLES ICF/DDH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-01-02 00:00:00	960003612	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-13 00:00:00	2006-12-13 00:00:00	No	2007-01-23 00:00:00	None	B	None	800	800	-280	520	0	None	RJ6J11	N	None	None	SFY2006-07
960002142	MATHARU ASSISTED LIVING #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-03-02 00:00:00	960003764	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-14 00:00:00	2007-02-14 00:00:00	No	2007-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	LR2C11	N	None	None	SFY2006-07
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-03-07 00:00:00	960003775	Closed	Citation	Citation B (HSC 1424)	Administration	Abuse/Facility Not Report	2006-11-09 00:00:00	2006-11-09 00:00:00	Yes	2007-03-28 00:00:00	2007-03-19 00:00:00	B	B	1000	500	0	500	0	None	5T1K11	N	CA00103776	C	SFY2006-07
960000954	HARBOR HEALTH CARE, INC. ANTONIO DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-03-12 00:00:00	960003788	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-11 00:00:00	2007-02-11 00:00:00	No	2007-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	0EIH11	N	None	None	SFY2006-07
960002202	CASA TERRY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-04-03 00:00:00	960003866	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-02-27 00:00:00	2007-02-27 00:00:00	No	2007-04-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	H2SN11	N	None	None	SFY2006-07
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-04-04 00:00:00	960003871	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-11-09 00:00:00	2006-11-09 00:00:00	Yes	2007-04-25 00:00:00	2007-04-10 00:00:00	A	A	10000	5000	0	5000	0	None	5T1K11	N	CA00103776	C	SFY2006-07
960002072	DANIEL'S CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-04-06 00:00:00	960003883	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-03-15 00:00:00	2007-03-15 00:00:00	No	2007-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	7CSJ11	N	None	None	SFY2006-07
960001584	JOYCE MARIE HOMES INC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-04-13 00:00:00	960003900	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-20 00:00:00	2007-03-20 00:00:00	No	2007-05-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	FW6H11	N	None	None	SFY2006-07
960001584	JOYCE MARIE HOMES INC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-04-13 00:00:00	960003901	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-03-17 00:00:00	2007-03-17 00:00:00	No	2007-05-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	FW6H11	N	None	None	SFY2006-07
960002863	CHELSEA HOME CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-05-15 00:00:00	960003957	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-22 00:00:00	2007-04-22 00:00:00	Yes	2007-06-05 00:00:00	2007-05-23 00:00:00	B	None	1000	1000	0	1000	0	None	JFCF11	N	None	None	SFY2006-07
960002863	CHELSEA HOME CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-05-15 00:00:00	960003958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-28 00:00:00	2007-04-28 00:00:00	Yes	2007-06-05 00:00:00	2007-05-15 00:00:00	B	B	1000	500	0	500	0	None	JFCF11	N	None	None	SFY2006-07
960002863	CHELSEA HOME CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-05-15 00:00:00	960003959	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-04-22 00:00:00	2007-04-22 00:00:00	Yes	2007-06-05 00:00:00	2007-05-15 00:00:00	B	B	1000	1000	0	1000	0	None	JFCF11	N	None	None	SFY2006-07
630004441	BAILEY CARE HOME 1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-05-23 00:00:00	960003979	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-24 00:00:00	2007-04-24 00:00:00	No	2007-06-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	NPDL11	N	None	None	SFY2006-07
960001150	CAMELOT DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-05-23 00:00:00	960003980	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2007-07-11 00:00:00	None	B	None	900	900	-315	585	0	None	4X5E11	N	CA00114252	A	SFY2006-07
960002056	K AND S GROUP HOME #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-06-04 00:00:00	960004009	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-18 00:00:00	2007-04-18 00:00:00	No	2007-06-25 00:00:00	None	B	None	900	900	-315	585	0	None	M83N11	N	None	None	SFY2006-07
960001550	LOMITA GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-06-04 00:00:00	960004011	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-05-22 00:00:00	2007-05-22 00:00:00	No	2007-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	OTLN11	N	CA00115036	B	SFY2006-07
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-06-29 00:00:00	960004055	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-06-01 00:00:00	2007-06-01 00:00:00	No	2007-07-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	580711	N	None	None	SFY2006-07
960002765	LAXFORD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-07-19 00:00:00	960004114	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-06-30 00:00:00	2007-06-30 00:00:00	No	2007-08-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	9UKK11	N	CA00118889	A	SFY2007-08
960002901	CK II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-08-03 00:00:00	960004159	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-15 00:00:00	2007-07-15 00:00:00	No	2007-08-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	00DG11	N	CA00121564	C	SFY2007-08
960001607	MATHARU ASSISTED LIVING #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-08-09 00:00:00	960004167	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-07-27 00:00:00	2007-07-27 00:00:00	No	2007-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	LR2C11	N	None	None	SFY2007-08
960002786	SUNBURST CARE CENTER #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-08-10 00:00:00	960004172	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-14 00:00:00	2007-02-14 00:00:00	No	2007-08-31 00:00:00	None	B	None	800	800	-280	520	0	None	2P2H11	N	CA00122805	C	SFY2007-08
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-08-29 00:00:00	960004223	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-09 00:00:00	2007-07-09 00:00:00	Yes	2007-09-20 00:00:00	2007-09-04 00:00:00	B	B	1000	500	0	500	0	None	MO1911	N	CA00118396	C	SFY2007-08
960000984	HARBOR HEALTH CARE, INC. - BAYLOR DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-09-27 00:00:00	960004299	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-24 00:00:00	2007-08-24 00:00:00	No	2007-10-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	4XZS11	N	None	None	SFY2007-08
960000929	JULIAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-10-04 00:00:00	960004320	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-03 00:00:00	2007-02-03 00:00:00	No	2007-10-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	B82111	Y	CA00107812	C	SFY2007-08
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-10-24 00:00:00	960004401	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-14 00:00:00	2007-07-14 00:00:00	Yes	2007-11-15 00:00:00	2007-11-26 00:00:00	B	B	1000	650	0	650	0	None	TJBX11	N	CA00120664	A	SFY2007-08
960001885	BENWICK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-11-08 00:00:00	960004432	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-23 00:00:00	2007-10-23 00:00:00	No	2007-12-04 00:00:00	None	B	None	800	800	0	800	0	None	MHK411	N	None	None	SFY2007-08
960001366	SCHMIDT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-11-15 00:00:00	960004448	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-04 00:00:00	2007-08-04 00:00:00	No	2007-12-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	WYKH11	N	CA00124114	C	SFY2007-08
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-11-16 00:00:00	960004450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-15 00:00:00	2007-10-15 00:00:00	No	2007-12-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	WM5M11	N	None	None	SFY2007-08
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-11-16 00:00:00	960004451	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-15 00:00:00	2007-10-15 00:00:00	No	2007-12-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	WM5M11	N	None	None	SFY2007-08
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-12-05 00:00:00	960004494	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-11-14 00:00:00	2007-11-14 00:00:00	No	2007-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y0JH11	N	None	None	SFY2007-08
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-12-05 00:00:00	960004499	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-11-14 00:00:00	2007-11-14 00:00:00	No	2007-12-27 00:00:00	None	B	None	800	800	-280	520	0	None	Y0JH11	N	None	None	SFY2007-08
960002370	TLC - RAVITZ HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-12-14 00:00:00	960004507	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-24 00:00:00	2007-10-24 00:00:00	No	2008-01-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	MJCD11	N	None	None	SFY2007-08
960002316	FLORINDA STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-12-28 00:00:00	960004528	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-22 00:00:00	2007-09-22 00:00:00	No	2008-01-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	I6VU11	N	CA00131613	C	SFY2007-08
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-01-29 00:00:00	960004621	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-11 00:00:00	2007-06-11 00:00:00	No	2008-02-21 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	T6LI11	N	CA00118208	B	SFY2007-08
960001607	MATHARU ASSISTED LIVING #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-02-14 00:00:00	960004687	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-24 00:00:00	2008-01-24 00:00:00	No	2008-03-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	999999	N	None	None	SFY2007-08
960001316	PALM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-02-15 00:00:00	960004690	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-02-06 00:00:00	2008-02-06 00:00:00	No	2008-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	UX8I11	N	None	None	SFY2007-08
960000894	UCP/SCF ICF/DD-N HATCHER HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-02-22 00:00:00	960004708	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-05 00:00:00	2008-02-05 00:00:00	No	2008-03-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	HMZJ11	N	CA00140111	A	SFY2007-08
960001670	STORM INN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-03 00:00:00	960004733	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-02-13 00:00:00	2008-02-13 00:00:00	No	2008-03-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	9V1H11	N	None	None	SFY2007-08
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-20 00:00:00	960004770	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-19 00:00:00	2008-02-19 00:00:00	Yes	2008-04-11 00:00:00	2008-04-22 00:00:00	B	None	1000	1000	0	1000	0	None	KU5711	N	CA00142183	A	SFY2007-08
960002370	TLC - RAVITZ HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-11 00:00:00	960004773	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-26 00:00:00	2008-01-26 00:00:00	No	2008-04-02 00:00:00	None	B	None	1000	3000	0	3000	0	None	IRGF11	N	CA00139713	C	SFY2007-08
960001316	PALM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-13 00:00:00	960004783	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-06 00:00:00	2008-02-06 00:00:00	No	2008-04-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	E5YF11	N	CA00131989	A	SFY2007-08
960002393	PACIFIC HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-13 00:00:00	960004784	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-01 00:00:00	2008-02-01 00:00:00	No	2008-04-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	D78Z11	N	CA00139062	C	SFY2007-08
960001713	BEST CARE HOME I, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-25 00:00:00	960004812	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-06 00:00:00	2008-02-06 00:00:00	No	2008-04-16 00:00:00	None	B	None	900	900	-315	585	0	None	HUDR11	N	CA00140561	D	SFY2007-08
960001713	BEST CARE HOME I, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-25 00:00:00	960004816	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-10 00:00:00	2008-01-10 00:00:00	No	2008-04-16 00:00:00	None	B	None	800	800	-280	520	0	None	WI3Q11	N	CA00137995	C	SFY2007-08
960000956	HARBOR HEALTH CARE, INC. - HOBACK DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-31 00:00:00	960004842	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-07 00:00:00	2008-03-07 00:00:00	No	2008-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	53QC11	N	None	None	SFY2007-08
960000956	HARBOR HEALTH CARE, INC. - HOBACK DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-31 00:00:00	960004843	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-19 00:00:00	2008-03-19 00:00:00	No	2008-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	53QC11	N	None	None	SFY2007-08
960002276	MORRIS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-04-11 00:00:00	960004850	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-03-28 00:00:00	2008-03-28 00:00:00	No	2008-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	L4H011	N	None	None	SFY2007-08
960002099	SPRING GABLES ICF/DDH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-04-11 00:00:00	960004900	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-01 00:00:00	2008-04-01 00:00:00	No	2008-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	IE3811	N	None	None	SFY2007-08
960001910	MIRAJOY HOME I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-04-18 00:00:00	960004939	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-03-26 00:00:00	2008-03-26 00:00:00	No	2008-05-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	HI2511	N	None	None	SFY2007-08
960001323	QUARTZ HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-05-21 00:00:00	960005058	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-16 00:00:00	2008-02-16 00:00:00	No	2008-06-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	45EK11	N	CA00141099	A	SFY2007-08
960002151	CASA JOHN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-06-17 00:00:00	960005111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-22 00:00:00	2008-05-22 00:00:00	No	2008-07-09 00:00:00	None	B	None	800	800	-280	520	0	None	PJPR11	N	None	None	SFY2007-08
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-06-16 00:00:00	960005112	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-13 00:00:00	2008-05-13 00:00:00	No	2008-07-08 00:00:00	None	B	None	600	600	-210	390	0	None	KMGC11	N	CA00149989	A	SFY2007-08
960002877	TEMPLE GARDEN HOMES #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-06-13 00:00:00	960005113	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-28 00:00:00	2008-04-28 00:00:00	No	2008-07-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	SLKR11	N	None	None	SFY2007-08
960001926	TEMPLE GARDEN HOMES NO. 2 - ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-06-11 00:00:00	960005115	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-05-23 00:00:00	2008-05-23 00:00:00	No	2008-07-02 00:00:00	None	B	None	800	800	-280	520	0	None	CNDZ11	N	None	None	SFY2007-08
960002072	DANIEL'S CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-06-25 00:00:00	960005174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-28 00:00:00	2008-05-28 00:00:00	No	2008-07-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	G2J411	N	None	None	SFY2007-08
960001965	BOWLING HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-07-02 00:00:00	960005208	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-06-17 00:00:00	2008-06-17 00:00:00	Yes	2008-07-24 00:00:00	2008-07-22 00:00:00	B	B	1000	500	0	500	0	None	2LJZ11	N	None	None	SFY2008-09
960001841	HOLY HILL HOME CARE/BELLFLOWER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-07-03 00:00:00	960005209	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-06-17 00:00:00	2008-06-17 00:00:00	No	2008-07-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	PTTQ11	N	None	None	SFY2008-09
960001601	NORMANDIE PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-07-18 00:00:00	960005244	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-03 00:00:00	2008-07-03 00:00:00	No	2008-08-08 00:00:00	None	B	None	800	800	-280	520	0	None	9GK911	N	None	None	SFY2008-09
960001601	NORMANDIE PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-07-18 00:00:00	960005245	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-07-01 00:00:00	2008-07-01 00:00:00	No	2008-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	9GK911	N	None	None	SFY2008-09
960002058	BEST CARE HOME II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-07-24 00:00:00	960005256	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-19 00:00:00	2008-07-19 00:00:00	No	2008-08-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z5AI11	N	None	None	SFY2008-09
960001646	ARLINGTON HOME #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-07-31 00:00:00	960005282	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-12 00:00:00	2008-07-12 00:00:00	No	2008-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	BSTU11	N	None	None	SFY2008-09
960001450	VALLEY VILLAGE VARIEL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-08-01 00:00:00	960005288	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-08 00:00:00	2008-07-08 00:00:00	No	2008-08-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	IGFX11	N	None	None	SFY2008-09
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-08-04 00:00:00	960005294	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2008-06-25 00:00:00	2008-06-25 00:00:00	No	2008-08-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	RY3D11	N	None	None	SFY2008-09
960001765	ST. MARY'S HOME ICF - DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-08-13 00:00:00	960005325	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-07-02 00:00:00	2008-07-02 00:00:00	No	2008-09-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	N52811	N	None	None	SFY2008-09
960001787	ELLENBOGEN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-09-02 00:00:00	960005371	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-06-09 00:00:00	2008-06-09 00:00:00	No	2008-09-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	8VC511	N	CA00160812	H	SFY2008-09
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-10-14 00:00:00	960005512	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-19 00:00:00	2008-09-19 00:00:00	No	2008-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q24T11	N	None	None	SFY2008-09
630004921	JANRAY HOME II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-10-27 00:00:00	960005550	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-11 00:00:00	2008-09-11 00:00:00	No	2008-11-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZDQD11	N	None	None	SFY2008-09
630004921	JANRAY HOME II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-10-27 00:00:00	960005551	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-09-11 00:00:00	2008-09-11 00:00:00	No	2008-11-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZDQD11	N	None	None	SFY2008-09
960001598	GLENCREST DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-11-07 00:00:00	960005590	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-01 00:00:00	2007-08-01 00:00:00	Yes	2008-12-03 00:00:00	2008-11-13 00:00:00	B	B	1000	500	0	500	0	None	SO8G11	N	None	None	SFY2008-09
960001196	THE RANCHITO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-11-10 00:00:00	960005594	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-26 00:00:00	2008-09-26 00:00:00	No	2008-12-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	9TGC11	N	CA00166279	C	SFY2008-09
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-11-13 00:00:00	960005600	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-15 00:00:00	2008-09-15 00:00:00	Yes	2008-12-08 00:00:00	2008-11-24 00:00:00	B	B	1000	500	0	500	0	None	PXNN11	N	CA00163609	C	SFY2008-09
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-11-13 00:00:00	960005601	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-07 00:00:00	2008-09-07 00:00:00	No	2008-12-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	PXNN11	N	CA00163609	C	SFY2008-09
960001416	INDEPENDENT OPTIONS, BRONZE KNOLL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-12-04 00:00:00	960005664	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-11 00:00:00	2008-11-11 00:00:00	No	2008-12-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	46CT11	N	None	None	SFY2008-09
960001255	JO-MI INTERMEDIATE CARE FAC/DEVELOPMENTALLY-NRSG	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-12-04 00:00:00	960005666	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-10 00:00:00	2008-10-10 00:00:00	Yes	2008-12-26 00:00:00	2008-12-26 00:00:00	B	B	1000	650	0	650	0	None	JTZQ11	N	None	None	SFY2008-09
630004461	BAILEY CARE HOME 2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-12-12 00:00:00	960005685	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-13 00:00:00	2008-11-13 00:00:00	No	2009-01-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	M6MC11	N	CA00169246	C	SFY2008-09
960001977	REALITOS DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-01-29 00:00:00	960005837	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-09 00:00:00	2009-01-09 00:00:00	No	2009-04-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJ0G11	N	None	None	SFY2008-09
630010241	BIXBY KNOLL PLACE II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-01-30 00:00:00	960005841	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-01-09 00:00:00	2009-01-09 00:00:00	Yes	2009-02-24 00:00:00	2009-02-09 00:00:00	B	B	1000	1000	0	1000	0	None	UDRJ11	N	CA00174246	A	SFY2008-09
630011598	ST. PHILOMENA CARE HOMES - I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-02-18 00:00:00	960005884	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-02-05 00:00:00	2009-02-05 00:00:00	No	2009-03-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	FDTQ11	N	None	None	SFY2008-09
960002158	MVM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-03-02 00:00:00	960005921	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-01-07 00:00:00	2009-01-07 00:00:00	No	2009-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	EWLW11	N	CA00174027	A	SFY2008-09
960002072	DANIEL'S CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-03-27 00:00:00	960005953	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-02-03 00:00:00	2009-02-03 00:00:00	No	2009-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	ODV211	N	CA00177038	C	SFY2008-09
960000889	MOMENTUM AGENCIES ICF/DD-N LONGO	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-03-18 00:00:00	960005975	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-27 00:00:00	2008-10-27 00:00:00	No	2009-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	S01U11	N	None	None	SFY2008-09
960002842	STANWIN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-03-18 00:00:00	960005978	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-02-25 00:00:00	2009-02-25 00:00:00	No	2009-04-09 00:00:00	None	B	None	1000	1050	-350	700	0	None	NOKG11	N	None	None	SFY2008-09
960001043	PHOENIX DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-03-20 00:00:00	960005999	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-05 00:00:00	2009-03-05 00:00:00	No	2009-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	91JB11	N	None	None	SFY2008-09
960001553	HOLY HILL HOME CARE/BENFIELD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-04-10 00:00:00	960006081	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-15 00:00:00	2009-03-15 00:00:00	No	2009-05-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	8GIC11	N	None	None	SFY2008-09
960002901	CK II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-04-14 00:00:00	960006094	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-03-25 00:00:00	2009-03-25 00:00:00	No	2009-05-05 00:00:00	None	B	None	1000	1200	0	1200	0	None	KZDE11	N	None	None	SFY2008-09
960002757	RCN PEDIATRIC CARE III	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-04-24 00:00:00	960006128	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-04-03 00:00:00	2009-04-03 00:00:00	No	2009-05-15 00:00:00	None	B	None	900	900	-315	585	0	None	OB0W11	N	None	None	SFY2008-09
960002877	TEMPLE GARDEN HOMES #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-04-30 00:00:00	960006144	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-06 00:00:00	2009-03-06 00:00:00	No	2009-05-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	FB3Y11	N	CA00179596	C	SFY2008-09
960000976	HARBOR HEALTH CARE, INC. - BRIAR DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-07-21 00:00:00	960006399	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-30 00:00:00	2009-06-30 00:00:00	No	2009-08-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZNW911	N	CA00193429	A	SFY2009-10
960001152	CAPISTRANO DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-08-06 00:00:00	960006444	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-08 00:00:00	2009-06-08 00:00:00	No	2009-08-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	99JC11	N	CA00191437	C	SFY2009-10
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-08-20 00:00:00	960006474	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-25 00:00:00	2009-07-25 00:00:00	No	2009-09-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	U6MB11	N	None	None	SFY2009-10
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-08-20 00:00:00	960006477	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-23 00:00:00	2009-07-23 00:00:00	No	2009-09-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	U6MB11	N	None	None	SFY2009-10
960001713	BEST CARE HOME I, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-11-30 00:00:00	960006533	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-08-11 00:00:00	2009-08-11 00:00:00	No	2009-12-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	3BGH11	N	None	None	SFY2009-10
960002063	UNITED CARE HOMES - KINBRAE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-10-07 00:00:00	960006609	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-07-22 00:00:00	2009-07-22 00:00:00	No	2009-10-29 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	Q1NM11	N	CA00197320	C	SFY2009-10
630004921	JANRAY HOME II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-01-05 00:00:00	960006869	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2009-11-19 00:00:00	2009-11-19 00:00:00	No	2010-01-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	EFK011	N	None	None	SFY2009-10
960000967	BURNETT'S #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-02-10 00:00:00	960006984	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-01-05 00:00:00	2010-01-05 00:00:00	No	2010-03-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	55IE11	N	CA00213936	B	SFY2009-10
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-02-12 00:00:00	960006989	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-09 00:00:00	2009-11-09 00:00:00	No	2010-03-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZVDE11	N	CA00207159	D	SFY2009-10
960002863	CHELSEA HOME CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-02-16 00:00:00	960006990	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-17 00:00:00	2009-11-17 00:00:00	No	2010-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	3G6E11	N	CA00209652	C	SFY2009-10
960002366	TLC'S HILTON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-02-17 00:00:00	960006995	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-10-23 00:00:00	2009-10-23 00:00:00	No	2010-03-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZU3J11	N	CA00206604	C	SFY2009-10
960001904	LIN-ROS BEST HOME CARE, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-03-12 00:00:00	960006998	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-22 00:00:00	2009-12-22 00:00:00	No	2010-04-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	HXQG11	N	CA00211752	C	SFY2009-10
960002879	TEMPLE GARDEN HOMES #6	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-04-21 00:00:00	960007135	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-12 00:00:00	2010-03-12 00:00:00	No	2010-05-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	0H6O11	N	CA00221269	B	SFY2009-10
960002084	HOME CARE FORTE, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-05-04 00:00:00	960007182	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-04-10 00:00:00	2010-04-10 00:00:00	No	2010-05-25 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	9J5O11	N	None	None	SFY2009-10
960002901	CK II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-04-04 00:00:00	960007183	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-19 00:00:00	2010-03-19 00:00:00	No	2010-04-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	2V3J11	N	None	None	SFY2009-10
960002901	CK II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-05-04 00:00:00	960007184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-19 00:00:00	2010-03-19 00:00:00	No	2010-05-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	2V3J11	N	None	None	SFY2009-10
960001984	ARLETA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-05-13 00:00:00	960007212	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-14 00:00:00	2010-04-14 00:00:00	No	2010-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	BOEY11	N	None	None	SFY2009-10
960000947	HELEN EVANS HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-05-26 00:00:00	960007255	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-05 00:00:00	2010-01-05 00:00:00	Yes	2010-06-17 00:00:00	2010-07-08 00:00:00	A	A	5000	5000	0	5000	0	None	V4X411	N	None	None	SFY2009-10
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-05-26 00:00:00	960007261	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-04-28 00:00:00	2010-04-28 00:00:00	No	2010-06-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	7CI811	N	None	None	SFY2009-10
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-06-15 00:00:00	960007310	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-02-05 00:00:00	2010-02-05 00:00:00	No	2010-08-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	HIZI11	N	CA00219851	E	SFY2009-10
960002066	HAWAIIAN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-07-01 00:00:00	960007350	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-15 00:00:00	2010-05-15 00:00:00	No	2010-07-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	0RDZ11	N	None	None	SFY2010-11
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-07-15 00:00:00	960007375	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-02-10 00:00:00	2010-02-10 00:00:00	No	2010-08-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	HIZI11	N	CA00219851	E	SFY2010-11
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-07-15 00:00:00	960007377	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-02-10 00:00:00	2010-02-10 00:00:00	Yes	2010-08-09 00:00:00	2010-08-24 00:00:00	B	None	1000	1000	0	1000	0	None	HIZI11	N	CA00219851	E	SFY2010-11
960001601	NORMANDIE PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-07-13 00:00:00	960007378	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-06-24 00:00:00	2010-06-24 00:00:00	No	2010-08-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	IRK611	N	None	None	SFY2010-11
960002211	R & C QUALITY CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-08-11 00:00:00	960007484	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-26 00:00:00	2010-04-26 00:00:00	Yes	2010-09-02 00:00:00	2010-10-19 00:00:00	B	None	1000	1000	-350	650	0	None	T12H11	N	None	None	SFY2010-11
960002098	G E PEDIATRIC CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-08-13 00:00:00	960007495	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-05-17 00:00:00	2010-05-17 00:00:00	No	2010-09-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	21RI11	N	None	None	SFY2010-11
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-08-31 00:00:00	960007532	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-08-12 00:00:00	2010-08-12 00:00:00	No	2010-09-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	7QWP11	N	None	None	SFY2010-11
960001875	K & S GROUP HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-10-07 00:00:00	960007621	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-11 00:00:00	2010-09-11 00:00:00	No	2010-10-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	WUJY11	N	None	None	SFY2010-11
960002211	R & C QUALITY CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-11-24 00:00:00	960007731	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-12 00:00:00	2010-09-12 00:00:00	No	2010-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	K18T11	N	CA00243083	C	SFY2010-11
960000947	HELEN EVANS HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-12-16 00:00:00	960007734	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-05 00:00:00	2010-05-05 00:00:00	Yes	2011-01-06 00:00:00	2011-01-03 00:00:00	A	A	10000	10000	0	10000	0	None	B7B211	N	CA00234753	C	SFY2010-11
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-12-23 00:00:00	960007791	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-06-23 00:00:00	2010-06-23 00:00:00	No	2011-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	C5FI11	N	CA00231395	C	SFY2010-11
960002799	DOWNEY ADULT HOME CARE III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-02-14 00:00:00	960007934	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-21 00:00:00	2010-05-21 00:00:00	No	2011-03-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	4R5Z11	N	CA00236764	C	SFY2010-11
960001097	PURE JOY #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-02-17 00:00:00	960007942	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-06-15 00:00:00	2010-06-15 00:00:00	No	2011-03-11 00:00:00	None	B	None	500	500	-175	325	0	None	DZWB11	N	CA00250944	D	SFY2010-11
960002799	DOWNEY ADULT HOME CARE III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-03-10 00:00:00	960008023	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-07 00:00:00	2010-09-07 00:00:00	No	2011-04-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	0NH811	N	CA00245849	B	SFY2010-11
960002036	JENYMEL'S HOME CARE INC. III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-05-18 00:00:00	960008157	Closed	Citation	Citation AA (HSC 1424)	Dietary	None	2010-07-29 00:00:00	2010-07-29 00:00:00	No	2011-06-09 00:00:00	None	AA	None	20000	20000	-7000	13000	0	None	ITYX11	Y	CA00237721	C	SFY2010-11
960001407	CLARK DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-06-09 00:00:00	960008272	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-12-30 00:00:00	2010-12-30 00:00:00	Yes	2011-06-30 00:00:00	2011-06-28 00:00:00	A	A	5000	5000	0	5000	0	None	C4IW11	N	CA00255503	C	SFY2010-11
960002411	LA CASA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-05-27 00:00:00	960008274	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-03-25 00:00:00	2011-03-25 00:00:00	No	2011-06-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	YKBC11	N	None	None	SFY2010-11
960000914	MOMENTUM AGENCIES ICF/DD-N BRADLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-06-24 00:00:00	960008323	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-25 00:00:00	2011-02-25 00:00:00	No	2011-07-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	SMTK11	N	None	None	SFY2010-11
960002901	CK II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-07-08 00:00:00	960008364	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-05-24 00:00:00	2011-05-24 00:00:00	No	2011-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	3CVV11	N	None	None	SFY2011-12
960002142	MATHARU ASSISTED LIVING #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-07-08 00:00:00	960008365	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-05-04 00:00:00	2011-05-04 00:00:00	No	2011-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	G5HE11	N	CA00267379	C	SFY2011-12
960002899	CK I	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-07-18 00:00:00	960008389	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-05-24 00:00:00	2011-05-24 00:00:00	No	2011-08-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	1P0P11	N	None	None	SFY2011-12
960001831	ARLINGTON HOME #6	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-07-22 00:00:00	960008405	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-16 00:00:00	2011-04-16 00:00:00	No	2011-08-12 00:00:00	None	B	None	800	800	-280	520	0	None	8GS711	N	CA00266555	C	SFY2011-12
960000872	ROSE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-07-26 00:00:00	960008417	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-04-05 00:00:00	2011-04-05 00:00:00	No	2011-08-16 00:00:00	None	B	None	500	500	-175	325	0	None	8E0D11	N	None	None	SFY2011-12
960002849	VALVERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-08-15 00:00:00	960008457	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-06-08 00:00:00	2011-06-08 00:00:00	No	2011-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	K0RN11	N	CA00272737	A	SFY2011-12
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-09-02 00:00:00	960008532	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-03-26 00:00:00	2009-03-26 00:00:00	No	2011-09-26 00:00:00	None	B	None	1000	1000	-1000	0	0	None	CDVZ11	N	None	None	SFY2011-12
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-09-10 00:00:00	960008538	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-31 00:00:00	2011-03-31 00:00:00	No	2011-10-03 00:00:00	None	A	None	10000	10000	-10000	0	0	None	CDVZ11	N	None	None	SFY2011-12
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-09-12 00:00:00	960008539	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-31 00:00:00	2011-08-31 00:00:00	No	2011-10-04 00:00:00	None	A	None	10000	10000	-10000	0	0	None	CDVZ11	N	None	None	SFY2011-12
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-09-12 00:00:00	960008540	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-31 00:00:00	2011-08-31 00:00:00	No	2011-10-04 00:00:00	None	A	None	10000	10000	-10000	0	0	None	CDVZ11	N	None	None	SFY2011-12
960002058	BEST CARE HOME II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-10-07 00:00:00	960008622	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-14 00:00:00	2011-09-14 00:00:00	No	2011-10-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	VURD11	N	None	None	SFY2011-12
960002077	MARY'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-10-14 00:00:00	960008627	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-08-31 00:00:00	2011-08-31 00:00:00	No	2011-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	85P811	N	None	None	SFY2011-12
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-10-12 00:00:00	960008636	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2011-08-24 00:00:00	2011-08-24 00:00:00	No	2011-11-02 00:00:00	None	B	None	700	700	-245	455	0	None	U7KJ11	N	None	None	SFY2011-12
960002799	DOWNEY ADULT HOME CARE III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-11-08 00:00:00	960008675	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-31 00:00:00	2011-08-31 00:00:00	Yes	2011-12-02 00:00:00	2011-11-29 00:00:00	A	A	5000	5000	0	5000	0	None	0NH811	N	CA00245849	B	SFY2011-12
960001836	IDEAL HOME CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-11-04 00:00:00	960008698	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-20 00:00:00	2011-09-20 00:00:00	No	2011-11-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZSGE11	N	None	None	SFY2011-12
960001598	GLENCREST DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-11-17 00:00:00	960008732	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2010-11-25 00:00:00	2010-11-25 00:00:00	Yes	2011-12-12 00:00:00	2011-11-29 00:00:00	A	A	5000	5000	0	5000	0	None	Y11711	N	None	None	SFY2011-12
960002316	FLORINDA STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-12-06 00:00:00	960008789	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-07-07 00:00:00	2011-07-07 00:00:00	No	2011-12-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	3GVN11	N	None	None	SFY2011-12
960001875	K & S GROUP HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-12-07 00:00:00	960008790	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-29 00:00:00	2011-10-29 00:00:00	No	2011-12-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	0JH311	N	None	None	SFY2011-12
960001836	IDEAL HOME CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-01-09 00:00:00	960008888	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-19 00:00:00	2011-11-19 00:00:00	No	2012-01-31 00:00:00	None	B	None	1000	3000	0	3000	0	None	ZSGE12	N	None	None	SFY2011-12
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-02-08 00:00:00	960008982	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-03-31 00:00:00	2011-03-31 00:00:00	Yes	2012-03-01 00:00:00	2012-02-27 00:00:00	B	None	1000	1000	0	0	1000	None	O8S511	N	CA00264334	A	SFY2011-12
960002077	MARY'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-02-08 00:00:00	960008983	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-01-26 00:00:00	2012-01-26 00:00:00	No	2012-03-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	L0VJ11	N	CA00297673	B	SFY2011-12
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-03-06 00:00:00	960009019	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2011-06-25 00:00:00	2011-06-25 00:00:00	Yes	2012-03-27 00:00:00	2012-03-22 00:00:00	A	None	3000	3000	-3000	0	0	None	XD3V11	N	CA00274679	C	SFY2011-12
960002063	UNITED CARE HOMES - KINBRAE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-02-17 00:00:00	960009026	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-10-27 00:00:00	2010-10-27 00:00:00	No	2012-03-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	C89G11	N	CA00257172	C	SFY2011-12
960002060	RAYMOND HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-05-16 00:00:00	960009040	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-06-14 00:00:00	2010-06-14 00:00:00	No	2012-06-07 00:00:00	None	A	None	5000	5000	0	5000	0	None	BTZK11	Y	CA00232529	D	SFY2011-12
960001274	VALLEY VILLAGE PARTHENIA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-03-19 00:00:00	960009146	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-05 00:00:00	2012-02-05 00:00:00	No	2012-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	VY3E11	N	None	None	SFY2011-12
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-03-21 00:00:00	960009160	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2012-02-13 00:00:00	2012-02-13 00:00:00	No	2012-04-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	11ZI11	N	None	None	SFY2011-12
960001522	EMILY'S RESIDENTIAL CARE CENTER, LLC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-06-15 00:00:00	960009358	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-04-23 00:00:00	2012-04-23 00:00:00	No	2012-07-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	IK8111	N	None	None	SFY2011-12
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-07-13 00:00:00	960009394	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-08-31 00:00:00	2011-08-31 00:00:00	No	2012-08-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	FQMP11	N	None	None	SFY2012-13
960002098	G E PEDIATRIC CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-09-06 00:00:00	960009472	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-21 00:00:00	2012-04-21 00:00:00	No	2012-09-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	UYGJ11	N	CA00308311	C	SFY2012-13
960001713	BEST CARE HOME I, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-11-29 00:00:00	960009630	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-09-21 00:00:00	2012-09-21 00:00:00	No	2012-12-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	G24011	N	None	None	SFY2012-13
960002312	GRAND AVENUE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-12-04 00:00:00	960009641	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-05-03 00:00:00	2012-05-03 00:00:00	Yes	2012-12-26 00:00:00	2012-12-19 00:00:00	B	B	1000	500	0	500	0	None	LPZ811	N	CA00310498	C	SFY2012-13
960001713	BEST CARE HOME I, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-12-17 00:00:00	960009680	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-09-24 00:00:00	2012-09-24 00:00:00	No	2013-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	G24011	N	None	None	SFY2012-13
960001997	MOMENTUM AGENCIES ICF/DD-H DRONFIELD NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-02-08 00:00:00	960009734	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-07-22 00:00:00	2012-07-22 00:00:00	No	2013-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	KTF311	N	CA00321878	B	SFY2012-13
630013538	BEECHWOOD PARK, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-03-07 00:00:00	960009778	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-12-08 00:00:00	2012-12-08 00:00:00	No	2013-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	L32111	N	None	None	SFY2012-13
960001150	CAMELOT DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-03-22 00:00:00	960009794	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-10-17 00:00:00	2012-10-17 00:00:00	No	2013-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	NJS611	N	CA00331067	B	SFY2012-13
960001150	CAMELOT DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-03-22 00:00:00	960009795	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-10-17 00:00:00	2012-10-17 00:00:00	No	2013-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	NJS611	N	CA00331067	B	SFY2012-13
960001553	HOLY HILL HOME CARE/BENFIELD HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-04-02 00:00:00	960009826	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-02-22 00:00:00	2013-02-22 00:00:00	No	2013-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	7LGC11	N	None	None	SFY2012-13
960002158	MVM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-04-19 00:00:00	960009847	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-03-15 00:00:00	2013-03-15 00:00:00	No	2013-05-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	DZDJ11	N	None	None	SFY2012-13
960000872	ROSE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-06-07 00:00:00	960009932	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-06-04 00:00:00	2012-06-04 00:00:00	No	2013-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	8FG111	N	None	None	SFY2012-13
960001715	GOLDEN CARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-06-24 00:00:00	960009964	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-06-07 00:00:00	2013-06-07 00:00:00	No	2013-07-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	O0G311	N	None	None	SFY2012-13
960000949	GLENRIDGE CENTER, #140	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-06-24 00:00:00	960009965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-01-28 00:00:00	2013-01-28 00:00:00	Yes	2013-07-16 00:00:00	2013-07-08 00:00:00	B	B	1000	500	0	500	0	None	E3YU11	N	None	None	SFY2012-13
960002901	CK II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-09-18 00:00:00	960010152	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-03-11 00:00:00	2013-03-11 00:00:00	No	2013-10-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	9JIL11	N	None	None	SFY2013-14
960001702	BIXBY KNOLL PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-10-17 00:00:00	960010217	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-05-08 00:00:00	2013-05-08 00:00:00	No	2013-11-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	RBPF11	N	None	None	SFY2013-14
960001900	ABLANO HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-10-18 00:00:00	960010223	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-05-23 00:00:00	2013-05-23 00:00:00	No	2013-11-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	DWYX11	N	None	None	SFY2013-14
960001724	DIAMOND GARDEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-11-18 00:00:00	960010266	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-09-11 00:00:00	2013-09-11 00:00:00	No	2013-12-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	R7CO11	N	None	None	SFY2013-14
630013546	DOWNEY ADULT HOME CARE III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-01-30 00:00:00	960010301	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2013-04-10 00:00:00	2013-04-10 00:00:00	Yes	2014-02-21 00:00:00	2014-02-18 00:00:00	A	None	3000	3000	0	3000	0	None	BYHB11	N	None	None	SFY2013-14
960002867	MAPLE SPRINGS ICF/DDN HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-02-05 00:00:00	960010443	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Other	Willful Falsification	2013-12-17 00:00:00	2013-12-17 00:00:00	No	2014-02-27 00:00:00	None	WF	None	1000	1000	-350	650	0	None	F0GN11	None	None	None	SFY2013-14
960000882	MOMENTUM AGENCIES ICF/DD-H HUBBARD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-03-07 00:00:00	960010474	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2013-11-28 00:00:00	2013-11-28 00:00:00	No	2014-03-28 00:00:00	None	A	None	3000	3000	-1050	1950	0	None	Y8RW11	N	None	None	SFY2013-14
960002205	MIMIS HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2015-03-10 00:00:00	960010497	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-01-26 00:00:00	2013-01-26 00:00:00	Yes	2015-04-01 00:00:00	2015-03-17 00:00:00	A	None	5000	5000	-5000	0	0	None	GJSO11	N	None	None	SFY2014-15
960002148	VALLEY VILLAGE CORBIN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-02-26 00:00:00	960010498	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-11-09 00:00:00	2013-11-09 00:00:00	No	2014-03-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	GGY411	N	None	None	SFY2013-14
960001210	KRONENTHAL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-04-22 00:00:00	960010650	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-13 00:00:00	2012-10-13 00:00:00	No	2014-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	H8CJ11	N	CA00332898	B	SFY2013-14
960002567	DELHAVEN COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-12-05 00:00:00	960011152	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-04 00:00:00	2014-03-04 00:00:00	No	2014-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	YMCU11	N	None	None	SFY2014-15
960001896	JANRAY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-12-05 00:00:00	960011153	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-08 00:00:00	2014-03-08 00:00:00	No	2014-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	EJ6L11	N	None	None	SFY2014-15
960000973	HARBOR HEALTH CARE, INC. - DESTINO DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-12-05 00:00:00	960011154	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-23 00:00:00	2014-05-23 00:00:00	No	2014-12-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	H1IW11	N	None	None	SFY2014-15
960000869	MOMENTUM AGENCIES ICF/DD-N WENDT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2015-10-09 00:00:00	960011773	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-11-19 00:00:00	2004-11-19 00:00:00	No	2015-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	8BC611	N	None	None	SFY2015-16
960001841	HOLY HILL HOME CARE/BELLFLOWER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2015-10-08 00:00:00	960011774	Closed	Citation	Citation B (HSC 1424)	Administration	None	2014-09-14 00:00:00	2014-09-14 00:00:00	No	2015-10-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	OF7H11	N	None	None	SFY2015-16
960002685	DORE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-09-23 00:00:00	960012567	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2016-06-29 00:00:00	2016-06-29 00:00:00	Yes	2016-10-14 00:00:00	2016-09-23 00:00:00	A	None	20000	20000	-20000	0	0	None	3V1M11	N	CA00493954	B	SFY2016-17
960001724	DIAMOND GARDEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-12-01 00:00:00	960012642	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-11 00:00:00	2016-08-11 00:00:00	No	2016-12-22 00:00:00	None	A	None	3500	3500	-1225	2275	0	None	3UHT11	N	CA00500108	B	SFY2016-17
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-10-12 00:00:00	960012644	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-08-05 00:00:00	2016-08-05 00:00:00	No	2016-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	1DGN11	N	None	None	SFY2016-17
630011598	ST. PHILOMENA CARE HOMES - I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-11-15 00:00:00	960012715	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-09-27 00:00:00	2016-09-27 00:00:00	No	2016-12-08 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	0PFD11	N	CA00504415	B	SFY2016-17
960001603	R & D HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-11-03 00:00:00	960012719	Closed	Citation	Citation B (HSC 1424)	Administration	None	2014-05-03 00:00:00	2014-05-03 00:00:00	No	2016-11-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	H4KW11	N	None	None	SFY2016-17
960001738	VALLEY VILLAGE ALTANO HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-11-09 00:00:00	960012737	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-08-23 00:00:00	2016-08-23 00:00:00	No	2016-12-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8NS11	N	None	None	SFY2016-17
960001738	VALLEY VILLAGE ALTANO HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-11-09 00:00:00	960012739	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-09-16 00:00:00	2016-09-16 00:00:00	No	2016-12-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8NS11	N	None	None	SFY2016-17
960002538	RCN PEDIATRIC CARE II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-12-15 00:00:00	960012803	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-27 00:00:00	2016-07-27 00:00:00	No	2017-01-06 00:00:00	None	A	None	6000	6000	-2100	3900	0	None	1UWS11	N	CA00497023	B	SFY2016-17
960001809	TEMPLE GARDEN HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-01-06 00:00:00	960012836	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-16 00:00:00	2016-10-16 00:00:00	Yes	2017-01-30 00:00:00	2017-01-17 00:00:00	A	None	4000	4000	0	4000	0	None	2FP711	N	CA00507473	B	SFY2016-17
960001724	DIAMOND GARDEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-01-05 00:00:00	960012860	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-02-11 00:00:00	2016-02-11 00:00:00	No	2017-01-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	DZGB11	N	None	None	SFY2016-17
960001724	DIAMOND GARDEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-01-05 00:00:00	960012862	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-01-04 00:00:00	2016-01-04 00:00:00	No	2017-01-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	DZGB11	N	None	None	SFY2016-17
960001724	DIAMOND GARDEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-01-05 00:00:00	960012863	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-02-11 00:00:00	2016-02-11 00:00:00	No	2017-01-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	DZGB11	N	None	None	SFY2016-17
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-02-17 00:00:00	960012908	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-05 00:00:00	2016-10-05 00:00:00	No	2017-03-13 00:00:00	None	A	None	3500	3500	0	3500	0	None	KR5011	N	CA00504404	B	SFY2016-17
960001148	GRANADA DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-03-24 00:00:00	960013049	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-27 00:00:00	2016-12-27 00:00:00	No	2017-04-17 00:00:00	None	A	None	3500	3500	-1225	2275	0	None	7ZUJ11	N	CA00516152	B	SFY2016-17
960000945	GOLDEN STATE CARE CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-04-04 00:00:00	960013093	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-12 00:00:00	2017-01-12 00:00:00	No	2017-04-25 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	Y9XN11	N	CA00518427, CA00518443	B, B	SFY2016-17
960000976	HARBOR HEALTH CARE, INC. - BRIAR DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-03-29 00:00:00	960013096	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-12 00:00:00	2017-03-12 00:00:00	No	2017-04-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	XWRR11	N	CA00526372	A	SFY2016-17
960001702	BIXBY KNOLL PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-03-30 00:00:00	960013098	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-03-03 00:00:00	2016-03-03 00:00:00	No	2017-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	7VIF11	N	None	None	SFY2016-17
960001306	OASIS HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-04-07 00:00:00	960013099	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-24 00:00:00	2016-03-24 00:00:00	Yes	2017-04-28 00:00:00	2017-04-24 00:00:00	A	B	3000	5000	0	5000	0	None	0D0F11	N	None	None	SFY2016-17
960002705	JADE RANCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-03-31 00:00:00	960013102	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-28 00:00:00	2017-01-28 00:00:00	No	2017-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	REYY11	N	CA00520411	C	SFY2016-17
630013691	CHATEAU RESIDENTIAL CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-04-24 00:00:00	960013139	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2017-01-24 00:00:00	2017-01-24 00:00:00	No	2017-05-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	5VIL11	N	None	None	SFY2016-17
630013452	LOLETA GUEST HOME, ICF-DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-06-22 00:00:00	960013142	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2017-03-11 00:00:00	2017-03-11 00:00:00	No	2017-07-14 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	QGIV11	Y	CA00524208	B	SFY2016-17
630013691	CHATEAU RESIDENTIAL CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-04-24 00:00:00	960013147	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-24 00:00:00	2017-01-24 00:00:00	No	2017-05-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	5VIL11	N	None	None	SFY2016-17
630014292	COLD SPRINGS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-05-03 00:00:00	960013157	Closed	Citation	Citation B (HSC 1424)	Administration	None	2015-04-08 00:00:00	2015-04-08 00:00:00	No	2017-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	LSZR11	N	None	None	SFY2016-17
960002310	OCCIDENTAL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2019-05-06 00:00:00	960013185	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-02-10 00:00:00	2017-02-10 00:00:00	No	2019-05-27 00:00:00	None	AA	None	25000	25000	0	0	25000	None	BU1U11	Y	CA00522328	B	SFY2018-19
630004441	BAILEY CARE HOME 1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-05-23 00:00:00	960013223	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-04-24 00:00:00	2017-04-24 00:00:00	No	2017-06-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	82W011	N	None	None	SFY2016-17
960001522	EMILY'S RESIDENTIAL CARE CENTER, LLC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-06-08 00:00:00	960013247	Closed	Citation	Citation A (HSC 1424)	Staffing	None	2017-04-14 00:00:00	2017-04-14 00:00:00	No	2017-06-29 00:00:00	None	A	None	4000	4000	-1400	2600	0	None	HRDK11	N	CA00530796	A	SFY2016-17
960001670	STORM INN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-07-21 00:00:00	960013249	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-01-10 00:00:00	2017-01-10 00:00:00	No	2017-08-11 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	S9FT11	Y	CA00517918, CA00518127	C, B	SFY2017-18
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-07-05 00:00:00	960013250	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-20 00:00:00	2017-04-20 00:00:00	No	2017-07-26 00:00:00	None	A	None	4000	4000	-1400	2600	0	None	KJKN11	N	CA00532132	B	SFY2017-18
960002060	RAYMOND HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-07-11 00:00:00	960013257	Closed	Citation	Citation A (HSC 1424)	Staffing	None	2017-03-28 00:00:00	2017-03-28 00:00:00	No	2017-08-01 00:00:00	None	A	None	2000	2000	0	2000	0	None	GB6111	N	CA00528530	B	SFY2017-18
630004921	JANRAY HOME II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-06-20 00:00:00	960013259	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-04 00:00:00	2017-02-04 00:00:00	No	2017-07-12 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	CXFS11	Y	CA00521228	B	SFY2016-17
960001055	BEACH AVENUE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-06-07 00:00:00	960013264	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-11-05 00:00:00	2016-11-05 00:00:00	No	2017-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	5HDZ11	N	None	None	SFY2016-17
960001498	TLC - LINDLEY II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-06-08 00:00:00	960013269	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-05-17 00:00:00	2017-05-17 00:00:00	No	2017-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	F8XX11	N	None	None	SFY2016-17
960002211	R & C QUALITY CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-11-08 00:00:00	960013276	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-01-25 00:00:00	2017-01-25 00:00:00	No	2017-12-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	1V1H11	N	None	None	SFY2017-18
960001904	LIN-ROS BEST HOME CARE, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-06-15 00:00:00	960013277	Closed	Citation	Citation B (HSC 1424)	Administration	None	2014-09-22 00:00:00	2014-09-22 00:00:00	No	2017-07-07 00:00:00	None	B	None	800	800	-280	520	0	None	Q8C011	N	None	None	SFY2016-17
960001677	SPECIAL ADULT CARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-06-20 00:00:00	960013298	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-09 00:00:00	2015-04-09 00:00:00	No	2017-07-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	651R11	N	CA00438900, CA00439104	A, B	SFY2016-17
960001607	MATHARU ASSISTED LIVING #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-06-21 00:00:00	960013302	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-20 00:00:00	2016-07-20 00:00:00	No	2017-07-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	GEEQ11	N	CA00496253	B	SFY2016-17
960002060	RAYMOND HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-07-11 00:00:00	960013308	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-28 00:00:00	2017-03-28 00:00:00	No	2017-08-01 00:00:00	None	A	None	3000	3000	0	3000	0	None	GB6111	N	CA00528530	B	SFY2017-18
960001498	TLC - LINDLEY II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-08-10 00:00:00	960013419	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-10 00:00:00	2017-01-10 00:00:00	No	2017-08-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	8ZZN11	N	CA00520139	B	SFY2017-18
630011744	SCOVILLE VILLA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-08-31 00:00:00	960013461	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-19 00:00:00	2017-07-19 00:00:00	No	2017-09-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	FDS611	N	None	None	SFY2017-18
960001506	GABLE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-09-13 00:00:00	960013492	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2017-07-27 00:00:00	2017-07-27 00:00:00	No	2017-10-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	6IMB11	N	CA00546251	B	SFY2017-18
960002393	PACIFIC HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-09-13 00:00:00	960013493	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2017-08-02 00:00:00	2017-08-02 00:00:00	No	2017-10-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	LC9J11	N	None	None	SFY2017-18
960001826	G M HOME II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-10-19 00:00:00	960013556	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-07-31 00:00:00	2017-07-31 00:00:00	No	2017-11-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	OUXG11	N	None	None	SFY2017-18
960000939	TERHUNE DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-10-20 00:00:00	960013557	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-09-20 00:00:00	2017-09-20 00:00:00	No	2017-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	U4ZP11	N	CA00552738	B	SFY2017-18
960002211	R & C QUALITY CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-11-08 00:00:00	960013598	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2017-07-22 00:00:00	2017-07-22 00:00:00	No	2017-12-04 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	736L11	N	CA00545793, CA00546205	B, A	SFY2017-18
960000984	HARBOR HEALTH CARE, INC. - BAYLOR DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-12-01 00:00:00	960013659	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-01 00:00:00	2017-09-01 00:00:00	No	2017-12-22 00:00:00	None	B	None	1500	1500	-525	975	0	None	D3EI11	N	None	None	SFY2017-18
960000984	HARBOR HEALTH CARE, INC. - BAYLOR DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-12-01 00:00:00	960013661	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-01 00:00:00	2017-09-01 00:00:00	No	2017-12-22 00:00:00	None	B	None	1500	1500	-525	975	0	None	D3EI11	N	None	None	SFY2017-18
960000984	HARBOR HEALTH CARE, INC. - BAYLOR DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-12-01 00:00:00	960013663	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-09-01 00:00:00	2017-09-01 00:00:00	No	2017-12-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D3EI11	N	None	None	SFY2017-18
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-06-29 00:00:00	960014054	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-07-26 00:00:00	2013-07-26 00:00:00	No	2018-07-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	MI7D11	N	CA00355845	B	SFY2017-18
960001196	THE RANCHITO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-05-24 00:00:00	960014072	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-10-31 00:00:00	2013-10-31 00:00:00	No	2018-06-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	C43I11	N	CA00375920	C	SFY2017-18
630012183	THE CARING BUNCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-06-14 00:00:00	960014136	Closed	Citation	Citation B (HSC 1424)	Administration	None	2018-04-20 00:00:00	2018-04-20 00:00:00	No	2018-07-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	0C8211	N	None	None	SFY2017-18
630013691	CHATEAU RESIDENTIAL CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-06-29 00:00:00	960014154	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-31 00:00:00	2018-01-31 00:00:00	No	2018-07-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	XGOR11	N	None	None	SFY2017-18
960001836	IDEAL HOME CARE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-08-15 00:00:00	960014181	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-04-01 00:00:00	2013-04-01 00:00:00	No	2018-09-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	GIQS11	N	CA00351207	C	SFY2018-19
960002366	TLC'S HILTON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-07-13 00:00:00	960014235	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-12 00:00:00	2018-06-12 00:00:00	No	2018-08-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	KMCX11	N	None	None	SFY2018-19
960000914	MOMENTUM AGENCIES ICF/DD-N BRADLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-08-24 00:00:00	960014335	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-16 00:00:00	2018-05-16 00:00:00	No	2018-09-17 00:00:00	None	A	None	4000	4000	0	4000	0	None	PBDL11	N	CA00585484	B	SFY2018-19
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-08-30 00:00:00	960014357	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-07 00:00:00	2018-02-07 00:00:00	No	2018-09-21 00:00:00	None	A	None	10000	10000	0	10000	0	None	4KW411	N	CA00573714, CA00573714, CA00574049, CA00574049	B, B, B, B	SFY2018-19
960002399	VISTA DEL VALLE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-09-21 00:00:00	960014425	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-07-12 00:00:00	2018-07-12 00:00:00	No	2018-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	WUIE11	N	CA00595680	A	SFY2018-19
960002326	BLAISDELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-11-14 00:00:00	960014573	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-09-06 00:00:00	2018-09-06 00:00:00	No	2018-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	O3TR11	N	CA00602675	A	SFY2018-19
630011902	WALBROOK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2019-01-04 00:00:00	960014594	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-07-17 00:00:00	2018-07-17 00:00:00	No	2019-01-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	PKK311	N	CA00594498	B	SFY2018-19
630011599	ST. PHILOMENA CARE HOMES - II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2019-02-27 00:00:00	960014823	Closed	Citation	Citation A (HSC 1424)	Other	Health Care Services	2018-11-22 00:00:00	2018-11-22 00:00:00	No	2019-03-20 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	1IQE11	N	CA00613122, CA00613122, CA00613665	A, A, B	SFY2018-19
960001210	KRONENTHAL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2019-08-09 00:00:00	960015297	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-04-29 00:00:00	2019-04-29 00:00:00	No	2019-08-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	B6DB11	N	CA00635638, CA00637764	B, B	SFY2019-20
960001702	BIXBY KNOLL PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2019-08-09 00:00:00	960015298	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-08 00:00:00	2019-01-08 00:00:00	No	2019-08-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	RO8R11	N	None	None	SFY2019-20
960001809	TEMPLE GARDEN HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2019-08-14 00:00:00	960015311	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2019-04-09 00:00:00	2019-04-09 00:00:00	No	2019-09-04 00:00:00	None	A	None	7000	7000	-2450	4550	0	None	R4CV11	N	CA00632604	B	SFY2019-20
960002312	GRAND AVENUE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2019-08-14 00:00:00	960015313	Closed	Citation	Citation B (HSC 1424)	Patient Care	Injury of Unknown Origin	2019-06-29 00:00:00	2019-06-29 00:00:00	No	2019-09-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	XYM111	N	CA00644262	B	SFY2019-20
960002308	BRIAN AVENUE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2019-08-23 00:00:00	960015350	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2019-05-02 00:00:00	2019-05-02 00:00:00	No	2019-09-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	JLET11	N	CA00639627, CA00639627, CA00639627	A, A, A	SFY2019-20
960002358	PATE & INGRAM HOME I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2019-11-22 00:00:00	960015550	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-10-08 00:00:00	2019-10-08 00:00:00	No	2019-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	2B4H11	N	None	None	SFY2019-20
960000907	EDGEWOOD CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2020-01-02 00:00:00	960015656	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-11 00:00:00	2019-06-11 00:00:00	No	2020-01-23 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	QOS011	Y	CA00643020	B	SFY2019-20
960002204	J-J EXCELCARE HOME 2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2020-02-12 00:00:00	960015733	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-19 00:00:00	2019-06-19 00:00:00	No	2020-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	YCGM11	N	CA00642932	B	SFY2019-20
960001723	JENYMEL'S HOME CARE, INC. II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2020-10-16 00:00:00	960016095	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-07-23 00:00:00	2020-07-23 00:00:00	No	2020-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	8JLP11	N	CA00698255, CA00698321	A, A	SFY2020-21
960000897	MOMENTUM AGENCIES ICF/DD-N NEWPORT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2020-11-18 00:00:00	960016159	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2020-07-10 00:00:00	2020-07-10 00:00:00	No	2020-12-11 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	CM9V11	N	CA00702971, CA00702976	A, A	SFY2020-21
630012580	GROVE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2020-12-18 00:00:00	960016198	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-01-01 00:00:00	2014-01-01 00:00:00	No	2021-01-12 00:00:00	None	A	None	8000	8000	0	8000	0	None	OG1911	Y	CA00386509	C	SFY2020-21
960000872	ROSE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2021-04-08 00:00:00	960016409	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-02-02 00:00:00	2021-02-02 00:00:00	No	2021-04-29 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	871Q11	N	CA00724110, CA00724164, CA00724532	A, A, A	SFY2020-21
960000973	HARBOR HEALTH CARE, INC. - DESTINO DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2021-05-21 00:00:00	960016522	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-16 00:00:00	2017-10-16 00:00:00	No	2021-06-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	6J9G11	N	None	None	SFY2020-21
960000973	HARBOR HEALTH CARE, INC. - DESTINO DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2021-05-21 00:00:00	960016523	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-16 00:00:00	2017-10-16 00:00:00	No	2021-06-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	6J9G11	N	CA00557536	B	SFY2020-21
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2021-10-26 00:00:00	960017037	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-14 00:00:00	2021-05-14 00:00:00	No	2021-11-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	E6JW11	N	CA00736741, CA00737119	C, B	SFY2021-22
630012473	MINUET HOMES, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2022-01-31 00:00:00	960017302	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-09 00:00:00	2021-12-09 00:00:00	No	2022-02-22 00:00:00	None	B	None	1000	1700	-350	1350	0	None	4BVT11	N	CA00763927	A	SFY2021-22
960001720	CASA MONTANA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2022-02-03 00:00:00	960017312	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-12-14 00:00:00	2021-12-14 00:00:00	No	2022-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	TV8311	N	None	None	SFY2021-22
960001720	CASA MONTANA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2022-02-03 00:00:00	960017315	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-12-16 00:00:00	2021-12-16 00:00:00	No	2022-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	TV8311	N	None	None	SFY2021-22
960001975	ARMSTRONG HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2022-09-02 00:00:00	960017939	Closed	Citation	Citation A (HSC 1424)	Other	AB-Abuse	2022-07-12 00:00:00	2022-07-12 00:00:00	No	2022-09-26 00:00:00	None	A	None	4000	4700	0	4700	0	None	K9E211	N	CA00793418, CA00793418	A, A	SFY2022-23
960001506	GABLE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2022-10-06 00:00:00	960018056	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-26 00:00:00	2021-10-26 00:00:00	No	2022-10-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2ZB311	N	CA00756581	B	SFY2022-23
960001792	FELIZ HEALTH CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2022-10-14 00:00:00	960018088	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-22 00:00:00	2022-08-22 00:00:00	No	2022-11-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	63XS11	N	CA00799130	A	SFY2022-23
960001793	STORMHAVEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-05-30 00:00:00	960018804	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-03-23 00:00:00	2023-03-23 00:00:00	No	2023-06-20 00:00:00	None	A	None	25000	25000	-25000	0	0	None	N35011	Y	CA00828665, CA00828665, CA00832896, CA00832896, CA00832896	A, A, A, A, A	SFY2022-23
630011902	WALBROOK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-05-26 00:00:00	960018806	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-02-18 00:00:00	2023-02-18 00:00:00	No	2023-06-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2PL511	N	CA00827603, CA00827603, CA00828183	B, B, B	SFY2022-23
630018601	VILLA ESPERANZA WYNN HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-09-26 00:00:00	960019191	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-19 00:00:00	2023-06-19 00:00:00	No	2023-10-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VJHO11	N	CA00847443	B	SFY2023-24
960000914	MOMENTUM AGENCIES ICF/DD-N BRADLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-09-27 00:00:00	960019205	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-19 00:00:00	2023-08-19 00:00:00	No	2023-10-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	649U11	N	CA00857043	C	SFY2023-24
630013540	BLOOMFIELD WEST, INC.	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-10-17 00:00:00	960019268	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-30 00:00:00	2023-07-30 00:00:00	No	2023-11-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	930C11	N	CA00853506	A	SFY2023-24
960002316	FLORINDA STREET HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-10-19 00:00:00	960019279	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-09-26 00:00:00	2023-09-26 00:00:00	No	2023-11-09 00:00:00	None	B	None	3000	3000	0	3000	0	None	P4MX11	N	CA00864318	B	SFY2023-24
630012978	S & E COMFORT CARE LLC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-11-28 00:00:00	960019394	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2023-09-24 00:00:00	2023-09-24 00:00:00	Yes	2023-12-19 00:00:00	2023-12-13 00:00:00	B	B	2000	2500	-600	1900	0	None	BGQN11	N	CA00860464	B	SFY2023-24
630012428	THE OLIVE TREE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-11-27 00:00:00	960019405	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-05-28 00:00:00	2023-05-28 00:00:00	No	2023-12-18 00:00:00	None	B	None	1800	1800	0	1800	0	None	F5U811	N	CA00843033, CA00843033	C, C	SFY2023-24
630012428	THE OLIVE TREE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-12-15 00:00:00	960019490	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-06 00:00:00	2023-12-06 00:00:00	Yes	2024-01-08 00:00:00	2023-12-27 00:00:00	A	None	10000	10000	0	0	10000	None	D72I11	N	CA00844653	C	SFY2023-24
960001678	TLC - DEVONSHIRE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-02-08 00:00:00	960019696	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-22 00:00:00	2023-10-22 00:00:00	No	2024-02-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	6AJH11	N	CA00867262	A	SFY2023-24
960001172	MOUNTAINGATE HOUSE - PROJECT SIX	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-02-07 00:00:00	960019704	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-15 00:00:00	2023-11-15 00:00:00	No	2024-02-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	GGVS11	N	CA00870431	A	SFY2023-24
630012580	GROVE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-02-15 00:00:00	960019745	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-06 00:00:00	2023-12-06 00:00:00	No	2024-03-07 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	TK6L11	N	CA00872621	B	SFY2023-24
960002015	DURNESS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-02-15 00:00:00	960019751	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-05 00:00:00	2023-03-05 00:00:00	No	2024-03-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	M5I311	N	CA00863051, CA00863051	B, B	SFY2023-24
960002027	MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-03-08 00:00:00	960019844	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-12 00:00:00	2024-01-12 00:00:00	No	2024-03-29 00:00:00	None	B	None	1500	1500	-525	975	0	None	OCBO11	N	CA00878506	B	SFY2023-24
960000872	ROSE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-03-21 00:00:00	960019896	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-09 00:00:00	2023-02-09 00:00:00	No	2024-04-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	K7FA11	N	None	None	SFY2023-24
960002211	R & C QUALITY CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-03-27 00:00:00	960019919	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-01 00:00:00	2024-02-01 00:00:00	No	2024-04-18 00:00:00	None	A	None	8000	8050	0	8050	0	None	HDWR11	N	None	None	SFY2023-24
960002094	TLC - DONNA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-04-09 00:00:00	960019975	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-15 00:00:00	2023-12-15 00:00:00	No	2024-04-30 00:00:00	None	B	None	2000	2350	0	2350	0	None	1GNL11	N	CA00876230, CA00876230, CA00876230, CA00877601, CA00877601	C, C, C, B, B	SFY2023-24
960001316	PALM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-04-10 00:00:00	960019979	Open	Citation	Citation B (HSC 1424)	Other	Dietary	2024-02-21 00:00:00	2024-02-21 00:00:00	Yes	2024-05-01 00:00:00	2024-04-19 00:00:00	B	None	1800	1800	0	0	1800	None	98QG11	N	None	None	SFY2023-24
960001097	PURE JOY #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-04-16 00:00:00	960020012	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-14 00:00:00	2024-03-14 00:00:00	No	2024-05-07 00:00:00	None	B	None	1300	1300	-455	845	0	None	5IDE11	N	None	None	SFY2023-24
960002836	MOMENTUM AGENCIES ICF/DD-H MISSION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-04-26 00:00:00	960020067	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-17 00:00:00	2024-01-17 00:00:00	No	2024-05-17 00:00:00	None	B	None	1500	1500	-525	975	0	None	94N511	N	CA00880478	A	SFY2023-24
630012978	S & E COMFORT CARE LLC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-04-30 00:00:00	960020082	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-10 00:00:00	2024-01-10 00:00:00	No	2024-05-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	RJVQ11	N	None	None	SFY2023-24
960001894	RCN PEDIATRIC CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-05-10 00:00:00	960020168	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-04 00:00:00	2024-02-04 00:00:00	No	2024-06-03 00:00:00	None	B	None	1800	1800	0	1800	0	None	YHIQ11	N	CA00884961	B	SFY2023-24
960001306	OASIS HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-06-04 00:00:00	960020259	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-09 00:00:00	2024-04-09 00:00:00	Yes	2024-06-25 00:00:00	2024-06-14 00:00:00	B	None	3000	3000	0	0	3000	None	SFYJ11	N	CA00894911, CA00896365, CA00896365, CA00896365	C, B, B, B	SFY2023-24
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	1999-04-28 00:00:00	970000969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-01-24 00:00:00	1999-01-24 00:00:00	Yes	1999-07-05 00:00:00	1999-05-12 00:00:00	B	B	1000	1000	-342	658	0	970004652	A99999	N	None	None	SFY1998-99
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-01 00:00:00	970000998	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-29 00:00:00	1999-11-29 00:00:00	Yes	2001-05-29 00:00:00	2000-02-14 00:00:00	A	A	5000	5000	0	5000	0	970005021	A99999	N	None	None	SFY1999-00
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-02-14 00:00:00	970000999	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-02-25 00:00:00	None	Yes	2000-03-07 00:00:00	2000-02-22 00:00:00	A	None	5000	5000	0	5000	0	970005026	A99999	N	None	None	SFY1999-00
970000060	SPARR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-02-10 00:00:00	970001000	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-27 00:00:00	None	No	2000-03-02 00:00:00	None	B	None	1000	1000	-1000	0	0	970005027	A99999	N	None	None	SFY1999-00
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-18 00:00:00	970001001	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-02 00:00:00	None	No	2000-03-10 00:00:00	None	A	None	8000	8000	-2800	5200	0	970005035	A99999	N	None	None	SFY1999-00
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-03-30 00:00:00	970001002	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-03-23 00:00:00	None	Yes	2000-04-20 00:00:00	2000-04-11 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005080	A99999	N	None	None	SFY1999-00
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-04 00:00:00	970001004	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-01-02 00:00:00	None	Yes	2000-05-05 00:00:00	2000-04-17 00:00:00	AA	B	20000	10000	0	10000	0	970005091	A99999	Y	None	None	SFY1999-00
970000133	GRAND PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-03 00:00:00	970001005	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-03-14 00:00:00	None	No	2000-04-24 00:00:00	None	B	None	1000	1000	-350	650	0	970005094	A99999	N	None	None	SFY1999-00
970000039	HOLLYWOOD PREMIER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-12 00:00:00	970001006	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-02-15 00:00:00	None	Yes	2001-05-18 00:00:00	2000-04-20 00:00:00	B	B	900	900	0	900	0	970005108	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001007	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-20 00:00:00	2000-03-23 00:00:00	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	B	800	1000	0	1000	0	970005110	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001008	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-20 00:00:00	2000-03-23 00:00:00	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005111	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001009	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-01-04 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005112	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001010	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-09 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005113	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001011	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1998-02-26 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005114	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001012	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-02-08 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005115	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001013	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1998-12-10 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005116	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001014	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-02-08 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005117	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001015	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-31 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005118	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001016	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1998-12-01 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005119	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001017	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-16 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005120	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001018	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1997-11-13 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005121	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001019	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-25 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005122	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001020	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-05-16 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005123	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001021	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-08 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005124	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001022	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-11 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005125	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001023	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1998-12-10 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005126	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001024	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-16 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005127	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001025	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-14 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005128	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001026	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-30 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005129	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001027	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-06-23 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005130	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001028	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-16 00:00:00	None	No	2000-05-09 00:00:00	None	B	Dismissed by Court	800	0	0	0	0	970005131	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001029	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-03 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005132	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001030	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-04 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005133	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001031	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-29 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005134	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001032	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-08 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005135	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001033	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-15 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005136	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001034	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-15 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005137	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001035	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-16 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005138	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001036	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-08 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005139	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001037	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-08 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005140	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001038	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-08 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005141	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-18 00:00:00	970001039	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-08 00:00:00	None	Yes	2000-05-09 00:00:00	2000-05-02 00:00:00	B	Dismissed by Court	800	0	0	0	0	970005142	A99999	N	None	None	SFY1999-00
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-05-11 00:00:00	970001041	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-28 00:00:00	None	No	2000-06-01 00:00:00	None	B	None	800	800	-280	520	0	970005177	A99999	N	None	None	SFY1999-00
970000068	GEM TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-05-17 00:00:00	970001042	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-05 00:00:00	None	No	2000-06-07 00:00:00	None	A	None	9000	9000	-3150	5850	0	970005180	A99999	N	None	None	SFY1999-00
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-06-02 00:00:00	970001043	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-03 00:00:00	None	Yes	2000-06-23 00:00:00	2000-06-07 00:00:00	A	None	6000	6000	-2051	3949	0	970005191	A99999	N	None	None	SFY1999-00
970000087	ALLIANCE NURSING CENTER OF ECHO PARK	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-06-21 00:00:00	970001045	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-24 00:00:00	2000-05-31 00:00:00	Yes	2000-07-13 00:00:00	2000-06-22 00:00:00	B	None	900	900	0	900	0	970005210	A99999	N	None	None	SFY1999-00
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-07-11 00:00:00	970001046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-01 00:00:00	None	No	2000-08-01 00:00:00	None	B	None	1000	1000	-350	650	0	970005240	A99999	N	None	None	SFY2000-01
970000001	ALCOTT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-07-13 00:00:00	970001047	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-28 00:00:00	2000-07-11 00:00:00	Yes	2000-08-24 00:00:00	2000-07-14 00:00:00	B	None	900	900	0	900	0	970005244	A99999	N	None	None	SFY2000-01
970000068	GEM TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-08 00:00:00	970001049	Closed	Citation	Citation B (HSC 1424)	Other	FAC.PRACTICES-ABUSE	2000-07-05 00:00:00	None	No	2000-08-29 00:00:00	None	B	None	1000	1000	-350	650	0	970005278	A99999	N	None	None	SFY2000-01
970000075	THE BELLEFONTAINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-14 00:00:00	970001050	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-07-03 00:00:00	2000-08-10 00:00:00	Yes	2001-05-11 00:00:00	2000-09-05 00:00:00	B	Drop>Deficiency	800	150	-150	0	0	970005289	A99999	N	None	None	SFY2000-01
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-08-22 00:00:00	970001052	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-08-08 00:00:00	None	Yes	2001-05-18 00:00:00	2000-09-01 00:00:00	B	B	800	800	0	800	0	970005300	A99999	N	None	None	SFY2000-01
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-08-31 00:00:00	970001053	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-08 00:00:00	None	Yes	2001-05-11 00:00:00	2000-09-11 00:00:00	B	B	700	700	0	700	0	970005316	A99999	N	None	None	SFY2000-01
970000001	ALCOTT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-10-18 00:00:00	970001055	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-09-26 00:00:00	None	No	2000-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	970005388	A99999	N	None	None	SFY2000-01
970000033	ORCHARD GABLES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-11-01 00:00:00	970001056	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-10-08 00:00:00	None	No	2000-12-05 00:00:00	None	B	None	1000	1050	0	1050	0	970005395	A99999	N	None	None	SFY2000-01
970000033	ORCHARD GABLES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-11-01 00:00:00	970001057	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-10-08 00:00:00	None	No	2000-12-05 00:00:00	None	B	None	1000	1050	0	1050	0	970005395	A99999	N	None	None	SFY2000-01
970000033	ORCHARD GABLES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-11-01 00:00:00	970001058	Closed	Citation	Citation B (HSC 1424)	Other	CERT.TRNG.PROGRAM	2000-10-08 00:00:00	None	No	2000-11-27 00:00:00	None	B	None	600	650	0	650	0	970005395	A99999	N	None	None	SFY2000-01
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-11-22 00:00:00	970001059	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-10-20 00:00:00	None	No	2000-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	970005392	A99999	N	None	None	SFY2000-01
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-11-28 00:00:00	970001060	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-10-27 00:00:00	None	Yes	2000-12-29 00:00:00	2000-12-13 00:00:00	B	Dismissed by Court	600	0	0	0	0	970005406	A99999	N	None	None	SFY2000-01
970000033	ORCHARD GABLES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-11-30 00:00:00	970001061	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-10-01 00:00:00	None	No	2000-12-21 00:00:00	None	B	None	800	800	0	800	0	970005412	A99999	N	None	None	SFY2000-01
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-12-26 00:00:00	970001064	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-12-07 00:00:00	None	Yes	2001-01-16 00:00:00	2001-01-09 00:00:00	B	B	1000	1600	0	1600	0	970005440	A99999	N	None	None	SFY2000-01
970000068	GEM TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-01-09 00:00:00	970001066	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-27 00:00:00	None	Yes	2001-01-31 00:00:00	2001-01-25 00:00:00	B	B	1000	700	0	700	0	970005465	A99999	N	None	None	SFY2000-01
970000075	THE BELLEFONTAINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-01-17 00:00:00	970001067	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-01-04 00:00:00	None	Yes	2001-02-07 00:00:00	2001-02-09 00:00:00	B	None	1000	1100	0	1100	0	970005474	A99999	N	None	None	SFY2000-01
970000075	THE BELLEFONTAINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-01-17 00:00:00	970001068	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-29 00:00:00	None	Yes	2001-02-07 00:00:00	2001-02-09 00:00:00	B	B	1000	650	0	650	0	970005475	A99999	N	None	None	SFY2000-01
970000075	THE BELLEFONTAINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-01-17 00:00:00	970001069	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-29 00:00:00	None	Yes	2001-02-07 00:00:00	2001-02-05 00:00:00	B	B	1000	650	0	650	0	970005476	A99999	N	None	None	SFY2000-01
970000129	ALVARADO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-02-01 00:00:00	970001070	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-07 00:00:00	None	Yes	2001-06-04 00:00:00	2001-05-15 00:00:00	B	B	700	300	0	300	0	970005498	A99999	N	None	None	SFY2000-01
970000129	ALVARADO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-02-01 00:00:00	970001071	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-28 00:00:00	None	Yes	2001-05-18 00:00:00	2001-05-17 00:00:00	B	B	1000	1000	0	1000	0	970005499	A99999	N	None	None	SFY2000-01
970000129	ALVARADO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-02-01 00:00:00	970001072	Closed	Citation	Citation B (HSC 1424)	Other	F225/F226 UO	2000-12-07 00:00:00	None	Yes	2001-05-16 00:00:00	2001-04-30 00:00:00	B	Drop>Deficiency	800	0	0	0	0	970005500	A99999	N	None	None	SFY2000-01
970000163	CAMELLIA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-17 00:00:00	970001093	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-15 00:00:00	None	No	2000-09-07 00:00:00	None	B	None	500	500	-175	325	0	970005649	A99999	N	None	None	SFY2000-01
970000174	FOOTHILL HEIGHTS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-12-01 00:00:00	970001203	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-16 00:00:00	None	No	2000-12-22 00:00:00	None	B	None	950	950	-332.5	617.5	0	970006092	A99999	N	None	None	SFY2000-01
970000176	TWO PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-11 00:00:00	970001214	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-23 00:00:00	None	Yes	2001-05-21 00:00:00	2001-04-30 00:00:00	B	B	1000	800	0	800	0	970006148	A99999	N	None	None	SFY2000-01
970000178	VILLA GARDENS HEALTH CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-09-12 00:00:00	970001218	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-09-08 00:00:00	None	No	2000-10-03 00:00:00	None	B	None	500	500	-175	325	0	970006181	A99999	N	None	None	SFY2000-01
970000191	SCRIPPS HOME THE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-22 00:00:00	970001287	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-07 00:00:00	None	No	2000-09-13 00:00:00	None	B	None	500	500	-175	325	0	970006494	A99999	N	None	None	SFY2000-01
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-15 00:00:00	970001347	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-26 00:00:00	None	Yes	2000-09-05 00:00:00	2001-06-22 00:00:00	B	Dismissed by Court	1000	0	0	0	0	970006626	A99999	N	None	None	SFY2000-01
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-15 00:00:00	970001348	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-26 00:00:00	None	Yes	2000-09-05 00:00:00	2001-06-22 00:00:00	B	Dismissed by Court	1000	0	0	0	0	970006626	A99999	N	None	None	SFY2000-01
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-15 00:00:00	970001349	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-26 00:00:00	None	Yes	2000-09-05 00:00:00	2001-06-22 00:00:00	B	B	1000	1200	0	1200	0	970006626	A99999	N	None	None	SFY2000-01
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-09-14 00:00:00	970001350	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-25 00:00:00	None	Yes	2001-05-29 00:00:00	2001-05-13 00:00:00	B	B	1000	350	0	350	0	970006629	A99999	N	None	None	SFY2000-01
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-02-26 00:00:00	970001351	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-12-16 00:00:00	None	Yes	2002-05-01 00:00:00	2002-04-12 00:00:00	B	B	1000	500	0	500	0	970006642	A99999	N	None	None	SFY2000-01
970000070	INFINITY CARE OF EAST LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-02-28 00:00:00	970001352	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-02 00:00:00	None	No	2001-03-27 00:00:00	None	A	None	15000	15000	-5250	9750	0	970006643	A99999	Y	None	None	SFY2000-01
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-03-09 00:00:00	970001353	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-08 00:00:00	None	No	2001-03-30 00:00:00	None	B	None	500	500	-175	325	0	970006647	A99999	N	None	None	SFY2000-01
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-04-18 00:00:00	970001354	Closed	Citation	Citation B (HSC 1424)	Other	(ABUSE)	2001-04-10 00:00:00	None	Yes	2001-06-06 00:00:00	2001-08-07 00:00:00	B	B	1000	1000	-900	100	0	970006671	A99999	N	None	None	SFY2000-01
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-04-18 00:00:00	970001355	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2001-04-10 00:00:00	None	No	2001-06-11 00:00:00	None	B	B	1000	1000	-900	100	0	970006674	A99999	N	None	None	SFY2000-01
970000033	ORCHARD GABLES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-04-18 00:00:00	970001356	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-04-12 00:00:00	None	No	2001-05-25 00:00:00	None	B	None	1000	1450	-350	1100	0	970006675	A99999	N	None	None	SFY2000-01
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-06-07 00:00:00	970001357	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-04-09 00:00:00	None	Yes	2001-10-01 00:00:00	2001-09-25 00:00:00	A	A	20000	14000	0	14000	0	970006700	A99999	Y	None	None	SFY2000-01
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-06-11 00:00:00	970001358	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-19 00:00:00	None	Yes	2001-07-18 00:00:00	2001-06-18 00:00:00	B	B	1000	500	0	500	0	970006753	A99999	N	None	None	SFY2000-01
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-06-26 00:00:00	970001359	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-20 00:00:00	None	No	2001-07-18 00:00:00	None	B	None	1000	1000	-350	650	0	970006789	A99999	N	None	None	SFY2000-01
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-07-05 00:00:00	970001360	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-06 00:00:00	None	No	2001-08-15 00:00:00	None	B	B	800	700	-300	400	0	970006694	A99999	N	None	None	SFY2001-02
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-07-11 00:00:00	970001361	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-13 00:00:00	None	No	2001-08-13 00:00:00	None	B	None	1000	1000	-350	650	0	970006806	A99999	N	None	None	SFY2001-02
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-08-17 00:00:00	970001362	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-26 00:00:00	None	No	2001-09-10 00:00:00	None	B	None	500	500	0	500	0	970006837	A99999	N	None	None	SFY2001-02
970000009	VIEW PARK CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-09-12 00:00:00	970001363	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS/OTHER	2001-08-28 00:00:00	None	No	2001-10-03 00:00:00	None	B	None	1000	1000	0	1000	0	970006865	A99999	N	None	None	SFY2001-02
970000121	ALDEN TERRACE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-09-21 00:00:00	970001364	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-18 00:00:00	None	Yes	2001-11-23 00:00:00	2001-10-01 00:00:00	B	B	800	300	0	300	0	970006824	A99999	N	None	None	SFY2001-02
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-10-23 00:00:00	970001365	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-07 00:00:00	None	Yes	2002-03-15 00:00:00	2002-02-28 00:00:00	B	B	1000	1750	0	1750	0	970006882	A99999	N	None	None	SFY2001-02
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-11-02 00:00:00	970001366	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2001-09-03 00:00:00	None	Yes	2002-01-02 00:00:00	2001-11-09 00:00:00	B	None	1000	1000	0	1000	0	970006950	A99999	N	None	None	SFY2001-02
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-11-14 00:00:00	970001367	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2001-08-30 00:00:00	None	No	2001-12-14 00:00:00	None	B	None	1000	1000	-350	650	0	970006902	A99999	N	None	None	SFY2001-02
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-12-21 00:00:00	970001369	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-11-21 00:00:00	None	Yes	2002-03-22 00:00:00	2001-12-27 00:00:00	B	B	1000	500	0	500	0	970007009	A99999	N	None	None	SFY2001-02
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-01-03 00:00:00	970001370	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-12-19 00:00:00	None	No	2002-02-15 00:00:00	None	B	None	1000	1700	-350	1350	0	970007019	A99999	N	None	None	SFY2001-02
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-01-08 00:00:00	970001371	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-26 00:00:00	None	Yes	2002-02-19 00:00:00	2002-01-28 00:00:00	B	B	1000	500	0	500	0	970006785	A99999	N	None	None	SFY2001-02
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-11 00:00:00	970001373	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-25 00:00:00	None	No	2002-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	970006831	A99999	N	None	None	SFY2001-02
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-03-21 00:00:00	970001374	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-18 00:00:00	None	Yes	2002-04-22 00:00:00	2002-04-01 00:00:00	B	B	1000	500	0	500	0	970007046	A99999	N	None	None	SFY2001-02
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-04-11 00:00:00	970001375	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-24 00:00:00	2002-04-11 00:00:00	No	2002-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	970007136	A99999	N	None	None	SFY2001-02
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-05-14 00:00:00	970001376	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-30 00:00:00	None	No	2002-06-10 00:00:00	None	B	None	1000	1000	-350	650	0	970007138	A99999	N	None	None	SFY2001-02
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-06-11 00:00:00	970001377	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-27 00:00:00	None	No	2002-07-02 00:00:00	None	B	None	1000	1000	-350	650	0	970007128	A99999	N	None	None	SFY2001-02
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-06-14 00:00:00	970001378	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-21 00:00:00	2002-06-14 00:00:00	Yes	2002-07-19 00:00:00	2002-07-09 00:00:00	B	B	900	100	0	100	0	970007068	A99999	N	None	None	SFY2001-02
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-06-14 00:00:00	970001379	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-21 00:00:00	2002-06-14 00:00:00	Yes	2002-07-22 00:00:00	2002-07-09 00:00:00	B	None	1000	1000	0	1000	0	970007068	A99999	N	None	None	SFY2001-02
970000145	OLYMPIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-09-09 00:00:00	970001380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-19 00:00:00	None	Yes	2003-03-07 00:00:00	2002-09-23 00:00:00	B	None	700	700	0	700	0	970007290	A99999	N	None	None	SFY2002-03
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-10-09 00:00:00	970001381	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-08 00:00:00	None	Yes	2002-10-31 00:00:00	2002-11-08 00:00:00	B	None	700	700	0	700	0	970007291	A99999	N	None	None	SFY2002-03
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-10-24 00:00:00	970001382	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-05-05 00:00:00	None	Yes	2003-02-13 00:00:00	2002-11-04 00:00:00	B	B	650	650	0	650	0	970007184	A99999	N	None	None	SFY2002-03
970000111	KEI-AI LOS ANGELES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-12-05 00:00:00	970001383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-13 00:00:00	2002-12-04 00:00:00	No	2003-01-03 00:00:00	None	B	None	850	850	-297.5	552.5	0	970007417	A99999	N	None	None	SFY2002-03
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-12-13 00:00:00	970001384	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-09-29 00:00:00	None	No	2003-01-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	970007455	A99999	N	None	None	SFY2002-03
970000121	ALDEN TERRACE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-01-17 00:00:00	970001385	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-01 00:00:00	None	Yes	2003-02-10 00:00:00	2003-01-24 00:00:00	B	B	1000	500	0	500	0	970007499	A99999	N	None	None	SFY2002-03
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-01-29 00:00:00	970001386	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-11 00:00:00	None	Yes	2003-05-20 00:00:00	2003-05-07 00:00:00	A	A	16000	8000	0	8000	0	970007514	A99999	N	None	None	SFY2002-03
970000137	THE REHABILITATION CENTER OF LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-03-25 00:00:00	970001387	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-24 00:00:00	None	Yes	2003-09-16 00:00:00	2003-04-18 00:00:00	B	B	1000	1000	0	1000	0	970007573	A99999	N	None	None	SFY2002-03
970000009	VIEW PARK CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-04-16 00:00:00	970001388	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-19 00:00:00	2003-02-19 00:00:00	Yes	2003-05-14 00:00:00	2003-05-02 00:00:00	B	B	800	800	0	800	0	970007578	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001389	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-13 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001390	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-13 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001391	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-14 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001392	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-13 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001393	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-25 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001394	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-13 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001395	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-25 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001396	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-13 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001397	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-13 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001398	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-13 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001399	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-13 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001400	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-13 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	800	800	-800	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001401	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-25 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	800	800	-800	0	0	970007623	A99999	N	None	None	SFY2002-03
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-01 00:00:00	970001402	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-13 00:00:00	None	No	2003-06-09 00:00:00	None	B	None	500	500	-500	0	0	970007623	A99999	N	None	None	SFY2002-03
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-05-12 00:00:00	970001403	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-12 00:00:00	None	No	2003-06-11 00:00:00	None	B	None	1000	1000	-350	650	0	970007545	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001404	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	250	0	250	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001405	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	250	0	250	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001406	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001407	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001408	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001409	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001410	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001411	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001412	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001413	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001414	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001415	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001416	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001417	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001418	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001419	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001420	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001421	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001422	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001423	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001424	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001425	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001426	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001427	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001428	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001429	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001430	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001431	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-03 00:00:00	970001432	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-24 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-03 00:00:00	970001433	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-24 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001434	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001435	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001436	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001437	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001438	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001439	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001440	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-05-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001441	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001442	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001443	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000101	ROYAL VILLA HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-06-05 00:00:00	970001444	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-04-23 00:00:00	None	Yes	2003-06-26 00:00:00	2003-06-11 00:00:00	B	B	1000	500	0	500	0	970007665	A99999	N	None	None	SFY2002-03
970000052	ST. ANDREWS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-06-30 00:00:00	970001445	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-24 00:00:00	None	No	2003-07-22 00:00:00	None	B	None	1000	1000	-350	650	0	970007683	A99999	N	None	None	SFY2002-03
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-10-20 00:00:00	970001446	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-13 00:00:00	None	Yes	2003-11-20 00:00:00	2003-11-04 00:00:00	B	B	1000	1000	0	1000	0	970007773	A99999	N	None	None	SFY2003-04
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-11-07 00:00:00	970001447	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-13 00:00:00	None	Yes	2003-12-10 00:00:00	2003-11-22 00:00:00	A	A	16000	10400	0	10400	0	970007853	A99999	N	None	None	SFY2003-04
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-11-14 00:00:00	970001448	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-10-23 00:00:00	None	No	2003-12-09 00:00:00	None	B	None	1000	1000	-350	650	0	970007858	A99999	N	None	None	SFY2003-04
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-12-22 00:00:00	970001449	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2003-11-18 00:00:00	None	No	2004-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	970007873	A99999	N	None	None	SFY2003-04
970000121	ALDEN TERRACE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-02-09 00:00:00	970001450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-02 00:00:00	None	Yes	2004-03-11 00:00:00	2004-02-12 00:00:00	B	B	1000	750	0	750	0	970007947	A99999	N	None	None	SFY2003-04
970000133	GRAND PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-02-23 00:00:00	970001451	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-24 00:00:00	None	No	2004-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	970007840	A99999	N	None	None	SFY2003-04
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2004-03-26 00:00:00	970001452	Closed	Citation	Citation A (HSC 1424)	Medication	None	2003-02-21 00:00:00	None	No	2004-04-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	970007607	A99999	Y	None	None	SFY2003-04
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-07-21 00:00:00	970001453	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-01 00:00:00	None	No	2004-09-01 00:00:00	None	B	None	1000	1050	-350	700	0	970008017	A99999	N	None	None	SFY2004-05
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-03-10 00:00:00	970001454	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-09-20 00:00:00	None	Yes	2005-04-12 00:00:00	2005-03-31 00:00:00	AA	A	70000	70000	0	70000	0	970008150	A99999	Y	None	None	SFY2004-05
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-09-07 00:00:00	970001455	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-01 00:00:00	2005-07-01 00:00:00	No	2005-09-28 00:00:00	None	B	None	800	800	-280	520	0	970008392	A99999	N	None	None	SFY2005-06
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-12-21 00:00:00	970001456	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-09-21 00:00:00	None	No	2006-01-30 00:00:00	None	B	None	1000	1000	-350	650	0	970008461	A99999	N	None	None	SFY2005-06
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2005-12-21 00:00:00	970001457	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-06 00:00:00	None	No	2006-03-22 00:00:00	None	B	None	1000	1000	-350	650	0	970008264	A99999	Y	None	None	SFY2005-06
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-12-23 00:00:00	970001458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-18 00:00:00	None	Yes	2006-04-04 00:00:00	2006-01-11 00:00:00	B	B	1000	500	0	500	0	970008381	A99999	N	None	None	SFY2005-06
970000103	VIRGIL REHABILITATION AND SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-12-27 00:00:00	970001459	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-14 00:00:00	None	Yes	2006-03-22 00:00:00	2006-01-18 00:00:00	B	B	1000	500	0	500	0	970008420	A99999	N	CA00051788	B	SFY2005-06
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-02-06 00:00:00	970001460	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-12-15 00:00:00	2005-12-15 00:00:00	No	2006-03-01 00:00:00	None	B	None	1000	1000	-350	650	0	970008527	A99999	N	None	None	SFY2005-06
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-03-17 00:00:00	970002967	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-23 00:00:00	2005-11-23 00:00:00	Yes	2006-04-14 00:00:00	2006-03-23 00:00:00	B	B	1000	1000	0	1000	0	None	KRC411	N	CA00066390	B	SFY2005-06
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-04-19 00:00:00	970003038	Closed	Citation	Citation A (HSC 1424)	Medication	None	2005-08-30 00:00:00	2005-08-30 00:00:00	Yes	2006-05-19 00:00:00	2006-05-02 00:00:00	A	A	15000	15000	0	15000	0	None	CT9T11	N	CA00058962, CA00059385	B, B	SFY2005-06
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-04-20 00:00:00	970003041	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-05 00:00:00	2005-11-05 00:00:00	No	2006-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	70KD11	N	CA00065365	C	SFY2005-06
970000167	SAINT VINCENT HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-06-23 00:00:00	970003090	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-05-03 00:00:00	2006-05-03 00:00:00	No	2006-07-17 00:00:00	None	B	None	500	500	-175	325	0	None	9ELC11	N	CA00079622	C	SFY2005-06
970000021	LA BREA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-06-23 00:00:00	970003113	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2005-08-18 00:00:00	2005-08-18 00:00:00	Yes	2006-07-17 00:00:00	2006-07-05 00:00:00	B	B	1000	850	0	850	0	None	F3EN11	N	CA00057128	C	SFY2005-06
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-06-23 00:00:00	970003176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-09 00:00:00	2005-12-09 00:00:00	No	2006-07-17 00:00:00	None	B	None	1000	1000	-1000	0	0	None	6K3N11	N	CA00067970	A	SFY2005-06
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003230	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-20 00:00:00	2006-06-20 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1250	-1250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003231	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-06 00:00:00	2006-06-06 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1250	-1250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003232	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-21 00:00:00	2006-06-21 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1250	-1250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003233	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-06 00:00:00	2006-06-06 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1250	-1250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003234	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-15 00:00:00	2006-05-15 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1250	-1250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003235	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-09 00:00:00	2006-06-09 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1400	-1400	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003236	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-06 00:00:00	2006-06-06 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1250	-1250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003237	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-06-09 00:00:00	2006-06-09 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1250	-1250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003239	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-10 00:00:00	2005-09-10 00:00:00	No	2006-08-30 00:00:00	None	A	None	5000	5250	-5250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003240	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-05 00:00:00	2005-09-05 00:00:00	No	2006-08-30 00:00:00	None	A	None	20000	20250	-20250	0	0	None	CL2911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003242	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-06-06 00:00:00	2006-06-06 00:00:00	No	2006-08-30 00:00:00	None	A	None	20000	20250	-20250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003243	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-06-07 00:00:00	2006-06-07 00:00:00	No	2006-08-30 00:00:00	None	A	None	20000	20300	-20300	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003244	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-05-22 00:00:00	2006-05-22 00:00:00	No	2006-08-30 00:00:00	None	A	None	10000	10250	-10250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003245	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-11-15 00:00:00	2005-11-15 00:00:00	No	2006-08-30 00:00:00	None	A	None	20000	20250	-20250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-07 00:00:00	970003246	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-05-02 00:00:00	2006-05-02 00:00:00	No	2006-08-28 00:00:00	None	B	None	1000	3350	-3350	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003247	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-30 00:00:00	2006-06-30 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1250	-1250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003249	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-20 00:00:00	2006-06-20 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1250	-1250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003250	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-06-06 00:00:00	2006-06-06 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1250	-1250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-08-09 00:00:00	970003262	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-05-08 00:00:00	2006-05-08 00:00:00	No	2006-08-30 00:00:00	None	B	None	1000	1250	-1250	0	0	None	CL6911	N	CA00089036	B	SFY2006-07
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-10-27 00:00:00	970003391	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-14 00:00:00	2006-08-14 00:00:00	No	2006-11-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	42EY11	N	CA00092046	C	SFY2006-07
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-10-27 00:00:00	970003452	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-14 00:00:00	2006-08-14 00:00:00	No	2006-12-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	42EY11	N	CA00092046	C	SFY2006-07
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-10-02 00:00:00	970003556	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-05-01 00:00:00	2005-05-01 00:00:00	Yes	2010-12-14 00:00:00	2010-10-15 00:00:00	AA	A	80000	25000	0	25000	0	None	54XD11	Y	CA00062911	D	SFY2007-08
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-21 00:00:00	970003594	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-04 00:00:00	2006-10-04 00:00:00	No	2007-01-15 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	T7CL11	N	CA00095172	C	SFY2006-07
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-21 00:00:00	970003596	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-08 00:00:00	2006-12-08 00:00:00	Yes	2007-01-16 00:00:00	2007-01-08 00:00:00	B	B	1000	1500	0	1500	0	None	RL6211	N	CA00100908	B	SFY2006-07
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-02-27 00:00:00	970003777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-16 00:00:00	2007-02-16 00:00:00	No	2008-03-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	RUD811	N	None	None	SFY2007-08
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-04-18 00:00:00	970003905	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-02 00:00:00	2006-12-02 00:00:00	No	2007-05-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	DVY311	N	None	None	SFY2006-07
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-09-04 00:00:00	970004007	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-26 00:00:00	2007-04-26 00:00:00	No	2007-09-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	IVWY11	N	CA00113186	B	SFY2007-08
970000117	HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-08-08 00:00:00	970004040	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2007-05-20 00:00:00	2007-05-20 00:00:00	No	2007-08-29 00:00:00	None	B	B	900	900	-782	118	0	None	TVZU11	N	CA00115255	B	SFY2007-08
970000147	WESTLAKE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-10-30 00:00:00	970004411	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-27 00:00:00	2007-05-27 00:00:00	Yes	2007-11-21 00:00:00	2007-11-15 00:00:00	B	B	1000	1000	0	1000	0	None	2GT811	N	CA00116632	B	SFY2007-08
970000117	HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-01-31 00:00:00	970004424	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-09-17 00:00:00	2007-09-17 00:00:00	Yes	2008-02-25 00:00:00	2008-02-14 00:00:00	AA	AA	90000	90000	-78170	11830	0	None	GNLD11	Y	CA00126648	A	SFY2007-08
970000083	LOS FELIZ HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-11-29 00:00:00	970004470	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-10-14 00:00:00	2007-10-14 00:00:00	Yes	2007-12-20 00:00:00	2007-12-17 00:00:00	B	B	1000	500	0	500	0	None	RKB411	N	CA00130537	B	SFY2007-08
970000037	FLOWER VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-12-28 00:00:00	970004548	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-07 00:00:00	2007-12-07 00:00:00	No	2008-01-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	VQK811	N	None	None	SFY2007-08
970000037	FLOWER VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-12-28 00:00:00	970004549	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-05 00:00:00	2007-12-05 00:00:00	No	2008-01-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	VQK811	N	None	None	SFY2007-08
970000167	SAINT VINCENT HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-01-10 00:00:00	970004579	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-08 00:00:00	2007-12-08 00:00:00	No	2008-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	4T3D11	N	CA00134956	B	SFY2007-08
970000184	PASADENA PARK HEALTHCARE AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-01-28 00:00:00	970004616	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2008-01-01 00:00:00	2008-01-01 00:00:00	No	2008-02-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	9WL911	N	CA00135564	C	SFY2007-08
970000184	PASADENA PARK HEALTHCARE AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-02-11 00:00:00	970004660	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-09 00:00:00	2008-01-09 00:00:00	No	2008-03-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	6ZLI11	N	CA00135290	C	SFY2007-08
970000184	PASADENA PARK HEALTHCARE AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-02-11 00:00:00	970004661	Closed	Citation	Citation B (HSC 1424)	Other	Resident Assessment	2007-12-04 00:00:00	2007-12-04 00:00:00	No	2008-03-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	6ZLI11	N	CA00135290	C	SFY2007-08
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-02-15 00:00:00	970004699	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-30 00:00:00	2006-12-30 00:00:00	No	2008-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	AIQB11	N	CA00103377	B	SFY2007-08
970000050	VERNON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-08-07 00:00:00	970004713	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-01 00:00:00	2007-08-01 00:00:00	Yes	2008-09-25 00:00:00	2008-08-20 00:00:00	A	A	20000	2000	0	2000	0	None	FOJB11	N	CA00123898	C	SFY2008-09
970000129	ALVARADO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-09-15 00:00:00	970004723	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-16 00:00:00	2008-01-16 00:00:00	Yes	2011-08-15 00:00:00	2011-08-10 00:00:00	A	B	20000	1000	0	1000	0	None	EC3U11	N	CA00128929	C	SFY2009-10
970000169	HERITAGE MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-03-07 00:00:00	970004725	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-13 00:00:00	2007-12-13 00:00:00	Yes	2008-03-28 00:00:00	2008-03-10 00:00:00	B	B	1000	500	0	500	0	None	8D0K11	N	CA00135156	B	SFY2007-08
970000174	FOOTHILL HEIGHTS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-06-23 00:00:00	970004730	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-27 00:00:00	2008-02-27 00:00:00	No	2008-07-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	SGGD11	N	None	None	SFY2007-08
970000194	BRIGHTON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-05-23 00:00:00	970004774	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-23 00:00:00	2008-02-23 00:00:00	No	2008-06-16 00:00:00	None	B	None	900	900	-315	585	0	None	5K8E11	N	CA00142058	A	SFY2007-08
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-05-23 00:00:00	970004777	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-04 00:00:00	2008-01-04 00:00:00	No	2008-06-25 00:00:00	None	B	None	800	800	-280	520	0	None	ISVW11	N	CA00139183	C	SFY2007-08
970000121	ALDEN TERRACE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-04-09 00:00:00	970004890	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-30 00:00:00	2007-10-30 00:00:00	Yes	2008-04-30 00:00:00	2008-04-16 00:00:00	B	B	1000	500	0	500	0	None	ZMTM11	N	None	None	SFY2007-08
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-04-14 00:00:00	970004921	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-26 00:00:00	2007-07-26 00:00:00	No	2008-05-07 00:00:00	None	B	None	900	900	-315	585	0	None	K3S411	N	CA00121490	B	SFY2007-08
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-04-29 00:00:00	970004970	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-09 00:00:00	2007-05-09 00:00:00	Yes	2008-05-20 00:00:00	2008-05-02 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	None	LVTE11	N	CA00114470	B	SFY2007-08
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-05-28 00:00:00	970005303	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-01-04 00:00:00	2007-01-04 00:00:00	Yes	2009-06-25 00:00:00	2009-07-24 00:00:00	AA	A	100000	20000	0	20000	0	None	PRQJ11	Y	CA00103271	C	SFY2008-09
970000009	VIEW PARK CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-01-12 00:00:00	970005773	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-30 00:00:00	2008-12-30 00:00:00	No	2009-02-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	PFYP11	N	CA00172850	C	SFY2008-09
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-02-02 00:00:00	970005846	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-22 00:00:00	2009-01-22 00:00:00	No	2009-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	S9HW11	N	CA00174185	C	SFY2008-09
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-02-02 00:00:00	970005847	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-26 00:00:00	2008-12-26 00:00:00	No	2009-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	S9HW11	N	CA00174185	C	SFY2008-09
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-06-18 00:00:00	970006117	Closed	Citation	Citation A (HSC 1424)	Medication	None	2008-08-16 00:00:00	2008-08-16 00:00:00	Yes	2009-07-09 00:00:00	2009-06-19 00:00:00	A	A	18000	18000	0	18000	0	None	NWM211	N	CA00160992	C	SFY2008-09
970000176	TWO PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-07-31 00:00:00	970006430	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-12 00:00:00	2009-06-12 00:00:00	Yes	2009-08-21 00:00:00	2009-08-21 00:00:00	B	None	1000	1000	-350	650	0	None	LF5R11	N	CA00190885	C	SFY2009-10
970000176	TWO PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-07-31 00:00:00	970006438	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-12 00:00:00	2009-06-12 00:00:00	Yes	2009-08-21 00:00:00	2009-08-21 00:00:00	B	None	1000	1000	-350	650	0	None	LF5R11	N	CA00190885	C	SFY2009-10
970000169	HERITAGE MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-10-20 00:00:00	970006528	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-09 00:00:00	2009-03-09 00:00:00	Yes	2009-11-10 00:00:00	2009-10-26 00:00:00	B	B	1000	500	0	500	0	None	KVLD11	N	CA00179718	C	SFY2009-10
970000174	FOOTHILL HEIGHTS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-09-17 00:00:00	970006563	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-05 00:00:00	2008-03-05 00:00:00	No	2009-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	5INU11	N	CA00143139	C	SFY2009-10
970000174	FOOTHILL HEIGHTS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-03-26 00:00:00	970009181	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2012-02-17 00:00:00	2012-02-17 00:00:00	No	2012-04-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	1F1L11	N	CA00299588	B	SFY2011-12
980000764	NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2000-12-29 00:00:00	980000238	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-18 00:00:00	None	No	2001-01-23 00:00:00	None	B	None	1000	1000	-350	650	0	980009262	A99999	N	None	None	SFY2000-01
980000764	NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2000-12-29 00:00:00	980000239	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-18 00:00:00	None	No	2001-01-23 00:00:00	None	B	None	1000	1000	-350	650	0	980009262	A99999	N	None	None	SFY2000-01
980000764	NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2001-01-04 00:00:00	980000240	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-12-18 00:00:00	None	No	2001-01-26 00:00:00	None	B	None	1000	1000	0	1000	0	980009262	A99999	N	None	None	SFY2000-01
980000764	NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2001-01-09 00:00:00	980000241	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICE	2000-12-18 00:00:00	None	No	2001-01-31 00:00:00	None	B	None	1000	1000	0	1000	0	980009262	A99999	N	None	None	SFY2000-01
980000858	CAREMERIDIAN - MAYALL HOUSE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2004-10-04 00:00:00	980000242	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLECT	2004-09-03 00:00:00	None	Yes	2004-10-26 00:00:00	2004-10-12 00:00:00	B	B	1000	500	0	500	0	980010666	A99999	N	None	None	SFY2004-05
630011586	CAREMERIDIAN - VICTORY HOUSE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2010-04-26 00:00:00	980007169	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-02-18 00:00:00	2010-02-18 00:00:00	No	2010-05-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	OE0O11	N	CA00219059	B	SFY2009-10
630010951	ST. RITA'S HAVEN	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2011-09-12 00:00:00	980008548	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-07-12 00:00:00	2011-07-12 00:00:00	No	2011-10-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	9MHD11	N	CA00275659	B	SFY2011-12
630011138	ST. RITA'S HAVEN 2	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2012-10-12 00:00:00	980009553	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-30 00:00:00	2012-08-30 00:00:00	No	2012-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	8V0E11	N	None	None	SFY2012-13
630010951	ST. RITA'S HAVEN	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2012-11-02 00:00:00	980009579	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-08-30 00:00:00	2012-08-30 00:00:00	No	2012-11-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	TRH311	N	CA00324102	B	SFY2012-13
980002279	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2014-02-06 00:00:00	980010431	Closed	Citation	Citation B (HSC 1424)	Administration	None	2014-01-04 00:00:00	2014-01-04 00:00:00	No	2014-02-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	S7NG11	N	CA00382918	A	SFY2013-14
630013124	HEART TO HEART HEALTH CARE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2014-03-24 00:00:00	980010567	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-02 00:00:00	2014-03-02 00:00:00	No	2014-04-15 00:00:00	None	B	None	600	600	-210	390	0	None	Z90211	N	CA00389676	B	SFY2013-14
630013062	CAPRI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2014-05-29 00:00:00	980010736	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-04 00:00:00	2014-03-04 00:00:00	No	2014-06-19 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	U7OH11	N	CA00389254	B	SFY2013-14
630013062	CAPRI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2014-05-29 00:00:00	980010737	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-03-04 00:00:00	2014-03-04 00:00:00	No	2014-06-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	U7OH11	N	CA00389254	B	SFY2013-14
630013243	CORBIN CONGREGATE HOME, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2015-09-30 00:00:00	980011733	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-10 00:00:00	2015-06-10 00:00:00	No	2015-10-21 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	56DW11	N	CA00446093	A	SFY2015-16
980002508	THE CENTER FOR DISCOVERY AND ADOLESCENT CHANGE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2015-10-08 00:00:00	980011777	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-01 00:00:00	2015-08-01 00:00:00	No	2015-10-29 00:00:00	None	B	None	1000	1500	0	1500	0	None	ZRL811	N	CA00453075	A	SFY2015-16
980002508	THE CENTER FOR DISCOVERY AND ADOLESCENT CHANGE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2015-11-19 00:00:00	980011855	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-12-06 00:00:00	2014-12-06 00:00:00	No	2015-12-14 00:00:00	None	A	None	10000	30000	0	30000	0	None	ZQM811	N	CA00455211	B	SFY2015-16
980002508	THE CENTER FOR DISCOVERY AND ADOLESCENT CHANGE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2015-11-18 00:00:00	980011856	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-11-15 00:00:00	2014-11-15 00:00:00	No	2015-12-11 00:00:00	None	B	None	1000	3000	0	3000	0	None	ZQM811	N	CA00455211	B	SFY2015-16
630013603	NAPOLI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-04-07 00:00:00	980012054	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-03 00:00:00	2015-06-03 00:00:00	Yes	2016-04-28 00:00:00	2016-04-17 00:00:00	A	A	10000	6000	0	6000	0	None	DYUL11	N	CA00451680	C	SFY2015-16
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-05-24 00:00:00	980012261	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-04-07 00:00:00	2016-04-07 00:00:00	No	2016-06-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZWQP11	N	CA00483377	A	SFY2015-16
630014963	BELLAGIO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-09-07 00:00:00	980012538	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-30 00:00:00	2016-04-30 00:00:00	Yes	2016-09-28 00:00:00	2016-09-30 00:00:00	A	A	10000	6500	0	6500	0	None	7ZPQ11	N	CA00486738	A	SFY2016-17
630013062	CAPRI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-11-10 00:00:00	980012542	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2016-04-30 00:00:00	2016-04-30 00:00:00	Yes	2016-12-06 00:00:00	2016-12-08 00:00:00	AA	AA	25000	16250	0	16250	0	None	4J3J11	Y	CA00486481, CA00487360	B, B	SFY2016-17
630014924	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-09-08 00:00:00	980012547	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-15 00:00:00	2016-06-15 00:00:00	No	2016-09-29 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	MQMQ11	N	CA00492876	B	SFY2016-17
630014963	BELLAGIO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-10-13 00:00:00	980012643	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-19 00:00:00	2016-07-19 00:00:00	No	2016-11-03 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	RB9511	N	CA00498148	B	SFY2016-17
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-10-21 00:00:00	980012648	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-19 00:00:00	2016-07-19 00:00:00	No	2016-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	8ZJW11	N	CA00496151	B	SFY2016-17
630014038	CROFT LIVING HOME INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-11-21 00:00:00	980012767	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-08-29 00:00:00	2016-08-29 00:00:00	No	2016-12-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	IW9M11	N	CA00498696, CA00501016	B, A	SFY2016-17
630010951	ST. RITA'S HAVEN	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-11-29 00:00:00	980012780	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-20 00:00:00	2016-09-20 00:00:00	No	2016-12-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	KPYP11	N	CA00504082	A	SFY2016-17
630013966	STONEBRIDGE MANOR	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-12-07 00:00:00	980012797	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-08-06 00:00:00	2016-08-06 00:00:00	No	2016-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	U4UL11	N	CA00496534	B	SFY2016-17
630014467	FAMILY CIRCLE CLHF, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2017-01-04 00:00:00	980012854	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-04 00:00:00	2016-10-04 00:00:00	No	2017-01-26 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	SCV511	N	CA00505991	A	SFY2016-17
630011333	GATEWAY HOMES TO INDEPENDENCE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2017-03-23 00:00:00	980013077	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-27 00:00:00	2017-01-27 00:00:00	No	2017-04-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	0Z5K11	N	CA00519771	A	SFY2016-17
630013603	NAPOLI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2017-04-18 00:00:00	980013128	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-01 00:00:00	2017-01-01 00:00:00	Yes	2017-05-09 00:00:00	2017-05-03 00:00:00	A	A	10000	6300	-300	6000	0	None	UURE11	N	CA00518652, CA00519287	A, B	SFY2016-17
630013784	OAK FENCE CONGREGATE LIVING HEALTH FACILITY	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2017-05-23 00:00:00	980013215	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-03-17 00:00:00	2017-03-17 00:00:00	No	2017-06-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	8PUI11	N	CA00527705	B	SFY2016-17
630014956	ALL CARE - AMALFI	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2017-07-27 00:00:00	980013387	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-05-09 00:00:00	2017-05-09 00:00:00	No	2017-08-17 00:00:00	None	B	None	800	800	0	800	0	None	QZ7X11	N	CA00535161	B	SFY2017-18
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2017-09-28 00:00:00	980013488	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-20 00:00:00	2017-06-20 00:00:00	Yes	2017-10-19 00:00:00	2017-10-25 00:00:00	A	None	10000	10000	0	10000	0	None	DP0F11	N	CA00542101	B	SFY2017-18
630014893	ROYAL HAVEN, LLC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2017-11-14 00:00:00	980013613	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-09-14 00:00:00	2017-09-14 00:00:00	No	2017-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	IN3Y11	N	CA00553505	A	SFY2017-18
630014729	WHITE OAK CONGREGATE LIVING FACILITY, LLC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-01-22 00:00:00	980013738	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-11 00:00:00	2017-10-11 00:00:00	No	2018-02-12 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	R92K11	N	CA00558343	B	SFY2017-18
630014956	ALL CARE - AMALFI	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-01-25 00:00:00	980013764	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-10-31 00:00:00	2017-10-31 00:00:00	No	2018-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	RQGR11	N	CA00558804	A	SFY2017-18
980000858	CAREMERIDIAN - MAYALL HOUSE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-02-01 00:00:00	980013777	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-11-03 00:00:00	2017-11-03 00:00:00	No	2018-02-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	NUYR11	N	CA00559539	A	SFY2017-18
630010951	ST. RITA'S HAVEN	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-05-30 00:00:00	980014002	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-21 00:00:00	2018-01-21 00:00:00	No	2018-06-20 00:00:00	None	A	None	10000	10350	-5000	5350	0	None	U8AG11	Y	CA00570487	B	SFY2017-18
630010951	ST. RITA'S HAVEN	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-04-20 00:00:00	980014007	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-02-12 00:00:00	2018-02-12 00:00:00	Yes	2018-05-11 00:00:00	2018-05-07 00:00:00	B	None	1000	1200	-350	850	0	None	DOW011	N	CA00571613	B	SFY2017-18
630013966	STONEBRIDGE MANOR	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-05-25 00:00:00	980014073	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2018-02-23 00:00:00	2018-02-23 00:00:00	Yes	2018-06-15 00:00:00	2018-05-25 00:00:00	B	None	1000	1200	0	1200	0	None	M1VS11	N	CA00576063	B	SFY2017-18
630011138	ST. RITA'S HAVEN 2	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-05-16 00:00:00	980014079	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-10 00:00:00	2015-12-10 00:00:00	No	2018-06-06 00:00:00	None	B	None	1000	1250	-350	900	0	None	FD9Z11	N	CA00584393, CA00584393	A, A	SFY2017-18
630014956	ALL CARE - AMALFI	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-05-31 00:00:00	980014115	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-13 00:00:00	2018-02-13 00:00:00	Yes	2018-06-21 00:00:00	2018-05-31 00:00:00	A	A	10000	6300	0	6300	0	None	07WV11	N	CA00576448	B	SFY2017-18
630013981	ADONAI CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-07-02 00:00:00	980014202	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-03 00:00:00	2018-02-03 00:00:00	Yes	2018-07-24 00:00:00	2018-07-02 00:00:00	A	None	10000	10150	0	0	10150	None	ZJD411	N	CA00572703, CA00572703	B, B	SFY2018-19
630014717	TOLUCA CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-08-08 00:00:00	980014319	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-06-13 00:00:00	2018-06-13 00:00:00	No	2018-08-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	KCHS11	N	CA00591510	A	SFY2018-19
630015806	ROSE DESERT CONGREGATE CARE INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-09-10 00:00:00	980014395	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-05-23 00:00:00	2018-05-23 00:00:00	Yes	2018-10-01 00:00:00	2018-09-27 00:00:00	B	None	1000	1000	0	0	1000	None	TN8C11	N	CA00587968	A	SFY2018-19
630015908	ALL VALLEY CONGREGATE LIVING INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-10-19 00:00:00	980014504	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-08-31 00:00:00	2018-08-31 00:00:00	No	2018-11-09 00:00:00	None	B	None	1000	1300	0	1300	0	None	9OJE11	N	CA00602646	A	SFY2018-19
630013062	CAPRI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-12-07 00:00:00	980014624	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-05 00:00:00	2018-11-05 00:00:00	No	2018-12-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	SKS711	N	CA00606608	B	SFY2018-19
630016015	WEST VALLEY CONGREGATE HEALTH LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-12-11 00:00:00	980014645	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-12 00:00:00	2018-10-12 00:00:00	No	2019-01-02 00:00:00	None	A	None	10000	10750	0	10750	0	None	WWGH11	N	CA00608363, CA00608363	B, B	SFY2018-19
630016015	WEST VALLEY CONGREGATE HEALTH LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-12-11 00:00:00	980014646	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-12 00:00:00	2018-10-12 00:00:00	No	2019-01-02 00:00:00	None	A	None	10000	11800	0	11800	0	None	WWGH11	N	CA00608363, CA00608363, CA00608363	B, B, B	SFY2018-19
630013062	CAPRI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-12-28 00:00:00	980014692	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-04 00:00:00	2018-11-04 00:00:00	No	2019-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	SEZJ11	N	CA00609783	B	SFY2018-19
630014717	TOLUCA CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2019-01-25 00:00:00	980014765	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-27 00:00:00	2018-10-27 00:00:00	No	2019-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	9TSG11	N	CA00614225, CA00614301	B, B	SFY2018-19
630014670	SENIOR CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2019-03-13 00:00:00	980014867	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-14 00:00:00	2018-12-14 00:00:00	No	2019-04-03 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	B9D311	N	CA00616865, CA00617088	B, B	SFY2018-19
630013751	BALDWIN PARK CONGREGATE HOME INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2019-04-04 00:00:00	980014931	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-18 00:00:00	2018-10-18 00:00:00	No	2019-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	L2VJ11	N	CA00608776	B	SFY2018-19
630014236	UNITED CARE MINFORD	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2019-06-27 00:00:00	980015199	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-20 00:00:00	2019-03-20 00:00:00	No	2019-07-18 00:00:00	None	B	None	1000	1700	0	1700	0	None	QLDQ11	N	CA00636809	B	SFY2018-19
630013146	UNITED CARE PELONA	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2019-08-01 00:00:00	980015263	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-05 00:00:00	2019-02-05 00:00:00	No	2019-08-22 00:00:00	None	B	None	1000	1150	0	1150	0	None	YXZJ11	N	CA00640059, CA00640059	B, B	SFY2019-20
630014236	UNITED CARE MINFORD	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2020-03-13 00:00:00	980015802	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-01-16 00:00:00	2020-01-16 00:00:00	No	2020-04-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z2FG11	N	CA00671662, CA00671662, CA00671662, CA00671662	A, A, A, A	SFY2019-20
630013784	OAK FENCE CONGREGATE LIVING HEALTH FACILITY	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2020-04-17 00:00:00	980015851	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-02-22 00:00:00	2020-02-22 00:00:00	No	2020-05-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	B3V611	N	CA00677503	A	SFY2019-20
630015906	SHERMAN OAKS CONGREGATE CENTER INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2020-06-02 00:00:00	980015888	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-04-02 00:00:00	2020-04-02 00:00:00	Yes	2020-06-23 00:00:00	2020-06-05 00:00:00	B	None	1000	1300	-350	950	0	None	7RKV11	N	CA00683458	A	SFY2019-20
630013062	CAPRI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2020-07-29 00:00:00	980015944	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2020-04-01 00:00:00	2020-04-01 00:00:00	No	2020-08-19 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	0I4D11	Y	CA00682907, CA00682907, CA00683913	A, A, B	SFY2020-21
630013603	NAPOLI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2020-11-16 00:00:00	980016154	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-09-19 00:00:00	2020-09-19 00:00:00	No	2020-12-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	I9K211	N	CA00705786, CA00705786	A, A	SFY2020-21
630015117	DESIRABLE CONGREGATE LIVING HOME - VIEW PARK	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2020-12-04 00:00:00	980016179	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-10-08 00:00:00	2020-10-08 00:00:00	No	2020-12-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	KKS911	N	CA00707974, CA00707974, CA00707974, CA00708015, CA00708015, CA00708015, CA00709581, CA00709581, CA00709581, CA00709586, CA00709586, CA00709586	A, A, A, A, A, A, B, B, B, B, B, B	SFY2020-21
630013603	NAPOLI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-01-15 00:00:00	980016237	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-11-19 00:00:00	2020-11-19 00:00:00	No	2021-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	4FD011	N	CA00713154	A	SFY2020-21
630014071	ADONAI CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-03-05 00:00:00	980016322	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-01-06 00:00:00	2021-01-06 00:00:00	No	2021-03-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	N4GN11	N	CA00719942, CA00720217	A, A	SFY2020-21
630014558	TLC CONGREGATE LIVING I, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-04-02 00:00:00	980016393	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-02-03 00:00:00	2021-02-03 00:00:00	No	2021-04-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	RLSB11	N	CA00723579, CA00723579, CA00723579, CA00723666, CA00723666, CA00723666	B, B, B, B, B, B	SFY2020-21
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-04-13 00:00:00	980016416	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-30 00:00:00	2021-03-30 00:00:00	No	2021-05-04 00:00:00	None	A	None	7000	7000	-2450	4550	0	None	9S5H11	N	CA00725367, CA00725367	A, A	SFY2020-21
630016841	ALL CARE - S.F. VALLEY	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-04-22 00:00:00	980016435	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-02-16 00:00:00	2021-02-16 00:00:00	No	2021-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	I1VB11	N	CA00726008, CA00726008	A, A	SFY2020-21
630011333	GATEWAY HOMES TO INDEPENDENCE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-04-26 00:00:00	980016443	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-12 00:00:00	2021-03-12 00:00:00	No	2021-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	70NQ11	N	CA00727561	B	SFY2020-21
630015903	PORTER RANCH CONGREGATE LIVING INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-04-29 00:00:00	980016450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-03 00:00:00	2021-03-03 00:00:00	No	2021-05-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	QVO111	N	CA00730430, CA00730430	B, B	SFY2020-21
630016003	PULSE HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-05-10 00:00:00	980016484	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-17 00:00:00	2021-03-17 00:00:00	No	2021-06-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	5B8811	N	CA00729314, CA00729314	A, A	SFY2020-21
630013943	QUALITY CLHF, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-05-21 00:00:00	980016533	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-06 00:00:00	2021-05-06 00:00:00	No	2021-06-14 00:00:00	None	B	None	1000	1000	-350	750	-100	None	4TLS11	N	None	None	SFY2020-21
630016992	GLENDALE HOUSE CLHS, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-06-08 00:00:00	980016571	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-05-20 00:00:00	2021-05-20 00:00:00	No	2021-06-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	J8TU11	N	None	None	SFY2020-21
630013124	HEART TO HEART HEALTH CARE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-06-22 00:00:00	980016627	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-27 00:00:00	2021-05-27 00:00:00	No	2021-07-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	7Z3R11	N	None	None	SFY2020-21
630014652	LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-07-02 00:00:00	980016679	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-03 00:00:00	2021-05-03 00:00:00	No	2021-07-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	NM2811	N	CA00735076	B	SFY2021-22
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-07-02 00:00:00	980016682	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-11 00:00:00	2021-05-11 00:00:00	No	2021-07-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	L7YJ11	N	CA00736195	A	SFY2021-22
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-07-14 00:00:00	980016721	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-03 00:00:00	2021-06-03 00:00:00	No	2021-08-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	2SQR11	N	CA00730962, CA00730970	B, B	SFY2021-22
630013751	BALDWIN PARK CONGREGATE HOME INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-08-02 00:00:00	980016782	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2021-06-30 00:00:00	2021-06-30 00:00:00	No	2021-08-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	OM6511	N	None	None	SFY2021-22
630016392	MAGNIFIQUE CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-08-19 00:00:00	980016813	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-20 00:00:00	2021-05-20 00:00:00	Yes	2021-09-10 00:00:00	2021-08-31 00:00:00	A	None	10000	10200	0	0	10200	None	Y4F311	Y	None	None	SFY2021-22
630013981	ADONAI CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-08-13 00:00:00	980016817	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-08 00:00:00	2021-07-08 00:00:00	No	2021-09-03 00:00:00	None	B	None	1000	1550	0	1550	0	None	Z84Z11	N	None	None	SFY2021-22
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-08-25 00:00:00	980016849	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-07-08 00:00:00	2021-07-08 00:00:00	No	2021-09-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	K3V711	N	None	None	SFY2021-22
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-09-01 00:00:00	980016880	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-09 00:00:00	2021-07-09 00:00:00	No	2021-09-23 00:00:00	None	B	None	1000	1000	0	0	1000	None	K3V711	N	None	None	SFY2021-22
630016392	MAGNIFIQUE CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-09-16 00:00:00	980016928	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2021-07-19 00:00:00	2021-07-19 00:00:00	No	2021-10-07 00:00:00	None	B	None	1000	1150	0	1150	0	None	EGXZ11	N	CA00744538, CA00744538, CA00744538	A, A, A	SFY2021-22
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-10-18 00:00:00	980017023	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-20 00:00:00	2021-08-20 00:00:00	No	2021-11-08 00:00:00	None	B	None	1000	1200	0	1200	0	None	UR6811	N	CA00749354	A	SFY2021-22
630016207	VALLEY VIEW CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-11-10 00:00:00	980017089	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-08 00:00:00	2021-09-08 00:00:00	No	2021-12-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	MH1B11	N	CA00752501, CA00752501, CA00753036, CA00753036	A, A, A, A	SFY2021-22
630013784	OAK FENCE CONGREGATE LIVING HEALTH FACILITY	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-11-23 00:00:00	980017129	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-29 00:00:00	2021-09-29 00:00:00	No	2021-12-16 00:00:00	None	B	None	1000	2300	0	1000	1300	None	XWSF11	N	CA00754799, CA00754799, CA00754799	A, A, A	SFY2021-22
630017710	CARESOURCE CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-01-14 00:00:00	980017268	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-04 00:00:00	2021-11-04 00:00:00	No	2022-02-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	6QM011	N	CA00761225	B	SFY2021-22
630015903	PORTER RANCH CONGREGATE LIVING INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-01-14 00:00:00	980017269	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-11-15 00:00:00	2021-11-15 00:00:00	No	2022-02-07 00:00:00	None	A	A	10000	9112.51	0	9112.51	0	None	N5PJ11	N	CA00761108, CA00761108, CA00761108, CA00761212, CA00761212, CA00761212, CA00761406, CA00761406, CA00761406	A, A, A, A, A, A, A, A, A	SFY2021-22
630015648	MSB, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-01-18 00:00:00	980017270	Open	Citation	Citation B (HSC 1424)	Staffing	None	2021-11-19 00:00:00	2021-11-19 00:00:00	No	2022-02-08 00:00:00	None	B	B	1000	2812.51	0	2182.51	630	None	LSVH11	N	CA00761784, CA00761784	A, A	SFY2021-22
630013784	OAK FENCE CONGREGATE LIVING HEALTH FACILITY	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-02-11 00:00:00	980017347	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-03 00:00:00	2021-12-03 00:00:00	No	2022-03-07 00:00:00	None	B	None	1000	1650	0	0	1650	None	DYLS11	N	CA00764421, CA00764421	A, A	SFY2021-22
630017057	OAK FENCE CONGREGATE LIVING HEALTH FACILITY #2	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-02-11 00:00:00	980017349	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-15 00:00:00	2021-12-15 00:00:00	No	2022-03-07 00:00:00	None	B	None	1000	1000	0	0	1000	None	RLGC11	N	CA00764593, CA00764593	A, A	SFY2021-22
630017710	CARESOURCE CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-02-25 00:00:00	980017449	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-30 00:00:00	2021-12-30 00:00:00	No	2022-03-18 00:00:00	None	B	None	1000	1250	-350	900	0	None	JU4511	Y	CA00766515, CA00766515, CA00766515	A, A, A	SFY2021-22
630014956	ALL CARE - AMALFI	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-03-04 00:00:00	980017468	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-03 00:00:00	2022-01-03 00:00:00	No	2022-03-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	BM5711	N	CA00766988	A	SFY2021-22
630015903	PORTER RANCH CONGREGATE LIVING INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-03-08 00:00:00	980017476	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-22 00:00:00	2022-02-22 00:00:00	No	2022-03-29 00:00:00	None	A	A	10000	22501	0	22501	0	None	TFKL11	N	CA00774296, CA00774296	H, H	SFY2021-22
630015903	PORTER RANCH CONGREGATE LIVING INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-03-08 00:00:00	980017478	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-04 00:00:00	2022-02-04 00:00:00	No	2022-03-29 00:00:00	None	A	A	10000	7501	0	1592.74	5908.26	None	TFKL11	N	CA00774296, CA00774296, CA00774296	H, H, H	SFY2021-22
630015648	MSB, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-03-18 00:00:00	980017511	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-04 00:00:00	2022-03-04 00:00:00	No	2022-04-11 00:00:00	None	A	A	10000	7607.5	0	0	7607.5	None	V29611	N	CA00775581	A	SFY2021-22
630015648	MSB, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-03-25 00:00:00	980017528	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-08 00:00:00	2022-03-08 00:00:00	No	2022-04-18 00:00:00	None	A	A	10000	7501	0	0	7501	None	LE0L11	N	CA00776672, CA00776672, CA00776672	A, A, A	SFY2021-22
630015903	PORTER RANCH CONGREGATE LIVING INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-04-08 00:00:00	980017559	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-10 00:00:00	2022-02-10 00:00:00	No	2022-04-29 00:00:00	None	A	A	10000	7501	0	0	7501	None	HJ9E11	N	CA00772611, CA00772611	A, A	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-04-14 00:00:00	980017575	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-03 00:00:00	2022-03-03 00:00:00	No	2022-05-05 00:00:00	None	A	None	10000	10000	-7000	3000	0	None	71U911	N	CA00768150	A	SFY2021-22
630014709	THE COMMUNITY HOME, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-04-15 00:00:00	980017577	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-01-24 00:00:00	2022-01-24 00:00:00	No	2022-05-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	DQ8W11	N	CA00773774	A	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-05-04 00:00:00	980017619	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-16 00:00:00	2022-02-16 00:00:00	No	2022-05-25 00:00:00	None	A	None	10000	10000	-7000	3000	0	None	VJK111	N	CA00777242	A	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-05-31 00:00:00	980017680	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-04-01 00:00:00	2022-04-01 00:00:00	No	2022-06-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	S7E911	N	CA00779028	A	SFY2021-22
630015648	MSB, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-01 00:00:00	980017687	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-11 00:00:00	2022-03-11 00:00:00	No	2022-06-22 00:00:00	None	A	A	10000	7501	0	0	7501	None	LE0L11	N	CA00776672, CA00776672, CA00776672, CA00776672	A, A, A, A	SFY2021-22
630015609	NEW HAVEN CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-07 00:00:00	980017694	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-04-02 00:00:00	2022-04-02 00:00:00	No	2022-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	3NYL11	N	CA00780053, CA00780053	A, A	SFY2021-22
630016015	WEST VALLEY CONGREGATE HEALTH LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-10 00:00:00	980017699	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-21 00:00:00	2022-04-21 00:00:00	No	2022-07-01 00:00:00	None	B	None	1000	1500	0	1500	0	None	74TL11	N	None	None	SFY2021-22
630016015	WEST VALLEY CONGREGATE HEALTH LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-10 00:00:00	980017704	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-21 00:00:00	2022-04-21 00:00:00	No	2022-07-01 00:00:00	None	B	None	1000	1500	0	1000	500	None	74TL11	N	None	None	SFY2021-22
630016108	ROYAL CONGREGATE LIVING, LLC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-23 00:00:00	980017729	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2022-04-28 00:00:00	2022-04-28 00:00:00	No	2022-07-15 00:00:00	None	B	None	1000	1200	0	1200	0	None	QHFC11	N	CA00782522, CA00782522	A, A	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-23 00:00:00	980017730	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2022-04-21 00:00:00	2022-04-21 00:00:00	No	2022-07-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	E5BN11	N	None	None	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-23 00:00:00	980017732	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-21 00:00:00	2022-04-21 00:00:00	No	2022-07-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	E5BN11	N	None	None	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-23 00:00:00	980017734	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-21 00:00:00	2022-04-21 00:00:00	No	2022-07-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	E5BN11	N	None	None	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-23 00:00:00	980017736	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-21 00:00:00	2022-04-21 00:00:00	No	2022-07-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	E5BN11	N	None	None	SFY2021-22
630014956	ALL CARE - AMALFI	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-24 00:00:00	980017737	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-28 00:00:00	2022-04-28 00:00:00	No	2022-07-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	JJRS11	N	CA00782480, CA00782480, CA00782480, CA00782480	A, A, A, A	SFY2021-22
630016841	ALL CARE - S.F. VALLEY	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-07-12 00:00:00	980017776	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-05-13 00:00:00	2022-05-13 00:00:00	No	2022-08-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	D8XE11	N	CA00784770, CA00784770, CA00784770	A, A, A	SFY2022-23
630015635	UNITED CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-08-01 00:00:00	980017838	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-05-18 00:00:00	2022-05-18 00:00:00	No	2022-08-22 00:00:00	None	A	None	10000	10150	0	1700	8450	None	9I1P11	N	CA00777815, CA00777815	A, A	SFY2022-23
630018276	BETHEL ESTATES	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-09-02 00:00:00	980017957	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-20 00:00:00	2022-08-20 00:00:00	No	2022-09-26 00:00:00	None	B	None	1000	3250	0	3250	0	None	RA7R11	N	CA00792619, CA00792619, CA00792619, CA00792619, CA00792619, CA00792619	A, A, A, A, A, A	SFY2022-23
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-09-29 00:00:00	980018030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-20 00:00:00	2022-08-20 00:00:00	No	2022-10-20 00:00:00	None	B	None	1000	1850	-1850	0	0	None	7YBE11	N	CA00798335, CA00798335, CA00798833	B, B, A	SFY2022-23
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-09-29 00:00:00	980018031	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-08-20 00:00:00	2022-08-20 00:00:00	No	2022-10-20 00:00:00	None	B	None	1000	1000	-1000	0	0	None	7YBE11	N	CA00798335, CA00798335, CA00798335, CA00798833, CA00798833	B, B, B, A, A	SFY2022-23
630016523	ALLWELL RESIDENTIAL CARE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-11-01 00:00:00	980018128	Closed	Citation	Citation B (HSC 1424)	Administration	None	2022-07-06 00:00:00	2022-07-06 00:00:00	No	2022-11-23 00:00:00	None	B	None	1000	1650	-350	1300	0	None	9NML11	N	CA00791881, CA00791881	A, A	SFY2022-23
630014467	FAMILY CIRCLE CLHF, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-11-03 00:00:00	980018141	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-03 00:00:00	2022-03-03 00:00:00	No	2022-11-28 00:00:00	None	A	None	10000	10000	0	10000	0	None	3OCN11	N	CA00775218, CA00775218, CA00775218	A, A, A	SFY2022-23
630015502	BEL AIR CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-11-04 00:00:00	980018143	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2022-09-20 00:00:00	2022-09-20 00:00:00	No	2022-11-30 00:00:00	None	B	None	1000	1150	-350	800	0	None	ZF2Z11	N	CA00803219, CA00803219	B, B	SFY2022-23
630014529	GOLDEN STATE HOMES, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-11-22 00:00:00	980018170	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2022-09-27 00:00:00	2022-09-27 00:00:00	No	2022-12-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	RL2S11	N	CA00805094, CA00805094, CA00805094, CA00805094	A, A, A, A	SFY2022-23
630016108	ROYAL CONGREGATE LIVING, LLC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-01-06 00:00:00	980018289	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-11 00:00:00	2022-11-11 00:00:00	No	2023-01-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	D95F11	N	CA00811225	B	SFY2022-23
630014717	TOLUCA CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-01-12 00:00:00	980018306	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-30 00:00:00	2022-12-30 00:00:00	No	2023-02-03 00:00:00	None	B	None	1000	1000	0	1000	0	None	IXVI11	N	CA00812031, CA00812031	A, A	SFY2022-23
630014126	VISTA CARE HOME INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-02-17 00:00:00	980018427	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-03 00:00:00	2023-02-03 00:00:00	No	2023-03-13 00:00:00	None	B	None	1000	2900	0	2900	0	None	OR2M11	N	None	None	SFY2022-23
630014126	VISTA CARE HOME INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-02-17 00:00:00	980018428	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-03 00:00:00	2023-02-03 00:00:00	No	2023-03-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	OR2M11	N	None	None	SFY2022-23
630014126	VISTA CARE HOME INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-03-07 00:00:00	980018479	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-02-03 00:00:00	2023-02-03 00:00:00	No	2023-03-28 00:00:00	None	A	None	2000	3000	0	0	3000	None	OR2M11	N	None	None	SFY2022-23
630014126	VISTA CARE HOME INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-03-07 00:00:00	980018480	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-03 00:00:00	2023-02-03 00:00:00	No	2023-03-28 00:00:00	None	A	None	2000	3000	0	0	3000	None	OR2M11	N	None	None	SFY2022-23
630019055	SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-03-24 00:00:00	980018571	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-01-31 00:00:00	2023-01-31 00:00:00	No	2023-04-17 00:00:00	None	B	None	1000	1000	0	0	1000	None	39RI11	N	CA00827132, CA00827132, CA00827132, CA00827132, CA00827132, CA00828165, CA00828165, CA00828165, CA00829024, CA00829024, CA00829024	B, B, B, B, B, B, B, B, A, A, A	SFY2022-23
630019055	SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-03-24 00:00:00	980018575	Open	Citation	Citation B (HSC 1424)	Medication	None	2023-03-01 00:00:00	2023-03-01 00:00:00	No	2023-04-17 00:00:00	None	B	None	1000	1000	0	0	1000	None	39RI11	N	None	None	SFY2022-23
630019055	SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-03-29 00:00:00	980018589	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-01 00:00:00	2023-03-01 00:00:00	No	2023-04-20 00:00:00	None	B	None	1000	1000	0	0	1000	None	39RI11	N	CA00827132, CA00827132, CA00827132, CA00827132, CA00827132, CA00828165, CA00828165, CA00828165, CA00829024, CA00829024, CA00829024	B, B, B, B, B, B, B, B, A, A, A	SFY2022-23
630019055	SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-03-30 00:00:00	980018596	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-01 00:00:00	2023-03-01 00:00:00	No	2023-04-21 00:00:00	None	B	None	1000	1000	0	0	1000	None	39RI11	N	CA00828165, CA00828165, CA00828165	B, B, B	SFY2022-23
630016163	VALLEY GRACE HOME, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-04-05 00:00:00	980018607	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-03-08 00:00:00	2023-03-08 00:00:00	No	2023-04-26 00:00:00	None	B	None	1000	1000	0	0	1000	None	BXV311	N	None	None	SFY2022-23
630013062	CAPRI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-04-13 00:00:00	980018630	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-15 00:00:00	2023-03-15 00:00:00	No	2023-05-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	RJQZ11	N	None	None	SFY2022-23
630013062	CAPRI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-04-13 00:00:00	980018631	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2023-03-15 00:00:00	2023-03-15 00:00:00	No	2023-05-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	RJQZ11	N	None	None	SFY2022-23
630013062	CAPRI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-04-13 00:00:00	980018634	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-14 00:00:00	2023-03-14 00:00:00	No	2023-05-04 00:00:00	None	B	None	1000	1450	-350	1100	0	None	RJQZ11	N	None	None	SFY2022-23
630026176	HAYVEN HOME, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-04-26 00:00:00	980018696	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-03-14 00:00:00	2023-03-14 00:00:00	No	2023-05-17 00:00:00	None	B	None	1000	1250	0	0	1250	None	9NOC11	N	CA00831031	A	SFY2022-23
630013966	STONEBRIDGE MANOR	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-03 00:00:00	980018714	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2023-04-20 00:00:00	2023-04-20 00:00:00	No	2023-05-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	OPC611	N	None	None	SFY2022-23
630013603	NAPOLI IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-03 00:00:00	980018718	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-23 00:00:00	2023-03-23 00:00:00	No	2023-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	ESGW11	N	CA00831359, CA00831359, CA00831359	B, B, B	SFY2022-23
630014085	VILLA BALBOA	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-08 00:00:00	980018726	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2023-04-22 00:00:00	2023-04-22 00:00:00	No	2023-05-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	RXKG11	N	None	None	SFY2022-23
630014085	VILLA BALBOA	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-08 00:00:00	980018728	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-04-22 00:00:00	2023-04-22 00:00:00	No	2023-05-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	RXKG11	N	None	None	SFY2022-23
630014085	VILLA BALBOA	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-08 00:00:00	980018729	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-04-23 00:00:00	2023-04-23 00:00:00	No	2023-05-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	RXKG11	N	None	None	SFY2022-23
630014236	UNITED CARE MINFORD	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-11 00:00:00	980018743	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-04-27 00:00:00	2023-04-27 00:00:00	No	2023-06-02 00:00:00	None	B	None	1000	1150	0	1000	150	None	ZHNH11	N	None	None	SFY2022-23
630013784	OAK FENCE CONGREGATE LIVING HEALTH FACILITY	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-18 00:00:00	980018767	Open	Citation	Citation B (HSC 1424)	Dietary	Dietary	2023-05-04 00:00:00	2023-05-04 00:00:00	No	2023-06-09 00:00:00	None	B	None	1000	2450	0	0	2450	None	YJ4S11	N	None	None	SFY2022-23
630013784	OAK FENCE CONGREGATE LIVING HEALTH FACILITY	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-18 00:00:00	980018768	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-05-04 00:00:00	2023-05-04 00:00:00	No	2023-06-09 00:00:00	None	B	None	1000	1000	0	0	1000	None	YJ4S11	N	None	None	SFY2022-23
630014670	SENIOR CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-19 00:00:00	980018777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-07 00:00:00	2023-04-07 00:00:00	No	2023-06-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	WR1B11	N	CA00834923, CA00834923, CA00834923	A, A, A	SFY2022-23
630014670	SENIOR CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-19 00:00:00	980018778	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-07 00:00:00	2023-04-07 00:00:00	No	2023-06-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	WR1B11	N	CA00834923, CA00834923, CA00834923	A, A, A	SFY2022-23
630014486	SUNNYVIEW HOME	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-26 00:00:00	980018805	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-05-14 00:00:00	2023-05-14 00:00:00	No	2023-06-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	1XPY11	N	None	None	SFY2022-23
630014670	SENIOR CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-01 00:00:00	980018814	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-18 00:00:00	2023-05-18 00:00:00	No	2023-06-22 00:00:00	None	A	None	10000	10000	0	0	10000	None	FGTV11	N	None	None	SFY2022-23
630014670	SENIOR CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-01 00:00:00	980018816	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-05-18 00:00:00	2023-05-18 00:00:00	No	2023-06-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	FGTV11	N	None	None	SFY2022-23
630015109	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-14 00:00:00	980018857	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-31 00:00:00	2023-05-31 00:00:00	No	2023-07-06 00:00:00	None	B	None	1000	1050	0	0	1050	None	MBWB11	N	CA00843340	A	SFY2022-23
630014231	FENTON VILLA, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-15 00:00:00	980018870	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-02 00:00:00	2023-06-02 00:00:00	No	2023-07-07 00:00:00	None	B	None	1000	1300	0	0	1300	None	53GX11	N	None	None	SFY2022-23
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-16 00:00:00	980018874	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-06-02 00:00:00	2023-06-02 00:00:00	Yes	2023-07-10 00:00:00	2023-06-23 00:00:00	B	None	1000	1000	0	0	1000	None	8PIW11	N	CA00843407, CA00843407, CA00843407	A, A, A	SFY2022-23
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-16 00:00:00	980018875	Open	Citation	Citation B (HSC 1424)	Dietary	None	2023-06-02 00:00:00	2023-06-02 00:00:00	No	2023-07-10 00:00:00	None	B	None	1000	1000	0	0	1000	None	8PIW11	N	CA00843407, CA00843407, CA00843407	A, A, A	SFY2022-23
630015806	ROSE DESERT CONGREGATE CARE INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-16 00:00:00	980018876	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-06-02 00:00:00	2023-06-02 00:00:00	Yes	2023-07-10 00:00:00	2023-06-23 00:00:00	B	None	1000	1000	0	0	1000	None	21OW11	N	CA00843416, CA00843416, CA00843416	A, A, A	SFY2022-23
630016392	MAGNIFIQUE CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-16 00:00:00	980018877	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-06-02 00:00:00	2023-06-02 00:00:00	Yes	2023-07-10 00:00:00	2023-06-23 00:00:00	B	None	1000	1300	0	0	1300	None	JL4411	N	CA00843401, CA00843401, CA00843401, CA00843401	A, A, A, A	SFY2022-23
630016392	MAGNIFIQUE CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-16 00:00:00	980018878	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-06-02 00:00:00	2023-06-02 00:00:00	No	2023-07-10 00:00:00	None	B	None	1000	1000	0	0	1000	None	JL4411	N	CA00843401, CA00843401, CA00843401, CA00843401	A, A, A, A	SFY2022-23
630014231	FENTON VILLA, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-16 00:00:00	980018879	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-06-02 00:00:00	2023-06-02 00:00:00	Yes	2023-07-10 00:00:00	2023-08-08 00:00:00	B	None	1000	2000	0	1000	1000	None	53GX11	N	None	None	SFY2022-23
630014709	THE COMMUNITY HOME, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-30 00:00:00	980018919	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2023-06-14 00:00:00	2023-06-14 00:00:00	No	2023-07-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	SIZ211	N	None	None	SFY2022-23
630014709	THE COMMUNITY HOME, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-07-03 00:00:00	980018921	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-06-14 00:00:00	2023-06-14 00:00:00	No	2023-07-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	SIZ211	N	None	None	SFY2023-24
630014709	THE COMMUNITY HOME, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-07-03 00:00:00	980018922	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-14 00:00:00	2023-06-14 00:00:00	No	2023-07-25 00:00:00	None	B	None	1000	2450	-350	650	1450	None	SIZ211	N	None	None	SFY2023-24
630014709	THE COMMUNITY HOME, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-07-03 00:00:00	980018923	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-06-14 00:00:00	2023-06-14 00:00:00	No	2023-07-25 00:00:00	None	B	None	1000	2450	-350	650	1450	None	SIZ211	N	None	None	SFY2023-24
630017463	ST. RITA'S CONGREGATE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-08-24 00:00:00	980019095	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2023-08-10 00:00:00	2023-08-10 00:00:00	No	2023-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	5O3C11	N	CA00851924, CA00851924, CA00851924	B, B, B	SFY2023-24
630011586	CAREMERIDIAN - VICTORY HOUSE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-08-30 00:00:00	980019111	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-26 00:00:00	2023-07-26 00:00:00	No	2023-09-21 00:00:00	None	B	None	1000	1450	0	1000	450	None	P4YB11	N	CA00855627, CA00855627	A, A	SFY2023-24
630011586	CAREMERIDIAN - VICTORY HOUSE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-08-30 00:00:00	980019112	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-26 00:00:00	2023-07-26 00:00:00	No	2023-09-21 00:00:00	None	B	None	1000	1100	0	0	1100	None	P4YB11	N	CA00855627, CA00855627	A, A	SFY2023-24
630013243	CORBIN CONGREGATE HOME, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-09-14 00:00:00	980019165	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-23 00:00:00	2023-08-23 00:00:00	No	2023-10-05 00:00:00	None	B	None	1000	3100	0	0	3100	None	D09R11	N	CA00857534, CA00857534	A, A	SFY2023-24
980000944	NEW START CLHF'S INDEPENDENT TRAINING CENTERS - LARAMIE HOUSE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-03 00:00:00	980019225	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-22 00:00:00	2023-08-22 00:00:00	Yes	2023-10-24 00:00:00	2023-01-05 00:00:00	B	None	1000	1150	0	0	1150	None	UUH611	N	CA00859702, CA00859702, CA00859702, CA00859702, CA00859702, CA00859702, CA00859702	A, A, A, A, A, A, A	SFY2023-24
630016716	MIH PROJECT A, LLC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-10 00:00:00	980019242	Open	Citation	Citation B (HSC 1424)	Dietary	None	2023-09-15 00:00:00	2023-09-15 00:00:00	No	2023-10-31 00:00:00	None	B	None	1000	3650	0	0	3650	None	1VM411	N	CA00860762, CA00860762, CA00860762	A, A, A	SFY2023-24
630017463	ST. RITA'S CONGREGATE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-17 00:00:00	980019265	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrence	2023-08-21 00:00:00	2023-08-21 00:00:00	No	2023-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	JMIR11	N	CA00857315, CA00857315, CA00857315, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799	B, B, B, A, A, A, A, A, A	SFY2023-24
630017463	ST. RITA'S CONGREGATE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-17 00:00:00	980019266	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2023-08-21 00:00:00	2023-08-21 00:00:00	No	2023-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	DQ1J11	N	CA00859429, CA00859429	A, A	SFY2023-24
630017463	ST. RITA'S CONGREGATE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-17 00:00:00	980019267	Closed	Citation	Citation B (HSC 1424)	Other	employee files	2023-08-21 00:00:00	2023-08-21 00:00:00	No	2023-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	JMIR11	N	CA00857315, CA00857315, CA00857315, CA00857315, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799	B, B, B, B, A, A, A, A, A, A, A	SFY2023-24
630014467	FAMILY CIRCLE CLHF, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-19 00:00:00	980019284	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-09-12 00:00:00	2023-09-12 00:00:00	No	2023-11-09 00:00:00	None	B	None	1000	1000	0	0	1000	None	QB0P11	N	CA00860331, CA00860331	A, A	SFY2023-24
630014125	VALLEY LIVING CENTER INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-20 00:00:00	980019289	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-09-12 00:00:00	2023-09-12 00:00:00	No	2023-11-13 00:00:00	None	B	None	1000	1000	0	0	1000	None	P16711	N	CA00860353, CA00860353, CA00860353	A, A, A	SFY2023-24
630014893	ROYAL HAVEN, LLC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-26 00:00:00	980019306	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-09-12 00:00:00	2023-09-12 00:00:00	No	2023-11-17 00:00:00	None	B	None	1000	1000	0	0	1000	None	82V811	N	CA00860344, CA00860344	A, A	SFY2023-24
630013243	CORBIN CONGREGATE HOME, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-27 00:00:00	980019309	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-09-12 00:00:00	2023-09-12 00:00:00	No	2023-11-20 00:00:00	None	B	None	1000	1000	0	0	1000	None	47GA11	N	CA00860342, CA00860342	A, A	SFY2023-24
630017573	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-11-08 00:00:00	980019346	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-10 00:00:00	2023-07-10 00:00:00	No	2023-12-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	852811	N	CA00862698, CA00863139, CA00863139	B, B, B	SFY2023-24
630013943	QUALITY CLHF, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-12-13 00:00:00	980019483	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-11-28 00:00:00	2023-11-28 00:00:00	No	2024-01-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	MHBY11	N	None	None	SFY2023-24
630016338	VIEWCREST CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-12-13 00:00:00	980019486	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-27 00:00:00	2023-11-27 00:00:00	No	2024-01-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	X5HJ11	N	None	None	SFY2023-24
630016338	VIEWCREST CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-12-13 00:00:00	980019487	Open	Citation	Citation B (HSC 1424)	Medication	None	2023-11-27 00:00:00	2023-11-27 00:00:00	No	2024-01-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	X5HJ11	N	None	None	SFY2023-24
630016338	VIEWCREST CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-12-13 00:00:00	980019488	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-11-27 00:00:00	2023-11-27 00:00:00	No	2024-01-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	X5HJ11	N	None	None	SFY2023-24
630016338	VIEWCREST CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-12-13 00:00:00	980019489	Open	Citation	Citation B (HSC 1424)	Administration	None	2023-11-29 00:00:00	2023-11-29 00:00:00	No	2024-01-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	64NG11	N	CA00871266, CA00871266, CA00871266, CA00871266	A, A, A, A	SFY2023-24
630013943	QUALITY CLHF, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-12-14 00:00:00	980019491	Open	Citation	Citation B (HSC 1424)	Administration	None	2023-11-28 00:00:00	2023-11-28 00:00:00	No	2024-01-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	MHBY11	N	None	None	SFY2023-24
630014529	GOLDEN STATE HOMES, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-12-14 00:00:00	980019495	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-29 00:00:00	2023-11-29 00:00:00	No	2024-01-08 00:00:00	None	B	None	1000	1800	0	0	1800	None	GKOY11	N	None	None	SFY2023-24
630014529	GOLDEN STATE HOMES, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-12-14 00:00:00	980019496	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-11-29 00:00:00	2023-11-29 00:00:00	No	2024-01-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	GKOY11	N	None	None	SFY2023-24
630016338	VIEWCREST CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-01-04 00:00:00	980019573	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-28 00:00:00	2023-11-28 00:00:00	No	2024-01-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	64NG11	N	CA00871266, CA00871266, CA00871266, CA00871266	A, A, A, A	SFY2023-24
630013943	QUALITY CLHF, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-01-12 00:00:00	980019595	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-11-22 00:00:00	2023-11-22 00:00:00	No	2024-02-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	IEGU11	N	CA00870444, CA00870444	A, A	SFY2023-24
630013943	QUALITY CLHF, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-01-12 00:00:00	980019599	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-11-22 00:00:00	2023-11-22 00:00:00	No	2024-02-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	IEGU11	N	CA00870444, CA00870444, CA00870444	A, A, A	SFY2023-24
630014652	LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-01-16 00:00:00	980019601	Open	Citation	Citation B (HSC 1424)	Dietary	None	2023-12-29 00:00:00	2023-12-29 00:00:00	No	2024-02-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	R3OC11	N	CA00877094, CA00877094	A, A	SFY2023-24
630014652	LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-01-16 00:00:00	980019603	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-12-29 00:00:00	2023-12-29 00:00:00	No	2024-02-06 00:00:00	None	B	None	1000	8400	0	1000	7400	None	R3OC11	N	CA00877094, CA00877094, CA00877094	A, A, A	SFY2023-24
630015502	BEL AIR CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-01-16 00:00:00	980019605	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-12-28 00:00:00	2023-12-28 00:00:00	No	2024-02-06 00:00:00	None	B	None	1000	1300	0	1300	0	None	L1SK11	N	None	None	SFY2023-24
630015502	BEL AIR CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-01-16 00:00:00	980019608	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2023-12-27 00:00:00	2023-12-27 00:00:00	No	2024-02-06 00:00:00	None	B	None	1000	1500	0	1500	0	None	L1SK11	N	None	None	SFY2023-24
630015502	BEL AIR CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-01-16 00:00:00	980019609	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2023-12-29 00:00:00	2023-12-29 00:00:00	No	2024-02-06 00:00:00	None	B	None	1000	1800	0	1800	0	None	L1SK11	N	None	None	SFY2023-24
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-02-02 00:00:00	980019687	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-09 00:00:00	2023-12-09 00:00:00	Yes	2024-02-23 00:00:00	2024-02-23 00:00:00	A	None	10000	10000	0	0	10000	None	NQVM11	N	CA00873398, CA00873398, CA00873398, CA00873398	B, B, B, B	SFY2023-24
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-02-02 00:00:00	980019690	Open	Citation	Citation B (HSC 1424)	Administration	None	2023-12-11 00:00:00	2023-12-11 00:00:00	No	2024-02-23 00:00:00	None	B	None	1000	1000	0	0	1000	None	NQVM11	N	CA00873398, CA00873398, CA00873398, CA00873398, CA00873398	B, B, B, B, B	SFY2023-24
630014071	ADONAI CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-02-15 00:00:00	980019746	Open	Citation	Citation B (HSC 1424)	Dietary	None	2024-01-30 00:00:00	2024-01-30 00:00:00	No	2024-03-08 00:00:00	None	B	None	1000	2200	0	1000	1200	None	T5FT11	N	None	None	SFY2023-24
630014071	ADONAI CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-02-15 00:00:00	980019747	Open	Citation	Citation B (HSC 1424)	Medication	None	2024-01-31 00:00:00	2024-01-31 00:00:00	No	2024-03-08 00:00:00	None	B	None	1000	1750	0	1000	750	None	T5FT11	N	None	None	SFY2023-24
630014071	ADONAI CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-02-15 00:00:00	980019748	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-30 00:00:00	2024-01-30 00:00:00	No	2024-03-08 00:00:00	None	B	None	1000	2200	0	1000	1200	None	T5FT11	N	None	None	SFY2023-24
630017843	BRIGHTER DAY HEALTHCARE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-02-29 00:00:00	980019806	Closed	Citation	Citation B (HSC 1424)	Medication	None	2024-01-01 00:00:00	2024-01-01 00:00:00	No	2024-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	XA8J11	N	CA00878521	A	SFY2023-24
630017843	BRIGHTER DAY HEALTHCARE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-02-29 00:00:00	980019807	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-01 00:00:00	2024-01-01 00:00:00	No	2024-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	XA8J11	N	CA00878521, CA00878521	A, A	SFY2023-24
630016207	VALLEY VIEW CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-01 00:00:00	980019812	Open	Citation	Citation B (HSC 1424)	Administration	None	2023-12-30 00:00:00	2023-12-30 00:00:00	No	2024-03-22 00:00:00	None	B	None	1000	2150	0	1000	1150	None	MPL911	N	CA00878112, CA00878112, CA00878112	B, B, B	SFY2023-24
630015635	UNITED CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-07 00:00:00	980019839	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2024-02-22 00:00:00	2024-02-22 00:00:00	No	2024-03-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	D0RH11	N	None	None	SFY2023-24
630017843	BRIGHTER DAY HEALTHCARE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-11 00:00:00	980019850	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-01-02 00:00:00	2024-01-02 00:00:00	No	2024-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	OEKE11	N	CA00879239, CA00879239, CA00879239	A, A, A	SFY2023-24
630016392	MAGNIFIQUE CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-12 00:00:00	980019855	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	Yes	2024-04-02 00:00:00	2024-03-12 00:00:00	B	None	1000	1000	0	0	1000	None	GXQN11	N	CA00882686, CA00882686	B, B	SFY2023-24
630015325	CASA VALLE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-15 00:00:00	980019877	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-01-23 00:00:00	2024-01-23 00:00:00	No	2024-04-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	F3T211	N	CA00882561, CA00882561, CA00882561, CA00882561, CA00882561	B, B, B, B, B	SFY2023-24
630015325	CASA VALLE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-15 00:00:00	980019879	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-12-27 00:00:00	2023-12-27 00:00:00	No	2024-04-08 00:00:00	None	B	None	1000	1150	-350	650	150	None	WWMN11	N	CA00883888, CA00883888	A, A	SFY2023-24
630015889	FIVE POINT CARE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-21 00:00:00	980019893	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-01-23 00:00:00	2024-01-23 00:00:00	No	2024-04-12 00:00:00	None	B	None	1000	2050	0	1000	1050	None	ZREV11	N	CA00881015, CA00881015, CA00881015	A, A, A	SFY2023-24
630017710	CARESOURCE CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-22 00:00:00	980019902	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-23 00:00:00	2024-01-23 00:00:00	No	2024-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	BZEU11	N	CA00880940, CA00880940	A, A	SFY2023-24
630014961	SAN MARINO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-29 00:00:00	980019935	Open	Citation	Citation AA (HSC 1424)	Medication	None	2024-01-24 00:00:00	2024-01-24 00:00:00	Yes	2024-04-22 00:00:00	2024-04-01 00:00:00	AA	None	25000	25000	-8750	16250	0	None	JOBQ11	N	CA00882055	A	SFY2023-24
630014652	LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-29 00:00:00	980019936	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	847111	N	CA00882785, CA00882785	A, A	SFY2023-24
630014652	LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-29 00:00:00	980019939	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	847111	N	CA00882785, CA00882785	A, A	SFY2023-24
630014652	LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-29 00:00:00	980019940	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-22 00:00:00	None	B	None	1000	4800	-350	650	3800	None	847111	N	CA00882785, CA00882785	A, A	SFY2023-24
630014652	LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-29 00:00:00	980019941	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-22 00:00:00	None	B	None	1000	4800	-350	650	3800	None	847111	N	CA00882785, CA00882785	A, A	SFY2023-24
630014652	LAVISTA CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-29 00:00:00	980019942	Open	Citation	Citation B (HSC 1424)	Patient Record	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-22 00:00:00	None	B	None	1000	4800	-350	650	3800	None	847111	N	CA00882785, CA00882785	A, A	SFY2023-24
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-04-04 00:00:00	980019956	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-25 00:00:00	None	B	None	1000	4550	0	1000	3550	None	1YXD11	N	CA00883680	A	SFY2023-24
630015889	FIVE POINT CARE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-04-04 00:00:00	980019959	Open	Citation	Citation B (HSC 1424)	Dietary	None	2024-03-19 00:00:00	2024-03-19 00:00:00	No	2024-04-25 00:00:00	None	B	None	1000	1400	0	1000	400	None	98WE11	N	None	None	SFY2023-24
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-04-04 00:00:00	980019964	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-25 00:00:00	None	B	None	1000	4550	0	1000	3550	None	1YXD11	N	CA00883680, CA00883680	A, A	SFY2023-24
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-04-05 00:00:00	980019965	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-26 00:00:00	None	B	None	1000	4550	0	1000	3550	None	1YXD11	N	CA00883680, CA00883680	A, A	SFY2023-24
630017573	NEURORESTORATIVE CALIFORNIA	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-04-05 00:00:00	980019967	Open	Citation	Citation B (HSC 1424)	Medication	None	2024-01-20 00:00:00	2024-01-20 00:00:00	No	2024-04-26 00:00:00	None	B	None	1000	2800	0	1000	1800	None	KDOA11	N	CA00883482, CA00883482, CA00883482	A, A, A	SFY2023-24
630015683	ANGEL CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-04-12 00:00:00	980019998	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-29 00:00:00	2024-03-29 00:00:00	No	2024-05-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	9VU211	N	None	None	SFY2023-24
630018118	MOUNTAIN VIEW CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-04-29 00:00:00	980020078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-12 00:00:00	2024-03-12 00:00:00	No	2024-05-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZOKU11	N	CA00887715, CA00887715	B, B	SFY2023-24
630014963	BELLAGIO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-05-14 00:00:00	980020183	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-03-01 00:00:00	2024-03-01 00:00:00	No	2024-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	16ER11	N	CA00889956	B	SFY2023-24
630015698	HOUSE OF FAITH CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-05-29 00:00:00	980020241	Closed	Citation	Citation B (HSC 1424)	Other	Nursing Service/Admin	2024-05-14 00:00:00	2024-05-14 00:00:00	Yes	2024-06-19 00:00:00	2024-06-05 00:00:00	B	None	1000	1000	0	1000	0	None	6EMZ11	N	None	None	SFY2023-24
630011586	CAREMERIDIAN - VICTORY HOUSE	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-05-31 00:00:00	980020252	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-02 00:00:00	2024-04-02 00:00:00	No	2024-06-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	R6HG11	N	CA00892739	A	SFY2023-24
630025909	HANDS ON HANDS CONGREGATE LIVING	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-06-28 00:00:00	980020373	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-11 00:00:00	2024-04-11 00:00:00	No	2024-07-22 00:00:00	None	B	None	1000	1000	0	0	1000	None	NOC311	N	CA00897385, CA00897385, CA00897385	A, A, A	SFY2023-24
030001823	NOBLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-10-19 00:00:00	990018080	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-05-18 00:00:00	2022-05-18 00:00:00	No	2022-11-09 00:00:00	None	AA	None	50000	50000	-17500	32500	0	None	LH9D11	Y	CA00785630, CA00785630	B, B	SFY2022-23
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-11-04 00:00:00	990018123	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-20 00:00:00	2022-09-20 00:00:00	No	2022-11-29 00:00:00	None	B	None	3000	3000	0	3000	0	None	RQ6711	N	CA00801238, CA00801238, CA00801238	B, B, B	SFY2022-23
100000194	LOCUST HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2023-01-04 00:00:00	990018267	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-10-24 00:00:00	2022-10-24 00:00:00	No	2023-01-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	36YM11	N	CA00808773	B	SFY2022-23
100000194	LOCUST HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2023-01-04 00:00:00	990018269	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-05-23 00:00:00	2022-05-23 00:00:00	No	2023-01-26 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	36YM11	N	CA00808773	B	SFY2022-23
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2023-02-23 00:00:00	990018433	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-12-24 00:00:00	2022-12-24 00:00:00	No	2023-03-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8YLM11	N	CA00819523	C	SFY2022-23
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2023-08-08 00:00:00	990019021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-25 00:00:00	2023-04-25 00:00:00	No	2023-08-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	LJWU11	N	CA00841031, CA00841031, CA00841031, CA00841031, CA00841031, CA00841031, CA00841031	B, B, B, B, B, B, B	SFY2023-24
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2023-08-23 00:00:00	990019072	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-29 00:00:00	2023-06-29 00:00:00	Yes	2023-09-14 00:00:00	2023-08-28 00:00:00	B	None	3000	3000	0	0	3000	None	IZ7B11	N	None	None	SFY2023-24
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2023-08-23 00:00:00	990019073	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-06-09 00:00:00	2023-06-09 00:00:00	No	2023-09-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MU4F11	N	CA00847173, CA00847173	B, B	SFY2023-24
100001573	CARCIDO'S ICF/DD-H #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2023-08-25 00:00:00	990019076	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-01 00:00:00	2023-08-01 00:00:00	No	2023-09-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	LJQZ11	N	CA00853996, CA00853996	A, A	SFY2023-24
030001819	FULTON GARDENS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Stockton	2023-10-26 00:00:00	990019286	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-25 00:00:00	2023-07-25 00:00:00	No	2023-11-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OJ8611	N	CA00852800	A	SFY2023-24
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-01-04 00:00:00	990019546	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-03 00:00:00	2023-08-03 00:00:00	No	2024-01-25 00:00:00	None	A	None	25000	25000	0	25000	0	None	B9QG11	Y	CA00861301, CA00861301, CA00861301, CA00861618, CA00861618, CA00861618, CA00861618, CA00861618, CA00861618	B, B, B, B, B, B, B, B, B	SFY2023-24
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-01-09 00:00:00	990019547	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-08-05 00:00:00	2023-08-05 00:00:00	No	2024-01-30 00:00:00	None	AA	None	120000	120000	0	0	120000	None	B9QG11	Y	CA00861618, CA00861618, CA00861618, CA00861618, CA00861618, CA00861618	B, B, B, B, B, B	SFY2023-24
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-01-29 00:00:00	990019732	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-21 00:00:00	2023-06-21 00:00:00	No	2024-02-19 00:00:00	None	B	None	3000	3600	0	3000	600	None	E2O111	N	CA00846858	B	SFY2023-24
100001166	CARCIDO'S ICF/DD-H #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2024-03-12 00:00:00	990019776	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-20 00:00:00	2023-12-20 00:00:00	No	2024-04-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WT1511	N	CA00881705	B	SFY2023-24
100000058	TRACY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-03-07 00:00:00	990019777	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2024-01-03 00:00:00	2024-01-03 00:00:00	No	2024-03-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KBFF11	N	CA00881317, CA00881317, CA00881317	B, B, B	SFY2023-24
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-03-12 00:00:00	990019816	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-10-26 00:00:00	2023-10-26 00:00:00	No	2024-04-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	QS9Y11	N	None	None	SFY2023-24
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-03-12 00:00:00	990019817	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-12 00:00:00	2023-12-12 00:00:00	No	2024-04-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	QS9Y11	N	None	None	SFY2023-24
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-03-12 00:00:00	990019818	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-12-15 00:00:00	2023-12-15 00:00:00	No	2024-04-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	QS9Y11	N	None	None	SFY2023-24
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-03-12 00:00:00	990019819	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-15 00:00:00	2023-12-15 00:00:00	No	2024-04-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	QS9Y11	N	None	None	SFY2023-24
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2024-03-29 00:00:00	990019820	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-11-11 00:00:00	2023-11-11 00:00:00	No	2024-04-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DH0M11	N	CA00878114	A	SFY2023-24
030001823	NOBLE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-05-03 00:00:00	990019864	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-18 00:00:00	2024-02-18 00:00:00	No	2024-05-24 00:00:00	None	B	None	3000	3050	-1050	1950	50	None	BWH311	N	CA00886144	B	SFY2023-24
100000058	TRACY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-03-21 00:00:00	990019867	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-11-20 00:00:00	2023-11-20 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	I60H11	N	CA00879338	B	SFY2023-24
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-03-21 00:00:00	990019868	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-01-26 00:00:00	2024-01-26 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DJV511	N	CA00882107	B	SFY2023-24
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-03-21 00:00:00	990019869	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-01-26 00:00:00	2024-01-26 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DJV511	N	CA00882107	B	SFY2023-24
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-03-21 00:00:00	990019883	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-13 00:00:00	2024-02-13 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	0MXH11	N	CA00885082	B	SFY2023-24
100001800	J & M'S ICF/DDH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2024-05-03 00:00:00	990020091	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-08 00:00:00	2023-09-08 00:00:00	No	2024-05-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	LCEK11	N	CA00886160	B	SFY2023-24
100000058	TRACY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-05-09 00:00:00	990020097	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-28 00:00:00	2023-12-28 00:00:00	No	2024-05-31 00:00:00	None	A	None	25000	25050	0	0	25050	None	WLWH11	Y	CA00877821	B	SFY2023-24
100000035	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Stockton	2024-06-14 00:00:00	990020326	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-25 00:00:00	2024-02-25 00:00:00	No	2024-07-08 00:00:00	None	B	None	3000	3000	0	0	3000	None	5DGN11	N	CA00886803	B	SFY2023-24
020000010	ASHBY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-08-24 00:00:00	020009459	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-07-12 00:00:00	2011-10-08 00:00:00	No	2012-09-08 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	J2O511	None	None	None	SFY2012-13
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-11-26 00:00:00	020009608	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-03-06 00:00:00	2012-05-21 00:00:00	Yes	2012-12-11 00:00:00	None	AP NHPPD	REVERSED	15000	0	0	0	0	None	F8GY11	None	None	None	SFY2012-13
020000110	LAKE MERRITT HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2013-02-19 00:00:00	020009737	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-01-30 00:00:00	2012-04-15 00:00:00	No	2013-03-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ID8L11	None	None	None	SFY2012-13
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-06-26 00:00:00	020009961	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	No	2013-07-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WCFH11	None	None	None	SFY2012-13
020000119	REDWOOD HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2013-10-10 00:00:00	020010175	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-01-30 00:00:00	2012-04-15 00:00:00	No	2013-10-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WW3511	None	None	None	SFY2013-14
020000019	VISTA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2013-01-17 00:00:00	020010356	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-12-05 00:00:00	2013-02-19 00:00:00	Yes	2013-02-01 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	2EJB11	None	None	None	SFY2012-13
140000106	MARTINEZ CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2014-09-26 00:00:00	020011018	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-03-17 00:00:00	2014-06-16 00:00:00	No	2014-10-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	L8X111	None	None	None	SFY2014-15
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2015-02-19 00:00:00	020011280	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-03-17 00:00:00	2014-06-16 00:00:00	No	2015-03-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QY2E11	None	None	None	SFY2014-15
140000113	LAFAYETTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-05-04 00:00:00	020013166	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2017-05-19 00:00:00	None	AP NHPPD	None	30000	30000	-30000	0	0	None	T9GK11	None	None	None	SFY2016-17
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2019-03-05 00:00:00	020014841	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-10-01 00:00:00	2017-12-31 00:00:00	Yes	2019-03-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	GKZS11	None	None	None	SFY2018-19
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2020-08-04 00:00:00	020015954	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-07-01 00:00:00	2018-09-30 00:00:00	No	2020-08-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	GZQK11	None	None	None	SFY2020-21
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-04-13 00:00:00	020016404	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-04-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	PC5111	None	None	None	SFY2020-21
140001185	THE REUTLINGER COMMUNITY	LTC	SNF	Skilled Nursing Facility	East Bay	2021-09-02 00:00:00	020016955	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	O4IB11	None	None	None	SFY2021-22
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-11-04 00:00:00	020017050	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-19 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	I1Y811	None	None	None	SFY2021-22
020000100	MERCY RETIREMENT & CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-02-01 00:00:00	020017277	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	OBBP11	None	None	None	SFY2021-22
020000276	CANYON CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2022-07-28 00:00:00	020017803	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-09-01 00:00:00	2019-12-31 00:00:00	No	2022-08-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	FKG211	None	None	None	SFY2022-23
140000003	DELTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2023-01-31 00:00:00	020018352	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-02-22 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	5VJE11	None	None	None	SFY2022-23
020000060	BAYPOINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-03-08 00:00:00	020018456	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-29 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	HPUY11	None	None	None	SFY2022-23
030000280	AUBURN OAKS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-09-12 00:00:00	030009490	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-02-01 00:00:00	2012-04-17 00:00:00	No	2012-09-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	HTD611	None	None	None	SFY2012-13
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2013-11-19 00:00:00	030010257	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2012-02-08 00:00:00	2012-04-24 00:00:00	No	2013-12-04 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	Y20Y11	None	None	None	SFY2013-14
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2014-04-01 00:00:00	030010317	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	No	2014-04-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9Z1D11	None	None	None	SFY2013-14
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-07-25 00:00:00	030010872	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-10-02 00:00:00	2014-01-01 00:00:00	Yes	2014-08-09 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	40WH11	None	None	None	SFY2014-15
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-01-07 00:00:00	030011903	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-01-04 00:00:00	2015-04-05 00:00:00	Yes	2016-01-22 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	VDFW11	None	CA00437231, CA00437231, CA00437231, CA00437231, CA00437530	B, B, B, B, B	SFY2015-16
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-06-28 00:00:00	030013305	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2017-07-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	J7RZ11	None	None	None	SFY2016-17
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2017-09-07 00:00:00	030013472	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2017-09-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CY9P11	None	None	None	SFY2017-18
030000020	CARMICHAEL POSTACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-07-30 00:00:00	030014264	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-10-03 00:00:00	2017-01-02 00:00:00	No	2018-08-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CSW011	None	None	None	SFY2018-19
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-05-14 00:00:00	030015045	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-02-04 00:00:00	2018-05-06 00:00:00	No	2019-05-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	FU3F11	None	None	None	SFY2018-19
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2020-11-09 00:00:00	030016107	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-03-04 00:00:00	2019-06-03 00:00:00	No	2020-11-24 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	KVWD11	None	None	None	SFY2020-21
100000022	ARBOR REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-07-15 00:00:00	030016701	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-07-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	RY6T11	None	None	None	SFY2021-22
100000091	BRIDGEWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-08-12 00:00:00	030016810	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	QOKY11	None	None	None	SFY2021-22
100000003	FAIRMONT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-12-23 00:00:00	030017200	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7EWF11	None	None	None	SFY2021-22
030001825	LODI NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-02-08 00:00:00	030017304	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	5KG011	None	None	None	SFY2021-22
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-02-14 00:00:00	030017323	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-03-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	EVLG11	None	None	None	SFY2021-22
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-03-10 00:00:00	030017461	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-25 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	7SYT11	None	None	None	SFY2021-22
100000030	THE GROVE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-04-19 00:00:00	030017567	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9QQU11	None	None	None	SFY2021-22
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-06-29 00:00:00	030017725	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-07-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	BDRM11	None	None	None	SFY2021-22
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-07-27 00:00:00	030017805	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-11 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	VZM711	None	None	None	SFY2022-23
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-11-15 00:00:00	030018145	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-12-08 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	1FFU11	None	None	None	SFY2022-23
030000013	AUBURN RAVINE TERRACE	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-08-03 00:00:00	030019005	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	Yes	2023-08-24 00:00:00	2023-08-10 00:00:00	AP NHPPD	None	25000	25000	0	25000	0	None	J1QW11	None	None	None	SFY2023-24
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-06-12 00:00:00	030020265	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-07-03 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	VJIL11	None	None	None	SFY2023-24
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2013-01-23 00:00:00	040009525	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-11-16 00:00:00	2012-01-31 00:00:00	Yes	2013-02-07 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	CHFU11	None	None	None	SFY2012-13
040000047	HEALTHCARE CENTRE OF FRESNO	LTC	SNF	Skilled Nursing Facility	Fresno	2013-06-13 00:00:00	040009930	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-07-22 00:00:00	2011-10-18 00:00:00	Yes	2013-06-28 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	LG5M11	None	None	None	SFY2012-13
040000074	WISH-I-AH HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2013-12-16 00:00:00	040010321	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-11-26 00:00:00	2013-02-10 00:00:00	Yes	2013-12-31 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	D1I711	None	None	None	SFY2013-14
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2014-04-25 00:00:00	040010340	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-10-03 00:00:00	2012-12-18 00:00:00	No	2014-05-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	1EOD11	None	None	None	SFY2013-14
040000069	ORCHARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2015-02-19 00:00:00	040011281	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-09-04 00:00:00	2013-12-04 00:00:00	Yes	2015-03-06 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	9HQI11	None	None	None	SFY2014-15
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2017-05-04 00:00:00	040013168	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-08-23 00:00:00	2015-11-22 00:00:00	Yes	2017-05-19 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	GT2T11	None	None	None	SFY2016-17
040000050	GOLDEN MERCED CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2018-09-06 00:00:00	040014369	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-01-24 00:00:00	2017-04-25 00:00:00	No	2018-09-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3OQL11	None	None	None	SFY2018-19
040000059	NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2018-09-24 00:00:00	040014416	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	No	2018-10-09 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	MOWV11	None	None	None	SFY2018-19
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2018-10-30 00:00:00	040014523	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	Yes	2018-11-14 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	T1BP11	None	None	None	SFY2018-19
040000050	GOLDEN MERCED CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2019-06-13 00:00:00	040015133	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	No	2019-06-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZUOQ11	None	None	None	SFY2018-19
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-08-19 00:00:00	040016937	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	S3V811	None	None	None	SFY2021-22
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-06-22 00:00:00	040017710	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZXID11	None	None	None	SFY2021-22
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-12-07 00:00:00	040018186	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	JRK811	None	None	None	SFY2022-23
040001040	WILLOW CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-02-28 00:00:00	040018248	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-21 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	8PMC11	None	None	None	SFY2022-23
040000033	VINEYARDS AT FOWLER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-02-01 00:00:00	040018356	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-02-23 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	VF3P11	None	None	None	SFY2022-23
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-04-05 00:00:00	040018587	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-04-26 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	XHTL11	None	None	None	SFY2022-23
050000049	GREENFIELD CARE CENTER OF FILLMORE, LLC	LTC	SNF	Skilled Nursing Facility	Ventura	2012-08-31 00:00:00	050009470	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-03-05 00:00:00	2012-05-20 00:00:00	Yes	2012-09-15 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	1INC11	None	None	None	SFY2012-13
050000043	OJAI HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Ventura	2013-03-13 00:00:00	050009774	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	No	2013-03-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	0E0411	None	None	None	SFY2012-13
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2013-03-19 00:00:00	050009785	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-03-05 00:00:00	2012-05-20 00:00:00	No	2013-04-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	PLKP11	None	None	None	SFY2012-13
050000043	OJAI HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Ventura	2014-01-02 00:00:00	050010311	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	No	2014-01-17 00:00:00	None	AP NHPPD	UNCOLLECTABLE	15000	15000	-6449.86	8550.14	0	None	N2OL11	None	None	None	SFY2013-14
050000005	COUNTRY CARE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2017-09-28 00:00:00	050013511	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-01-26 00:00:00	2016-04-26 00:00:00	No	2017-10-13 00:00:00	None	AP NHPPD	None	15000	15000	-15000	0	0	None	JMYB11	None	None	None	SFY2017-18
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2018-09-25 00:00:00	050014418	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2017-03-14 00:00:00	2017-06-13 00:00:00	No	2018-10-10 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	M8H011	None	None	None	SFY2018-19
050000069	VALLE VERDE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2021-04-13 00:00:00	050016402	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-04-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	RYKB11	None	None	None	SFY2020-21
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2021-04-09 00:00:00	050016413	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	MN8D11	None	None	None	SFY2020-21
050000043	OJAI HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Ventura	2021-08-04 00:00:00	050016770	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-08-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	SMVC11	None	None	None	SFY2021-22
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2021-08-17 00:00:00	050016824	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	BUP511	None	None	None	SFY2021-22
050000062	THE CALIFORNIAN	LTC	SNF	Skilled Nursing Facility	Ventura	2021-09-01 00:00:00	050016876	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	2GOY11	None	None	None	SFY2021-22
060000031	ANAHEIM CREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2014-07-31 00:00:00	060010884	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-09-08 00:00:00	2013-12-08 00:00:00	Yes	2014-08-15 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	Q3S211	None	None	None	SFY2014-15
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2016-05-03 00:00:00	060012217	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-03-17 00:00:00	2015-06-16 00:00:00	No	2016-05-18 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	UK7911	None	None	None	SFY2015-16
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2017-11-07 00:00:00	060013589	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2017-11-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	HMIG11	None	None	None	SFY2017-18
060001058	WALNUT VILLAGE REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2018-08-01 00:00:00	060014278	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-11-28 00:00:00	2017-02-27 00:00:00	No	2018-08-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Z0XN11	None	None	None	SFY2018-19
060000054	HUNTINGTON VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-05-02 00:00:00	060014998	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-11-01 00:00:00	2018-01-29 00:00:00	No	2019-05-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	24Y311	None	None	None	SFY2018-19
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2021-07-13 00:00:00	060016714	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	GOT211	None	None	None	SFY2021-22
060000089	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-09-15 00:00:00	060016898	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-09-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	J94E11	None	None	None	SFY2021-22
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2023-01-19 00:00:00	060018327	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	9NV911	None	None	None	SFY2022-23
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2024-01-10 00:00:00	060019541	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-01-31 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	YM8H11	None	None	None	SFY2023-24
070000068	HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2013-02-11 00:00:00	070009161	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-11-01 00:00:00	2012-01-28 00:00:00	Yes	2013-02-26 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	X1ZU11	None	None	None	SFY2012-13
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2012-10-31 00:00:00	070009495	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-02-21 00:00:00	2012-05-07 00:00:00	Yes	2012-11-15 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	YQYJ11	None	None	None	SFY2012-13
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2013-10-10 00:00:00	070010174	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2012-02-14 00:00:00	2012-04-30 00:00:00	No	2013-10-25 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	P7RT11	None	None	None	SFY2013-14
070000038	CRESTHAVEN SKILLED NURSING FACILITY, INC.	LTC	SNF	Skilled Nursing Facility	San Jose	2016-04-21 00:00:00	070012208	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-03-17 00:00:00	2015-06-16 00:00:00	No	2016-05-06 00:00:00	None	AP NHPPD	None	15000	15000	-15000	0	0	None	MX2V11	None	None	None	SFY2015-16
070000027	CARMEL HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-08-05 00:00:00	070016789	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	C29Q11	None	None	None	SFY2021-22
070000034	CARMEL VALLEY MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2022-03-09 00:00:00	070017459	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2021-12-31 00:00:00	No	2022-03-24 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	V7Z811	None	None	None	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-04-19 00:00:00	070017566	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	O7RM11	None	None	None	SFY2021-22
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-01-04 00:00:00	070019540	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-25 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	01SI11	None	None	None	SFY2023-24
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2012-06-06 00:00:00	080009353	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-03-05 00:00:00	2012-05-20 00:00:00	No	2012-06-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZJ6211	None	None	None	SFY2011-12
080000017	THE ROYAL HOME	LTC	SNF	Skilled Nursing Facility	San Diego	2012-09-12 00:00:00	080009492	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2011-10-11 00:00:00	2012-01-07 00:00:00	Yes	2012-09-27 00:00:00	None	AP NHPPD	UPHELD	30000	30000	0	30000	0	None	OVZD11	None	None	None	SFY2012-13
080000222	OCEAN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2014-01-09 00:00:00	080010306	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-11-15 00:00:00	2013-01-30 00:00:00	Yes	2014-01-24 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	SSZ911	None	None	None	SFY2013-14
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2014-01-17 00:00:00	080010313	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-10-10 00:00:00	2012-12-25 00:00:00	Yes	2014-02-01 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	KFKU11	None	None	None	SFY2013-14
080000056	ABBY GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-03-12 00:00:00	080011309	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-07-21 00:00:00	2014-10-20 00:00:00	No	2015-03-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	6ZZ711	None	None	None	SFY2014-15
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2017-04-27 00:00:00	080013146	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-08-24 00:00:00	2015-11-23 00:00:00	No	2017-05-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	XFFL11	None	None	None	SFY2016-17
090000067	IMPERIAL MANOR	LTC	SNF	Skilled Nursing Facility	San Diego	2012-08-31 00:00:00	090009467	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-11-28 00:00:00	2012-02-12 00:00:00	No	2012-09-15 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	MP3X11	None	None	None	SFY2012-13
090000083	BRIGHTON PLACE SPRING VALLEY	LTC	SNF	Skilled Nursing Facility	San Diego	2013-04-19 00:00:00	090009839	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-07-04 00:00:00	2011-09-30 00:00:00	No	2013-05-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	J57V11	None	None	None	SFY2012-13
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2013-05-20 00:00:00	090009890	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-02-09 00:00:00	2012-04-25 00:00:00	No	2013-06-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	06PK11	None	None	None	SFY2012-13
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2014-05-01 00:00:00	090010352	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	No	2014-05-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	YZ7Q11	None	None	None	SFY2013-14
090000067	IMPERIAL MANOR	LTC	SNF	Skilled Nursing Facility	San Diego	2014-11-26 00:00:00	090011131	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-01-26 00:00:00	2014-04-27 00:00:00	No	2014-12-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3N8G11	None	None	None	SFY2014-15
090000071	LEMON GROVE CARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2018-03-06 00:00:00	090013854	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-10-10 00:00:00	2017-01-09 00:00:00	No	2018-03-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JFID11	None	None	None	SFY2017-18
090000029	ARROYO VISTA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2018-06-21 00:00:00	090014160	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-01-04 00:00:00	2017-04-05 00:00:00	No	2018-07-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	8VQC11	None	None	None	SFY2017-18
090000028	VILLA LAS PALMAS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2018-07-26 00:00:00	090014259	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-02-06 00:00:00	2017-05-08 00:00:00	Yes	2018-08-10 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	0G4L11	None	None	None	SFY2018-19
090000102	AMAYA SPRINGS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2018-08-28 00:00:00	090014351	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-02-27 00:00:00	2017-05-29 00:00:00	No	2018-09-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JKGV11	None	None	None	SFY2018-19
090000041	COMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-02-21 00:00:00	100014822	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-07-01 00:00:00	2017-09-30 00:00:00	No	2019-03-08 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Y3WQ11	None	None	None	SFY2018-19
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2019-03-25 00:00:00	100014894	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-10-01 00:00:00	2017-12-31 00:00:00	No	2019-04-09 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	163D11	None	None	None	SFY2018-19
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2019-04-15 00:00:00	100014926	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-10-01 00:00:00	2017-12-31 00:00:00	No	2019-04-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Q8QY11	None	None	None	SFY2018-19
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2019-05-21 00:00:00	100015070	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-06-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	OG7B11	None	None	None	SFY2018-19
080000007	BOULDER CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2019-12-03 00:00:00	100015528	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2017-10-09 00:00:00	2018-01-08 00:00:00	No	2019-12-18 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	Y1K611	None	None	None	SFY2019-20
090000003	MAGNOLIA POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2021-09-15 00:00:00	100016899	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2021-12-31 00:00:00	No	2021-09-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	HNTD11	None	None	None	SFY2021-22
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2021-10-07 00:00:00	100016972	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WY0G11	None	None	None	SFY2021-22
080000060	THE SHORES POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2023-01-12 00:00:00	100018302	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	KPMJ11	None	None	None	SFY2022-23
090000046	UNIVERSITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-07-18 00:00:00	100018938	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-08-08 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	IIET11	None	None	None	SFY2023-24
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-23 00:00:00	110009118	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-06-09 00:00:00	2011-09-05 00:00:00	No	2012-04-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	L6QK11	None	None	None	SFY2011-12
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-01-08 00:00:00	110009527	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-01-27 00:00:00	2012-04-12 00:00:00	Yes	2013-01-23 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	4HXX11	None	None	None	SFY2012-13
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-04-25 00:00:00	110010373	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-09-26 00:00:00	2012-12-11 00:00:00	No	2014-05-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	DNYH11	None	None	None	SFY2013-14
010000980	NORTHGATE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-12-30 00:00:00	110011188	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2014-02-26 00:00:00	2014-05-28 00:00:00	No	2015-01-14 00:00:00	None	AP NHPPD	UNCOLLECTABLE	30000	30000	-30000	0	0	None	5SGO11	None	None	None	SFY2014-15
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-03-15 00:00:00	110012061	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-03-17 00:00:00	2015-06-16 00:00:00	No	2016-03-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	25QV11	None	None	None	SFY2015-16
010000082	REDWOOD COVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-02-16 00:00:00	110012960	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-11-15 00:00:00	2016-02-14 00:00:00	No	2017-03-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QB4L11	None	None	None	SFY2016-17
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-06-08 00:00:00	110013245	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2017-06-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	U63R11	None	None	None	SFY2016-17
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-01-16 00:00:00	110013548	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-01-12 00:00:00	2016-04-12 00:00:00	Yes	2018-01-31 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	U7O811	None	None	None	SFY2017-18
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-06-13 00:00:00	110014131	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-06 00:00:00	2017-06-05 00:00:00	Yes	2018-06-28 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	AH1I11	None	None	None	SFY2017-18
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-04-18 00:00:00	110014953	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-02-05 00:00:00	2018-05-07 00:00:00	No	2019-05-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	FOCF11	None	None	None	SFY2018-19
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-05-02 00:00:00	110014999	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-05-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	B1OC11	None	None	None	SFY2018-19
110000053	PINER'S NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-07-08 00:00:00	110016707	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	QTZV11	None	None	None	SFY2021-22
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-07-22 00:00:00	110016723	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-08-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	R0EJ11	None	None	None	SFY2021-22
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-09-21 00:00:00	110016912	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	DEZD11	None	None	None	SFY2021-22
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-01-19 00:00:00	110018247	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2023-02-09 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	XJZF11	None	None	None	SFY2022-23
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-04-10 00:00:00	110019946	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-01 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	BESW11	None	None	None	SFY2023-24
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-12-31 00:00:00	120009524	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	Yes	2013-01-15 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	JPBR11	None	None	None	SFY2012-13
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-02-19 00:00:00	120009736	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	Yes	2013-03-06 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	C4KA11	None	None	None	SFY2012-13
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-04-08 00:00:00	120010337	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-11-26 00:00:00	2013-02-10 00:00:00	No	2014-04-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	PSTZ11	None	None	None	SFY2013-14
120000377	KINGSTON HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-06-06 00:00:00	120010338	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-01-01 00:00:00	2013-03-18 00:00:00	Yes	2014-06-21 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	2IXS11	None	None	None	SFY2013-14
120000323	BELLA SERA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-07-29 00:00:00	120010878	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2013-11-26 00:00:00	2014-02-25 00:00:00	Yes	2014-08-13 00:00:00	None	AP NHPPD	CHOW- SETTLEMENT	30000	9000	0	9000	0	None	D4WG11	None	None	None	SFY2014-15
120000331	HEIGHT STREET SKILLED CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-02-05 00:00:00	120011248	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-01-12 00:00:00	2014-04-13 00:00:00	Yes	2015-02-20 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	B7PI11	None	None	None	SFY2014-15
120001477	LINWOOD MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-07-20 00:00:00	120016742	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	C5PE11	None	None	None	SFY2021-22
120001526	LINDSAY GARDENS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-01-31 00:00:00	120018353	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-02-22 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	1IKH11	None	None	None	SFY2022-23
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-02-08 00:00:00	120018371	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-02 00:00:00	2020-09-30 00:00:00	No	2023-03-02 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	DDEJ11	None	None	None	SFY2022-23
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-10-03 00:00:00	120019200	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-10-24 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	FR6K11	None	None	None	SFY2023-24
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2019-08-13 00:00:00	170015279	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-10-01 00:00:00	2017-12-31 00:00:00	No	2019-08-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	SIDU11	None	None	None	SFY2019-20
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-08-13 00:00:00	170015280	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-07-01 00:00:00	2017-09-30 00:00:00	No	2019-08-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9SGI11	None	None	None	SFY2019-20
220000020	LAWTON SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2018-08-09 00:00:00	220014309	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-02-21 00:00:00	2017-05-23 00:00:00	No	2018-08-24 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	OIIS11	None	None	None	SFY2018-19
220000046	CENTRAL GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2018-08-15 00:00:00	220014322	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-02-23 00:00:00	2017-05-25 00:00:00	No	2018-08-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	1EXU11	None	None	None	SFY2018-19
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-05-21 00:00:00	220015073	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	No	2019-06-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	KYF611	None	None	None	SFY2018-19
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-07-30 00:00:00	220015242	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	No	2019-08-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	M7JN11	None	None	None	SFY2019-20
220000045	CARLMONT GARDENS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-07-27 00:00:00	220016766	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	HRNV11	None	None	None	SFY2021-22
220000971	SAN FRANCISCO TOWERS	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-09-01 00:00:00	220016931	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	BUCP11	None	None	None	SFY2021-22
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2024-01-23 00:00:00	220019623	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	G3SO11	None	None	None	SFY2023-24
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-12 00:00:00	230009519	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-02-23 00:00:00	2012-05-09 00:00:00	Yes	2012-10-27 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	NC6N11	None	None	None	SFY2012-13
230000279	CRYSTAL RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-11-29 00:00:00	230009526	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-10-10 00:00:00	2012-01-06 00:00:00	No	2012-12-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	RQ6X11	None	None	None	SFY2012-13
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2013-02-14 00:00:00	230009528	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-07-11 00:00:00	2011-10-07 00:00:00	Yes	2013-03-01 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	D12Z11	None	None	None	SFY2012-13
230000031	CYPRESS MEADOWS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2013-07-15 00:00:00	230009995	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-06-20 00:00:00	2011-09-16 00:00:00	No	2013-07-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7Q0211	None	None	None	SFY2013-14
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-07-11 00:00:00	230010846	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-09-22 00:00:00	2013-12-22 00:00:00	Yes	2014-07-26 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	FH3111	None	None	None	SFY2014-15
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2014-09-18 00:00:00	230011002	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-03-11 00:00:00	2014-06-10 00:00:00	No	2014-10-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	RO5111	None	None	None	SFY2014-15
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2015-02-24 00:00:00	230011278	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-03-17 00:00:00	2014-06-16 00:00:00	No	2015-03-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	V6NI11	None	None	None	SFY2014-15
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2016-07-22 00:00:00	230012395	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-09-28 00:00:00	2015-12-28 00:00:00	No	2016-08-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2BMH11	None	None	None	SFY2016-17
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2017-05-17 00:00:00	230013190	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-12-15 00:00:00	2016-03-15 00:00:00	No	2017-06-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	C0YX11	None	None	None	SFY2016-17
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2017-09-13 00:00:00	230013475	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-11-04 00:00:00	2016-02-03 00:00:00	No	2017-09-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	I1BK11	None	None	None	SFY2017-18
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2018-05-02 00:00:00	230014025	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-10-23 00:00:00	2017-01-22 00:00:00	No	2018-05-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	G60Q11	None	None	None	SFY2017-18
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2019-03-18 00:00:00	230014870	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-04-01 00:00:00	2018-06-30 00:00:00	No	2019-04-02 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	66IU11	None	None	None	SFY2018-19
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2019-05-29 00:00:00	230015105	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-06-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	OFNV11	None	None	None	SFY2018-19
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2019-06-12 00:00:00	230015127	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-06-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CUQ811	None	None	None	SFY2018-19
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2021-04-13 00:00:00	230016403	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-04-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	VJ4H11	None	None	None	SFY2020-21
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2021-07-01 00:00:00	230016677	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	AKKS11	None	None	None	SFY2021-22
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2021-07-01 00:00:00	230016678	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	AKKS11	None	None	None	SFY2021-22
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2021-07-28 00:00:00	230016746	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2021-09-30 00:00:00	Yes	2021-08-12 00:00:00	2021-08-12 00:00:00	AP NHPPD	None	15000	15000	0	15000	0	None	4N3K11	None	None	None	SFY2021-22
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2022-09-21 00:00:00	230017988	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2022-10-12 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	HPZP11	None	None	None	SFY2022-23
230000275	YUBA CITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2023-01-31 00:00:00	230018349	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-02-22 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	U2OL11	None	None	None	SFY2022-23
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2013-07-03 00:00:00	240009962	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-08-01 00:00:00	2011-10-28 00:00:00	No	2013-07-18 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	25OM11	None	None	None	SFY2013-14
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2013-09-04 00:00:00	240010111	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	Yes	2013-09-19 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	OTVU11	None	None	None	SFY2013-14
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-02-20 00:00:00	240010326	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	No	2014-03-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	MJDR11	None	None	None	SFY2013-14
240000150	REDLANDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-01-09 00:00:00	240010350	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-08-16 00:00:00	2012-10-31 00:00:00	No	2014-01-24 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	SYIO11	None	None	None	SFY2013-14
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-02-20 00:00:00	240010354	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-02-04 00:00:00	2013-06-16 00:00:00	No	2014-03-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	36R111	None	None	None	SFY2013-14
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-08-13 00:00:00	240010911	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-01-12 00:00:00	2014-04-13 00:00:00	No	2014-08-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3PD211	None	None	None	SFY2014-15
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-09-11 00:00:00	240010983	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-03-09 00:00:00	2014-06-08 00:00:00	Yes	2014-09-26 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	CUUR11	None	None	None	SFY2014-15
240000058	HAVEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-12-17 00:00:00	240011137	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-03-17 00:00:00	2014-06-16 00:00:00	No	2015-01-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	YOFE11	None	None	None	SFY2014-15
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2015-09-02 00:00:00	240011690	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-02-11 00:00:00	2015-05-13 00:00:00	No	2015-09-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	W24Y11	None	None	None	SFY2015-16
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-04-27 00:00:00	240012204	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-03-17 00:00:00	2015-06-16 00:00:00	No	2016-05-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	30RI11	None	None	None	SFY2015-16
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-05-26 00:00:00	240012206	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-03-17 00:00:00	2015-06-16 00:00:00	No	2016-06-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	T38G11	None	None	None	SFY2015-16
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-06-28 00:00:00	240012344	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-08-26 00:00:00	2015-11-25 00:00:00	No	2016-07-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CYI511	None	None	None	SFY2015-16
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-01-25 00:00:00	240012885	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-11-17 00:00:00	2016-02-16 00:00:00	Yes	2017-02-09 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	HU8L11	None	None	None	SFY2016-17
240000047	RIALTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-01-11 00:00:00	240013704	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-02-29 00:00:00	2016-05-30 00:00:00	No	2018-01-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	YFM711	None	None	None	SFY2017-18
240000090	ONTARIO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-06-28 00:00:00	240014177	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-01-30 00:00:00	2017-05-01 00:00:00	No	2018-07-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	0LV311	None	None	None	SFY2017-18
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-08-28 00:00:00	240014350	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	No	2018-09-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	UCFL11	None	None	None	SFY2018-19
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-09-12 00:00:00	240014390	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	No	2018-09-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	W3QE11	None	None	None	SFY2018-19
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-10-15 00:00:00	240014469	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	No	2018-10-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WGNC11	None	None	None	SFY2018-19
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-10-15 00:00:00	240014470	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	No	2018-10-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	TPQO11	None	None	None	SFY2018-19
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-12-10 00:00:00	240014620	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	No	2018-12-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	O56M11	None	None	None	SFY2018-19
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-08-29 00:00:00	240015342	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-12-04 00:00:00	2018-03-05 00:00:00	No	2019-09-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	E8HI11	None	None	None	SFY2019-20
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2020-08-06 00:00:00	240015958	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	2020-08-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4VBM11	None	None	None	SFY2020-21
240000090	ONTARIO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-06-01 00:00:00	240016540	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-06-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	FCET11	None	None	None	SFY2020-21
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-08-20 00:00:00	240016811	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	6JFI11	None	None	None	SFY2021-22
240000152	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-12-07 00:00:00	240018185	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	C27V11	None	None	None	SFY2022-23
240001011	APPLE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-01-12 00:00:00	240018301	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	9KED11	None	None	None	SFY2022-23
240000063	GRAND TERRACE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-02-08 00:00:00	240018370	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-02 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	5YK611	None	None	None	SFY2022-23
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2013-12-16 00:00:00	250010300	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-03-12 00:00:00	2013-05-27 00:00:00	Yes	2013-12-31 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	PD0I11	None	None	None	SFY2013-14
250000154	VISTA PACIFICA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Riverside	2014-02-04 00:00:00	250010323	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-01-24 00:00:00	2013-04-10 00:00:00	Yes	2014-02-19 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	1PMP11	None	None	None	SFY2013-14
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-01-26 00:00:00	250011237	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-03-17 00:00:00	2014-06-16 00:00:00	No	2015-02-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	XB7J11	None	None	None	SFY2014-15
250000073	RIVERSIDE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-10 00:00:00	250011519	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-12-01 00:00:00	2015-02-26 00:00:00	No	2015-06-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	H3N911	None	None	None	SFY2014-15
250000073	RIVERSIDE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-07-19 00:00:00	250014236	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-12-19 00:00:00	2017-03-20 00:00:00	No	2018-08-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JTDW11	None	None	None	SFY2018-19
250000081	RIVERSIDE HEIGHTS HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2018-07-25 00:00:00	250014246	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2016-08-14 00:00:00	2016-11-13 00:00:00	No	2018-08-09 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	IYKE11	None	None	None	SFY2018-19
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2019-04-24 00:00:00	250014965	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-05-09 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	I10P11	None	None	None	SFY2018-19
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2019-05-06 00:00:00	250015006	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-11-01 00:00:00	2018-01-31 00:00:00	No	2019-05-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	34WM11	None	None	None	SFY2018-19
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2019-06-19 00:00:00	250015157	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	No	2019-07-04 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	CQ9Z11	None	None	None	SFY2018-19
250000095	THE GROVE CARE AND WELLNESS	LTC	SNF	Skilled Nursing Facility	Riverside	2021-08-13 00:00:00	250016788	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-08-28 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	5V5511	None	None	None	SFY2021-22
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2021-11-15 00:00:00	250017073	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	89DH11	None	None	None	SFY2021-22
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2022-12-21 00:00:00	250018241	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-01-12 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	5D9611	None	None	None	SFY2022-23
250000043	COMMUNITY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-02-22 00:00:00	250018413	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	X6Z911	None	None	None	SFY2022-23
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-07 00:00:00	810015265	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	Yes	2019-08-22 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	8BIN11	None	None	None	SFY2019-20
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-08-16 00:00:00	810015301	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	Yes	2019-08-31 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	U17G11	None	None	None	SFY2019-20
950000014	COVINA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-08-21 00:00:00	810015314	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-07-01 00:00:00	2017-09-30 00:00:00	No	2019-09-05 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	O2WB11	None	None	None	SFY2019-20
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-08-29 00:00:00	810015341	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-25 00:00:00	2018-06-24 00:00:00	No	2019-09-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CXZ211	None	None	None	SFY2019-20
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-10-14 00:00:00	810015360	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-04-09 00:00:00	2018-04-12 00:00:00	No	2019-10-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	NY2M11	None	None	None	SFY2019-20
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-10-14 00:00:00	810015361	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-10-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	M0L111	None	None	None	SFY2019-20
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-30 00:00:00	810015406	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	No	2019-10-15 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QDGI11	None	None	None	SFY2019-20
220000046	CENTRAL GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-10-14 00:00:00	810015442	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	No	2019-10-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JNE811	None	None	None	SFY2019-20
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-14 00:00:00	810015444	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	No	2019-10-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	W5Y311	None	None	None	SFY2019-20
090000034	PARKSIDE HEALTH AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-10-22 00:00:00	810015456	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-11-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	RPED11	None	None	None	SFY2019-20
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-10-22 00:00:00	810015457	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	No	2019-11-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	C4WY11	None	None	None	SFY2019-20
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-11-04 00:00:00	810015488	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-11-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WUQS11	None	None	None	SFY2019-20
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-12-10 00:00:00	810015491	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-12-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	O3HT11	None	None	None	SFY2019-20
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-04-20 00:00:00	810015771	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-02-14 00:00:00	2018-05-16 00:00:00	No	2020-05-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	5WED11	None	None	None	SFY2019-20
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-07-13 00:00:00	810015926	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-07-30 00:00:00	2018-10-29 00:00:00	No	2020-08-04 00:00:00	None	AP NHPPD	None	0	0	0	0	0	None	NSG411	None	None	None	SFY2020-21
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2020-07-09 00:00:00	810015927	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	Y5TF11	None	None	None	SFY2020-21
090000006	MOUNT MIGUEL COVENANT VILLAGE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2020-07-27 00:00:00	810015928	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-07-01 00:00:00	2018-09-30 00:00:00	No	2020-08-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	5GMO11	None	None	None	SFY2020-21
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-07-27 00:00:00	810015934	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-09-18 00:00:00	2018-12-18 00:00:00	No	2020-08-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	K9OJ11	None	None	None	SFY2020-21
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2020-08-04 00:00:00	810015953	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-07-31 00:00:00	2018-10-30 00:00:00	No	2020-08-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CEL811	None	None	None	SFY2020-21
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-09-15 00:00:00	810015955	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-01-01 00:00:00	2019-03-31 00:00:00	Yes	2020-09-30 00:00:00	2020-10-01 00:00:00	AP NHPPD	None	15000	15000	0	15000	0	None	HGP911	None	None	None	SFY2020-21
220000047	ATHERTON PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2020-08-04 00:00:00	810015956	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-03-17 00:00:00	2019-06-16 00:00:00	No	2020-08-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	FRZF11	None	None	None	SFY2020-21
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-07-30 00:00:00	810015959	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-03-31 00:00:00	2019-06-30 00:00:00	No	2020-08-21 00:00:00	None	AP NHPPD	None	0	0	-15000	0	-15000	None	MKI211	None	None	None	SFY2020-21
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2020-08-06 00:00:00	810015960	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-07-01 00:00:00	2018-09-30 00:00:00	No	2020-08-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JSLE11	None	None	None	SFY2020-21
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-11-05 00:00:00	810015961	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-01-09 00:00:00	2019-04-10 00:00:00	No	2020-11-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7CU111	None	None	None	SFY2020-21
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-08-06 00:00:00	810015962	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-03-17 00:00:00	2019-06-16 00:00:00	No	2020-08-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	KBNQ11	None	None	None	SFY2020-21
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2020-08-14 00:00:00	810015966	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	2020-08-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	LMJK11	None	None	None	SFY2020-21
030000011	ROCK CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-06-25 00:00:00	810016003	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	46NG11	None	None	None	SFY2019-20
030000063	GOLD COUNTRY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-06-25 00:00:00	810016004	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-10-08 00:00:00	2019-01-07 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	FU4K11	None	None	None	SFY2019-20
030001615	GOLDEN SONORA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-07-30 00:00:00	810016005	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-11-28 00:00:00	2019-02-27 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	0Q1C11	None	None	None	SFY2020-21
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2020-07-02 00:00:00	810016006	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	SDQU11	None	None	None	SFY2020-21
090000003	MAGNOLIA POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2020-06-18 00:00:00	810016007	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	Y61Y11	None	None	None	SFY2019-20
090000061	GOLDEN HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2020-07-02 00:00:00	810016008	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	GG0A11	None	None	None	SFY2020-21
100000049	WINDSOR ELMHAVEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-07-02 00:00:00	810016009	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	UUFV11	None	None	None	SFY2020-21
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-08-04 00:00:00	810016010	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-07-31 00:00:00	2018-10-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	MJGW11	None	None	None	SFY2020-21
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2020-07-02 00:00:00	810016011	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	79UD11	None	None	None	SFY2020-21
140000122	THE VINEYARDS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2020-07-30 00:00:00	810016012	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	XT7C11	None	None	None	SFY2020-21
230000460	RIVER VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2020-07-09 00:00:00	810016013	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	Y5TF11	None	None	None	SFY2020-21
940000020	COSTA DEL SOL HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-07-30 00:00:00	810016014	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-07-30 00:00:00	2018-10-29 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	VWXU11	None	None	None	SFY2020-21
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-07-09 00:00:00	810016015	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	376L11	None	None	None	SFY2020-21
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-07-14 00:00:00	810016016	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-03-14 00:00:00	2019-06-13 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	Q0MC11	None	None	None	SFY2020-21
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2020-09-17 00:00:00	810016022	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	2020-10-02 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9JTP11	None	None	None	SFY2020-21
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2020-09-29 00:00:00	810016023	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	2020-10-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	T19T11	None	None	None	SFY2020-21
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-09-29 00:00:00	810016042	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-11-25 00:00:00	2019-02-24 00:00:00	No	2020-10-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	LQSW11	None	None	None	SFY2020-21
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-10-06 00:00:00	810016067	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-07-25 00:00:00	2018-10-24 00:00:00	No	2020-10-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QZL611	None	None	None	SFY2020-21
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2020-10-06 00:00:00	810016068	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-07-01 00:00:00	2018-09-30 00:00:00	No	2020-10-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	TOYB11	None	None	None	SFY2020-21
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2020-10-06 00:00:00	810016069	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	2020-10-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	IR7311	None	None	None	SFY2020-21
060000117	BONITA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2020-07-14 00:00:00	810016073	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-07-17 00:00:00	2018-10-16 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	TDYD11	None	None	None	SFY2020-21
050000549	BUENA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2020-09-03 00:00:00	810016074	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-10-21 00:00:00	2019-01-20 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	8BIC11	None	None	None	SFY2020-21
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2020-09-15 00:00:00	810016075	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-07-01 00:00:00	2018-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	OVMT11	None	None	None	SFY2020-21
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2020-09-15 00:00:00	810016076	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-07-01 00:00:00	2018-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	YMUI11	None	None	None	SFY2020-21
020000087	CROWN BAY NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2020-09-15 00:00:00	810016078	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-12-31 00:00:00	2019-04-01 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	P1QC11	None	None	None	SFY2020-21
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2020-09-17 00:00:00	810016079	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-07-16 00:00:00	2018-10-15 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	UKWN11	None	None	None	SFY2020-21
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-12 00:00:00	810016080	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-03-17 00:00:00	2019-06-16 00:00:00	No	2020-10-27 00:00:00	None	AP NHPPD	None	30000	30000	0	0	30000	None	G05D11	None	None	None	SFY2020-21
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-10-13 00:00:00	810016081	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	2020-10-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ESDJ11	None	None	None	SFY2020-21
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2020-10-22 00:00:00	810016094	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	2020-11-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7C3911	None	None	None	SFY2020-21
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-10-26 00:00:00	810016105	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-03-17 00:00:00	2019-06-16 00:00:00	No	2020-11-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	UMLJ11	None	None	None	SFY2020-21
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-10-26 00:00:00	810016106	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	2020-11-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZRDY11	None	None	None	SFY2020-21
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-10-26 00:00:00	810016108	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	2020-11-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	KQVG11	None	None	None	SFY2020-21
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2020-11-05 00:00:00	810016118	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-14 00:00:00	2019-01-13 00:00:00	No	2020-11-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	63E611	None	None	None	SFY2020-21
120001462	ORCHARDS AT TULARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2020-11-05 00:00:00	810016123	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-02-01 00:00:00	2019-04-30 00:00:00	No	2020-11-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	OGKS11	None	None	None	SFY2020-21
910000006	OCEAN POINTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-11-09 00:00:00	810016124	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-03-17 00:00:00	2019-06-16 00:00:00	No	2020-11-24 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	5F4B11	None	None	None	SFY2020-21
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-11-09 00:00:00	810016126	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-01 00:00:00	2018-12-31 00:00:00	Yes	2020-11-24 00:00:00	2020-11-30 00:00:00	AP NHPPD	None	15000	15000	0	15000	0	None	C59L11	None	None	None	SFY2020-21
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2020-11-09 00:00:00	810016127	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-03-17 00:00:00	2019-06-16 00:00:00	No	2020-11-24 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	NV3H11	None	None	None	SFY2020-21
070000095	A GRACE SUB ACUTE & SKILLED CARE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-11-10 00:00:00	810016128	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-03-31 00:00:00	2019-06-30 00:00:00	No	2020-11-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3CHX11	None	None	None	SFY2020-21
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-17 00:00:00	810016129	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-07-01 00:00:00	2018-09-30 00:00:00	No	2021-01-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	X3W511	None	None	None	SFY2020-21
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2020-12-15 00:00:00	810016130	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-15 00:00:00	2019-01-14 00:00:00	No	2020-12-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	33SM11	None	None	None	SFY2020-21
030000085	THE PINES AT PLACERVILLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-12-28 00:00:00	810016201	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	2021-01-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4RAM11	None	None	None	SFY2020-21
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2020-12-28 00:00:00	810016202	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-03-17 00:00:00	2019-06-16 00:00:00	No	2021-01-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9JGB11	None	None	None	SFY2020-21
080000820	COUNTRY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2020-12-30 00:00:00	810016210	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	2021-01-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	V8PI11	None	None	None	SFY2020-21
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-01-05 00:00:00	810016212	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	2021-01-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	32XK11	None	None	None	SFY2020-21
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-01-08 00:00:00	810016221	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	2021-01-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	1F7S11	None	None	None	SFY2020-21
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-01-14 00:00:00	810016223	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-04-01 00:00:00	2019-06-30 00:00:00	No	2021-01-29 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	GXF511	None	None	None	SFY2020-21
230000802	COUNTRY CREST POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2021-02-05 00:00:00	810016257	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-02-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Q74711	None	None	None	SFY2020-21
920000074	PROVIDENCE ST. ELIZABETH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-02-11 00:00:00	810016266	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-02-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2FU111	None	None	None	SFY2020-21
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2021-02-17 00:00:00	810016273	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	PHGJ11	None	None	None	SFY2020-21
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2021-02-17 00:00:00	810016274	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QG5D11	None	None	None	SFY2020-21
040000043	FRESNO NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-02-24 00:00:00	810016287	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4CIJ11	None	None	None	SFY2020-21
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-24 00:00:00	810016291	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	H2K011	None	None	None	SFY2020-21
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-03-02 00:00:00	810016296	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-17 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	3I2311	None	None	None	SFY2020-21
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2021-03-02 00:00:00	810016297	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-05 00:00:00	2019-09-30 00:00:00	No	2021-03-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	6TX011	None	None	None	SFY2020-21
090000083	BRIGHTON PLACE SPRING VALLEY	LTC	SNF	Skilled Nursing Facility	San Diego	2021-03-04 00:00:00	810016306	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-19 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	9Q3811	None	None	None	SFY2020-21
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-10 00:00:00	810016313	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CUE011	None	None	None	SFY2020-21
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-03-10 00:00:00	810016319	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	EY4911	None	None	None	SFY2020-21
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-17 00:00:00	810016332	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-04-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9FUB11	None	None	None	SFY2020-21
040000037	SIERRA VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2021-03-17 00:00:00	810016333	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-04-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	5PB711	None	None	None	SFY2020-21
040001040	WILLOW CREEK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-03-25 00:00:00	810016356	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-04-09 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9PXQ11	None	None	None	SFY2020-21
250000567	HEMET HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2021-03-25 00:00:00	810016357	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-04-09 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	12S711	None	None	None	SFY2020-21
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-01 00:00:00	810016375	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-04-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	8L5X11	None	None	None	SFY2020-21
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-20 00:00:00	810016401	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-05-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	C50C11	None	None	None	SFY2020-21
090000044	BELLA VISTA HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2021-04-19 00:00:00	810016415	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-12-10 00:00:00	No	2021-05-04 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	7KUY11	None	None	None	SFY2020-21
230000029	CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2021-04-22 00:00:00	810016420	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-05-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	MISS11	None	None	None	SFY2020-21
020000019	VISTA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2021-05-04 00:00:00	810016421	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-05-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	TWZI11	None	None	None	SFY2020-21
140000078	TAMPICO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-07-01 00:00:00	810016428	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-05-21 00:00:00	None	AP NHPPD	None	0	0	0	0	0	None	R7JM11	None	None	None	SFY2021-22
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-05-06 00:00:00	810016429	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-05-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	VNZR11	None	None	None	SFY2020-21
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-03 00:00:00	810016444	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-05-18 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	LO4W11	None	None	None	SFY2020-21
230000283	ALMOND VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2021-05-11 00:00:00	810016451	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-05-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3PQR11	None	None	None	SFY2020-21
080000014	REDWOOD TERRACE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2021-07-01 00:00:00	810016459	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	RJOO11	None	None	None	SFY2021-22
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-05-03 00:00:00	810016460	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	YN6K11	None	None	None	SFY2020-21
120000320	THE ORCHARDS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-05-14 00:00:00	810016462	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-05-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	FVOO11	None	None	None	SFY2020-21
040000026	COUNTRYSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-06-17 00:00:00	810016508	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	MPOW11	None	None	None	SFY2020-21
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-07-01 00:00:00	810016513	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	ND5N11	None	None	None	SFY2021-22
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-29 00:00:00	810016514	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	L5BC11	None	None	None	SFY2020-21
140000138	CREEKSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-07-01 00:00:00	810016515	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	N18Q11	None	None	None	SFY2021-22
240000085	MONTCLAIR MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-06-01 00:00:00	810016516	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-06-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	F5D111	None	None	None	SFY2020-21
090000084	ST. PAUL'S HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2021-06-08 00:00:00	810016544	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-06-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	VJ7F11	None	None	None	SFY2020-21
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-09-23 00:00:00	810016556	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-10-08 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	LGJ211	None	None	None	SFY2021-22
070000074	CYPRESS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-06-17 00:00:00	810016561	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-07-02 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	1F8E11	None	None	None	SFY2020-21
240000020	HIGHLAND CARE CENTER OF REDLANDS	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-06-29 00:00:00	810016562	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-07-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	PE8111	None	None	None	SFY2020-21
020000093	EXCELL HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-07-01 00:00:00	810016573	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	R5QQ11	None	None	None	SFY2021-22
920000077	ALAMEDA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-09 00:00:00	810016576	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	NNT611	None	None	None	SFY2020-21
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-07-06 00:00:00	810016578	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-07-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	0RLJ11	None	None	None	SFY2021-22
040000015	BETHEL LUTHERAN HOME, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2021-06-30 00:00:00	810016580	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	32FO11	None	None	None	SFY2020-21
100000290	RIVERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-07-01 00:00:00	810016582	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	YN6K11	None	None	None	SFY2021-22
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-05-18 00:00:00	810016583	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	ND5N11	None	None	None	SFY2020-21
070000032	CANTERBURY WOODS	LTC	SNF	Skilled Nursing Facility	San Jose	2021-07-01 00:00:00	810016586	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	8QS811	None	None	None	SFY2021-22
910000032	CULVER WEST HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-16 00:00:00	810016587	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	RHMC11	None	None	None	SFY2021-22
120000379	BAKERSFIELD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-06-30 00:00:00	810016590	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	2MVW11	None	None	None	SFY2020-21
240000063	GRAND TERRACE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-07-08 00:00:00	810016593	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	CG9Y11	None	None	None	SFY2021-22
240000066	HILLCREST NURSING HOME	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-07-08 00:00:00	810016594	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	X23C11	None	None	None	SFY2021-22
970000081	LEISURE GLEN POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-16 00:00:00	810016595	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	9LY311	None	None	None	SFY2021-22
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-16 00:00:00	810016596	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	1BGZ11	None	None	None	SFY2021-22
140001126	TICE VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2021-06-17 00:00:00	810016598	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	S7N511	None	None	None	SFY2020-21
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-11 00:00:00	810016599	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	3IQB11	None	None	None	SFY2020-21
030000011	ROCK CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-06-11 00:00:00	810016601	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	QBGI11	None	None	None	SFY2020-21
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2021-06-30 00:00:00	810016606	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	LK3F11	None	None	None	SFY2020-21
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2021-06-30 00:00:00	810016607	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	14VH11	None	None	None	SFY2020-21
040000061	GRACE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-06-18 00:00:00	810016636	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	UJVO11	None	None	None	SFY2020-21
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2021-06-18 00:00:00	810016637	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	SPGQ11	None	None	None	SFY2020-21
920000068	HOLIDAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-18 00:00:00	810016638	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	95C411	None	None	None	SFY2020-21
970000001	ALCOTT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-18 00:00:00	810016639	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	7HQD11	None	None	None	SFY2020-21
010000951	TIBURON HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-06-18 00:00:00	810016640	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	Q4F611	None	None	None	SFY2020-21
030000047	WESTERN SLOPE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-06-24 00:00:00	810016642	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	00JN11	None	None	None	SFY2020-21
030000063	GOLD COUNTRY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-06-24 00:00:00	810016643	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	KEPD11	None	None	None	SFY2020-21
040000050	GOLDEN MERCED CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-06-24 00:00:00	810016644	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	FQS311	None	None	None	SFY2020-21
100000010	GUARDIAN CARE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-06-24 00:00:00	810016645	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	FNNV11	None	None	None	SFY2020-21
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2021-06-24 00:00:00	810016646	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	ROY111	None	None	None	SFY2020-21
020000026	BAY VIEW REHABILITATION HOSPITAL, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2021-07-06 00:00:00	810016653	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	Yes	2021-07-21 00:00:00	2021-08-18 00:00:00	AP NHPPD	None	30000	30000	0	30000	0	None	QZUQ11	None	None	None	SFY2021-22
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2021-06-30 00:00:00	810016667	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	L5C011	None	None	None	SFY2020-21
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-30 00:00:00	810016668	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	H64211	None	None	None	SFY2020-21
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-30 00:00:00	810016669	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	P5EL11	None	None	None	SFY2020-21
230000025	CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2021-06-30 00:00:00	810016670	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	05HM11	None	None	None	SFY2020-21
140000083	WALNUT CREEK SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-06-30 00:00:00	810016671	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	O8TD11	None	None	None	SFY2020-21
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-21 00:00:00	810016673	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-08-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	6G1T11	None	None	None	SFY2021-22
950000277	BAYSHIRE SAN DIMAS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-08 00:00:00	810016674	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-07-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	K5GP11	None	None	None	SFY2021-22
090000046	UNIVERSITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2021-07-08 00:00:00	810016675	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-07-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	6XZK11	None	None	None	SFY2021-22
060000125	THE GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2021-07-08 00:00:00	810016683	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-07-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Y28Y11	None	None	None	SFY2021-22
230000023	OAK RIVER REHAB	LTC	SNF	Skilled Nursing Facility	Chico	2021-07-08 00:00:00	810016686	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-07-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7FK011	None	None	None	SFY2021-22
920000061	WOODLAND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-13 00:00:00	810016693	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-07-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	K8JM11	None	None	None	SFY2021-22
920000063	NORTHRIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-06 00:00:00	810016694	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	5SYJ11	None	None	None	SFY2021-22
230000030	RIVER VALLEY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2021-07-15 00:00:00	810016705	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-07-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JCV711	None	None	None	SFY2021-22
970000005	BRIER OAK ON SUNSET	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-15 00:00:00	810016706	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-07-30 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	B0T911	None	None	None	SFY2021-22
240000068	HIGHLAND PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-07-21 00:00:00	810016715	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-08-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7HL511	None	None	None	SFY2021-22
250000673	RIVERSIDE VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-07-22 00:00:00	810016724	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-08-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	H23M11	None	None	None	SFY2021-22
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-15 00:00:00	810016725	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	4M2U11	None	None	None	SFY2021-22
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2021-09-17 00:00:00	810016726	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-10-02 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	S4YJ11	None	None	None	SFY2021-22
970000066	THE CALIFORNIAN PASADENA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-16 00:00:00	810016729	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	2T1O11	None	None	None	SFY2021-22
080000007	BOULDER CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2021-07-15 00:00:00	810016733	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	747D11	None	None	None	SFY2021-22
920000310	THE GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-15 00:00:00	810016734	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	CM5J11	None	None	None	SFY2021-22
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-15 00:00:00	810016736	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	AN1R11	None	None	None	SFY2021-22
060000155	TERRACE VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-07-27 00:00:00	810016737	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-08-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	RI5G11	None	None	None	SFY2021-22
220000048	SAN FRANCISCO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-07-27 00:00:00	810016739	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-08-11 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	W26M11	None	None	None	SFY2021-22
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-07-27 00:00:00	810016740	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-08-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	AREB11	None	None	None	SFY2021-22
950000033	CHINO VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-21 00:00:00	810016744	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	U22P11	None	None	None	SFY2021-22
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-07-20 00:00:00	810016752	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	4BTU11	None	None	None	SFY2021-22
030001819	FULTON GARDENS POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	Stockton	2021-07-20 00:00:00	810016753	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	3019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	RVZC11	None	None	None	SFY2021-22
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-08-02 00:00:00	810016765	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-08-17 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	H6MX11	None	None	None	SFY2021-22
920000071	BURBANK HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-05 00:00:00	810016775	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-08-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	8HY211	None	None	None	SFY2021-22
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-08-06 00:00:00	810016779	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-08-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	OVTC11	None	None	None	SFY2021-22
220000046	CENTRAL GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-08-06 00:00:00	810016780	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-08-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JW8O11	None	None	None	SFY2021-22
010000059	NORTHVINE POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-08-09 00:00:00	810016783	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-08-24 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	H8LO11	None	None	None	SFY2021-22
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2021-08-02 00:00:00	810016784	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	OTUO11	None	None	None	SFY2021-22
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-20 00:00:00	810016785	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	9HKG11	None	None	None	SFY2021-22
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2021-08-17 00:00:00	810016799	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	M8DJ11	None	None	None	SFY2021-22
040000064	TWILIGHT HAVEN	LTC	SNF	Skilled Nursing Facility	Fresno	2021-08-25 00:00:00	810016802	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-09 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WCY511	None	None	None	SFY2021-22
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2021-09-01 00:00:00	810016805	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-16 00:00:00	None	AP NHPPD	None	15000	15000	-15000	0	0	None	RSPW11	None	None	None	SFY2021-22
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-08-19 00:00:00	810016806	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-09-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2I7H11	None	None	None	SFY2021-22
110000063	NAPA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-08-27 00:00:00	810016818	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	84YH11	None	None	None	SFY2021-22
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-23 00:00:00	810016821	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-09-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3O1211	None	None	None	SFY2021-22
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-31 00:00:00	810016822	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-15 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	NOLQ11	None	None	None	SFY2021-22
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2021-08-27 00:00:00	810016835	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	UMG711	None	None	None	SFY2021-22
970000174	FOOTHILL HEIGHTS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-31 00:00:00	810016840	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	Yes	2021-09-15 00:00:00	2021-09-04 00:00:00	AP NHPPD	None	15000	15000	0	15000	0	None	ENL011	None	None	None	SFY2021-22
920000059	LAKE BALBOA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-31 00:00:00	810016844	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-09-15 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	X5SP11	None	None	None	SFY2021-22
090000051	BRIGHTON PLACE SAN DIEGO	LTC	SNF	Skilled Nursing Facility	San Diego	2021-09-02 00:00:00	810016852	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-09-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	RPFC11	None	None	None	SFY2021-22
090000054	FREDERICKA MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2021-09-02 00:00:00	810016855	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	RTX011	None	None	None	SFY2021-22
970000178	VILLA GARDENS HEALTH CARE UNIT	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-10 00:00:00	810016861	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	6PLP11	None	None	None	SFY2021-22
950000088	CLARA BALDWIN STOCKER HOME FOR WOMEN	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-08 00:00:00	810016867	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	GH3N11	None	None	None	SFY2021-22
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-07 00:00:00	810016869	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4JM011	None	None	None	SFY2021-22
030000160	WINDSOR CARE CENTER OF SACRAMENTO	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-09-07 00:00:00	810016875	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	014P11	None	None	None	SFY2021-22
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-09-08 00:00:00	810016877	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-23 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	3LS411	None	None	None	SFY2021-22
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-09-08 00:00:00	810016882	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	W7EV11	None	None	None	SFY2021-22
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-09-17 00:00:00	810016885	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-02 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	X8NX11	None	None	None	SFY2021-22
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-09-10 00:00:00	810016888	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-25 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	967311	None	None	None	SFY2021-22
250000026	CORONA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-08-17 00:00:00	810016893	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	37XG11	None	None	None	SFY2021-22
240000075	LINDA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-08-17 00:00:00	810016894	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	BZKT11	None	None	None	SFY2021-22
140000396	SHIELDS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-08-24 00:00:00	810016895	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	8ZEY11	None	None	None	SFY2021-22
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-30 00:00:00	810016913	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-15 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ETOB11	None	None	None	SFY2021-22
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-09-21 00:00:00	810016919	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-06 00:00:00	None	AP NHPPD	None	15000	15000	-15000	0	0	None	R5YB11	None	None	None	SFY2021-22
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2021-09-21 00:00:00	810016920	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7VB511	None	None	None	SFY2021-22
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2021-09-24 00:00:00	810016927	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-09 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WOR411	None	None	None	SFY2021-22
030000530	OAK RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-08-24 00:00:00	810016933	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	1B5I11	None	None	None	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-17 00:00:00	810016935	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	YDWN11	None	None	None	SFY2021-22
090000064	HILLCREST MANOR SANITARIUM	LTC	SNF	Skilled Nursing Facility	San Diego	2021-08-10 00:00:00	810016936	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	FIGU11	None	None	None	SFY2021-22
920000091	TOPANGA TERRACE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-10 00:00:00	810016950	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	E0BE11	None	None	None	SFY2021-22
060000045	BEACHSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-09-30 00:00:00	810016951	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-15 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	46SD11	None	None	None	SFY2021-22
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2021-09-30 00:00:00	810016952	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-15 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	2D3311	None	None	None	SFY2021-22
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-10 00:00:00	810016954	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	TSII11	None	None	None	SFY2021-22
090000065	BALBOA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2021-08-24 00:00:00	810016956	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	O3OR11	None	None	None	SFY2021-22
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-10-01 00:00:00	810016957	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	Yes	2021-10-16 00:00:00	2021-10-19 00:00:00	AP NHPPD	None	15000	15000	0	15000	0	None	NTFF11	None	None	None	SFY2021-22
940000098	COURTYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-01 00:00:00	810016958	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	HLDH11	None	None	None	SFY2021-22
920000304	GLENHAVEN HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-10 00:00:00	810016959	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	UT5F11	None	None	None	SFY2021-22
100000072	GOLDEN MODESTO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-08-19 00:00:00	810016961	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	S3V811	None	None	None	SFY2021-22
940000094	RIO HONDO SUBACUTE & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-05 00:00:00	810016963	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-10-20 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	MZP211	None	None	None	SFY2021-22
060000143	SOUTH COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2021-10-07 00:00:00	810016969	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	921411	None	None	None	SFY2021-22
020000128	ELMWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-11-15 00:00:00	810016975	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-30 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	WXRP11	None	None	None	SFY2021-22
030001657	COVENANT VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-08-24 00:00:00	810016979	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	MEJM11	None	None	None	SFY2021-22
910000021	THE CANTERBURY	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-10 00:00:00	810016981	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	MYS911	None	None	None	SFY2021-22
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-09-20 00:00:00	810016982	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	HI5311	None	None	None	SFY2021-22
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-10-13 00:00:00	810016988	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-28 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	OR5V11	None	None	None	SFY2021-22
920000056	THE MEADOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-10-14 00:00:00	810016990	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	RG5011	None	None	None	SFY2021-22
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-10-14 00:00:00	810016991	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-29 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	SI5Y11	None	None	None	SFY2021-22
040000077	CORNERSTONE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-09-23 00:00:00	810017002	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	12L911	None	None	None	SFY2021-22
040000013	CALIFORNIA HOME FOR THE AGED, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2021-10-19 00:00:00	810017003	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WXUQ11	None	None	None	SFY2021-22
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2021-09-21 00:00:00	810017005	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	VWLV11	None	None	None	SFY2021-22
940000076	GRANADA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-10 00:00:00	810017006	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	KWZK11	None	None	None	SFY2021-22
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-10-21 00:00:00	810017011	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3CIF11	None	None	None	SFY2021-22
970000176	TWO PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-21 00:00:00	810017012	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	U5R311	None	None	None	SFY2021-22
060000022	ALAMITOS WEST HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Orange	2021-11-04 00:00:00	810017017	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	E1J511	None	None	None	SFY2021-22
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2021-10-26 00:00:00	810017024	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	L2R411	None	None	None	SFY2021-22
040000069	ORCHARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2021-10-26 00:00:00	810017025	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-11-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7VOT11	None	None	None	SFY2021-22
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-10-27 00:00:00	810017026	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-11-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7UN911	None	None	None	SFY2021-22
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-10-28 00:00:00	810017029	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	MTXJ11	None	None	None	SFY2021-22
910000328	LONGWOOD MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-28 00:00:00	810017030	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9UE611	None	None	None	SFY2021-22
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-04 00:00:00	810017036	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7Z8V11	None	None	None	SFY2021-22
060000113	HARBOR VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-11-02 00:00:00	810017043	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	8LSC11	None	None	None	SFY2021-22
040000059	NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2021-11-10 00:00:00	810017060	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	IO2Y11	None	None	None	SFY2021-22
140000102	LEGACY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	East Bay	2021-11-09 00:00:00	810017061	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-24 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	X9RM11	None	None	None	SFY2021-22
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-10 00:00:00	810017067	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	KJAK11	None	None	None	SFY2021-22
040001364	HANFORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2022-01-10 00:00:00	810017070	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2IN911	None	None	None	SFY2021-22
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2021-11-12 00:00:00	810017072	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	F1WU11	None	None	None	SFY2021-22
020000037	EMMANUEL POST ACUTE CARE - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2021-11-22 00:00:00	810017093	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-12-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	XY1Q11	None	None	None	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-11-22 00:00:00	810017095	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-12-07 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	YDPI11	None	None	None	SFY2021-22
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-11-24 00:00:00	810017098	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-09 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	IRFF11	None	None	None	SFY2021-22
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-11-29 00:00:00	810017106	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	LZ8P11	None	None	None	SFY2021-22
060001718	BAYSHIRE YORBA LINDA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2021-11-29 00:00:00	810017111	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	BIIF11	None	None	None	SFY2021-22
250000022	BLYTHE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	Riverside	2021-11-29 00:00:00	810017118	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3O3C11	None	None	None	SFY2021-22
950000063	THE GARDENS OF EL MONTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-06 00:00:00	810017120	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	6HJE11	None	None	None	SFY2021-22
080000685	CASA DE LAS CAMPANAS	LTC	SNF	Skilled Nursing Facility	San Diego	2021-12-01 00:00:00	810017125	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7R9T11	None	None	None	SFY2021-22
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2021-12-01 00:00:00	810017126	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	52W811	None	None	None	SFY2021-22
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-12-07 00:00:00	810017140	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	KMRL11	None	None	None	SFY2021-22
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-09-21 00:00:00	810017145	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	Q38W11	None	None	None	SFY2021-22
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-15 00:00:00	810017153	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-30 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	P8WO11	None	None	None	SFY2021-22
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-12-15 00:00:00	810017158	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	PFLR11	None	None	None	SFY2021-22
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-15 00:00:00	810017161	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	1WLV11	None	None	None	SFY2021-22
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2021-12-15 00:00:00	810017163	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-30 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	BYP111	None	None	None	SFY2021-22
970000003	ALEXANDRIA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-16 00:00:00	810017171	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-31 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	0SRU11	None	None	None	SFY2021-22
110001255	LAKEPORT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-12-21 00:00:00	810017189	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-05 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	ZTRZ11	None	None	None	SFY2021-22
250000078	MEADOWBROOK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2021-12-22 00:00:00	810017191	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-06 00:00:00	None	AP NHPPD	None	30000	30000	0	5000	25000	None	W4UD11	None	None	None	SFY2021-22
910000057	LOS PALOS POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-22 00:00:00	810017192	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	150F11	None	None	None	SFY2021-22
070000082	PLUM TREE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-03-09 00:00:00	810017193	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	Yes	2022-03-24 00:00:00	2022-03-22 00:00:00	AP NHPPD	None	15000	15000	0	15000	0	None	T76811	None	None	None	SFY2021-22
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-12-23 00:00:00	810017194	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	5KO911	None	None	None	SFY2021-22
090000028	VILLA LAS PALMAS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2021-12-30 00:00:00	810017199	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-14 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	84E811	None	None	None	SFY2021-22
100000092	RANCHO SECO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-12-23 00:00:00	810017201	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	SVOE11	None	None	None	SFY2021-22
060000054	HUNTINGTON VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-12-29 00:00:00	810017210	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	EV7U11	None	None	None	SFY2021-22
010000078	EUREKA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-12-30 00:00:00	810017222	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	6RGJ11	None	None	None	SFY2021-22
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-05 00:00:00	810017229	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-01-20 00:00:00	None	AP NHPPD	None	15000	15000	-15000	0	0	None	PNNZ11	None	None	None	SFY2021-22
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-05 00:00:00	810017230	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	YZP411	None	None	None	SFY2021-22
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-01-05 00:00:00	810017233	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-20 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	ISXW11	None	None	None	SFY2021-22
010000028	NORTH BAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-01-06 00:00:00	810017236	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	0UDM11	None	None	None	SFY2021-22
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-11-30 00:00:00	810017238	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	L7R611	None	None	None	SFY2021-22
100000100	STOLLWOOD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-01-12 00:00:00	810017243	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-27 00:00:00	None	AP NHPPD	None	15000	15000	-15000	0	0	None	FUBH11	None	None	None	SFY2021-22
970000075	THE BELLEFONTAINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-11 00:00:00	810017244	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	5XXC11	None	None	None	SFY2021-22
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-12 00:00:00	810017246	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	1LCI11	None	None	None	SFY2021-22
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-14 00:00:00	810017251	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZTVY11	None	None	None	SFY2021-22
220001030	THE VILLAS AT SARATOGA SKILLED NURSING AND ASSISTED LIVING	LTC	SNF	Skilled Nursing Facility	San Jose	2022-01-14 00:00:00	810017252	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	MDTN11	None	None	None	SFY2021-22
090000067	IMPERIAL MANOR	LTC	SNF	Skilled Nursing Facility	San Diego	2022-01-20 00:00:00	810017259	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-04 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	FOY911	None	None	None	SFY2021-22
080001540	ANAHEIM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-01-26 00:00:00	810017271	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-10 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	0EQC11	None	None	None	SFY2021-22
920000024	NORTH VALLEY NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-02-16 00:00:00	810017273	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2TT911	None	None	None	SFY2021-22
910000035	LOTUS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-21 00:00:00	810017274	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	OW0U11	None	None	None	SFY2021-22
080000094	BRADLEY COURT	LTC	SNF	Skilled Nursing Facility	San Diego	2022-02-02 00:00:00	810017284	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-02-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	X9CZ11	None	None	None	SFY2021-22
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-02 00:00:00	810017286	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	34EC11	None	None	None	SFY2021-22
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-02 00:00:00	810017287	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-17 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	M6VO11	None	None	None	SFY2021-22
970000070	INFINITY CARE OF EAST LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-08 00:00:00	810017294	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	SFOE11	None	None	None	SFY2021-22
220000081	SAN BRUNO SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-02-08 00:00:00	810017303	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-23 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	94QZ11	None	None	None	SFY2021-22
140000081	MORAGA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2022-02-10 00:00:00	810017310	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-25 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	8USF11	None	None	None	SFY2021-22
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-15 00:00:00	810017317	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-02 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JJ5E11	None	None	None	SFY2021-22
020000053	CRESTWOOD MANOR - FREMONT	LTC	SNF	Skilled Nursing Facility	East Bay	2022-02-11 00:00:00	810017320	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	711T11	None	None	None	SFY2021-22
910000071	BEACHSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-16 00:00:00	810017331	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JXTZ11	None	None	None	SFY2021-22
910000036	THE EARLWOOD	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-17 00:00:00	810017336	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	SNDZ11	None	None	None	SFY2021-22
240000038	CITRUS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-02-16 00:00:00	810017338	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JV4T11	None	None	None	SFY2021-22
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-02-18 00:00:00	810017343	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Q11K11	None	None	None	SFY2021-22
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-22 00:00:00	810017355	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-03-09 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	US6P11	None	None	None	SFY2021-22
070000041	WINDSOR MONTEREY CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-02-24 00:00:00	810017362	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	5EHA11	None	None	None	SFY2021-22
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-03-04 00:00:00	810017368	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-19 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	M80O11	None	None	None	SFY2021-22
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-02-25 00:00:00	810017369	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4OLR11	None	None	None	SFY2021-22
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-25 00:00:00	810017372	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QXAG11	None	None	None	SFY2021-22
040000002	KINGSBURG CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-03-02 00:00:00	810017375	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	MLI211	None	None	None	SFY2021-22
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2022-03-02 00:00:00	810017376	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	YEYV11	None	None	None	SFY2021-22
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-02 00:00:00	810017377	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	R4MV11	None	None	None	SFY2021-22
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-02 00:00:00	810017381	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-03-17 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	VILG11	None	None	None	SFY2021-22
120001431	WESTGATE GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-03-02 00:00:00	810017382	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9GX711	None	None	None	SFY2021-22
030000074	KIT CARSON NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-03-08 00:00:00	810017450	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	1RX511	None	None	None	SFY2021-22
040000027	LA SIERRA CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-03-08 00:00:00	810017451	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-23 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	EEQF11	None	None	None	SFY2021-22
060000715	TRABUCO HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2022-03-23 00:00:00	810017453	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	J6II11	None	None	None	SFY2021-22
020000076	ST. FRANCIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-03-15 00:00:00	810017458	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WHFL11	None	None	None	SFY2021-22
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-15 00:00:00	810017469	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-08-01 00:00:00	2019-10-31 00:00:00	No	2022-03-30 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	P4BZ11	None	None	None	SFY2021-22
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-14 00:00:00	810017472	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-03-29 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	POPF11	None	None	None	SFY2021-22
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-23 00:00:00	810017480	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7IBB11	None	None	None	SFY2021-22
250000087	JURUPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2022-03-21 00:00:00	810017489	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-04-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZHTG11	None	None	None	SFY2021-22
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2022-03-21 00:00:00	810017490	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	MB8O11	None	None	None	SFY2021-22
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-03-21 00:00:00	810017491	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZUGW11	None	None	None	SFY2021-22
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-21 00:00:00	810017492	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JV1211	None	None	None	SFY2021-22
120001469	VISALIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-03-22 00:00:00	810017495	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	DHHE11	None	None	None	SFY2021-22
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-03-24 00:00:00	810017506	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-08 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	VKEO11	None	None	None	SFY2021-22
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-03-24 00:00:00	810017507	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-08 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	HX6S11	None	None	None	SFY2021-22
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-29 00:00:00	810017515	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	AHZ611	None	None	None	SFY2021-22
910000073	BRENTWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-29 00:00:00	810017516	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4TTJ11	None	None	None	SFY2021-22
970000125	BONNIE BRAE SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-29 00:00:00	810017517	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	01QL11	None	None	None	SFY2021-22
140000130	DANVILLE POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	East Bay	2022-03-29 00:00:00	810017518	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	17UM11	None	None	None	SFY2021-22
040000049	COVENANT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2022-04-05 00:00:00	810017531	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-20 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	ESX711	None	None	None	SFY2021-22
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-04-05 00:00:00	810017532	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	LRRW11	None	None	None	SFY2021-22
240000097	ARROWHEAD SPRINGS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-04-15 00:00:00	810017552	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	F22C11	None	None	None	SFY2021-22
950000103	EASTLAND SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-14 00:00:00	810017555	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	TSJG11	None	None	None	SFY2021-22
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-04-14 00:00:00	810017557	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-29 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	6KYW11	None	None	None	SFY2021-22
140000096	PLEASANT HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2022-04-19 00:00:00	810017564	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2YI311	None	None	None	SFY2021-22
110000018	FAIRFIELD POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-04-19 00:00:00	810017565	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JDUF11	None	None	None	SFY2021-22
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-04-21 00:00:00	810017573	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	Yes	2022-05-06 00:00:00	2022-05-13 00:00:00	AP NHPPD	None	15000	15000	0	15000	0	None	9OZF11	None	None	None	SFY2021-22
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-04-26 00:00:00	810017581	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	LRLC11	None	None	None	SFY2021-22
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-29 00:00:00	810017593	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	NNYN11	None	None	None	SFY2021-22
030000852	BRANDEL MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2022-05-03 00:00:00	810017599	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-18 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	QK0K11	None	None	None	SFY2021-22
910000006	OCEAN POINTE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-10 00:00:00	810017600	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	M0IE11	None	None	None	SFY2021-22
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-05-10 00:00:00	810017601	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9XYV11	None	None	None	SFY2021-22
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-13 00:00:00	810017605	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-05-28 00:00:00	None	AP NHPPD	None	30000	30000	0	0	30000	None	QW3911	None	None	None	SFY2021-22
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2022-05-12 00:00:00	810017623	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	M8ZM11	None	None	None	SFY2021-22
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-05-17 00:00:00	810017631	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-01 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	3HET11	None	None	None	SFY2021-22
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-05-17 00:00:00	810017632	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9K4P11	None	None	None	SFY2021-22
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-05-17 00:00:00	810017633	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CXMC11	None	None	None	SFY2021-22
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-17 00:00:00	810017634	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	KQ7R11	None	None	None	SFY2021-22
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-05-24 00:00:00	810017639	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-08 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	S5OJ11	None	None	None	SFY2021-22
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-05-24 00:00:00	810017640	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-08 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	F74J11	None	None	None	SFY2021-22
220000038	VISTA TERRACE OF BELMONT	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-05-26 00:00:00	810017641	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-10 00:00:00	None	AP NHPPD	None	15000	15000	-15000	0	0	None	96HP11	None	None	None	SFY2021-22
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2022-05-24 00:00:00	810017642	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-08 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	OQ3R11	None	None	None	SFY2021-22
920000028	MONTROSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-24 00:00:00	810017643	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-08 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	HX1J11	None	None	None	SFY2021-22
100000029	LODI CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-05-24 00:00:00	810017644	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-08 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	VMCT11	None	None	None	SFY2021-22
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-06-02 00:00:00	810017659	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-17 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	WFV811	None	None	None	SFY2021-22
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-06-02 00:00:00	810017660	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2KVP11	None	None	None	SFY2021-22
100000035	CRESTWOOD MANOR	LTC	SNF	Skilled Nursing Facility	Stockton	2022-08-02 00:00:00	810017662	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9EOE11	None	None	None	SFY2022-23
040000047	HEALTHCARE CENTRE OF FRESNO	LTC	SNF	Skilled Nursing Facility	Fresno	2022-06-07 00:00:00	810017678	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	LIHV11	None	None	None	SFY2021-22
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-07 00:00:00	810017679	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-22 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	RH5B11	None	None	None	SFY2021-22
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2022-06-15 00:00:00	810017681	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	0NVI11	None	None	None	SFY2021-22
910000038	FIRESIDE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-14 00:00:00	810017693	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-29 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	DNNE11	None	None	None	SFY2021-22
020000060	BAYPOINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-06-22 00:00:00	810017708	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-07 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	1BHC11	None	None	None	SFY2021-22
030001812	WOODLAND POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-06-29 00:00:00	810017721	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	KZRX11	None	None	None	SFY2021-22
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2022-06-29 00:00:00	810017722	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-14 00:00:00	None	AP NHPPD	None	30000	30000	-30000	0	0	None	R4YS11	None	None	None	SFY2021-22
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-06-29 00:00:00	810017723	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-14 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	5SK711	None	None	None	SFY2021-22
070000019	AVE MARIA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2022-06-30 00:00:00	810017733	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-15 00:00:00	None	AP NHPPD	None	15000	15000	-15000	0	0	None	D50H11	None	None	None	SFY2021-22
080000053	FALLBROOK SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Diego	2022-06-30 00:00:00	810017735	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-15 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	6LMD11	None	None	None	SFY2021-22
100000069	GOOD SAMARITAN REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-07-06 00:00:00	810017745	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-21 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	LEEZ11	None	None	None	SFY2022-23
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-07-06 00:00:00	810017747	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-21 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	9LFW11	None	None	None	SFY2022-23
060000039	ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2022-07-06 00:00:00	810017748	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-07-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	NQ2111	None	None	None	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-06 00:00:00	810017752	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WPBE11	None	None	None	SFY2022-23
920000014	CHESTNUT RIDGE POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-13 00:00:00	810017761	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-07-28 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	OBAK11	None	None	None	SFY2022-23
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-07-13 00:00:00	810017762	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-07-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7JUC11	None	None	None	SFY2022-23
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-07-19 00:00:00	810017772	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QCOE11	None	None	None	SFY2022-23
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-21 00:00:00	810017773	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZMGO11	None	None	None	SFY2022-23
100000032	BROOKSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-07-21 00:00:00	810017777	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-05 00:00:00	None	AP NHPPD	None	30000	30000	0	0	30000	None	46J611	None	None	None	SFY2022-23
970000009	VIEW PARK CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-20 00:00:00	810017778	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-04 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	N4W911	None	None	None	SFY2022-23
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-07-20 00:00:00	810017779	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-04 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	N8J211	None	None	None	SFY2022-23
940000023	OCEAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-25 00:00:00	810017787	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-09 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3YJW11	None	None	None	SFY2022-23
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-26 00:00:00	810017788	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	EQ7V11	None	None	None	SFY2022-23
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-26 00:00:00	810017790	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	8QLK11	None	None	None	SFY2022-23
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-07-27 00:00:00	810017800	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	FWX911	None	None	None	SFY2022-23
970000147	WESTLAKE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-27 00:00:00	810017801	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	Yes	2022-08-11 00:00:00	2022-08-15 00:00:00	AP NHPPD	None	15000	15000	-15000	0	0	None	VCGY11	None	None	None	SFY2022-23
090000105	SOMERSET SUBACUTE AND CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2022-08-05 00:00:00	810017812	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3S5Q11	None	None	None	SFY2022-23
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-08-02 00:00:00	810017820	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	FQ3F11	None	None	None	SFY2022-23
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-08-02 00:00:00	810017823	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-17 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	O7UP11	None	None	None	SFY2022-23
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2022-08-02 00:00:00	810017824	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	H1KB11	None	None	None	SFY2022-23
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-08-10 00:00:00	810017825	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	YE1H11	None	None	None	SFY2022-23
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-08-03 00:00:00	810017828	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-18 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	7CRL11	None	None	None	SFY2022-23
240000285	LAUREL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-04-04 00:00:00	810017835	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	KYOK11	None	None	None	SFY2021-22
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2021-09-21 00:00:00	810017836	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	X1IL11	None	None	None	SFY2021-22
920000280	ANTELOPE VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-16 00:00:00	810017837	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	5X3D11	None	None	None	SFY2021-22
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-08-10 00:00:00	810017839	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	HKFJ11	None	None	None	SFY2021-22
970000163	CAMELLIA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-07 00:00:00	810017840	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	LIXU11	None	None	None	SFY2021-22
970000163	CAMELLIA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-07 00:00:00	810017841	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	LIXU11	None	None	None	SFY2021-22
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-22 00:00:00	810017842	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	D0SY11	None	None	None	SFY2021-22
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-08-17 00:00:00	810017843	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	PEOL11	None	None	None	SFY2021-22
920000082	WEST HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-17 00:00:00	810017844	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	NRPG11	None	None	None	SFY2021-22
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2022-02-14 00:00:00	810017845	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	E1IB11	None	None	None	SFY2021-22
240001032	CEDAR MOUNTAIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-08-31 00:00:00	810017846	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	Y03111	None	None	None	SFY2021-22
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-08-09 00:00:00	810017847	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	3Y0H11	None	None	None	SFY2021-22
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-08-09 00:00:00	810017848	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	V52L11	None	None	None	SFY2021-22
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-15 00:00:00	810017849	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	03CO11	None	None	None	SFY2021-22
910000064	PACIFIC POST - ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-19 00:00:00	810017850	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	BHM911	None	None	None	SFY2021-22
910000013	BERKLEY WEST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-01 00:00:00	810017853	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	8DJ411	None	None	None	SFY2021-22
220000088	ST. ANNE'S HOME	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-08-24 00:00:00	810017857	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	0S2B11	None	None	None	SFY2021-22
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-09 00:00:00	810017858	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	WJ8C11	None	None	None	SFY2021-22
220000089	GOLDEN PAVILION HEALTHCARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-07-19 00:00:00	810017859	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	KV6711	None	None	None	SFY2021-22
970000149	TEMPLE PARK CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-06 00:00:00	810017860	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	SHIN11	None	None	None	SFY2021-22
140000038	GREENRIDGE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2021-08-17 00:00:00	810017861	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	G1OX11	None	None	None	SFY2021-22
070000023	CANYON SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-08-09 00:00:00	810017865	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-24 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	U4DN11	None	None	None	SFY2022-23
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-08-09 00:00:00	810017868	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-24 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	8WL511	None	None	None	SFY2022-23
910000009	BAY CREST CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-08-31 00:00:00	810017916	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-09-22 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	S7B311	None	None	None	SFY2022-23
250000567	HEMET HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2022-09-21 00:00:00	810017927	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-10-06 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	9E4X11	None	None	None	SFY2022-23
090000083	BRIGHTON PLACE SPRING VALLEY	LTC	SNF	Skilled Nursing Facility	San Diego	2022-09-21 00:00:00	810017928	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-10-06 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	G46111	None	None	None	SFY2022-23
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2022-09-21 00:00:00	810017980	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-10-06 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	PO5J11	None	None	None	SFY2022-23
950000023	GARDEN VIEW POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-21 00:00:00	810017989	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-10-12 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	2PWW11	None	None	None	SFY2022-23
970000062	GARDEN CREST REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-26 00:00:00	810018003	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-10-17 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	UDNF11	None	None	None	SFY2022-23
030001827	CITY CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-10 00:00:00	810018039	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2022-10-31 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	92WL11	None	None	None	SFY2022-23
080000007	BOULDER CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2022-10-11 00:00:00	810018040	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-11-01 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	4QV011	None	None	None	SFY2022-23
010000024	GRANADA REHAB & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-10-11 00:00:00	810018043	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2022-10-26 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	TXH211	None	None	None	SFY2022-23
940000063	THE SPRINGS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-10-12 00:00:00	810018046	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-10-27 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	RR5Q11	None	None	None	SFY2022-23
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2022-10-12 00:00:00	810018047	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-10-27 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	PH8Z11	None	None	None	SFY2022-23
070000097	THE REDWOODS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-10-19 00:00:00	810018073	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2022-11-09 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	4Y3S11	None	None	None	SFY2022-23
940000095	RIVIERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-10-24 00:00:00	810018074	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-11-08 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	JOPB11	None	None	None	SFY2022-23
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-24 00:00:00	810018075	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-11-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	O6N111	None	None	None	SFY2022-23
230000037	FEATHER RIVER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2022-10-25 00:00:00	810018090	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-11-16 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	XLWA11	None	None	None	SFY2022-23
940000036	LYNWOOD POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-10-25 00:00:00	810018091	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-11-09 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	TYK911	None	None	None	SFY2022-23
060000031	ANAHEIM CREST NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-10-25 00:00:00	810018092	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-11-09 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	YN2311	None	None	None	SFY2022-23
240000013	RANCHO MESA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-10-31 00:00:00	810018111	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-11-22 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	X7PJ11	None	None	None	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-02 00:00:00	810018119	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-11-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	AXAM11	None	None	None	SFY2022-23
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2022-11-02 00:00:00	810018120	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2022-11-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	EQ4R11	None	None	None	SFY2022-23
120001477	LINWOOD MEADOWS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-11-02 00:00:00	810018121	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-11-17 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	S6MK11	None	None	None	SFY2022-23
250000051	EXTENDED CARE HOSPITAL OF RIVERSIDE	LTC	SNF	Skilled Nursing Facility	Riverside	2022-11-07 00:00:00	810018126	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-01 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	C5P811	None	None	None	SFY2022-23
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2022-11-07 00:00:00	810018127	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-01 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	VZMM11	None	None	None	SFY2022-23
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-11-15 00:00:00	810018135	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-08 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	1DMX11	None	None	None	SFY2022-23
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-10 00:00:00	810018136	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-12-06 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	YW0211	None	None	None	SFY2022-23
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-15 00:00:00	810018144	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2022-12-08 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	9EMG11	None	None	None	SFY2022-23
090000003	MAGNOLIA POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2022-11-15 00:00:00	810018147	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-12-08 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	992211	None	None	None	SFY2022-23
920000074	PROVIDENCE ST. ELIZABETH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-22 00:00:00	810018154	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	XYO011	None	None	None	SFY2022-23
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-22 00:00:00	810018155	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	9ZJY11	None	None	None	SFY2022-23
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-30 00:00:00	810018169	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	MS8W11	None	None	None	SFY2022-23
250000010	ALTA VISTA HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2022-11-30 00:00:00	810018177	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-21 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	L5Q411	None	None	None	SFY2022-23
240000289	UPLAND REHABILITATION AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-12-15 00:00:00	810018184	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-30 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	7Z1N11	None	None	None	SFY2022-23
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-24 00:00:00	810018188	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	4U5K11	None	None	None	SFY2022-23
040000012	EVERGREEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-10-04 00:00:00	810018189	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	CH2K11	None	None	None	SFY2022-23
250001745	BAYSHIRE RANCHO MIRAGE	LTC	SNF	Skilled Nursing Facility	Riverside	2022-12-14 00:00:00	810018198	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-01-05 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	KDO711	None	None	None	SFY2022-23
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-12-20 00:00:00	810018200	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	SGYF11	None	None	None	SFY2022-23
940000069	BROOKFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-08 00:00:00	810018201	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-29 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	PQX811	None	None	None	SFY2022-23
250000153	VILLA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2022-12-20 00:00:00	810018206	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	FHRK11	None	None	None	SFY2022-23
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-13 00:00:00	810018213	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-01-04 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	Y5NR11	None	None	None	SFY2022-23
060000055	MISSION PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-12-13 00:00:00	810018214	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-01-04 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	E8FY11	None	None	None	SFY2022-23
080000801	VILLAGE SQUARE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2022-12-20 00:00:00	810018237	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2023-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	QNVQ11	None	None	None	SFY2022-23
240000145	VILLA MESA CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-12-20 00:00:00	810018239	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	CM1111	None	None	None	SFY2022-23
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-27 00:00:00	810018250	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-01-19 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	5YPL11	None	None	None	SFY2022-23
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-27 00:00:00	810018251	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-01-19 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	6NRI11	None	None	None	SFY2022-23
010000001	VINEYARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-12-28 00:00:00	810018255	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-01-20 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	64KI11	None	None	None	SFY2022-23
010001005	ALDERSLY SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-01-04 00:00:00	810018261	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2023-01-26 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	E9X611	None	None	None	SFY2022-23
240000285	LAUREL CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-01-04 00:00:00	810018262	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-01-26 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	97CC11	None	None	None	SFY2022-23
910000041	IMPERIAL CREST HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-12 00:00:00	810018283	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-02-03 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	CC2P11	None	None	None	SFY2022-23
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-12 00:00:00	810018284	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-02-03 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	P3RU11	None	None	None	SFY2022-23
120000328	THE REHABILITATION CENTER OF BAKERSFIELD	LTC	SNF	Skilled Nursing Facility	Bakersfield	2020-09-20 00:00:00	810018292	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	C0KY11	None	None	None	SFY2020-21
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-20 00:00:00	810018293	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	NKBF11	None	None	None	SFY2022-23
940000043	EDGEWATER SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-20 00:00:00	810018294	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	8B8C11	None	None	None	SFY2022-23
010000004	CRESCENT CITY SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-01-10 00:00:00	810018296	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	2IY411	None	None	None	SFY2022-23
060000125	THE GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2023-01-20 00:00:00	810018304	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-02-10 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	FI6K11	None	None	None	SFY2022-23
040000004	FRESNO POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2023-01-19 00:00:00	810018307	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-02-09 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	K3WC11	None	None	None	SFY2022-23
030001817	COTTONWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-01-24 00:00:00	810018309	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-13 00:00:00	No	2023-02-14 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	L0TH11	None	None	None	SFY2022-23
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2023-01-24 00:00:00	810018315	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-02-14 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	ZFPL11	None	None	None	SFY2022-23
040000052	ROLLING HILLS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-01-24 00:00:00	810018317	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2023-02-14 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	LRVY11	None	None	None	SFY2022-23
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-25 00:00:00	810018319	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-02-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	4JQA11	None	None	None	SFY2022-23
040000069	ORCHARD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2023-01-26 00:00:00	810018324	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-02-16 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	HBZ711	None	None	None	SFY2022-23
950000012	ARBOR GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-26 00:00:00	810018325	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-02-16 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	SYJ511	None	None	None	SFY2022-23
100000089	CEDARWOOD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-12-20 00:00:00	810018328	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	URXM11	None	None	None	SFY2022-23
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-28 00:00:00	810018329	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	IGOC11	None	None	None	SFY2022-23
060000042	LAGUNA HILLS HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-12-20 00:00:00	810018330	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	XNWJ11	None	None	None	SFY2022-23
940000074	CALIFORNIA POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-28 00:00:00	810018331	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	TWLV11	None	None	None	SFY2022-23
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-20 00:00:00	810018332	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	0KQ111	None	None	None	SFY2022-23
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2023-01-11 00:00:00	810018333	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	588611	None	None	None	SFY2022-23
950000049	WEST COVINA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-11 00:00:00	810018334	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	IR0G11	None	None	None	SFY2022-23
040000037	SIERRA VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2023-01-12 00:00:00	810018335	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	UTT811	None	None	None	SFY2022-23
040000043	FRESNO NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-01-12 00:00:00	810018336	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	TXID11	None	None	None	SFY2022-23
040000019	MORNING STAR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2023-01-18 00:00:00	810018337	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	TYLH11	None	None	None	SFY2022-23
970000068	GEM TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-01-18 00:00:00	810018338	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	SA9I11	None	None	None	SFY2019-20
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-01-31 00:00:00	810018348	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-02-22 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	FWIN11	None	None	None	SFY2022-23
240000090	ONTARIO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-02-07 00:00:00	810018350	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-01 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	RYL211	None	None	None	SFY2022-23
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-07 00:00:00	810018354	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-01 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	STS111	None	None	None	SFY2022-23
240000032	BROOKSIDE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-02-02 00:00:00	810018362	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-02-24 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	LMX511	None	None	None	SFY2022-23
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-02 00:00:00	810018363	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-02-24 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	71EB11	None	None	None	SFY2022-23
920000020	GLENDALE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-07 00:00:00	810018368	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-03-01 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	9SYP11	None	None	None	SFY2022-23
100000826	CREEKSIDE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2023-01-05 00:00:00	810018379	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	SB5F11	None	None	None	SFY2022-23
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-01-05 00:00:00	810018380	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	LKP611	None	None	None	SFY2022-23
040000225	ANBERRY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-02-14 00:00:00	810018381	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	Yes	2023-03-08 00:00:00	2023-03-08 00:00:00	AP NHPPD	None	25000	25000	0	0	25000	None	IIK911	None	None	None	SFY2022-23
080000222	OCEAN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2023-02-14 00:00:00	810018382	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-03-08 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	QC6U11	None	None	None	SFY2022-23
020000274	THE REHABILITATION CENTER OF OAKLAND	LTC	SNF	Skilled Nursing Facility	East Bay	2023-02-15 00:00:00	810018388	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-09 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	RII111	None	None	None	SFY2022-23
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-02-15 00:00:00	810018389	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-09 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	L95T11	None	None	None	SFY2022-23
940000062	ALAMITOS BELMONT HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-16 00:00:00	810018393	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-10 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	4UF011	None	None	None	SFY2022-23
250000673	RIVERSIDE VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-02-16 00:00:00	810018394	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-03-10 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	O2Z611	None	None	None	SFY2022-23
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-02-22 00:00:00	810018395	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-03-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	S4ZS11	None	None	None	SFY2022-23
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2023-02-28 00:00:00	810018401	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-21 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	N2P911	None	None	None	SFY2022-23
630012057	GRAND OAKS CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-02-28 00:00:00	810018415	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-21 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	Z52G11	None	None	None	SFY2022-23
230000044	WILLOWS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2023-03-01 00:00:00	810018430	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-03-22 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	C1OG11	None	None	None	SFY2022-23
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-01 00:00:00	810018431	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2023-03-22 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	WJGY11	None	None	None	SFY2022-23
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2023-03-01 00:00:00	810018432	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-03-22 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	N2NW11	None	None	None	SFY2022-23
100000324	NORTH PARK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Stockton	2023-01-17 00:00:00	810018434	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	QVX411	None	None	None	SFY2022-23
020000114	LAKE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-01-26 00:00:00	810018445	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	XDQX11	None	None	None	SFY2022-23
090000086	GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	San Diego	2023-03-08 00:00:00	810018455	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-03-29 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	TGMN11	None	None	None	SFY2022-23
970000035	EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-09 00:00:00	810018462	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-03-30 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	DLET11	None	None	None	SFY2022-23
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-03-09 00:00:00	810018463	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-03-30 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	5ZGH11	None	None	None	SFY2022-23
910000276	KEI-AI SOUTH BAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-14 00:00:00	810018468	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-04-05 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	0NTC11	None	None	None	SFY2022-23
100000001	ASBURY PARK NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-14 00:00:00	810018469	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-04-05 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	FWMV11	None	None	None	SFY2022-23
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2023-03-14 00:00:00	810018470	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2023-04-05 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	ILGR11	None	None	None	SFY2022-23
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2023-03-14 00:00:00	810018471	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-04-05 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	H55G11	None	None	None	SFY2022-23
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-01-24 00:00:00	810018472	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	QQ8811	None	None	None	SFY2022-23
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2023-01-20 00:00:00	810018473	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	3MSO11	None	None	None	SFY2022-23
110000077	GREENFIELD CARE CENTER OF FAIRFIELD	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-02-07 00:00:00	810018474	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	Y19J11	None	None	None	SFY2022-23
230000255	ARBOR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2023-02-07 00:00:00	810018475	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	YIVL11	None	None	None	SFY2022-23
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-20 00:00:00	810018476	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	DX2811	None	None	None	SFY2022-23
630016910	THE ELLISON JOHN TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-15 00:00:00	810018482	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-04-06 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	PRZQ11	None	None	None	SFY2022-23
250000036	VALENCIA GARDENS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-03-15 00:00:00	810018483	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-04-06 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	RB0R11	None	None	None	SFY2022-23
040000059	NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Fresno	2023-03-22 00:00:00	810018513	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-04-13 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	WWVX11	None	None	None	SFY2022-23
240000023	YUCAIPA HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-03-22 00:00:00	810018514	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-04-13 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	DFVX11	None	None	None	SFY2022-23
090000104	VICTORIA POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2023-03-15 00:00:00	810018516	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-04-06 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	FK2O11	None	None	None	SFY2022-23
100000049	WINDSOR ELMHAVEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2023-03-30 00:00:00	810018522	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-04-21 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	4MG011	None	None	None	SFY2022-23
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-28 00:00:00	810018533	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-04-19 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	V2MZ11	None	None	None	SFY2022-23
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-03-28 00:00:00	810018534	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-04-19 00:00:00	None	AP NHPPD	None	25000	25000	-25000	0	0	None	5RNZ11	None	None	None	SFY2022-23
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-13 00:00:00	810018541	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	WX6111	None	None	None	SFY2022-23
910000065	CENTURY VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-29 00:00:00	810018547	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-04-20 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	VZ4Q11	None	None	None	SFY2022-23
080001536	THE HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2023-01-31 00:00:00	810018576	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	6MT411	None	None	None	SFY2022-23
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-04-06 00:00:00	810018585	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-04-27 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	9T8311	None	None	None	SFY2022-23
250000284	HIGHLAND SPRINGS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-04-06 00:00:00	810018586	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-04-27 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	S3I711	None	None	None	SFY2022-23
910000055	LOMITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-06 00:00:00	810018588	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-04-27 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	D8HS11	None	None	None	SFY2022-23
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-13 00:00:00	810018604	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-05-04 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	PXFM11	None	None	None	SFY2022-23
920000078	IMPERIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-13 00:00:00	810018611	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-05-04 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	ZIUK11	None	None	None	SFY2022-23
240000020	HIGHLAND CARE CENTER OF REDLANDS	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-04-10 00:00:00	810018619	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	WG9P11	None	None	None	SFY2022-23
230000366	QUARTZ HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2023-04-26 00:00:00	810018644	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-05-17 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	OLRV11	None	None	None	SFY2022-23
070000040	GILROY HEALTHCARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-04-26 00:00:00	810018655	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-05-17 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	5RNZ11	None	None	None	SFY2022-23
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-09 00:00:00	810018681	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-05-31 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	LNFZ11	None	None	None	SFY2022-23
110000084	VACAVILLE RANCH POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-05-25 00:00:00	810018766	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-06-16 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	FOYJ11	None	None	None	SFY2022-23
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2023-05-30 00:00:00	810018783	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-06-20 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	IWBE11	None	None	None	SFY2022-23
950000092	WOODS HEALTH SERVICES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-30 00:00:00	810018784	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-06-20 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	XJX811	None	None	None	SFY2022-23
060000037	CAPISTRANO BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2023-06-01 00:00:00	810018799	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-06-22 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	4IGW11	None	None	None	SFY2022-23
090000067	IMPERIAL MANOR	LTC	SNF	Skilled Nursing Facility	San Diego	2023-06-06 00:00:00	810018809	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2023-06-27 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	Q03V11	None	None	None	SFY2022-23
020000043	ALAMEDA HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-06-06 00:00:00	810018810	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-06-27 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	3M1T11	None	None	None	SFY2022-23
230000370	THE FOUNTAINS	LTC	SNF	Skilled Nursing Facility	Chico	2023-06-09 00:00:00	810018812	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	JV2X11	None	None	None	SFY2022-23
020000010	ASHBY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-06-09 00:00:00	810018823	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-06-30 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	PEZ311	None	None	None	SFY2022-23
120000355	VALLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-06-13 00:00:00	810018829	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-07-05 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	2HP211	None	None	None	SFY2022-23
940000116	WHITTIER PACIFIC CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-13 00:00:00	810018830	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-07-05 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	60OU11	None	None	None	SFY2022-23
970000180	MONTE VISTA GROVE HOMES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-08 00:00:00	810018840	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	PDXE11	None	None	None	SFY2022-23
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-20 00:00:00	810018848	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-07-12 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	X6WX11	None	None	None	SFY2022-23
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-20 00:00:00	810018849	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-07-12 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	J5C011	None	None	None	SFY2022-23
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-22 00:00:00	810018851	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-07-14 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	YKMD11	None	None	None	SFY2022-23
090000074	COTTONWOOD CANYON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-06-23 00:00:00	810018855	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-07-17 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	MXGE11	None	None	None	SFY2022-23
020000115	OAKLAND HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-06-23 00:00:00	810018856	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-07-17 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	1FZF11	None	None	None	SFY2022-23
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-06-22 00:00:00	810018862	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-07-14 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	MZY811	None	None	None	SFY2022-23
220000060	THE AVENUES TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2023-06-22 00:00:00	810018863	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2023-07-14 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	FS8X11	None	None	None	SFY2022-23
020000277	BROOKDALE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	East Bay	2023-07-17 00:00:00	810018883	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-08-07 00:00:00	None	AP NHPPD	None	0	0	0	0	0	None	GJWC11	None	None	None	SFY2023-24
950000058	GREEN ACRES HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-21 00:00:00	810018884	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-08-11 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	SJ9F11	None	None	None	SFY2023-24
030000096	SAN LUIS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-07-21 00:00:00	810018885	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-08-11 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	NEEK11	None	None	None	SFY2023-24
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-07-06 00:00:00	810018910	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-07-27 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	BRWD11	None	None	None	SFY2023-24
060000052	ORANGE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	Orange	2023-05-30 00:00:00	810018934	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	YEG611	None	None	None	SFY2022-23
050000058	OXNARD MANOR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2023-07-18 00:00:00	810018936	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-08-08 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	H6DQ11	None	None	None	SFY2023-24
240000106	ARROWHEAD HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-05-30 00:00:00	810018946	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-06-28 00:00:00	None	AP NHPPD	None	0	0	0	0	0	None	XK9E11	None	None	None	SFY2022-23
020001250	BELLAKEN SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-07-17 00:00:00	810018957	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	HNM911	None	None	None	SFY2023-24
940000034	COLONIAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-25 00:00:00	810018961	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	Yes	2023-08-15 00:00:00	2023-08-17 00:00:00	AP NHPPD	None	50000	50000	0	0	50000	None	K96P11	None	None	None	SFY2023-24
910000032	CULVER WEST HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-25 00:00:00	810018962	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-08-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	B3OY11	None	None	None	SFY2023-24
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-07-25 00:00:00	810018963	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-08-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	QC9111	None	None	None	SFY2023-24
950000007	RAMONA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-25 00:00:00	810018964	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-01 00:00:00	2021-01-31 00:00:00	No	2023-08-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	S4O011	None	None	None	SFY2023-24
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-18 00:00:00	810018965	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	Y9YR11	None	None	None	SFY2023-24
970000066	THE CALIFORNIAN PASADENA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-18 00:00:00	810018966	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	TCXQ11	None	None	None	SFY2023-24
230000025	CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Chico	2023-08-01 00:00:00	810018991	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-08-22 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	NTSD11	None	None	None	SFY2023-24
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-25 00:00:00	810018994	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	ZU5Q11	None	None	None	SFY2023-24
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-25 00:00:00	810018997	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	6XWW11	None	None	None	SFY2023-24
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2023-08-02 00:00:00	810019001	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-08-23 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	DXW711	None	None	None	SFY2023-24
020000275	WASHINGTON CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-08-02 00:00:00	810019002	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-08-23 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	2BU311	None	None	None	SFY2023-24
020000880	OAKLAND HEIGHTS NURSING AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	East Bay	2023-06-22 00:00:00	810019010	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	167R11	None	None	None	SFY2022-23
050000074	VILLA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2023-08-03 00:00:00	810019025	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	5G8B11	None	None	None	SFY2023-24
090000102	AMAYA SPRINGS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-08-15 00:00:00	810019026	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-06 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	0FJL11	None	None	None	SFY2023-24
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2023-08-15 00:00:00	810019027	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-09-06 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	B76Y11	None	None	None	SFY2023-24
120001421	GATEWAY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-08-15 00:00:00	810019028	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-06 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	L6HR11	None	None	None	SFY2023-24
100000025	ARDEN PARK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-08-28 00:00:00	810019033	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-09-19 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	WJTT11	None	None	None	SFY2023-24
220000053	DEVONSHIRE OAKS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2023-08-15 00:00:00	810019034	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-06 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	TN1311	None	None	None	SFY2023-24
920000021	BROADWAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-15 00:00:00	810019037	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-06 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	P6WF11	None	None	None	SFY2023-24
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-15 00:00:00	810019038	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-06 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	WKDX11	None	None	None	SFY2023-24
250000077	WOODCREST POST ACUTE & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Riverside	2023-08-23 00:00:00	810019039	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-14 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	XIQU11	None	None	None	SFY2023-24
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2023-08-23 00:00:00	810019041	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-14 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	1J9S11	None	None	None	SFY2023-24
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-22 00:00:00	810019060	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-09-13 00:00:00	None	AP NHPPD	None	50000	50000	0	20000	30000	None	XFS011	None	None	None	SFY2023-24
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-08-15 00:00:00	810019061	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	58ML11	None	None	None	SFY2023-24
030000019	NORTH POINTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-08-15 00:00:00	810019062	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	58ML11	None	None	None	SFY2023-24
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-08-24 00:00:00	810019067	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-15 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	VNRT11	None	None	None	SFY2023-24
040000026	COUNTRYSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-08-24 00:00:00	810019068	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	16I111	None	None	None	SFY2023-24
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-08-24 00:00:00	810019070	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-09-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	P9YW11	None	None	None	SFY2023-24
020000276	CANYON CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2023-08-28 00:00:00	810019081	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-19 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	9VEM11	None	None	None	SFY2023-24
090000034	PARKSIDE HEALTH AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-08-28 00:00:00	810019082	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-19 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	IEMJ11	None	None	None	SFY2023-24
230000036	RIVERSIDE POINT HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Chico	2023-08-28 00:00:00	810019083	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-19 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	VUM311	None	None	None	SFY2023-24
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-29 00:00:00	810019084	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-09-20 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	8WCB11	None	None	None	SFY2023-24
230000283	ALMOND VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2023-08-29 00:00:00	810019086	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-20 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	FRE811	None	None	None	SFY2023-24
910000017	BEACHWOOD POST-ACUTE & REHAB	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-05 00:00:00	810019107	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-26 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	B5QV11	None	None	None	SFY2023-24
060000876	VILLA VALENCIA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2023-09-05 00:00:00	810019108	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-26 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	B8Y611	None	None	None	SFY2023-24
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-07 00:00:00	810019113	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	E0OX11	None	None	None	SFY2023-24
230000276	GOLDEN EMPIRE	LTC	SNF	Skilled Nursing Facility	Chico	2023-09-07 00:00:00	810019114	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	VOBU11	None	None	None	SFY2023-24
140000396	SHIELDS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-09-07 00:00:00	810019115	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-28 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	RLCL11	None	None	None	SFY2023-24
910000057	LOS PALOS POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-12 00:00:00	810019128	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-10-03 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	XX8T11	None	None	None	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-13 00:00:00	810019131	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-10-04 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	GOFG11	None	None	None	SFY2023-24
240000031	CREEKSIDE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-09-13 00:00:00	810019132	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-10-04 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	RUI511	None	None	None	SFY2023-24
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-20 00:00:00	810019158	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	Yes	2023-10-11 00:00:00	2023-10-13 00:00:00	AP NHPPD	None	50000	50000	0	0	50000	None	4X0D11	None	None	None	SFY2023-24
020000076	ST. FRANCIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-09-26 00:00:00	810019174	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-30 00:00:00	No	2023-10-17 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	OU0911	None	None	None	SFY2023-24
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-26 00:00:00	810019175	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-30 00:00:00	No	2023-10-17 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	LPW711	None	None	None	SFY2023-24
230000277	WOLF CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2023-09-28 00:00:00	810019188	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-10-19 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	8HVI11	None	None	None	SFY2023-24
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-10-03 00:00:00	810019197	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-10-24 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	JOF611	None	None	None	SFY2023-24
090000004	HILLCREST HEIGHTS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-10-03 00:00:00	810019201	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-10-24 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	ROD511	None	None	None	SFY2023-24
950000062	HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-31 00:00:00	810019221	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	G8LZ11	None	None	None	SFY2023-24
140000092	ORINDA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2023-05-25 00:00:00	810019223	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	UE0R11	None	None	None	SFY2022-23
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-13 00:00:00	810019263	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	1YEM11	None	None	None	SFY2023-24
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-10-31 00:00:00	810019292	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-11-22 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	Z9QL11	None	None	None	SFY2023-24
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-02 00:00:00	810019300	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-11-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	HXDV11	None	None	None	SFY2023-24
910000023	WINDSOR CARE CENTER OF CHEVIOT HILLS	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-02 00:00:00	810019301	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-11-28 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	MDVG11	None	None	None	SFY2023-24
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2023-11-22 00:00:00	810019369	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-30 00:00:00	2020-12-31 00:00:00	No	2023-12-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	FFWY11	None	None	None	SFY2023-24
230000039	LASSEN NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2023-11-22 00:00:00	810019373	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2023-12-15 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	BW4311	None	None	None	SFY2023-24
030000012	GOLDEN SAN ANDREAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2023-12-04 00:00:00	810019390	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-12-26 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	4VVO11	None	None	None	SFY2023-24
240000038	CITRUS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-11-27 00:00:00	810019404	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	E74B11	None	None	None	SFY2023-24
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-06 00:00:00	810019407	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-12-28 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	6F6811	None	None	None	SFY2023-24
030001825	LODI NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-12-06 00:00:00	810019408	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-12-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	FL1M11	None	None	None	SFY2023-24
060000765	NEW ORANGE HILLS	LTC	SNF	Skilled Nursing Facility	Orange	2023-12-12 00:00:00	810019415	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-03 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	J19J11	None	None	None	SFY2023-24
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-12-06 00:00:00	810019416	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-12-28 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	KDN911	None	None	None	SFY2023-24
940000005	BROADWAY BY THE SEA	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-12 00:00:00	810019417	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-03 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	X42B11	None	None	None	SFY2023-24
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-06 00:00:00	810019418	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-12-28 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	4BWV11	None	None	None	SFY2023-24
250000057	WINDSOR CYPRESS GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2023-12-06 00:00:00	810019446	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	58K911	None	None	None	SFY2023-24
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-12 00:00:00	810019461	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	V3CO11	None	None	None	SFY2023-24
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2023-12-20 00:00:00	810019463	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	CF9I11	None	None	None	SFY2023-24
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-12-20 00:00:00	810019464	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-11 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	CIR011	None	None	None	SFY2023-24
970000105	ARARAT POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-13 00:00:00	810019468	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	MYTO11	None	None	None	SFY2023-24
240000365	KNOLLS WEST POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-12-20 00:00:00	810019469	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-11 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	D5RV11	None	None	None	SFY2023-24
040000025	FOWLER CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-12-13 00:00:00	810019473	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	SS5D11	None	None	None	SFY2023-24
910000014	BERKLEY EAST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-20 00:00:00	810019475	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	LL5E11	None	None	None	SFY2023-24
910000013	BERKLEY WEST HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-20 00:00:00	810019476	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	0QP111	None	None	None	SFY2023-24
050000069	VALLE VERDE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2023-12-20 00:00:00	810019477	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	NGUC11	None	None	None	SFY2023-24
030000088	RIVERBANK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2023-12-20 00:00:00	810019479	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	JBD411	None	None	None	SFY2023-24
080000087	LA JOLLA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-12-20 00:00:00	810019480	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-11-30 00:00:00	2021-02-28 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	PI2S11	None	None	None	SFY2023-24
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-20 00:00:00	810019481	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	QRF511	None	None	None	SFY2023-24
230000284	BRIDGEVIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2023-12-20 00:00:00	810019482	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	VI1811	None	None	None	SFY2023-24
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-12-27 00:00:00	810019516	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-17 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	2TKX11	None	None	None	SFY2023-24
910000064	PACIFIC POST - ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-27 00:00:00	810019517	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-17 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	7O2H11	None	None	None	SFY2023-24
080000053	FALLBROOK SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Diego	2023-12-27 00:00:00	810019518	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-09-01 00:00:00	2020-12-31 00:00:00	No	2024-01-19 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	P11E11	None	None	None	SFY2023-24
220000081	SAN BRUNO SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Francisco	2023-12-27 00:00:00	810019519	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-01-17 00:00:00	None	AP NHPPD	None	25000	25000	-25000	0	0	None	C5CQ11	None	None	None	SFY2023-24
250000148	OAK GLEN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-12-12 00:00:00	810019532	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	3O3G11	None	None	None	SFY2023-24
920000028	MONTROSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-04 00:00:00	810019538	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-25 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	HYAW11	None	None	None	SFY2023-24
090000039	MISSION HILLS POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2024-01-04 00:00:00	810019539	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-25 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	O9EO11	None	None	None	SFY2023-24
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2024-01-10 00:00:00	810019558	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-31 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	0DLM11	None	None	None	SFY2023-24
090000092	EL CENTRO POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2024-01-10 00:00:00	810019559	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-01-31 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	CXFU11	None	None	None	SFY2023-24
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-01-10 00:00:00	810019560	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-01-31 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	F2L811	None	None	None	SFY2023-24
050000053	SANTA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2024-01-10 00:00:00	810019561	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-01-31 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	ST8Y11	None	None	None	SFY2023-24
240000682	INDIAN CANYON POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2024-01-10 00:00:00	810019562	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-02-01 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	6LFF11	None	None	None	SFY2023-24
910000004	OSAGE HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-10 00:00:00	810019564	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2024-02-01 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	I9Q111	None	None	None	SFY2023-24
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-11 00:00:00	810019567	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-02-01 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	W16511	None	None	None	SFY2023-24
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-11 00:00:00	810019568	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-02-01 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	188I11	None	None	None	SFY2023-24
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2024-01-11 00:00:00	810019570	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-02-01 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	PKS011	None	None	None	SFY2023-24
950000079	INLAND VALLEY CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-09 00:00:00	810019578	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	OU9Q11	None	None	None	SFY2023-24
100000003	FAIRMONT REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-01-17 00:00:00	810019583	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-02-07 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	P73411	None	None	None	SFY2023-24
080000685	CASA DE LAS CAMPANAS	LTC	SNF	Skilled Nursing Facility	San Diego	2024-01-10 00:00:00	810019584	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	SZS411	None	None	None	SFY2023-24
250000041	THE BRADLEY GARDENS	LTC	SNF	Skilled Nursing Facility	Riverside	2024-01-18 00:00:00	810019589	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	Yes	2024-02-08 00:00:00	2024-02-12 00:00:00	AP NHPPD	None	50000	50000	0	50000	0	None	0VDO11	None	None	None	SFY2023-24
040000047	HEALTHCARE CENTRE OF FRESNO	LTC	SNF	Skilled Nursing Facility	Fresno	2024-01-24 00:00:00	810019610	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-02-14 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	XBKU11	None	None	None	SFY2023-24
100000021	CASA COLOMA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-01-30 00:00:00	810019624	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-02-20 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	NOH811	None	None	None	SFY2023-24
030000852	BRANDEL MANOR	LTC	SNF	Skilled Nursing Facility	Fresno	2024-01-31 00:00:00	810019627	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-02-21 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	ZW1W11	None	None	None	SFY2023-24
220000056	HAYES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2024-02-06 00:00:00	810019665	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-02-27 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	SBWW11	None	None	None	SFY2023-24
970000009	VIEW PARK CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-06 00:00:00	810019666	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-02-27 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	WNNQ11	None	None	None	SFY2023-24
010001007	THE REDWOODS, A COMMUNITY OF SENIORS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-02-08 00:00:00	810019671	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-02-29 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	CYW511	None	None	None	SFY2023-24
240000094	LAS COLINAS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2024-02-20 00:00:00	810019727	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-03-12 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	IX6411	None	None	None	SFY2023-24
030000071	FAIR OAKS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-02-20 00:00:00	810019728	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-03-12 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	4PF611	None	None	None	SFY2023-24
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-20 00:00:00	810019729	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-03-12 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	OMIK11	None	None	None	SFY2023-24
220001063	WEBSTER HOUSE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-01-30 00:00:00	810019733	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	4ROQ11	None	None	None	SFY2023-24
110000053	PINER'S NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-01-10 00:00:00	810019735	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	2MQM11	None	None	None	SFY2023-24
070000093	WATSONVILLE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-02-27 00:00:00	810019760	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-03-19 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	5VMY11	None	None	None	SFY2023-24
220001000	LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-02-28 00:00:00	810019762	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-03-20 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	J9H711	None	None	None	SFY2023-24
240000873	RECHE CANYON REGIONAL REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2024-02-28 00:00:00	810019763	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-03-20 00:00:00	None	AP NHPPD	None	25000	25000	0	3125	21875	None	BS1K11	None	None	None	SFY2023-24
040000049	COVENANT POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2024-03-06 00:00:00	810019782	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-03-27 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	3P5S11	None	None	None	SFY2023-24
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2024-06-13 00:00:00	810019783	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	Yes	2024-07-05 00:00:00	2024-04-17 00:00:00	AP NHPPD	None	25000	25000	0	25000	0	None	QQBK11	None	None	None	SFY2023-24
110000031	EMMANUEL CARE CENTER - TRAVIS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-03-19 00:00:00	810019800	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-04-09 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	Y6XH11	None	None	None	SFY2023-24
110001248	ROCKY POINT CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-03-01 00:00:00	810019811	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	37U711	None	None	None	SFY2023-24
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-13 00:00:00	810019826	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-04-03 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	0QPT11	None	None	None	SFY2023-24
950000056	DEL MAR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-13 00:00:00	810019827	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-04-04 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	YSHB11	None	None	None	SFY2023-24
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-03-14 00:00:00	810019834	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-04-04 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	WQHQ11	None	None	None	SFY2023-24
040001364	HANFORD POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2024-03-14 00:00:00	810019838	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-04-04 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	Y7T911	None	None	None	SFY2023-24
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-03-19 00:00:00	810019856	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-04-09 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	DR5Z11	None	None	None	SFY2023-24
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-03-21 00:00:00	810019863	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-04-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	WIC211	None	None	None	SFY2023-24
100000092	RANCHO SECO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-03-22 00:00:00	810019870	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-04-15 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	Y2DD11	None	None	None	SFY2023-24
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-03-26 00:00:00	810019881	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-04-16 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	SMH111	None	None	None	SFY2023-24
010000940	NOVATO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-03-28 00:00:00	810019890	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-04-19 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	LPRG11	None	None	None	SFY2023-24
220001009	CUPERTINO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-10 00:00:00	810019945	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-01 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	FKDI11	None	None	None	SFY2023-24
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-11 00:00:00	810019953	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	Yes	2024-05-02 00:00:00	2024-05-06 00:00:00	AP NHPPD	None	25000	25000	0	0	25000	None	7AZM11	None	None	None	SFY2023-24
140000082	WINDSOR ROSEWOOD CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2024-04-11 00:00:00	810019954	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-02 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	QY7811	None	None	None	SFY2023-24
010000075	FORTUNA REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-04-11 00:00:00	810019957	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-02 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	XV5P11	None	None	None	SFY2023-24
040000067	VINEYARD CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2024-04-17 00:00:00	810019982	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-08 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	846Q11	None	None	None	SFY2023-24
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-17 00:00:00	810019983	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-08 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	595K11	None	None	None	SFY2023-24
940000053	GRAND AVENUE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-17 00:00:00	810019985	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-05-08 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	6DZY11	None	None	None	SFY2023-24
100000041	LINCOLN SQUARE POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	Stockton	2024-04-18 00:00:00	810019990	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-09 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	HIC111	None	None	None	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-30 00:00:00	810020010	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-05-21 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	QFGZ11	None	None	None	SFY2023-24
970000015	FOUNTAIN VIEW SUBACUTE AND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-24 00:00:00	810020015	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	8H9Z11	None	None	None	SFY2023-24
240000252	JOSHUA TREE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2024-05-06 00:00:00	810020077	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-05-28 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	15RC11	None	None	None	SFY2023-24
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-05-07 00:00:00	810020081	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-29 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	705611	None	None	None	SFY2023-24
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2024-05-08 00:00:00	810020085	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-30 00:00:00	None	AP NHPPD	None	50000	50000	-50000	0	0	None	HOU811	None	None	None	SFY2023-24
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-05-08 00:00:00	810020086	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-30 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	1ZUI11	None	None	None	SFY2023-24
030000076	RIVER POINTE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-05-08 00:00:00	810020088	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-05-30 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	1JEM11	None	None	None	SFY2023-24
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-05-08 00:00:00	810020089	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-30 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	M4QC11	None	None	None	SFY2023-24
110000013	WINDSOR VALLEJO NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-05-14 00:00:00	810020125	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-06-05 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	UBV211	None	None	None	SFY2023-24
070000094	WATSONVILLE POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-14 00:00:00	810020126	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-06-05 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	CJE811	None	None	None	SFY2023-24
100000026	VALLEY SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2024-06-10 00:00:00	810020140	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-01 00:00:00	2021-02-28 00:00:00	No	2024-07-01 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	9RO711	None	None	None	SFY2023-24
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2024-05-15 00:00:00	810020156	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-06-06 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	BZJH11	None	None	None	SFY2023-24
030000820	CITRUS HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-05-17 00:00:00	810020160	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-06-10 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	IVY111	None	None	None	SFY2023-24
140000078	TAMPICO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2024-05-17 00:00:00	810020161	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-06-10 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	49UI11	None	None	None	SFY2023-24
220000069	LINDA MAR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2024-05-17 00:00:00	810020163	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-06-10 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	65OC11	None	None	None	SFY2023-24
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-05-21 00:00:00	810020179	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-06-12 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	NPQN11	None	None	None	SFY2023-24
090000065	BALBOA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-05-22 00:00:00	810020186	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-06-13 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	090F11	None	None	None	SFY2023-24
060000022	ALAMITOS WEST HEALTH & REHABILITATION	LTC	SNF	Skilled Nursing Facility	Orange	2024-05-22 00:00:00	810020191	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-06-13 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	336H11	None	None	None	SFY2023-24
100000032	BROOKSIDE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-06-05 00:00:00	810020204	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-06-26 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	6FQG11	None	None	None	SFY2023-24
010000003	CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-06-13 00:00:00	810020260	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-07-05 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	ZEXG11	None	None	None	SFY2023-24
100000038	ALMOND VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2024-06-13 00:00:00	810020261	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-07-05 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	D54R11	None	None	None	SFY2023-24
030000063	GOLD COUNTRY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-06-06 00:00:00	810020275	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-06-27 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	YSF211	None	None	None	SFY2023-24
080000099	VISTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2024-06-06 00:00:00	810020277	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-06-27 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	ECKN11	None	None	None	SFY2023-24
050000047	VALLEY OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2024-06-12 00:00:00	810020292	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2021-07-01 00:00:00	2021-09-30 00:00:00	No	2024-07-03 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	5M4511	None	None	None	SFY2023-24
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-12 00:00:00	810020295	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2021-07-01 00:00:00	2021-09-30 00:00:00	No	2024-07-03 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	1DF811	None	None	None	SFY2023-24
110000046	NAPA VALLEY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-06-12 00:00:00	810020298	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2021-07-01 00:00:00	2021-09-30 00:00:00	No	2024-07-03 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	NS3O11	None	None	None	SFY2023-24
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-12 00:00:00	810020299	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2021-07-01 00:00:00	2021-09-30 00:00:00	No	2024-07-03 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	PILV11	None	None	None	SFY2023-24
040000015	BETHEL LUTHERAN HOME, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2024-06-11 00:00:00	810020319	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2021-07-01 00:00:00	2021-09-30 00:00:00	No	2024-07-02 00:00:00	None	AP NHPPD	None	0	0	0	0	0	None	JD3U11	None	None	None	SFY2023-24
240001854	BISHOP CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2024-06-18 00:00:00	810020333	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-07-10 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	MI4E11	None	None	None	SFY2023-24
950000014	COVINA REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-22 00:00:00	810020339	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-06-13 00:00:00	None	AP NHPPD	None	0	0	0	0	0	None	QLBG11	None	None	None	SFY2023-24
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-26 00:00:00	810020347	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-07-18 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	XVHM11	None	None	None	SFY2023-24
090000054	FREDERICKA MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-06-27 00:00:00	810020355	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-07-19 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	3P3K11	None	None	None	SFY2023-24
240000029	UNIVERSITY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2024-06-27 00:00:00	810020361	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-07-19 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	3KJ011	None	None	None	SFY2023-24
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-05-22 00:00:00	810020393	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-06-13 00:00:00	None	AP NHPPD	None	0	0	0	0	0	None	V1SK11	None	None	None	SFY2023-24
910000314	CRENSHAW NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-08-31 00:00:00	910009468	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2012-01-10 00:00:00	2012-03-26 00:00:00	No	2012-09-15 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	5UV511	None	None	None	SFY2012-13
910000086	TORRANCE CARE CENTER EAST	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-08-31 00:00:00	910009469	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2012-03-19 00:00:00	2012-06-03 00:00:00	Yes	2012-09-15 00:00:00	None	AP NHPPD	UPHELD	30000	30000	0	30000	0	None	1OOX11	None	None	None	SFY2012-13
910000091	TORRANCE CARE CENTER WEST, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-09-12 00:00:00	910009488	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-03-19 00:00:00	2012-06-03 00:00:00	Yes	2012-09-27 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	0DF911	None	CA00247532	C	SFY2012-13
970000125	BONNIE BRAE SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-09-12 00:00:00	910009493	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-11-30 00:00:00	2012-02-14 00:00:00	No	2012-09-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Q6EO11	None	None	None	SFY2012-13
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-11-29 00:00:00	910009520	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	No	2012-12-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ESF711	None	None	None	SFY2012-13
910000075	OCEAN PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-12 00:00:00	910009533	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2010-12-21 00:00:00	2011-03-19 00:00:00	No	2012-02-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CBVW11	None	None	None	SFY2011-12
910000076	SUNSET PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-21 00:00:00	910009570	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2010-12-14 00:00:00	2011-03-12 00:00:00	No	2012-03-07 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	HGFF11	None	None	None	SFY2011-12
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-12-31 00:00:00	910009688	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	No	2013-01-15 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QOQ511	None	None	None	SFY2012-13
970000139	ALTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-05-09 00:00:00	910009872	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2012-03-28 00:00:00	2012-06-12 00:00:00	No	2013-05-24 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	H93J11	None	None	None	SFY2012-13
910000050	INGLEWOOD HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-05-16 00:00:00	910009881	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-09-19 00:00:00	2011-12-16 00:00:00	No	2013-05-31 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Y28111	None	None	None	SFY2012-13
910000053	LAS FLORES CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-01-02 00:00:00	910010305	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	Yes	2014-01-17 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	RRRD11	None	None	None	SFY2013-14
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-12-30 00:00:00	910010327	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-03-04 00:00:00	2013-05-09 00:00:00	No	2014-01-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	68MX11	None	None	None	SFY2013-14
970000125	BONNIE BRAE SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-02-12 00:00:00	910010328	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2013-03-06 00:00:00	2013-05-11 00:00:00	No	2014-02-27 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	YSI911	None	None	None	SFY2013-14
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-04-01 00:00:00	910010339	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	No	2014-04-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	LP9811	None	None	None	SFY2013-14
910000081	CAMINO HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-03-10 00:00:00	910010403	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-11-07 00:00:00	2013-01-22 00:00:00	Yes	2014-03-25 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	EWHP11	None	None	None	SFY2013-14
970000129	ALVARADO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-07-10 00:00:00	910010844	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-09-24 00:00:00	2013-12-24 00:00:00	Yes	2014-07-25 00:00:00	None	AP NHPPD	REVERSED	15000	0	0	0	0	None	9X9U11	None	None	None	SFY2014-15
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-07-28 00:00:00	910010876	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-09-24 00:00:00	2013-12-24 00:00:00	Yes	2014-08-12 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	F9JD11	None	None	None	SFY2014-15
910000046	HARBOR POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-08-04 00:00:00	910010891	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-11-26 00:00:00	2014-02-25 00:00:00	Yes	2014-08-19 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	58FQ11	None	None	None	SFY2014-15
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-05-21 00:00:00	910011476	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-11-30 00:00:00	2015-03-01 00:00:00	No	2015-06-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	J8QT11	None	None	None	SFY2014-15
910000047	HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-01-07 00:00:00	910011905	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-11-10 00:00:00	2015-02-09 00:00:00	Yes	2016-01-22 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	7GSH11	None	None	None	SFY2015-16
910000035	LOTUS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-02-16 00:00:00	910012027	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-02-16 00:00:00	2015-05-18 00:00:00	No	2016-03-02 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	D14611	None	None	None	SFY2015-16
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-03-24 00:00:00	910012124	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-03-17 00:00:00	2015-06-16 00:00:00	No	2016-04-08 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7OXP11	None	None	None	SFY2015-16
910000336	THE REHABILITATION CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-06-02 00:00:00	910013231	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	Yes	2017-06-17 00:00:00	None	AP NHPPD	REVERSED	15000	0	0	0	0	None	S9R811	None	None	None	SFY2016-17
910000007	WEST GARDENA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-06-14 00:00:00	910013267	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-01-25 00:00:00	2016-04-25 00:00:00	No	2017-06-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	FXSU11	None	None	None	SFY2016-17
910000003	ROSECRANS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-19 00:00:00	910013545	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-10-25 00:00:00	2016-01-24 00:00:00	No	2017-11-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	O2MV11	None	None	None	SFY2017-18
910000049	HYDE PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-15 00:00:00	910013665	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2017-12-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9QYQ11	None	None	None	SFY2017-18
910000016	VERMONT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-25 00:00:00	910013745	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-10-10 00:00:00	2017-01-09 00:00:00	No	2018-02-09 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	5C1M11	None	None	None	SFY2017-18
970000131	CALIFORNIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-13 00:00:00	910013757	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2018-02-28 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	5CH511	None	None	None	SFY2017-18
910000027	OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-07 00:00:00	910014118	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-11-17 00:00:00	2017-02-16 00:00:00	No	2018-06-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	GWQ711	None	None	None	SFY2017-18
970000125	BONNIE BRAE SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-13 00:00:00	910014129	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-12-02 00:00:00	2017-02-08 00:00:00	No	2018-06-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Z5R111	None	None	None	SFY2017-18
910000043	GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-10-03 00:00:00	910014438	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	No	2018-10-18 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	6VZS11	None	None	None	SFY2018-19
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-03 00:00:00	910014439	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	Yes	2018-10-18 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	J6WO11	None	None	None	SFY2018-19
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-07-03 00:00:00	910015200	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	No	2019-07-18 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	JKV411	None	None	None	SFY2019-20
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-07-10 00:00:00	910015215	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	No	2019-07-25 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	EK8Q11	None	None	None	SFY2019-20
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-07 00:00:00	910015264	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	No	2019-08-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	VYHZ11	None	None	None	SFY2019-20
940000064	INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-11-29 00:00:00	910017110	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Y88S11	None	None	None	SFY2021-22
940000043	EDGEWATER SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-09 00:00:00	910017144	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-24 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	YNE611	None	None	None	SFY2021-22
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-01-27 00:00:00	910017168	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-11 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	05LT11	None	None	None	SFY2021-22
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-22 00:00:00	910017709	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2HSW11	None	None	None	SFY2021-22
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-28 00:00:00	910017804	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-12 00:00:00	None	AP NHPPD	None	30000	30000	0	0	30000	None	D7EO11	None	None	None	SFY2022-23
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-08-03 00:00:00	910017829	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-18 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	UN5411	None	None	None	SFY2022-23
910000067	LAWNDALE HEALTHCARE & WELLNESS CENTRE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-15 00:00:00	910019714	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-03-08 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	COGG11	None	None	None	SFY2023-24
970000089	COLLEGE VISTA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-07-25 00:00:00	920009405	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-11-22 00:00:00	2012-02-06 00:00:00	Yes	2012-08-09 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	1Z6I11	None	None	None	SFY2012-13
920000031	LA CRESCENTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-03-19 00:00:00	920009769	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-09-01 00:00:00	2011-11-29 00:00:00	No	2013-04-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	8JJ811	None	None	None	SFY2012-13
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-06-20 00:00:00	920009840	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-02-09 00:00:00	2012-04-25 00:00:00	Yes	2013-07-05 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	LLUQ11	None	None	None	SFY2012-13
920000004	FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-06-20 00:00:00	920009955	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-03-19 00:00:00	2012-06-03 00:00:00	No	2013-07-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3JFP11	None	None	None	SFY2012-13
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-07-19 00:00:00	920010008	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-11-25 00:00:00	2012-02-09 00:00:00	No	2013-08-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CU1T11	None	None	None	SFY2013-14
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-07-01 00:00:00	920010376	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-12-25 00:00:00	2013-03-11 00:00:00	Yes	2014-07-16 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	PQOY11	None	None	None	SFY2014-15
920000068	HOLIDAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-06-23 00:00:00	920012338	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-09-06 00:00:00	2015-12-06 00:00:00	No	2016-07-08 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3N3A11	None	None	None	SFY2015-16
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-13 00:00:00	920013476	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2017-09-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	43LY11	None	None	None	SFY2017-18
920000018	GRIFFITH PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-04-17 00:00:00	920013980	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-08-07 00:00:00	2016-11-06 00:00:00	No	2018-05-02 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	F5FX11	None	None	None	SFY2017-18
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-08-07 00:00:00	920014304	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-05 00:00:00	2017-06-04 00:00:00	No	2018-08-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4R0211	None	None	None	SFY2018-19
920000049	BERKLEY POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-10-30 00:00:00	920014522	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-01-01 00:00:00	2017-03-31 00:00:00	No	2018-11-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Q9TW11	None	None	None	SFY2018-19
920000030	THE HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-04-18 00:00:00	920014952	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-02-26 00:00:00	2018-05-28 00:00:00	No	2019-05-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	SRZ411	None	None	None	SFY2018-19
920000068	HOLIDAY MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-06 00:00:00	920015004	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	No	2019-05-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Z6NG11	None	None	None	SFY2018-19
920000067	TARZANA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-14 00:00:00	920015046	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-17 00:00:00	2018-06-16 00:00:00	No	2019-05-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	0KNB11	None	None	None	SFY2018-19
920000003	THE GROVE POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-03-10 00:00:00	920016318	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	PRLR11	None	None	None	SFY2020-21
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-17 00:00:00	920016825	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	GIPI11	None	None	None	SFY2021-22
970000135	UNIVERSITY PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-09 00:00:00	920016883	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-24 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	SW2911	None	None	None	SFY2021-22
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-08 00:00:00	920017455	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	S53F11	None	None	None	SFY2021-22
970000123	ANGELS NURSING HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-05 00:00:00	920019441	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	8TIJ11	None	None	None	SFY2023-24
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-09-21 00:00:00	940009489	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-02-01 00:00:00	2012-04-17 00:00:00	Yes	2012-10-06 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	G9G511	None	None	None	SFY2012-13
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-09-12 00:00:00	940009491	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-12-26 00:00:00	2012-03-11 00:00:00	No	2012-09-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Y14911	None	None	None	SFY2012-13
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-01-07 00:00:00	940009686	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	No	2013-01-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	1ZKB11	None	None	None	SFY2012-13
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-04-02 00:00:00	940009797	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	No	2013-04-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	XLM411	None	None	None	SFY2012-13
970000037	FLOWER VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-07-19 00:00:00	940009801	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2011-10-04 00:00:00	2011-12-31 00:00:00	No	2013-08-03 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	733E11	None	None	None	SFY2013-14
940000115	IMPERIAL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-05-09 00:00:00	940009867	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	Yes	2013-05-24 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	0B1C11	None	None	None	SFY2012-13
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-06-13 00:00:00	940009939	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	Yes	2013-06-28 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	R9OF11	None	None	None	SFY2012-13
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-09-04 00:00:00	940010110	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	No	2013-09-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9C7411	None	None	None	SFY2013-14
970000115	HUNTINGTON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-02-28 00:00:00	940010304	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-10-23 00:00:00	2013-01-07 00:00:00	No	2014-03-15 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	5WXP11	None	None	None	SFY2013-14
940000107	LONG BEACH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-01-24 00:00:00	940010310	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	Yes	2014-02-08 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	EX8411	None	None	None	SFY2013-14
940000096	ROYAL CARE SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-01-24 00:00:00	940010315	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-02-05 00:00:00	2013-04-22 00:00:00	Yes	2014-02-08 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	TJ9E11	None	None	None	SFY2013-14
940000111	ARTESIA PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-06-03 00:00:00	940010322	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-07-02 00:00:00	2012-09-16 00:00:00	Yes	2014-06-18 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	QSMR11	None	None	None	SFY2013-14
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-01-24 00:00:00	940010329	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-01-01 00:00:00	2013-03-18 00:00:00	No	2014-02-08 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	19ZC11	None	None	None	SFY2013-14
970000070	INFINITY CARE OF EAST LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-06-11 00:00:00	940010331	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-01-30 00:00:00	2013-04-16 00:00:00	No	2014-06-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3YK211	None	None	None	SFY2013-14
940000013	BELLFLOWER POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-02-28 00:00:00	940010351	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2013-03-27 00:00:00	2013-06-11 00:00:00	No	2014-03-15 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	0J7F11	None	None	None	SFY2013-14
940000065	INTERCOMMUNITY CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-02-12 00:00:00	940010377	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	No	2014-02-27 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	7B0T11	None	None	None	SFY2013-14
940000051	AVALON VILLA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-01-07 00:00:00	940011904	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2015-01-05 00:00:00	2015-04-06 00:00:00	Yes	2016-01-22 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	30000	30000	0	30000	0	None	OW1Q11	None	None	None	SFY2015-16
940000056	LONG BEACH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-09-07 00:00:00	940013471	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-10-19 00:00:00	2016-01-18 00:00:00	No	2017-09-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7LBS11	None	None	None	SFY2017-18
940000033	COLONIAL GARDENS NURSING HOME	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-09-28 00:00:00	940013515	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-11-02 00:00:00	2016-02-01 00:00:00	No	2017-10-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9HMB11	None	None	None	SFY2017-18
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-10 00:00:00	940013524	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2015-04-01 00:00:00	2015-06-16 00:00:00	No	2017-10-25 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	T8PF11	None	None	None	SFY2017-18
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-10-20 00:00:00	940013540	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2015-03-17 00:00:00	2015-06-16 00:00:00	No	2017-11-04 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	X95D11	None	None	None	SFY2017-18
940000050	LIGHTHOUSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-07 00:00:00	940014303	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-11-24 00:00:00	2017-02-23 00:00:00	No	2018-08-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZCTL11	None	None	None	SFY2018-19
940000040	VILLA DEL RIO	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-12 00:00:00	940014387	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2018-09-27 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	P43T11	None	None	None	SFY2018-19
940000041	VILLA DEL RIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-12 00:00:00	940014388	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2018-09-27 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	368Q11	None	None	None	SFY2018-19
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-09-20 00:00:00	940014408	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-04-02 00:00:00	2017-06-30 00:00:00	No	2018-10-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ODQY11	None	None	None	SFY2018-19
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-05 00:00:00	940014537	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-12-12 00:00:00	2017-03-13 00:00:00	Yes	2018-11-20 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	YTGR11	None	None	None	SFY2018-19
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-04-11 00:00:00	940014941	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-07-01 00:00:00	2017-09-30 00:00:00	No	2019-04-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	85I211	None	None	None	SFY2018-19
940000112	CERRITOS VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-21 00:00:00	940015315	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-10-01 00:00:00	2017-12-31 00:00:00	No	2019-09-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4ZFM11	None	None	None	SFY2019-20
970000163	CAMELLIA GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-09-12 00:00:00	950009487	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-12-06 00:00:00	2012-02-20 00:00:00	No	2012-09-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	46GO11	None	None	None	SFY2012-13
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-12-05 00:00:00	950009517	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-02-01 00:00:00	2012-04-17 00:00:00	Yes	2012-12-20 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	QQN711	None	None	None	SFY2012-13
970000176	TWO PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-03-25 00:00:00	950009786	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2011-11-23 00:00:00	2012-02-07 00:00:00	No	2013-04-09 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	CUCK11	None	None	None	SFY2012-13
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-05-13 00:00:00	950009882	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-04-02 00:00:00	2012-06-16 00:00:00	Yes	2013-05-28 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	JWQJ11	None	None	None	SFY2012-13
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-05-23 00:00:00	950009888	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-01-23 00:00:00	2012-04-08 00:00:00	No	2013-06-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	D4ZM11	None	None	None	SFY2012-13
950000019	ROYAL VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-07-15 00:00:00	950009996	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-02-29 00:00:00	2012-05-22 00:00:00	Yes	2013-07-30 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	VO5X11	None	None	None	SFY2013-14
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-03-10 00:00:00	950010320	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	Yes	2014-03-25 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	MZCU11	None	None	None	SFY2013-14
950000047	COAST CARE CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-05-01 00:00:00	950010332	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-03-05 00:00:00	2013-05-20 00:00:00	Yes	2014-05-16 00:00:00	None	AP NHPPD	REVERSED	15000	0	0	0	0	None	SN0C11	None	None	None	SFY2013-14
970000167	SAINT VINCENT HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-04-08 00:00:00	950010336	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-03-18 00:00:00	2013-06-02 00:00:00	Yes	2014-04-23 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	4PMU11	None	None	None	SFY2013-14
950000100	IVY CREEK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-02-04 00:00:00	950010375	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	No	2014-02-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	0VP111	None	None	None	SFY2013-14
970000165	GOLDEN ROSE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-08-06 00:00:00	950010896	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-11-26 00:00:00	2014-02-25 00:00:00	No	2014-08-21 00:00:00	None	AP NHPPD	DEPT WITHDREW CITATI	15000	15000	-15000	0	0	None	056R11	None	None	None	SFY2014-15
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-12-17 00:00:00	950011138	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-02-16 00:00:00	2014-05-18 00:00:00	No	2015-01-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	IBFB11	None	None	None	SFY2014-15
970000171	GOLDEN CROSS HEALTH CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-01-26 00:00:00	950011236	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-02-25 00:00:00	2014-05-27 00:00:00	Yes	2015-02-10 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	CF1611	None	None	None	SFY2014-15
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-02-05 00:00:00	950011243	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-02-26 00:00:00	2014-05-28 00:00:00	No	2015-02-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	R73S11	None	None	None	SFY2014-15
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-07-14 00:00:00	950011603	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2014-11-27 00:00:00	2015-02-26 00:00:00	Yes	2015-07-29 00:00:00	None	AP NHPPD	UPHELD	30000	30000	0	30000	0	None	OEIG11	None	None	None	SFY2015-16
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-04-13 00:00:00	950012169	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-03-01 00:00:00	2015-05-31 00:00:00	No	2016-04-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CH4911	None	None	None	SFY2015-16
950000054	BEACON HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-12-22 00:00:00	950012813	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-12-21 00:00:00	2016-03-21 00:00:00	No	2017-01-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZBY511	None	None	None	SFY2016-17
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-07-13 00:00:00	950013330	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2017-07-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	R7PG11	None	None	None	SFY2017-18
950000001	GLADSTONE SUB-ACUTE AND REHAB CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-07 00:00:00	950013861	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-02-23 00:00:00	2017-05-25 00:00:00	No	2018-03-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	KPZH11	None	None	None	SFY2017-18
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-08-15 00:00:00	950014321	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-12-20 00:00:00	2017-03-21 00:00:00	No	2018-08-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4XQR11	None	None	None	SFY2018-19
950000013	THE ROWLAND	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-09-04 00:00:00	950014370	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	No	2018-09-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ILQF11	None	None	None	SFY2018-19
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-09-12 00:00:00	950014383	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-12-27 00:00:00	2017-03-28 00:00:00	No	2018-09-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	XRYM11	None	None	None	SFY2018-19
920000019	ROYAL PALMS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-05-16 00:00:00	950015049	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-07-01 00:00:00	2017-09-30 00:00:00	No	2019-05-31 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	0SEV11	None	None	None	SFY2018-19
950000031	LIVE OAK REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-20 00:00:00	950016713	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-08-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7P3R11	None	None	None	SFY2021-22
970000107	YORK HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-01 00:00:00	950016934	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	6B1B11	None	None	None	SFY2021-22
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-07 00:00:00	950016971	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-22 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	7KKX11	None	None	None	SFY2021-22
950000030	BROADWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-16 00:00:00	950016980	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	0YUI11	None	None	None	SFY2021-22
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-11 00:00:00	950017245	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	VMQP11	None	None	None	SFY2021-22
950000279	SANTA TERESITA MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-19 00:00:00	950017568	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	887M11	None	None	None	SFY2021-22
950000042	GARDENVIEW HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-02 00:00:00	950018361	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-02-24 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	6IS811	None	None	None	SFY2022-23
100000058	TRACY NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-09-20 00:00:00	990018291	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	N0F111	None	None	None	SFY2022-23
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-06-10 00:00:00	990020180	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-07-01 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	F7XS11	None	None	None	SFY2023-24
140000797	STANFORD HEALTH CARE TRI-VALLEY	Non-LTC	GACH	General Acute Care Hospital	East Bay	2007-08-22 00:00:00	020004196	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2007-08-04 00:00:00	2007-08-04 00:00:00	Yes	2007-09-13 00:00:00	2008-03-26 00:00:00	AP IJ	None	25000	25000	0	25000	0	None	21C211	N	CA00122589	A	SFY2007-08
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2007-11-06 00:00:00	020004353	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2007-08-17 00:00:00	2007-08-17 00:00:00	No	2007-11-30 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	0RIN11	Y	CA00124329	A	SFY2007-08
140000183	EDEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-01-10 00:00:00	020004575	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-07-11 16:15:00	2007-07-11 16:15:00	No	2008-02-01 00:00:00	None	FTR AE	None	700	700	0	700	0	None	JW7G11	N	CA00121190	C	SFY2007-08
140000196	JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-02-20 00:00:00	020004706	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-11-02 12:26:00	2007-11-02 12:26:00	Yes	2008-03-14 00:00:00	2008-02-28 00:00:00	FTR AE	None	2800	2800	0	2800	0	None	F3F211	N	CA00135308	C	SFY2007-08
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-02-25 00:00:00	020004711	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-31 14:30:00	2008-01-31 14:30:00	Yes	2008-04-02 00:00:00	2008-03-03 00:00:00	FTR AE	None	700	700	0	700	0	None	1YMD11	N	CA00140955	C	SFY2007-08
140000190	KAISER FOUNDATION HOSPITAL - WALNUT CREEK	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-03-04 00:00:00	020004729	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-24 00:00:00	2007-12-24 00:00:00	No	2008-03-25 00:00:00	None	FTR AE	None	600	600	0	600	0	None	V5CQ11	N	CA00136710	C	SFY2007-08
140000041	ST ROSE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-03-10 00:00:00	020004758	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-22 09:15:00	2007-12-22 09:15:00	No	2008-04-01 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	4ICR11	N	CA00138120	B	SFY2007-08
140000425	ALTA BATES SUMMIT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-03-10 00:00:00	020004764	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-12-28 23:15:00	2007-12-28 23:15:00	No	2008-04-01 00:00:00	None	FTR AE	None	3300	3300	0	3300	0	None	GMRT11	N	CA00139822	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-03-10 00:00:00	020004776	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-17 00:00:00	2007-12-17 00:00:00	No	2008-04-01 00:00:00	None	FTR AE	None	4000	4000	0	4000	0	None	HZVT11	N	CA00139549	C	SFY2007-08
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-03-13 00:00:00	020004785	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-16 12:27:00	2008-01-16 12:27:00	Yes	2008-04-07 00:00:00	2008-03-19 00:00:00	FTR AE	None	700	700	0	700	0	None	DM3Z11	N	CA00139055	C	SFY2007-08
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-03-25 00:00:00	020004813	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-30 12:00:00	2008-01-30 12:00:00	No	2008-04-16 00:00:00	None	FTR AE	None	900	900	0	900	0	None	TZIK11	N	CA00140723	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-03-27 00:00:00	020004830	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-11-20 08:00:00	2007-11-20 08:00:00	No	2008-04-18 00:00:00	None	FTR AE	None	900	900	0	900	0	None	EQFU11	N	CA00134033	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-03-27 00:00:00	020004831	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-11-27 09:00:00	2007-11-27 09:00:00	No	2008-04-18 00:00:00	None	FTR AE	None	200	200	0	200	0	None	EQFU11	N	CA00134033	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-03-28 00:00:00	020004840	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-03-03 15:00:00	2008-03-03 15:00:00	No	2008-04-21 00:00:00	None	FTR AE	None	300	300	0	300	0	None	HCNI11	N	CA00143402	C	SFY2007-08
140001086	KAISER FOUNDATION HOSPITAL - FREMONT	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-09 00:00:00	020004869	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-02-22 14:30:00	2008-02-22 14:30:00	No	2008-04-30 00:00:00	None	FTR AE	None	300	300	0	300	0	None	LZN911	N	CA00142602	C	SFY2007-08
140001086	KAISER FOUNDATION HOSPITAL - FREMONT	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-09 00:00:00	020004870	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-02-17 17:00:00	2008-02-17 17:00:00	No	2008-05-01 00:00:00	None	FTR AE	None	700	700	0	700	0	None	LZN911	N	CA00142597	C	SFY2007-08
140001086	KAISER FOUNDATION HOSPITAL - FREMONT	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-10 00:00:00	020004871	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-02-15 21:05:00	2008-02-15 21:05:00	No	2008-05-01 00:00:00	None	FTR AE	None	700	700	0	700	0	None	LZN911	N	CA00142244	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-10 00:00:00	020004873	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-11-07 14:30:00	2007-11-07 14:30:00	No	2008-05-01 00:00:00	None	FTR AE	None	3200	3200	0	3200	0	None	34PF11	N	CA00135353	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-10 00:00:00	020004874	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-24 09:00:00	2007-10-24 09:00:00	No	2008-05-01 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	34PF11	N	CA00132829	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-14 00:00:00	020004876	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-14 11:00:00	2007-10-14 11:00:00	No	2008-05-05 00:00:00	None	FTR AE	None	3200	3200	0	3200	0	None	34PF11	N	CA00132829	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-14 00:00:00	020004878	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-11-12 07:00:00	2007-11-12 07:00:00	No	2008-05-05 00:00:00	None	FTR AE	None	400	400	0	400	0	None	3E6S11	N	CA00133040	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-14 00:00:00	020004880	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-11-19 11:30:00	2007-11-19 11:30:00	No	2008-05-05 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	9C6511	N	CA00134114	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-14 00:00:00	020004881	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-11-13 16:30:00	2007-11-13 16:30:00	No	2008-05-05 00:00:00	None	FTR AE	None	300	300	0	300	0	None	9C6511	N	CA00132828	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-14 00:00:00	020004884	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-11-09 15:30:00	2007-11-09 15:30:00	No	2008-05-05 00:00:00	None	FTR AE	None	700	700	0	700	0	None	9C6511	N	CA00132827	C	SFY2007-08
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-14 00:00:00	020004903	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-03-07 09:30:00	2008-03-07 09:30:00	No	2008-05-05 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	SNPQ11	N	CA00145681	C	SFY2007-08
140001086	KAISER FOUNDATION HOSPITAL - FREMONT	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-17 00:00:00	020004929	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-01 11:00:00	2007-12-01 11:00:00	No	2008-05-09 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	3X9911	N	CA00135676	C	SFY2007-08
140001086	KAISER FOUNDATION HOSPITAL - FREMONT	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-16 00:00:00	020004930	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-11-16 17:00:00	2007-11-16 17:00:00	No	2008-05-08 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	3X9911	N	CA00135670	C	SFY2007-08
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-16 00:00:00	020004931	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-02-18 11:00:00	2008-02-18 11:00:00	No	2008-05-08 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	UVKD11	N	CA00142659	C	SFY2007-08
140000041	ST ROSE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-17 00:00:00	020004940	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-01 11:50:00	2007-10-01 11:50:00	No	2008-05-12 00:00:00	None	FTR AE	None	14600	14600	0	14600	0	None	KXDH11	N	CA00134817	D	SFY2007-08
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-06-20 00:00:00	020005148	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-04-26 04:40:00	2008-04-26 04:40:00	No	2008-07-16 00:00:00	None	FTR AE	None	800	800	0	800	0	None	NRTW11	N	CA00150159	B	SFY2007-08
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-07-01 00:00:00	020005183	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-04-02 18:23:00	2008-04-02 18:23:00	No	2008-07-23 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	124K11	N	CA00147721	B	SFY2008-09
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-07-03 00:00:00	020005188	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-06 08:15:00	2008-06-06 08:15:00	No	2008-07-25 00:00:00	None	FTR AE	None	700	700	0	700	0	None	Z1QT11	N	CA00154662	C	SFY2008-09
140000148	KINDRED HOSPITAL - SAN FRANCISCO BAY AREA	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	020005274	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-15 14:20:00	2008-07-15 14:20:00	No	2008-09-05 00:00:00	None	FTR AE	None	800	800	0	800	0	None	698M11	N	CA00157850	C	SFY2008-09
140000148	KINDRED HOSPITAL - SAN FRANCISCO BAY AREA	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	020005276	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-08 14:38:00	2008-07-08 14:38:00	No	2008-09-05 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	698M11	N	CA00157850	C	SFY2008-09
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	020005286	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-02-05 17:00:00	2008-02-05 17:00:00	No	2008-09-03 00:00:00	None	FTR AE	None	7300	7300	0	7300	0	None	YZSZ11	N	CA00147800	C	SFY2008-09
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	020005289	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-04-23 09:20:00	2008-04-23 09:20:00	No	2008-09-03 00:00:00	None	FTR AE	None	200	200	0	200	0	None	YZSZ11	N	CA00148599	C	SFY2008-09
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	020005290	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-04-22 10:27:00	2008-04-22 10:27:00	No	2008-09-03 00:00:00	None	FTR AE	None	200	200	0	200	0	None	YZSZ11	N	CA00148599	C	SFY2008-09
140000425	ALTA BATES SUMMIT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-12 00:00:00	020005313	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-23 13:30:00	2008-05-23 13:30:00	No	2008-09-04 00:00:00	None	FTR AE	None	700	700	0	700	0	None	YYHG11	N	CA00152584	C	SFY2008-09
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-12 00:00:00	020005314	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-03-11 10:25:00	2008-03-11 10:25:00	No	2008-09-05 00:00:00	None	FTR AE	None	6800	6800	0	6800	0	None	FWQS11	N	CA00151876	C	SFY2008-09
140000425	ALTA BATES SUMMIT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-26 00:00:00	020005328	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2008-03-21 10:00:00	2008-03-21 10:00:00	No	2008-09-18 00:00:00	None	FTR AE	None	13200	13200	0	13200	0	None	9RB711	N	CA00157036, CA00159255	C, C	SFY2008-09
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-15 00:00:00	020005330	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-03-14 19:06:00	2008-03-14 19:06:00	Yes	2008-09-10 00:00:00	2008-08-27 00:00:00	FTR AE	FTR AE	11700	10530	0	10530	0	None	UXKQ11	N	CA00156815	C	SFY2008-09
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-27 00:00:00	020005335	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-04-26 02:12:00	2008-04-26 02:12:00	No	2008-09-19 00:00:00	None	FTR AE	None	6100	6100	0	6100	0	None	3KUZ11	N	None	None	SFY2008-09
140000196	JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-27 00:00:00	020005338	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-30 09:45:00	2008-06-30 09:45:00	No	2008-09-19 00:00:00	None	FTR AE	None	400	400	0	400	0	None	77KV11	N	CA00156194	C	SFY2008-09
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-09-17 00:00:00	020005413	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-27 15:00:00	2008-06-27 15:00:00	No	2008-10-15 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	467E11	N	CA00159051	C	SFY2008-09
140000196	JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-10-21 00:00:00	020005525	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-09-03 16:00:00	2008-09-03 16:00:00	No	2008-11-13 00:00:00	None	FTR AE	None	300	300	0	300	0	None	Y86F11	N	None	None	SFY2008-09
140000148	KINDRED HOSPITAL - SAN FRANCISCO BAY AREA	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-11-04 00:00:00	020005569	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-21 12:24:00	2008-07-21 12:24:00	No	2008-12-04 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	HKIT11	N	CA00160215	C	SFY2008-09
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-12-01 00:00:00	020005637	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-09-17 20:00:00	2008-09-17 20:00:00	No	2008-12-26 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	1CDY11	N	CA00165541	C	SFY2008-09
140000148	KINDRED HOSPITAL - SAN FRANCISCO BAY AREA	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-12-04 00:00:00	020005660	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-11-18 18:01:00	2008-11-18 18:01:00	No	2009-01-05 00:00:00	None	FTR AE	None	100	100	0	100	0	None	OM0V11	N	CA00169155	C	SFY2008-09
140000148	KINDRED HOSPITAL - SAN FRANCISCO BAY AREA	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-12-04 00:00:00	020005661	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-05 11:21:00	2008-01-05 11:21:00	No	2009-01-05 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	29YU11	N	CA00141767	C	SFY2008-09
140000196	JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-12-08 00:00:00	020005673	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	State Monitoring	2008-10-18 00:00:00	2008-10-18 00:00:00	No	2008-12-30 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	RMYI11	N	CA00167372	B	SFY2008-09
140000148	KINDRED HOSPITAL - SAN FRANCISCO BAY AREA	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-02-09 00:00:00	020005855	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-01-01 11:49:00	2009-01-01 11:49:00	No	2009-03-10 00:00:00	None	FTR AE	None	700	700	0	700	0	None	599U11	N	CA00174669	C	SFY2008-09
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-02-17 00:00:00	020005880	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-09-10 11:30:00	2008-09-10 11:30:00	No	2009-03-11 00:00:00	None	FTR AE	None	200	200	0	200	0	None	0QK111	N	CA00164261	C	SFY2008-09
140000704	SAN RAMON REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-03-12 00:00:00	020005945	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-03-18 11:00:00	2008-03-18 11:00:00	No	2009-04-06 00:00:00	None	FTR AE	None	18300	18300	0	18300	0	None	W14511	N	CA00164414	C	SFY2008-09
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-04-21 00:00:00	020005962	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2009-01-26 00:00:00	2009-01-26 00:00:00	No	2009-05-12 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	4OG511	N	CA00176168	B	SFY2008-09
140000148	KINDRED HOSPITAL - SAN FRANCISCO BAY AREA	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-04-15 00:00:00	020006084	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-02-14 03:44:00	2009-02-14 03:44:00	No	2009-05-06 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	4FDS11	N	CA00179856	C	SFY2008-09
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-04-20 00:00:00	020006108	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-03-11 15:34:00	2008-03-11 15:34:00	No	2009-05-11 00:00:00	None	FTR AE	None	36100	36100	0	36100	0	None	K42P11	N	CA00181312	C	SFY2008-09
140000186	SAN LEANDRO HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-05-15 00:00:00	020006185	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-07-26 18:59:00	2008-07-26 18:59:00	No	2009-06-08 00:00:00	None	FTR AE	None	700	700	0	700	0	None	DDHP11	N	CA00158688	B	SFY2008-09
140000186	SAN LEANDRO HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-06-08 00:00:00	020006187	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2008-07-26 00:00:00	2008-07-26 00:00:00	No	2009-06-29 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	DDHP11	N	CA00158688	B	SFY2008-09
140000425	ALTA BATES SUMMIT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-06-05 00:00:00	020006196	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-12-22 00:00:00	2008-12-22 00:00:00	No	2009-06-29 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	TQ7G11	N	CA00173006	B	SFY2008-09
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-06-10 00:00:00	020006258	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-04-02 17:30:00	2009-04-02 17:30:00	No	2009-07-01 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	HEWF11	N	CA00186217	C	SFY2008-09
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-06-10 00:00:00	020006260	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-04-16 15:20:00	2009-04-16 15:20:00	No	2009-07-01 00:00:00	None	FTR AE	None	300	300	0	300	0	None	HEWF11	N	CA00186921	C	SFY2008-09
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-06-09 00:00:00	020006261	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-04-06 15:00:00	2009-04-06 15:00:00	No	2009-06-30 00:00:00	None	FTR AE	None	300	300	0	300	0	None	QT9T11	N	CA00186078	C	SFY2008-09
140000196	JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-07-03 00:00:00	020006347	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-04-11 11:00:00	2009-04-11 11:00:00	No	2009-07-24 00:00:00	None	FTR AE	None	700	700	0	700	0	None	56EH11	N	CA00186064	C	SFY2009-10
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-07-09 00:00:00	020006367	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-05-01 15:40:00	2009-05-01 15:40:00	No	2009-07-31 00:00:00	None	FTR AE	None	3400	3400	0	3400	0	None	GC7B11	N	CA00191490	C	SFY2009-10
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-09-02 00:00:00	020006475	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2009-02-16 00:00:00	2009-02-16 00:00:00	No	2009-09-24 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	L5LC11	N	CA00178293	A	SFY2009-10
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-11-30 00:00:00	020006724	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-06-01 15:15:00	2009-06-01 15:15:00	No	2009-12-22 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	Y1WW11	N	CA00193009, CA00199059	C, C	SFY2009-10
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-12-03 00:00:00	020006746	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-11-02 10:00:00	2009-11-02 10:00:00	No	2009-12-28 00:00:00	None	FTR AE	None	700	700	0	700	0	None	47R911	N	CA00208539	C	SFY2009-10
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-12-07 00:00:00	020006750	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-06-11 21:54:00	2009-06-11 21:54:00	No	2009-12-31 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	69M111	None	CA00203158	D	SFY2009-10
140000190	KAISER FOUNDATION HOSPITAL - WALNUT CREEK	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-12-17 00:00:00	020006798	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-03-20 16:00:00	2009-03-20 16:00:00	No	2010-01-13 00:00:00	None	FTR BR	None	4900	4900	-1225	3675	0	None	WVIT11	None	CA00188238	C	SFY2009-10
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-12-17 00:00:00	020006800	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-04-18 15:55:00	2009-04-18 15:55:00	No	2010-01-11 00:00:00	None	FTR BR	None	3500	3500	0	3500	0	None	PRLH11	None	CA00190965	C	SFY2009-10
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-01-05 00:00:00	020006844	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE27 - Death/injury from a physical assault	None	2009-04-16 12:45:00	2009-04-16 12:45:00	No	2010-01-29 00:00:00	None	FTR AE	None	700	700	0	700	0	None	Z2OO11	N	CA00186325	C	SFY2009-10
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-01-13 00:00:00	020006883	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2009-10-07 00:00:00	2009-10-07 00:00:00	No	2010-02-05 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	MOV011	N	CA00204680	A	SFY2009-10
020000895	CENTERWELL HOME HEALTH	Non-LTC	HHA	Home Health Agency	East Bay	2010-01-11 00:00:00	020006903	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2009-07-23 13:55:00	2009-07-23 13:55:00	No	2010-02-03 00:00:00	None	FTR BR	None	2400	2400	-600	1800	0	None	NMIX11	None	CA00201921	C	SFY2009-10
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-02-16 00:00:00	020006917	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-06-22 15:00:00	2009-06-22 15:00:00	No	2010-03-11 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	1IT611	None	CA00195652	D	SFY2009-10
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-02-16 00:00:00	020006959	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach by person other than a h/c worker	None	2009-02-23 15:00:00	2009-02-23 15:00:00	No	2010-03-11 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	1IT611	None	CA00195652	D	SFY2009-10
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-02-09 00:00:00	020006966	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-07-23 11:15:00	2009-07-23 11:15:00	No	2010-03-02 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	G32I11	N	CA00199570	C	SFY2009-10
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-02-18 00:00:00	020006999	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE24 - Care by impersonating licensed provider	None	2009-04-24 08:00:00	2009-04-24 08:00:00	No	2010-03-16 00:00:00	None	FTR AE	None	700	700	0	700	0	None	YDSL11	N	CA00189144	C	SFY2009-10
140000148	KINDRED HOSPITAL - SAN FRANCISCO BAY AREA	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-02-18 00:00:00	020007000	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-01-05 16:13:00	2010-01-05 16:13:00	No	2010-03-12 00:00:00	None	FTR AE	None	100	100	0	100	0	None	GGX811	N	CA00214808	C	SFY2009-10
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-03-16 00:00:00	020007046	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-09-26 12:00:00	2009-09-26 12:00:00	No	2010-04-07 00:00:00	None	FTR AE	None	600	600	0	600	0	None	7SO211	N	CA00204153	C	SFY2009-10
140000832	JOHN MUIR BEHAVIORAL HEALTH CENTER	Non-LTC	APH	Acute Psychiatric Hospital	East Bay	2010-04-20 00:00:00	020007102	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2010-01-18 00:00:00	2010-01-18 00:00:00	No	2010-05-11 00:00:00	None	AP IJ	AP IJ	50000	30000	0	30000	0	None	CF3811	Y	CA00215949	B	SFY2009-10
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-04-22 00:00:00	020007103	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2010-02-23 00:00:00	2010-02-23 00:00:00	No	2010-12-29 00:00:00	None	AP IJ	AP IJ	50000	30000	0	30000	0	None	ISZN11	N	CA00219946	B	SFY2009-10
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-04-08 00:00:00	020007108	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-09-05 20:00:00	2009-09-05 20:00:00	No	2010-04-29 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	3J8G11	N	CA00203391	C	SFY2009-10
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-04-27 00:00:00	020007160	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-07-06 12:20:00	2009-07-06 12:20:00	No	2010-05-20 00:00:00	None	FTR AE	None	600	600	0	600	0	None	EYJ611	N	CA00195622	C	SFY2009-10
140000196	JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-05-25 00:00:00	020007228	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-11-12 12:00:00	2009-11-12 12:00:00	No	2010-06-16 00:00:00	None	FTR BR	None	2300	2300	-575	1725	0	None	ZUSM11	None	CA00211672	D	SFY2009-10
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-06-10 00:00:00	020007271	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	Failure to Report to Pt	2010-02-12 23:59:00	2010-02-12 23:59:00	No	2010-07-02 00:00:00	None	FTR RES	None	5300	5300	-1325	3975	0	None	SK1Z11	None	CA00225485	D	SFY2009-10
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-06-10 00:00:00	020007272	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Other	Failure to Report to Pt	2010-03-25 23:59:00	2010-03-25 23:59:00	No	2010-06-30 00:00:00	None	FTR BR	None	3900	3900	-975	2925	0	None	SK1Z11	None	CA00225485	D	SFY2009-10
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-06-10 00:00:00	020007273	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	Failure to Report to Pt	2010-03-03 23:59:00	2010-03-03 23:59:00	No	2010-07-02 00:00:00	None	FTR RES	None	4100	4100	-1025	3075	0	None	SK1Z11	None	CA00225485	D	SFY2009-10
140000196	JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-06-14 00:00:00	020007296	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2009-07-24 15:00:00	2009-07-24 15:00:00	No	2010-07-07 00:00:00	None	FTR RES	None	1000	1000	-250	750	0	None	XMU611	None	CA00199293	D	SFY2009-10
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-07-01 00:00:00	020007332	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-10-14 16:56:00	2009-10-14 16:56:00	No	2010-07-23 00:00:00	None	FTR AE	None	200	200	0	200	0	None	4JSN11	N	CA00205691	C	SFY2010-11
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-07-01 00:00:00	020007341	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-10-10 11:07:00	2009-10-10 11:07:00	No	2010-07-23 00:00:00	None	FTR AE	None	700	700	0	700	0	None	4JSN11	N	CA00205693	C	SFY2010-11
140000183	EDEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-07-21 00:00:00	020007391	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-01-19 08:00:00	2009-01-19 08:00:00	No	2010-08-12 00:00:00	None	FTR BR	None	9400	9400	-2350	7050	0	None	X9RK11	None	CA00190604	C	SFY2010-11
140000183	EDEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-07-21 00:00:00	020007392	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-05-14 14:00:00	2009-05-14 14:00:00	No	2010-08-12 00:00:00	None	FTR BR	None	2700	2700	-675	2025	0	None	X9RK11	None	CA00190819	C	SFY2010-11
140000183	EDEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-07-21 00:00:00	020007393	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-05-23 11:00:00	2009-05-23 11:00:00	No	2010-08-12 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	X9RK11	None	CA00192067	C	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-07-27 00:00:00	020007406	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-05-17 00:00:00	2010-05-17 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	HKD711	N	CA00230604	B	SFY2010-11
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-07-22 00:00:00	020007413	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-05-19 18:00:00	2010-05-19 18:00:00	No	2010-08-16 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	GP1811	N	CA00231886	C	SFY2010-11
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-07-30 00:00:00	020007426	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2009-06-15 00:00:00	2009-06-15 00:00:00	No	2012-10-01 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	YR3L11	None	CA00200378	C	SFY2010-11
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-08 00:00:00	020007489	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-11-28 00:00:00	2009-11-28 00:00:00	No	2010-10-01 00:00:00	None	FTR AE	None	800	800	0	800	0	None	P52I11	N	CA00211045, CA00212632	C, C	SFY2010-11
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-08 00:00:00	020007491	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-12-08 00:00:00	2009-12-08 00:00:00	No	2010-10-01 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	P52I11	N	CA00211045, CA00212632	C, C	SFY2010-11
140001086	KAISER FOUNDATION HOSPITAL - FREMONT	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-08-31 00:00:00	020007530	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-02-08 00:27:00	2010-02-08 00:27:00	No	2010-09-24 00:00:00	None	FTR BR	None	1100	1100	0	1100	0	None	HSX911	None	CA00220322	C	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-09 00:00:00	020007537	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-04-22 00:00:00	2010-04-22 00:00:00	No	2010-10-05 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	W57611	None	CA00229319	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-09 00:00:00	020007538	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-04-22 00:00:00	2010-04-22 00:00:00	No	2010-09-23 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	W57611	None	CA00229319	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-09 00:00:00	020007539	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-03-11 00:00:00	2010-03-11 00:00:00	No	2010-10-05 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	W57611	None	CA00229319	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-09 00:00:00	020007540	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-17 00:00:00	2010-05-17 00:00:00	No	2010-10-05 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	W57611	None	CA00230608	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-09 00:00:00	020007541	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-17 00:00:00	2010-05-17 00:00:00	No	2010-10-05 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	W57611	None	CA00230608	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-09 00:00:00	020007542	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-03-19 00:00:00	2010-03-19 00:00:00	No	2010-10-05 00:00:00	None	FTR BR	None	2800	2800	-700	2100	0	None	W57611	None	CA00230608	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-09 00:00:00	020007543	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-03-19 00:00:00	2010-03-19 00:00:00	No	2010-10-05 00:00:00	None	FTR BR	None	2900	2900	-725	2175	0	None	W57611	None	CA00230608	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-09 00:00:00	020007544	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-04-27 00:00:00	2010-04-27 00:00:00	No	2010-10-05 00:00:00	None	FTR BR	None	2300	2300	-575	1725	0	None	W57611	None	CA00230608	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-09 00:00:00	020007545	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-04-27 00:00:00	2010-04-27 00:00:00	No	2010-10-05 00:00:00	None	FTR BR	None	2500	2500	-625	1875	0	None	W57611	None	CA00230608	D	SFY2010-11
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-13 00:00:00	020007553	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-08-13 00:00:00	2010-08-13 00:00:00	No	2010-10-04 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	TKK611	None	CA00201329	D	SFY2010-11
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-28 00:00:00	020007601	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-06-24 08:30:00	2010-06-24 08:30:00	No	2010-10-20 00:00:00	None	FTR BR	None	700	700	0	700	0	None	SUCE11	None	CA00194279	C	SFY2010-11
140000425	ALTA BATES SUMMIT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-10-04 00:00:00	020007608	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-03-20 20:13:00	2010-03-20 20:13:00	No	2010-10-27 00:00:00	None	FTR BR	None	300	300	0	300	0	None	QWYN11	None	CA00223831	D	SFY2010-11
140000425	ALTA BATES SUMMIT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-10-04 00:00:00	020007610	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-03-20 20:13:00	2010-03-20 20:13:00	No	2010-10-27 00:00:00	None	FTR RES	None	300	300	0	300	0	None	QWYN11	None	CA00223831	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-10-14 00:00:00	020007634	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-07-21 11:45:00	2010-07-21 11:45:00	No	2010-11-05 00:00:00	None	FTR BR	None	1600	1600	-400	1200	0	None	VVF511	None	CA00239475	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-10-14 00:00:00	020007635	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-07-21 11:45:00	2010-07-21 11:45:00	No	2010-11-05 00:00:00	None	FTR RES	None	1600	1600	-400	1200	0	None	VVF511	None	CA00239475	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-10-14 00:00:00	020007637	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-07-21 11:45:00	2010-07-21 11:45:00	No	2010-11-05 00:00:00	None	FTR RES	None	1600	1600	-400	1200	0	None	VVF511	None	CA00239475	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-10-14 00:00:00	020007638	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-08-01 02:10:00	2010-08-01 02:10:00	No	2010-11-05 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	VVF511	None	CA00240737	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-10-14 00:00:00	020007639	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-08-01 02:10:00	2010-08-01 02:10:00	No	2010-11-05 00:00:00	None	FTR RES	None	400	400	-100	300	0	None	VVF511	None	CA00240737	D	SFY2010-11
140000014	UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-10-18 00:00:00	020007641	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2010-02-24 05:30:00	2010-02-24 05:30:00	No	2010-11-08 00:00:00	None	FTR AE	None	700	700	0	700	0	None	KEWZ11	Y	CA00220693	A	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-12-06 00:00:00	020007745	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-08-05 00:00:00	2010-08-05 00:00:00	No	2010-12-27 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	97BF11	None	CA00241373	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-12-06 00:00:00	020007746	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-08-05 00:00:00	2010-08-05 00:00:00	No	2010-12-27 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	97BF11	None	CA00241373	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-12-06 00:00:00	020007747	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-06-04 00:00:00	2010-06-04 00:00:00	No	2010-12-27 00:00:00	None	FTR BR	None	7200	7200	-1800	5400	0	None	97BF11	None	CA00241373	D	SFY2010-11
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-12-06 00:00:00	020007748	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-06-04 00:00:00	2010-06-04 00:00:00	No	2010-12-27 00:00:00	None	FTR RES	None	7200	7200	-1800	5400	0	None	97BF11	None	CA00241373	D	SFY2010-11
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-01-13 00:00:00	020007761	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-05-26 00:00:00	2010-05-26 00:00:00	No	2011-09-29 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	PJC611	N	CA00231608	C	SFY2010-11
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-12-13 00:00:00	020007768	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2009-12-31 17:27:00	2009-12-31 17:27:00	No	2011-01-03 00:00:00	None	FTR RES	None	1100	1100	0	1100	0	None	N6O111	None	CA00213437	C	SFY2010-11
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-01-10 00:00:00	020007812	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-01-21 16:00:00	2010-01-21 16:00:00	No	2011-02-01 00:00:00	None	FTR AE	None	3200	3200	0	3200	0	None	51QT11	N	CA00220155	C	SFY2010-11
020000161	JOHN MUIR HOME HEALTH SERVICES	Non-LTC	HHA	Home Health Agency	East Bay	2011-01-11 00:00:00	020007825	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-07-19 00:00:00	2010-07-19 00:00:00	No	2011-02-02 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	G9Y311	None	CA00239446	C	SFY2010-11
020000895	CENTERWELL HOME HEALTH	Non-LTC	HHA	Home Health Agency	East Bay	2011-01-12 00:00:00	020007835	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-11-08 00:00:00	2010-11-08 00:00:00	No	2011-02-03 00:00:00	None	FTR RES	None	300	300	-75	225	0	None	F8M311	None	CA00250801	C	SFY2010-11
020000895	CENTERWELL HOME HEALTH	Non-LTC	HHA	Home Health Agency	East Bay	2011-01-12 00:00:00	020007839	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-02-09 00:00:00	2010-02-09 00:00:00	No	2011-02-03 00:00:00	None	FTR RES	None	200	200	-50	150	0	None	F8M311	None	CA00239070	C	SFY2010-11
020000895	CENTERWELL HOME HEALTH	Non-LTC	HHA	Home Health Agency	East Bay	2011-01-12 00:00:00	020007840	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-04-29 00:00:00	2010-04-29 00:00:00	No	2011-02-03 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	F8M311	None	CA00229082	C	SFY2010-11
020000895	CENTERWELL HOME HEALTH	Non-LTC	HHA	Home Health Agency	East Bay	2011-01-12 00:00:00	020007841	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-11-12 00:00:00	2010-11-12 00:00:00	No	2011-02-03 00:00:00	None	FTR RES	None	1300	1300	-325	975	0	None	F8M311	None	CA00250653	C	SFY2010-11
020000895	CENTERWELL HOME HEALTH	Non-LTC	HHA	Home Health Agency	East Bay	2011-01-12 00:00:00	020007842	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-11-12 00:00:00	2010-11-12 00:00:00	No	2011-02-03 00:00:00	None	FTR RES	None	1300	1300	-325	975	0	None	F8M311	None	CA00250653	C	SFY2010-11
020000895	CENTERWELL HOME HEALTH	Non-LTC	HHA	Home Health Agency	East Bay	2011-01-12 00:00:00	020007843	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-11-12 00:00:00	2010-11-12 00:00:00	No	2011-02-03 00:00:00	None	FTR RES	None	1300	1300	-325	975	0	None	F8M311	None	CA00250653	C	SFY2010-11
140000014	UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-01-13 00:00:00	020007844	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2009-01-15 19:05:00	2009-01-15 19:05:00	No	2011-02-04 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	O23011	None	CA00176299	C	SFY2010-11
140000014	UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-01-13 00:00:00	020007845	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2009-01-15 19:05:00	2009-01-15 19:05:00	No	2011-02-04 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	O23011	None	CA00176299	C	SFY2010-11
140000014	UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-01-13 00:00:00	020007846	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2009-01-15 19:05:00	2009-01-15 19:05:00	No	2011-02-04 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	O23011	None	CA00176299	C	SFY2010-11
140000425	ALTA BATES SUMMIT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-02-17 00:00:00	020007949	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-12-20 20:29:00	2010-12-20 20:29:00	No	2011-03-11 00:00:00	None	FTR AE	None	300	300	0	300	0	None	P0CS11	N	CA00253693	B	SFY2010-11
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-02-17 00:00:00	020007950	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-01-01 13:25:00	2011-01-01 13:25:00	No	2011-03-11 00:00:00	None	FTR AE	None	500	500	0	500	0	None	2LCJ11	N	CA00255262	C	SFY2010-11
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-03-01 00:00:00	020007953	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-18 00:00:00	2009-10-18 00:00:00	No	2011-03-22 00:00:00	None	FTR BR	None	8000	8000	-2000	6000	0	None	VLGS11	None	CA00220364	D	SFY2010-11
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-03-01 00:00:00	020007954	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2009-10-18 00:00:00	2009-10-18 00:00:00	No	2011-03-22 00:00:00	None	FTR RES	None	8000	8000	-8000	0	0	None	VLGS11	None	CA00220364	D	SFY2010-11
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-03-30 00:00:00	020008075	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-05-28 10:44:00	2010-05-28 10:44:00	No	2011-04-21 00:00:00	None	FTR BR	None	1300	1300	-325	975	0	None	EW0O11	None	CA00235068	C	SFY2010-11
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-03-30 00:00:00	020008077	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Patient Record	None	2010-05-28 10:44:00	2010-05-28 10:44:00	No	2011-04-21 00:00:00	None	FTR RES	None	600	600	-150	450	0	None	EW0O11	None	CA00235068	C	SFY2010-11
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-05-05 00:00:00	020008214	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-21 12:39:00	2009-11-21 12:39:00	No	2011-05-26 00:00:00	None	FTR BR	None	2300	2300	-575	1725	0	None	RSMP11	None	CA00213566	D	SFY2010-11
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-05-05 00:00:00	020008218	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-05-14 00:00:00	2010-05-14 00:00:00	Yes	2011-05-26 00:00:00	2011-05-19 00:00:00	FTR AE	None	5500	5500	0	5500	0	None	FY7M11	N	CA00235279	C	SFY2010-11
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-05-12 00:00:00	020008227	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2010-07-03 00:00:00	2010-07-03 00:00:00	No	2011-06-03 00:00:00	None	FTR BR	None	200	200	0	200	0	None	23SZ11	None	CA00242031	C	SFY2010-11
140000196	JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-08-01 00:00:00	020008427	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-04-03 16:15:00	2011-04-03 16:15:00	No	2011-08-22 00:00:00	None	FTR AE	None	500	500	0	500	0	None	BOMZ11	N	CA00266175	C	SFY2011-12
140000196	JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-08-30 00:00:00	020008518	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE22 - Death associated with a fall	None	2011-04-10 07:05:00	2011-04-10 07:05:00	No	2011-09-21 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	5D0Y11	Y	CA00270377	B	SFY2011-12
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-10-26 00:00:00	020008677	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-30 12:00:00	2009-10-30 12:00:00	No	2011-11-17 00:00:00	None	FTR BR	None	13200	13200	-3300	9900	0	None	73GM11	None	CA00222169	D	SFY2011-12
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-10-26 00:00:00	020008679	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2009-10-30 12:00:00	2009-10-30 12:00:00	No	2011-11-17 00:00:00	None	FTR RES	None	13000	13000	-3250	9750	0	None	73GM11	None	CA00222169	D	SFY2011-12
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-12-14 00:00:00	020008742	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2011-06-03 00:00:00	2011-06-03 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	6XLN11	N	CA00232584	A	SFY2011-12
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-12-13 00:00:00	020008802	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Rights	None	2011-08-02 08:45:00	2011-08-02 08:45:00	No	2012-01-05 00:00:00	None	FTR BR	None	200	200	0	200	0	None	ID3X11	None	CA00276472	B	SFY2011-12
140000425	ALTA BATES SUMMIT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-05-23 00:00:00	020008812	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2011-09-24 00:00:00	2011-09-24 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	QM2W11	N	CA00284528	B	SFY2011-12
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-01-24 00:00:00	020009043	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-05-09 13:30:00	2011-05-09 13:30:00	No	2012-02-14 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	X34B11	N	CA00271179	C	SFY2011-12
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-03-06 00:00:00	020009075	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-04-17 17:00:00	2010-04-17 17:00:00	No	2012-03-27 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	I02F11	None	CA00230595	D	SFY2011-12
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-03-06 00:00:00	020009076	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-04-17 17:00:00	2010-04-17 17:00:00	No	2012-03-27 00:00:00	None	FTR RES	None	300	300	-75	225	0	None	I02F11	None	CA00230595	D	SFY2011-12
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-05-24 00:00:00	020009089	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE05 - Death during or up to 24 hours after surgery	None	2010-09-16 00:00:00	2010-09-16 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	DBTF11	Y	CA00243799	B	SFY2011-12
140001086	KAISER FOUNDATION HOSPITAL - FREMONT	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-04-19 00:00:00	020009115	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-08-11 00:00:00	2009-08-11 00:00:00	No	2013-03-08 00:00:00	None	AP BR	None	50000	50000	-12500	37500	0	None	NBYY11	None	CA00203912	C	SFY2011-12
140000425	ALTA BATES SUMMIT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-04-11 00:00:00	020009215	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-05-02 16:56:00	2011-05-02 16:56:00	No	2012-05-02 00:00:00	None	FTR BR	None	900	900	0	900	0	None	197S11	None	CA00269481	D	SFY2011-12
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-04-27 00:00:00	020009225	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-01-17 13:04:00	2010-01-17 13:04:00	No	2012-05-18 00:00:00	None	FTR RES	None	13100	13100	-3275	9825	0	None	IHKY11	None	CA00235336	D	SFY2011-12
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-04-27 00:00:00	020009226	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-01-17 13:04:00	2010-01-17 13:04:00	No	2012-05-18 00:00:00	None	FTR BR	None	13100	13100	-3275	9825	0	None	IHKY11	None	CA00235336	D	SFY2011-12
140000196	JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-05-07 00:00:00	020009280	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE08 - Death/disability due to intravascular air embolism	None	2011-10-31 11:32:00	2011-10-31 11:32:00	No	2012-05-29 00:00:00	None	FTR AE	None	11500	11500	0	11500	0	None	QGL711	Y	CA00303523	B	SFY2011-12
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-06-20 00:00:00	020009290	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2011-11-27 00:00:00	2011-11-27 00:00:00	No	2012-11-02 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	86R611	Y	CA00291607	C	SFY2011-12
020000685	CORAM CVS/SPECIALTY INFUSION SERVICES	Non-LTC	HHA	Home Health Agency	East Bay	2012-07-23 00:00:00	020009399	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-03-16 00:00:00	2011-03-16 00:00:00	No	2012-08-13 00:00:00	None	FTR BR	None	100	100	0	100	0	None	J6RT11	None	CA00266339	B	SFY2012-13
630011339	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	East Bay	2012-07-26 00:00:00	020009410	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-08-15 12:00:00	2011-08-15 12:00:00	No	2012-08-16 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	XERO11	None	CA00300681	C	SFY2012-13
020000924	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	East Bay	2012-09-19 00:00:00	020009416	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-07-18 12:00:00	2011-07-18 12:00:00	No	2012-10-10 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	RI2911	None	CA00279795	C	SFY2012-13
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-10-12 00:00:00	020009550	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2005-02-17 15:40:00	2005-02-17 15:40:00	No	2012-11-02 00:00:00	None	FTR AE	None	400	400	0	400	0	None	FZRV11	N	CA00252420	C	SFY2012-13
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2012-10-12 00:00:00	020009551	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2005-02-17 15:40:00	2005-02-17 15:40:00	No	2012-11-02 00:00:00	None	FTR AE	None	400	400	0	400	0	None	FZRV11	N	CA00252420	C	SFY2012-13
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2013-02-28 00:00:00	020009758	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2012-10-25 08:49:00	2012-10-25 08:49:00	No	2013-03-21 00:00:00	None	FTR AE	None	500	500	0	500	0	None	WJZ011	N	CA00333374	C	SFY2012-13
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2013-03-01 00:00:00	020009765	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-10-04 11:30:00	2011-10-04 11:30:00	No	2013-03-22 00:00:00	None	FTR AE	None	18000	18000	0	18000	0	None	D9RS11	N	CA00305738	B	SFY2012-13
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2013-05-01 00:00:00	020009843	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Rights	None	2013-01-18 09:00:00	2013-01-18 09:00:00	No	2013-05-22 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	MG8G11	None	CA00340435	C	SFY2012-13
140000704	SAN RAMON REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2013-05-06 00:00:00	020009878	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-12-21 14:00:00	2012-12-21 14:00:00	No	2013-05-28 00:00:00	None	FTR RES	None	600	600	0	600	0	None	F4QC11	None	CA00338866	E	SFY2012-13
140000704	SAN RAMON REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2013-05-06 00:00:00	020009879	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-12-21 14:00:00	2012-12-21 14:00:00	No	2013-05-28 00:00:00	None	FTR BR	None	700	700	0	700	0	None	F4QC11	None	CA00338866	E	SFY2012-13
140000183	EDEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2013-05-14 00:00:00	020009894	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2010-12-17 15:00:00	2010-12-17 15:00:00	No	2013-06-05 00:00:00	None	FTR RES	None	1300	1300	0	1300	0	None	T3ZO11	None	CA00254997	D	SFY2012-13
140000183	EDEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2013-05-14 00:00:00	020009895	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-12-17 15:00:00	2010-12-17 15:00:00	No	2013-06-05 00:00:00	None	FTR BR	None	1300	1300	0	1300	0	None	T3ZO11	None	CA00254997	D	SFY2012-13
140000186	SAN LEANDRO HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2013-06-03 00:00:00	020009922	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-05-31 17:20:00	2010-05-31 17:20:00	No	2013-06-24 00:00:00	None	FTR AE	None	400	400	0	400	0	None	JF1111	N	CA00232747	C	SFY2012-13
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2014-02-27 00:00:00	020010511	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2013-08-30 00:00:00	2013-08-30 00:00:00	No	2014-05-22 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	0HT111	N	CA00368387	C	SFY2013-14
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2014-03-11 00:00:00	020010533	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2013-03-25 00:00:00	2013-03-25 00:00:00	No	2014-05-22 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	0HT111	Y	CA00373507	C	SFY2013-14
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2014-04-02 00:00:00	020010583	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-03-25 09:31:00	2013-03-25 09:31:00	No	2014-04-23 00:00:00	None	FTR AE	None	18700	18700	0	18700	0	None	0HT111	Y	CA00373507	C	SFY2013-14
140000014	UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2014-12-04 00:00:00	020011156	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-03-03 00:00:00	2014-03-03 00:00:00	No	2014-12-26 00:00:00	None	FTR AE	None	8100	8100	0	8100	0	None	P2HJ11	N	CA00400495	C	SFY2014-15
630011203	KAISER FOUNDATION HOSPITAL - ANTIOCH	Non-LTC	GACH	General Acute Care Hospital	East Bay	2015-03-11 00:00:00	020011316	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-09-09 00:00:00	2013-09-09 00:00:00	No	2015-04-02 00:00:00	None	FTR AE	None	400	400	0	400	0	None	9Q1D11	N	CA00370134	C	SFY2014-15
630011203	KAISER FOUNDATION HOSPITAL - ANTIOCH	Non-LTC	GACH	General Acute Care Hospital	East Bay	2015-04-21 00:00:00	020011395	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Retention Foreign Object	2014-09-02 00:00:00	2014-09-02 00:00:00	No	2015-05-12 00:00:00	None	AP NON-IJ	None	14392	14392	0	14392	0	None	LEM611	N	CA00416790	C	SFY2014-15
140000190	KAISER FOUNDATION HOSPITAL - WALNUT CREEK	Non-LTC	GACH	General Acute Care Hospital	East Bay	2016-10-20 00:00:00	020012655	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2015-09-26 00:00:00	2015-09-26 00:00:00	No	2016-11-10 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	QPLY11	None	CA00463342	C	SFY2016-17
140000190	KAISER FOUNDATION HOSPITAL - WALNUT CREEK	Non-LTC	GACH	General Acute Care Hospital	East Bay	2017-02-22 00:00:00	020012990	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Retained Foreign Object	2016-09-21 00:00:00	2016-09-21 00:00:00	No	2017-03-15 00:00:00	None	AP NON-IJ	None	3750	3750	0	3750	0	None	9Z6811	N	CA00505221	C	SFY2016-17
140000183	EDEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2017-09-07 00:00:00	020013070	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-02-06 00:00:00	2015-02-06 00:00:00	No	2017-09-28 00:00:00	None	AP NON-IJ	None	12487	12487	0	12487	0	None	ORBG11	N	CA00431980	C	SFY2017-18
140000707	FREMONT HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	East Bay	2017-05-03 00:00:00	020013172	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-12-03 00:00:00	2016-12-03 00:00:00	No	2017-05-24 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	1FR811	Y	CA00512985	A	SFY2016-17
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2017-05-16 00:00:00	020013180	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2015-12-01 00:00:00	2015-12-01 00:00:00	No	2017-06-07 00:00:00	None	AP NON-IJ	None	14520	14520	0	14520	0	None	6XFZ11	Y	CA00467901	B	SFY2016-17
140000196	JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2017-09-08 00:00:00	020013191	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-11-09 00:00:00	2015-11-09 00:00:00	No	2017-09-29 00:00:00	None	AP NON-IJ	None	12720	12720	0	12720	0	None	ZT9E11	Y	CA00468168	C	SFY2017-18
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-02-09 00:00:00	020013444	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-03-05 00:00:00	2017-03-05 00:00:00	Yes	2018-03-02 00:00:00	2018-08-24 00:00:00	AP IJ	AP IJ	33000	25000	0	25000	0	None	DKVM11	N	CA00528846	B	SFY2017-18
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2017-05-02 00:00:00	020013531	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-03-13 00:00:00	2017-03-13 00:00:00	No	2017-05-23 00:00:00	None	AP IJ	None	39187	39187	0	39187	0	None	QITB11	N	CA00526681	A	SFY2016-17
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2017-10-18 00:00:00	020013546	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	Nursing Services	2016-01-12 00:00:00	2016-01-12 00:00:00	No	2017-11-08 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	06Q411	Y	CA00471992	C	SFY2017-18
140000425	ALTA BATES SUMMIT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-01-18 00:00:00	020013743	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Anesthesia	2017-01-12 00:00:00	2017-01-12 00:00:00	No	2018-02-08 00:00:00	None	AP NON-IJ	None	4125	4125	0	4125	0	None	D77311	N	CA00518548	C	SFY2017-18
630015029	KAISER FOUNDATION HOSPITAL - SAN LEANDRO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-01-22 00:00:00	020013747	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2015-07-14 00:00:00	2015-07-14 00:00:00	No	2018-04-19 00:00:00	None	AP NON-IJ	None	10781	10781	0	10781	0	None	6BRF11	Y	CA00475154	C	SFY2017-18
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2017-11-28 00:00:00	020013802	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-09-29 00:00:00	2015-09-29 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	3Q6P11	None	CA00503431	C	SFY2017-18
140000183	EDEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-02-28 00:00:00	020013943	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2016-04-29 00:00:00	2016-04-29 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	98KR11	None	CA00491173	D	SFY2017-18
140000797	STANFORD HEALTH CARE TRI-VALLEY	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-04-24 00:00:00	020014023	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-04-18 00:00:00	2016-04-18 00:00:00	No	2018-05-15 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	HZ3111	N	CA00486430, CA00486430	B, B	SFY2017-18
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-04-25 00:00:00	020014024	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2017-04-07 00:00:00	2017-04-07 00:00:00	No	2018-05-16 00:00:00	None	AP NON-IJ	None	5500	5500	0	5500	0	None	EGZZ11	N	None	None	SFY2017-18
140000183	EDEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-04-18 00:00:00	020014046	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-11-26 00:00:00	2016-11-26 00:00:00	No	2018-05-09 00:00:00	None	AP NON-IJ	None	4162	4162	0	4162	0	None	2F1U11	N	CA00513141	C	SFY2017-18
070001413	VITAS HEALTHCARE CORPORATION OF CALIFORNIA	Non-LTC	HOSPICE	Hospice	East Bay	2018-04-16 00:00:00	020014055	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2016-06-18 00:00:00	2016-06-18 00:00:00	Yes	2018-10-01 00:00:00	2018-09-14 00:00:00	AP BR	AP BR	250000	128177.5	0	128177.5	0	None	UPYO11	None	CA00494826	D	SFY2017-18
140000246	AXIS COMMUNITY HEALTH	Non-LTC	COMTYC	Primary Care Clinic	East Bay	2018-04-13 00:00:00	020014071	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-12-28 00:00:00	2015-12-28 00:00:00	No	2018-05-04 00:00:00	None	AP BR	None	0	0	0	0	0	None	TMK111	None	CA00472536	D	SFY2017-18
140000425	ALTA BATES SUMMIT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-05-21 00:00:00	020014090	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-09-11 00:00:00	2015-09-11 00:00:00	No	2018-06-12 00:00:00	None	AP NON-IJ	None	3937	3937	0	3937	0	None	2XD511	N	CA00458606	C	SFY2017-18
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-06-15 00:00:00	020014153	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-03-05 00:00:00	2015-03-05 00:00:00	No	2018-07-09 00:00:00	None	AP NON-IJ	None	5775	5775	0	5775	0	None	MLTC11	Y	CA00519013	B	SFY2017-18
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-06-12 00:00:00	020014189	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-08-26 00:00:00	2016-08-26 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	12750	12750	0	12750	0	None	QD1811	None	CA00534112	D	SFY2017-18
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-07-26 00:00:00	020014227	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2017-08-22 00:00:00	2017-08-22 00:00:00	No	2018-08-16 00:00:00	None	AP NON-IJ	None	10312	10312	0	10312	0	None	OWFO11	N	None	None	SFY2018-19
630012147	GENTIVA	Non-LTC	HOSPICE	Hospice	Santa Rosa	2018-06-20 00:00:00	020014248	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-09-21 00:00:00	2015-09-21 00:00:00	No	2018-07-12 00:00:00	None	AP BR	None	37500	37500	-9375	28125	0	None	WD6Q11	None	CA00461571	D	SFY2017-18
140000183	EDEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-10-31 00:00:00	020014492	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-03-27 00:00:00	2017-03-27 00:00:00	No	2018-11-26 00:00:00	None	FTR AE	None	500	500	0	500	0	None	NYN511	N	CA00530337	C	SFY2018-19
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-10-10 00:00:00	020014539	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-11-17 00:00:00	2014-11-17 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	49500	49500	-12375	37125	0	None	LJ2Y11	None	CA00547171, CA00547171	C, C	SFY2018-19
140001086	KAISER FOUNDATION HOSPITAL - FREMONT	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-10-12 00:00:00	020014551	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-07-15 00:00:00	2014-07-15 00:00:00	No	2018-11-02 00:00:00	None	AP BR	None	0	0	0	0	0	None	QD3O11	None	CA00418633	C	SFY2018-19
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2022-01-14 00:00:00	020014627	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-10-13 00:00:00	2017-10-13 00:00:00	No	2022-02-22 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	9MN311	None	CA00570954	D	SFY2021-22
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-12-18 00:00:00	020014668	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2017-12-11 00:00:00	2017-12-11 00:00:00	No	2019-04-11 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	MEMQ11	Y	CA00565446, CA00565446, CA00565446, CA00565446, CA00565446	B, B, B, B, B	SFY2018-19
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-11-08 00:00:00	020014690	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-10-30 00:00:00	2015-10-30 00:00:00	No	2018-12-04 00:00:00	None	AP BR	None	0	0	0	0	0	None	95GG11	None	CA00491933	D	SFY2018-19
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2019-01-16 00:00:00	020014739	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2017-12-07 00:00:00	2017-12-07 00:00:00	No	2019-02-06 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	J6GM11	N	CA00564173	A	SFY2018-19
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2022-01-14 00:00:00	020014850	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2017-10-13 00:00:00	2017-10-13 00:00:00	No	2022-02-04 00:00:00	None	FTR RES	None	4900	4900	-1225	3675	0	None	9MN311	None	CA00570954, CA00570954	D, D	SFY2021-22
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2019-03-29 00:00:00	020014911	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-01-30 00:00:00	2018-01-30 00:00:00	No	2019-04-19 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	ODBT11	N	CA00575545, CA00575545	B, B	SFY2018-19
070001239	KAISER FOUNDATION HOSPITAL HOSPICE - OAKLAND	Non-LTC	HOSPICE	Hospice	East Bay	2019-03-14 00:00:00	020014912	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2016-12-02 00:00:00	2016-12-02 00:00:00	No	2019-04-04 00:00:00	None	AP BR	None	0	0	0	0	0	None	QG3K11	None	CA00514297	D	SFY2018-19
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2019-04-03 00:00:00	020015015	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-07-15 00:00:00	2014-07-15 00:00:00	No	2019-04-24 00:00:00	None	AP BR	None	0	0	0	0	0	None	R13B11	None	CA00406693, CA00406693	D, D	SFY2018-19
140000118	WASHINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2021-12-17 00:00:00	020015053	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-02-28 00:00:00	2017-02-28 00:00:00	Yes	2022-01-07 00:00:00	2022-01-14 00:00:00	AP BR	None	15000	15000	0	15000	0	None	JRDD11	None	CA00529366	C	SFY2021-22
140000034	HIGHLAND HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2021-04-20 00:00:00	020016372	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2018-10-16 00:00:00	2018-10-16 00:00:00	No	2021-05-11 00:00:00	None	AP NON-IJ	None	13800	13800	0	13800	0	None	ZZBF11	Y	CA00609136, CA00609136, CA00609136, CA00609136, CA00609136, CA00609356	B, B, B, B, B, B	SFY2020-21
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2022-01-28 00:00:00	020017261	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2013-09-10 00:00:00	2013-09-10 00:00:00	No	2022-02-22 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	WIZ211	None	CA00374060	D	SFY2021-22
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2021-04-23 00:00:00	020017898	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2020-09-02 00:00:00	2020-09-02 00:00:00	No	2022-09-15 00:00:00	None	AP BR	None	30000	30000	0	30000	0	None	7LWH11	None	CA00704754	D	SFY2020-21
140001094	LIFELONG BROOKSIDE COMMUNITY HEALTH CENTER-SAN PABLO	Non-LTC	COMTYC	Primary Care Clinic	East Bay	2021-12-03 00:00:00	020017899	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-03-24 00:00:00	2017-03-24 00:00:00	Yes	2022-09-15 00:00:00	2022-09-02 00:00:00	AP BR	AP BR	15000	8500	0	8500	0	None	E97611	None	CA00530618	C	SFY2021-22
140000187	JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2021-12-03 00:00:00	020017900	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-04-01 00:00:00	2017-04-01 00:00:00	No	2022-09-15 00:00:00	None	AP BR	None	30000	30000	-7500	22500	0	None	4H3J11	None	CA00596331	D	SFY2021-22
140000188	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	Non-LTC	GACH	General Acute Care Hospital	East Bay	2021-04-23 00:00:00	020017902	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2020-09-02 00:00:00	2020-09-02 00:00:00	No	2021-05-14 00:00:00	None	FTR RES	None	11400	11400	0	11400	0	None	7LWH11	None	CA00704754, CA00704754	D, D	SFY2020-21
140000183	EDEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2021-02-03 00:00:00	020018580	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-12-26 00:00:00	2017-12-26 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	3W1T11	None	CA00570499	C	SFY2020-21
630015029	KAISER FOUNDATION HOSPITAL - SAN LEANDRO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2022-06-17 00:00:00	020019050	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-08-31 00:00:00	2018-08-31 00:00:00	No	2023-09-14 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	WPSO11	None	CA00614174	D	SFY2021-22
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2023-06-14 00:00:00	020019219	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-08-04 00:00:00	2022-08-04 00:00:00	No	2023-11-16 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	KBLU11	None	CA00804469	D	SFY2022-23
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2023-06-14 00:00:00	020019220	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2022-08-04 00:00:00	2022-08-04 00:00:00	No	2023-07-06 00:00:00	None	FTR RES	None	100	100	0	100	0	None	KBLU11	None	CA00804469	D	SFY2022-23
140000195	CONTRA COSTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2023-08-01 00:00:00	020019252	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-12-09 00:00:00	2021-12-09 00:00:00	No	2023-11-17 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	HHU111	None	CA00767134	D	SFY2023-24
140000012	ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	East Bay	2024-03-05 00:00:00	020020218	Open	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2020-04-09 00:00:00	2020-04-09 00:00:00	Yes	2024-03-26 00:00:00	2024-06-06 00:00:00	FTR BR	None	2000	2000	0	0	2000	None	VKB911	None	CA00692515	C	SFY2023-24
030000133	KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-03-26 00:00:00	030004516	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-01 00:00:00	2007-10-01 00:00:00	No	2008-04-18 00:00:00	None	FTR AE	None	500	500	0	500	0	None	VFMI11	N	CA00129057	B	SFY2007-08
030000320	SIERRA VISTA HOSPITAL, INC.	Non-LTC	APH	Acute Psychiatric Hospital	Sacramento	2008-01-25 00:00:00	030004738	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-03-22 00:00:00	2007-03-22 00:00:00	No	2008-02-19 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	43VJ11	N	None	None	SFY2007-08
030000129	CENTRAL VALLEY SPECIALTY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-01-25 00:00:00	030004739	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-05-11 00:00:00	2007-05-11 00:00:00	No	2008-02-19 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	VB4J11	N	None	None	SFY2007-08
030000129	CENTRAL VALLEY SPECIALTY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-01-25 00:00:00	030004740	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-05-10 00:00:00	2007-05-10 00:00:00	No	2008-02-19 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	IUII11	N	None	None	SFY2007-08
030000129	CENTRAL VALLEY SPECIALTY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-01-25 00:00:00	030004741	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-05-07 00:00:00	2007-05-07 00:00:00	No	2008-02-19 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	S9SJ11	Y	None	None	SFY2007-08
030000320	SIERRA VISTA HOSPITAL, INC.	Non-LTC	APH	Acute Psychiatric Hospital	Sacramento	2008-04-23 00:00:00	030004817	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-02-16 00:00:00	2008-02-16 00:00:00	No	2008-05-15 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	VWJJ11	N	CA00141167, CA00141245	B, A	SFY2007-08
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-03-26 00:00:00	030004822	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-08-24 00:00:00	2007-08-24 00:00:00	No	2008-04-18 00:00:00	None	FTR AE	None	200	200	0	200	0	None	3M9L11	N	CA00125205	B	SFY2007-08
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-03-26 00:00:00	030004823	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-11 00:00:00	2007-10-11 00:00:00	No	2008-04-18 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	ZCKU11	N	CA00130385	C	SFY2007-08
030000973	KAISER FOUNDATION HOSPITAL MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-03-26 00:00:00	030004825	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2007-09-01 00:00:00	2007-09-01 00:00:00	No	2008-04-17 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	JZVT11	N	CA00128667	B	SFY2007-08
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-04-11 00:00:00	030004916	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-08-17 00:00:00	2007-08-17 00:00:00	No	2008-05-06 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	ZJ9311	N	CA00125584	B	SFY2007-08
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-04-11 00:00:00	030004917	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-09-16 00:00:00	2007-09-16 00:00:00	No	2008-05-06 00:00:00	None	FTR AE	None	400	400	0	400	0	None	I0R911	N	CA00127601	B	SFY2007-08
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-04-11 00:00:00	030004919	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-07-17 00:00:00	2007-07-17 00:00:00	No	2008-05-05 00:00:00	None	FTR AE	None	900	900	0	900	0	None	8NJV11	N	CA00122137	B	SFY2007-08
030000108	SUTTER AMADOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-04-23 00:00:00	030004959	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-07-17 00:00:00	2007-07-17 00:00:00	No	2008-05-15 00:00:00	None	FTR AE	None	3300	3300	0	3300	0	None	ZS3911	N	CA00124937	B	SFY2007-08
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-05-14 00:00:00	030005038	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-12 00:00:00	2007-12-12 00:00:00	No	2008-06-10 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	N2W811	N	CA00137387	B	SFY2007-08
030001799	ADVENTIST HEALTH SONORA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-05-14 00:00:00	030005039	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-11 00:00:00	2007-12-11 00:00:00	No	2008-06-10 00:00:00	None	FTR AE	None	500	500	0	500	0	None	G8YC11	N	CA00135716	B	SFY2007-08
030000114	BARTON MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-06-09 00:00:00	030005125	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2007-11-06 00:00:00	2007-11-06 00:00:00	Yes	2008-07-02 00:00:00	2008-06-18 00:00:00	FTR AE	None	5300	5300	0	5300	0	None	W68D11	N	CA00137437	B	SFY2007-08
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-09-29 00:00:00	030005469	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2007-10-14 00:00:00	2007-10-14 00:00:00	No	2008-10-22 00:00:00	None	FTR AE	None	3800	3800	0	3800	0	None	L2BD11	N	CA00133149	B	SFY2008-09
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-12-11 00:00:00	030005687	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2007-10-08 00:00:00	2007-10-08 00:00:00	No	2009-01-12 00:00:00	None	FTR AE	None	11400	11400	0	11400	0	None	MD3L11	N	CA00139917	B	SFY2008-09
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-03-09 00:00:00	030005941	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE05 - Death during or up to 24 hours after surgery	None	2008-12-03 00:00:00	2008-12-03 00:00:00	No	2009-04-01 00:00:00	None	FTR AE	None	300	300	0	300	0	None	F1K911	Y	CA00171971	B	SFY2008-09
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-03-09 00:00:00	030005943	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-11-27 00:00:00	2008-11-27 00:00:00	No	2009-04-01 00:00:00	None	FTR AE	None	4400	4400	0	4400	0	None	NI4E11	N	CA00174934	B	SFY2008-09
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-03-17 00:00:00	030005969	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-02 00:00:00	2008-08-02 00:00:00	Yes	2009-04-08 00:00:00	2009-03-26 00:00:00	FTR AE	None	14100	14100	0	0	14100	None	7W6111	N	CA00159502	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-03-17 00:00:00	030005976	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-03-20 00:00:00	2008-03-20 00:00:00	No	2009-04-13 00:00:00	None	FTR AE	None	7100	7100	0	7100	0	None	P5BT11	N	CA00145302	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-03-18 00:00:00	030005982	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-12 00:00:00	2008-01-12 00:00:00	No	2009-04-13 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	NKVU11	N	CA00140083	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-03-18 00:00:00	030005986	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-08-31 00:00:00	2007-08-31 00:00:00	No	2009-04-13 00:00:00	None	FTR AE	None	12800	12800	0	12800	0	None	V7QP11	N	CA00137755, CA00138649, CA00139421	B, B, B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-03-20 00:00:00	030006002	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-06 00:00:00	2008-10-06 00:00:00	No	2009-04-14 00:00:00	None	FTR AE	None	300	300	0	300	0	None	DBYM11	N	CA00166152	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-05-13 00:00:00	030006181	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-08 00:00:00	2008-10-08 00:00:00	No	2009-06-05 00:00:00	None	FTR AE	None	100	100	0	100	0	None	M73V11	N	CA00166256	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-05-13 00:00:00	030006182	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-27 00:00:00	2008-05-27 00:00:00	No	2009-06-05 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	9IK711	N	CA00154463	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-06-12 00:00:00	030006289	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-16 00:00:00	2008-07-16 00:00:00	No	2009-07-06 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	XHYX11	N	CA00160228	B	SFY2008-09
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-06-26 00:00:00	030006325	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE23 - Death/disab assoc with use of restraints/bedrails	None	2008-02-17 00:00:00	2008-02-17 00:00:00	Yes	2009-07-17 00:00:00	2009-09-21 00:00:00	AP IJ	AP IJ	25000	12500	0	12500	0	None	B2U611	N	CA00169749	B	SFY2008-09
030000120	MARK TWAIN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-06-30 00:00:00	030006334	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2008-01-20 00:00:00	2008-01-20 00:00:00	Yes	2009-07-21 00:00:00	2009-09-14 00:00:00	AP IJ	None	25000	25000	0	25000	0	None	1HE211	Y	CA00139414	B	SFY2008-09
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-07-16 00:00:00	030006389	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2007-12-17 00:00:00	2007-12-17 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	RMBX11	Y	CA00136701	B	SFY2009-10
030000822	HERITAGE OAKS HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Sacramento	2009-10-06 00:00:00	030006604	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2007-08-16 00:00:00	2007-08-16 00:00:00	No	2009-10-28 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	BX5511	N	CA00123668, CA00123691	A, A	SFY2009-10
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-11-12 00:00:00	030006692	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-03-23 00:00:00	2008-03-23 00:00:00	Yes	2009-12-07 00:00:00	2010-04-21 00:00:00	AP IJ	AP IJ	25000	8000	0	8000	0	None	S5XD11	N	CA00145077	B	SFY2009-10
030000973	KAISER FOUNDATION HOSPITAL MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-06-23 00:00:00	030007326	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-04-27 00:00:00	2009-04-27 00:00:00	No	2010-07-14 00:00:00	None	FTR BR	None	600	600	0	600	0	None	Y2D911	None	CA00187752	B	SFY2009-10
030000120	MARK TWAIN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-06-23 00:00:00	030007329	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-06 00:00:00	2009-11-06 00:00:00	No	2010-07-16 00:00:00	None	FTR BR	None	600	600	0	600	0	None	7JJJ11	None	CA00208749	B	SFY2009-10
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-11-10 00:00:00	030007706	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE15 - Death/disability directly related to hypoglycemia	None	2007-08-10 00:00:00	2007-08-10 00:00:00	No	2010-12-06 00:00:00	None	FTR AE	None	84000	84000	0	84000	0	None	R0JL11	N	CA00211341	B	SFY2010-11
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-11-19 00:00:00	030007727	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2008-02-21 00:00:00	2008-02-21 00:00:00	No	2010-12-14 00:00:00	None	FTR AE	None	37400	37400	0	37400	0	None	H40K11	N	CA00180801	B	SFY2010-11
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-11-30 00:00:00	030007739	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-08-28 00:00:00	2009-08-28 00:00:00	No	2010-12-21 00:00:00	None	FTR BR	None	1600	1600	-400	1200	0	None	FD6R11	None	CA00202232	B	SFY2010-11
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-12-01 00:00:00	030007741	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-12-21 00:00:00	2009-12-21 00:00:00	No	2010-12-22 00:00:00	None	FTR BR	None	1800	1800	-450	1350	0	None	20WM11	None	CA00214619	B	SFY2010-11
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-12-02 00:00:00	030007749	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-07-29 00:00:00	2010-07-29 00:00:00	No	2010-12-23 00:00:00	None	FTR BR	None	2800	2800	0	2800	0	None	TP5U11	None	CA00241526	B	SFY2010-11
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-12-02 00:00:00	030007750	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-07-29 00:00:00	2010-07-29 00:00:00	No	2010-12-23 00:00:00	None	FTR RES	None	2800	2800	-700	2100	0	None	TP5U11	None	CA00241526	B	SFY2010-11
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-12-03 00:00:00	030007753	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-08-09 00:00:00	2010-08-09 00:00:00	No	2010-12-24 00:00:00	None	FTR BR	None	3500	3500	-875	2625	0	None	N7DB11	None	CA00243496	B	SFY2010-11
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2011-03-25 00:00:00	030008064	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-05-26 00:00:00	2009-05-26 00:00:00	No	2011-04-18 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	I9HJ11	None	CA00190942	B	SFY2010-11
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2011-03-25 00:00:00	030008069	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-09-08 00:00:00	2010-09-08 00:00:00	No	2011-04-18 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	Z40M11	None	CA00243311	B	SFY2010-11
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2011-03-25 00:00:00	030008071	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-09-08 00:00:00	2010-09-08 00:00:00	No	2011-04-18 00:00:00	None	FTR RES	None	2100	2100	-525	1575	0	None	Z40M11	None	CA00243311	B	SFY2010-11
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2013-05-16 00:00:00	030009913	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-10-15 00:00:00	2010-10-15 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	1K5X11	Y	CA00319646	C	SFY2012-13
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-10-15 00:00:00	030010196	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-01-15 00:00:00	2009-01-15 00:00:00	No	2013-11-05 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	KCG511	None	CA00175388	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-10-17 00:00:00	030010211	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-07-10 00:00:00	2009-07-10 00:00:00	No	2013-11-07 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	SMT911	None	CA00195569	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-10-21 00:00:00	030010225	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-05-21 00:00:00	2009-05-21 00:00:00	No	2013-11-12 00:00:00	None	FTR BR	None	1300	1300	-325	975	0	None	F00W11	None	CA00191152	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-11-20 00:00:00	030010270	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-05-13 00:00:00	2009-05-13 00:00:00	No	2013-12-13 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	WX4B11	None	CA00188988	B	SFY2013-14
030000125	EMANUEL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-12-16 00:00:00	030010282	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-03-30 00:00:00	2009-03-30 00:00:00	No	2014-01-07 00:00:00	None	FTR AE	None	3300	3300	0	3300	0	None	3U3211	N	CA00187513	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-01-21 00:00:00	030010358	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-02-06 00:00:00	2009-02-06 00:00:00	No	2014-02-11 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	KR9C11	None	CA00178703	C	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-01-28 00:00:00	030010387	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-10 00:00:00	2009-11-10 00:00:00	No	2014-02-19 00:00:00	None	FTR BR	None	2200	2200	-550	1650	0	None	4D4P11	None	CA00210666	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-02-04 00:00:00	030010411	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-08-06 00:00:00	2009-08-06 00:00:00	No	2014-02-26 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	5T7711	None	CA00198914	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-02-11 00:00:00	030010433	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-04-26 00:00:00	2009-04-26 00:00:00	No	2014-03-05 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	33TC11	None	CA00187215	B	SFY2013-14
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-02-06 00:00:00	030010446	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2013-03-24 00:00:00	2013-03-24 00:00:00	No	2014-05-22 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	V7F011	Y	CA00349058, CA00352428	D, B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-02-18 00:00:00	030010476	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-01 00:00:00	2009-11-01 00:00:00	No	2014-03-11 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	ZSED11	None	CA00209886	C	SFY2013-14
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-02-18 00:00:00	030010477	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-07-18 00:00:00	2013-07-18 00:00:00	No	2014-03-11 00:00:00	None	FTR BR	None	400	400	0	400	0	None	D98311	None	CA00364023	E	SFY2013-14
630011683	KAISER FOUNDATION HOSPITAL MODESTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-03-18 00:00:00	030010537	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-08-02 00:00:00	2011-08-02 00:00:00	No	2014-04-09 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	DLER11	N	CA00282704	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-03-18 00:00:00	030010552	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-30 00:00:00	2009-11-30 00:00:00	No	2014-04-09 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	O4DH11	None	CA00210673	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-03-18 00:00:00	030010553	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-06 00:00:00	2009-03-06 00:00:00	No	2014-04-09 00:00:00	None	FTR BR	None	100	100	0	100	0	None	90TJ11	None	CA00180905	B	SFY2013-14
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-03-18 00:00:00	030010554	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-01-29 00:00:00	2009-01-29 00:00:00	No	2014-04-09 00:00:00	None	FTR AE	None	900	900	0	900	0	None	I8WU11	N	CA00177805	B	SFY2013-14
030000120	MARK TWAIN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-03-24 00:00:00	030010564	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2013-06-13 00:00:00	2013-06-13 00:00:00	No	2015-03-05 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	SJO311	N	CA00359050, CA00359061	D, D	SFY2013-14
030000973	KAISER FOUNDATION HOSPITAL MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-07-18 00:00:00	030010570	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-11-15 00:00:00	2012-11-15 00:00:00	No	2014-08-08 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	HP2B11	None	CA00335235	C	SFY2014-15
030000973	KAISER FOUNDATION HOSPITAL MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-07-18 00:00:00	030010571	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-11-15 00:00:00	2012-11-15 00:00:00	No	2014-08-08 00:00:00	None	FTR RES	None	1800	1800	-450	1350	0	None	HP2B11	None	CA00335235	C	SFY2014-15
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-04-01 00:00:00	030010584	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-15 00:00:00	2009-10-15 00:00:00	No	2014-04-22 00:00:00	None	FTR BR	None	1500	1500	-375	1125	0	None	GJM211	None	CA00207306	B	SFY2013-14
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-04-08 00:00:00	030010585	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-01-12 00:00:00	2009-01-12 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	158I11	N	CA00180867, CA00180956	B, B	SFY2013-14
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-08-15 00:00:00	030010618	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-05-08 00:00:00	2012-05-08 00:00:00	No	2014-09-08 00:00:00	None	FTR BR	None	3500	3500	-875	2625	0	None	VDP011	None	CA00321407	E	SFY2014-15
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-08-15 00:00:00	030010619	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-05-08 00:00:00	2012-05-08 00:00:00	No	2014-09-08 00:00:00	None	FTR RES	None	3500	3500	-875	2625	0	None	VDP011	None	CA00321407	E	SFY2014-15
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-04-14 00:00:00	030010625	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-07-03 00:00:00	2012-07-03 00:00:00	No	2014-05-05 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	0GVC11	N	CA00320003	B	SFY2013-14
030000114	BARTON MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-04-14 00:00:00	030010626	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-02-15 00:00:00	2010-02-15 00:00:00	No	2014-05-05 00:00:00	None	FTR AE	None	200	200	0	200	0	None	V9TJ11	N	CA00218981	B	SFY2013-14
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-04-14 00:00:00	030010627	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-11 00:00:00	2009-03-11 00:00:00	No	2014-05-05 00:00:00	None	FTR BR	None	500	500	0	500	0	None	D3NL11	None	CA00221696	B	SFY2013-14
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-04-14 00:00:00	030010628	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2009-03-11 00:00:00	2009-03-11 00:00:00	No	2014-05-05 00:00:00	None	FTR RES	None	200	200	0	200	0	None	D3NL11	None	CA00221696	B	SFY2013-14
030000125	EMANUEL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-04-18 00:00:00	030010632	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2009-08-05 00:00:00	2009-08-05 00:00:00	No	2014-05-09 00:00:00	None	FTR RES	None	100	100	0	100	0	None	6FWP11	None	CA00215187	B	SFY2013-14
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-08 00:00:00	030010633	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-08-27 00:00:00	2010-08-27 00:00:00	No	2015-06-01 00:00:00	None	FTR AE	None	600	600	0	600	0	None	GPET11	N	CA00242228	B	SFY2014-15
030000125	EMANUEL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-04-22 00:00:00	030010652	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-09-08 00:00:00	2009-09-08 00:00:00	No	2014-05-13 00:00:00	None	FTR BR	None	100	100	0	100	0	None	12R911	None	CA00201800	B	SFY2013-14
030000125	EMANUEL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-04-23 00:00:00	030010653	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-08-03 00:00:00	2009-08-03 00:00:00	No	2014-05-14 00:00:00	None	FTR BR	None	200	200	0	200	0	None	BUN811	None	CA00198099	B	SFY2013-14
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-08-01 00:00:00	030010677	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-02-08 00:00:00	2011-02-08 00:00:00	No	2014-08-22 00:00:00	None	FTR AE	None	5400	5400	0	5400	0	None	HZ6E11	N	CA00265502	B	SFY2014-15
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-04-29 00:00:00	030010679	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-02-12 00:00:00	2009-02-12 00:00:00	No	2014-05-20 00:00:00	None	FTR AE	None	100	100	0	100	0	None	ZO1Z11	N	CA00178329	B	SFY2013-14
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-05-06 00:00:00	030010706	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-03 00:00:00	2008-07-03 00:00:00	No	2014-05-28 00:00:00	None	FTR AE	None	300	300	0	300	0	None	60ER11	N	CA00156661	B	SFY2013-14
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-05-13 00:00:00	030010725	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-08-23 00:00:00	2011-08-23 00:00:00	No	2014-06-04 00:00:00	None	FTR AE	None	400	400	0	400	0	None	0WYP11	N	CA00282034	B	SFY2013-14
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-05-20 00:00:00	030010734	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-06-16 00:00:00	2012-06-16 00:00:00	No	2014-06-11 00:00:00	None	FTR AE	None	800	800	0	800	0	None	LRP611	N	CA00316232	E	SFY2013-14
030000973	KAISER FOUNDATION HOSPITAL MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-05-27 00:00:00	030010741	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-07-13 00:00:00	2011-07-13 00:00:00	No	2014-06-17 00:00:00	None	FTR RES	None	600	600	-150	450	0	None	5PLV11	None	CA00276626	B	SFY2013-14
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-06-10 00:00:00	030010748	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-04-22 00:00:00	2010-04-22 00:00:00	No	2010-07-01 00:00:00	None	FTR RES	None	1200	1200	0	1200	0	None	ZMJZ11	None	CA00226866	B	SFY2009-10
630011683	KAISER FOUNDATION HOSPITAL MODESTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-06-17 00:00:00	030010819	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-03-09 00:00:00	2012-03-09 00:00:00	No	2014-07-09 00:00:00	None	FTR AE	None	200	200	0	200	0	None	408B11	N	CA00303659	D	SFY2013-14
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-07-18 00:00:00	030010863	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-02-13 00:00:00	2010-02-13 00:00:00	No	2014-08-08 00:00:00	None	FTR BR	None	900	900	0	900	0	None	BRGC11	None	CA00220341	B	SFY2014-15
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-07-18 00:00:00	030010864	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-02-13 00:00:00	2010-02-13 00:00:00	No	2014-08-08 00:00:00	None	FTR RES	None	800	800	0	800	0	None	BRGC11	None	CA00220341	B	SFY2014-15
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-08-07 00:00:00	030010922	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-10-14 00:00:00	2008-10-14 00:00:00	No	2014-08-28 00:00:00	None	FTR AE	None	800	800	0	800	0	None	D9VP11	N	CA00167567	B	SFY2014-15
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-08-21 00:00:00	030010952	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-01-07 00:00:00	2010-01-07 00:00:00	No	2014-09-12 00:00:00	None	FTR AE	None	500	500	0	500	0	None	ZF8Y11	N	CA00215627	B	SFY2014-15
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-08-28 00:00:00	030010967	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-30 00:00:00	2008-06-30 00:00:00	No	2014-09-19 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	1Q6711	N	CA00158855	B	SFY2014-15
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-08 00:00:00	030011021	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-08-17 00:00:00	2011-08-17 00:00:00	No	2015-06-01 00:00:00	None	FTR AE	None	3800	3800	0	3800	0	None	H4UX11	N	CA00285216	B	SFY2014-15
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-04-20 00:00:00	030011406	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-03-19 00:00:00	2008-03-19 00:00:00	No	2015-05-11 00:00:00	None	FTR AE	None	400	400	0	400	0	None	5H5711	N	CA00145430	B	SFY2014-15
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-04-20 00:00:00	030011408	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2008-06-25 00:00:00	2008-06-25 00:00:00	No	2015-05-11 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	1KI111	N	CA00158266	B	SFY2014-15
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-04-22 00:00:00	030011415	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-06-25 00:00:00	2009-06-25 00:00:00	No	2015-05-13 00:00:00	None	FTR AE	None	100	100	0	100	0	None	2T4X11	N	CA00193727	B	SFY2014-15
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-04 00:00:00	030011432	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2012-07-13 00:00:00	2012-07-13 00:00:00	No	2015-05-26 00:00:00	None	FTR AE	None	200	200	0	200	0	None	ELN811	N	CA00318897	C	SFY2014-15
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-06 00:00:00	030011433	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE19 - Death/disability due to electric shock	None	2011-05-03 00:00:00	2011-05-03 00:00:00	No	2015-05-28 00:00:00	None	FTR AE	None	300	300	0	300	0	None	T0UJ11	N	CA00269224	B	SFY2014-15
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-04 00:00:00	030011434	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-05-07 00:00:00	2013-05-07 00:00:00	No	2015-05-26 00:00:00	None	FTR BR	None	200	200	0	200	0	None	RURL11	None	CA00355059	E	SFY2014-15
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-11 00:00:00	030011461	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-03-29 00:00:00	2008-03-29 00:00:00	No	2015-06-02 00:00:00	None	FTR AE	None	600	600	0	600	0	None	EVKR11	N	CA00146448	B	SFY2014-15
030000133	KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-11 00:00:00	030011462	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2013-02-11 00:00:00	2013-02-11 00:00:00	No	2015-06-02 00:00:00	None	FTR AE	None	400	400	0	400	0	None	OXPQ11	N	CA00344332	D	SFY2014-15
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-11 00:00:00	030011463	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE08 - Death/disability due to intravascular air embolism	None	2012-08-29 00:00:00	2012-08-29 00:00:00	No	2015-06-02 00:00:00	None	FTR AE	None	400	400	0	400	0	None	D7D111	N	CA00324919	D	SFY2014-15
030000133	KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-11 00:00:00	030011464	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2012-06-27 00:00:00	2012-06-27 00:00:00	No	2015-06-02 00:00:00	None	FTR AE	None	300	300	0	300	0	None	X2Y311	N	CA00316868	D	SFY2014-15
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-06-02 00:00:00	030011510	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-03-08 00:00:00	2009-03-08 00:00:00	No	2016-02-19 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	PN3G11	Y	CA00181306	B	SFY2014-15
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-06-08 00:00:00	030011530	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-07-09 00:00:00	2011-07-09 00:00:00	No	2015-06-29 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	85RK11	N	CA00278112	C	SFY2014-15
030001799	ADVENTIST HEALTH SONORA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-06-08 00:00:00	030011535	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-03-22 00:00:00	2012-03-22 00:00:00	No	2015-06-29 00:00:00	None	FTR AE	None	300	300	0	300	0	None	Y0LB11	N	CA00305090	D	SFY2014-15
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-06-08 00:00:00	030011539	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-05-15 00:00:00	2013-05-15 00:00:00	No	2015-06-29 00:00:00	None	FTR BR	None	900	900	0	900	0	None	CJ8Y11	None	CA00356950	E	SFY2014-15
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-06-08 00:00:00	030011540	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-05-15 00:00:00	2013-05-15 00:00:00	No	2015-06-29 00:00:00	None	FTR RES	None	600	600	0	600	0	None	CJ8Y11	None	CA00356950	E	SFY2014-15
030000973	KAISER FOUNDATION HOSPITAL MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-06-16 00:00:00	030011564	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-02 00:00:00	2009-10-02 00:00:00	No	2015-07-07 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	E2KE11	None	CA00204416	B	SFY2014-15
100000853	KAISER FOUNDATION HOSPITAL - HOSPICE	Non-LTC	HOSPICE	Hospice	Sacramento	2015-06-19 00:00:00	030011574	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach of IT system theft/loss of edevice/med rec	None	2014-11-26 00:00:00	2014-11-26 00:00:00	No	2015-07-10 00:00:00	None	FTR RES	None	400	400	0	400	0	None	BN0W11	None	CA00422420	C	SFY2014-15
100000853	KAISER FOUNDATION HOSPITAL - HOSPICE	Non-LTC	HOSPICE	Hospice	Sacramento	2015-06-26 00:00:00	030011584	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-08-06 00:00:00	2013-08-06 00:00:00	No	2015-07-17 00:00:00	None	FTR BR	None	400	400	0	400	0	None	DG0N11	None	CA00367162	D	SFY2014-15
100000853	KAISER FOUNDATION HOSPITAL - HOSPICE	Non-LTC	HOSPICE	Hospice	Sacramento	2015-06-26 00:00:00	030011585	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-08-06 00:00:00	2013-08-06 00:00:00	No	2015-07-17 00:00:00	None	FTR RES	None	700	700	0	700	0	None	DG0N11	None	CA00367162	D	SFY2014-15
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-08-03 00:00:00	030011649	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-27 00:00:00	2007-12-27 00:00:00	No	2015-08-24 00:00:00	None	FTR AE	None	300	300	0	300	0	None	FGBG11	N	CA00137267	B	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-08-03 00:00:00	030011650	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-24 00:00:00	2008-01-24 00:00:00	No	2015-08-24 00:00:00	None	FTR AE	None	13300	13300	0	13300	0	None	FGBG11	N	CA00137267	B	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-08-03 00:00:00	030011651	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-29 00:00:00	2008-01-29 00:00:00	No	2015-08-24 00:00:00	None	FTR AE	None	12800	12800	0	12800	0	None	FGBG11	N	CA00137267	B	SFY2015-16
630011683	KAISER FOUNDATION HOSPITAL MODESTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-08-10 00:00:00	030011652	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-02-05 00:00:00	2009-02-05 00:00:00	No	2015-08-31 00:00:00	None	FTR AE	None	4300	4300	0	4300	0	None	968011	N	CA00182761	B	SFY2015-16
030000133	KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-08-11 00:00:00	030011663	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-01-17 00:00:00	2013-01-17 00:00:00	No	2015-09-01 00:00:00	None	FTR AE	None	100	100	0	100	0	None	D8FL11	N	CA00340706	D	SFY2015-16
030000133	KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-08-17 00:00:00	030011670	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-07-09 00:00:00	2014-07-09 00:00:00	No	2015-09-08 00:00:00	None	FTR BR	None	600	600	0	600	0	None	JHBA11	None	CA00415173	D	SFY2015-16
030000133	KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-08-17 00:00:00	030011671	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-07-09 00:00:00	2014-07-09 00:00:00	No	2015-09-08 00:00:00	None	FTR RES	None	700	700	0	700	0	None	JHBA11	None	CA00415173	D	SFY2015-16
030000120	MARK TWAIN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-08-17 00:00:00	030011672	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-01-27 00:00:00	2009-01-27 00:00:00	No	2015-09-08 00:00:00	None	FTR AE	None	4500	4500	0	4500	0	None	WEZA11	N	CA00181884	B	SFY2015-16
100001207	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Sacramento	2015-08-25 00:00:00	030011689	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-06-18 00:00:00	2012-06-18 00:00:00	No	2015-09-16 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	ECZO11	None	CA00315781	C	SFY2015-16
100000853	KAISER FOUNDATION HOSPITAL - HOSPICE	Non-LTC	HOSPICE	Hospice	Sacramento	2015-09-28 00:00:00	030011749	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-07-26 00:00:00	2014-07-26 00:00:00	No	2015-10-19 00:00:00	None	FTR BR	None	8200	8200	0	8200	0	None	U2E011	None	CA00419294	C	SFY2015-16
100000853	KAISER FOUNDATION HOSPITAL - HOSPICE	Non-LTC	HOSPICE	Hospice	Sacramento	2015-09-28 00:00:00	030011750	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-07-26 00:00:00	2014-07-26 00:00:00	No	2015-10-19 00:00:00	None	FTR RES	None	8200	8200	0	8200	0	None	U2E011	None	CA00419294	C	SFY2015-16
100001207	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Sacramento	2015-09-28 00:00:00	030011751	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-10-18 00:00:00	2011-10-18 00:00:00	No	2015-10-19 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	9OB411	None	CA00287925	B	SFY2015-16
100001207	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Sacramento	2015-09-28 00:00:00	030011752	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-10-18 00:00:00	2011-10-18 00:00:00	No	2015-10-19 00:00:00	None	FTR RES	None	100	100	-25	75	0	None	9OB411	None	CA00287925	B	SFY2015-16
030000112	SUTTER MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-09-28 00:00:00	030011754	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-10-27 00:00:00	2010-10-27 00:00:00	No	2015-10-19 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	HGRV11	N	CA00249653	B	SFY2015-16
030000112	SUTTER MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-10-22 00:00:00	030011790	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-08-28 00:00:00	2014-08-28 00:00:00	No	2015-11-13 00:00:00	None	FTR AE	None	300	300	0	300	0	None	3GJO11	N	CA00412168	D	SFY2015-16
030000112	SUTTER MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-10-23 00:00:00	030011796	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-06-10 00:00:00	2014-06-10 00:00:00	No	2015-11-16 00:00:00	None	FTR AE	None	300	300	0	300	0	None	PLGS11	N	CA00402482	D	SFY2015-16
030000112	SUTTER MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-10-30 00:00:00	030011811	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-01-10 00:00:00	2012-01-10 00:00:00	No	2015-11-23 00:00:00	None	FTR AE	None	6500	6500	0	6500	0	None	VZYC11	N	CA00304124	D	SFY2015-16
030000112	SUTTER MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-11-05 00:00:00	030011833	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-11-18 00:00:00	2013-11-18 00:00:00	No	2015-12-01 00:00:00	None	FTR AE	None	300	300	0	300	0	None	1IN111	N	CA00378532	D	SFY2015-16
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-11-16 00:00:00	030011847	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2013-01-17 00:00:00	2013-01-17 00:00:00	No	2015-12-09 00:00:00	None	FTR AE	None	100	100	0	100	0	None	IK0L11	N	CA00340669	E	SFY2015-16
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-12-07 00:00:00	030011880	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2009-08-02 00:00:00	2009-08-02 00:00:00	No	2015-12-29 00:00:00	None	FTR RES	None	500	500	0	500	0	None	KLXS11	None	CA00233381	B	SFY2015-16
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-12-07 00:00:00	030011881	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-11-02 00:00:00	2010-11-02 00:00:00	No	2015-12-29 00:00:00	None	FTR RES	None	1900	1900	0	1900	0	None	WD6G11	None	CA00249724	B	SFY2015-16
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-12-07 00:00:00	030011882	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-11-22 00:00:00	2010-11-22 00:00:00	No	2015-12-29 00:00:00	None	FTR RES	None	900	900	0	900	0	None	Y69711	None	CA00251234	B	SFY2015-16
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-12-10 00:00:00	030011888	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-05-18 00:00:00	2009-05-18 00:00:00	No	2016-01-01 00:00:00	None	FTR BR	None	10100	10100	-2525	7575	0	None	NIII11	None	CA00201737	B	SFY2015-16
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-12-10 00:00:00	030011889	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-06-10 00:00:00	2010-06-10 00:00:00	No	2016-01-01 00:00:00	None	FTR BR	None	700	700	0	700	0	None	I7TO11	None	CA00247216	B	SFY2015-16
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-12-10 00:00:00	030011890	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2010-06-10 00:00:00	2010-06-10 00:00:00	No	2016-01-01 00:00:00	None	FTR RES	None	700	700	0	700	0	None	I7TO11	None	CA00247216	B	SFY2015-16
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-12-14 00:00:00	030011893	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2010-08-17 00:00:00	2010-08-17 00:00:00	No	2016-01-05 00:00:00	None	FTR BR	None	900	900	0	900	0	None	MIQJ11	None	CA00243660	B	SFY2015-16
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-12-14 00:00:00	030011894	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2010-08-17 00:00:00	2010-08-17 00:00:00	No	2016-01-05 00:00:00	None	FTR RES	None	800	800	0	800	0	None	MIQJ11	None	CA00243660	B	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-12-14 00:00:00	030011895	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2010-07-25 00:00:00	2010-07-25 00:00:00	No	2016-01-05 00:00:00	None	FTR RES	None	300	300	0	300	0	None	LUDI11	None	CA00238348	B	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-12-17 00:00:00	030011901	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2010-06-17 00:00:00	2010-06-17 00:00:00	No	2016-01-08 00:00:00	None	FTR RES	None	900	900	0	900	0	None	1HDL11	None	CA00233506	B	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-01-14 00:00:00	030011960	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-05-16 00:00:00	2012-05-16 00:00:00	No	2016-02-05 00:00:00	None	FTR RES	None	700	700	0	700	0	None	FQ0411	None	CA00312032	E	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-01-14 00:00:00	030011962	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach by person other than a h/c worker	None	2012-03-18 00:00:00	2012-03-18 00:00:00	No	2016-02-05 00:00:00	None	FTR RES	None	300	300	0	300	0	None	50U611	None	CA00304330	E	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-28 00:00:00	030012001	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2012-03-23 00:00:00	2012-03-23 00:00:00	No	2016-07-20 00:00:00	None	FTR RES	None	3300	3300	0	3300	0	None	ECS511	None	CA00309025	D	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-02-01 00:00:00	030012003	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2012-06-24 00:00:00	2012-06-24 00:00:00	No	2016-02-23 00:00:00	None	FTR BR	None	700	700	0	700	0	None	8Q3S11	None	CA00329855	D	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-02-05 00:00:00	030012015	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-07-16 00:00:00	2013-07-16 00:00:00	No	2016-02-29 00:00:00	None	FTR BR	None	2200	2200	0	2200	0	None	DKD011	None	CA00366107	D	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-02-05 00:00:00	030012016	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-07-16 00:00:00	2013-07-16 00:00:00	No	2016-02-29 00:00:00	None	FTR RES	None	2200	2200	0	2200	0	None	DKD011	None	CA00366107	D	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-02-09 00:00:00	030012024	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-09-18 00:00:00	2013-09-18 00:00:00	No	2016-03-02 00:00:00	None	FTR BR	None	100	100	0	100	0	None	LC6711	None	CA00371392	D	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-02-09 00:00:00	030012026	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-09-18 00:00:00	2013-09-18 00:00:00	No	2016-03-02 00:00:00	None	FTR RES	None	100	100	0	100	0	None	LC6711	None	CA00371392	D	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-02-12 00:00:00	030012032	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-05-23 00:00:00	2013-05-23 00:00:00	No	2016-03-07 00:00:00	None	FTR RES	None	800	800	0	800	0	None	UO4Z11	None	CA00356910	D	SFY2015-16
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-02-24 00:00:00	030012043	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-11-06 00:00:00	2009-11-06 00:00:00	No	2016-03-16 00:00:00	None	FTR AE	None	200	200	0	200	0	None	9GQU11	N	CA00208472	C	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-04-04 00:00:00	030012160	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-08-05 00:00:00	2013-08-05 00:00:00	No	2016-04-25 00:00:00	None	FTR AE	None	100	100	0	100	0	None	1IUK11	N	CA00400829	D	SFY2015-16
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-04-05 00:00:00	030012163	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-03-05 00:00:00	2009-03-05 00:00:00	No	2016-04-26 00:00:00	None	FTR AE	None	2600	2600	0	2600	0	None	JO2V11	N	CA00183964	B	SFY2015-16
030000860	ONE COMMUNITY HEALTH	Non-LTC	COMTYC	Primary Care Clinic	Sacramento	2016-04-07 00:00:00	030012171	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-12-15 00:00:00	2011-12-15 00:00:00	No	2016-04-28 00:00:00	None	FTR BR	None	100	100	0	100	0	None	0QDM11	None	CA00294044	C	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-05-03 00:00:00	030012224	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-11-24 00:00:00	2009-11-24 00:00:00	No	2016-05-24 00:00:00	None	FTR AE	None	4700	4700	0	4700	0	None	8Q0S11	N	CA00214998	B	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-05-04 00:00:00	030012225	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-10-07 00:00:00	2011-10-07 00:00:00	No	2016-05-25 00:00:00	None	FTR RES	None	3500	3500	0	3500	0	None	4QC111	None	CA00286814	B	SFY2015-16
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-05-24 00:00:00	030012270	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-07-26 00:00:00	2010-07-26 00:00:00	No	2016-06-15 00:00:00	None	FTR BR	None	2100	2100	0	2100	0	None	IHKX11	None	CA00243658	B	SFY2015-16
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-05-24 00:00:00	030012271	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2010-07-26 00:00:00	2010-07-26 00:00:00	No	2016-06-15 00:00:00	None	FTR RES	None	2000	2000	0	2000	0	None	IHKX11	None	CA00243658	B	SFY2015-16
030000973	KAISER FOUNDATION HOSPITAL MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-05-24 00:00:00	030012272	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-12-04 00:00:00	2009-12-04 00:00:00	No	2016-06-15 00:00:00	None	FTR AE	None	200	200	0	200	0	None	LLYE11	N	CA00217313	B	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-05-31 00:00:00	030012301	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-19 00:00:00	2010-05-19 00:00:00	No	2016-06-21 00:00:00	None	FTR BR	None	200	200	0	200	0	None	OEFV11	None	CA00230624	B	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-01 00:00:00	030012303	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-04-22 00:00:00	2014-04-22 00:00:00	No	2016-06-22 00:00:00	None	FTR BR	None	100	100	0	100	0	None	3QFH11	None	CA00397030	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-01 00:00:00	030012304	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-04-22 00:00:00	2014-04-22 00:00:00	No	2016-06-22 00:00:00	None	FTR RES	None	100	100	0	100	0	None	3QFH11	None	CA00397030	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-09 00:00:00	030012319	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-07-28 00:00:00	2014-07-28 00:00:00	No	2016-06-30 00:00:00	None	FTR BR	None	900	900	0	900	0	None	COME11	None	CA00409281	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-09 00:00:00	030012320	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-07-28 00:00:00	2014-07-28 00:00:00	No	2016-06-30 00:00:00	None	FTR RES	None	1000	1000	0	1000	0	None	COME11	None	CA00409281	D	SFY2015-16
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-28 00:00:00	030012358	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2012-03-23 00:00:00	2012-03-23 00:00:00	No	2016-07-20 00:00:00	None	FTR BR	None	3100	3100	0	3100	0	None	ECS511	None	CA00309025	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-28 00:00:00	030012363	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-08-31 00:00:00	2014-08-31 00:00:00	No	2016-07-20 00:00:00	None	FTR BR	None	200	200	0	200	0	None	YWUH11	None	CA00412729	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-28 00:00:00	030012364	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-08-31 00:00:00	2014-08-31 00:00:00	No	2016-07-20 00:00:00	None	FTR RES	None	200	200	0	200	0	None	YWUH11	None	CA00412729	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-29 00:00:00	030012370	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-10-07 00:00:00	2014-10-07 00:00:00	No	2016-07-21 00:00:00	None	FTR BR	None	100	100	0	100	0	None	V6H211	None	CA00417148	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-29 00:00:00	030012371	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-10-07 00:00:00	2014-10-07 00:00:00	No	2016-07-21 00:00:00	None	FTR RES	None	100	100	0	100	0	None	V6H211	None	CA00417148	D	SFY2015-16
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-08-16 00:00:00	030012506	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2012-01-10 00:00:00	2012-01-10 00:00:00	Yes	2017-05-11 00:00:00	2017-04-28 00:00:00	AP IJ	None	50000	50000	0	0	50000	None	79QU11	N	CA00324171	D	SFY2016-17
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-08-23 00:00:00	030012520	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-10-28 00:00:00	2014-10-28 00:00:00	No	2016-09-14 00:00:00	None	FTR BR	None	500	500	0	500	0	None	5K6D11	None	CA00419942	D	SFY2016-17
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-08-23 00:00:00	030012521	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-04-04 00:00:00	2014-04-04 00:00:00	No	2016-09-14 00:00:00	None	FTR AE	None	100	100	0	100	0	None	H6YM11	N	CA00394546	D	SFY2016-17
030001799	ADVENTIST HEALTH SONORA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-08-29 00:00:00	030012546	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-17 00:00:00	2009-03-17 00:00:00	No	2016-09-20 00:00:00	None	FTR BR	None	100	100	0	100	0	None	FWIY11	None	CA00182267	B	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-08-30 00:00:00	030012549	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-06-18 00:00:00	2012-06-18 00:00:00	No	2016-09-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	T3CR11	N	CA00315647	D	SFY2016-17
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-09-15 00:00:00	030012579	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-01-10 00:00:00	2012-01-10 00:00:00	No	2016-10-06 00:00:00	None	FTR AE	None	22900	22900	0	22900	0	None	79QU11	N	CA00324171	D	SFY2016-17
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-07 00:00:00	030012635	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2011-06-29 00:00:00	2011-06-29 00:00:00	No	2016-10-28 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	H5QD11	N	CA00276431	C	SFY2016-17
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-07 00:00:00	030012636	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-05-07 00:00:00	2010-05-07 00:00:00	No	2016-10-28 00:00:00	None	FTR AE	None	200	200	0	200	0	None	ZSHX11	N	CA00228965	B	SFY2016-17
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-25 00:00:00	030012684	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-11-27 00:00:00	2013-11-27 00:00:00	No	2016-11-16 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	JR3L11	N	CA00381438	D	SFY2016-17
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-26 00:00:00	030012688	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-06-17 00:00:00	2009-06-17 00:00:00	No	2016-11-17 00:00:00	None	FTR AE	None	700	700	0	700	0	None	4GTL11	N	CA00193453	B	SFY2016-17
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-26 00:00:00	030012689	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2014-01-13 00:00:00	2014-01-13 00:00:00	No	2016-11-17 00:00:00	None	FTR AE	None	300	300	0	300	0	None	RB5F11	N	CA00384693	C	SFY2016-17
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-27 00:00:00	030012690	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-10-18 00:00:00	2013-10-18 00:00:00	No	2016-11-18 00:00:00	None	FTR AE	None	800	800	0	800	0	None	TB2111	N	CA00375545	D	SFY2016-17
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-27 00:00:00	030012693	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-10-23 00:00:00	2013-10-23 00:00:00	No	2016-11-18 00:00:00	None	FTR AE	None	700	700	0	700	0	None	79LV11	N	CA00375687	D	SFY2016-17
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-28 00:00:00	030012697	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-08-17 00:00:00	2013-08-17 00:00:00	No	2016-11-21 00:00:00	None	FTR AE	None	500	500	0	500	0	None	3H9Q11	N	CA00367703	D	SFY2016-17
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-28 00:00:00	030012698	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-07-02 00:00:00	2013-07-02 00:00:00	No	2016-11-21 00:00:00	None	FTR AE	None	300	300	0	300	0	None	VMTC11	N	CA00361527	D	SFY2016-17
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012701	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2011-03-30 00:00:00	2011-03-30 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	300	300	0	300	0	None	XDBW11	N	CA00265182	B	SFY2016-17
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012703	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-12-03 00:00:00	2012-12-03 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	600	600	0	600	0	None	WLLS11	N	CA00336298	D	SFY2016-17
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012704	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-02-23 00:00:00	2012-02-23 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	QJ9L11	N	CA00303868	D	SFY2016-17
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012708	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-09-06 00:00:00	2013-09-06 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	IOXH11	N	CA00370710	D	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012709	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE22 - Death associated with a fall	None	2012-01-27 00:00:00	2012-01-27 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	200	200	0	200	0	None	Z52D11	N	CA00298711	C	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012711	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-02-01 00:00:00	2013-02-01 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	500	500	0	500	0	None	157D11	N	CA00343180	D	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-11-04 00:00:00	030012725	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-04-26 00:00:00	2010-04-26 00:00:00	No	2016-11-30 00:00:00	None	FTR AE	None	400	400	0	400	0	None	V8JM11	N	CA00228099	B	SFY2016-17
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-11-04 00:00:00	030012726	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-01-05 00:00:00	2015-01-05 00:00:00	No	2016-11-30 00:00:00	None	FTR AE	None	400	400	0	400	0	None	MO0711	N	CA00427163	D	SFY2016-17
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-11-17 00:00:00	030012760	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-07-31 00:00:00	2015-07-31 00:00:00	No	2016-12-12 00:00:00	None	FTR AE	None	600	600	0	600	0	None	1WWI11	N	CA00454043	C	SFY2016-17
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-11-18 00:00:00	030012765	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-10-19 00:00:00	2010-10-19 00:00:00	No	2016-12-13 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	X18611	N	CA00248216	B	SFY2016-17
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-12-05 00:00:00	030012791	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2011-07-14 00:00:00	2011-07-14 00:00:00	No	2016-12-27 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	524L11	N	CA00277904	C	SFY2016-17
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-12-29 00:00:00	030012852	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-06-13 00:00:00	2014-06-13 00:00:00	No	2017-01-23 00:00:00	None	FTR AE	None	200	200	0	200	0	None	0P6511	N	CA00402815	D	SFY2016-17
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-01-24 00:00:00	030012901	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-04-01 00:00:00	2009-04-01 00:00:00	No	2017-02-14 00:00:00	None	FTR BR	None	800	800	0	800	0	None	VVQO11	None	CA00184879	B	SFY2016-17
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-02-02 00:00:00	030012931	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-12-25 00:00:00	2009-12-25 00:00:00	No	2017-02-24 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	KWDO11	None	CA00213272	B	SFY2016-17
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-02-02 00:00:00	030012934	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-01-20 00:00:00	2011-01-20 00:00:00	No	2017-02-24 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	V1FH11	None	CA00257474	B	SFY2016-17
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-02-02 00:00:00	030012935	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-01-20 00:00:00	2011-01-20 00:00:00	No	2017-02-24 00:00:00	None	FTR RES	None	100	100	-25	75	0	None	V1FH11	None	CA00257474	B	SFY2016-17
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-02-14 00:00:00	030012974	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-02-12 00:00:00	2013-02-12 00:00:00	No	2017-03-08 00:00:00	None	FTR AE	None	500	500	0	500	0	None	M70I11	N	CA00344749	E	SFY2016-17
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-03-24 00:00:00	030013084	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-04-08 00:00:00	2009-04-08 00:00:00	No	2017-04-17 00:00:00	None	FTR BR	None	100	100	0	100	0	None	VVQO11	None	CA00184879	B	SFY2016-17
100001060	ADVANCED HOME HEALTH, INC	Non-LTC	HHA	Home Health Agency	Sacramento	2017-04-07 00:00:00	030013091	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2015-05-29 00:00:00	2015-05-29 00:00:00	No	2017-04-28 00:00:00	None	FTR BR	None	4000	4000	0	4000	0	None	W7I211	None	CA00452465	D	SFY2016-17
100001060	ADVANCED HOME HEALTH, INC	Non-LTC	HHA	Home Health Agency	Sacramento	2017-04-07 00:00:00	030013092	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2015-05-29 00:00:00	2015-05-29 00:00:00	No	2017-04-28 00:00:00	None	FTR RES	None	3500	3500	0	3500	0	None	W7I211	None	CA00452465	D	SFY2016-17
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-03-29 00:00:00	030013094	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE08 - Death/disability due to intravascular air embolism	None	2012-10-09 00:00:00	2012-10-09 00:00:00	No	2017-04-20 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	5GQH11	N	CA00330864	D	SFY2016-17
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-04-14 00:00:00	030013125	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-07-30 00:00:00	2015-07-30 00:00:00	No	2017-05-05 00:00:00	None	FTR AE	None	100	100	0	100	0	None	2N6W11	N	CA00453411	D	SFY2016-17
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-04-20 00:00:00	030013138	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2015-08-18 00:00:00	2015-08-18 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	47452	47452	0	47452	0	None	CCIW11	N	CA00455078, CA00462656	B, B	SFY2016-17
630011683	KAISER FOUNDATION HOSPITAL MODESTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-05-16 00:00:00	030013209	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-05-13 00:00:00	2013-05-13 00:00:00	No	2017-06-07 00:00:00	None	FTR AE	None	400	400	0	400	0	None	1Z4411	N	CA00356078	B	SFY2016-17
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-05-18 00:00:00	030013214	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-10-10 00:00:00	2013-10-10 00:00:00	No	2017-06-09 00:00:00	None	FTR AE	None	200	200	0	200	0	None	KNKV11	N	CA00373817	D	SFY2016-17
030000133	KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-05-19 00:00:00	030013216	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-12-07 00:00:00	2013-12-07 00:00:00	No	2017-06-12 00:00:00	None	FTR AE	None	100	100	0	100	0	None	5ZE411	N	CA00380450	D	SFY2016-17
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-05-23 00:00:00	030013222	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-08-16 00:00:00	2016-08-16 00:00:00	No	2017-06-14 00:00:00	None	FTR AE	None	100	100	0	100	0	None	MZ8X11	N	CA00499951	D	SFY2016-17
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-05-24 00:00:00	030013226	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-09-10 00:00:00	2013-09-10 00:00:00	No	2017-06-15 00:00:00	None	FTR BR	None	300	300	0	300	0	None	NFRJ11	None	CA00370566	D	SFY2016-17
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-05-24 00:00:00	030013227	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-09-10 00:00:00	2013-09-10 00:00:00	No	2017-06-15 00:00:00	None	FTR RES	None	300	300	0	300	0	None	NFRJ11	None	CA00370566	D	SFY2016-17
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-05-25 00:00:00	030013230	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-06-16 00:00:00	2014-06-16 00:00:00	No	2017-06-16 00:00:00	None	FTR AE	None	100	100	0	100	0	None	ZP6H11	N	CA00402982	D	SFY2016-17
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-01 00:00:00	030013244	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-01-18 00:00:00	2010-01-18 00:00:00	No	2017-06-22 00:00:00	None	FTR AE	None	200	200	0	200	0	None	G1HN11	N	CA00215770	B	SFY2016-17
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-06 00:00:00	030013256	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-11-08 00:00:00	2013-11-08 00:00:00	No	2017-06-27 00:00:00	None	FTR AE	None	200	200	0	200	0	None	JJGR11	N	CA00377395	D	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-06 00:00:00	030013258	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-04-29 00:00:00	2013-04-29 00:00:00	No	2017-06-27 00:00:00	None	FTR AE	None	900	900	0	900	0	None	9SDN11	N	CA00354398	D	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-07 00:00:00	030013265	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-02-04 00:00:00	2013-02-04 00:00:00	No	2017-06-28 00:00:00	None	FTR AE	None	200	200	0	200	0	None	5OU711	N	CA00343161	D	SFY2016-17
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-08 00:00:00	030013270	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-04-10 00:00:00	2015-04-10 00:00:00	No	2017-06-29 00:00:00	None	FTR AE	None	300	300	0	300	0	None	D1CM11	N	CA00439587	E	SFY2016-17
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-14 00:00:00	030013282	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2013-02-19 00:00:00	2013-02-19 00:00:00	No	2017-07-06 00:00:00	None	FTR AE	None	200	200	0	200	0	None	SVCX11	N	CA00345188	D	SFY2016-17
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-15 00:00:00	030013291	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-07-03 00:00:00	2013-07-03 00:00:00	No	2017-07-07 00:00:00	None	FTR AE	None	500	500	0	500	0	None	EJ9B11	N	CA00362420	D	SFY2016-17
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-20 00:00:00	030013301	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-09-05 00:00:00	2013-09-05 00:00:00	No	2017-07-12 00:00:00	None	FTR AE	None	300	300	0	300	0	None	0S6I11	N	CA00369915	D	SFY2016-17
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-21 00:00:00	030013304	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-07-30 00:00:00	2014-07-30 00:00:00	No	2017-07-13 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	7ZFK11	N	CA00409458	D	SFY2016-17
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-07-17 00:00:00	030013352	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-07-30 00:00:00	2015-07-30 00:00:00	No	2017-08-07 00:00:00	None	FTR AE	None	300	300	0	300	0	None	I16B11	N	CA00453767	D	SFY2017-18
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-07-25 00:00:00	030013372	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-08-12 00:00:00	2014-08-12 00:00:00	No	2017-08-15 00:00:00	None	FTR AE	None	200	200	0	200	0	None	GCC511	N	CA00410071, CA00414465	C, B	SFY2017-18
030001799	ADVENTIST HEALTH SONORA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-08-01 00:00:00	030013407	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-12-14 00:00:00	2016-12-14 00:00:00	No	2017-08-22 00:00:00	None	FTR AE	None	700	700	0	700	0	None	B1UP11	N	CA00518997	B	SFY2017-18
100001176	FIRST CALL HOME HEALTH	Non-LTC	HHA	Home Health Agency	Sacramento	2017-08-15 00:00:00	030013434	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-11-03 00:00:00	2010-11-03 00:00:00	No	2017-09-06 00:00:00	None	FTR RES	None	600	600	0	600	0	None	999999	None	None	None	SFY2017-18
030001799	ADVENTIST HEALTH SONORA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-11-07 00:00:00	030013603	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-04-26 00:00:00	2015-04-26 00:00:00	No	2017-12-01 00:00:00	None	FTR AE	None	4700	4700	0	4700	0	None	M0S711	N	CA00447030	D	SFY2017-18
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-11-20 00:00:00	030013636	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-02-17 00:00:00	2016-02-17 00:00:00	No	2017-12-13 00:00:00	None	FTR AE	None	5800	5800	0	5800	0	None	VI9O11	N	CA00485129	C	SFY2017-18
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-03-28 00:00:00	030013945	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2016-09-28 00:00:00	2016-09-28 00:00:00	No	2018-04-18 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	681V11	Y	CA00505471, CA00505471	A, A	SFY2017-18
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-05-07 00:00:00	030014056	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-07-23 00:00:00	2015-07-23 00:00:00	No	2018-05-28 00:00:00	None	FTR AE	None	200	200	0	200	0	None	VF5D11	N	CA00452535	E	SFY2017-18
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-05-09 00:00:00	030014069	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-10-31 00:00:00	2014-10-31 00:00:00	No	2018-05-30 00:00:00	None	FTR AE	None	200	200	0	200	0	None	K18L11	N	CA00431176	D	SFY2017-18
630011683	KAISER FOUNDATION HOSPITAL MODESTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-06-15 00:00:00	030014150	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE08 - Death/disability due to intravascular air embolism	None	2016-04-26 00:00:00	2016-04-26 00:00:00	No	2018-07-09 00:00:00	None	FTR AE	None	100	100	0	100	0	None	Z7IW11	Y	CA00486910	B	SFY2017-18
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-06-14 00:00:00	030014156	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2014-10-16 00:00:00	2014-10-16 00:00:00	No	2018-07-06 00:00:00	None	FTR AE	None	700	700	0	700	0	None	81NX11	N	CA00418878	D	SFY2017-18
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-06-15 00:00:00	030014162	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-02-02 00:00:00	2015-02-02 00:00:00	No	2018-07-09 00:00:00	None	FTR AE	None	3200	3200	0	3200	0	None	KDY311	N	CA00434635	C	SFY2017-18
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-06-27 00:00:00	030014191	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-05-11 00:00:00	2014-05-11 00:00:00	No	2018-07-19 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	4N8X11	N	CA00400894	D	SFY2017-18
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-06-28 00:00:00	030014198	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-02-16 00:00:00	2017-02-16 00:00:00	No	2018-07-20 00:00:00	None	FTR AE	None	600	600	0	600	0	None	MN1U11	N	CA00524201	E	SFY2017-18
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-07-03 00:00:00	030014214	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-05-07 00:00:00	2014-05-07 00:00:00	No	2018-07-25 00:00:00	None	FTR AE	None	300	300	0	300	0	None	N4ZK11	N	CA00398747	E	SFY2018-19
030001799	ADVENTIST HEALTH SONORA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-07-19 00:00:00	030014251	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-06-18 00:00:00	2014-06-18 00:00:00	No	2018-08-09 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	KLIP11	N	CA00404647	D	SFY2018-19
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-07-19 00:00:00	030014253	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-06-17 00:00:00	2015-06-17 00:00:00	No	2018-08-09 00:00:00	None	FTR AE	None	700	700	0	700	0	None	9U2Q11	N	CA00448622	D	SFY2018-19
030000907	VIBRA HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-07-25 00:00:00	030014283	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2014-12-14 00:00:00	2014-12-14 00:00:00	No	2018-12-28 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	8DNL11	Y	CA00424314, CA00424314	A, A	SFY2018-19
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-12-14 00:00:00	030014651	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2017-11-30 00:00:00	2017-11-30 00:00:00	No	2019-01-07 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	G3F711	N	CA00573734	B	SFY2018-19
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-12-14 00:00:00	030014656	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2017-08-28 00:00:00	2017-08-28 00:00:00	No	2019-01-07 00:00:00	None	FTR AE	None	14500	14500	0	14500	0	None	VRSI11	Y	CA00570948, CA00570948, CA00574265, CA00574265, CA00574265, CA00574265	A, A, B, B, B, B	SFY2018-19
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-12-14 00:00:00	030014657	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2017-08-28 00:00:00	2017-08-28 00:00:00	Yes	2019-04-11 00:00:00	2019-03-29 00:00:00	AP IJ	AP IJ	75000	60000	0	60000	0	None	VRSI11	Y	CA00570948, CA00574265, CA00574265, CA00574265	A, B, B, B	SFY2018-19
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2019-09-19 00:00:00	030015394	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-04-04 00:00:00	2018-04-04 00:00:00	No	2019-10-10 00:00:00	None	FTR AE	None	3900	3900	0	3900	0	None	QXM311	N	CA00587425	C	SFY2019-20
030000133	KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2019-10-01 00:00:00	030015426	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-07-15 00:00:00	2019-07-15 00:00:00	No	2019-10-22 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	JYHU11	N	CA00648408	C	SFY2019-20
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2020-01-09 00:00:00	030015657	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2019-03-30 00:00:00	2019-03-30 00:00:00	No	2020-01-30 00:00:00	None	AP NON-IJ	None	13750	13750	0	13750	0	None	TNXO11	N	CA00631482	B	SFY2019-20
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2020-01-09 00:00:00	030015660	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-07-20 00:00:00	2018-07-20 00:00:00	No	2020-01-30 00:00:00	None	AP NON-IJ	None	13750	13750	0	13750	0	None	FZNZ11	N	CA00596445, CA00605034, CA00606366, CA00639026, CA00639781	B, B, B, B, B	SFY2019-20
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2020-01-09 00:00:00	030015663	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2019-04-01 00:00:00	2019-04-01 00:00:00	No	2020-01-30 00:00:00	None	AP NON-IJ	None	13750	13750	0	13750	0	None	HNFY11	N	CA00569040, CA00632853, CA00632856, CA00633211, CA00639954, CA00647961, CA00658000	B, B, B, B, C, C, C	SFY2019-20
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2020-08-14 00:00:00	030015979	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2020-01-03 00:00:00	2020-01-03 00:00:00	No	2020-09-04 00:00:00	None	FTR AE	None	100	100	0	100	0	None	YCPJ11	Y	CA00670821	B	SFY2020-21
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2021-05-20 00:00:00	030016527	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2016-03-20 00:00:00	2016-03-20 00:00:00	No	2021-06-11 00:00:00	None	FTR AE	None	4100	4100	0	4100	0	None	543D11	Y	CA00487028	B	SFY2020-21
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2021-05-24 00:00:00	030016529	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2021-04-07 00:00:00	2021-04-07 00:00:00	No	2021-06-15 00:00:00	None	AP NON-IJ	None	14437.5	14437.5	0	14437.5	0	None	QCK411	N	CA00636304, CA00636304, CA00636337, CA00636337, CA00637686, CA00637686, CA00654838, CA00654838, CA00654843, CA00654851	B, B, B, B, B, B, C, C, C, C	SFY2020-21
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2021-12-23 00:00:00	030017219	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-09-06 00:00:00	2021-09-06 00:00:00	No	2022-01-13 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	D19B11	N	CA00755797	C	SFY2021-22
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-04-21 00:00:00	030017585	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2016-06-22 00:00:00	2016-06-22 00:00:00	No	2022-05-12 00:00:00	None	FTR AE	None	5800	5800	0	5800	0	None	95DO11	Y	CA00500368	B	SFY2021-22
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-08-05 00:00:00	030017874	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-06-03 00:00:00	2021-06-03 00:00:00	No	2022-08-26 00:00:00	None	FTR AE	None	300	300	0	300	0	None	POCW11	N	CA00740039	C	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-08-05 00:00:00	030017877	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE21 - Death/disability due to a burn	None	2020-02-18 00:00:00	2020-02-18 00:00:00	No	2022-08-26 00:00:00	None	FTR AE	None	87800	87800	0	87800	0	None	9L1L11	Y	CA00678340, CA00794544	B, B	SFY2022-23
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-08-12 00:00:00	030017890	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2020-09-28 00:00:00	2020-09-28 00:00:00	No	2022-09-02 00:00:00	None	FTR AE	None	800	800	0	800	0	None	OSSX11	N	CA00709710	B	SFY2022-23
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-08-12 00:00:00	030017893	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2020-10-09 00:00:00	2020-10-09 00:00:00	No	2022-09-02 00:00:00	None	FTR AE	None	20300	20300	0	20300	0	None	FHYZ11	N	CA00736985, CA00737120	B, B	SFY2022-23
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-07 00:00:00	030017964	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2016-01-26 00:00:00	2016-01-26 00:00:00	No	2022-09-28 00:00:00	None	FTR AE	None	100	100	0	100	0	None	1PDE11	N	CA00474412, CA00474412	C, C	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-07 00:00:00	030017966	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-10-03 00:00:00	2019-10-03 00:00:00	No	2022-09-28 00:00:00	None	FTR AE	None	700	700	0	700	0	None	E0K911	N	CA00659202	C	SFY2022-23
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-14 00:00:00	030017968	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2022-03-03 00:00:00	2022-03-03 00:00:00	No	2022-10-05 00:00:00	None	FTR AE	None	7200	7200	0	7200	0	None	HCNX11	N	CA00785659	B	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-14 00:00:00	030017991	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-12-14 00:00:00	2020-12-14 00:00:00	No	2022-10-05 00:00:00	None	FTR AE	None	400	400	0	400	0	None	VNTP11	N	CA00718261	C	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-15 00:00:00	030017992	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-07-13 00:00:00	2020-07-13 00:00:00	No	2022-10-06 00:00:00	None	FTR AE	None	3800	3800	0	3800	0	None	J5MY11	N	CA00702562	B	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-28 00:00:00	030018019	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-08-11 00:00:00	2020-08-11 00:00:00	No	2022-10-19 00:00:00	None	FTR AE	None	900	900	0	900	0	None	R1YI11	N	CA00702577	B	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-30 00:00:00	030018032	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-03-24 00:00:00	2022-03-24 00:00:00	No	2022-10-21 00:00:00	None	FTR AE	None	11500	11500	0	11500	0	None	RFYU11	N	CA00795040	C	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-06 00:00:00	030018050	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-12-23 00:00:00	2020-12-23 00:00:00	No	2022-10-27 00:00:00	None	FTR AE	None	200	200	0	200	0	None	BZE411	N	CA00719268	C	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-07 00:00:00	030018063	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2019-05-22 00:00:00	2019-05-22 00:00:00	No	2022-10-28 00:00:00	None	FTR AE	None	800	800	0	800	0	None	YQ6F11	N	CA00640304	C	SFY2022-23
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-18 00:00:00	030018086	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE08 - Death/disability due to intravascular air embolism	None	2019-08-27 00:00:00	2019-08-27 00:00:00	Yes	2022-11-08 00:00:00	2022-11-01 00:00:00	FTR AE	FTR AE	113700	10000	0	10000	0	None	NBEP11	Y	CA00652480	C	SFY2022-23
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-18 00:00:00	030018093	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-02-22 00:00:00	2021-02-22 00:00:00	No	2022-11-08 00:00:00	None	FTR AE	None	5400	5400	0	5400	0	None	6SDE11	N	CA00733963	B	SFY2022-23
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-18 00:00:00	030018095	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-07-16 00:00:00	2020-07-16 00:00:00	No	2022-11-08 00:00:00	None	FTR AE	None	700	700	0	700	0	None	89ON11	N	CA00698795	B	SFY2022-23
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-26 00:00:00	030018103	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2020-11-23 00:00:00	2020-11-23 00:00:00	No	2022-11-17 00:00:00	None	FTR AE	None	900	900	0	900	0	None	QVME11	N	CA00715528	B	SFY2022-23
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-11-04 00:00:00	030018134	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-09-13 00:00:00	2019-09-13 00:00:00	No	2022-11-30 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	78OX11	N	CA00657681	B	SFY2022-23
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-11-10 00:00:00	030018142	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-08-06 00:00:00	2019-08-06 00:00:00	No	2022-12-05 00:00:00	None	FTR AE	None	5300	5300	0	5300	0	None	WJKR11	N	CA00657683	B	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-03-09 00:00:00	030018484	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-10-24 00:00:00	2022-10-24 00:00:00	No	2023-03-30 00:00:00	None	FTR AE	None	600	600	0	600	0	None	1D4X11	N	CA00810396	E	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-03-20 00:00:00	030018536	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2022-10-28 00:00:00	2022-10-28 00:00:00	No	2023-04-11 00:00:00	None	FTR AE	None	200	200	0	200	0	None	Y3FL11	N	CA00810394	B	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-03-20 00:00:00	030018538	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-12-16 00:00:00	2022-12-16 00:00:00	No	2023-04-11 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	UOFS11	N	CA00820803	C	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-04-20 00:00:00	030018649	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-01-12 00:00:00	2023-01-12 00:00:00	No	2023-05-11 00:00:00	None	FTR AE	None	200	200	0	200	0	None	HDXL11	N	CA00822123	E	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-04-20 00:00:00	030018653	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-01-13 00:00:00	2023-01-13 00:00:00	No	2023-05-11 00:00:00	None	FTR AE	None	100	100	0	100	0	None	WYM411	N	CA00822121	E	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018669	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-01-15 00:00:00	2020-01-15 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	48700	48700	0	48700	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018670	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-12-23 00:00:00	2020-12-23 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	14400	14400	0	14400	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018671	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-03-04 00:00:00	2021-03-04 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	7300	7300	0	7300	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018672	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-13 00:00:00	2020-11-13 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	18400	18400	0	18400	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018673	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-12-28 00:00:00	2020-12-28 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	13900	13900	0	13900	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018674	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-03 00:00:00	2020-11-03 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	19400	19400	0	19400	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018675	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-05-14 00:00:00	2020-05-14 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	36700	36700	0	36700	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-04-25 00:00:00	030018682	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2022-10-24 00:00:00	2022-10-24 00:00:00	No	2023-05-16 00:00:00	None	FTR AE	None	600	600	0	600	0	None	B19R11	N	CA00810398	B	SFY2022-23
030000108	SUTTER AMADOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-07-14 00:00:00	030018695	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-09-15 00:00:00	2021-09-15 00:00:00	No	2023-08-04 00:00:00	None	FTR AE	None	7000	7000	0	7000	0	None	6X1311	N	CA00762536	B	SFY2023-24
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-04-26 00:00:00	030018697	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-11-13 00:00:00	2019-11-13 00:00:00	No	2023-05-17 00:00:00	None	FTR AE	None	200	200	0	200	0	None	NHXH11	Y	CA00664476	C	SFY2022-23
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-02-25 00:00:00	030018732	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-07-01 00:00:00	2015-07-01 00:00:00	No	2023-06-08 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	LYF411	None	CA00603270	D	SFY2021-22
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-06-01 00:00:00	030018815	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-10-01 00:00:00	2020-10-01 00:00:00	No	2023-06-22 00:00:00	None	FTR AE	None	4200	4200	0	4200	0	None	FFIM11	N	CA00713107	C	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-06-07 00:00:00	030018835	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE02 - Wrong patient surgery	None	2021-11-18 00:00:00	2021-11-18 00:00:00	No	2023-06-28 00:00:00	None	FTR AE	None	700	700	0	700	0	None	0NY411	N	CA00763079	B	SFY2022-23
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-07-14 00:00:00	030018871	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2019-03-28 00:00:00	2019-03-28 00:00:00	No	2023-08-07 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	46SI11	Y	CA00632576	C	SFY2023-24
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-06-29 00:00:00	030018904	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-04-24 00:00:00	2023-04-24 00:00:00	No	2023-07-21 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	VIPW11	N	CA00840542	E	SFY2022-23
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-06-30 00:00:00	030018907	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-05-24 00:00:00	2022-05-24 00:00:00	No	2023-07-24 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	TF4K11	N	CA00790031	B	SFY2022-23
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-07-14 00:00:00	030018930	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2020-12-13 00:00:00	2020-12-13 00:00:00	No	2023-08-07 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	G1N911	Y	CA00716818	B	SFY2023-24
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-08-21 00:00:00	030019022	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-10-24 00:00:00	2018-10-24 00:00:00	Yes	2023-09-12 00:00:00	2023-09-01 00:00:00	FTR AE	FTR AE	170800	65000	0	65000	0	None	QGG211	N	CA00610260	B	SFY2023-24
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-08-09 00:00:00	030019031	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-02-25 00:00:00	2022-02-25 00:00:00	No	2023-08-30 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	P32111	N	CA00778296	C	SFY2023-24
030001799	ADVENTIST HEALTH SONORA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-02-07 00:00:00	030019047	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2017-04-04 00:00:00	2017-04-04 00:00:00	No	2023-09-14 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	TPJJ11	None	CA00531520	D	SFY2022-23
030000133	KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-08-30 00:00:00	030019099	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-12-07 00:00:00	2019-12-07 00:00:00	No	2023-09-21 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	8OU111	N	CA00669744	B	SFY2023-24
030000133	KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-08-30 00:00:00	030019100	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2021-10-20 00:00:00	2021-10-20 00:00:00	No	2023-09-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	LX6J11	N	CA00758764	B	SFY2023-24
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-11-03 00:00:00	030019101	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-05-26 00:00:00	2023-05-26 00:00:00	No	2023-11-29 00:00:00	None	FTR AE	None	5600	5600	0	5600	0	None	51LD11	N	CA00852834, CA00852834	E, E	SFY2023-24
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-11-03 00:00:00	030019122	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-03-22 00:00:00	2022-03-22 00:00:00	No	2023-11-29 00:00:00	None	FTR AE	None	13700	13700	0	13700	0	None	6NW711	N	CA00798120	C	SFY2023-24
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-11-03 00:00:00	030019123	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-01-20 00:00:00	2020-01-20 00:00:00	No	2023-11-29 00:00:00	None	FTR AE	None	93700	93700	0	93700	0	None	OJU811	N	CA00799186	B	SFY2023-24
030000320	SIERRA VISTA HOSPITAL, INC.	Non-LTC	APH	Acute Psychiatric Hospital	Sacramento	2023-11-01 00:00:00	030019317	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE27 - Death/injury from a physical assault	None	2021-02-18 00:00:00	2021-02-18 00:00:00	No	2023-11-27 00:00:00	None	FTR AE	None	300	300	0	300	0	None	NX8811	N	CA00727166	B	SFY2023-24
030000146	WOODLAND MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-01-04 00:00:00	030019387	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-04-04 00:00:00	2023-04-04 00:00:00	No	2024-01-25 00:00:00	None	FTR AE	None	4000	4000	0	4000	0	None	2N4N11	N	CA00841941	E	SFY2023-24
030000146	WOODLAND MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-01-04 00:00:00	030019388	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-12-21 00:00:00	2022-12-21 00:00:00	No	2024-01-25 00:00:00	None	FTR AE	None	14400	14400	0	14400	0	None	XG6T11	N	CA00841947, CA00841947	B, B	SFY2023-24
030000146	WOODLAND MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-01-04 00:00:00	030019389	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-02-15 00:00:00	2023-02-15 00:00:00	No	2024-01-25 00:00:00	None	FTR AE	None	8800	8800	0	8800	0	None	LOF811	N	CA00841950	B	SFY2023-24
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-01-22 00:00:00	030019502	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2022-07-14 00:00:00	2022-07-14 00:00:00	No	2024-02-13 00:00:00	None	AP NON-IJ	None	12375	12375	0	12375	0	None	SSIJ11	N	CA00794884	B	SFY2023-24
030001799	ADVENTIST HEALTH SONORA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-12-20 00:00:00	030019503	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2023-06-30 00:00:00	2023-06-30 00:00:00	No	2024-01-11 00:00:00	None	FTR AE	None	500	500	0	500	0	None	4NRF11	N	CA00823398, CA00849852	E, E	SFY2023-24
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-01-22 00:00:00	030019504	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE08 - Death/disability due to intravascular air embolism	None	2022-11-30 00:00:00	2022-11-30 00:00:00	Yes	2024-02-12 00:00:00	2024-01-31 00:00:00	FTR AE	FTR AE	33900	32900	0	32900	0	None	J1WF11	Y	CA00867612	B	SFY2023-24
030001370	KAISER FOUNDATION HOSPITAL - ROSEVILLE	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-08-15 00:00:00	030019698	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-03-01 00:00:00	2013-03-01 00:00:00	No	2024-03-13 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	Y9WH11	None	CA00498532	D	SFY2023-24
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-10-17 00:00:00	030019797	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-04-03 00:00:00	2022-04-03 00:00:00	No	2024-04-11 00:00:00	None	AP BR	None	20000	20000	-5000	15000	0	None	U8DN11	None	CA00783291	D	SFY2023-24
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-02-29 00:00:00	030019802	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-06-08 00:00:00	2023-06-08 00:00:00	No	2024-03-21 00:00:00	None	FTR AE	None	700	700	0	700	0	None	8L4I11	N	CA00846560	E	SFY2023-24
030000130	KAISER FOUNDATION HOSPITAL - SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-04-03 00:00:00	030019887	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-01-23 00:00:00	2023-01-23 00:00:00	No	2024-04-24 00:00:00	None	FTR AE	None	13100	13100	0	13100	0	None	NEOV11	N	CA00844788	E	SFY2023-24
030000146	WOODLAND MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-03-28 00:00:00	030019925	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-10-11 00:00:00	2023-10-11 00:00:00	No	2024-04-19 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	3MIA11	N	CA00867450, CA00867450	E, E	SFY2023-24
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-04-18 00:00:00	030020034	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-09-03 00:00:00	2023-09-03 00:00:00	No	2024-05-09 00:00:00	None	FTR AE	None	600	600	0	600	0	None	35MN11	N	CA00860872	E	SFY2023-24
030001799	ADVENTIST HEALTH SONORA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-12-05 00:00:00	030020042	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-06-07 00:00:00	2018-06-07 00:00:00	No	2024-05-22 00:00:00	None	AP BR	None	20000	20000	-5000	15000	0	None	5B5W11	None	CA00653645	D	SFY2023-24
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-05-08 00:00:00	030020055	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-09-19 00:00:00	2023-09-19 00:00:00	No	2024-05-30 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	0VW211	N	CA00866850	E	SFY2023-24
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-04-24 00:00:00	030020056	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-09-19 00:00:00	2023-09-19 00:00:00	No	2024-05-15 00:00:00	None	FTR AE	None	100	100	0	100	0	None	J6QY11	N	CA00862444	E	SFY2023-24
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-05-31 00:00:00	030020080	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2023-08-15 00:00:00	2023-08-15 00:00:00	No	2024-06-21 00:00:00	None	FTR AE	None	15100	15100	0	15100	0	None	B3UU11	N	CA00877832	B	SFY2023-24
030000862	ST. JOSEPH'S BEHAVIORAL HEALTH CENTER	Non-LTC	APH	Acute Psychiatric Hospital	Sacramento	2024-05-09 00:00:00	030020157	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2023-11-16 00:00:00	2023-11-16 00:00:00	No	2024-05-31 00:00:00	None	FTR AE	None	300	300	0	300	0	None	GOMY11	N	CA00870861	E	SFY2023-24
030000860	ONE COMMUNITY HEALTH	Non-LTC	COMTYC	Primary Care Clinic	Sacramento	2024-01-09 00:00:00	030020209	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2018-05-13 00:00:00	2018-05-13 00:00:00	No	2024-01-31 00:00:00	None	AP BR	None	60000	60000	-15000	45000	0	None	QX6E11	None	CA00588680	D	SFY2023-24
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-12-19 00:00:00	030020212	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-06-14 00:00:00	2017-06-14 00:00:00	Yes	2024-06-19 00:00:00	2024-06-07 00:00:00	AP BR	None	239700	239700	0	0	239700	None	BCH511	None	CA00652924	C	SFY2023-24
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-12-19 00:00:00	030020213	Open	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2017-06-14 00:00:00	2017-06-14 00:00:00	Yes	2024-01-11 00:00:00	2024-06-07 00:00:00	FTR RES	None	10300	10300	0	0	10300	None	BCH511	None	CA00652924	C	SFY2023-24
030000113	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-01-09 00:00:00	030020214	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-11-28 00:00:00	2019-11-28 00:00:00	Yes	2024-06-19 00:00:00	2024-06-07 00:00:00	AP BR	None	250000	250000	0	0	250000	None	MTW011	None	CA00694894	C	SFY2023-24
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-06-06 00:00:00	030020280	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2023-11-19 00:00:00	2023-11-19 00:00:00	No	2024-06-27 00:00:00	None	FTR AE	None	600	600	0	600	0	None	JJXS11	N	CA00872481	E	SFY2023-24
630012960	ADVENTIST HEALTH HANFORD	Non-LTC	GACH	General Acute Care Hospital	Fresno	2007-07-31 00:00:00	040004118	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-06-06 00:00:00	2007-06-06 00:00:00	Yes	2007-08-21 00:00:00	2007-11-02 00:00:00	AP IJ	AP IJ	25000	18750	0	18750	0	None	EFH111	N	CA00181660	C	SFY2007-08
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2007-08-06 00:00:00	040004136	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-07-24 00:00:00	2007-07-24 00:00:00	Yes	2007-08-27 00:00:00	2007-11-02 00:00:00	AP IJ	AP IJ	25000	15000	0	15000	0	None	CT2G11	N	CA00116315	C	SFY2007-08
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-02-21 00:00:00	040004707	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-11 07:04:00	2008-01-11 07:04:00	No	2008-03-13 00:00:00	None	FTR AE	None	300	300	0	300	0	None	D0WJ11	N	CA00138281	C	SFY2007-08
040001397	FRESNO HEART AND SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-02-25 00:00:00	040004709	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-12-22 00:00:00	2007-12-22 00:00:00	Yes	2008-03-17 00:00:00	2008-03-05 00:00:00	FTR AE	None	4000	4000	0	4000	0	None	J9YX11	N	CA00139709	B	SFY2007-08
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-02-14 00:00:00	040004814	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-02-14 04:00:00	2008-02-14 04:00:00	Yes	2008-03-07 00:00:00	2008-04-03 00:00:00	FTR AE	None	2200	2200	0	2200	0	None	P6TO11	N	CA00143655	C	SFY2007-08
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-03-28 00:00:00	040004844	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-02-19 04:15:00	2008-02-19 04:15:00	No	2008-04-21 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	5EY611	N	CA00145010	C	SFY2007-08
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-05-02 00:00:00	040004983	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-12-19 18:50:00	2007-12-19 18:50:00	No	2008-05-23 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	YK2L11	N	CA00136807	C	SFY2007-08
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-06-16 00:00:00	040005116	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-06-02 00:00:00	2008-06-02 00:00:00	Yes	2008-07-08 00:00:00	2008-08-26 00:00:00	AP IJ	AP IJ	25000	18500	0	18500	0	None	J9Y511	N	CA00116315, CA00151250	C, B	SFY2007-08
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-06-09 00:00:00	040005119	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-04-14 17:00:00	2008-04-14 17:00:00	No	2008-06-30 00:00:00	None	FTR AE	None	600	600	0	600	0	None	W04Y11	N	CA00148080	C	SFY2007-08
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-06-09 00:00:00	040005122	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-04-10 16:00:00	2008-04-10 16:00:00	No	2008-06-30 00:00:00	None	FTR AE	None	700	700	0	700	0	None	20TX11	N	CA00147677	C	SFY2007-08
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-05-27 00:00:00	040005136	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-03-05 11:05:00	2008-03-05 11:05:00	Yes	2008-06-17 00:00:00	2008-06-20 00:00:00	FTR AE	FTR AE	8800	400	0	400	0	None	P2LD11	N	CA00145321	D	SFY2007-08
040000949	KAISER FOUNDATION HOSPITAL - FRESNO	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-07-15 00:00:00	040005237	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-07-09 00:00:00	2008-07-09 00:00:00	No	2008-08-05 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	KX9F12	N	CA00129602	A	SFY2008-09
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-08-28 00:00:00	040005339	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-24 21:45:00	2008-07-24 21:45:00	No	2008-09-19 00:00:00	None	FTR AE	None	800	800	0	800	0	None	IF7P11	N	CA00159455	C	SFY2008-09
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-10-02 00:00:00	040005487	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE05 - Death during or up to 24 hours after surgery	None	2008-09-09 00:00:00	2008-09-09 00:00:00	Yes	2008-10-24 00:00:00	2009-05-01 00:00:00	AP IJ	AP IJ	25000	18500	0	18500	0	None	TX0V11	N	CA00161748	A	SFY2008-09
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-11-03 00:00:00	040005573	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-08 20:56:00	2008-10-08 20:56:00	No	2008-11-25 00:00:00	None	FTR AE	None	800	800	0	800	0	None	7RML11	N	CA00166977	B	SFY2008-09
040000095	CLOVIS COMMUNITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-11-26 00:00:00	040005635	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-10-29 00:00:00	2008-10-29 00:00:00	No	2008-12-19 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	I4QB11	N	CA00166149	A	SFY2008-09
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-11-25 00:00:00	040005654	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-11-03 08:00:00	2008-11-03 08:00:00	No	2008-12-18 00:00:00	None	FTR AE	None	400	400	0	400	0	None	BVLM11	N	CA00168998	B	SFY2008-09
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-12-09 00:00:00	040005675	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-11-18 16:38:00	2008-11-18 16:38:00	No	2008-12-31 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	XIDE11	N	CA00171057	A	SFY2008-09
630012960	ADVENTIST HEALTH HANFORD	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-06-16 00:00:00	040006391	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-02-24 00:00:00	2009-02-24 00:00:00	No	2009-07-07 00:00:00	None	FTR BR	None	1600	1600	0	1600	0	None	QOKX11	None	CA00181660	C	SFY2008-09
630012960	ADVENTIST HEALTH HANFORD	Non-LTC	GACH	General Acute Care Hospital	Fresno	2010-03-10 00:00:00	040007038	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-12-23 13:03:00	2008-12-23 13:03:00	Yes	2010-04-01 00:00:00	2010-03-22 00:00:00	FTR AE	FTR AE	2500	2500	0	2500	0	None	Z69911	N	CA00204947	C	SFY2009-10
630012960	ADVENTIST HEALTH HANFORD	Non-LTC	GACH	General Acute Care Hospital	Fresno	2010-04-26 00:00:00	040007039	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-12-23 00:00:00	2008-12-23 00:00:00	Yes	2010-05-17 00:00:00	2010-11-17 00:00:00	AP IJ	None	25000	25000	0	25000	0	None	Z69911	N	CA00204947	C	SFY2009-10
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-06-14 00:00:00	040007264	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-11-02 11:53:00	2009-11-02 11:53:00	No	2010-07-05 00:00:00	None	FTR AE	None	2800	2800	0	2800	0	None	9CJE11	N	CA00211223	D	SFY2009-10
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2010-10-14 00:00:00	040007630	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-06-18 04:00:00	2010-06-18 04:00:00	No	2010-11-05 00:00:00	None	FTR AE	None	900	900	0	900	0	None	PNN511	N	CA00233458	D	SFY2010-11
630012960	ADVENTIST HEALTH HANFORD	Non-LTC	GACH	General Acute Care Hospital	Fresno	2010-11-22 00:00:00	040007729	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-07-30 14:50:00	2010-07-30 14:50:00	No	2010-12-15 00:00:00	None	FTR BR	None	700	700	0	700	0	None	KUJR11	None	CA00239202	D	SFY2010-11
030000125	EMANUEL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2011-03-02 00:00:00	040007986	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-04-08 06:46:00	2010-04-08 06:46:00	No	2011-03-23 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	VBIE11	N	CA00226350	D	SFY2010-11
030001661	STANISLAUS SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2011-04-05 00:00:00	040008112	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2010-08-19 00:00:00	2010-08-19 00:00:00	Yes	2011-09-29 00:00:00	2011-09-14 00:00:00	AP IJ	AP IJ	50000	25000	0	25000	0	None	2R0B11	N	CA00240051	D	SFY2010-11
030000125	EMANUEL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2011-04-05 00:00:00	040008113	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-04-05 00:00:00	2010-04-05 00:00:00	Yes	2011-09-29 00:00:00	2011-09-15 00:00:00	AP IJ	AP IJ	50000	30000	0	30000	0	None	VBIE11	N	CA00226350	D	SFY2010-11
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2011-05-03 00:00:00	040008215	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Record	None	2011-01-04 17:00:00	2011-01-04 17:00:00	No	2011-05-24 00:00:00	None	FTR BR	None	2200	2200	-550	1650	0	None	J8CF11	None	CA00257805	D	SFY2010-11
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2011-07-29 00:00:00	040008388	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-12-14 00:00:00	2010-12-14 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	M8ND11	Y	CA00252552	A	SFY2011-12
040000254	FRESNO SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2011-10-10 00:00:00	040008688	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2011-02-08 00:00:00	2011-02-08 00:00:00	No	2013-02-26 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	NZ0L11	N	CA00258732	C	SFY2011-12
040000254	FRESNO SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2011-10-10 00:00:00	040008690	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-05-12 00:00:00	2009-05-12 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	KRE011	N	CA00246867	D	SFY2011-12
630012960	ADVENTIST HEALTH HANFORD	Non-LTC	GACH	General Acute Care Hospital	Fresno	2011-11-09 00:00:00	040008736	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2011-07-11 00:00:00	2011-07-11 00:00:00	No	2013-02-26 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	B9A311	Y	CA00276019	C	SFY2011-12
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2012-01-18 00:00:00	040008925	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-10-11 00:00:00	2011-10-11 00:00:00	No	2012-11-02 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	ZMBQ11	Y	CA00286708	B	SFY2011-12
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2012-04-18 00:00:00	040009197	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-10-11 00:00:00	2010-10-11 00:00:00	No	2012-09-20 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	BN0211	N	CA00261250	D	SFY2011-12
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2012-07-25 00:00:00	040009417	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2011-12-19 00:00:00	2011-12-19 00:00:00	No	2013-02-26 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	181311	Y	CA00293942	D	SFY2012-13
040000113	MERCY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2012-10-09 00:00:00	040009542	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2012-03-28 00:00:00	2012-03-28 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	OCUO11	N	CA00305275	D	SFY2012-13
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2012-10-07 00:00:00	040009592	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE02 - Wrong patient surgery	None	2011-05-22 00:00:00	2011-05-22 00:00:00	No	2013-02-26 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	B3Z211	N	CA00312640	C	SFY2012-13
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-01-28 00:00:00	040009720	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2012-04-02 00:00:00	2012-04-02 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	WGUB11	N	CA00306344	B	SFY2012-13
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-02-05 00:00:00	040009732	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE15 - Death/disability directly related to hypoglycemia	None	2011-12-03 00:00:00	2011-12-03 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	ZF5T11	N	CA00295285	C	SFY2012-13
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-03-12 00:00:00	040009784	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2012-10-31 00:00:00	2012-10-31 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	OMZ011	N	CA00332399	B	SFY2012-13
040000110	MEMORIAL HOSPITAL LOS BANOS	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-05-17 00:00:00	040009892	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2013-01-30 00:00:00	2013-01-30 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	20000	20000	0	20000	0	None	RSEW11	N	CA00342228	B	SFY2012-13
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-06-04 00:00:00	040009929	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-10 00:00:00	2009-10-10 00:00:00	No	2013-06-25 00:00:00	None	FTR BR	None	1700	1700	-425	1275	0	None	48PT11	None	CA00207459	B	SFY2012-13
040000113	MERCY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-11-15 00:00:00	040010267	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2012-02-08 00:00:00	2012-02-08 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	KHN011	N	CA00318087	D	SFY2013-14
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-11-15 00:00:00	040010268	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2012-10-04 00:00:00	2012-10-04 00:00:00	Yes	2015-11-09 00:00:00	2015-10-22 00:00:00	AP BR	None	250000	250000	0	0	250000	None	DL8611	None	CA00329115	D	SFY2013-14
040000113	MERCY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-09-12 00:00:00	040010992	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2014-08-14 00:00:00	2014-08-14 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	VI3O11	Y	CA00394996	B	SFY2014-15
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-12-24 00:00:00	040011203	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-04-08 00:00:00	2014-04-08 00:00:00	Yes	2016-02-19 00:00:00	2016-02-04 00:00:00	AP IJ	AP IJ	86625	86625	0	86625	0	None	NF8I11	N	CA00404755	E	SFY2014-15
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2015-03-11 00:00:00	040011315	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2014-11-10 00:00:00	2014-11-10 00:00:00	Yes	2015-04-02 00:00:00	2018-01-10 00:00:00	AP BR	AP BR	91500	68625	0	68625	0	None	6EXH11	None	CA00420482	D	SFY2014-15
040000254	FRESNO SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2015-11-20 00:00:00	040011829	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2015-05-20 00:00:00	2015-05-20 00:00:00	No	2015-12-15 00:00:00	None	AP NON-IJ	None	3750	3750	0	3750	0	None	24T311	N	CA00444060	B	SFY2015-16
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2016-01-25 00:00:00	040011989	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-05-09 00:00:00	2015-05-09 00:00:00	No	2016-02-16 00:00:00	None	AP NON-IJ	None	4750	4750	0	4750	0	None	WR0411	N	CA00442364	B	SFY2015-16
040000129	VALLEY CHILDREN'S HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2016-05-23 00:00:00	040012267	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-11-06 00:00:00	2015-11-06 00:00:00	No	2016-06-14 00:00:00	None	AP IJ	None	71962.5	71962.5	0	71962.5	0	None	33I711	N	CA00465207	E	SFY2015-16
040000254	FRESNO SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2016-09-16 00:00:00	040012580	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2015-12-16 00:00:00	2015-12-16 00:00:00	No	2016-10-07 00:00:00	None	AP NON-IJ	None	15000	15000	0	15000	0	None	ZD1O11	N	CA00469450	A	SFY2016-17
040000113	MERCY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2016-10-14 00:00:00	040012620	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-01-13 00:00:00	2016-01-13 00:00:00	No	2016-11-04 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	XWI811	N	CA00472682	A	SFY2016-17
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2017-01-13 00:00:00	040012884	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-05-02 00:00:00	2016-05-02 00:00:00	No	2017-02-06 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	Z40R11	N	CA00487366	C	SFY2016-17
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2017-08-10 00:00:00	040013351	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2016-11-22 00:00:00	2016-11-22 00:00:00	No	2017-08-31 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	5RCH11	Y	CA00512428	A	SFY2017-18
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2017-10-27 00:00:00	040013576	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE27 - Death/injury from a physical assault	None	2017-02-09 00:00:00	2017-02-09 00:00:00	No	2017-11-20 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	0Q7511	N	CA00522580	B	SFY2017-18
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2018-02-01 00:00:00	040013781	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-03-09 00:00:00	2017-03-09 00:00:00	No	2018-12-28 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	5L5Y11	Y	CA00525763	A	SFY2017-18
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2018-03-09 00:00:00	040013887	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-04-26 00:00:00	2016-04-26 00:00:00	No	2018-03-30 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	626Z11	N	CA00501908	A	SFY2017-18
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2018-04-10 00:00:00	040013974	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2017-01-06 00:00:00	2017-01-06 00:00:00	No	2018-05-01 00:00:00	None	AP NON-IJ	None	3750	3750	0	3750	0	None	8LYS11	N	CA00517366	C	SFY2017-18
040001397	FRESNO HEART AND SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2018-08-24 00:00:00	040014355	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-03-03 00:00:00	2017-03-03 00:00:00	Yes	2019-02-28 00:00:00	2019-02-19 00:00:00	AP IJ	AP IJ	42750	32063	0	32063	0	None	6SQZ11	N	CA00529409	B	SFY2018-19
630012960	ADVENTIST HEALTH HANFORD	Non-LTC	GACH	General Acute Care Hospital	Fresno	2019-04-10 00:00:00	040014945	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-12-06 00:00:00	2017-12-06 00:00:00	No	2019-07-09 00:00:00	None	AP IJ	None	42750	42750	0	42750	0	None	688H11	N	CA00569261, CA00569261	B, B	SFY2018-19
040000095	CLOVIS COMMUNITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2019-10-18 00:00:00	040015468	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-05-21 00:00:00	2019-05-21 00:00:00	No	2019-11-08 00:00:00	None	AP IJ	None	28500	28500	0	28500	0	None	OJ8Z11	N	CA00589580	B	SFY2019-20
040000129	VALLEY CHILDREN'S HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2019-10-31 00:00:00	040015477	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2018-04-16 00:00:00	2018-04-16 00:00:00	No	2019-11-22 00:00:00	None	AP IJ	None	28500	28500	0	28500	0	None	MTV111	N	CA00618664, CA00618664	E, E	SFY2019-20
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2019-11-06 00:00:00	040015520	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-07-12 00:00:00	2018-07-12 00:00:00	No	2021-05-14 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	YB0O11	N	CA00595961	A	SFY2019-20
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2019-11-27 00:00:00	040015560	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-09-01 00:00:00	2018-09-01 00:00:00	No	2019-12-18 00:00:00	None	AP IJ	None	28500	28500	0	28500	0	None	Q5HH11	N	CA00620913	B	SFY2019-20
040000095	CLOVIS COMMUNITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2020-06-30 00:00:00	040015917	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2020-04-16 00:00:00	2020-04-16 00:00:00	No	2020-07-21 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	Y2J411	N	CA00583610	B	SFY2019-20
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2020-07-03 00:00:00	040015919	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE02 - Wrong patient surgery	None	2019-05-16 00:00:00	2019-05-16 00:00:00	No	2020-07-24 00:00:00	None	AP IJ	None	40000	40000	0	40000	0	None	N5D211	N	CA00638626	B	SFY2020-21
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2020-07-03 00:00:00	040015920	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2019-10-01 00:00:00	2019-10-01 00:00:00	No	2020-07-24 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	0PD811	N	CA00657521	B	SFY2020-21
040000095	CLOVIS COMMUNITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2020-08-20 00:00:00	040015986	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-03-18 00:00:00	2020-03-18 00:00:00	No	2020-09-11 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	RG3Z11	N	CA00682133, CA00682133	A, A	SFY2020-21
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2020-10-29 00:00:00	040016117	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2018-01-03 00:00:00	2018-01-03 00:00:00	No	2020-11-20 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	10M911	Y	CA00570992	B	SFY2020-21
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2021-04-07 00:00:00	040016406	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-06-09 00:00:00	2020-06-09 00:00:00	No	2021-04-28 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	E72211	Y	CA00692593	A	SFY2020-21
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2021-09-30 00:00:00	040016965	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2020-05-01 00:00:00	2020-05-01 00:00:00	No	2021-10-21 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	27LF11	N	CA00687558	A	SFY2021-22
040000113	MERCY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2021-11-02 00:00:00	040017059	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-12-24 00:00:00	2020-12-24 00:00:00	No	2021-11-24 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	VR6M11	Y	CA00718664	A	SFY2021-22
040000095	CLOVIS COMMUNITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2022-04-13 00:00:00	040017569	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-11-02 00:00:00	2020-11-02 00:00:00	No	2022-05-04 00:00:00	None	AP IJ	None	60000	60000	0	60000	0	None	HTR511	N	CA00711949	A	SFY2021-22
630012960	ADVENTIST HEALTH HANFORD	Non-LTC	GACH	General Acute Care Hospital	Fresno	2022-04-26 00:00:00	040017598	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2019-10-01 00:00:00	2019-10-01 00:00:00	No	2022-05-17 00:00:00	None	AP IJ	None	43177.5	43177.5	0	43177.5	0	None	UL3N11	N	CA00658107	A	SFY2021-22
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2022-07-29 00:00:00	040017852	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2022-04-11 00:00:00	2022-04-11 00:00:00	No	2022-08-19 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	B3JU11	N	CA00782357	A	SFY2022-23
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2022-09-13 00:00:00	040017986	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2021-06-17 00:00:00	2021-06-17 00:00:00	No	2022-10-04 00:00:00	None	AP IJ	None	42750	42750	0	42750	0	None	BB4R11	N	CA00743485	A	SFY2022-23
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2022-11-03 00:00:00	040018131	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-06-06 00:00:00	2021-06-06 00:00:00	No	2022-11-29 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	IKTT11	Y	CA00740044	B	SFY2022-23
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2023-01-25 00:00:00	040018359	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2022-04-26 00:00:00	2022-04-26 00:00:00	No	2023-02-15 00:00:00	None	AP IJ	None	78750	78750	0	78750	0	None	DM3H11	Y	CA00783686	B	SFY2022-23
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2021-03-19 00:00:00	040018546	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-07-12 00:00:00	2016-07-12 00:00:00	No	2021-04-12 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	HXDT11	None	CA00513160	D	SFY2020-21
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2023-07-14 00:00:00	040018953	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2019-07-25 00:00:00	2019-07-25 00:00:00	No	2023-08-04 00:00:00	None	AP IJ	None	125000	125000	0	125000	0	None	1L4Y11	Y	CA00649173	B	SFY2023-24
040000095	CLOVIS COMMUNITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2022-09-06 00:00:00	040019052	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-04-09 00:00:00	2018-04-09 00:00:00	No	2023-09-14 00:00:00	None	AP BR	None	45000	45000	-11250	33750	0	None	G8ZH11	None	CA00585476	D	SFY2022-23
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2023-09-19 00:00:00	040019096	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2022-09-07 00:00:00	2022-09-07 00:00:00	No	2023-10-10 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	6M3T11	N	CA00802370	B	SFY2023-24
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2022-09-23 00:00:00	040019145	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-11-18 00:00:00	2021-11-18 00:00:00	No	2023-10-18 00:00:00	None	AP BR	None	60000	60000	-15000	45000	0	None	28EE11	None	CA00668900	D	SFY2022-23
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2023-11-03 00:00:00	040019329	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2019-12-18 00:00:00	2019-12-18 00:00:00	No	2023-11-29 00:00:00	None	AP NON-IJ	None	12375	12375	0	0	12375	None	RR3L11	N	CA00669450	B	SFY2023-24
040000101	COMMUNITY REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2023-08-15 00:00:00	040019332	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-03-10 00:00:00	2019-03-10 00:00:00	No	2023-12-20 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	QJTG11	None	CA00769156	C	SFY2023-24
040000124	ADVENTIST HEALTH REEDLEY	Non-LTC	GACH	General Acute Care Hospital	Fresno	2023-11-03 00:00:00	040019336	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-02-29 00:00:00	2020-02-29 00:00:00	No	2023-11-29 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	1HWR11	N	CA00679234, CA00679234	A, A	SFY2023-24
050000037	TENET HEALTH CENTRAL COAST TWIN CITIES COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-04-09 00:00:00	050004875	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-09-11 00:00:00	2007-09-11 00:00:00	Yes	2008-04-30 00:00:00	2008-04-21 00:00:00	FTR AE	None	6400	6400	0	0	6400	None	KH2P11	N	CA00132546	C	SFY2007-08
050000026	ST. JOHN'S HOSPITAL CAMARILLO	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-04-09 00:00:00	050004882	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-09-03 00:00:00	2007-09-03 00:00:00	No	2008-05-05 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	9X7711	N	CA00127369	B	SFY2007-08
050000455	ADVENTIST HEALTH SIMI VALLEY	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-04-09 00:00:00	050004885	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-01-03 00:00:00	2008-01-03 00:00:00	No	2008-05-05 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	ZDMF11	N	CA00139215	C	SFY2007-08
050000455	ADVENTIST HEALTH SIMI VALLEY	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-04-10 00:00:00	050004892	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-02-20 00:00:00	2008-02-20 00:00:00	No	2008-05-05 00:00:00	None	FTR AE	None	700	700	0	700	0	None	G8CF11	N	CA00142789	B	SFY2007-08
630010957	VENTURA COUNTY MEDICAL CENTER - SANTA PAULA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-04-30 00:00:00	050004971	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2007-10-23 00:00:00	2007-10-23 00:00:00	Yes	2008-05-28 00:00:00	2009-03-05 00:00:00	AP IJ	AP IJ	25000	15000	0	15000	0	None	RUW011	N	CA00133347	B	SFY2007-08
630010957	VENTURA COUNTY MEDICAL CENTER - SANTA PAULA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-04-30 00:00:00	050004972	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-10-28 00:00:00	2007-10-28 00:00:00	Yes	2008-05-23 00:00:00	2008-05-12 00:00:00	FTR AE	None	2600	2600	0	2600	0	None	RUW011	N	CA00133347	B	SFY2007-08
050001468	THOUSAND OAKS SURGICAL HOSP., A CAMPUS OF LOS ROBLES HOSP. & MEDICAL CTR.	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-08-15 00:00:00	050005333	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-04-18 00:00:00	2008-04-18 00:00:00	No	2008-09-09 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	0K9Z11	N	CA00151772	None	SFY2008-09
050001468	THOUSAND OAKS SURGICAL HOSP., A CAMPUS OF LOS ROBLES HOSP. & MEDICAL CTR.	Non-LTC	GACH	General Acute Care Hospital	Ventura	2009-01-02 00:00:00	050005334	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-04-18 00:00:00	2008-04-18 00:00:00	No	2009-01-26 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	0K9Z11	N	CA00151772	None	SFY2008-09
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-10-22 00:00:00	050005539	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-12 00:00:00	2008-06-12 00:00:00	No	2008-11-18 00:00:00	None	FTR AE	None	4400	4400	0	4400	0	None	Z44611	N	CA00158890	C	SFY2008-09
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-11-06 00:00:00	050005588	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-09-17 00:00:00	2008-09-17 00:00:00	Yes	2008-12-05 00:00:00	2008-11-18 00:00:00	FTR AE	None	300	300	-300	0	0	None	1MDP11	N	CA00164852	C	SFY2008-09
050000023	COMMUNITY MEMORIAL HOSPITAL - OJAI	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-11-12 00:00:00	050005597	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-31 00:00:00	2008-05-31 00:00:00	No	2008-12-10 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	YPGQ11	N	CA00154205	C	SFY2008-09
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-11-14 00:00:00	050005609	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-09-29 00:00:00	2008-09-29 00:00:00	No	2008-12-12 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	MBWP11	N	CA00166922	C	SFY2008-09
050000455	ADVENTIST HEALTH SIMI VALLEY	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-11-13 00:00:00	050005610	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-01 00:00:00	2008-10-01 00:00:00	No	2008-12-11 00:00:00	None	FTR AE	None	100	100	0	100	0	None	BQLE11	N	CA00165721	B	SFY2008-09
050000014	COMMUNITY MEMORIAL HOSPITAL - VENTURA	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-12-23 00:00:00	050005733	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-16 00:00:00	2008-10-16 00:00:00	No	2009-01-19 00:00:00	None	FTR AE	None	300	300	0	300	0	None	8VKL11	N	CA00167556	C	SFY2008-09
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2009-02-18 00:00:00	050005885	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-12-11 00:00:00	2008-12-11 00:00:00	No	2009-03-13 00:00:00	None	FTR AE	None	800	800	0	800	0	None	VM2511	N	CA00173306	C	SFY2008-09
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2009-02-25 00:00:00	050005907	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-01-12 00:00:00	2009-01-12 00:00:00	No	2009-03-20 00:00:00	None	FTR AE	None	200	200	0	200	0	None	9C1011	N	CA00175377	C	SFY2008-09
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2009-03-05 00:00:00	050005932	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-01-29 00:00:00	2009-01-29 00:00:00	No	2009-03-27 00:00:00	None	FTR AE	None	600	600	0	600	0	None	C9R211	N	CA00177418	C	SFY2008-09
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2009-04-08 00:00:00	050006066	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-22 00:00:00	2008-10-22 00:00:00	No	2009-04-30 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	27YG11	N	CA00170433	C	SFY2008-09
050000021	MARIAN REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2009-12-16 00:00:00	050006802	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2009-03-26 00:00:00	2009-03-26 00:00:00	No	2010-01-11 00:00:00	None	FTR BR	None	700	700	0	700	0	None	X07G11	None	CA00184283	C	SFY2009-10
050000455	ADVENTIST HEALTH SIMI VALLEY	Non-LTC	GACH	General Acute Care Hospital	Ventura	2010-02-09 00:00:00	050006933	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-07-02 00:00:00	2009-07-02 00:00:00	No	2010-03-05 00:00:00	None	FTR AE	None	900	900	0	900	0	None	H39S11	N	CA00194108	C	SFY2009-10
050000039	VENTURA COUNTY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2010-01-21 00:00:00	050006937	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2009-03-01 00:00:00	2009-03-01 00:00:00	No	2010-02-16 00:00:00	None	FTR BR	None	300	300	0	300	0	None	9LXL11	None	CA00180537	B	SFY2009-10
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2010-05-04 00:00:00	050007189	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-09-02 00:00:00	2009-09-02 00:00:00	No	2010-05-25 00:00:00	None	FTR AE	None	100	100	0	100	0	None	NS5E11	N	CA00201165	C	SFY2009-10
050000030	SANTA YNEZ VALLEY COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2010-06-04 00:00:00	050007290	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-12-07 00:00:00	2009-12-07 00:00:00	No	2010-06-28 00:00:00	None	FTR AE	None	400	400	0	400	0	None	DZG011	N	CA00212168	C	SFY2009-10
050000039	VENTURA COUNTY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2011-03-29 00:00:00	050008090	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE23 - Death/disab assoc with use of restraints/bedrails	None	2010-08-18 00:00:00	2010-08-18 00:00:00	Yes	2011-04-20 00:00:00	2011-04-06 00:00:00	FTR AE	FTR AE	2200	1540	0	1540	0	None	4H9W11	N	CA00241493	C	SFY2010-11
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2011-04-27 00:00:00	050008196	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE25 - Abduction of a patient of any age	None	2009-01-17 00:00:00	2009-01-17 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	XEH111	N	CA00179445	B	SFY2010-11
050000039	VENTURA COUNTY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2011-05-19 00:00:00	050008264	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-06-03 00:00:00	2009-06-03 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	K28H11	N	CA00192993	C	SFY2010-11
050000455	ADVENTIST HEALTH SIMI VALLEY	Non-LTC	GACH	General Acute Care Hospital	Ventura	2012-05-24 00:00:00	050008986	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-09-16 00:00:00	2011-09-16 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	IDQ711	N	CA00284784	C	SFY2011-12
050000455	ADVENTIST HEALTH SIMI VALLEY	Non-LTC	GACH	General Acute Care Hospital	Ventura	2012-05-24 00:00:00	050008988	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2007-11-29 00:00:00	2007-11-29 00:00:00	No	2012-09-20 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	DYY611	N	CA00289851	C	SFY2011-12
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2016-08-16 00:00:00	050010656	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2014-02-18 00:00:00	2014-02-18 00:00:00	Yes	2018-01-30 00:00:00	2018-01-12 00:00:00	AP BR	AP BR	250000	50000	0	50000	0	None	RU5L11	None	CA00391015	B	SFY2016-17
050000037	TENET HEALTH CENTRAL COAST TWIN CITIES COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2015-04-27 00:00:00	050010738	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2013-11-05 00:00:00	2013-11-05 00:00:00	Yes	2016-02-19 00:00:00	2016-02-05 00:00:00	AP IJ	AP IJ	50000	37500	0	37500	0	None	8CUR11	N	CA00376465	C	SFY2014-15
050000021	MARIAN REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2016-01-13 00:00:00	050011277	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-04-22 00:00:00	2014-04-22 00:00:00	No	2016-02-04 00:00:00	None	AP IJ	None	28500	28500	0	28500	0	None	EGCF11	N	CA00405547	B	SFY2015-16
050000192	VENTURA COUNTY MEDICAL CENTER INPATIENT D/P APH	Non-LTC	APH	Acute Psychiatric Hospital	Ventura	2015-06-18 00:00:00	050011568	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2014-02-03 00:00:00	2014-02-03 00:00:00	No	2016-02-19 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	HIHZ11	Y	CA00386548	B	SFY2014-15
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2017-04-20 00:00:00	050011624	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2015-01-02 00:00:00	2015-01-02 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	RJ0K11	Y	CA00426645	B	SFY2016-17
050000014	COMMUNITY MEMORIAL HOSPITAL - VENTURA	Non-LTC	GACH	General Acute Care Hospital	Ventura	2017-04-20 00:00:00	050011630	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2015-02-11 00:00:00	2015-02-11 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	NFRB11	Y	CA00431346, CA00431439	B, B	SFY2016-17
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2017-08-07 00:00:00	050011810	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2015-08-07 00:00:00	2015-08-07 00:00:00	No	2017-08-28 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	D5YI11	Y	CA00454294, CA00454294	A, A	SFY2017-18
050000035	ST JOHNS REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2018-08-09 00:00:00	050011879	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-12-19 00:00:00	2014-12-19 00:00:00	No	2018-12-28 00:00:00	None	AP IJ	None	40400	40400	0	40400	0	None	30V911	N	CA00450055	B	SFY2018-19
050000041	AURORA VISTA DEL MAR HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Ventura	2017-04-20 00:00:00	050011995	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2015-10-11 00:00:00	2015-10-11 00:00:00	Yes	2017-05-11 00:00:00	2017-04-27 00:00:00	AP IJ	AP IJ	75000	56250	0	56250	0	None	J2UP11	Y	CA00461741	A	SFY2016-17
050000035	ST JOHNS REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2018-02-22 00:00:00	050012274	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE05 - Death during or up to 24 hours after surgery	None	2015-11-04 00:00:00	2015-11-04 00:00:00	No	2018-03-15 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	WYM111	Y	CA00465023	B	SFY2017-18
050000016	FRENCH HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2017-08-29 00:00:00	050012336	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-09-01 00:00:00	2011-09-01 00:00:00	No	2017-09-20 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	C7SF11	N	CA00433908	B	SFY2017-18
050000039	VENTURA COUNTY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2018-02-20 00:00:00	050012448	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2016-03-09 00:00:00	2016-03-09 00:00:00	No	2018-03-13 00:00:00	None	AP IJ	None	87412.5	87412.5	0	87412.5	0	None	NX9811	N	CA00479941	A	SFY2017-18
050000021	MARIAN REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2017-08-11 00:00:00	050012515	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-07-07 00:00:00	2015-07-07 00:00:00	No	2017-09-01 00:00:00	None	AP IJ	None	44400	44400	0	44400	0	None	4QW011	N	CA00479796	B	SFY2017-18
050000039	VENTURA COUNTY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2018-02-20 00:00:00	050012764	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2015-10-21 00:00:00	2015-10-21 00:00:00	No	2018-03-13 00:00:00	None	AP IJ	None	69930	69930	0	69930	0	None	95VX11	N	CA00462955	A	SFY2017-18
050000021	MARIAN REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2017-08-28 00:00:00	050012784	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2012-01-18 00:00:00	2012-01-18 00:00:00	No	2017-09-19 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	UW3R11	N	CA00501103	B	SFY2017-18
050000014	COMMUNITY MEMORIAL HOSPITAL - VENTURA	Non-LTC	GACH	General Acute Care Hospital	Ventura	2019-01-04 00:00:00	050013599	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-05-20 00:00:00	2017-05-20 00:00:00	No	2019-04-11 00:00:00	None	AP IJ	None	69930	69930	0	69930	0	None	E65911	N	CA00540695, CA00540695	B, B	SFY2018-19
050000455	ADVENTIST HEALTH SIMI VALLEY	Non-LTC	GACH	General Acute Care Hospital	Ventura	2019-01-03 00:00:00	050013779	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-10-11 00:00:00	2017-10-11 00:00:00	No	2019-04-11 00:00:00	None	AP IJ	None	45315	45315	0	45315	0	None	63VD11	N	CA00556765, CA00556765	B, B	SFY2018-19
050000018	LOMPOC VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2019-10-29 00:00:00	050015436	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2019-04-26 00:00:00	2019-04-26 00:00:00	No	2019-11-19 00:00:00	None	AP NON-IJ	None	11362.5	11362.5	0	0	11362.5	None	X9R011	N	CA00636003	A	SFY2019-20
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2021-06-11 00:00:00	050016493	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2021-02-04 00:00:00	2021-02-04 00:00:00	No	2021-07-02 00:00:00	None	AP NON-IJ	None	12120	12120	0	12120	0	None	XLYD11	N	CA00724494, CA00724494	A, A	SFY2020-21
050000455	ADVENTIST HEALTH SIMI VALLEY	Non-LTC	GACH	General Acute Care Hospital	Ventura	2022-03-24 00:00:00	050017500	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2021-09-21 00:00:00	2021-09-21 00:00:00	No	2022-04-15 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	Q08V11	N	CA00752344, CA00752344, CA00752344, CA00752344	B, B, B, B	SFY2021-22
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2022-10-13 00:00:00	050017831	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-12-04 00:00:00	2019-12-04 00:00:00	No	2022-11-03 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	BT5611	N	CA00731952	A	SFY2022-23
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2022-09-29 00:00:00	050017891	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2022-05-11 00:00:00	2022-05-11 00:00:00	No	2022-10-20 00:00:00	None	AP NON-IJ	None	13515	13515	0	13515	0	None	DMBZ11	N	CA00736471, CA00736471	A, A	SFY2022-23
050000035	ST JOHNS REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2022-09-06 00:00:00	050017950	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-01-16 00:00:00	2022-01-16 00:00:00	No	2022-09-27 00:00:00	None	AP NON-IJ	None	12487.5	12487.5	0	12487.5	0	None	V40011	Y	CA00769427, CA00769427	B, B	SFY2022-23
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2023-03-09 00:00:00	050018491	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2022-06-01 00:00:00	2022-06-01 00:00:00	No	2023-03-30 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	QNIT11	N	CA00791930, CA00792472	B, B	SFY2022-23
050000041	AURORA VISTA DEL MAR HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Ventura	2023-05-01 00:00:00	050018679	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-05-04 00:00:00	2022-05-04 00:00:00	No	2023-05-22 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	0WK311	Y	CA00783550, CA00783550, CA00784021, CA00784021, CA00785118, CA00785118	A, A, B, B, B, B	SFY2022-23
050000016	FRENCH HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2023-05-17 00:00:00	050018755	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2022-10-20 00:00:00	2022-10-20 00:00:00	No	2023-06-08 00:00:00	None	AP NON-IJ	None	11362.5	11362.5	0	11362.5	0	None	QWI411	N	CA00808777, CA00808777	A, A	SFY2022-23
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2023-05-24 00:00:00	050018785	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2022-07-20 00:00:00	2022-07-20 00:00:00	No	2023-06-15 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	9HT211	N	CA00795483, CA00795483	A, A	SFY2022-23
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2023-06-23 00:00:00	050018827	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2023-01-11 00:00:00	2023-01-11 00:00:00	No	2023-07-17 00:00:00	None	AP NON-IJ	None	18020	18020	0	18020	0	None	WLW011	N	CA00821450, CA00821450	A, A	SFY2022-23
050000041	AURORA VISTA DEL MAR HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Ventura	2023-06-14 00:00:00	050018852	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-07-14 00:00:00	2022-07-14 00:00:00	No	2023-07-06 00:00:00	None	AP NON-IJ	None	18000	18000	0	18000	0	None	5QE811	N	CA00811031, CA00811031	B, B	SFY2022-23
050000018	LOMPOC VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2023-05-30 00:00:00	050019424	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-07-12 00:00:00	2021-07-12 00:00:00	Yes	2024-01-18 00:00:00	2024-01-05 00:00:00	AP BR	None	20000	20000	0	20000	0	None	9VTS11	None	CA00744655	D	SFY2022-23
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2024-03-13 00:00:00	050019833	Closed	Administrative Penalty	None	A11 - Medical/Surgical Care	None	2023-06-27 00:00:00	2023-06-27 00:00:00	No	2024-03-23 00:00:00	None	NP	None	30000	30000	0	30000	0	None	N6U511	N	CA00848059, CA00848059, CA00851128, CA00852716, CA00852716	B, B, B, B, B	SFY2023-24
050000031	TENET HEALTH CENTRAL COAST SIERRA VISTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2024-04-24 00:00:00	050020048	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2023-10-08 00:00:00	2023-10-08 00:00:00	No	2024-05-15 00:00:00	None	AP NON-IJ	None	11875	11875	0	11875	0	None	Z0KW11	N	CA00865149, CA00865149	B, B	SFY2023-24
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2024-05-17 00:00:00	050020197	Closed	Administrative Penalty	None	A1 - Critical Care	None	2023-12-01 00:00:00	2023-12-01 00:00:00	No	2024-05-27 00:00:00	None	NP	None	30000	30000	0	30000	0	None	XST411	N	CA00881869, CA00881869	B, B	SFY2023-24
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2024-05-22 00:00:00	050020219	Closed	Administrative Penalty	None	A11 - Medical/Surgical Care	None	2023-10-23 00:00:00	2023-10-23 00:00:00	No	2024-06-01 00:00:00	None	NP	None	30000	30000	0	30000	0	None	ZCHF11	N	CA00870239, CA00870253, CA00870255, CA00874578	B, B, B, B	SFY2023-24
050000020	LOS ROBLES HOSPITAL & MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2024-05-22 00:00:00	050020220	Closed	Administrative Penalty	None	A11 - Medical/Surgical Care	None	2023-11-05 00:00:00	2023-11-05 00:00:00	No	2024-06-01 00:00:00	None	NP	None	30000	30000	0	30000	0	None	XLRK11	N	CA00870251, CA00878347	B, B	SFY2023-24
060000035	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2007-10-22 00:00:00	060004255	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-02-28 00:00:00	2007-02-28 00:00:00	No	2007-11-13 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	RZNI11	N	CA00118694	A	SFY2007-08
060000035	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2007-10-22 00:00:00	060004256	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2007-11-13 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	7NNQ11	N	None	None	SFY2007-08
060000058	GARDEN GROVE HOSPITAL AND MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2007-10-22 00:00:00	060004258	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-03-18 00:00:00	2007-03-18 00:00:00	No	2007-11-13 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	VIF711	N	None	None	SFY2007-08
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-09 00:00:00	060004888	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2007-11-01 00:00:00	2007-11-01 00:00:00	No	2008-04-30 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	8ZUT11	Y	CA00132263	A	SFY2007-08
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-10 00:00:00	060004893	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-10-01 00:00:00	2007-10-01 00:00:00	No	2008-05-01 00:00:00	None	FTR AE	None	900	900	0	900	0	None	EW2J11	N	CA00129314	A	SFY2007-08
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-10 00:00:00	060004894	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2007-10-01 00:00:00	2007-10-01 00:00:00	No	2008-05-01 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	EW2J11	Y	CA00129314	A	SFY2007-08
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-10 00:00:00	060004896	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2007-10-08 00:00:00	2007-10-08 00:00:00	No	2008-05-01 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	VOOU11	Y	CA00130348	B	SFY2007-08
060000058	GARDEN GROVE HOSPITAL AND MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-09 00:00:00	060004899	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-08-03 00:00:00	2007-08-03 00:00:00	No	2008-04-30 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	VIF711	Y	CA00123170	C	SFY2007-08
060001360	KINDRED HOSPITAL BREA	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-10 00:00:00	060004904	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-02 00:00:00	2008-01-02 00:00:00	No	2008-05-01 00:00:00	None	FTR AE	None	5300	5300	0	5300	0	None	FQW011	N	CA00142665	A	SFY2007-08
060001360	KINDRED HOSPITAL BREA	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-10 00:00:00	060004905	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-01 00:00:00	2007-10-01 00:00:00	No	2008-05-01 00:00:00	None	FTR AE	None	14600	14600	0	14600	0	None	FQW011	N	CA00142665	A	SFY2007-08
060001360	KINDRED HOSPITAL BREA	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-10 00:00:00	060004908	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-09-13 00:00:00	2007-09-13 00:00:00	No	2008-05-01 00:00:00	None	FTR AE	None	16400	16400	0	16400	0	None	FQW011	N	CA00142665	A	SFY2007-08
060001360	KINDRED HOSPITAL BREA	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-10 00:00:00	060004910	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-11 00:00:00	2007-12-11 00:00:00	No	2008-05-01 00:00:00	None	FTR AE	None	7500	7500	0	7500	0	None	FQW011	N	CA00142665	A	SFY2007-08
060001360	KINDRED HOSPITAL BREA	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-10 00:00:00	060004911	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-11 00:00:00	2007-12-11 00:00:00	No	2008-05-01 00:00:00	None	FTR AE	None	8800	8800	0	8800	0	None	FQW011	N	CA00142665	A	SFY2007-08
060001360	KINDRED HOSPITAL BREA	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-10 00:00:00	060004912	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-08-02 00:00:00	2007-08-02 00:00:00	No	2008-05-01 00:00:00	None	FTR AE	None	20600	20600	0	20600	0	None	FQW011	N	CA00142665	A	SFY2007-08
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-10 00:00:00	060004913	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE14 - Maternal death/disab due to labor/del/post	None	2007-09-25 00:00:00	2007-09-25 00:00:00	No	2008-05-01 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	XT8211	N	CA00129480	A	SFY2007-08
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-24 00:00:00	060004961	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2008-02-15 00:00:00	2008-02-15 00:00:00	No	2008-05-15 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	BOCI11	N	CA00141168	A	SFY2007-08
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-06-04 00:00:00	060005071	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2007-08-24 00:00:00	2007-08-24 00:00:00	No	2008-06-25 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	Z8QR11	N	CA00136330	B	SFY2007-08
060000025	UCI HEALTH-LOS ALAMITOS	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-06-04 00:00:00	060005073	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2008-02-22 00:00:00	2008-02-22 00:00:00	Yes	2008-06-25 00:00:00	2008-08-25 00:00:00	AP IJ	AP IJ	25000	15000	0	15000	0	None	D8L511	Y	CA00142374	A	SFY2007-08
060000001	ANAHEIM COMMUNITY HOSPITAL, LLC	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-06-03 00:00:00	060005075	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-02-21 00:00:00	2008-02-21 00:00:00	No	2008-06-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	RJYK11	N	CA00152236	A	SFY2007-08
060000001	ANAHEIM COMMUNITY HOSPITAL, LLC	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-06-03 00:00:00	060005076	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-02-22 00:00:00	2008-02-22 00:00:00	No	2008-06-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	VFYN11	N	CA00152233	A	SFY2007-08
060000001	ANAHEIM COMMUNITY HOSPITAL, LLC	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-06-03 00:00:00	060005077	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-02-20 00:00:00	2008-02-20 00:00:00	No	2008-06-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	6Y6P11	N	CA00152227	A	SFY2007-08
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-06-04 00:00:00	060005104	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-04-14 00:00:00	2008-04-14 00:00:00	No	2008-06-25 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	WKO611	N	CA00147573	A	SFY2007-08
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-06-20 00:00:00	060005138	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-04-01 00:00:00	2008-04-01 00:00:00	Yes	2008-07-17 00:00:00	2008-08-27 00:00:00	AP IJ	AP IJ	25000	15000	0	15000	0	None	SKNG11	N	CA00146510	B	SFY2007-08
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-06-13 00:00:00	060005140	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-11-18 08:00:00	2007-11-18 08:00:00	No	2008-07-11 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	IEFE11	N	CA00134451	C	SFY2007-08
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-06-20 00:00:00	060005155	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2008-01-28 00:00:00	2008-01-28 00:00:00	No	2008-07-16 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	1UG711	N	CA00140183	A	SFY2007-08
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-07-01 00:00:00	060005194	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2008-06-01 00:00:00	2008-06-01 00:00:00	No	2008-07-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	MNCF11	Y	CA00152603	A	SFY2008-09
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-07-11 00:00:00	060005218	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-05-26 00:00:00	2008-05-26 00:00:00	Yes	2008-08-04 00:00:00	2008-08-27 00:00:00	AP IJ	AP IJ	25000	15625	0	15625	0	None	80UL11	N	CA00152441	B	SFY2008-09
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-07-22 00:00:00	060005246	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2007-12-26 00:00:00	2007-12-26 00:00:00	Yes	2011-12-30 00:00:00	2011-12-19 00:00:00	AP IJ	None	25000	25000	0	25000	0	None	LCK011	N	CA00140041	A	SFY2008-09
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-07-22 00:00:00	060005247	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-12 08:00:00	2008-06-12 08:00:00	No	2008-08-18 00:00:00	None	FTR AE	None	300	300	0	300	0	None	3VMM11	N	CA00154469	B	SFY2008-09
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-08-18 00:00:00	060005340	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-06 08:00:00	2008-06-06 08:00:00	No	2008-09-12 00:00:00	None	FTR AE	None	600	600	0	600	0	None	R3ZV11	N	CA00154066	B	SFY2008-09
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-08-25 00:00:00	060005362	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE27 - Death/injury from a physical assault	None	2007-11-18 00:00:00	2007-11-18 00:00:00	Yes	2008-09-17 00:00:00	2009-03-06 00:00:00	AP IJ	AP IJ	25000	10000	0	10000	0	None	IEFE11	N	CA00134451	C	SFY2008-09
060000008	COLLEGE HOSPITAL COSTA MESA	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-12-09 00:00:00	060005529	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-08-08 08:00:00	2008-08-08 08:00:00	No	2009-01-07 00:00:00	None	FTR AE	None	200	200	0	200	0	None	XXCW11	N	CA00160001	A	SFY2008-09
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-12-09 00:00:00	060005651	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-07-30 00:00:00	2008-07-30 00:00:00	No	2009-01-07 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	EUCH11	N	CA00158947	B	SFY2008-09
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-12-12 00:00:00	060005668	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE02 - Wrong patient surgery	None	2008-07-23 08:00:00	2008-07-23 08:00:00	No	2009-01-05 00:00:00	None	FTR AE	None	700	700	0	700	0	None	NXMW11	N	CA00159256	B	SFY2008-09
060000008	COLLEGE HOSPITAL COSTA MESA	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-12-09 00:00:00	060005683	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2008-08-08 00:00:00	2008-08-08 00:00:00	Yes	2009-01-06 00:00:00	2009-03-06 00:00:00	AP IJ	AP IJ	25000	12500	0	12500	0	None	XXCW11	N	CA00160001	A	SFY2008-09
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-12-12 00:00:00	060005695	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2007-09-15 00:00:00	2007-09-15 00:00:00	No	2009-01-06 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	H3OT11	N	CA00160389	B	SFY2008-09
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-12-19 00:00:00	060005700	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2008-06-11 00:00:00	2008-06-11 00:00:00	No	2009-01-14 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	MC8G11	N	CA00153734	B	SFY2008-09
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-12-22 00:00:00	060005724	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-01 08:00:00	2008-06-01 08:00:00	No	2008-12-19 00:00:00	None	FTR AE	None	13200	13200	0	13200	0	None	CKCU11	N	CA00153756	C	SFY2008-09
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-12-29 00:00:00	060005744	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-05-01 00:00:00	2008-05-01 00:00:00	Yes	2009-01-21 00:00:00	2009-03-09 00:00:00	AP IJ	AP IJ	25000	18750	0	18750	0	None	8WFQ11	N	CA00150933	A	SFY2008-09
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-12-30 00:00:00	060005746	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2008-09-07 00:00:00	2008-09-07 00:00:00	No	2009-01-23 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	8RCU11	N	CA00164872	B	SFY2008-09
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-02-19 00:00:00	060005883	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2008-09-26 00:00:00	2008-09-26 00:00:00	No	2009-03-13 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	4US211	N	CA00164904	B	SFY2008-09
060000007	CHILDREN'S HOSPITAL OF ORANGE COUNTY	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-03-05 00:00:00	060005933	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE05 - Death during or up to 24 hours after surgery	None	2008-11-06 00:00:00	2008-11-06 00:00:00	No	2009-03-30 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	M2J811	N	CA00169178	B	SFY2008-09
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-03-12 00:00:00	060005950	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-06-22 00:00:00	2008-06-22 00:00:00	No	2009-04-06 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	Z17311	N	CA00157362	B	SFY2008-09
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-03-12 00:00:00	060005951	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2008-12-30 00:00:00	2008-12-30 00:00:00	No	2009-04-06 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	V22111	N	CA00173787	B	SFY2008-09
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-04-07 00:00:00	060006059	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-01-12 00:00:00	2009-01-12 00:00:00	No	2009-04-29 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	ZBBT11	N	CA00176128	C	SFY2008-09
060000066	PROVIDENCE MISSION HOSPITAL - LAGUNA BEACH	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-04-08 00:00:00	060006063	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2007-06-06 00:00:00	2007-06-06 00:00:00	No	2009-04-30 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	JJZZ11	N	CA00168546	C	SFY2008-09
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-05-05 00:00:00	060006161	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-02-03 00:00:00	2009-02-03 00:00:00	No	2009-05-27 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	C0IX11	N	CA00177085	B	SFY2008-09
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-05-18 00:00:00	060006198	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-03-18 00:00:00	2009-03-18 00:00:00	Yes	2009-06-09 00:00:00	2010-01-25 00:00:00	AP IJ	AP IJ	50000	20000	0	20000	0	None	2N0911	N	CA00182943	B	SFY2008-09
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-06-02 00:00:00	060006239	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-12-12 00:00:00	2008-12-12 00:00:00	No	2009-06-25 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	JDVO11	N	CA00172310	B	SFY2008-09
060000028	LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-08-03 00:00:00	060006433	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-26 08:00:00	2008-12-26 08:00:00	No	2009-08-25 00:00:00	None	FTR AE	None	600	600	0	600	0	None	BDCI11	N	CA00174252	B	SFY2009-10
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-09-02 00:00:00	060006524	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2009-04-26 00:00:00	2009-04-26 00:00:00	No	2009-09-29 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	MGK711	N	CA00189688	B	SFY2009-10
060000006	CHAPMAN GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-09-02 00:00:00	060006525	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2009-03-29 00:00:00	2009-03-29 00:00:00	Yes	2009-09-29 00:00:00	2009-11-23 00:00:00	AP IJ	AP IJ	50000	37500	0	37500	0	None	MQ3I11	N	CA00184334	B	SFY2009-10
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-10-02 00:00:00	060006598	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-03-05 08:00:00	2009-03-05 08:00:00	No	2009-10-27 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	H58T11	N	CA00182667	B	SFY2009-10
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-10-02 00:00:00	060006599	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-26 08:00:00	2008-12-26 08:00:00	No	2009-10-27 00:00:00	None	FTR AE	None	3300	3300	0	3300	0	None	7RJL11	N	CA00177067	B	SFY2009-10
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-10-20 00:00:00	060006638	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-02-02 08:00:00	2009-02-02 08:00:00	No	2009-11-17 00:00:00	None	FTR AE	None	300	300	0	300	0	None	LGC111	N	CA00177582	B	SFY2009-10
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-11-16 00:00:00	060006716	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-05-24 00:00:00	2009-05-24 00:00:00	No	2009-12-10 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	10I711	Y	CA00191426	B	SFY2009-10
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-11-16 00:00:00	060006717	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-03-05 00:00:00	2009-03-05 00:00:00	No	2009-12-10 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	LTC511	Y	CA00182037	B	SFY2009-10
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-12-15 00:00:00	060006784	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Rights	None	2009-03-30 08:00:00	2009-03-30 08:00:00	No	2010-01-07 00:00:00	None	FTR BR	None	1300	1300	0	1300	0	None	2NUL11	None	CA00185947	C	SFY2009-10
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-12-16 00:00:00	060006803	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-07-20 08:00:00	2009-07-20 08:00:00	No	2010-01-11 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	7V6411	N	CA00199300	B	SFY2009-10
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-12-16 00:00:00	060006805	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-07-16 08:00:00	2009-07-16 08:00:00	No	2010-01-13 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	HPJP11	N	CA00199295	B	SFY2009-10
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-12-29 00:00:00	060006848	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-08-04 08:00:00	2009-08-04 08:00:00	No	2010-01-26 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	6OV311	N	CA00211821	B	SFY2009-10
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-01-08 00:00:00	060006902	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-02-26 08:00:00	2009-02-26 08:00:00	No	2010-02-03 00:00:00	None	FTR AE	None	300	300	0	300	0	None	XG3311	N	CA00181336	B	SFY2009-10
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-03-03 00:00:00	060007018	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-08 00:00:00	2008-05-08 00:00:00	No	2010-03-29 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	8YKF11	N	CA00160741	B	SFY2009-10
060000002	AHMC ANAHEIM REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-03-16 00:00:00	060007048	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2009-07-24 00:00:00	2009-07-24 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	H1GX11	N	CA00197340	B	SFY2009-10
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-03-24 00:00:00	060007055	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2009-11-17 00:00:00	2009-11-17 00:00:00	Yes	2010-04-21 00:00:00	2010-11-17 00:00:00	AP IJ	AP IJ	75000	50000	0	50000	0	None	PQM611	N	None	None	SFY2009-10
060001097	ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TUSTIN	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-04-27 00:00:00	060007170	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-07-23 08:00:00	2009-07-23 08:00:00	Yes	2010-05-20 00:00:00	2010-05-05 00:00:00	FTR AE	FTR AE	19800	9900	0	9900	0	None	VHBI11	N	CA00215620	C	SFY2009-10
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-04-30 00:00:00	060007178	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2009-04-04 00:00:00	2009-04-04 00:00:00	Yes	2010-05-24 00:00:00	2010-05-28 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	GF1711	N	CA00186058	C	SFY2009-10
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-05-07 00:00:00	060007197	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-11-16 08:00:00	2009-11-16 08:00:00	No	2010-06-01 00:00:00	None	FTR AE	None	9400	9400	0	9400	0	None	NF5F11	N	CA00219779	C	SFY2009-10
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-05-10 00:00:00	060007200	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-15 08:00:00	2008-05-15 08:00:00	No	2010-06-01 00:00:00	None	FTR AE	None	15000	15000	0	15000	0	None	8YKF11	N	CA00160741	B	SFY2009-10
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-05-10 00:00:00	060007202	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-07 08:00:00	2008-06-07 08:00:00	No	2010-06-07 00:00:00	None	FTR AE	None	12700	12700	0	12700	0	None	8YKF11	N	CA00160741	B	SFY2009-10
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-05-10 00:00:00	060007203	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-12 08:00:00	2008-06-12 08:00:00	No	2010-06-07 00:00:00	None	FTR AE	None	12200	12200	0	12200	0	None	8YKF11	N	CA00160741	B	SFY2009-10
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-05-10 00:00:00	060007204	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-23 08:00:00	2008-06-23 08:00:00	No	2010-06-07 00:00:00	None	FTR AE	None	11100	11100	0	11100	0	None	8YKF11	N	CA00160741	B	SFY2009-10
060000016	WEST ANAHEIM MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-07-21 00:00:00	060007417	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-01-19 08:00:00	2010-01-19 08:00:00	No	2010-08-16 00:00:00	None	FTR AE	None	13100	13100	0	13100	0	None	72U011	N	CA00217593	C	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-07-29 00:00:00	060007449	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-08-13 00:00:00	2009-08-13 00:00:00	No	2010-08-24 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	XEEU11	N	CA00198377	A	SFY2010-11
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-08-03 00:00:00	060007457	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2009-04-07 08:00:00	2009-04-07 08:00:00	No	2010-08-24 00:00:00	None	FTR RES	None	1500	1500	0	1500	0	None	V8S911	N	CA00187057	B	SFY2010-11
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-09-23 00:00:00	060007595	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-30 08:00:00	2008-06-30 08:00:00	No	2010-10-18 00:00:00	None	FTR AE	None	12400	12400	0	12400	0	None	1F9Q11	N	CA00167613	B	SFY2010-11
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-09-23 00:00:00	060007596	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-11 08:00:00	2008-07-11 08:00:00	No	2010-10-18 00:00:00	None	FTR AE	None	11300	11300	0	11300	0	None	1F9Q11	N	CA00167613	B	SFY2010-11
060000007	CHILDREN'S HOSPITAL OF ORANGE COUNTY	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-12-10 00:00:00	060007712	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-02-25 00:00:00	2009-02-25 00:00:00	No	2010-12-31 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	F2DY11	None	CA00181664	C	SFY2010-11
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-12-29 00:00:00	060007772	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2009-01-17 00:00:00	2009-01-17 00:00:00	Yes	2011-12-30 00:00:00	2011-12-15 00:00:00	AP IJ	AP IJ	75000	75000	0	75000	0	None	MRC011	N	CA00212243	B	SFY2010-11
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-02-15 00:00:00	060007930	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-06-08 00:00:00	2010-06-08 00:00:00	No	2012-09-20 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	IU0F11	N	CA00232028	B	SFY2010-11
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-02-28 00:00:00	060007973	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2009-11-18 00:00:00	2009-11-18 00:00:00	No	2011-03-21 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	MRC011	N	CA00212243	B	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-03-24 00:00:00	060008066	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-01-08 08:00:00	2010-01-08 08:00:00	No	2011-04-15 00:00:00	None	FTR AE	None	8300	8300	0	8300	0	None	GNY811	N	CA00225145	B	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-03-25 00:00:00	060008072	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-01-08 00:00:00	2010-01-08 00:00:00	Yes	2011-12-30 00:00:00	2011-12-14 00:00:00	AP IJ	AP IJ	100000	30000	0	30000	0	None	GNY811	N	CA00225145	B	SFY2010-11
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-03-25 00:00:00	060008076	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2009-09-11 00:00:00	2009-09-11 00:00:00	No	2011-10-07 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	KEE811	N	CA00204312	B	SFY2010-11
060000018	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-05-09 00:00:00	060008124	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-06-22 08:00:00	2009-06-22 08:00:00	No	2011-05-31 00:00:00	None	FTR AE	None	13200	13200	0	13200	0	None	NWTG11	N	CA00208222	B	SFY2010-11
060000018	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-05-09 00:00:00	060008125	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-06-22 08:00:00	2009-06-22 08:00:00	No	2011-05-31 00:00:00	None	FTR AE	None	13200	13200	0	13200	0	None	NWTG11	N	CA00208222	B	SFY2010-11
060000015	HUNTINGTON BEACH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-05-11 00:00:00	060008232	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-08-13 08:00:00	2010-08-13 08:00:00	No	2011-06-02 00:00:00	None	FTR BR	None	1100	1100	-275	825	0	None	PLRV11	None	CA00242534	D	SFY2010-11
060000015	HUNTINGTON BEACH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-05-11 00:00:00	060008233	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-08-13 08:00:00	2010-08-13 08:00:00	No	2011-06-02 00:00:00	None	FTR BR	None	2700	2700	-675	2025	0	None	PLRV11	None	CA00242534	D	SFY2010-11
060000015	HUNTINGTON BEACH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-05-11 00:00:00	060008234	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-08-13 08:00:00	2010-08-13 08:00:00	No	2011-06-02 00:00:00	None	FTR BR	None	2500	2500	-625	1875	0	None	PLRV11	None	CA00242534	D	SFY2010-11
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-09 00:00:00	060008242	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-08-02 08:00:00	2010-08-02 08:00:00	No	2011-06-30 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	0C1D11	None	CA00241343	C	SFY2010-11
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-09 00:00:00	060008243	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-08-02 08:00:00	2010-08-02 08:00:00	No	2011-06-30 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	0C1D11	None	CA00241343	C	SFY2010-11
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-08 00:00:00	060008244	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-08-05 08:00:00	2010-08-05 08:00:00	No	2011-06-29 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	564N11	None	CA00241352	E	SFY2010-11
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-08 00:00:00	060008246	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-08-05 08:00:00	2010-08-05 08:00:00	No	2011-06-29 00:00:00	None	FTR BR	None	8900	8900	-2225	6675	0	None	564N11	None	CA00241352	E	SFY2010-11
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-07 00:00:00	060008288	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2009-09-09 00:00:00	2009-09-09 00:00:00	Yes	2011-10-18 00:00:00	2011-10-03 00:00:00	AP IJ	AP IJ	75000	50000	0	50000	0	None	5RGX11	N	CA00203594	B	SFY2010-11
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-07 00:00:00	060008289	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2008-01-18 00:00:00	2008-01-18 00:00:00	Yes	2011-09-29 00:00:00	2011-07-11 00:00:00	AP IJ	AP IJ	25000	18750	0	18750	0	None	KSRI11	N	CA00210033	C	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-16 00:00:00	060008311	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-02-02 08:00:00	2010-02-02 08:00:00	No	2011-07-08 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	NPKE11	None	CA00219706	C	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-24 00:00:00	060008329	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-01-15 08:00:00	2010-01-15 08:00:00	No	2011-07-18 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	XS2E11	None	CA00216439	D	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-29 00:00:00	060008344	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-01-20 08:00:00	2010-01-20 08:00:00	No	2011-07-21 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	KMRR11	None	CA00216915	C	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-29 00:00:00	060008347	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-01-15 08:00:00	2010-01-15 08:00:00	No	2011-07-21 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	DLNR11	None	CA00269902	C	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-29 00:00:00	060008350	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-02-01 08:00:00	2010-02-01 08:00:00	No	2011-07-21 00:00:00	None	FTR AE	None	900	900	0	900	0	None	DWEK11	N	CA00218882	B	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-30 00:00:00	060008354	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-05-12 08:00:00	2011-05-12 08:00:00	No	2011-07-22 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	O08711	None	CA00271302	E	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-30 00:00:00	060008355	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-05-12 08:00:00	2011-05-12 08:00:00	No	2011-07-22 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	O08711	None	CA00271302	E	SFY2010-11
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-09-14 00:00:00	060008534	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-11-10 08:00:00	2010-11-10 08:00:00	No	2011-10-06 00:00:00	None	FTR BR	None	600	600	0	600	0	None	LDUF11	None	CA00253560	B	SFY2011-12
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-09-14 00:00:00	060008560	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-11-22 08:00:00	2010-11-22 08:00:00	No	2011-10-06 00:00:00	None	FTR BR	None	6500	6500	0	6500	0	None	LDUF11	None	CA00253556	E	SFY2011-12
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-09-14 00:00:00	060008561	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-09-23 08:00:00	2010-09-23 08:00:00	No	2011-10-06 00:00:00	None	FTR BR	None	3200	3200	0	3200	0	None	LDUF11	None	CA00246323	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-09-28 00:00:00	060008584	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-07-11 08:00:00	2010-07-11 08:00:00	No	2011-10-19 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	KHFM11	N	CA00237767	B	SFY2011-12
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-12-01 00:00:00	060008597	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-02-24 08:00:00	2011-02-24 08:00:00	No	2011-12-22 00:00:00	None	FTR BR	None	700	700	0	700	0	None	RJ2811	None	CA00261698	C	SFY2011-12
060000062	UCI HEALTH-PLACENTIA LINDA	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-09-28 00:00:00	060008598	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2011-03-18 08:00:00	2011-03-18 08:00:00	No	2011-10-19 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	2PIL11	N	CA00265360	B	SFY2011-12
060000062	UCI HEALTH-PLACENTIA LINDA	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-09-28 00:00:00	060008600	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2011-03-18 08:00:00	2011-03-18 08:00:00	No	2011-10-19 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	2PIL11	N	CA00265360	B	SFY2011-12
060000062	UCI HEALTH-PLACENTIA LINDA	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-09-28 00:00:00	060008604	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2011-03-18 00:00:00	2011-03-18 00:00:00	Yes	2013-02-26 00:00:00	2013-02-06 00:00:00	AP IJ	AP IJ	50000	40000	0	40000	0	None	2PIL11	N	CA00265360	B	SFY2011-12
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-11-10 00:00:00	060008609	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-11-08 08:00:00	2010-11-08 08:00:00	No	2011-12-06 00:00:00	None	FTR BR	None	1600	1600	0	1600	0	None	FE2311	None	CA00266803	C	SFY2011-12
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-11-10 00:00:00	060008610	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-11-08 08:00:00	2010-11-08 08:00:00	No	2011-12-06 00:00:00	None	FTR BR	None	1600	1600	0	1600	0	None	FE2311	None	CA00266803	C	SFY2011-12
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-10-06 00:00:00	060008623	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-07-27 08:00:00	2010-07-27 08:00:00	No	2011-10-27 00:00:00	None	FTR AE	None	900	900	0	900	0	None	YNHQ11	N	CA00239463	B	SFY2011-12
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-12-14 00:00:00	060008630	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-12-07 08:00:00	2010-12-07 08:00:00	No	2012-01-06 00:00:00	None	FTR BR	None	600	600	0	600	0	None	4IGU11	None	CA00254322	E	SFY2011-12
060000025	UCI HEALTH-LOS ALAMITOS	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-10-24 00:00:00	060008648	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-03-01 08:00:00	2010-03-01 08:00:00	No	2011-11-15 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	V89P11	N	CA00224443	B	SFY2011-12
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-10-25 00:00:00	060008662	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-11-01 08:00:00	2010-11-01 08:00:00	No	2011-11-16 00:00:00	None	FTR AE	None	400	400	0	400	0	None	TMYS11	N	CA00253058	B	SFY2011-12
060000007	CHILDREN'S HOSPITAL OF ORANGE COUNTY	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-11-09 00:00:00	060008684	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-12-01 08:00:00	2010-12-01 08:00:00	No	2011-12-05 00:00:00	None	FTR BR	None	2600	2600	0	2600	0	None	XHL311	None	CA00254561	C	SFY2011-12
060000007	CHILDREN'S HOSPITAL OF ORANGE COUNTY	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-11-09 00:00:00	060008686	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-12-01 08:00:00	2010-12-01 08:00:00	No	2011-12-05 00:00:00	None	FTR BR	None	2600	2600	0	2600	0	None	XHL311	None	CA00254561	C	SFY2011-12
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-11-08 00:00:00	060008691	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-06-22 08:00:00	2011-06-22 08:00:00	No	2011-12-02 00:00:00	None	FTR BR	None	200	200	0	200	0	None	WT4Z11	None	CA00235244	E	SFY2011-12
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-11-10 00:00:00	060008695	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-06-21 08:00:00	2011-06-21 08:00:00	No	2011-12-06 00:00:00	None	FTR BR	None	100	100	0	100	0	None	H7MV11	None	CA00274699	E	SFY2011-12
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-11-10 00:00:00	060008696	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-06-21 08:00:00	2011-06-21 08:00:00	No	2011-12-06 00:00:00	None	FTR BR	None	100	100	0	100	0	None	H7MV11	None	CA00274699	E	SFY2011-12
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-12-14 00:00:00	060008700	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-12-07 08:00:00	2010-12-07 08:00:00	No	2012-01-06 00:00:00	None	FTR BR	None	300	300	0	300	0	None	4IGU11	None	CA00254322	E	SFY2011-12
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-11-08 00:00:00	060008719	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-03-17 08:00:00	2010-03-17 08:00:00	No	2011-12-02 00:00:00	None	FTR BR	None	500	500	0	500	0	None	YX7M11	None	CA00224919	C	SFY2011-12
060000064	SADDLEBACK MEMORIAL MEDICAL CENTER - SAN CLEMENTE	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-11-29 00:00:00	060008769	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-03-09 19:34:00	2011-03-09 19:34:00	No	2011-12-20 00:00:00	None	FTR BR	None	400	400	0	400	0	None	8IGJ11	None	CA00272297	E	SFY2011-12
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-04 00:00:00	060008787	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-06-08 08:00:00	2011-06-08 08:00:00	No	2012-01-26 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	N4CC11	N	CA00275345	B	SFY2011-12
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-12-08 00:00:00	060008803	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-07-20 08:00:00	2011-07-20 08:00:00	No	2011-12-30 00:00:00	None	FTR BR	None	1300	1300	-325	975	0	None	PUFG11	None	CA00279077	E	SFY2011-12
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-12-14 00:00:00	060008806	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-07-20 08:00:00	2011-07-20 08:00:00	No	2012-01-06 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	PUFG11	None	CA00279077	E	SFY2011-12
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-12-13 00:00:00	060008807	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-05-04 08:00:00	2010-05-04 08:00:00	No	2012-01-05 00:00:00	None	FTR BR	None	1700	1700	-425	1275	0	None	9EDI11	None	CA00230853	C	SFY2011-12
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-12-13 00:00:00	060008815	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-05-04 08:00:00	2010-05-04 08:00:00	No	2012-01-05 00:00:00	None	FTR BR	None	1700	1700	-425	1275	0	None	9EDI11	None	CA00230853	C	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-23 00:00:00	060008858	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-12-09 08:00:00	2009-12-09 08:00:00	No	2012-02-13 00:00:00	None	FTR BR	None	400	400	0	400	0	None	YX9B11	None	CA00213007	E	SFY2011-12
060000006	CHAPMAN GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-25 00:00:00	060008883	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2010-02-12 00:00:00	2010-02-12 00:00:00	Yes	2012-06-22 00:00:00	2012-06-08 00:00:00	AP IJ	AP IJ	75000	45000	0	45000	0	None	QI2411	N	CA00219506	B	SFY2011-12
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-25 00:00:00	060008885	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-06-17 00:00:00	2010-06-17 00:00:00	Yes	2012-09-20 00:00:00	2012-08-31 00:00:00	AP IJ	AP IJ	100000	45000	0	45000	0	None	WRJH11	N	CA00242778	B	SFY2011-12
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-02-28 00:00:00	060008907	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-06-23 08:00:00	2010-06-23 08:00:00	No	2012-03-20 00:00:00	None	FTR BR	None	8900	8900	-2225	6675	0	None	79S911	None	CA00245079	E	SFY2011-12
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-02-27 00:00:00	060008911	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-06-23 08:00:00	2010-06-23 08:00:00	No	2012-03-19 00:00:00	None	FTR BR	None	11900	11900	-2975	8925	0	None	79S911	None	CA00245079	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-30 00:00:00	060008927	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-10-11 08:00:00	2010-10-11 08:00:00	No	2012-02-21 00:00:00	None	FTR BR	None	100	100	0	100	0	None	GDDR11	None	CA00246652	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-25 00:00:00	060008943	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-12-29 08:00:00	2010-12-29 08:00:00	No	2012-02-15 00:00:00	None	FTR BR	None	100	100	0	100	0	None	4MP811	None	CA00255368	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-25 00:00:00	060008951	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-12-29 08:00:00	2010-12-29 08:00:00	No	2012-02-15 00:00:00	None	FTR BR	None	1200	1200	0	1200	0	None	4MP811	None	CA00255368	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-30 00:00:00	060008958	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-09-19 08:00:00	2010-09-19 08:00:00	No	2012-02-21 00:00:00	None	FTR BR	None	300	300	0	300	0	None	2E2O11	None	CA00244396	C	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-02-24 00:00:00	060008959	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-10-22 08:00:00	2010-10-22 08:00:00	No	2012-03-16 00:00:00	None	FTR BR	None	1100	1100	-275	825	0	None	RH2911	None	CA00252976	E	SFY2011-12
060000002	AHMC ANAHEIM REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-02-03 00:00:00	060008962	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-07-20 08:00:00	2010-07-20 08:00:00	No	2012-02-27 00:00:00	None	FTR AE	None	500	500	0	500	0	None	F8TP11	N	None	None	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-02-14 00:00:00	060008975	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-06-24 08:00:00	2010-06-24 08:00:00	No	2012-03-07 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	ET3Z11	None	CA00235269	D	SFY2011-12
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-02-17 00:00:00	060008984	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-10-07 08:00:00	2009-10-07 08:00:00	No	2012-03-12 00:00:00	None	FTR AE	None	4500	4500	0	4500	0	None	L7JO11	N	CA00211320	B	SFY2011-12
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-02-17 00:00:00	060008990	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-09-19 08:00:00	2011-09-19 08:00:00	No	2012-03-12 00:00:00	None	FTR AE	None	6600	6600	0	6600	0	None	DKUC11	N	CA00285225	B	SFY2011-12
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-08 00:00:00	060009050	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-08-04 08:00:00	2011-08-04 08:00:00	No	2012-03-29 00:00:00	None	FTR BR	None	1100	1100	-275	825	0	None	YLJP11	None	CA00283579	E	SFY2011-12
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-08 00:00:00	060009051	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-08-04 08:00:00	2011-08-04 08:00:00	No	2012-03-29 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	YLJP11	None	CA00283579	E	SFY2011-12
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-14 00:00:00	060009067	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-04-04 08:00:00	2011-04-04 08:00:00	No	2012-04-04 00:00:00	None	FTR BR	None	300	300	0	300	0	None	08O111	None	CA00267219	C	SFY2011-12
060000074	ANAHEIM GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-14 00:00:00	060009074	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-09-20 08:00:00	2010-09-20 08:00:00	No	2012-04-04 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	GX7I11	None	CA00245783	E	SFY2011-12
060000074	ANAHEIM GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-14 00:00:00	060009077	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-09-20 08:00:00	2010-09-20 08:00:00	No	2012-04-04 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	GX7I11	None	CA00245783	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-21 00:00:00	060009079	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-11-05 08:00:00	2010-11-05 08:00:00	No	2012-04-11 00:00:00	None	FTR BR	None	300	300	-225	75	0	None	QW2O11	None	CA00253118	E	SFY2011-12
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-15 00:00:00	060009083	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-03-18 08:00:00	2011-03-18 08:00:00	No	2012-04-05 00:00:00	None	FTR BR	None	3500	3500	-875	2625	0	None	V82Y11	None	CA00265313	E	SFY2011-12
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-15 00:00:00	060009091	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-03-18 08:00:00	2011-03-18 08:00:00	No	2012-04-05 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	V82Y11	None	CA00265313	E	SFY2011-12
060000018	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-22 00:00:00	060009105	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-03-04 08:00:00	2009-03-04 08:00:00	No	2012-04-12 00:00:00	None	FTR AE	None	4500	4500	0	4500	0	None	BEMU11	N	CA00195103	C	SFY2011-12
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-19 00:00:00	060009107	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-03-29 08:00:00	2011-03-29 08:00:00	No	2012-04-09 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	147Y11	None	CA00266506	E	SFY2011-12
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-19 00:00:00	060009108	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-03-29 08:00:00	2011-03-29 08:00:00	No	2012-04-09 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	147Y11	None	CA00266506	E	SFY2011-12
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-14 00:00:00	060009125	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-07-19 00:00:00	2008-07-19 00:00:00	Yes	2012-09-20 00:00:00	2012-08-31 00:00:00	AP IJ	AP IJ	25000	17500	0	17500	0	None	FC6Q11	N	CA00186021	C	SFY2011-12
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-22 00:00:00	060009143	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-03-15 11:23:00	2011-03-15 11:23:00	No	2012-04-12 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	313P11	None	CA00264790	E	SFY2011-12
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-22 00:00:00	060009145	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-03-15 11:23:00	2011-03-15 11:23:00	No	2012-04-12 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	313P11	None	CA00264790	E	SFY2011-12
060000058	GARDEN GROVE HOSPITAL AND MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-04-09 00:00:00	060009150	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-05-16 08:00:00	2011-05-16 08:00:00	No	2012-04-30 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	QER011	None	CA00272511	E	SFY2011-12
060000058	GARDEN GROVE HOSPITAL AND MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-04-09 00:00:00	060009158	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-05-16 08:00:00	2011-05-16 08:00:00	No	2012-04-30 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	30OW11	None	CA00272511	E	SFY2011-12
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-22 00:00:00	060009167	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-03-18 08:00:00	2011-03-18 08:00:00	No	2012-04-12 00:00:00	None	FTR AE	None	600	600	0	600	0	None	LD9211	N	CA00264318	B	SFY2011-12
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-22 00:00:00	060009173	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-02-03 08:00:00	2011-02-03 08:00:00	No	2012-04-12 00:00:00	None	FTR AE	None	5400	5400	0	5400	0	None	TEFX11	N	CA00266505	B	SFY2011-12
060000008	COLLEGE HOSPITAL COSTA MESA	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-26 00:00:00	060009185	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2009-11-25 00:00:00	2009-11-25 00:00:00	No	2012-11-02 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	IHGI11	N	CA00211991	A	SFY2011-12
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-04-09 00:00:00	060009199	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-01-04 08:00:00	2011-01-04 08:00:00	No	2012-04-30 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	B5OE11	N	CA00257273	B	SFY2011-12
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-04-09 00:00:00	060009203	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-01-22 08:00:00	2011-01-22 08:00:00	No	2012-04-30 00:00:00	None	FTR BR	None	1300	1300	-325	975	0	None	QMIL11	None	CA00258765	D	SFY2011-12
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-05-07 00:00:00	060009204	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-01-28 08:00:00	2011-01-28 08:00:00	No	2013-05-29 00:00:00	None	FTR AE	None	5200	5200	0	5200	0	None	XLER11	N	CA00264897	B	SFY2012-13
060000018	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-04-13 00:00:00	060009229	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-04-12 08:00:00	2011-04-12 08:00:00	No	2012-05-04 00:00:00	None	FTR AE	None	500	500	0	500	0	None	GBQM11	N	CA00269168	B	SFY2011-12
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-06-14 00:00:00	060009249	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-07-13 00:00:00	2010-07-13 00:00:00	No	2012-07-06 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	DLGF11	N	CA00242591	B	SFY2011-12
060000074	ANAHEIM GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-06-14 00:00:00	060009316	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2010-05-16 00:00:00	2010-05-16 00:00:00	No	2013-05-07 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	RZHU11	Y	CA00237384	B	SFY2011-12
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-06-14 00:00:00	060009347	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2010-10-27 00:00:00	2010-10-27 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	NDLF11	N	CA00253352	B	SFY2011-12
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-06-14 00:00:00	060009348	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2012-02-07 00:00:00	2012-02-07 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	4PPX11	N	CA00300836	B	SFY2011-12
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-07-27 00:00:00	060009422	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-09-27 00:00:00	2010-09-27 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	CEVI11	N	CA00245251	B	SFY2012-13
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-02-25 00:00:00	060009755	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-09-07 00:00:00	2012-09-07 00:00:00	No	2015-06-03 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	4WSM11	None	CA00326686	B	SFY2012-13
060000062	UCI HEALTH-PLACENTIA LINDA	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-07-29 00:00:00	060010029	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-01-19 00:00:00	2011-01-19 00:00:00	No	2013-08-19 00:00:00	None	FTR AE	None	4900	4900	0	4900	0	None	MGPW11	N	CA00264160	B	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-07-29 00:00:00	060010037	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2010-03-14 00:00:00	2010-03-14 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	Y2D211	N	CA00222416, CA00225807	B, B	SFY2013-14
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-07-29 00:00:00	060010038	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-03-18 00:00:00	2011-03-18 00:00:00	No	2013-08-19 00:00:00	None	FTR AE	None	4500	4500	0	4500	0	None	NFVC11	N	CA00264197	B	SFY2013-14
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-07-29 00:00:00	060010039	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-03-06 00:00:00	2011-03-06 00:00:00	Yes	2013-11-14 00:00:00	2013-11-01 00:00:00	AP IJ	AP IJ	100000	66150	0	66150	0	None	W7TU11	N	CA00263331	B	SFY2013-14
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-07-29 00:00:00	060010040	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2011-08-05 00:00:00	2011-08-05 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	Y0U911	N	CA00282925	B	SFY2013-14
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-07-29 00:00:00	060010041	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-07-29 00:00:00	2011-07-29 00:00:00	No	2013-08-19 00:00:00	None	FTR AE	None	800	800	0	800	0	None	G74Y11	N	CA00280522	B	SFY2013-14
060000025	UCI HEALTH-LOS ALAMITOS	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-08-02 00:00:00	060010050	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-01-30 00:00:00	2012-01-30 00:00:00	No	2013-08-23 00:00:00	None	FTR AE	None	7900	7900	0	7900	0	None	9CBS11	N	CA00318865	B	SFY2013-14
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-08-02 00:00:00	060010051	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-04-17 00:00:00	2012-04-17 00:00:00	No	2013-08-23 00:00:00	None	FTR AE	None	300	300	0	300	0	None	U54211	N	CA00319238	B	SFY2013-14
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-12 00:00:00	060010139	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-12-31 00:00:00	2012-12-31 00:00:00	No	2013-10-03 00:00:00	None	FTR AE	None	900	900	0	900	0	None	O1KI11	N	CA00345331	B	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-12 00:00:00	060010140	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-02-18 00:00:00	2011-02-18 00:00:00	No	2013-10-03 00:00:00	None	FTR RES	None	1800	1800	0	1800	0	None	IY1L11	None	CA00261815	D	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-12 00:00:00	060010142	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2011-05-25 00:00:00	2011-05-25 00:00:00	No	2013-10-03 00:00:00	None	FTR RES	None	800	800	0	800	0	None	D2W911	None	CA00272500	E	SFY2013-14
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-23 00:00:00	060010154	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-08-17 00:00:00	2011-08-17 00:00:00	No	2013-10-14 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	LRVV11	None	CA00283752	D	SFY2013-14
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-24 00:00:00	060010157	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-08-17 00:00:00	2011-08-17 00:00:00	No	2013-10-15 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	LRVV11	None	CA00283752	D	SFY2013-14
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-24 00:00:00	060010158	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-08-24 00:00:00	2011-08-24 00:00:00	No	2013-10-15 00:00:00	None	FTR RES	None	500	500	-125	375	0	None	VU5Z11	None	CA00283910	E	SFY2013-14
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-24 00:00:00	060010159	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-08-24 00:00:00	2011-08-24 00:00:00	No	2013-10-15 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	VU5Z11	None	CA00283910	E	SFY2013-14
060000058	GARDEN GROVE HOSPITAL AND MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-07 00:00:00	060010180	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2012-02-08 00:00:00	2012-02-08 00:00:00	Yes	2014-02-21 00:00:00	2017-12-08 00:00:00	AP IJ	AP IJ	50000	50000	0	50000	0	None	7RCT11	Y	CA00340189	C	SFY2013-14
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-07 00:00:00	060010184	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-11-05 00:00:00	2011-11-05 00:00:00	Yes	2014-02-21 00:00:00	2014-02-10 00:00:00	AP IJ	AP IJ	50000	37000	0	37000	0	None	LQXV11	Y	CA00292251	A	SFY2013-14
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-07 00:00:00	060010186	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE14 - Maternal death/disab due to labor/del/post	None	2012-06-30 00:00:00	2012-06-30 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	OT9X11	Y	CA00317257	B	SFY2013-14
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-16 00:00:00	060010207	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2013-02-09 00:00:00	2013-02-09 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	7WFH11	N	CA00354600	C	SFY2013-14
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-16 00:00:00	060010210	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2011-07-25 00:00:00	2011-07-25 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	BIJ611	N	CA00277868	B	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-28 00:00:00	060010238	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-29 00:00:00	2012-07-29 00:00:00	No	2013-11-19 00:00:00	None	FTR RES	None	1700	1700	-425	1275	0	None	RZUD11	None	CA00343513	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-28 00:00:00	060010239	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-29 00:00:00	2012-07-29 00:00:00	No	2013-11-19 00:00:00	None	FTR RES	None	1300	1300	-325	975	0	None	O55Y11	None	CA00343531	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-28 00:00:00	060010240	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-30 00:00:00	2012-07-30 00:00:00	No	2013-11-19 00:00:00	None	FTR RES	None	1300	1300	-325	975	0	None	SZ4W11	None	CA00343532	E	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-01-09 00:00:00	060010365	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-08-07 00:00:00	2011-08-07 00:00:00	No	2014-01-31 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	YGOO11	None	CA00338683	E	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-01-09 00:00:00	060010366	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-08-03 00:00:00	2011-08-03 00:00:00	No	2014-01-31 00:00:00	None	FTR BR	None	1200	1200	-300	900	0	None	4KZ211	None	CA00283784	E	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-01-09 00:00:00	060010367	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-04-07 00:00:00	2011-04-07 00:00:00	No	2014-01-31 00:00:00	None	FTR RES	None	1400	1400	-350	1050	0	None	GQ0M11	None	CA00268019	E	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-01-09 00:00:00	060010368	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-11-20 00:00:00	2011-11-20 00:00:00	No	2014-01-31 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	2F9V11	None	CA00338661	E	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-01-09 00:00:00	060010369	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-11-20 00:00:00	2011-11-20 00:00:00	No	2014-01-31 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	2F9V11	None	CA00338661	E	SFY2013-14
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-01-27 00:00:00	060010400	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-08-22 00:00:00	2012-08-22 00:00:00	No	2014-02-18 00:00:00	None	FTR RES	None	2800	2800	-700	2100	0	None	YZ0P11	None	CA00344363	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-04 00:00:00	060010425	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-05-15 00:00:00	2011-05-15 00:00:00	No	2014-02-26 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	PR3G11	None	CA00372627	E	SFY2013-14
060000062	UCI HEALTH-PLACENTIA LINDA	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-04 00:00:00	060010426	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-08-02 00:00:00	2011-08-02 00:00:00	No	2014-02-26 00:00:00	None	FTR RES	None	1000	1000	-250	750	0	None	BT4911	None	CA00283052	D	SFY2013-14
060000062	UCI HEALTH-PLACENTIA LINDA	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-04 00:00:00	060010427	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-08-02 00:00:00	2011-08-02 00:00:00	No	2014-02-26 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	BT4911	None	CA00283052	D	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-04 00:00:00	060010428	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-09 00:00:00	2012-07-09 00:00:00	No	2014-02-26 00:00:00	None	FTR RES	None	3900	3900	-975	2925	0	None	G1ES11	None	CA00343500	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-04 00:00:00	060010429	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-07-09 00:00:00	2012-07-09 00:00:00	No	2014-02-26 00:00:00	None	FTR BR	None	1500	1500	-375	1125	0	None	G1ES11	None	CA00343500	E	SFY2013-14
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-18 00:00:00	060010460	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-05-22 00:00:00	2012-05-22 00:00:00	No	2014-03-11 00:00:00	None	FTR RES	None	1400	1400	-350	1050	0	None	BJSC11	None	CA00362508	E	SFY2013-14
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-18 00:00:00	060010461	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-05-22 00:00:00	2012-05-22 00:00:00	No	2014-03-11 00:00:00	None	FTR BR	None	1900	1900	-475	1425	0	None	BJSC11	None	CA00362508	E	SFY2013-14
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-18 00:00:00	060010462	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-04-29 00:00:00	2012-04-29 00:00:00	No	2014-03-11 00:00:00	None	FTR RES	None	7000	7000	-1750	5250	0	None	74LE11	None	CA00362512	E	SFY2013-14
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-18 00:00:00	060010463	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-04-29 00:00:00	2012-04-29 00:00:00	No	2014-03-11 00:00:00	None	FTR BR	None	7300	7300	-1825	5475	0	None	74LE11	None	CA00362512	E	SFY2013-14
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-18 00:00:00	060010464	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-05-11 00:00:00	2012-05-11 00:00:00	No	2014-03-11 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	C8LP11	None	CA00362505	E	SFY2013-14
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-18 00:00:00	060010465	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-05-11 00:00:00	2012-05-11 00:00:00	No	2014-03-11 00:00:00	None	FTR BR	None	1100	1100	-275	825	0	None	C8LP11	None	CA00362505	E	SFY2013-14
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-28 00:00:00	060010508	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2012-10-03 00:00:00	2012-10-03 00:00:00	No	2014-03-21 00:00:00	None	FTR BR	None	500	500	0	500	0	None	MUCW11	None	CA00330794	D	SFY2013-14
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-28 00:00:00	060010509	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-09-27 00:00:00	2012-09-27 00:00:00	No	2014-03-21 00:00:00	None	FTR RES	None	500	500	-125	375	0	None	9GNW11	None	CA00331265	C	SFY2013-14
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-28 00:00:00	060010510	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-09-27 00:00:00	2012-09-27 00:00:00	No	2014-03-21 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	9GNW11	None	CA00331265	C	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-03-11 00:00:00	060010529	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-22 00:00:00	2012-07-22 00:00:00	No	2014-04-02 00:00:00	None	FTR RES	None	2300	2300	-575	1725	0	None	GRNH11	None	CA00343503	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-03-11 00:00:00	060010530	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-07-22 00:00:00	2012-07-22 00:00:00	No	2014-04-02 00:00:00	None	FTR BR	None	2300	2300	-575	1725	0	None	GRNH11	None	CA00343503	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-03-11 00:00:00	060010534	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-08-09 00:00:00	2011-08-09 00:00:00	No	2014-04-02 00:00:00	None	FTR RES	None	600	600	-150	450	0	None	IUDR11	None	CA00283560	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-03-11 00:00:00	060010535	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-08-09 00:00:00	2011-08-09 00:00:00	No	2014-04-02 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	IUDR11	None	CA00283560	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-03-11 00:00:00	060010536	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-27 00:00:00	2012-07-27 00:00:00	No	2014-04-02 00:00:00	None	FTR RES	None	1900	1900	-475	1425	0	None	QWVZ11	None	CA00343510	E	SFY2013-14
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-04-03 00:00:00	060010586	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-01 00:00:00	2013-04-01 00:00:00	No	2014-04-24 00:00:00	None	FTR RES	None	1500	1500	0	1500	0	None	WMQG11	None	CA00359972	E	SFY2013-14
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-04-03 00:00:00	060010588	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-01 00:00:00	2013-04-01 00:00:00	No	2014-04-24 00:00:00	None	FTR BR	None	1900	1900	0	1900	0	None	WMQG11	None	CA00359972	E	SFY2013-14
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-04-03 00:00:00	060010589	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-03-06 00:00:00	2013-03-06 00:00:00	No	2014-04-24 00:00:00	None	FTR RES	None	1700	1700	0	1700	0	None	9T2T11	None	CA00359906	E	SFY2013-14
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-04-03 00:00:00	060010590	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-03-16 00:00:00	2013-03-16 00:00:00	No	2014-04-24 00:00:00	None	FTR BR	None	2100	2100	0	2100	0	None	9T2T11	None	CA00359906	E	SFY2013-14
060000018	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-04-02 00:00:00	060010595	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-08-03 00:00:00	2010-08-03 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	E6TS11	N	CA00239949	D	SFY2013-14
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-04-17 00:00:00	060010635	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-18 00:00:00	2013-04-18 00:00:00	No	2014-05-08 00:00:00	None	FTR RES	None	600	600	0	600	0	None	QOJ911	None	CA00360486	E	SFY2013-14
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-04-17 00:00:00	060010636	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-18 00:00:00	2013-04-18 00:00:00	No	2014-05-08 00:00:00	None	FTR BR	None	600	600	0	600	0	None	QOJ911	None	CA00360486	E	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-04-17 00:00:00	060010637	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-03-11 00:00:00	2011-03-11 00:00:00	No	2014-05-08 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	NCGY11	None	CA00338597	E	SFY2013-14
060000058	GARDEN GROVE HOSPITAL AND MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-05-13 00:00:00	060010715	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2012-02-08 00:00:00	2012-02-08 00:00:00	Yes	2014-06-04 00:00:00	2014-05-22 00:00:00	FTR AE	Dismissed by Court	30400	0	0	0	0	None	7RCT11	N	CA00340189	C	SFY2013-14
060000001	ANAHEIM COMMUNITY HOSPITAL, LLC	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-05-15 00:00:00	060010724	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2012-11-22 00:00:00	2012-11-22 00:00:00	No	2014-06-06 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	386W11	N	CA00334068	A	SFY2013-14
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-05-16 00:00:00	060010731	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-03-08 00:00:00	2013-03-08 00:00:00	No	2014-06-09 00:00:00	None	FTR BR	None	600	600	0	600	0	None	6M0J11	None	CA00360731	E	SFY2013-14
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-05-16 00:00:00	060010732	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-24 00:00:00	2013-04-24 00:00:00	No	2014-06-09 00:00:00	None	FTR RES	None	200	200	0	200	0	None	QPOM11	None	CA00360645	E	SFY2013-14
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-05-16 00:00:00	060010733	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-24 00:00:00	2013-04-24 00:00:00	No	2014-06-09 00:00:00	None	FTR BR	None	100	100	0	100	0	None	QPOM11	None	CA00360645	E	SFY2013-14
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-07-02 00:00:00	060010841	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-05 00:00:00	2013-04-05 00:00:00	No	2014-07-24 00:00:00	None	FTR RES	None	1400	1400	-350	1050	0	None	XJ7D11	None	CA00360015	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-07-02 00:00:00	060010842	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-05 00:00:00	2013-04-05 00:00:00	No	2014-07-24 00:00:00	None	FTR BR	None	1800	1800	-450	1350	0	None	XJ7D11	None	CA00360015	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-07-02 00:00:00	060010843	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-04 00:00:00	2013-04-04 00:00:00	No	2014-07-24 00:00:00	None	FTR RES	None	1500	1500	-375	1125	0	None	JWKM11	None	CA00360007	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-07-02 00:00:00	060010845	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-04 00:00:00	2013-04-04 00:00:00	No	2014-07-24 00:00:00	None	FTR BR	None	1900	1900	-475	1425	0	None	JWKM11	None	CA00360007	E	SFY2014-15
630012891	HOAG ORTHOPEDIC INSTITUTE	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-07-29 00:00:00	060010890	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-09-27 00:00:00	2012-09-27 00:00:00	No	2014-08-19 00:00:00	None	FTR BR	None	1100	1100	0	1100	0	None	8JV411	None	CA00401968	E	SFY2014-15
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-07-29 00:00:00	060010892	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-12-02 00:00:00	2011-12-02 00:00:00	No	2014-08-19 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	UPEL11	None	CA00307454	C	SFY2014-15
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-07-29 00:00:00	060010893	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-12-02 00:00:00	2011-12-02 00:00:00	No	2014-08-19 00:00:00	None	FTR BR	None	1200	1200	-300	900	0	None	UPEL11	None	CA00307454	C	SFY2014-15
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-07-30 00:00:00	060010897	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2012-03-20 00:00:00	2012-03-20 00:00:00	No	2014-08-20 00:00:00	None	FTR AE	None	15800	15800	0	15800	0	None	YB4T11	N	CA00324530	B	SFY2014-15
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-07-30 00:00:00	060010898	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-05-22 00:00:00	2012-05-22 00:00:00	No	2014-08-20 00:00:00	None	FTR AE	None	9600	9600	0	9600	0	None	HPDH11	N	CA00324733	B	SFY2014-15
060000018	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-08-07 00:00:00	060010916	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-09-24 00:00:00	2013-09-24 00:00:00	No	2014-08-28 00:00:00	None	FTR RES	None	5400	5400	0	5400	0	None	FF5611	None	CA00378499	B	SFY2014-15
060000018	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - LAKEVIEW	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-08-07 00:00:00	060010917	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-09-24 00:00:00	2013-09-24 00:00:00	No	2014-08-28 00:00:00	None	FTR BR	None	5100	5100	0	5100	0	None	FF5611	None	CA00378499	B	SFY2014-15
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-08-07 00:00:00	060010918	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-03-14 00:00:00	2014-03-14 00:00:00	No	2014-08-28 00:00:00	None	FTR RES	None	600	600	0	600	0	None	SIPN11	None	CA00396348	E	SFY2014-15
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-08-21 00:00:00	060010947	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-02-20 00:00:00	2013-02-20 00:00:00	No	2014-09-12 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	OFRS11	N	CA00351485	D	SFY2014-15
060000058	GARDEN GROVE HOSPITAL AND MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-08-21 00:00:00	060010953	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-06-14 00:00:00	2013-06-14 00:00:00	No	2014-09-12 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	KV3R11	N	CA00362906	D	SFY2014-15
060000002	AHMC ANAHEIM REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-10-24 00:00:00	060011024	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-12-08 00:00:00	2011-12-08 00:00:00	No	2014-11-17 00:00:00	None	FTR BR	None	1700	1700	-425	1275	0	None	9T2P11	None	CA00409234	E	SFY2014-15
060000002	AHMC ANAHEIM REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-10-24 00:00:00	060011025	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-12-08 00:00:00	2011-12-08 00:00:00	No	2014-11-17 00:00:00	None	FTR RES	None	1500	1500	-375	1125	0	None	9T2P11	None	CA00409234	E	SFY2014-15
060000002	AHMC ANAHEIM REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-10-24 00:00:00	060011026	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-07-14 00:00:00	2011-07-14 00:00:00	No	2014-11-17 00:00:00	None	FTR BR	None	1100	1100	-275	825	0	None	141Z11	None	CA00279028	E	SFY2014-15
060001360	KINDRED HOSPITAL BREA	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-10-24 00:00:00	060011036	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-03-24 00:00:00	2014-03-24 00:00:00	No	2014-11-17 00:00:00	None	FTR AE	None	4400	4400	0	4400	0	None	0Y0X11	N	CA00399078	D	SFY2014-15
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-10-30 00:00:00	060011097	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-02-06 00:00:00	2012-02-06 00:00:00	No	2014-11-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	72X311	N	CA00301485	B	SFY2014-15
060000058	GARDEN GROVE HOSPITAL AND MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-10-30 00:00:00	060011098	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-04-08 00:00:00	2013-04-08 00:00:00	No	2014-11-21 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	8VY511	N	CA00354578	C	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-11-06 00:00:00	060011109	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-06-09 00:00:00	2012-06-09 00:00:00	No	2014-12-02 00:00:00	None	FTR BR	None	1300	1300	0	1300	0	None	444O11	None	CA00372078	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-11-06 00:00:00	060011110	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-25 00:00:00	2013-04-25 00:00:00	No	2014-12-02 00:00:00	None	FTR BR	None	500	500	0	500	0	None	SPW411	None	CA00360716	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-03-27 00:00:00	060011111	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-23 00:00:00	2013-04-23 00:00:00	No	2015-04-20 00:00:00	None	FTR RES	None	300	300	-75	225	0	None	MJD511	None	CA00360642	E	SFY2014-15
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-11-06 00:00:00	060011112	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-04-15 00:00:00	2013-04-15 00:00:00	No	2014-12-02 00:00:00	None	FTR AE	None	800	800	0	800	0	None	PUFY11	N	CA00354480	D	SFY2014-15
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-12-23 00:00:00	060011199	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2012-08-29 00:00:00	2012-08-29 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	DDWG11	N	CA00325325	B	SFY2014-15
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-02-04 00:00:00	060011253	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-10-30 00:00:00	2012-10-30 00:00:00	No	2015-02-26 00:00:00	None	FTR AE	None	400	400	0	400	0	None	ONS511	N	CA00336999	B	SFY2014-15
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-02-04 00:00:00	060011254	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2014-03-05 00:00:00	2014-03-05 00:00:00	No	2015-02-26 00:00:00	None	FTR AE	None	300	300	0	300	0	None	Z8GT11	N	CA00392024	B	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-03-27 00:00:00	060011352	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-23 00:00:00	2013-04-23 00:00:00	No	2015-04-20 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	MJD511	None	CA00360642	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-03-27 00:00:00	060011353	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-11 00:00:00	2013-04-11 00:00:00	No	2015-04-20 00:00:00	None	FTR RES	None	800	800	-200	600	0	None	E1OU11	None	CA00360053	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-03-27 00:00:00	060011354	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-11 00:00:00	2013-04-11 00:00:00	No	2015-04-20 00:00:00	None	FTR BR	None	1200	1200	-300	900	0	None	E1OU11	None	CA00360053	E	SFY2014-15
060000002	AHMC ANAHEIM REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-03-30 00:00:00	060011363	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-11-13 00:00:00	2011-11-13 00:00:00	No	2015-04-21 00:00:00	None	FTR BR	None	2600	2600	-650	1950	0	None	S38N11	None	CA00412403	E	SFY2014-15
060000002	AHMC ANAHEIM REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-03-30 00:00:00	060011364	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-07-02 00:00:00	2012-07-02 00:00:00	No	2015-04-21 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	CJR111	None	CA00412438	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-04-15 00:00:00	060011392	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-18 00:00:00	2013-04-18 00:00:00	No	2015-05-06 00:00:00	None	FTR RES	None	500	500	-125	375	0	None	S9O411	None	CA00360491	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-04-15 00:00:00	060011393	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-18 00:00:00	2013-04-18 00:00:00	No	2015-05-06 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	S9O411	None	CA00360491	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-04-15 00:00:00	060011394	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-20 00:00:00	2013-04-20 00:00:00	No	2015-05-06 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	ABUQ11	None	CA00360529	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-04-15 00:00:00	060011397	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-20 00:00:00	2013-04-20 00:00:00	No	2015-05-06 00:00:00	None	FTR BR	None	1100	1100	-275	825	0	None	ABUQ11	None	CA00360529	E	SFY2014-15
060001097	ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TUSTIN	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-05-14 00:00:00	060011472	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-07-01 00:00:00	2014-07-01 00:00:00	No	2015-06-05 00:00:00	None	FTR AE	None	4500	4500	0	4500	0	None	PSSO11	N	CA00405723	D	SFY2014-15
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-06-15 00:00:00	060011544	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2014-04-30 00:00:00	2014-04-30 00:00:00	No	2015-07-09 00:00:00	None	AP NON-IJ	None	12375	12375	0	12375	0	None	X7Z911	N	CA00398477	B	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-06-15 00:00:00	060011559	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-17 00:00:00	2013-04-17 00:00:00	No	2015-07-06 00:00:00	None	FTR RES	None	500	500	-125	375	0	None	2L2111	None	CA00360071	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-06-15 00:00:00	060011560	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-17 00:00:00	2013-04-17 00:00:00	No	2015-07-06 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	2L2111	None	CA00360071	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-06-15 00:00:00	060011561	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-19 00:00:00	2013-04-19 00:00:00	No	2015-07-06 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	227E11	None	CA00360524	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-06-15 00:00:00	060011562	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-19 00:00:00	2013-04-19 00:00:00	No	2015-07-06 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	227E11	None	CA00360524	E	SFY2014-15
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-07-09 00:00:00	060011601	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-05-05 00:00:00	2014-05-05 00:00:00	No	2015-07-31 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	1ZIO11	N	CA00403058	B	SFY2015-16
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-07-09 00:00:00	060011602	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2014-04-30 00:00:00	2014-04-30 00:00:00	No	2015-07-30 00:00:00	None	FTR AE	None	7900	7900	0	7900	0	None	1ZIO11	N	CA00403058	B	SFY2015-16
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-07-28 00:00:00	060011632	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2014-08-29 00:00:00	2014-08-29 00:00:00	No	2015-08-18 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	6YQT11	N	CA00411125	B	SFY2015-16
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-07-27 00:00:00	060011634	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-16 00:00:00	2013-04-16 00:00:00	No	2015-08-17 00:00:00	None	FTR RES	None	600	600	-150	450	0	None	45IS11	None	CA00360068	E	SFY2015-16
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-07-28 00:00:00	060011635	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-16 00:00:00	2013-04-16 00:00:00	No	2015-08-18 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	45IS11	None	CA00360068	E	SFY2015-16
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-07-27 00:00:00	060011636	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-17 00:00:00	2013-04-17 00:00:00	No	2015-08-17 00:00:00	None	FTR RES	None	900	900	0	900	0	None	R6WS11	None	CA00360070	E	SFY2015-16
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-07-27 00:00:00	060011637	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-17 00:00:00	2013-04-17 00:00:00	No	2015-08-17 00:00:00	None	FTR BR	None	800	800	0	800	0	None	R6WS11	None	CA00360070	E	SFY2015-16
060000002	AHMC ANAHEIM REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-07-28 00:00:00	060011639	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-07-28 00:00:00	2013-07-28 00:00:00	No	2015-08-18 00:00:00	None	FTR RES	None	300	300	-75	225	0	None	T1RX11	None	CA00412447	E	SFY2015-16
060000002	AHMC ANAHEIM REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-07-28 00:00:00	060011640	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-07-28 00:00:00	2013-07-28 00:00:00	No	2015-08-18 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	T1RX11	None	CA00412447	E	SFY2015-16
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-08-31 00:00:00	060011697	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-06-10 00:00:00	2014-06-10 00:00:00	No	2015-09-22 00:00:00	None	FTR AE	None	500	500	0	500	0	None	JRTP11	N	CA00451495	D	SFY2015-16
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-09-24 00:00:00	060011737	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2015-10-23 00:00:00	None	AP NON-IJ	None	14025	14025	0	14025	0	None	K6FQ11	N	CA00400688	B	SFY2015-16
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-09-30 00:00:00	060011757	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2014-04-09 00:00:00	2014-04-09 00:00:00	No	2015-10-22 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	8MVC11	N	CA00395049	B	SFY2015-16
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-09-30 00:00:00	060011759	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2014-05-25 00:00:00	2014-05-25 00:00:00	No	2015-10-22 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	SQ0R11	N	CA00401179	B	SFY2015-16
060000002	AHMC ANAHEIM REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-12-14 00:00:00	060011887	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2015-02-14 00:00:00	2015-02-14 00:00:00	No	2016-01-05 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	GPK911	N	CA00431780	A	SFY2015-16
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-12-17 00:00:00	060011900	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2014-01-13 00:00:00	2014-01-13 00:00:00	Yes	2016-01-11 00:00:00	2017-01-13 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	3YBR11	N	CA00384317, CA00403027	B, B	SFY2015-16
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-12-22 00:00:00	060011902	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2014-08-08 00:00:00	2014-08-08 00:00:00	No	2016-01-14 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	5YS311	N	CA00409856	B	SFY2015-16
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-01-19 00:00:00	060011950	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2015-01-13 00:00:00	2015-01-13 00:00:00	No	2016-02-09 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	GG0911	N	CA00427098	B	SFY2015-16
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-02-10 00:00:00	060012002	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2014-11-30 00:00:00	2014-11-30 00:00:00	No	2016-03-03 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	5LLV11	N	CA00422873	B	SFY2015-16
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-02-10 00:00:00	060012007	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-06-20 00:00:00	2011-06-20 00:00:00	No	2016-03-03 00:00:00	None	AP BR	None	18000	18000	0	18000	0	None	5CUM11	None	CA00436907	C	SFY2015-16
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-04-06 00:00:00	060012155	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2015-08-09 00:00:00	2015-08-09 00:00:00	No	2016-04-27 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	PJ6J11	N	CA00457245	B	SFY2015-16
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-06-29 00:00:00	060012362	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-04-30 00:00:00	2015-04-30 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	XXZ111	N	CA00446587	B	SFY2015-16
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-09-13 00:00:00	060012570	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-01-29 00:00:00	2016-01-29 00:00:00	No	2016-10-04 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	RRSB11	N	CA00478684	B	SFY2016-17
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-09-27 00:00:00	060012594	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2015-11-16 00:00:00	2015-11-16 00:00:00	No	2016-10-18 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	GS2D11	N	CA00470648	B	SFY2016-17
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-10-05 00:00:00	060012605	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-12-18 00:00:00	2015-12-18 00:00:00	No	2016-10-26 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	CULN11	N	CA00470235	B	SFY2016-17
060000058	GARDEN GROVE HOSPITAL AND MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-10-06 00:00:00	060012622	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE14 - Maternal death/disab due to labor/del/post	None	2014-03-09 00:00:00	2014-03-09 00:00:00	Yes	2017-05-11 00:00:00	2017-04-28 00:00:00	AP IJ	AP IJ	75000	50000	0	50000	0	None	QPYB11	Y	CA00392062	B	SFY2016-17
630013929	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-10-17 00:00:00	060012639	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2014-01-20 00:00:00	2014-01-20 00:00:00	No	2016-11-07 00:00:00	None	FTR RES	None	3700	3700	-925	2775	0	None	62KL11	None	CA00395101	C	SFY2016-17
630013929	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-10-17 00:00:00	060012646	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2014-01-20 00:00:00	2014-01-20 00:00:00	No	2016-11-07 00:00:00	None	FTR BR	None	3700	3700	-925	2775	0	None	62KL11	None	CA00395101	C	SFY2016-17
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-12-01 00:00:00	060012782	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-01-30 00:00:00	2016-01-30 00:00:00	No	2016-12-22 00:00:00	None	FTR AE	None	2800	2800	0	2800	0	None	6VLK11	N	CA00479189	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-12-14 00:00:00	060012816	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2016-08-08 00:00:00	2016-08-08 00:00:00	No	2017-01-06 00:00:00	None	FTR AE	None	500	500	0	500	0	None	YP7A11	N	CA00499783	B	SFY2016-17
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-12-22 00:00:00	060012833	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2016-04-19 00:00:00	2016-04-19 00:00:00	No	2017-01-17 00:00:00	None	FTR BR	None	300	300	0	300	0	None	CPFY11	None	CA00488802	B	SFY2016-17
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-12-22 00:00:00	060012835	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach of IT system theft/loss of edevice/med rec	None	2016-04-19 00:00:00	2016-04-19 00:00:00	No	2017-01-17 00:00:00	None	FTR RES	None	300	300	0	300	0	None	CPFY11	None	CA00488802	B	SFY2016-17
060000016	WEST ANAHEIM MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-01-05 00:00:00	060012853	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-03-12 00:00:00	2016-03-12 00:00:00	No	2017-01-27 00:00:00	None	FTR AE	None	400	400	0	400	0	None	BLK411	N	CA00481246	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-01-11 00:00:00	060012875	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-11-16 00:00:00	2015-11-16 00:00:00	No	2017-02-02 00:00:00	None	FTR AE	None	34000	34000	0	34000	0	None	G6CD11	N	CA00508991	D	SFY2016-17
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-02-10 00:00:00	060012957	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-11-16 00:00:00	2015-11-16 00:00:00	No	2017-03-06 00:00:00	None	AP NON-IJ	None	13387	13387	0	13387	0	None	23M211	N	CA00466915	B	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-02-16 00:00:00	060012971	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-05-29 00:00:00	2015-05-29 00:00:00	No	2017-03-10 00:00:00	None	FTR AE	None	51300	51300	0	51300	0	None	8WLW11	N	CA00509161	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-02-16 00:00:00	060012972	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-06-28 00:00:00	2016-06-28 00:00:00	No	2017-03-10 00:00:00	None	FTR AE	None	12100	12100	0	12100	0	None	TMPI11	N	CA00510426	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-02-16 00:00:00	060012973	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-12-14 00:00:00	2015-12-14 00:00:00	No	2017-03-10 00:00:00	None	FTR AE	None	31200	31200	0	31200	0	None	275M11	N	CA00508986	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-04-10 00:00:00	060013090	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-11-17 00:00:00	2014-11-17 00:00:00	No	2017-05-01 00:00:00	None	FTR AE	None	73900	73900	0	73900	0	None	4MQD11	N	CA00512772	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-04-10 00:00:00	060013103	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-11-10 00:00:00	2015-11-10 00:00:00	No	2017-05-01 00:00:00	None	FTR AE	None	38100	38100	0	38100	0	None	5MPH11	N	CA00512788	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-04-10 00:00:00	060013104	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-01-26 00:00:00	2015-01-26 00:00:00	No	2017-05-01 00:00:00	None	FTR AE	None	66900	66900	0	66900	0	None	CK6411	N	CA00512780	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-04-10 00:00:00	060013105	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-04-24 00:00:00	2015-04-24 00:00:00	No	2017-05-01 00:00:00	None	FTR AE	None	58100	58100	0	58100	0	None	VKDZ11	N	CA00512783	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-04-10 00:00:00	060013107	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-09-14 00:00:00	2016-09-14 00:00:00	No	2017-05-01 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	K9XV11	N	CA00506906	D	SFY2016-17
060000035	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-03 00:00:00	060013359	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-11-29 00:00:00	2016-11-29 00:00:00	No	2017-08-24 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	ZPBD11	N	CA00515390	D	SFY2017-18
060000058	GARDEN GROVE HOSPITAL AND MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-07-27 00:00:00	060013360	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE14 - Maternal death/disab due to labor/del/post	None	2016-01-05 00:00:00	2016-01-05 00:00:00	Yes	2017-08-17 00:00:00	2018-04-25 00:00:00	AP IJ	AP IJ	100000	85000	0	85000	0	None	7PX111	Y	CA00472561	B	SFY2017-18
060000015	HUNTINGTON BEACH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-03 00:00:00	060013364	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2016-01-21 00:00:00	2016-01-21 00:00:00	No	2017-08-24 00:00:00	None	FTR BR	None	15900	15900	0	15900	0	None	QPCX11	None	CA00506303	D	SFY2017-18
060000015	HUNTINGTON BEACH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-03 00:00:00	060013365	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2016-01-21 00:00:00	2016-01-21 00:00:00	No	2017-08-24 00:00:00	None	FTR RES	None	15800	15800	0	15800	0	None	QPCX11	None	CA00506303	D	SFY2017-18
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-03 00:00:00	060013367	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-01-03 00:00:00	2017-01-03 00:00:00	No	2017-08-24 00:00:00	None	FTR AE	None	5300	5300	0	5300	0	None	K96H11	N	CA00520304	D	SFY2017-18
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-07-27 00:00:00	060013368	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-04-18 00:00:00	2017-04-18 00:00:00	No	2017-08-17 00:00:00	None	FTR AE	None	800	800	0	800	0	None	DZC511	N	CA00533508	D	SFY2017-18
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-22 00:00:00	060013437	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2015-09-11 00:00:00	2015-09-11 00:00:00	No	2017-09-13 00:00:00	None	FTR RES	None	2100	2100	0	2100	0	None	RZMI11	None	CA00543705	D	SFY2017-18
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-22 00:00:00	060013439	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2015-09-11 00:00:00	2015-09-11 00:00:00	No	2017-09-13 00:00:00	None	FTR BR	None	2100	2100	0	2100	0	None	RZMI11	None	CA00543705	D	SFY2017-18
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-22 00:00:00	060013442	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2016-09-14 00:00:00	2016-09-14 00:00:00	No	2017-09-13 00:00:00	None	FTR RES	None	900	900	0	900	0	None	R4CB11	None	CA00543793	D	SFY2017-18
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-22 00:00:00	060013443	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2016-10-07 00:00:00	2016-10-07 00:00:00	No	2017-09-13 00:00:00	None	FTR BR	None	900	900	0	900	0	None	Y26811	None	CA00529710	D	SFY2017-18
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-22 00:00:00	060013445	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2016-10-07 00:00:00	2016-10-07 00:00:00	No	2017-09-13 00:00:00	None	FTR RES	None	900	900	0	900	0	None	Y26811	None	CA00529710	D	SFY2017-18
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-12-13 00:00:00	060013687	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-03-07 00:00:00	2017-03-07 00:00:00	No	2018-01-04 00:00:00	None	FTR AE	None	3300	3300	0	3300	0	None	KGDY11	N	CA00531803	D	SFY2017-18
060000035	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-01-04 00:00:00	060013710	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-06-20 00:00:00	2017-06-20 00:00:00	No	2018-01-25 00:00:00	None	FTR AE	None	500	500	0	500	0	None	SKCI11	N	CA00541956	B	SFY2017-18
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-01-04 00:00:00	060013712	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-10-23 00:00:00	2017-10-23 00:00:00	No	2018-01-25 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	UF9711	N	CA00558512	D	SFY2017-18
060000002	AHMC ANAHEIM REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-01-10 00:00:00	060013718	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-03-16 00:00:00	2017-03-16 00:00:00	No	2018-02-06 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	SYOS11	N	CA00529205	B	SFY2017-18
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-01-18 00:00:00	060013744	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-06-06 00:00:00	2017-06-06 00:00:00	No	2018-02-12 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	9V6211	N	CA00542113	B	SFY2017-18
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-12-01 00:00:00	060013801	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2017-02-08 00:00:00	2017-02-08 00:00:00	Yes	2018-10-01 00:00:00	2018-09-13 00:00:00	AP BR	AP BR	250000	75000	0	75000	0	None	0J2711	None	CA00525872	D	SFY2017-18
060000013	FOOTHILL REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-03-14 00:00:00	060013901	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2016-03-13 00:00:00	2016-03-13 00:00:00	Yes	2018-04-06 00:00:00	2018-03-26 00:00:00	AP NON-IJ	AP NON-IJ	13200	10000	0	10000	0	None	G3OS11	N	CA00480627, CA00480627, CA00480627	B, B, B	SFY2017-18
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-04-16 00:00:00	060013994	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-12-01 00:00:00	2017-12-01 00:00:00	No	2018-05-07 00:00:00	None	FTR AE	None	900	900	0	900	0	None	N1VG11	N	CA00566496	D	SFY2017-18
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-05-08 00:00:00	060014062	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2017-10-25 00:00:00	2017-10-25 00:00:00	No	2018-05-30 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	K55Y11	N	CA00561405	B	SFY2017-18
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-05-22 00:00:00	060014099	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-12-30 00:00:00	2017-12-30 00:00:00	No	2018-06-13 00:00:00	None	FTR AE	None	4100	4100	0	4100	0	None	D19I11	N	CA00574011	D	SFY2017-18
630013929	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-06-07 00:00:00	060014132	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2018-01-06 00:00:00	2018-01-06 00:00:00	No	2018-06-28 00:00:00	None	FTR AE	None	700	700	0	700	0	None	MIXC11	Y	CA00571227	B	SFY2017-18
630013929	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-06-07 00:00:00	060014133	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-01-06 00:00:00	2018-01-06 00:00:00	No	2018-12-28 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	MIXC11	Y	CA00571227	B	SFY2017-18
060001360	KINDRED HOSPITAL BREA	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-07-02 00:00:00	060014212	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-10-10 00:00:00	2017-10-10 00:00:00	No	2018-07-24 00:00:00	None	FTR AE	None	5100	5100	0	5100	0	None	1TZ511	N	CA00563752	D	SFY2018-19
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-08-01 00:00:00	060014289	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-12-10 00:00:00	2017-12-10 00:00:00	No	2018-08-22 00:00:00	None	FTR AE	None	600	600	0	600	0	None	EOGW11	N	CA00567481	D	SFY2018-19
060001360	KINDRED HOSPITAL BREA	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-09-26 00:00:00	060014434	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-03-21 00:00:00	2018-03-21 00:00:00	No	2018-10-17 00:00:00	None	FTR AE	None	800	800	0	800	0	None	FVZC11	N	CA00581016	D	SFY2018-19
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-09-27 00:00:00	060014437	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-07-10 00:00:00	2018-07-10 00:00:00	No	2018-10-18 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	6YU511	N	CA00596917	D	SFY2018-19
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-10-03 00:00:00	060014443	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2017-11-14 00:00:00	2017-11-14 00:00:00	No	2018-10-24 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	WQ3611	N	CA00562668	B	SFY2018-19
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-10-03 00:00:00	060014445	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2017-11-14 00:00:00	2017-11-14 00:00:00	No	2019-03-01 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	WQ3611	N	CA00562668	B	SFY2018-19
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-10-03 00:00:00	060014452	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-07-23 00:00:00	2017-07-23 00:00:00	No	2019-02-28 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	4UMY11	Y	CA00545275	B	SFY2018-19
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-11-27 00:00:00	060014581	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2018-05-16 00:00:00	2018-05-16 00:00:00	No	2018-12-18 00:00:00	None	AP NON-IJ	None	12375	12375	0	12375	0	None	TOXQ11	N	CA00588316	B	SFY2018-19
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2019-01-14 00:00:00	060014705	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-06-11 00:00:00	2018-06-11 00:00:00	No	2019-02-06 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	J5CY11	N	CA00593506	B	SFY2018-19
060000015	HUNTINGTON BEACH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2019-02-21 00:00:00	060014826	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2018-03-09 00:00:00	2018-03-09 00:00:00	No	2019-03-14 00:00:00	None	FTR AE	None	6900	6900	0	6900	0	None	48NI11	N	CA00589391	B	SFY2018-19
060000074	ANAHEIM GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2019-05-16 00:00:00	060015068	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2018-08-12 00:00:00	2018-08-12 00:00:00	Yes	2019-08-30 00:00:00	2019-08-12 00:00:00	AP IJ	AP IJ	75000	56250	0	56250	0	None	18C311	Y	CA00606397, CA00606397	B, B	SFY2018-19
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2019-07-15 00:00:00	060015231	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2019-02-26 00:00:00	2019-02-26 00:00:00	No	2019-08-05 00:00:00	None	FTR AE	None	5100	5100	0	5100	0	None	KIIO11	N	CA00637542	B	SFY2019-20
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2019-08-08 00:00:00	060015281	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2019-01-03 00:00:00	2019-01-03 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	45450	45450	0	45450	0	None	H1UP11	N	CA00631969, CA00631969, CA00631969, CA00631969	B, B, B, B	SFY2019-20
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-01-02 00:00:00	060015641	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2019-04-15 00:00:00	2019-04-15 00:00:00	No	2020-01-23 00:00:00	None	AP NON-IJ	None	13387.5	13387.5	0	13387.5	0	None	F8MF11	N	CA00634807, CA00634807	B, B	SFY2019-20
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-01-02 00:00:00	060015651	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-07-17 00:00:00	2019-07-17 00:00:00	No	2020-01-23 00:00:00	None	FTR AE	None	5800	5800	0	5800	0	None	CC2T11	N	CA00649641	B	SFY2019-20
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-01-02 00:00:00	060015653	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-07-25 00:00:00	2018-07-25 00:00:00	No	2020-01-23 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	UCCT11	Y	CA00602183	B	SFY2019-20
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-02-11 00:00:00	060015717	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-11-10 00:00:00	2019-11-10 00:00:00	No	2020-03-03 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	XWT311	N	CA00667887	D	SFY2019-20
630011745	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-03-23 00:00:00	060015816	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2020-01-14 00:00:00	2020-01-14 00:00:00	No	2020-04-13 00:00:00	None	FTR AE	None	4800	4800	0	4800	0	None	ZDQX11	N	CA00679713	B	SFY2019-20
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-04-15 00:00:00	060015835	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2019-11-11 00:00:00	2019-11-11 00:00:00	No	2020-05-06 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	3WTU11	N	CA00665328, CA00665328	B, B	SFY2019-20
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-04-10 00:00:00	060015844	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-01-23 00:00:00	2020-01-23 00:00:00	No	2020-05-01 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	UTUX11	N	CA00675873	D	SFY2019-20
060000074	ANAHEIM GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-04-24 00:00:00	060015858	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-02-22 00:00:00	2020-02-22 00:00:00	No	2020-05-15 00:00:00	None	FTR AE	None	600	600	0	600	0	None	NVTW11	N	CA00679349	D	SFY2019-20
060000015	HUNTINGTON BEACH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-06-19 00:00:00	060015906	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-02-03 00:00:00	2020-02-03 00:00:00	Yes	2020-07-10 00:00:00	2020-06-30 00:00:00	FTR AE	None	9000	9000	0	9000	0	None	VD4K11	N	CA00688097	D	SFY2019-20
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-08-26 00:00:00	060015994	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2020-07-24 00:00:00	2020-07-24 00:00:00	No	2020-09-17 00:00:00	None	AP IJ	None	33000	33000	0	33000	0	None	G1WZ11	Y	CA00648466, CA00648466	B, B	SFY2020-21
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-08-27 00:00:00	060015996	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-05-12 00:00:00	2020-05-12 00:00:00	No	2020-09-18 00:00:00	None	FTR AE	None	2600	2600	0	2600	0	None	Y6OO11	N	CA00693031	D	SFY2020-21
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-08-27 00:00:00	060015998	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-05-15 00:00:00	2020-05-15 00:00:00	No	2020-09-18 00:00:00	None	FTR AE	None	900	900	0	900	0	None	ZLUZ11	N	CA00690661	D	SFY2020-21
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-09-11 00:00:00	060016029	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-04-26 00:00:00	2020-04-26 00:00:00	No	2020-10-02 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	MFQ811	N	CA00688651	D	SFY2020-21
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-09-11 00:00:00	060016030	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-05-25 00:00:00	2020-05-25 00:00:00	No	2020-10-02 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	PWCS11	N	CA00693128	D	SFY2020-21
060000007	CHILDREN'S HOSPITAL OF ORANGE COUNTY	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-05-06 00:00:00	060016472	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-03-30 00:00:00	2021-03-30 00:00:00	No	2021-05-27 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	0Z1U11	N	CA00733024	D	SFY2020-21
060000038	LAC/OLIVE VIEW-UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-07-10 00:00:00	060016657	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-03-17 00:00:00	2021-03-17 00:00:00	No	2021-07-30 00:00:00	None	FTR AE	None	1600	1600	-1600	0	0	None	X8ZP11	Y	CA00732094	D	SFY2021-22
060000006	CHAPMAN GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-07-01 00:00:00	060016660	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-12-02 00:00:00	2020-12-02 00:00:00	No	2021-07-22 00:00:00	None	FTR AE	None	4600	4600	0	4600	0	None	UCZL11	N	CA00722588	D	SFY2021-22
060000006	CHAPMAN GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-07-01 00:00:00	060016661	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-01-12 00:00:00	2021-01-12 00:00:00	No	2021-07-22 00:00:00	None	FTR AE	None	500	500	0	500	0	None	B56L11	N	CA00722586	D	SFY2021-22
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-07-01 00:00:00	060016663	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-24 00:00:00	2020-11-24 00:00:00	No	2021-07-22 00:00:00	None	FTR AE	None	300	300	0	300	0	None	EMZU11	Y	CA00718118	D	SFY2021-22
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-07-01 00:00:00	060016672	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-01-25 00:00:00	2021-01-25 00:00:00	No	2021-07-22 00:00:00	None	FTR AE	None	300	300	0	300	0	None	YFCP11	Y	CA00723915, CA00723915	D, D	SFY2021-22
060000025	UCI HEALTH-LOS ALAMITOS	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-08-12 00:00:00	060016815	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-01-21 00:00:00	2021-01-21 00:00:00	No	2021-09-02 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	5FZQ11	N	CA00724905	D	SFY2021-22
060000025	UCI HEALTH-LOS ALAMITOS	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-08-12 00:00:00	060016816	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-01-28 00:00:00	2021-01-28 00:00:00	No	2021-09-02 00:00:00	None	FTR AE	None	700	700	0	700	0	None	Y67Q11	N	CA00724913	D	SFY2021-22
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-09-01 00:00:00	060016874	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-07-01 00:00:00	2021-07-01 00:00:00	No	2021-09-23 00:00:00	None	FTR AE	None	800	800	0	800	0	None	UJBW11	N	CA00744141	D	SFY2021-22
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-10-05 00:00:00	060016984	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2021-04-09 00:00:00	2021-04-09 00:00:00	No	2021-10-26 00:00:00	None	FTR AE	None	7800	7800	0	7800	0	None	2H3411	N	CA00742530	B	SFY2021-22
060000073	ORANGE COUNTY GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-10-14 00:00:00	060017009	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2021-06-30 00:00:00	2021-06-30 00:00:00	No	2021-11-04 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	STVW11	N	CA00744330	B	SFY2021-22
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-11-16 00:00:00	060017099	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2021-07-12 00:00:00	2021-07-12 00:00:00	No	2021-12-09 00:00:00	None	FTR AE	None	600	600	0	600	0	None	IZKF11	N	CA00746133	B	SFY2021-22
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-12-07 00:00:00	060017147	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2021-01-20 00:00:00	2021-01-20 00:00:00	No	2021-12-31 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	3CWV11	N	CA00725268	B	SFY2021-22
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-12-28 00:00:00	060017226	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-11-16 00:00:00	2021-11-16 00:00:00	No	2022-01-19 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	C3VM11	N	CA00763848	D	SFY2021-22
060000071	UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-01-04 00:00:00	060017247	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-10-18 00:00:00	2021-10-18 00:00:00	No	2022-01-26 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	S74B11	N	CA00761400	D	SFY2021-22
060000074	ANAHEIM GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-04-04 00:00:00	060017541	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2021-09-07 00:00:00	2021-09-07 00:00:00	No	2022-04-25 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	MCZT11	Y	CA00754443	B	SFY2021-22
060000007	CHILDREN'S HOSPITAL OF ORANGE COUNTY	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-04-25 00:00:00	060017592	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2022-03-01 00:00:00	2022-03-01 00:00:00	No	2022-05-16 00:00:00	None	FTR AE	None	900	900	0	900	0	None	DE1F11	N	CA00777044	B	SFY2021-22
060001360	KINDRED HOSPITAL BREA	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-05-02 00:00:00	060017612	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-01-10 00:00:00	2022-01-10 00:00:00	No	2022-05-23 00:00:00	None	FTR AE	None	600	600	0	600	0	None	89JM11	N	CA00771713	D	SFY2021-22
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-05-19 00:00:00	060017646	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2022-01-04 00:00:00	2022-01-04 00:00:00	No	2022-06-10 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	B2NO11	Y	CA00775227	B	SFY2021-22
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-06-01 00:00:00	060017670	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2021-12-27 00:00:00	2021-12-27 00:00:00	No	2022-06-22 00:00:00	None	AP NON-IJ	None	15675	15675	0	15675	0	None	091O11	N	CA00769620	B	SFY2021-22
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-06-02 00:00:00	060017683	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2021-07-16 00:00:00	2021-07-16 00:00:00	No	2022-06-23 00:00:00	None	FTR AE	None	12500	12500	0	12500	0	None	JDR111	N	CA00783259	B	SFY2021-22
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-06-28 00:00:00	060017719	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2022-02-03 00:00:00	2022-02-03 00:00:00	No	2022-07-20 00:00:00	None	AP NON-IJ	None	11812.5	11812.5	0	11812.5	0	None	303H11	N	CA00772482	B	SFY2021-22
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-06-27 00:00:00	060017738	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-05-01 00:00:00	2022-05-01 00:00:00	No	2022-07-19 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	588R11	N	CA00785119	D	SFY2021-22
060000035	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-06-27 00:00:00	060017741	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-04-16 00:00:00	2022-04-16 00:00:00	No	2022-07-19 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	L62B11	N	CA00785389	B	SFY2021-22
060000015	HUNTINGTON BEACH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-07-05 00:00:00	060017759	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-02-14 00:00:00	2021-02-14 00:00:00	No	2022-07-26 00:00:00	None	AP IJ	None	31350	31350	0	31350	0	None	XHTC11	Y	CA00725805, CA00725805	B, B	SFY2022-23
060000017	KINDRED HOSPITAL WESTMINSTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-07-12 00:00:00	060017771	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-04-26 00:00:00	2022-04-26 00:00:00	No	2022-08-02 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	6U2Y11	N	CA00785134	D	SFY2022-23
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-08-02 00:00:00	060017834	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2022-03-11 00:00:00	2022-03-11 00:00:00	No	2022-08-23 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	IKLB11	Y	CA00777042	B	SFY2022-23
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-08-30 00:00:00	060017922	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2022-01-26 00:00:00	2022-01-26 00:00:00	Yes	2022-09-21 00:00:00	2023-01-09 00:00:00	AP IJ	None	42750	42750	0	0	42750	None	HEGL11	Y	CA00770908	A	SFY2022-23
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-09-08 00:00:00	060017956	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-07-02 00:00:00	2022-07-02 00:00:00	No	2022-09-29 00:00:00	None	AP NON-IJ	None	11812.5	11812.5	0	11812.5	0	None	UJYQ11	Y	CA00792567	B	SFY2022-23
060000006	CHAPMAN GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-09-15 00:00:00	060017987	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-08-04 00:00:00	2022-08-04 00:00:00	No	2022-10-06 00:00:00	None	FTR AE	None	200	200	0	200	0	None	230I11	N	CA00798976	D	SFY2022-23
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-12-27 00:00:00	060018259	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-10-22 00:00:00	2022-10-22 00:00:00	No	2023-01-19 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	7Y7611	N	CA00810634	D	SFY2022-23
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-12-03 00:00:00	060018364	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-08-31 00:00:00	2018-08-31 00:00:00	No	2023-03-02 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	6BBO11	None	CA00554732	D	SFY2021-22
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-04-05 00:00:00	060018610	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2022-02-25 00:00:00	2022-02-25 00:00:00	No	2023-04-26 00:00:00	None	FTR AE	None	400	400	0	400	0	None	F2UU11	N	CA00818244	B	SFY2022-23
060000027	LAC/HARBOR UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-04-14 00:00:00	060018626	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2023-03-01 00:00:00	2023-03-01 00:00:00	No	2023-05-05 00:00:00	None	FTR AE	None	900	900	0	900	0	None	GRGU11	N	CA00833321, CA00833321	B, B	SFY2022-23
060000074	ANAHEIM GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-05-02 00:00:00	060018699	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2023-01-05 00:00:00	2023-01-05 00:00:00	Yes	2023-05-23 00:00:00	2023-07-11 00:00:00	AP IJ	AP IJ	75000	63750	0	21250	42500	None	ASW911	Y	CA00831524	B	SFY2022-23
060000011	UCI HEALTH-FOUNTAIN VALLEY	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-05-16 00:00:00	060018753	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-03-14 00:00:00	2023-03-14 00:00:00	No	2023-06-07 00:00:00	None	FTR AE	None	500	500	0	500	0	None	F44H11	N	CA00833249	D	SFY2022-23
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-05-22 00:00:00	060018770	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2022-09-04 00:00:00	2022-09-04 00:00:00	No	2023-06-13 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	QJYX11	Y	CA00831516	B	SFY2022-23
630013929	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-05-19 00:00:00	060018775	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2022-12-22 00:00:00	2022-12-22 00:00:00	No	2023-06-12 00:00:00	None	FTR AE	None	5100	5100	0	5100	0	None	S8RX11	N	None	None	SFY2022-23
060000016	WEST ANAHEIM MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-05-26 00:00:00	060018795	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-04-02 00:00:00	2023-04-02 00:00:00	No	2023-06-19 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	D94Y11	N	CA00837757	D	SFY2022-23
060001360	KINDRED HOSPITAL BREA	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-07-20 00:00:00	060018977	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-06-06 00:00:00	2023-06-06 00:00:00	No	2023-08-10 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	EULW11	N	CA00847068	D	SFY2023-24
060000015	HUNTINGTON BEACH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-07-25 00:00:00	060018996	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-03-02 00:00:00	2023-03-02 00:00:00	No	2023-08-15 00:00:00	None	FTR AE	None	11300	11300	0	11300	0	None	DPI311	N	CA00845910	B	SFY2023-24
630013929	KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-08-16 00:00:00	060019063	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2023-02-03 00:00:00	2023-02-03 00:00:00	No	2023-09-07 00:00:00	None	FTR AE	None	15900	15900	0	15900	0	None	T8V911	N	CA00852184	B	SFY2023-24
060000014	HOAG MEMORIAL HOSPITAL PRESBYTERIAN	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-08-29 00:00:00	060019571	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-08-10 00:00:00	2022-08-10 00:00:00	No	2024-02-14 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	67MN11	None	CA00807025	D	SFY2023-24
060000040	LOS ANGELES GENERAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2024-05-29 00:00:00	060020224	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2024-03-10 00:00:00	2024-03-10 00:00:00	No	2024-06-19 00:00:00	None	AP NON-IJ	None	11812.5	11812.5	0	11812.5	0	None	STVB11	N	CA00890715	B	SFY2023-24
060000007	CHILDREN'S HOSPITAL OF ORANGE COUNTY	Non-LTC	GACH	General Acute Care Hospital	Orange	2024-06-12 00:00:00	060020305	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2024-05-10 00:00:00	2024-05-10 00:00:00	No	2024-07-03 00:00:00	None	FTR AE	None	400	400	0	400	0	None	97BN11	N	CA00901664	B	SFY2023-24
060000007	CHILDREN'S HOSPITAL OF ORANGE COUNTY	Non-LTC	GACH	General Acute Care Hospital	Orange	2024-06-24 00:00:00	060020351	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2021-04-06 00:00:00	2021-04-06 00:00:00	No	2024-07-16 00:00:00	None	FTR AE	None	108900	108900	0	0	108900	None	OF7Z11	N	CA00896567	B	SFY2023-24
070001355	KAISER FOUNDATION HOSPITAL-SANTA CLARA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2007-07-23 00:00:00	070004109	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2007-02-07 00:00:00	2007-02-07 00:00:00	No	2007-08-13 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	2XXM11	Y	CA00108314	B	SFY2007-08
070000145	NATIVIDAD MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2007-11-27 00:00:00	070004423	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-09-07 00:00:00	2007-09-07 00:00:00	No	2007-12-18 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	NBDP11	N	CA00126268	C	SFY2007-08
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-01-10 00:00:00	070004472	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-10-16 00:00:00	2007-10-16 00:00:00	No	2008-02-01 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	9EQ811	N	CA00131082	B	SFY2007-08
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2007-11-28 00:00:00	070004475	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE20 - Line contaminated or use for wrong gas	None	2007-10-16 08:00:00	2007-10-16 08:00:00	No	2007-12-19 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	9EQ811	N	CA00131082	B	SFY2007-08
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-01-11 00:00:00	070004535	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2007-11-15 00:00:00	2007-11-15 00:00:00	No	2008-02-04 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	QQGN11	N	CA00133286, CA00134333	B, A	SFY2007-08
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2007-12-21 00:00:00	070004536	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE02 - Wrong patient surgery	None	2007-11-15 08:00:00	2007-11-15 08:00:00	No	2008-01-15 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	QQGN11	N	CA00133286, CA00134333	B, A	SFY2007-08
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2007-10-11 00:00:00	070004558	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-09-19 08:00:00	2007-09-19 08:00:00	No	2007-11-01 00:00:00	None	FTR AE	None	900	900	0	900	0	None	D72011	N	CA00128317	A	SFY2007-08
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-01-04 00:00:00	070004559	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-24 08:00:00	2007-10-24 08:00:00	No	2008-01-28 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	1IMP11	N	CA00132808	B	SFY2007-08
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-01-07 00:00:00	070004562	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-04 08:00:00	2007-12-04 08:00:00	No	2008-01-29 00:00:00	None	FTR AE	None	100	100	0	100	0	None	7C2D11	N	CA00134442	B	SFY2007-08
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-01-07 00:00:00	070004564	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-06 08:00:00	2007-12-06 08:00:00	No	2008-01-29 00:00:00	None	FTR AE	None	800	800	0	800	0	None	7C2D11	N	CA00135478	B	SFY2007-08
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-02-26 00:00:00	070004717	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-31 08:00:00	2008-01-31 08:00:00	No	2008-03-18 00:00:00	None	FTR AE	None	200	200	0	200	0	None	Y9LE11	N	CA00140347	B	SFY2007-08
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-04-09 00:00:00	070004859	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-03-06 00:00:00	2008-03-06 00:00:00	No	2008-04-30 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	45EC11	N	CA00143985	B	SFY2007-08
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-04-04 00:00:00	070004860	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-03-06 08:00:00	2008-03-06 08:00:00	No	2008-04-25 00:00:00	None	FTR AE	None	700	700	0	700	0	None	45EC11	N	CA00143985	B	SFY2007-08
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-07-15 00:00:00	070005238	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-15 08:00:00	2008-05-15 08:00:00	No	2008-08-05 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	MDK611	N	CA00153433	B	SFY2008-09
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-07-15 00:00:00	070005239	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-03-19 08:00:00	2008-03-19 08:00:00	No	2008-08-05 00:00:00	None	FTR AE	None	9000	9000	0	9000	0	None	OYNY11	N	CA00153292	B	SFY2008-09
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-09-04 00:00:00	070005398	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2008-07-22 00:00:00	2008-07-22 00:00:00	No	2008-09-25 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	FEQU11	N	CA00157964	B	SFY2008-09
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-11-03 00:00:00	070005574	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE06 -Use of contaminated drug, device, or biologic	None	2008-09-02 08:00:00	2008-09-02 08:00:00	No	2008-11-25 00:00:00	None	FTR AE	None	4100	4100	-4100	0	0	None	E5JZ11	N	CA00166115	B	SFY2008-09
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-11-17 00:00:00	070005618	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-09-12 08:00:00	2008-09-12 08:00:00	No	2008-12-10 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	CFZB11	N	CA00165255	B	SFY2008-09
070001355	KAISER FOUNDATION HOSPITAL-SANTA CLARA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-11-17 00:00:00	070005619	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2008-06-30 08:00:00	2008-06-30 08:00:00	No	2008-12-10 00:00:00	None	FTR AE	None	9300	9300	0	9300	0	None	009L11	N	CA00165531	B	SFY2008-09
070000153	GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-12-17 00:00:00	070005708	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-11-26 08:00:00	2008-11-26 08:00:00	No	2009-01-08 00:00:00	None	FTR AE	None	300	300	0	300	0	None	QCHB11	N	CA00171179	B	SFY2008-09
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-01-22 00:00:00	070005822	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-29 08:00:00	2008-12-29 08:00:00	No	2009-02-13 00:00:00	None	FTR AE	None	500	500	0	500	0	None	8UGT11	N	CA00174150	B	SFY2008-09
070000153	GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-02-24 00:00:00	070005904	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	Privacy Breach	2009-01-09 08:00:00	2009-01-09 08:00:00	No	2009-03-17 00:00:00	None	FTR BR	None	200	200	0	200	0	None	LZW011	None	CA00174972	B	SFY2008-09
070000153	GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-02-24 00:00:00	070005905	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	Privacy Breach	2009-01-09 08:00:00	2009-01-09 08:00:00	No	2009-03-17 00:00:00	None	FTR BR	None	1200	1200	0	1200	0	None	LZW011	None	CA00174972	B	SFY2008-09
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-03-13 00:00:00	070005971	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	Privacy Breach	2009-01-15 08:00:00	2009-01-15 08:00:00	No	2009-04-06 00:00:00	None	FTR BR	None	4200	4200	0	4200	0	None	X1VH11	None	CA00180048	B	SFY2008-09
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-05-28 00:00:00	070006222	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	Privacy Breach	2008-12-26 10:14:00	2008-12-26 10:14:00	No	2009-06-18 00:00:00	None	FTR AE	None	4900	4900	0	4900	0	None	PKGQ11	N	CA00178161	B	SFY2008-09
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-06-09 00:00:00	070006276	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	Failure to Report	2009-02-26 08:00:00	2009-02-26 08:00:00	No	2009-06-30 00:00:00	None	FTR AE	None	800	800	0	800	0	None	XIFQ11	N	CA00180818	B	SFY2008-09
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-06-25 00:00:00	070006327	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	Failure to Report	2009-05-22 08:00:00	2009-05-22 08:00:00	No	2009-07-16 00:00:00	None	FTR AE	None	900	900	0	900	0	None	0M3V11	N	CA00190565	B	SFY2008-09
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-06 00:00:00	070006358	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	Privacy Breach	2009-04-23 08:00:00	2009-04-23 08:00:00	No	2009-07-27 00:00:00	None	FTR BR	None	600	600	0	600	0	None	G14511	None	CA00187337	C	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-06 00:00:00	070006363	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach by person other than a h/c worker	None	2009-04-16 08:00:00	2009-04-16 08:00:00	No	2009-07-27 00:00:00	None	FTR BR	None	1400	1400	0	1400	0	None	G14511	None	CA00187125	C	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-06 00:00:00	070006366	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-04-21 08:00:00	2009-04-21 08:00:00	No	2009-07-27 00:00:00	None	FTR BR	None	800	800	0	800	0	None	G14511	None	CA00187328	C	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-13 00:00:00	070006372	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2009-04-06 00:00:00	2009-04-06 00:00:00	No	2009-08-03 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	TCX511	Y	CA00184152	A	SFY2009-10
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-16 00:00:00	070006393	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	Failure to Report	2009-03-16 08:00:00	2009-03-16 08:00:00	No	2009-08-06 00:00:00	None	FTR AE	None	9500	9500	0	9500	0	None	RPXP11	N	CA00193051	E	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-20 00:00:00	070006395	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	Failure to Report	2008-11-09 08:00:00	2008-11-09 08:00:00	No	2009-08-10 00:00:00	None	FTR AE	None	7200	7200	0	7200	0	None	R9G211	N	CA00175422	B	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-20 00:00:00	070006396	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	Failure to Report	2008-12-22 08:00:00	2008-12-22 08:00:00	No	2009-08-10 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	R9G211	N	CA00175008	B	SFY2009-10
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-09-22 00:00:00	070006572	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	Failure to Report	2009-06-11 08:00:00	2009-06-11 08:00:00	No	2009-10-14 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	869011	None	CA00192544	B	SFY2009-10
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-09-22 00:00:00	070006573	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	Failure to Report	2009-06-11 08:00:00	2009-06-11 08:00:00	No	2009-10-14 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	869011	None	CA00192544	B	SFY2009-10
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-10-13 00:00:00	070006616	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-06-11 08:00:00	2009-06-11 08:00:00	No	2009-11-03 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	TB1B11	None	CA00190949	B	SFY2009-10
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-10-15 00:00:00	070006625	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-04-02 08:00:00	2008-04-02 08:00:00	Yes	2009-11-05 00:00:00	2009-10-21 00:00:00	FTR AE	FTR AE	52800	45000	0	45000	0	None	1M9G11	N	CA00202129	B	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-12-14 00:00:00	070006772	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-02-15 08:00:00	2009-02-15 08:00:00	No	2010-01-06 00:00:00	None	FTR BR	None	2800	2800	0	2800	0	None	OH9O11	None	CA00202985	B	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-12-14 00:00:00	070006773	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-02-15 08:00:00	2009-02-15 08:00:00	No	2010-01-06 00:00:00	None	FTR BR	None	7200	7200	0	7200	0	None	OH9O11	None	CA00202985	B	SFY2009-10
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-12-21 00:00:00	070006825	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	Failure to Report	2009-06-02 08:00:00	2009-06-02 08:00:00	No	2010-01-13 00:00:00	None	FTR AE	None	14500	14500	0	14500	0	None	QHIU11	N	CA00204338, CA00204641, CA00204811	B, B, B	SFY2009-10
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-12-29 00:00:00	070006865	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-09-14 08:00:00	2009-09-14 08:00:00	No	2010-01-22 00:00:00	None	FTR AE	None	900	900	0	900	0	None	EC4211	N	CA00203191	E	SFY2009-10
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-01-06 00:00:00	070006889	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	Failure to Report	2008-11-04 08:00:00	2008-11-04 08:00:00	No	2010-01-29 00:00:00	None	FTR AE	None	40400	40400	0	40400	0	None	Z0OD11	N	None	None	SFY2009-10
070000145	NATIVIDAD MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-01-13 00:00:00	070006911	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-06-16 08:00:00	2009-06-16 08:00:00	No	2010-02-05 00:00:00	None	FTR AE	None	8200	8200	0	8200	0	None	SK6V11	N	None	None	SFY2009-10
070000153	GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-01-27 00:00:00	070006945	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	Failure to Report	2009-09-14 08:00:00	2009-09-14 08:00:00	No	2010-02-17 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	YUVN11	N	CA00203845	E	SFY2009-10
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-02-10 00:00:00	070006981	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-11-18 08:00:00	2009-11-18 08:00:00	No	2010-03-03 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	4KO711	N	CA00211123	E	SFY2009-10
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-02-10 00:00:00	070006982	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-11-17 08:00:00	2009-11-17 08:00:00	No	2010-03-03 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	4KO711	N	CA00211121	E	SFY2009-10
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-02-11 00:00:00	070006992	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2009-10-01 08:00:00	2009-10-01 08:00:00	No	2010-03-04 00:00:00	None	FTR BR	None	9400	9400	-4900	4500	0	None	Z92O11	None	CA00214099	B	SFY2009-10
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-03-19 00:00:00	070007061	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	Failure to Report	2009-08-31 08:00:00	2009-08-31 08:00:00	No	2010-04-12 00:00:00	None	FTR AE	None	9000	9000	0	9000	0	None	OE5R11	N	CA00210398	B	SFY2009-10
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-04-23 00:00:00	070007162	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2010-02-01 08:00:00	2010-02-01 08:00:00	Yes	2010-05-14 00:00:00	2010-05-06 00:00:00	FTR BR	FTR BR	1100	1100	0	1100	0	None	5O7F11	None	CA00219008	B	SFY2009-10
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-04-23 00:00:00	070007168	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach of IT system theft/loss of edevice/med rec	None	2010-02-01 08:00:00	2010-02-01 08:00:00	Yes	2010-05-14 00:00:00	2010-05-10 00:00:00	FTR RES	FTR RES	0	0	0	0	0	None	5O7F11	None	CA00219008	B	SFY2009-10
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-04-30 00:00:00	070007181	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-10-26 08:00:00	2009-10-26 08:00:00	Yes	2010-05-21 00:00:00	2010-05-19 00:00:00	FTR BR	None	11700	11700	-11700	0	0	None	WH8T11	None	CA00206153	B	SFY2009-10
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-05-20 00:00:00	070007216	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-12-16 00:00:00	2009-12-16 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	YDEJ11	Y	CA00211822	B	SFY2009-10
070000145	NATIVIDAD MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-05-25 00:00:00	070007254	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-04-11 08:00:00	2010-04-11 08:00:00	No	2010-06-16 00:00:00	None	FTR AE	None	700	700	0	700	0	None	XYI711	N	CA00226528	B	SFY2009-10
070000959	SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-05-25 00:00:00	070007256	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-01-15 08:00:00	2010-01-15 08:00:00	No	2010-06-16 00:00:00	None	FTR AE	None	8600	8600	0	8600	0	None	GEJX11	N	CA00225630	B	SFY2009-10
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-05-27 00:00:00	070007265	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-01-07 08:00:00	2010-01-07 08:00:00	No	2010-06-18 00:00:00	None	FTR AE	None	4500	4500	0	4500	0	None	MVYE11	N	CA00219858	E	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-06-04 00:00:00	070007289	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-12-13 08:00:00	2009-12-13 08:00:00	No	2010-06-25 00:00:00	None	FTR AE	None	400	400	0	400	0	None	GYTF11	N	CA00212446	B	SFY2009-10
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-12-16 00:00:00	070007370	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-02-01 08:00:00	2010-02-01 08:00:00	Yes	2011-01-06 00:00:00	2010-12-23 00:00:00	FTR BR	None	9800	9800	0	9800	0	None	F5MS11	None	CA00229685	B	SFY2010-11
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-07-09 00:00:00	070007371	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-04-24 08:00:00	2010-04-24 08:00:00	Yes	2010-07-30 00:00:00	2010-07-20 00:00:00	FTR BR	FTR BR	1500	1500	0	1500	0	None	JZTN11	None	CA00229372	B	SFY2010-11
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-07-09 00:00:00	070007372	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2010-04-24 08:00:00	2010-04-24 08:00:00	Yes	2010-07-30 00:00:00	2010-07-20 00:00:00	FTR RES	FTR RES	1500	1500	0	1500	0	None	JZTN11	None	CA00229372	B	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-07-13 00:00:00	070007373	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-04-20 08:00:00	2010-04-20 08:00:00	No	2010-08-03 00:00:00	None	FTR AE	None	800	800	0	800	0	None	ET3U11	N	CA00227353	C	SFY2010-11
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-07-27 00:00:00	070007419	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2010-05-25 08:00:00	2010-05-25 08:00:00	No	2010-08-17 00:00:00	None	FTR RES	None	100000	100000	-25000	75000	0	None	STRK11	None	CA00229760, CA00230456	B, B	SFY2010-11
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-08-04 00:00:00	070007466	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-10-29 08:00:00	2009-10-29 08:00:00	No	2010-08-25 00:00:00	None	FTR AE	None	14900	14900	0	14900	0	None	IWWH11	N	CA00223848	B	SFY2010-11
070000635	ST. LOUISE REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-08-11 00:00:00	070007487	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-12-23 08:00:00	2009-12-23 08:00:00	No	2010-09-01 00:00:00	None	FTR AE	None	800	800	0	800	0	None	52KB11	N	CA00213729	E	SFY2010-11
070000635	ST. LOUISE REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-08-11 00:00:00	070007488	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-12-01 08:00:00	2009-12-01 08:00:00	No	2010-09-01 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	52KB11	N	CA00212916	C	SFY2010-11
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-09-10 00:00:00	070007563	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-06-16 08:00:00	2010-06-16 08:00:00	No	2010-10-04 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	LB8C11	N	CA00234930	B	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-09-10 00:00:00	070007564	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-04-26 08:00:00	2010-04-26 08:00:00	No	2010-10-01 00:00:00	None	FTR AE	None	900	900	0	900	0	None	4DFE11	N	CA00228167	E	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-09-10 00:00:00	070007565	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-05-10 08:00:00	2010-05-10 08:00:00	No	2010-10-01 00:00:00	None	FTR AE	None	400	400	0	400	0	None	4DFE11	N	CA00229276	B	SFY2010-11
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-10-27 00:00:00	070007679	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-03-12 08:00:00	2010-03-12 08:00:00	No	2010-11-18 00:00:00	None	FTR AE	None	6500	6500	0	6500	0	None	5VSM11	N	CA00229652	E	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-10-27 00:00:00	070007680	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-09-01 08:00:00	2010-09-01 08:00:00	No	2010-11-18 00:00:00	None	FTR AE	None	100	100	-100	0	0	None	O9CF11	N	CA00241818	C	SFY2010-11
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-11-02 00:00:00	070007693	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-07-14 08:00:00	2010-07-14 08:00:00	No	2010-11-24 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	F9U711	N	CA00237722	C	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-11-19 00:00:00	070007722	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2010-06-10 00:00:00	2010-06-10 00:00:00	Yes	2012-09-21 00:00:00	2012-09-07 00:00:00	AP IJ	AP IJ	50000	25000	0	25000	0	None	ZU9211	N	CA00233606	B	SFY2010-11
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-11-24 00:00:00	070007733	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-09-24 08:00:00	2010-09-24 08:00:00	No	2010-12-17 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	BI1E11	N	CA00245663	C	SFY2010-11
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-11-30 00:00:00	070007738	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-08-25 08:00:00	2010-08-25 08:00:00	No	2010-12-21 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	YMBM11	N	CA00242043	C	SFY2010-11
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-12-13 00:00:00	070007770	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-09-10 08:00:00	2010-09-10 08:00:00	No	2011-01-03 00:00:00	None	FTR AE	None	700	700	0	700	0	None	DTSO11	N	CA00243633	C	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-01-10 00:00:00	070007834	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-09-21 08:00:00	2010-09-21 08:00:00	No	2011-02-01 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	01XE11	None	CA00245471	C	SFY2010-11
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-01-10 00:00:00	070007836	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-01-20 08:00:00	2010-01-20 08:00:00	No	2011-02-01 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	ELMF11	N	CA00218172	E	SFY2010-11
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-01-10 00:00:00	070007838	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-03-15 08:00:00	2010-03-15 08:00:00	No	2011-02-01 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	ELMF11	N	CA00225044	E	SFY2010-11
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-01-13 00:00:00	070007856	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-11-11 00:00:00	2010-11-11 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	6WBH11	Y	CA00249262	C	SFY2010-11
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-01-26 00:00:00	070007863	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-10-22 08:00:00	2010-10-22 08:00:00	No	2011-02-16 00:00:00	None	FTR BR	None	200	200	0	200	0	None	1R9C11	None	CA00248072	C	SFY2010-11
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-01-26 00:00:00	070007864	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2010-10-22 08:00:00	2010-10-22 08:00:00	No	2011-02-16 00:00:00	None	FTR RES	None	200	200	0	200	0	None	1R9C11	None	CA00248072	C	SFY2010-11
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-01-31 00:00:00	070007896	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-10-19 08:00:00	2010-10-19 08:00:00	No	2011-02-22 00:00:00	None	FTR BR	None	1700	1700	0	1700	0	None	R22611	None	CA00249173	D	SFY2010-11
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-01-31 00:00:00	070007897	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2010-10-19 08:00:00	2010-10-19 08:00:00	No	2011-02-22 00:00:00	None	FTR RES	None	1700	1700	0	1700	0	None	R22611	None	CA00249173	D	SFY2010-11
070000142	HAZEL HAWKINS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-02-16 00:00:00	070007943	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-05-20 08:00:00	2010-05-20 08:00:00	No	2011-03-10 00:00:00	None	FTR AE	None	17800	17800	0	17800	0	None	PKXN11	N	CA00249934	C	SFY2010-11
070000142	HAZEL HAWKINS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-02-16 00:00:00	070007944	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2010-11-07 08:00:00	2010-11-07 08:00:00	No	2011-03-10 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	PKXN11	None	CA00249917	C	SFY2010-11
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-02-16 00:00:00	070007948	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-11-29 08:00:00	2010-11-29 08:00:00	No	2011-03-10 00:00:00	None	FTR AE	None	4500	4500	0	4500	0	None	F1WM11	N	CA00255925	C	SFY2010-11
070001355	KAISER FOUNDATION HOSPITAL-SANTA CLARA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-02-22 00:00:00	070007959	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-01-05 08:00:00	2011-01-05 08:00:00	No	2011-03-15 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	CDNF11	N	CA00256906	C	SFY2010-11
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-09-07 00:00:00	070008003	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-10-04 00:00:00	2010-10-04 00:00:00	No	2011-09-29 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	P5I611	N	CA00246476, CA00247514	C, C	SFY2011-12
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-03-17 00:00:00	070008040	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-02-14 08:00:00	2011-02-14 08:00:00	No	2011-04-08 00:00:00	None	FTR AE	None	900	900	0	900	0	None	YTU111	N	CA00260802	C	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-03-24 00:00:00	070008068	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-01-10 08:00:00	2011-01-10 08:00:00	No	2011-04-15 00:00:00	None	FTR BR	None	3000	3000	0	3000	0	None	1UHF11	None	CA00259032	C	SFY2010-11
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-04-20 00:00:00	070008181	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-05-14 08:00:00	2010-05-14 08:00:00	No	2011-05-11 00:00:00	None	FTR AE	None	31400	31400	0	31400	0	None	WBZP11	N	CA00263985	C	SFY2010-11
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-05-16 00:00:00	070008248	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-04-01 08:00:00	2011-04-01 08:00:00	No	2011-06-07 00:00:00	None	FTR AE	None	700	700	0	700	0	None	YCFK11	N	CA00265935	C	SFY2010-11
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-06-08 00:00:00	070008297	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-09-29 08:00:00	2010-09-29 08:00:00	No	2011-06-29 00:00:00	None	FTR AE	None	20000	20000	0	20000	0	None	ZQDQ11	N	CA00266947	C	SFY2010-11
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-06-16 00:00:00	070008308	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-10-25 00:00:00	2010-10-25 00:00:00	Yes	2011-12-30 00:00:00	2011-12-16 00:00:00	AP IJ	AP IJ	50000	30000	0	30000	0	None	Q2P411	N	CA00247777	C	SFY2010-11
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-06-23 00:00:00	070008330	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-04-01 08:00:00	2011-04-01 08:00:00	No	2011-07-15 00:00:00	None	FTR AE	None	700	700	0	700	0	None	7WAU11	N	CA00265936	C	SFY2010-11
070000700	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	San Jose	2011-07-11 00:00:00	070008372	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-05-28 08:00:00	2011-05-28 08:00:00	No	2011-08-01 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	6JGO11	None	CA00272037	C	SFY2011-12
070000700	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	San Jose	2011-07-11 00:00:00	070008373	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-05-28 08:00:00	2011-05-28 08:00:00	No	2011-08-01 00:00:00	None	FTR RES	None	500	500	-125	375	0	None	6JGO11	None	CA00272037	C	SFY2011-12
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-08-10 00:00:00	070008462	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-02-28 08:00:00	2011-02-28 08:00:00	No	2011-08-31 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	99PY11	N	CA00260061	C	SFY2011-12
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-09-06 00:00:00	070008543	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-05-06 08:00:00	2011-05-06 08:00:00	No	2011-09-28 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	T84Y11	N	CA00270246	C	SFY2011-12
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-09-15 00:00:00	070008574	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-08-06 08:00:00	2011-08-06 08:00:00	No	2011-10-06 00:00:00	None	FTR AE	None	800	800	0	800	0	None	JP5111	N	CA00280346	C	SFY2011-12
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-09-21 00:00:00	070008585	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2011-07-05 08:00:00	2011-07-05 08:00:00	No	2011-10-12 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	1XKY11	N	CA00276535	C	SFY2011-12
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-10-07 00:00:00	070008628	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-07-20 08:00:00	2011-07-20 08:00:00	No	2011-10-28 00:00:00	None	FTR BR	None	1400	1400	-350	1050	0	None	5MPJ11	None	CA00279042	C	SFY2011-12
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-10-27 00:00:00	070008681	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-06-30 08:00:00	2011-06-30 08:00:00	No	2011-11-18 00:00:00	None	FTR BR	None	4400	4400	-1100	3300	0	None	YHDR11	None	CA00283106	C	SFY2011-12
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-11-09 00:00:00	070008738	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-09-08 08:00:00	2011-09-08 08:00:00	No	2011-12-05 00:00:00	None	FTR BR	None	1300	1300	-325	975	0	None	NKCT11	None	CA00284869	C	SFY2011-12
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-11-09 00:00:00	070008739	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-09-17 08:00:00	2011-09-17 08:00:00	No	2011-12-05 00:00:00	None	FTR BR	None	800	800	0	800	0	None	0RE111	None	CA00285662	C	SFY2011-12
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-11-10 00:00:00	070008746	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-09-15 08:00:00	2011-09-15 08:00:00	No	2011-12-06 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	R5TZ11	N	CA00286562	C	SFY2011-12
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-11-10 00:00:00	070008747	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-08-29 08:00:00	2011-08-29 08:00:00	No	2011-12-06 00:00:00	None	FTR AE	None	4100	4100	0	4100	0	None	R5TZ11	N	CA00286751	C	SFY2011-12
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-01-03 00:00:00	070008880	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2011-03-27 08:00:00	2011-03-27 08:00:00	No	2012-01-25 00:00:00	None	FTR AE	None	19700	19700	0	19700	0	None	7JQR11	N	CA00287556	C	SFY2011-12
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-01-05 00:00:00	070008889	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-07-20 00:00:00	2011-07-20 00:00:00	No	2013-02-26 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	XVHK11	N	CA00280742	C	SFY2011-12
070000145	NATIVIDAD MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-01-05 00:00:00	070008892	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-03-15 08:00:00	2011-03-15 08:00:00	No	2012-01-27 00:00:00	None	FTR BR	None	21300	21300	-5325	15975	0	None	2RSW11	None	CA00287668	C	SFY2011-12
070000153	GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-01-19 00:00:00	070008931	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-11-19 08:00:00	2011-11-19 08:00:00	No	2012-02-09 00:00:00	None	FTR AE	None	600	600	0	600	0	None	IR5H11	N	CA00291324	C	SFY2011-12
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-01-19 00:00:00	070008932	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-10-15 08:00:00	2011-10-15 08:00:00	No	2012-02-09 00:00:00	None	FTR BR	None	300	300	0	300	0	None	UZJF11	None	CA00288076	E	SFY2011-12
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-01-19 00:00:00	070008933	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-10-15 08:00:00	2011-10-15 08:00:00	No	2012-02-09 00:00:00	None	FTR RES	None	100	100	0	100	0	None	UZJF11	None	CA00288076	E	SFY2011-12
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-02-14 00:00:00	070009011	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-02-15 08:00:00	2011-02-15 08:00:00	No	2012-03-07 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	GWU111	None	CA00262956	C	SFY2011-12
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-03-02 00:00:00	070009070	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-01-13 08:00:00	2012-01-13 08:00:00	No	2012-03-23 00:00:00	None	FTR AE	None	500	500	0	500	0	None	KPZ511	N	CA00296917	C	SFY2011-12
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-03-02 00:00:00	070009072	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE07 - Use of device other than as intended	None	2011-07-20 08:00:00	2011-07-20 08:00:00	No	2012-03-23 00:00:00	None	FTR AE	None	800	800	0	800	0	None	8X1R11	N	CA00277197	C	SFY2011-12
070000142	HAZEL HAWKINS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-03-27 00:00:00	070009191	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-12-30 08:00:00	2011-12-30 08:00:00	No	2012-04-17 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	BFDS11	None	CA00295986	C	SFY2011-12
070000142	HAZEL HAWKINS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-03-27 00:00:00	070009193	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2011-12-30 08:00:00	2011-12-30 08:00:00	No	2012-04-17 00:00:00	None	FTR RES	None	200	200	-50	150	0	None	BFDS11	None	CA00295986	C	SFY2011-12
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-04-05 00:00:00	070009210	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-03-29 08:00:00	2011-03-29 08:00:00	No	2012-04-26 00:00:00	None	FTR BR	None	100	100	0	100	0	None	499B11	None	CA00296792	C	SFY2011-12
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-04-06 00:00:00	070009211	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-02-03 08:00:00	2012-02-03 08:00:00	No	2012-04-27 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	PJ4411	N	CA00300410	C	SFY2011-12
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-04-20 00:00:00	070009232	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE20 - Line contaminated or use for wrong gas	None	2012-02-10 00:00:00	2012-02-10 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	P6IE11	N	CA00299325	B	SFY2011-12
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-06-21 00:00:00	070009373	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2012-04-05 00:00:00	2012-04-05 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	GRDT11	N	CA00305889, CA00305893	C, C	SFY2011-12
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-09-11 00:00:00	070009457	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2012-05-03 08:00:00	2012-05-03 08:00:00	No	2012-10-02 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	EZRF11	None	CA00311115	C	SFY2012-13
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-08-27 00:00:00	070009460	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-02-25 08:00:00	2009-02-25 08:00:00	No	2012-09-18 00:00:00	None	FTR AE	None	7800	7800	0	7800	0	None	Y2MJ11	N	CA00306684	C	SFY2012-13
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-08-28 00:00:00	070009461	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-07-26 08:00:00	2012-07-26 08:00:00	No	2012-09-19 00:00:00	None	FTR BR	None	1400	1400	0	1400	0	None	S2TQ11	None	CA00321968	C	SFY2012-13
070000145	NATIVIDAD MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-09-12 00:00:00	070009494	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-06-14 08:00:00	2012-06-14 08:00:00	No	2012-10-03 00:00:00	None	FTR BR	None	3300	3300	-825	2475	0	None	SOXY11	None	CA00319075	C	SFY2012-13
070000145	NATIVIDAD MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-09-12 00:00:00	070009496	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-06-14 08:00:00	2012-06-14 08:00:00	No	2012-10-03 00:00:00	None	FTR BR	None	5700	5700	-1425	4275	0	None	SOXY11	None	CA00319075	C	SFY2012-13
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-09-20 00:00:00	070009516	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-11-23 08:00:00	2010-11-23 08:00:00	No	2012-10-11 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	D4N011	N	CA00314930	C	SFY2012-13
070001307	VITAS HEALTHCARE CORPORATION OF CALIFORNIA	Non-LTC	HOSPICE	Hospice	San Jose	2012-11-13 00:00:00	070009600	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2012-08-06 08:00:00	2012-08-06 08:00:00	No	2012-12-06 00:00:00	None	FTR BR	None	400	400	0	400	0	None	VYXG11	None	CA00321998	C	SFY2012-13
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-12-14 00:00:00	070009678	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-07-22 00:00:00	2009-07-22 00:00:00	No	2013-07-26 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	VWQV11	None	CA00315460	D	SFY2012-13
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-12-27 00:00:00	070009690	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2012-01-11 08:00:00	2012-01-11 08:00:00	No	2013-01-18 00:00:00	None	FTR RES	None	200	200	0	200	0	None	2Y8T11	None	None	None	SFY2012-13
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-01-22 00:00:00	070009711	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-08-14 08:00:00	2012-08-14 08:00:00	No	2013-02-12 00:00:00	None	FTR AE	None	200	200	0	200	0	None	DU5F11	N	CA00322804	C	SFY2012-13
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-01-29 00:00:00	070009722	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2012-09-15 08:00:00	2012-09-15 08:00:00	No	2013-02-20 00:00:00	None	FTR BR	None	200	200	0	200	0	None	TXDV11	None	CA00327178	C	SFY2012-13
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-02-11 00:00:00	070009739	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2012-11-05 08:00:00	2012-11-05 08:00:00	No	2013-03-05 00:00:00	None	FTR RES	None	800	800	0	800	0	None	BFVP11	None	CA00333510	C	SFY2012-13
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-02-28 00:00:00	070009763	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-09-24 08:00:00	2012-09-24 08:00:00	No	2013-03-21 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	5HZL11	None	CA00327413	C	SFY2012-13
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-04-22 00:00:00	070009851	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Patient Care	Retention of Foreign Obje	2012-07-16 08:00:00	2012-07-16 08:00:00	No	2013-05-13 00:00:00	None	FTR RES	None	400	400	0	400	0	None	WMBC11	None	CA00345100, CA00347821	C, C	SFY2012-13
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-06-05 00:00:00	070009933	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-11-05 08:00:00	2012-11-05 08:00:00	No	2013-06-26 00:00:00	None	FTR AE	None	200	200	0	200	0	None	WUO911	N	CA00332733	C	SFY2012-13
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-04-18 00:00:00	070009984	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2013-01-09 00:00:00	2013-01-09 00:00:00	Yes	2015-11-12 00:00:00	2015-10-30 00:00:00	AP BR	AP BR	250000	0	0	0	0	None	S44611	None	CA00339975	C	SFY2012-13
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-04-18 00:00:00	070009985	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2012-11-30 00:00:00	2012-11-30 00:00:00	Yes	2015-11-12 00:00:00	2015-10-30 00:00:00	AP BR	AP BR	250000	0	0	0	0	None	WZNE11	None	CA00335546	C	SFY2012-13
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-09-20 00:00:00	070010155	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-12-13 08:00:00	2012-12-13 08:00:00	No	2013-10-11 00:00:00	None	FTR AE	None	200	200	0	200	0	None	IE7711	N	CA00337149	C	SFY2013-14
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-10-24 00:00:00	070010235	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-12-20 08:00:00	2012-12-20 08:00:00	No	2013-11-15 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	48LM11	N	CA00339521	C	SFY2013-14
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-12-23 00:00:00	070010341	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach by person other than a h/c worker	None	2012-07-17 08:00:00	2012-07-17 08:00:00	No	2014-01-15 00:00:00	None	FTR RES	None	2400	2400	-600	1800	0	None	7Y9Y11	None	CA00356738	C	SFY2013-14
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-12-23 00:00:00	070010342	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2012-07-17 00:00:00	2012-07-17 00:00:00	Yes	2015-06-03 00:00:00	2015-05-22 00:00:00	AP BR	AP BR	247600	136180	0	136180	0	None	7Y9Y11	None	CA00356738	C	SFY2013-14
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-12-19 00:00:00	070010349	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-01-22 00:00:00	2013-01-22 00:00:00	No	2014-01-13 00:00:00	None	FTR AE	None	500	500	0	500	0	None	7MFF11	N	CA00341989	C	SFY2013-14
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-02-06 00:00:00	070010447	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2013-05-19 00:00:00	2013-05-19 00:00:00	Yes	2015-11-09 00:00:00	2015-10-28 00:00:00	AP BR	AP BR	25000	0	0	0	0	None	TQ4N11	None	CA00355653	C	SFY2013-14
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-02-06 00:00:00	070010448	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2012-11-30 00:00:00	2012-11-30 00:00:00	Yes	2015-06-03 00:00:00	2015-05-22 00:00:00	AP BR	AP BR	50000	0	0	0	0	None	4IQX11	None	CA00335411	C	SFY2013-14
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-02-18 00:00:00	070010478	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2013-10-16 00:00:00	2013-10-16 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	GS1B11	N	CA00375500	C	SFY2013-14
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-02-25 00:00:00	070010500	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-02-06 08:00:00	2013-02-06 08:00:00	No	2014-03-18 00:00:00	None	FTR AE	None	400	400	0	400	0	None	OJKL11	N	CA00343832	C	SFY2013-14
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-02-25 00:00:00	070010501	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2012-03-19 00:00:00	2012-03-19 00:00:00	Yes	2015-06-03 00:00:00	2015-05-22 00:00:00	AP BR	AP BR	250000	0	0	0	0	None	OT1411	None	CA00304291	C	SFY2013-14
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-03-05 00:00:00	070010519	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-05-07 00:00:00	2013-05-07 00:00:00	Yes	2018-01-30 00:00:00	2018-01-12 00:00:00	AP BR	None	50250	50250	0	0	50250	None	ZLT311	None	CA00354477	C	SFY2013-14
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-03-05 00:00:00	070010520	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2013-04-22 00:00:00	2013-04-22 00:00:00	Yes	2018-01-30 00:00:00	2018-01-12 00:00:00	AP BR	None	22500	22500	0	0	22500	None	RKGO11	None	CA00354842	C	SFY2013-14
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-02-20 00:00:00	070010558	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-10-02 00:00:00	2012-10-02 00:00:00	No	2015-11-09 00:00:00	None	AP BR	None	42500	42500	0	42500	0	None	FN7O11	None	None	None	SFY2013-14
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-03-26 00:00:00	070010689	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2013-10-29 00:00:00	2013-10-29 00:00:00	No	2016-08-01 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	B53O11	None	CA00375470	C	SFY2013-14
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-05-13 00:00:00	070010726	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-02-11 08:00:00	2013-02-11 08:00:00	No	2014-06-04 00:00:00	None	FTR AE	None	600	600	0	600	0	None	8HOG11	N	CA00344844	C	SFY2013-14
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-04-29 00:00:00	070010730	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2013-02-08 00:00:00	2013-02-08 00:00:00	No	2014-05-20 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	T24011	None	CA00343663	C	SFY2013-14
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-06-11 00:00:00	070010751	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-03-21 08:00:00	2013-03-21 08:00:00	No	2014-07-02 00:00:00	None	FTR AE	None	200	200	0	200	0	None	88BH11	N	CA00348887	C	SFY2013-14
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-06-16 00:00:00	070010817	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-09-17 08:00:00	2013-09-17 08:00:00	No	2014-07-08 00:00:00	None	FTR AE	None	100	100	0	100	0	None	ICYZ11	N	CA00370806	C	SFY2013-14
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-06-12 00:00:00	070010836	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2013-02-19 00:00:00	2013-02-19 00:00:00	No	2016-08-01 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	UX7L11	None	CA00344957	C	SFY2013-14
070000155	WATSONVILLE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-06-24 00:00:00	070010837	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-05-31 08:00:00	2013-05-31 08:00:00	No	2014-07-16 00:00:00	None	FTR AE	None	200	200	0	200	0	None	H5FB11	N	CA00358712	C	SFY2013-14
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-07-15 00:00:00	070010866	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-01-29 08:00:00	2014-01-29 08:00:00	No	2014-08-05 00:00:00	None	FTR AE	None	400	400	0	400	0	None	0QMX11	N	CA00387140	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-07-22 00:00:00	070010879	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-09 00:00:00	2013-04-09 00:00:00	No	2014-08-12 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	EGUY11	None	CA00352058	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-07-22 00:00:00	070010880	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-09 00:00:00	2013-04-09 00:00:00	No	2014-08-12 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	EGUY11	None	CA00352058	C	SFY2014-15
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-08-05 00:00:00	070010912	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-01-15 00:00:00	2014-01-15 00:00:00	No	2014-08-26 00:00:00	None	FTR AE	None	8500	8500	0	8500	0	None	1N7L11	N	CA00395085	C	SFY2014-15
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-08-13 00:00:00	070010934	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-03-29 00:00:00	2014-03-29 00:00:00	No	2014-09-04 00:00:00	None	FTR BR	None	200	200	0	200	0	None	2Y5W11	None	CA00394466	C	SFY2014-15
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-08-13 00:00:00	070010935	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-03-29 00:00:00	2014-03-29 00:00:00	No	2014-09-04 00:00:00	None	FTR RES	None	200	200	0	200	0	None	2Y5W11	None	CA00394466	C	SFY2014-15
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-08-20 00:00:00	070010949	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-03-10 00:00:00	2014-03-10 00:00:00	No	2014-09-11 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	JH1H11	N	CA00392933	C	SFY2014-15
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-08-20 00:00:00	070010950	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-01-21 00:00:00	2014-01-21 00:00:00	No	2014-09-11 00:00:00	None	FTR AE	None	900	900	0	900	0	None	RS6611	N	CA00386748	C	SFY2014-15
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-08-20 00:00:00	070010951	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-04-09 00:00:00	2014-04-09 00:00:00	No	2014-09-11 00:00:00	None	FTR AE	None	900	900	0	900	0	None	BMYF11	N	CA00396352	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-09-02 00:00:00	070010974	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-06-10 00:00:00	2013-06-10 00:00:00	No	2014-09-23 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	KSC411	None	CA00359188	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-09-02 00:00:00	070010975	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-06-10 00:00:00	2013-06-10 00:00:00	No	2014-09-23 00:00:00	None	FTR RES	None	200	200	-50	150	0	None	KSC411	None	CA00359188	C	SFY2014-15
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-09-16 00:00:00	070010994	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-03-27 00:00:00	2013-03-27 00:00:00	No	2014-10-07 00:00:00	None	FTR AE	None	14500	14500	0	14500	0	None	MNSQ11	N	CA00367452	C	SFY2014-15
070000153	GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-08-19 00:00:00	070011014	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-06-25 00:00:00	2013-06-25 00:00:00	No	2014-09-10 00:00:00	None	AP BR	None	7500	7500	0	7500	0	None	MR1311	None	CA00360429	C	SFY2014-15
070000700	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	San Jose	2014-10-03 00:00:00	070011045	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-07-22 00:00:00	2014-07-22 00:00:00	No	2014-10-24 00:00:00	None	FTR BR	None	100	100	0	100	0	None	1X8E11	None	CA00407704	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-10-09 00:00:00	070011065	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-09-28 00:00:00	2013-09-28 00:00:00	No	2014-10-30 00:00:00	None	FTR BR	None	1100	1100	-275	825	0	None	Z2I411	None	CA00373385	C	SFY2014-15
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-10-02 00:00:00	070011070	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-07-30 00:00:00	2013-07-30 00:00:00	No	2014-10-23 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	1OZ711	None	CA00364244	C	SFY2014-15
070000155	WATSONVILLE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-10-16 00:00:00	070011079	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-07-18 00:00:00	2014-07-18 00:00:00	No	2014-11-06 00:00:00	None	FTR AE	None	800	800	-200	600	0	None	86TM11	N	CA00407944	C	SFY2014-15
070000142	HAZEL HAWKINS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-11-04 00:00:00	070011105	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-08-15 00:00:00	2013-08-15 00:00:00	No	2014-11-26 00:00:00	None	FTR BR	None	1400	1400	-350	1050	0	None	21JG11	None	CA00368792	C	SFY2014-15
070000142	HAZEL HAWKINS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-11-04 00:00:00	070011106	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-08-15 00:00:00	2013-08-15 00:00:00	No	2014-11-26 00:00:00	None	FTR RES	None	1400	1400	-350	1050	0	None	21JG11	None	CA00368792	C	SFY2014-15
070000105	CENTRAL COAST VNA & HOSPICE, INC.	Non-LTC	HHA	Home Health Agency	San Jose	2014-10-22 00:00:00	070011117	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Patient Rights	None	2014-06-19 00:00:00	2014-06-19 00:00:00	No	2014-11-13 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	HPLU11	None	CA00403613	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-10-21 00:00:00	070011124	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2013-08-06 00:00:00	2013-08-06 00:00:00	No	2014-11-12 00:00:00	None	AP BR	None	85000	85000	-21250	63750	0	None	80V211	None	CA00364764	C	SFY2014-15
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-12-04 00:00:00	070011160	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-08-27 00:00:00	2014-08-27 00:00:00	No	2014-12-26 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	7W5I11	None	CA00413776	C	SFY2014-15
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-12-04 00:00:00	070011161	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-08-27 00:00:00	2014-08-27 00:00:00	No	2014-12-26 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	7W5I11	None	CA00413776	C	SFY2014-15
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-12-04 00:00:00	070011162	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-05-23 00:00:00	2014-05-23 00:00:00	No	2014-12-26 00:00:00	None	FTR BR	None	400	400	0	400	0	None	PDUQ11	None	CA00401141	C	SFY2014-15
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-12-04 00:00:00	070011163	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-05-23 00:00:00	2014-05-23 00:00:00	No	2014-12-26 00:00:00	None	FTR RES	None	400	400	0	400	0	None	PDUQ11	None	CA00401141	C	SFY2014-15
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-11-18 00:00:00	070011166	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2014-07-16 00:00:00	2014-07-16 00:00:00	Yes	2018-01-30 00:00:00	2018-01-12 00:00:00	AP BR	None	120000	120000	0	0	120000	None	UUVD11	None	CA00406465	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-11-18 00:00:00	070011167	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2014-06-12 00:00:00	2014-06-12 00:00:00	No	2014-12-11 00:00:00	None	AP BR	None	145000	145000	-36250	108750	0	None	B0DT11	None	CA00402475	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-01-12 00:00:00	070011226	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-12-02 00:00:00	2013-12-02 00:00:00	No	2015-02-03 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	8WRK11	None	CA00380420	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-01-12 00:00:00	070011227	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-12-02 00:00:00	2013-12-02 00:00:00	No	2015-02-03 00:00:00	None	FTR RES	None	400	400	-100	300	0	None	8WRK11	None	CA00380420	C	SFY2014-15
070001355	KAISER FOUNDATION HOSPITAL-SANTA CLARA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-02-03 00:00:00	070011256	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2014-04-23 00:00:00	2014-04-23 00:00:00	No	2015-02-25 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	GUL611	N	CA00402885	C	SFY2014-15
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-11-18 00:00:00	070011282	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2013-03-25 00:00:00	2013-03-25 00:00:00	Yes	2015-11-12 00:00:00	2015-10-30 00:00:00	AP BR	AP BR	250000	0	0	0	0	None	QDKM11	None	CA00349367	C	SFY2014-15
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-02-19 00:00:00	070011325	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2014-12-29 00:00:00	2014-12-29 00:00:00	No	2015-03-12 00:00:00	None	AP BR	None	90000	90000	0	90000	0	None	YF5W11	None	CA00425475	C	SFY2014-15
070000155	WATSONVILLE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-02-19 00:00:00	070011372	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2014-10-20 00:00:00	2014-10-20 00:00:00	No	2015-03-12 00:00:00	None	AP BR	None	22500	22500	-5625	16875	0	None	8S0K11	None	CA00418062	C	SFY2014-15
070000155	WATSONVILLE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-02-19 00:00:00	070011373	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2014-06-02 00:00:00	2014-06-02 00:00:00	No	2016-08-01 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	6LCN11	None	CA00401449	C	SFY2014-15
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-03-20 00:00:00	070011480	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2014-10-24 00:00:00	2014-10-24 00:00:00	No	2015-04-13 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	XBJX11	None	CA00418594	C	SFY2014-15
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-06-05 00:00:00	070011526	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-08-25 00:00:00	2014-08-25 00:00:00	No	2015-06-26 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	451311	N	CA00413644	C	SFY2014-15
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-06-05 00:00:00	070011527	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-01-27 00:00:00	2015-01-27 00:00:00	No	2015-06-26 00:00:00	None	FTR AE	None	3200	3200	0	3200	0	None	W60111	N	CA00433883	C	SFY2014-15
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-05-01 00:00:00	070011528	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-07-29 00:00:00	2014-07-29 00:00:00	Yes	2018-01-30 00:00:00	2018-01-12 00:00:00	AP BR	None	150000	150000	0	0	150000	None	L3SZ11	None	CA00408636	C	SFY2014-15
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-06-11 00:00:00	070011554	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-02-24 00:00:00	2015-02-24 00:00:00	No	2015-07-02 00:00:00	None	AP BR	None	7500	7500	0	7500	0	None	ZE7611	None	CA00435091	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-06-16 00:00:00	070011565	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2014-09-04 00:00:00	2014-09-04 00:00:00	No	2015-07-07 00:00:00	None	FTR AE	None	700	700	0	700	0	None	3QKZ11	N	CA00413752	C	SFY2014-15
070001355	KAISER FOUNDATION HOSPITAL-SANTA CLARA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-07-21 00:00:00	070011628	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2014-11-15 00:00:00	2014-11-15 00:00:00	Yes	2015-08-11 00:00:00	2016-02-19 00:00:00	FTR AE	None	2400	2400	0	2400	0	None	THV111	N	CA00423865	B	SFY2015-16
070001307	VITAS HEALTHCARE CORPORATION OF CALIFORNIA	Non-LTC	HOSPICE	Hospice	San Jose	2015-07-29 00:00:00	070011666	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2015-02-02 00:00:00	2015-02-02 00:00:00	Yes	2018-01-30 00:00:00	2018-01-18 00:00:00	AP BR	AP BR	67500	34072.5	0	34072.5	0	None	HNHG11	None	CA00430257	B	SFY2015-16
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-03-20 00:00:00	070011702	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-08-21 00:00:00	2014-08-21 00:00:00	Yes	2015-11-09 00:00:00	2015-10-28 00:00:00	AP BR	AP BR	42500	42500	0	42500	0	None	YVF311	None	CA00411253	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-09-10 00:00:00	070011863	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2015-03-25 00:00:00	2015-03-25 00:00:00	No	2015-10-01 00:00:00	None	AP BR	None	55000	55000	-13750	41250	0	None	GG6P11	None	CA00438860, CA00446380	C, C	SFY2015-16
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-12-01 00:00:00	070011878	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-05-02 00:00:00	2015-05-02 00:00:00	No	2015-12-22 00:00:00	None	FTR AE	None	12700	12700	0	12700	0	None	X6QP11	N	CA00457894	B	SFY2015-16
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-11-23 00:00:00	070011945	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2015-05-27 00:00:00	2015-05-27 00:00:00	Yes	2018-01-30 00:00:00	2018-01-12 00:00:00	AP BR	None	7500	7500	0	0	7500	None	K8LZ11	None	CA00446171	C	SFY2015-16
070000141	GEORGE L. MEE MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-02-24 00:00:00	070012045	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-03-24 00:00:00	2015-03-24 00:00:00	No	2016-03-16 00:00:00	None	AP NON-IJ	None	8943.75	8943.75	0	8943.75	0	None	H9M711	N	CA00436589	B	SFY2015-16
070000635	ST. LOUISE REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-03-08 00:00:00	070012062	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	Surgery-Wrong Body Part	2015-10-06 00:00:00	2015-10-06 00:00:00	No	2016-03-29 00:00:00	None	FTR AE	None	400	400	0	400	0	None	3IHI11	N	CA00462098	C	SFY2015-16
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012188	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-05-26 00:00:00	2015-05-26 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	800	800	0	800	0	None	DH9911	N	CA00445902	C	SFY2015-16
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012189	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-11-05 00:00:00	2015-11-05 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	5RFP11	N	CA00466902	C	SFY2015-16
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012190	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-11-03 00:00:00	2015-11-03 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	3EJY11	N	CA00466897	B	SFY2015-16
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012191	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-08-06 00:00:00	2015-08-06 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	300	300	0	300	0	None	P0UI11	N	CA00454605	C	SFY2015-16
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012192	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-08-06 00:00:00	2015-08-06 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	200	200	0	200	0	None	I7CU11	N	CA00454486	C	SFY2015-16
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012193	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-07-27 00:00:00	2015-07-27 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	I7CU11	N	CA00454486	C	SFY2015-16
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-05-27 00:00:00	070012350	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2015-11-20 00:00:00	2015-11-20 00:00:00	Yes	2018-01-30 00:00:00	2018-01-12 00:00:00	AP BR	None	7500	7500	0	0	7500	None	1KE711	None	CA00470059	B	SFY2015-16
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-08-22 00:00:00	070012532	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-05-24 00:00:00	2016-05-24 00:00:00	No	2016-09-13 00:00:00	None	FTR AE	None	400	400	0	400	0	None	WGDC11	N	CA00490260	C	SFY2016-17
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-08-23 00:00:00	070012537	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-10-14 00:00:00	2015-10-14 00:00:00	No	2016-09-14 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	RV2M11	N	CA00465238	B	SFY2016-17
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-08-31 00:00:00	070012553	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-09-30 00:00:00	2015-09-30 00:00:00	No	2016-09-22 00:00:00	None	FTR AE	None	4900	4900	0	4900	0	None	7O4S11	N	CA00466561	C	SFY2016-17
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-12-08 00:00:00	070012876	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2015-10-02 00:00:00	2015-10-02 00:00:00	No	2016-12-30 00:00:00	None	AP BR	None	15000	15000	0	15000	0	None	0JEC11	None	CA00461371	C	SFY2016-17
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2017-01-13 00:00:00	070012964	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-02-22 00:00:00	2016-02-22 00:00:00	Yes	2017-02-06 00:00:00	2017-09-11 00:00:00	AP IJ	AP IJ	33390	13515	0	13515	0	None	IGGC11	Y	CA00478561	B	SFY2016-17
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-12-21 00:00:00	070013187	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Retention of Foreign Obje	2014-05-06 00:00:00	2014-05-06 00:00:00	No	2017-01-13 00:00:00	None	AP NON-IJ	None	4040	4040	0	4040	0	None	1Q1411	N	CA00397882	C	SFY2016-17
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-12-21 00:00:00	070013188	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Retention of Foreign Obje	2014-07-11 00:00:00	2014-07-11 00:00:00	No	2017-01-13 00:00:00	None	AP NON-IJ	None	4040	4040	0	4040	0	None	5MBF11	N	CA00405536	C	SFY2016-17
070000153	GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2017-05-31 00:00:00	070013239	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE14 - Maternal death/disab due to labor/del/post	None	2017-04-10 00:00:00	2017-04-10 00:00:00	No	2017-06-21 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	W1S211	N	CA00534028	B	SFY2016-17
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2017-06-16 00:00:00	070013293	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2017-03-22 00:00:00	2017-03-22 00:00:00	No	2017-07-10 00:00:00	None	AP IJ	None	33300	33300	0	33300	0	None	MQ1611	N	None	None	SFY2016-17
070001355	KAISER FOUNDATION HOSPITAL-SANTA CLARA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2017-10-24 00:00:00	070013567	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-10-18 00:00:00	2016-10-18 00:00:00	No	2017-11-15 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	CLJ511	N	CA00511486	C	SFY2017-18
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-01-09 00:00:00	070013722	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-06-02 00:00:00	2016-06-02 00:00:00	No	2018-01-30 00:00:00	None	FTR AE	None	600	600	0	600	0	None	WD5611	N	CA00491810	C	SFY2017-18
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-02-21 00:00:00	070013835	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-12-06 00:00:00	2017-12-06 00:00:00	No	2018-03-14 00:00:00	None	FTR AE	None	700	700	0	700	0	None	JZT811	N	CA00515287	B	SFY2017-18
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-02-27 00:00:00	070013856	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Retention of Object	2016-06-12 00:00:00	2016-06-12 00:00:00	No	2018-03-20 00:00:00	None	AP NON-IJ	None	11362	11362	0	11362	0	None	986511	N	None	None	SFY2017-18
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-04-27 00:00:00	070014085	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2016-12-13 00:00:00	2016-12-13 00:00:00	No	2018-05-18 00:00:00	None	AP NON-IJ	None	11362	11362	0	11362	0	None	KPUO11	N	CA00515300, CA00515300	B, B	SFY2017-18
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-06-06 00:00:00	070014134	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-12-15 00:00:00	2016-12-15 00:00:00	No	2018-06-27 00:00:00	None	AP NON-IJ	None	13515	13515	0	0	13515	None	BZXH11	N	CA00515367	B	SFY2017-18
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-05-29 00:00:00	070014161	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2018-04-05 00:00:00	2018-04-05 00:00:00	No	2018-06-19 00:00:00	None	AP NON-IJ	None	4750	4750	0	0	4750	None	VHGU11	N	CA00582269	A	SFY2017-18
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-08-31 00:00:00	070014375	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-05-19 00:00:00	2018-05-19 00:00:00	No	2018-09-24 00:00:00	None	AP NON-IJ	None	3787.5	3787.5	0	3787.5	0	None	M8QU11	N	CA00588885	A	SFY2018-19
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-09-13 00:00:00	070014410	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-07-10 00:00:00	2017-07-10 00:00:00	No	2018-10-04 00:00:00	None	FTR AE	None	600	600	0	600	0	None	5JNE11	N	CA00545135	B	SFY2018-19
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-11-20 00:00:00	070014597	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2017-09-04 00:00:00	2017-09-04 00:00:00	No	2018-12-13 00:00:00	None	FTR AE	None	38000	38000	0	38000	0	None	MGVR11	N	CA00585565	B	SFY2018-19
070001355	KAISER FOUNDATION HOSPITAL-SANTA CLARA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-12-05 00:00:00	070014631	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-04-14 00:00:00	2017-04-14 00:00:00	No	2018-12-27 00:00:00	None	AP NON-IJ	None	11925	11925	0	11925	0	None	JG3K11	N	CA00607084	B	SFY2018-19
070001355	KAISER FOUNDATION HOSPITAL-SANTA CLARA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-01-25 00:00:00	070014766	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2018-04-25 00:00:00	2018-04-25 00:00:00	No	2019-02-15 00:00:00	None	AP NON-IJ	None	11812.5	11812.5	0	0	11812.5	None	7I2I11	N	CA00607088	B	SFY2018-19
070001355	KAISER FOUNDATION HOSPITAL-SANTA CLARA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-03-27 00:00:00	070014916	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-01-19 00:00:00	2017-01-19 00:00:00	No	2019-04-17 00:00:00	None	FTR AE	None	600	600	0	600	0	None	WTEB11	N	CA00617423	C	SFY2018-19
070001355	KAISER FOUNDATION HOSPITAL-SANTA CLARA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-05-07 00:00:00	070014917	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-01-16 00:00:00	2017-01-16 00:00:00	No	2019-05-28 00:00:00	None	FTR AE	None	900	900	0	900	0	None	TG8F11	N	CA00617422	C	SFY2018-19
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-05-08 00:00:00	070014918	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-03-10 00:00:00	2017-03-10 00:00:00	No	2019-05-29 00:00:00	None	FTR AE	None	200	200	0	200	0	None	STXU11	N	CA00527046	B	SFY2018-19
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-23 00:00:00	070014920	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-03-14 00:00:00	2018-03-14 00:00:00	No	2019-05-14 00:00:00	None	FTR AE	None	800	800	0	800	0	None	X8DG11	N	CA00580079	C	SFY2018-19
070000153	GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-29 00:00:00	070015005	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-02-17 00:00:00	2017-02-17 00:00:00	No	2019-05-20 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	EQ7T11	Y	CA00617749	B	SFY2018-19
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015019	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-03-28 00:00:00	2018-03-28 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	I5YV11	N	CA00582564	C	SFY2018-19
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015020	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-02-02 00:00:00	2018-02-02 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	6500	6500	0	6500	0	None	J8P511	N	CA00582575	B	SFY2018-19
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015022	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-08-06 00:00:00	2018-08-06 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	500	500	0	500	0	None	VK8C11	N	CA00600104	C	SFY2018-19
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015023	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-02-18 00:00:00	2018-02-18 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	700	700	0	700	0	None	PWXY11	N	CA00576361	C	SFY2018-19
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015024	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-02-06 00:00:00	2017-02-06 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	400	400	0	400	0	None	17IR11	N	CA00522802	B	SFY2018-19
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015025	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-03-23 00:00:00	2018-03-23 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	600	600	0	600	0	None	QWRP11	N	CA00580921	C	SFY2018-19
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015026	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-10-20 00:00:00	2017-10-20 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	700	700	0	700	0	None	WN8511	N	CA00559275	C	SFY2018-19
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015027	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-01-04 00:00:00	2018-01-04 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	CX1N11	N	CA00570722	C	SFY2018-19
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015028	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-11-05 00:00:00	2018-11-05 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	400	400	0	400	0	None	FZUL11	N	CA00612004	B	SFY2018-19
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015029	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-04-12 00:00:00	2018-04-12 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	300	300	0	300	0	None	2C3E11	N	CA00583588	C	SFY2018-19
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015031	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-03-17 00:00:00	2018-03-17 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	600	600	0	600	0	None	8OGR11	N	CA00580305	C	SFY2018-19
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-05-03 00:00:00	070015038	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-11-05 00:00:00	2018-11-05 00:00:00	No	2019-05-24 00:00:00	None	FTR AE	None	600	600	0	600	0	None	PEB411	N	CA00612523	B	SFY2018-19
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-05-10 00:00:00	070015065	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-09-30 00:00:00	2018-09-30 00:00:00	No	2019-05-31 00:00:00	None	FTR AE	None	300	300	0	300	0	None	CRCI11	N	CA00607341	C	SFY2018-19
070000146	O'CONNOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-06-18 00:00:00	070015169	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-04-08 00:00:00	2019-04-08 00:00:00	No	2019-07-09 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	MRKR11	N	CA00637202	C	SFY2018-19
070001351	EL CAMINO HEALTH	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-06-18 00:00:00	070015171	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-06-13 00:00:00	2017-06-13 00:00:00	No	2019-07-09 00:00:00	None	FTR AE	None	3700	3700	0	3700	0	None	8K0S11	N	CA00545713	C	SFY2018-19
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-06-28 00:00:00	070015208	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-06-17 00:00:00	2018-06-17 00:00:00	No	2019-07-19 00:00:00	None	FTR AE	None	700	700	0	700	0	None	WDUK11	N	CA00593403	B	SFY2018-19
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-07-08 00:00:00	070015221	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-02-15 00:00:00	2019-02-15 00:00:00	No	2019-07-29 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	KET311	N	CA00628649	C	SFY2019-20
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-07-09 00:00:00	070015222	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-04-15 00:00:00	2016-04-15 00:00:00	No	2019-07-30 00:00:00	None	FTR AE	None	33600	33600	0	33600	0	None	CY6N11	N	CA00527895	B	SFY2019-20
070001355	KAISER FOUNDATION HOSPITAL-SANTA CLARA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-07-16 00:00:00	070015233	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-03-09 00:00:00	2019-03-09 00:00:00	No	2019-08-06 00:00:00	None	FTR AE	None	5600	5600	0	5600	0	None	NZDB11	N	CA00637046	C	SFY2019-20
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-07-30 00:00:00	070015258	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-07-10 00:00:00	2018-07-10 00:00:00	No	2019-08-20 00:00:00	None	FTR AE	None	800	800	0	800	0	None	8B9N11	N	CA00596691	B	SFY2019-20
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-07-30 00:00:00	070015259	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-06-16 00:00:00	2017-06-16 00:00:00	No	2019-08-20 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	VKC111	N	CA00543451	B	SFY2019-20
070000137	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-07-30 00:00:00	070015260	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-03-06 00:00:00	2019-03-06 00:00:00	No	2019-08-20 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	06UQ11	N	CA00632202	C	SFY2019-20
070000150	KAISER FOUNDATION HOSPITAL-SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-08-21 00:00:00	070015332	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2016-11-18 00:00:00	2016-11-18 00:00:00	No	2019-09-11 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	M3MO11	N	CA00616699	B	SFY2019-20
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-12-19 00:00:00	070015625	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-11-21 00:00:00	2019-11-21 00:00:00	No	2020-01-09 00:00:00	None	FTR AE	None	700	700	0	700	0	None	BZCD11	N	CA00665983	C	SFY2019-20
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2020-02-10 00:00:00	070015699	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-07-09 00:00:00	2017-07-09 00:00:00	No	2020-03-03 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	VPDF11	Y	CA00548968	B	SFY2019-20
070000153	GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2020-03-02 00:00:00	070015780	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-07-18 00:00:00	2019-07-18 00:00:00	No	2020-03-23 00:00:00	None	FTR AE	None	19200	19200	0	19200	0	None	5T4311	N	CA00674178	C	SFY2019-20
070001349	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD	Non-LTC	GACH	General Acute Care Hospital	San Jose	2020-08-21 00:00:00	070015989	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE08 - Death/disability due to intravascular air embolism	None	2017-02-08 00:00:00	2017-02-08 00:00:00	No	2020-09-14 00:00:00	None	AP IJ	None	49500	49500	0	49500	0	None	3W6H11	N	CA00522120	B	SFY2020-21
070000133	REGIONAL MEDICAL CENTER OF SAN JOSE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2021-09-21 00:00:00	070016942	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2020-05-02 00:00:00	2020-05-02 00:00:00	No	2021-10-12 00:00:00	None	FTR AE	None	4900	4900	0	4900	0	None	5WSJ11	N	CA00694927, CA00694927	B, B	SFY2021-22
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2021-12-13 00:00:00	070017185	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2020-08-07 00:00:00	2020-08-07 00:00:00	No	2022-01-03 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	1TO711	N	CA00704118	C	SFY2021-22
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2022-02-17 00:00:00	070017364	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2020-09-17 00:00:00	2020-09-17 00:00:00	No	2022-03-11 00:00:00	None	FTR AE	None	8000	8000	0	8000	0	None	S4LU11	N	CA00716437	B	SFY2021-22
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2023-12-04 00:00:00	070019439	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2023-02-21 00:00:00	2023-02-21 00:00:00	No	2023-12-26 00:00:00	None	AP NON-IJ	None	3750	3750	0	3750	0	None	077I11	N	CA00829863	B	SFY2023-24
070000142	HAZEL HAWKINS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2023-08-15 00:00:00	070019602	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-11-02 00:00:00	2021-11-02 00:00:00	No	2023-09-06 00:00:00	None	AP BR	None	125000	125000	-31250	93750	0	None	B4YJ11	None	CA00766496	D	SFY2023-24
070000142	HAZEL HAWKINS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2023-08-15 00:00:00	070019606	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-08-25 00:00:00	2022-08-25 00:00:00	No	2024-02-14 00:00:00	None	AP BR	None	125000	125000	-31250	93750	0	None	NFVO11	None	CA00802061	D	SFY2023-24
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2023-05-02 00:00:00	070019973	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-05-26 00:00:00	2021-05-26 00:00:00	No	2024-05-22 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	VJ7M11	None	CA00740799	C	SFY2022-23
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-03-24 00:00:00	080004300	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE27 - Death/injury from a physical assault	None	2007-08-30 00:00:00	2007-08-30 00:00:00	No	2008-04-15 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	BM3P11	N	CA00124894	A	SFY2007-08
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2007-12-27 00:00:00	080004534	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-11-09 11:40:00	2007-11-09 11:40:00	No	2008-01-22 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	VUTV11	N	CA00134159	C	SFY2007-08
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-03-07 00:00:00	080004760	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-11-09 00:00:00	2007-11-09 00:00:00	No	2008-03-28 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	1DCK11	N	CA00133082	A	SFY2007-08
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-04-18 00:00:00	080004762	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-11-09 00:00:00	2007-11-09 00:00:00	No	2008-05-09 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	1DCK11	N	CA00133082	A	SFY2007-08
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-03-27 00:00:00	080004811	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-02-23 01:04:00	2008-02-23 01:04:00	No	2008-04-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	7DYX11	N	CA00142346	C	SFY2007-08
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-03-24 00:00:00	080004815	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE06 -Use of contaminated drug, device, or biologic	None	2007-11-20 00:00:00	2007-11-20 00:00:00	No	2008-04-15 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	ZSKG11	N	None	None	SFY2007-08
080000903	SAN DIEGO HOSPICE & PALLIATIVE CARE-ACUTE CARE CTR	Non-LTC	SPHOSP	General Acute Care Hospital	San Diego	2008-05-06 00:00:00	080004985	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2007-11-01 17:00:00	2007-11-01 17:00:00	No	2008-05-29 00:00:00	None	FTR AE	None	12700	12700	0	12700	0	None	11ZN11	Y	CA00139905	C	SFY2007-08
080000045	GROSSMONT HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-05-30 00:00:00	080005093	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE07 - Use of device other than as intended	None	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2008-06-20 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	IGWW11	Y	CA00145843	A	SFY2007-08
080000045	GROSSMONT HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-05-30 00:00:00	080005094	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	Death - General	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2008-06-23 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	IGWW11	Y	CA00145843	A	SFY2007-08
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-06-05 00:00:00	080005103	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE07 - Use of device other than as intended	None	2008-03-28 00:00:00	2008-03-28 00:00:00	No	2008-06-26 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	XO3B11	N	CA00145575	A	SFY2007-08
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-06-09 00:00:00	080005124	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-04-15 16:00:00	2008-04-15 16:00:00	No	2008-06-30 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	RXHP11	N	CA00149049	C	SFY2007-08
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-06-20 00:00:00	080005158	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-03-26 00:00:00	2008-03-26 00:00:00	No	2008-07-14 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	HJZE11	N	CA00146060	A	SFY2007-08
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-06-27 00:00:00	080005187	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-02-23 01:00:00	2008-02-23 01:00:00	No	2008-07-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	6MOX11	N	CA00142346	C	SFY2007-08
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-07-16 00:00:00	080005232	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-05-15 10:45:00	2008-05-15 10:45:00	No	2008-08-06 00:00:00	None	FTR AE	None	200	200	0	200	0	None	PMUB11	N	CA00151252	A	SFY2008-09
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-07-16 00:00:00	080005233	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2008-03-11 23:55:00	2008-03-11 23:55:00	No	2008-08-06 00:00:00	None	FTR AE	None	8200	8200	0	8200	0	None	ZHPL11	N	CA00151777	C	SFY2008-09
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-10-16 00:00:00	080005401	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-28 16:10:00	2008-07-28 16:10:00	No	2008-11-10 00:00:00	None	FTR AE	None	300	300	0	300	0	None	P6J711	N	CA00159108	B	SFY2008-09
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-10-16 00:00:00	080005405	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-06-04 00:00:00	2008-06-04 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	PE4311	Y	CA00153342	A	SFY2008-09
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-10-20 00:00:00	080005538	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-21 09:30:00	2008-07-21 09:30:00	No	2008-11-12 00:00:00	None	FTR AE	None	6600	6600	0	6600	0	None	ACKC11	N	CA00163894	B	SFY2008-09
080000144	KAISER FOUNDATION HOSPITAL - ZION	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-12-13 00:00:00	080005699	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-09-19 09:00:00	2008-09-19 09:00:00	No	2009-01-09 00:00:00	None	FTR AE	None	3100	3100	0	3100	0	None	0CNL11	N	CA00166231	B	SFY2008-09
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-30 00:00:00	080005848	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-12 11:58:00	2008-12-12 11:58:00	No	2009-02-25 00:00:00	None	FTR AE	None	3700	3700	0	3700	0	None	36N811	N	CA00175536	B	SFY2008-09
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-03-03 00:00:00	080005918	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2008-12-08 00:00:00	2008-12-08 00:00:00	No	2009-03-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	UBM311	Y	CA00171976	A	SFY2008-09
630008921	SHARP MESA VISTA HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	San Diego	2009-03-12 00:00:00	080005956	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-11-13 00:00:00	2008-11-13 00:00:00	No	2009-04-03 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	ZETD11	N	CA00169617	A	SFY2008-09
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-04-08 00:00:00	080006052	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-01-29 00:00:00	2009-01-29 00:00:00	No	2009-04-29 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	45EN11	N	CA00176590	B	SFY2008-09
080000045	GROSSMONT HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-04-03 00:00:00	080006055	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2009-01-16 00:00:00	2009-01-16 00:00:00	No	2009-04-24 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	WM0T11	N	CA00175238	B	SFY2008-09
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-04-10 00:00:00	080006078	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE05 - Death during or up to 24 hours after surgery	None	2008-04-02 06:25:00	2008-04-02 06:25:00	No	2009-05-01 00:00:00	None	FTR AE	None	32700	32700	0	32700	0	None	3YXE11	Y	CA00179317	B	SFY2008-09
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-05-28 00:00:00	080006215	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-02-11 20:00:00	2009-02-11 20:00:00	No	2009-06-18 00:00:00	None	FTR AE	None	7000	7000	0	7000	0	None	7PUU11	N	CA00186262	B	SFY2008-09
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-06-11 00:00:00	080006259	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-02-13 08:40:00	2008-02-13 08:40:00	Yes	2009-07-02 00:00:00	2009-06-18 00:00:00	FTR AE	FTR AE	46000	17500	0	17500	0	None	379X11	N	CA00189411	B	SFY2008-09
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-06-11 00:00:00	080006262	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-03-06 00:00:00	2008-03-06 00:00:00	Yes	2009-07-02 00:00:00	2009-06-18 00:00:00	FTR AE	FTR AE	43800	17500	0	17500	0	None	761U11	N	CA00189414	B	SFY2008-09
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-06-19 00:00:00	080006278	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-03-13 22:50:00	2009-03-13 22:50:00	No	2009-07-08 00:00:00	None	FTR AE	None	2800	2800	0	2800	0	None	6H2M11	N	CA00184962	B	SFY2008-09
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-07-15 00:00:00	080006354	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2009-02-13 16:00:00	2009-02-13 16:00:00	No	2009-08-05 00:00:00	None	FTR AE	None	8400	8400	0	8400	0	None	EW4511	N	CA00188300	B	SFY2009-10
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-10-15 00:00:00	080006618	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-07-24 19:59:00	2009-07-24 19:59:00	No	2009-11-09 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	2GBV11	N	CA00198200	B	SFY2009-10
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-11-25 00:00:00	080006733	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-04-29 00:00:00	2009-04-29 00:00:00	No	2009-12-18 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	E9YS11	N	CA00187039	B	SFY2009-10
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-11-25 00:00:00	080006735	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2009-06-20 00:00:00	2009-06-20 00:00:00	Yes	2009-12-18 00:00:00	2010-06-01 00:00:00	AP IJ	None	50000	50000	0	50000	0	None	JPM711	Y	CA00193150	C	SFY2009-10
080000023	RADY CHILDREN'S HOSPITAL - SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-12-18 00:00:00	080006822	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2009-05-14 00:00:00	2009-05-14 00:00:00	No	2010-01-12 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	H6O611	N	CA00183430	A	SFY2009-10
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-01-06 00:00:00	080006885	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-08-10 16:53:00	2009-08-10 16:53:00	No	2010-01-29 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	43RE11	N	CA00200146	C	SFY2009-10
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-01-11 00:00:00	080006905	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2009-09-08 00:00:00	2009-09-08 00:00:00	Yes	2010-02-03 00:00:00	2010-05-20 00:00:00	AP IJ	None	50000	50000	0	50000	0	None	NFHP11	N	CA00201143	A	SFY2009-10
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-02-03 00:00:00	080006957	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE06 -Use of contaminated drug, device, or biologic	None	2008-08-01 00:00:00	2008-08-01 00:00:00	Yes	2010-02-24 00:00:00	2010-06-01 00:00:00	AP IJ	Drop>Deficiency	75000	40000	0	40000	0	None	ML0U11	Y	CA00197618	B	SFY2009-10
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-05-24 00:00:00	080007241	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-02-09 00:00:00	2010-02-09 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	YNCK11	N	CA00218239	A	SFY2009-10
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-05-26 00:00:00	080007259	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-12-29 00:00:00	2009-12-29 00:00:00	No	2010-06-17 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	GZ3P11	N	CA00213140	A	SFY2009-10
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-05-26 00:00:00	080007260	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2010-01-31 00:00:00	2010-01-31 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	LQQ711	Y	CA00217096	C	SFY2009-10
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-07-21 00:00:00	080007414	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-04-16 00:00:00	2010-04-16 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	BHUS11	N	CA00225644	C	SFY2010-11
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-08-10 00:00:00	080007456	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-12-18 00:00:00	2009-12-18 00:00:00	Yes	2010-08-31 00:00:00	2010-11-30 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	GYGH11	N	CA00224687	B	SFY2010-11
080000144	KAISER FOUNDATION HOSPITAL - ZION	Non-LTC	GACH	General Acute Care Hospital	San Diego	2007-09-12 00:00:00	080008014	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-08-15 00:00:00	2007-08-15 00:00:00	No	2007-10-03 00:00:00	None	FTR AE	None	700	700	0	700	0	None	TGOZ11	N	None	None	SFY2007-08
080000045	GROSSMONT HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2007-11-07 00:00:00	080008015	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-09-26 16:53:00	2007-09-26 16:53:00	No	2007-12-03 00:00:00	None	FTR AE	None	200	200	0	200	0	None	591E11	N	CA00128303	C	SFY2007-08
080000045	GROSSMONT HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2007-10-06 00:00:00	080008017	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-07-14 00:00:00	2007-07-14 00:00:00	No	2007-10-29 00:00:00	None	FTR AE	None	7400	7400	0	7400	0	None	98YN11	N	CA00128300	C	SFY2007-08
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-04-26 00:00:00	080008195	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-04-21 00:00:00	2009-04-21 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	KW5R11	N	CA00189315	B	SFY2010-11
080000144	KAISER FOUNDATION HOSPITAL - ZION	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-05-05 00:00:00	080008219	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2010-12-18 00:00:00	2010-12-18 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	NDLD11	N	CA00253183	B	SFY2010-11
080000665	AURORA SAN DIEGO	Non-LTC	APH	Acute Psychiatric Hospital	San Diego	2011-06-28 00:00:00	080008332	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2010-07-19 00:00:00	2010-07-19 00:00:00	Yes	2012-11-02 00:00:00	2012-10-15 00:00:00	AP IJ	None	50000	50000	0	50000	0	None	U2NC11	Y	CA00236003	A	SFY2010-11
080000144	KAISER FOUNDATION HOSPITAL - ZION	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-07-27 00:00:00	080008426	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-06-16 09:26:00	2011-06-16 09:26:00	No	2011-08-17 00:00:00	None	FTR AE	None	800	800	0	800	0	None	4ONK11	N	CA00274603	B	SFY2011-12
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-07-07 00:00:00	080008437	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Other	Failure to Report	2009-10-19 00:00:00	2009-10-19 00:00:00	No	2011-07-28 00:00:00	None	FTR BR	None	500	500	0	500	0	None	DFIN11	None	CA00262328	C	SFY2011-12
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-08-03 00:00:00	080008440	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-05-13 13:05:00	2011-05-13 13:05:00	No	2011-08-24 00:00:00	None	FTR AE	None	600	600	0	600	0	None	V3FT11	N	CA00270250	B	SFY2011-12
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-08-09 00:00:00	080008456	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-10-28 00:00:00	2010-10-28 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	CZBS11	N	CA00247732	B	SFY2011-12
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-09-13 00:00:00	080008567	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-10-24 13:30:00	2010-10-24 13:30:00	No	2011-10-05 00:00:00	None	FTR AE	None	4900	4900	0	4900	0	None	N9WG11	N	CA00252661	B	SFY2011-12
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-09-16 00:00:00	080008577	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-06-09 00:00:00	2011-06-09 00:00:00	No	2011-10-07 00:00:00	None	FTR AE	None	400	400	0	400	0	None	ER2Q11	N	CA00273337, CA00273601	,	SFY2011-12
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-11-08 00:00:00	080008720	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2011-04-12 00:00:00	2011-04-12 00:00:00	Yes	2013-06-26 00:00:00	2013-06-11 00:00:00	AP IJ	None	75000	75000	0	75000	0	None	H4FM11	Y	CA00265925, CA00271149	B,	SFY2011-12
080000144	KAISER FOUNDATION HOSPITAL - ZION	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-12-12 00:00:00	080008811	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-04-28 00:00:00	2009-04-28 00:00:00	Yes	2012-06-22 00:00:00	2012-06-12 00:00:00	AP IJ	AP IJ	50000	30000	0	30000	0	None	VIJR11	N	CA00241706	B	SFY2011-12
080000043	FALLBROOK HOSPITAL DISTRICT	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-01-10 00:00:00	080008896	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2011-01-05 00:00:00	2011-01-05 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	7G7611	N	CA00254765	B	SFY2010-11
080000873	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	San Diego	2012-02-09 00:00:00	080008987	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2011-10-29 17:00:00	2011-10-29 17:00:00	No	2012-03-02 00:00:00	None	FTR BR	None	2000	2000	-500	1500	0	None	3OZK11	None	CA00291761	E	SFY2011-12
080000144	KAISER FOUNDATION HOSPITAL - ZION	Non-LTC	GACH	General Acute Care Hospital	San Diego	2012-03-01 00:00:00	080009057	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-12-07 13:30:00	2011-12-07 13:30:00	No	2012-03-22 00:00:00	None	FTR BR	None	700	700	0	700	0	None	OO2F11	None	CA00293701	E	SFY2011-12
080000045	GROSSMONT HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2012-05-10 00:00:00	080009297	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-12-12 09:00:00	2011-12-12 09:00:00	No	2012-06-01 00:00:00	None	FTR BR	None	800	800	0	800	0	None	G77T11	None	CA00294586	E	SFY2011-12
080000130	ACCENTCARE HOME HEALTH OF CALIFORNIA, INC	Non-LTC	HHA	Home Health Agency	San Diego	2012-06-27 00:00:00	080009381	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-04-21 12:00:00	2011-04-21 12:00:00	No	2012-07-19 00:00:00	None	FTR BR	None	2100	2100	-525	1575	0	None	C3B511	None	CA00305750	E	SFY2011-12
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2012-08-08 00:00:00	080009432	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-12-08 00:00:00	2011-12-08 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	ZGPR11	N	CA00292560	B	SFY2012-13
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2012-08-17 00:00:00	080009445	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2012-01-19 00:00:00	2012-01-19 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	94UE11	N	CA00296958	A	SFY2012-13
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2012-12-07 00:00:00	080009665	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	Death due to a fall	2011-09-16 00:00:00	2011-09-16 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	51G011	Y	CA00284117	A	SFY2012-13
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2013-05-02 00:00:00	080009871	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-01-10 18:50:00	2013-01-10 18:50:00	No	2013-05-23 00:00:00	None	FTR AE	None	800	800	0	800	0	None	0JG211	N	CA00340653	B	SFY2012-13
080000665	AURORA SAN DIEGO	Non-LTC	APH	Acute Psychiatric Hospital	San Diego	2013-06-18 00:00:00	080009953	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2012-11-19 00:00:00	2012-11-19 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	WGHG11	Y	CA00333809	A	SFY2012-13
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2013-08-23 00:00:00	080010092	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-05-09 20:00:00	2013-05-09 20:00:00	No	2013-09-16 00:00:00	None	FTR AE	None	600	600	0	600	0	None	UNC911	N	CA00355359	B	SFY2013-14
080000045	GROSSMONT HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2013-10-30 00:00:00	080010191	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-06-18 10:30:00	2013-06-18 10:30:00	No	2013-11-21 00:00:00	None	FTR AE	None	4400	4400	0	4400	0	None	H4YN11	N	CA00364708	B	SFY2013-14
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-03-14 00:00:00	080010539	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2014-01-08 16:32:00	2014-01-08 16:32:00	No	2014-04-07 00:00:00	None	FTR BR	None	2700	2700	0	2700	0	None	72NW11	None	CA00387750	D	SFY2013-14
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-03-27 00:00:00	080010577	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2012-12-07 00:00:00	2012-12-07 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	MIPH11	N	CA00335919	B	SFY2013-14
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-04-02 00:00:00	080010587	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2013-02-07 00:00:00	2013-02-07 00:00:00	No	2015-03-05 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	L6DU11	N	CA00342790	B	SFY2013-14
080000268	VISTA COMMUNITY CLINIC	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2014-04-03 00:00:00	080010596	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-03-07 04:00:00	2014-03-07 04:00:00	No	2014-04-24 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	1ZWM11	None	CA00392398	E	SFY2013-14
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-04-07 00:00:00	080010600	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-10-26 16:00:00	2013-10-26 16:00:00	No	2014-04-28 00:00:00	None	FTR BR	None	4900	4900	-1225	3675	0	None	NB1F11	None	CA00391653	D	SFY2013-14
080000043	FALLBROOK HOSPITAL DISTRICT	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-04-25 00:00:00	080010663	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2014-03-28 09:00:00	2014-03-28 09:00:00	No	2014-05-16 00:00:00	None	FTR BR	None	1200	1200	0	1200	0	None	OEK911	None	CA00395210	D	SFY2013-14
080000043	FALLBROOK HOSPITAL DISTRICT	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-04-25 00:00:00	080010665	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-03-28 10:45:00	2014-03-28 10:45:00	No	2014-05-16 00:00:00	None	FTR BR	None	1100	1100	0	1100	0	None	HMY511	None	CA00395212	D	SFY2013-14
080000268	VISTA COMMUNITY CLINIC	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2014-05-08 00:00:00	080010710	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2014-03-06 17:00:00	2014-03-06 17:00:00	No	2014-05-30 00:00:00	None	FTR BR	None	2100	2100	0	2100	0	None	Z1CE11	None	CA00393560	D	SFY2013-14
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-09-09 00:00:00	080010987	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-03-16 00:00:00	2014-03-16 00:00:00	No	2014-09-30 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	W7M511	None	CA00395840	D	SFY2014-15
080000144	KAISER FOUNDATION HOSPITAL - ZION	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-11-07 00:00:00	080011119	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2013-10-31 00:00:00	2013-10-31 00:00:00	Yes	2015-06-09 00:00:00	2015-05-27 00:00:00	AP IJ	AP IJ	75000	57500	0	57500	0	None	L5BR11	N	CA00374224	B	SFY2014-15
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-03-11 00:00:00	080011272	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-10-21 00:00:00	2014-10-21 00:00:00	No	2015-04-02 00:00:00	None	FTR BR	None	1500	1500	-375	1125	0	None	I7X411	None	CA00419991	E	SFY2014-15
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-04-29 00:00:00	080011423	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-12-23 00:00:00	2014-12-23 00:00:00	No	2015-05-20 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	VGTZ11	N	CA00425153	B	SFY2014-15
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-05-13 00:00:00	080011467	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2014-09-24 00:00:00	2014-09-24 00:00:00	No	2015-06-04 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	SNE011	None	CA00415687	E	SFY2014-15
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-05-21 00:00:00	080011491	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-03-18 00:00:00	2014-03-18 00:00:00	No	2015-06-12 00:00:00	None	FTR BR	None	19900	19900	-4975	14925	0	None	TSMI11	None	CA00416812	D	SFY2014-15
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-05-21 00:00:00	080011493	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-09-10 00:00:00	2014-09-10 00:00:00	No	2015-06-12 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	QO7G11	None	CA00418163	E	SFY2014-15
080000045	GROSSMONT HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-05-26 00:00:00	080011500	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-09-30 00:00:00	2014-09-30 00:00:00	No	2015-06-16 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	S6GP11	None	CA00418139	E	SFY2014-15
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-06-15 00:00:00	080011555	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-02-22 00:00:00	2014-02-22 00:00:00	No	2015-07-06 00:00:00	None	AP BR	None	247500	247500	-247500	0	0	None	J15511	None	CA00393317	D	SFY2014-15
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-09-04 00:00:00	080011706	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2015-08-10 00:00:00	2015-08-10 00:00:00	No	2015-09-28 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	WX8T11	None	CA00409247	C	SFY2015-16
080000023	RADY CHILDREN'S HOSPITAL - SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-11-02 00:00:00	080011817	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2012-07-01 00:00:00	2012-07-01 00:00:00	No	2016-08-01 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	LZG911	None	CA00401886, CA00402445, CA00403150, CA00403287	B, B, E, D	SFY2015-16
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-12-09 00:00:00	080011873	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-05-27 00:00:00	2014-05-27 00:00:00	No	2015-12-31 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	E4IL11	N	CA00409042	B	SFY2015-16
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-04-15 00:00:00	080012194	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-06-15 00:00:00	2015-06-15 00:00:00	Yes	2016-05-06 00:00:00	2016-05-03 00:00:00	FTR AE	B	11600	11600	0	11600	0	None	HD1J11	N	CA00462090	B	SFY2015-16
080000023	RADY CHILDREN'S HOSPITAL - SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-06-21 00:00:00	080012341	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-06-02 00:00:00	2015-06-02 00:00:00	No	2016-07-13 00:00:00	None	AP NON-IJ	None	4125	4125	0	4125	0	None	WNU211	N	CA00447543	A	SFY2015-16
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-06-23 00:00:00	080012348	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-05-22 00:00:00	2015-05-22 00:00:00	No	2016-07-15 00:00:00	None	AP NON-IJ	None	11812	11812	0	11812	0	None	W9D311	N	CA00484751	B	SFY2015-16
080000144	KAISER FOUNDATION HOSPITAL - ZION	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-07-12 00:00:00	080012386	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-11-18 00:00:00	2014-11-18 00:00:00	No	2016-08-02 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	LYZZ11	N	CA00422658	B	SFY2016-17
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-08-19 00:00:00	080012517	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Retention Foreign Object	2015-12-29 00:00:00	2015-12-29 00:00:00	No	2016-09-12 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	SI0411	N	CA00473415	B	SFY2016-17
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-10-21 00:00:00	080012670	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-06-21 00:00:00	2016-06-21 00:00:00	No	2016-11-14 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	JFU011	N	CA00492192	B	SFY2016-17
080000144	KAISER FOUNDATION HOSPITAL - ZION	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-10-26 00:00:00	080012682	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2016-03-24 00:00:00	2016-03-24 00:00:00	No	2016-11-17 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	I5S011	N	CA00482418	B	SFY2016-17
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-12-21 00:00:00	080012830	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2015-12-08 00:00:00	2015-12-08 00:00:00	No	2017-01-13 00:00:00	None	AP NON-IJ	None	12375	12375	0	12375	0	None	OZXK11	N	CA00467466, CA00511168	B, B	SFY2016-17
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-01-05 00:00:00	080012859	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Retained Foreign Object	2016-04-13 00:00:00	2016-04-13 00:00:00	No	2017-01-27 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	XJER11	N	CA00486039	B	SFY2016-17
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-02-01 00:00:00	080012929	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-10-08 00:00:00	2014-10-08 00:00:00	No	2017-02-23 00:00:00	None	AP IJ	None	86625	86625	0	86625	0	None	0IGF11	N	CA00424919	B	SFY2016-17
080000156	ALVARADO PARKWAY INSTITUTE BEHAVIORAL HEALTH SYSTEM	Non-LTC	APH	Acute Psychiatric Hospital	San Diego	2017-04-26 00:00:00	080013155	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-12-07 00:00:00	2016-12-07 00:00:00	No	2017-05-17 00:00:00	None	AP NON-IJ	None	3787	3787	0	3787	0	None	5P3311	N	CA00513828, CA00514049	B, B	SFY2016-17
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-05-16 00:00:00	080013205	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2016-04-21 00:00:00	2016-04-21 00:00:00	No	2017-06-07 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	A9C911	N	CA00485353	B	SFY2016-17
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-05-25 00:00:00	080013228	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-11-05 00:00:00	2016-11-05 00:00:00	No	2017-06-16 00:00:00	None	FTR AE	None	600	600	0	600	0	None	DXEE11	N	CA00511007	C	SFY2016-17
080000144	KAISER FOUNDATION HOSPITAL - ZION	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-03-23 00:00:00	080014057	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2016-09-16 00:00:00	2016-09-16 00:00:00	No	2018-04-13 00:00:00	None	AP BR	None	0	0	0	0	0	None	BKSM11	None	CA00505775	D	SFY2017-18
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2021-11-24 00:00:00	080014506	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-08-13 00:00:00	2016-08-13 00:00:00	No	2021-12-20 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	FS2R11	None	CA00499417, CA00499420	C, C	SFY2021-22
080000045	GROSSMONT HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2021-11-24 00:00:00	080014515	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-07-14 00:00:00	2016-07-14 00:00:00	No	2021-12-17 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	R5EP11	None	CA00498477	D	SFY2021-22
080000152	TRI-CITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2021-12-17 00:00:00	080014534	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-06-08 00:00:00	2017-06-08 00:00:00	No	2022-01-07 00:00:00	None	AP BR	None	20000	20000	0	20000	0	None	813611	None	CA00538667	D	SFY2021-22
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-05-02 00:00:00	090004732	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2007-09-18 00:00:00	2007-09-18 00:00:00	No	2008-05-29 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	01Q711	N	CA00121965	B	SFY2007-08
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-06-12 00:00:00	090005130	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-03-25 00:00:00	2008-03-25 00:00:00	Yes	2008-07-03 00:00:00	2008-08-28 00:00:00	AP IJ	AP IJ	25000	13500	0	13500	0	None	PKSY11	N	CA00141559	B	SFY2007-08
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-08-21 00:00:00	090005348	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-02-29 00:00:00	2008-02-29 00:00:00	No	2008-09-12 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	N64L11	N	CA00142762	B	SFY2008-09
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-12-10 00:00:00	090005663	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-06-19 00:00:00	2008-06-19 00:00:00	No	2009-01-02 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	0ELU11	N	CA00163972	B	SFY2008-09
090000145	PARADISE VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-12-03 00:00:00	090005665	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-05 22:00:00	2008-08-05 22:00:00	No	2008-12-24 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	HI7711	N	CA00161242	B	SFY2008-09
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-12-09 00:00:00	090005669	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE07 - Use of device other than as intended	None	2008-09-01 00:00:00	2008-09-01 00:00:00	No	2008-12-31 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	YI8311	N	CA00162209	A	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-08 00:00:00	090005767	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-27 14:00:00	2008-05-27 14:00:00	No	2009-01-30 00:00:00	None	FTR AE	None	11100	11100	0	11100	0	None	0FG411	N	CA00164059	B	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-08 00:00:00	090005768	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-05 19:00:00	2008-06-05 19:00:00	No	2009-01-30 00:00:00	None	FTR AE	None	10100	10100	0	10100	0	None	0FG411	N	CA00164059	B	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-08 00:00:00	090005769	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-06 10:00:00	2008-08-06 10:00:00	No	2009-01-30 00:00:00	None	FTR AE	None	4000	4000	0	4000	0	None	0FG411	N	CA00164059	B	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-14 00:00:00	090005790	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-28 15:00:00	2008-08-28 15:00:00	No	2009-02-05 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	56C411	N	CA00164720	B	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-14 00:00:00	090005791	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-09-16 15:00:00	2008-09-16 15:00:00	No	2009-02-05 00:00:00	None	FTR AE	None	600	600	0	600	0	None	56C411	N	CA00164720	B	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-27 00:00:00	090005805	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-11-18 15:00:00	2008-11-18 15:00:00	No	2009-02-19 00:00:00	None	FTR AE	None	900	900	0	900	0	None	56C411	N	CA00170836	B	SFY2008-09
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-03-12 00:00:00	090005957	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-27 12:00:00	2008-12-27 12:00:00	No	2009-04-03 00:00:00	None	FTR AE	None	3300	3300	0	3300	0	None	6KNI11	N	CA00176500	B	SFY2008-09
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-03-12 00:00:00	090005965	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-23 00:00:00	2008-12-23 00:00:00	No	2009-04-03 00:00:00	None	FTR AE	None	400	400	0	400	0	None	NL7011	N	CA00173429	B	SFY2008-09
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-03-12 00:00:00	090005966	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-22 00:00:00	2008-12-22 00:00:00	No	2009-04-03 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	IY2S11	N	CA00174554	B	SFY2008-09
090000146	PIONEERS MEMORIAL HEALTHCARE DISTRICT	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-03-19 00:00:00	090005998	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-01-14 17:00:00	2009-01-14 17:00:00	No	2009-04-10 00:00:00	None	FTR AE	None	700	700	0	700	0	None	2INP11	N	CA00175983	B	SFY2008-09
090000048	KINDRED HOSPITAL - SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-04-07 00:00:00	090006054	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-01-19 12:00:00	2009-01-19 12:00:00	No	2009-04-28 00:00:00	None	FTR AE	None	300	300	0	300	0	None	ERY611	N	CA00175928	B	SFY2008-09
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-04-09 00:00:00	090006071	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-12-22 00:00:00	2008-12-22 00:00:00	No	2009-04-30 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	UTL511	N	CA00173475	B	SFY2008-09
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-04-10 00:00:00	090006086	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-01-21 00:00:00	2009-01-21 00:00:00	No	2009-05-01 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	P9GG11	N	CA00175878	B	SFY2008-09
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-05-28 00:00:00	090006226	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-04-16 10:00:00	2009-04-16 10:00:00	No	2009-06-18 00:00:00	None	FTR AE	None	700	700	0	700	0	None	7I6C11	N	CA00186256	B	SFY2008-09
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-07-17 00:00:00	090006398	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-05-08 00:00:00	2009-05-08 00:00:00	No	2009-08-07 00:00:00	None	FTR AE	None	700	700	0	700	0	None	HJPC11	N	CA00189042	C	SFY2009-10
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-08-07 00:00:00	090006449	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-06-02 00:00:00	2008-06-02 00:00:00	No	2009-08-28 00:00:00	None	FTR AE	None	36700	36700	0	36700	0	None	P3AI11	N	CA00190784	C	SFY2009-10
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-12-01 00:00:00	090006744	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2007-12-14 00:00:00	2007-12-14 00:00:00	No	2009-12-22 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	GXX711	N	CA00190528	B	SFY2009-10
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-11-30 00:00:00	090007664	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-04-17 00:00:00	2009-04-17 00:00:00	Yes	2012-10-01 00:00:00	2012-09-21 00:00:00	AP BR	AP BR	250000	127500	0	127500	0	None	JQ5311	None	CA00185222	B	SFY2010-11
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-11-30 00:00:00	090007665	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2009-06-30 00:00:00	2009-06-30 00:00:00	No	2012-10-01 00:00:00	None	AP BR	None	25000	25000	0	25000	0	None	OEFL11	None	CA00193487	B	SFY2010-11
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-04-14 00:00:00	090008155	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	BREACH	2009-05-04 00:00:00	2009-05-04 00:00:00	Yes	2012-10-01 00:00:00	2012-09-18 00:00:00	AP BR	AP BR	50000	25000	0	25000	0	None	DN7E11	None	CA00187699	B	SFY2010-11
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-12-13 00:00:00	090008816	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-03-24 00:00:00	2010-03-24 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	BI7X11	N	CA00258021	A	SFY2011-12
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-12-13 00:00:00	090008817	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2011-02-02 00:00:00	2011-02-02 00:00:00	No	2012-11-02 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	BI7X11	Y	CA00254543	C	SFY2011-12
090000013	UC SAN DIEGO HEALTH - EAST CAMPUS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2013-09-13 00:00:00	090009942	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2012-02-05 00:00:00	2012-02-05 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	C7SP11	Y	CA00298850	B	SFY2013-14
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-03-28 00:00:00	090010580	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE10 - Death/disability due to disappearance	None	2013-05-27 00:00:00	2013-05-27 00:00:00	No	2015-03-06 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	MLMR11	Y	CA00357013	B	SFY2013-14
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-10-10 00:00:00	090011048	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2013-07-01 00:00:00	2013-07-01 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	M5S711	Y	CA00360799	B	SFY2014-15
090000159	SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	San Diego	2015-01-13 00:00:00	090011229	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE23 - Death/disab assoc with use of restraints/bedrails	None	2013-06-25 00:00:00	2013-06-25 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	5LUQ11	N	CA00359931	B	SFY2014-15
090000977	SELECT SPECIALTY HOSPITAL - SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-03-18 00:00:00	090011343	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2014-05-04 00:00:00	2014-05-04 00:00:00	No	2016-02-19 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	4CDM11	Y	CA00397517	A	SFY2014-15
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-06-22 00:00:00	090011576	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-04-23 00:00:00	2015-04-23 00:00:00	No	2015-07-13 00:00:00	None	FTR AE	None	600	600	0	600	0	None	6VVM11	N	CA00442165	C	SFY2014-15
090000180	INNERCARE - BRAWLEY	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2015-06-24 00:00:00	090011577	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2014-01-21 00:00:00	2014-01-21 00:00:00	No	2015-07-15 00:00:00	None	FTR BR	None	5600	5600	0	5600	0	None	JC9U11	None	CA00392581	E	SFY2014-15
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-09-29 00:00:00	090011626	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2014-05-11 00:00:00	2014-05-11 00:00:00	Yes	2015-10-20 00:00:00	2017-01-13 00:00:00	AP IJ	AP IJ	100000	70000	0	70000	0	None	T9ZQ11	Y	CA00397967	A	SFY2015-16
090000145	PARADISE VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-12-02 00:00:00	090011815	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Pharmacy	2015-08-17 00:00:00	2015-08-17 00:00:00	Yes	2015-12-23 00:00:00	2015-12-14 00:00:00	AP NON-IJ	AP NON-IJ	17500	12500	0	12500	0	None	VMJ111	N	None	None	SFY2015-16
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-02-04 00:00:00	090012014	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-07-09 00:00:00	2014-07-09 00:00:00	No	2016-02-26 00:00:00	None	AP BR	None	7500	7500	0	7500	0	None	RX6X11	None	CA00405996	B	SFY2015-16
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-06-23 00:00:00	090012315	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-12-13 00:00:00	2015-12-13 00:00:00	No	2016-07-15 00:00:00	None	AP NON-IJ	None	5550	5550	0	5550	0	None	FFUM11	N	CA00468924	A	SFY2015-16
090000180	INNERCARE - BRAWLEY	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2016-09-30 00:00:00	090012359	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-11-07 00:00:00	2013-11-07 00:00:00	No	2018-01-30 00:00:00	None	AP BR	None	12500	12500	-3125	9375	0	None	JC9U11	None	CA00392581	E	SFY2016-17
090000033	SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-01-12 00:00:00	090012800	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-09-24 00:00:00	2015-09-24 00:00:00	No	2017-02-03 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	QNPJ11	N	CA00459867	A	SFY2016-17
090000977	SELECT SPECIALTY HOSPITAL - SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-02-06 00:00:00	090012927	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2015-09-29 00:00:00	2015-09-29 00:00:00	No	2017-02-28 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	0T6G11	Y	CA00460462, CA00460756	A, B	SFY2016-17
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-02-07 00:00:00	090012951	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-09-08 00:00:00	2015-09-08 00:00:00	No	2017-03-01 00:00:00	None	AP IJ	None	44000	44000	0	44000	0	None	V2I611	N	CA00457925	B	SFY2016-17
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-01-26 00:00:00	090013937	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-01-16 00:00:00	2016-01-16 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	5000	5000	0	5000	0	None	92TL11	None	CA00473662	D	SFY2017-18
090001511	CHASE AVENUE FAMILY HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2018-02-16 00:00:00	090013940	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2016-08-01 00:00:00	2016-08-01 00:00:00	No	2018-03-09 00:00:00	None	AP BR	None	0	0	0	0	0	None	6WLF11	None	CA00506192	D	SFY2017-18
090000040	EL CENTRO REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-01-29 00:00:00	090013941	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-07-26 00:00:00	2016-07-26 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	22500	22500	-5625	16875	0	None	EVVW11	None	CA00548572	C	SFY2017-18
090000040	EL CENTRO REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-03-20 00:00:00	090014020	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-02-01 00:00:00	2016-02-01 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	37500	37500	-9375	28125	0	None	PY0N11	None	CA00487250	D	SFY2017-18
090000033	SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-05-17 00:00:00	090014126	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-07-11 00:00:00	2016-07-11 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	12750	12750	-3187.5	9562.5	0	None	12PC11	None	CA00499366	C	SFY2017-18
090000040	EL CENTRO REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-06-25 00:00:00	090014178	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-09-07 00:00:00	2015-09-07 00:00:00	No	2019-07-09 00:00:00	None	AP IJ	None	31350	31350	0	31350	0	None	J8M411	N	CA00464104	C	SFY2017-18
090000183	SAN YSIDRO HEALTH CHC - OCEAN VIEW	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2018-09-21 00:00:00	090014505	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2017-02-02 00:00:00	2017-02-02 00:00:00	No	2018-10-12 00:00:00	None	AP BR	None	0	0	0	0	0	None	760U11	None	CA00521901	E	SFY2018-19
090000145	PARADISE VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2021-12-17 00:00:00	090014544	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-06-03 00:00:00	2016-06-03 00:00:00	No	2022-01-07 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	T7VC11	None	CA00500404, CA00500404	D, D	SFY2021-22
090000257	PLANNED PARENTHOOD ASSOCIATION OF SAN DIEGO COUNTY	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2021-11-24 00:00:00	090014546	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2017-05-13 00:00:00	2017-05-13 00:00:00	Yes	2021-12-17 00:00:00	2021-12-24 00:00:00	AP BR	AP BR	15000	15000	0	15000	0	None	BFI711	None	CA00538208	C	SFY2021-22
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-10-29 00:00:00	100014691	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-01-01 00:00:00	2015-01-01 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	5000	5000	-1250	3750	0	None	BYL311	None	CA00434541	D	SFY2018-19
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-09-10 00:00:00	100014749	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-06-01 00:00:00	2016-06-01 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	0	0	0	0	0	None	BOM511	None	CA00492573, CA00492573	D, D	SFY2018-19
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-10-09 00:00:00	100014752	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-07-12 00:00:00	2015-07-12 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	EVJC11	None	CA00452824	D	SFY2018-19
080000023	RADY CHILDREN'S HOSPITAL - SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2022-01-28 00:00:00	100015016	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-01-23 00:00:00	2017-01-23 00:00:00	No	2022-02-22 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	YRQP11	None	CA00583450	D	SFY2021-22
080000045	GROSSMONT HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2021-01-29 00:00:00	100016381	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2015-11-11 00:00:00	2015-11-11 00:00:00	No	2021-04-23 00:00:00	None	AP BR	None	105000	105000	-26250	78750	0	None	SO5011	None	CA00487750, CA00487750	D, D	SFY2020-21
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2022-01-28 00:00:00	100017266	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-07-28 00:00:00	2016-07-28 00:00:00	No	2022-02-22 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	V1FU11	None	CA00501210	D	SFY2021-22
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2021-02-05 00:00:00	100018567	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-02-18 00:00:00	2018-02-18 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	6V7211	None	CA00578333	D	SFY2020-21
090000202	SAN YSIDRO HEALTH NATIONAL CITY	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2022-02-04 00:00:00	100018582	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-08-24 00:00:00	2018-08-24 00:00:00	No	2022-02-28 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	4UMP11	None	CA00676868	D	SFY2021-22
090000145	PARADISE VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2024-04-16 00:00:00	100018956	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-03-03 00:00:00	2016-03-03 00:00:00	No	2024-05-07 00:00:00	None	AP IJ	None	75000	75000	0	0	75000	None	0NFJ11	Y	CA00478789, CA00478789, CA00478789	B, B, B	SFY2023-24
080000023	RADY CHILDREN'S HOSPITAL - SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-05-16 00:00:00	100019008	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2020-01-30 00:00:00	2020-01-30 00:00:00	No	2023-08-30 00:00:00	None	AP BR	None	20000	20000	-5000	15000	0	None	DKYF11	None	CA00678060	C	SFY2022-23
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2021-03-25 00:00:00	100019172	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-08-13 00:00:00	2017-08-13 00:00:00	Yes	2023-10-18 00:00:00	2023-10-04 00:00:00	AP BR	None	10000	10000	0	0	10000	None	QHOD11	None	CA00549571	D	SFY2020-21
080000144	KAISER FOUNDATION HOSPITAL - ZION	Non-LTC	GACH	General Acute Care Hospital	San Diego	2022-06-17 00:00:00	100019334	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-07-20 00:00:00	2018-07-20 00:00:00	No	2023-12-20 00:00:00	None	AP BR	None	12500	12500	0	12500	0	None	KSZC11	None	CA00598984	D	SFY2021-22
090000040	EL CENTRO REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-08-15 00:00:00	100019420	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-03-01 00:00:00	2018-03-01 00:00:00	Yes	2024-01-23 00:00:00	2024-01-10 00:00:00	AP BR	AP BR	12500	6250	0	6250	0	None	K32O11	None	CA00579361	D	SFY2023-24
090000183	SAN YSIDRO HEALTH CHC - OCEAN VIEW	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2022-12-06 00:00:00	100019423	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-10-11 00:00:00	2019-10-11 00:00:00	No	2024-01-19 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	NJLU11	None	CA00660648	D	SFY2022-23
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-10-03 00:00:00	100019707	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-10-11 00:00:00	2021-10-11 00:00:00	No	2024-03-13 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	S72811	None	CA00771837	D	SFY2023-24
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-08-07 00:00:00	100019709	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-05-18 00:00:00	2022-05-18 00:00:00	No	2024-03-13 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	O7JZ11	None	CA00787594	C	SFY2023-24
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-09-19 00:00:00	100019713	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-02-07 00:00:00	2022-02-07 00:00:00	No	2024-03-13 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	LKZR11	None	CA00810345	D	SFY2023-24
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2022-08-23 00:00:00	100019715	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-08-29 00:00:00	2019-08-29 00:00:00	No	2024-03-13 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	PO9O11	None	CA00657960	D	SFY2022-23
090000264	SAN YSIDRO HEALTH SAN YSIDRO HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2022-12-06 00:00:00	100019770	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2019-02-01 00:00:00	2019-02-01 00:00:00	No	2024-04-10 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	YTNX11	None	CA00650815	D	SFY2022-23
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-08-15 00:00:00	100019778	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-08-07 00:00:00	2017-08-07 00:00:00	No	2024-04-10 00:00:00	None	AP BR	None	125000	125000	-31250	93750	0	None	KG8911	None	CA00583330	C	SFY2023-24
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-09-06 00:00:00	100019779	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-07-26 00:00:00	2017-07-26 00:00:00	No	2024-04-10 00:00:00	None	AP BR	None	125000	125000	-31250	93750	0	None	CIL911	None	CA00579576	C	SFY2023-24
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-10-24 00:00:00	100020132	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2021-05-01 00:00:00	2021-05-01 00:00:00	Yes	2024-06-19 00:00:00	2024-06-07 00:00:00	AP BR	None	250000	250000	0	0	250000	None	T0YX11	None	CA00735078	C	SFY2023-24
080000023	RADY CHILDREN'S HOSPITAL - SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-11-28 00:00:00	100020134	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-11-24 00:00:00	2022-11-24 00:00:00	No	2024-06-19 00:00:00	None	AP BR	None	45000	45000	-11250	33750	0	None	LGQ611	None	CA00820259	D	SFY2023-24
090000154	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-12-27 00:00:00	100020135	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-11-24 00:00:00	2022-11-24 00:00:00	No	2024-06-19 00:00:00	None	AP BR	None	15000	15000	0	15000	0	None	DDKM11	None	CA00817497	D	SFY2023-24
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-01-30 00:00:00	110004629	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-09-04 18:44:00	2007-09-04 18:44:00	No	2008-02-22 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	DQQ711	N	CA00128424	A	SFY2007-08
110000070	ADVENTIST HEALTH UKIAH VALLEY	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-02-19 00:00:00	110004701	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2007-10-01 01:19:00	2007-10-01 01:19:00	No	2008-03-11 00:00:00	None	FTR AE	None	700	700	0	700	0	None	TEJW11	N	CA00129108	B	SFY2007-08
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-05-01 00:00:00	110004799	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-10-19 00:00:00	2007-10-19 00:00:00	Yes	2008-05-28 00:00:00	2008-05-29 00:00:00	AP IJ	AP IJ	25000	25000	0	25000	0	None	E3CR11	N	None	None	SFY2007-08
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-04-22 00:00:00	110004948	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-23 13:30:00	2008-01-23 13:30:00	No	2008-05-15 00:00:00	None	FTR AE	None	200	200	0	200	0	None	8B8T11	N	CA00139407	B	SFY2007-08
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-07-25 00:00:00	110005259	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-12 15:00:00	2007-12-12 15:00:00	No	2008-08-15 00:00:00	None	FTR AE	None	300	300	0	300	0	None	4EU511	N	CA00135475	B	SFY2008-09
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	110005316	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE15 - Death/disability directly related to hypoglycemia	None	2007-09-03 00:00:00	2007-09-03 00:00:00	No	2008-09-04 00:00:00	None	FTR AE	None	3800	3800	0	3800	0	None	ND1I11	Y	CA00128997	A	SFY2008-09
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	110005317	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE15 - Death/disability directly related to hypoglycemia	None	2007-09-03 00:00:00	2007-09-03 00:00:00	Yes	2008-09-04 00:00:00	2008-08-28 00:00:00	AP IJ	AP IJ	25000	25000	0	25000	0	None	ND1I11	N	CA00128997	A	SFY2008-09
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	110005319	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE08 - Death/disability due to intravascular air embolism	None	2007-09-11 00:00:00	2007-09-11 00:00:00	Yes	2008-09-04 00:00:00	2008-08-28 00:00:00	AP IJ	AP IJ	25000	25000	0	25000	0	None	YJK611	N	CA00128610	A	SFY2008-09
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	110005320	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE08 - Death/disability due to intravascular air embolism	None	2007-09-11 00:00:00	2007-09-11 00:00:00	No	2008-09-04 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	YJK611	Y	CA00128610	A	SFY2008-09
110000378	NORTHBAY VACAVALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-11-24 00:00:00	110005579	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	Fall with hip fracture	2007-12-24 02:45:00	2007-12-24 02:45:00	No	2008-12-17 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	LY4G11	N	None	None	SFY2008-09
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-11-24 00:00:00	110005580	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-02-23 00:00:00	2008-02-23 00:00:00	No	2008-12-17 00:00:00	None	FTR AE	None	500	500	0	500	0	None	DTMH11	N	None	None	SFY2008-09
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-01 00:00:00	110005581	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-02 00:00:00	2008-06-02 00:00:00	No	2008-12-22 00:00:00	None	FTR AE	None	600	600	0	600	0	None	J0H411	N	CA00154016, CA00154016	B, B	SFY2008-09
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-01 00:00:00	110005582	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-12-20 00:00:00	2007-12-20 00:00:00	No	2008-12-22 00:00:00	None	FTR AE	None	700	700	0	700	0	None	61GR11	N	CA00136269	A	SFY2008-09
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-03 00:00:00	110005584	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-02-09 00:00:00	2008-02-09 00:00:00	No	2008-12-24 00:00:00	None	FTR AE	None	800	800	0	800	0	None	1X2211	N	CA00141440	B	SFY2008-09
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-04 00:00:00	110005585	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-05-22 00:00:00	2008-05-22 00:00:00	No	2008-12-26 00:00:00	None	FTR AE	None	200	200	0	200	0	None	PO5B11	N	CA00152010, CA00152010	A, A	SFY2008-09
110000378	NORTHBAY VACAVALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-04 00:00:00	110005589	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-01-03 00:00:00	2008-01-03 00:00:00	No	2008-12-26 00:00:00	None	FTR AE	None	3200	3200	0	3200	0	None	D4YO11	N	CA00140307	B	SFY2008-09
110000070	ADVENTIST HEALTH UKIAH VALLEY	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-04 00:00:00	110005634	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-26 05:45:00	2008-01-26 05:45:00	No	2008-12-26 00:00:00	None	FTR AE	None	4100	4100	0	4100	0	None	WFRQ11	N	CA00143513	B	SFY2008-09
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-03 00:00:00	110005641	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2007-12-09 00:00:00	2007-12-09 00:00:00	No	2008-12-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	61GR11	N	CA00136269	A	SFY2008-09
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-01-15 00:00:00	110005656	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-15 00:00:00	2008-05-15 00:00:00	No	2009-02-06 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	KTLC11	N	CA00152563	B	SFY2008-09
110000378	NORTHBAY VACAVALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-04 00:00:00	110005667	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2008-01-03 00:00:00	2008-01-03 00:00:00	No	2008-12-26 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	D4YO11	N	CA00140307	B	SFY2008-09
110000068	SUTTER SOLANO MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-02-11 00:00:00	110005745	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-13 19:15:00	2008-08-13 19:15:00	No	2009-03-06 00:00:00	None	FTR AE	None	400	400	0	400	0	None	7ZUI11	N	CA00161112, CA00161112	C, C	SFY2008-09
110000044	ADVENTIST HEALTH CLEARLAKE	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-01-26 00:00:00	110005747	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-02-04 18:50:00	2008-02-04 18:50:00	No	2009-02-18 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	JES711	N	CA00141923	B	SFY2008-09
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-01-28 00:00:00	110005788	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-03-01 10:21:00	2008-03-01 10:21:00	No	2009-02-23 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	M54J11	N	CA00144835	B	SFY2008-09
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-01-28 00:00:00	110005802	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-04-14 11:30:00	2008-04-14 11:30:00	No	2009-02-20 00:00:00	None	FTR AE	None	700	700	0	700	0	None	F62411	N	CA00147984	B	SFY2008-09
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-01-28 00:00:00	110005829	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-04-17 12:15:00	2008-04-17 12:15:00	No	2009-02-20 00:00:00	None	FTR AE	None	300	300	0	300	0	None	F62411	N	CA00147982, CA00147982	B, B	SFY2008-09
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-02-11 00:00:00	110005874	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-05-31 12:00:00	2008-05-31 12:00:00	No	2009-03-10 00:00:00	None	FTR AE	None	800	800	0	800	0	None	5KPC11	N	None	None	SFY2008-09
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-02-17 00:00:00	110005882	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-25 15:30:00	2008-08-25 15:30:00	No	2009-03-12 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	UE3911	N	CA00163142	C	SFY2008-09
110000019	SUTTER LAKESIDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-03-17 00:00:00	110005967	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-05-21 00:00:00	2008-05-21 00:00:00	No	2009-04-09 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	8JR811	N	CA00152420, CA00152420	B, B	SFY2008-09
110000044	ADVENTIST HEALTH CLEARLAKE	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-04-24 00:00:00	110006130	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-10-28 00:00:00	2008-10-28 00:00:00	Yes	2009-09-23 00:00:00	2009-09-10 00:00:00	AP IJ	None	25000	25000	0	25000	0	None	I3NU11	N	CA00168577	B	SFY2008-09
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-05-14 00:00:00	110006191	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-11-07 00:00:00	2008-11-07 00:00:00	No	2009-09-23 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	5TF011	N	CA00171025	B	SFY2008-09
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-07-08 00:00:00	110006376	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-03-03 11:59:00	2009-03-03 11:59:00	No	2009-07-29 00:00:00	None	FTR AE	None	400	400	0	400	0	None	4J8G11	N	CA00180919	C	SFY2009-10
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-07-27 00:00:00	110006405	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-04-16 10:35:00	2008-04-16 10:35:00	No	2009-08-17 00:00:00	None	FTR AE	None	400	400	0	400	0	None	F4JO11	N	CA00147871	B	SFY2009-10
110000045	PROVIDENCE REDWOOD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-09-22 00:00:00	110006427	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-09-08 00:00:00	2008-09-08 00:00:00	Yes	2009-10-14 00:00:00	2009-10-02 00:00:00	AP IJ	AP IJ	25000	16500	0	16500	0	None	SDQ311	N	CA00163279	C	SFY2009-10
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-09-03 00:00:00	110006529	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-24 11:30:00	2009-03-24 11:30:00	No	2009-09-25 00:00:00	None	FTR BR	None	1100	1100	0	1100	0	None	ZNJ911	None	CA00184285	C	SFY2009-10
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-01-20 00:00:00	110006656	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-07-13 01:30:00	2009-07-13 01:30:00	No	2010-02-10 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	KK2C11	Y	CA00196641	B	SFY2009-10
110000019	SUTTER LAKESIDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-01-28 00:00:00	110006925	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-07-10 00:00:00	2009-07-10 00:00:00	Yes	2010-02-18 00:00:00	2010-02-03 00:00:00	FTR BR	None	2100	2100	0	2100	0	None	MH0X11	None	CA00202279	C	SFY2009-10
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-02-11 00:00:00	110006927	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-05 00:00:00	2009-03-05 00:00:00	No	2010-03-04 00:00:00	None	FTR BR	None	200	200	0	200	0	None	28KT11	None	CA00180922	C	SFY2009-10
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-01-28 00:00:00	110006928	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-09-18 00:00:00	2009-09-18 00:00:00	No	2010-02-19 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	V1HU11	N	CA00202782	B	SFY2009-10
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-01-18 00:00:00	110006939	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-02-24 00:00:00	2009-02-24 00:00:00	No	2010-02-08 00:00:00	None	FTR BR	None	800	800	0	800	0	None	ZT5J11	None	CA00180494, CA00180494	C, C	SFY2009-10
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-02-18 00:00:00	110006940	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-02-25 00:00:00	2009-02-25 00:00:00	No	2010-03-12 00:00:00	None	FTR BR	None	800	800	0	800	0	None	ZT5J11	None	CA00180494	C	SFY2009-10
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-03-11 00:00:00	110006943	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-06-19 06:30:00	2009-06-19 06:30:00	No	2010-04-02 00:00:00	None	FTR AE	None	700	700	0	700	0	None	UFPL11	N	CA00193486, CA00193486	B, B	SFY2009-10
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-02-11 00:00:00	110006946	Open	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-13 00:00:00	2009-03-13 00:00:00	Yes	2010-03-04 00:00:00	2010-03-01 00:00:00	FTR BR	None	700	700	0	0	700	None	28KT11	None	CA00182614	C	SFY2009-10
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-02-18 00:00:00	110006947	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-02-19 11:45:00	2009-02-19 11:45:00	No	2010-03-11 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	FC8Y11	N	CA00180931	C	SFY2009-10
110001223	MENDOCINO COMMUNITY HEALTH CLINIC-LITTLE LAKE CLINIC	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2010-03-26 00:00:00	110007052	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Rights	None	2009-04-06 00:00:00	2009-04-06 00:00:00	No	2010-04-19 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	69HS11	None	CA00185251	C	SFY2009-10
110000608	MENDOCINO COMMUNITY HEALTH CLINIC, INC.	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2010-03-26 00:00:00	110007053	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Rights	None	2009-03-06 00:00:00	2009-03-06 00:00:00	No	2010-04-19 00:00:00	None	FTR BR	None	2300	2300	-575	1725	0	None	1UWW11	None	CA00184027	C	SFY2009-10
110000982	NOVATO COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-09-10 00:00:00	110007431	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-06-10 13:51:00	2009-06-10 13:51:00	No	2010-10-01 00:00:00	None	FTR BR	None	300	300	0	300	0	None	B7A411	None	CA00191721, CA00193099, CA00193459	B, C, C	SFY2010-11
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-11-15 00:00:00	110007569	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-09-28 00:00:00	2009-09-28 00:00:00	No	2010-12-08 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	3JA211	N	CA00203471	B	SFY2010-11
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-10-20 00:00:00	110007636	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-02-08 14:00:00	2010-02-08 14:00:00	No	2010-11-10 00:00:00	None	FTR AE	None	400	400	0	400	0	None	J05S11	N	CA00216918, CA00218408	B, C	SFY2010-11
110000073	ADVENTIST HEALTH VALLEJO	Non-LTC	APH	Acute Psychiatric Hospital	Santa Rosa	2010-12-01 00:00:00	110007675	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	AE or Series of AE	2009-05-04 00:00:00	2009-05-04 00:00:00	No	2010-12-22 00:00:00	None	FTR AE	None	400	400	0	400	0	None	JM5J11	N	CA00187794	A	SFY2010-11
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-12-22 00:00:00	110007711	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2009-04-28 00:00:00	2009-04-28 00:00:00	No	2011-09-29 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	59SC11	N	CA00187028	B	SFY2010-11
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-12-22 00:00:00	110007721	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-04-28 00:00:00	2009-04-28 00:00:00	No	2011-01-12 00:00:00	None	FTR AE	None	100	100	0	100	0	None	59SC11	N	CA00187028	B	SFY2010-11
110000023	ADVENTIST HEALTH MENDOCINO COAST	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-01-11 00:00:00	110007728	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	Malicious breach of PHI	2009-06-15 00:00:00	2009-06-15 00:00:00	No	2012-10-04 00:00:00	None	AP BR	None	42500	42500	-35500	7000	0	None	CCJZ11	None	CA00192541	C	SFY2010-11
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-26 00:00:00	110007776	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-17 00:00:00	2010-05-17 00:00:00	No	2011-05-17 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	F05411	None	CA00220983, CA00221929, CA00231150, CA00231154	C, C, C, C	SFY2010-11
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-26 00:00:00	110007777	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-17 00:00:00	2010-05-17 00:00:00	No	2011-05-17 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	F05411	None	CA00220983, CA00221929, CA00231150, CA00231154	C, C, C, C	SFY2010-11
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-06-16 00:00:00	110007822	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-02-05 00:00:00	2009-02-05 00:00:00	No	2011-07-08 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	HJ8S11	N	CA00180083	B	SFY2010-11
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-07 00:00:00	110007885	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-07-22 00:00:00	2009-07-22 00:00:00	No	2011-03-28 00:00:00	None	FTR BR	None	200	200	0	200	0	None	0RWS11	None	CA00196844	C	SFY2010-11
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-05-12 00:00:00	110007886	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-01-14 00:00:00	2009-01-14 00:00:00	No	2013-03-08 00:00:00	None	AP BR	None	42500	42500	0	42500	0	None	VDX511	None	CA00217965	C	SFY2010-11
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-09 00:00:00	110007894	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-29 00:00:00	2009-10-29 00:00:00	No	2011-03-30 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	11WC11	None	CA00207374	C	SFY2010-11
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-07 00:00:00	110007899	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-03-15 00:00:00	2010-03-15 00:00:00	No	2011-03-28 00:00:00	None	FTR BR	None	100	100	0	100	0	None	28CZ11	None	CA00222542	B	SFY2010-11
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-24 00:00:00	110007910	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-07-12 00:00:00	2010-07-12 00:00:00	No	2011-04-15 00:00:00	None	FTR BR	None	100	100	0	100	0	None	O18M11	None	CA00236204	C	SFY2010-11
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-09 00:00:00	110007913	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-06-05 00:00:00	2010-06-05 00:00:00	No	2011-03-30 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	PQ0U11	None	CA00233434	C	SFY2010-11
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-09 00:00:00	110007914	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-06-05 00:00:00	2010-06-05 00:00:00	No	2011-03-30 00:00:00	None	FTR BR	None	400	400	0	400	0	None	PQ0U11	None	CA00233434	C	SFY2010-11
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-24 00:00:00	110007926	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-07-12 00:00:00	2010-07-12 00:00:00	No	2011-04-15 00:00:00	None	FTR BR	None	100	100	0	100	0	None	O18M11	None	CA00236204	C	SFY2010-11
110000019	SUTTER LAKESIDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-01-11 00:00:00	110007927	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-12-06 00:00:00	2009-12-06 00:00:00	No	2012-02-02 00:00:00	None	FTR BR	None	8900	8900	0	8900	0	None	FG3S11	None	CA00221286	C	SFY2011-12
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-25 00:00:00	110007940	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-06-19 00:00:00	2009-06-19 00:00:00	No	2011-04-18 00:00:00	None	FTR AE	None	300	300	-300	0	0	None	T4XC11	N	CA00193233	B	SFY2010-11
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-24 00:00:00	110007945	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-06-19 00:00:00	2009-06-19 00:00:00	No	2011-04-15 00:00:00	None	FTR AE	None	300	300	0	300	0	None	T4XC11	N	CA00193233	B	SFY2010-11
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-26 00:00:00	110007971	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2010-09-03 00:00:00	2010-09-03 00:00:00	No	2012-10-04 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	DOWG11	None	CA00207226	C	SFY2010-11
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-09 00:00:00	110007974	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-02 00:00:00	2009-10-02 00:00:00	No	2011-03-30 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	U08Y11	None	CA00203018, CA00204752, CA00204762	C, C, C	SFY2010-11
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-18 00:00:00	110008002	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2010-01-05 00:00:00	2010-01-05 00:00:00	No	2013-03-08 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	JGQO11	None	CA00214133	D	SFY2010-11
010000956	SUTTER VISITING NURSES ASSOCIATION	Non-LTC	HHA	Home Health Agency	Santa Rosa	2011-04-07 00:00:00	110008028	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-06-09 00:00:00	2010-06-09 00:00:00	No	2011-04-28 00:00:00	None	FTR BR	None	100	100	0	100	0	None	JG8N11	None	CA00232571	B	SFY2010-11
110000058	ADVENTIST HEALTH ST. HELENA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-07 00:00:00	110008034	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-10-22 00:00:00	2010-10-22 00:00:00	No	2011-04-28 00:00:00	None	FTR BR	None	100	100	0	100	0	None	9UFU11	None	CA00248962	C	SFY2010-11
110000058	ADVENTIST HEALTH ST. HELENA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-08 00:00:00	110008036	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2010-10-22 00:00:00	2010-10-22 00:00:00	No	2011-04-29 00:00:00	None	FTR RES	None	100	100	0	100	0	None	9UFU11	None	CA00248962	C	SFY2010-11
110000944	KAISER FOUNDATION HOSPITAL - SAN RAFAEL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-08 00:00:00	110008054	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-08-13 08:40:00	2009-08-13 08:40:00	No	2011-04-29 00:00:00	None	FTR BR	None	2300	2300	-575	1725	0	None	JCVZ11	None	CA00201515	A	SFY2010-11
110000045	PROVIDENCE REDWOOD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-27 00:00:00	110008081	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2011-01-04 09:00:00	2011-01-04 09:00:00	No	2011-05-18 00:00:00	None	FTR AE	None	400	400	0	400	0	None	O0ED11	N	CA00255416	B	SFY2010-11
110000982	NOVATO COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-27 00:00:00	110008091	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-25 00:00:00	2010-05-25 00:00:00	No	2011-05-18 00:00:00	None	FTR BR	None	14700	14700	0	14700	0	None	BOO211	None	CA00244004, CA00244254, CA00244542, CA00247302, CA00247569	C, C, C, E, C	SFY2010-11
110000982	NOVATO COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-27 00:00:00	110008093	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-05-25 00:00:00	2010-05-25 00:00:00	No	2011-05-18 00:00:00	None	FTR RES	None	14700	14700	0	14700	0	None	BOO211	None	CA00244004, CA00244254, CA00244542, CA00247302, CA00247569	C, C, C, E, C	SFY2010-11
110000129	PLANNED PARENTHOOD - VALLEJO CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2011-06-16 00:00:00	110008104	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-09-02 00:00:00	2010-09-02 00:00:00	No	2011-07-08 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	PLCT11	None	CA00243148, CA00264986	C, C	SFY2010-11
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-05-02 00:00:00	110008148	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-02-03 00:00:00	2011-02-03 00:00:00	No	2011-05-23 00:00:00	None	FTR BR	None	100	100	0	100	0	None	WDJ111	None	CA00258741	C	SFY2010-11
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-05-02 00:00:00	110008183	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2010-11-15 00:00:00	2010-11-15 00:00:00	No	2011-05-23 00:00:00	None	FTR BR	None	2300	2300	0	2300	0	None	S90J11	None	CA00252262	C	SFY2010-11
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-05-02 00:00:00	110008188	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-02-03 00:00:00	2011-02-03 00:00:00	No	2011-05-23 00:00:00	None	FTR BR	None	100	100	0	100	0	None	WDJ111	None	CA00258741	C	SFY2010-11
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-05-02 00:00:00	110008204	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2010-11-15 00:00:00	2010-11-15 00:00:00	No	2011-05-23 00:00:00	None	FTR BR	None	2300	2300	0	2300	0	None	S90J11	None	CA00252262	C	SFY2010-11
110000009	HEALDSBURG HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-05-12 00:00:00	110008213	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-02-16 00:00:00	2011-02-16 00:00:00	No	2011-06-03 00:00:00	None	FTR BR	None	500	500	0	500	0	None	0KE211	None	CA00260533	C	SFY2010-11
110000129	PLANNED PARENTHOOD - VALLEJO CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2011-06-16 00:00:00	110008265	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-09-02 00:00:00	2010-09-02 00:00:00	No	2011-07-08 00:00:00	None	FTR RES	None	600	600	-150	450	0	None	PLCT11	None	CA00243148, CA00264986	C, C	SFY2010-11
110000946	KENTFIELD HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-06-16 00:00:00	110008268	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-08-02 19:00:00	2010-08-02 19:00:00	Yes	2011-07-08 00:00:00	2011-06-22 00:00:00	FTR AE	FTR AE	1600	900	0	900	0	None	G49311	N	CA00240128	C	SFY2010-11
110000068	SUTTER SOLANO MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-08-04 00:00:00	110008357	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-08-05 00:00:00	2009-08-05 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	JELV11	N	CA00203797	B	SFY2011-12
110000944	KAISER FOUNDATION HOSPITAL - SAN RAFAEL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-08-27 00:00:00	110008500	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-07-07 00:00:00	2010-07-07 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	RFUY11	N	CA00244476	B	SFY2011-12
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-09-07 00:00:00	110008547	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-02-01 10:00:00	2010-02-01 10:00:00	No	2011-09-29 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	UNE411	N	CA00219927	C	SFY2011-12
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-10-07 00:00:00	110008611	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-07-27 00:00:00	2011-07-27 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	ZXNK11	N	CA00277671	C	SFY2011-12
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-10-28 00:00:00	110008657	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2010-12-02 00:00:00	2010-12-02 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	10000	10000	0	10000	0	None	XCVV11	N	CA00251304, CA00252647, CA00252989	C, C, C	SFY2011-12
110000045	PROVIDENCE REDWOOD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-05-10 00:00:00	110008762	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2010-12-07 00:00:00	2010-12-07 00:00:00	No	2014-02-10 00:00:00	None	AP BR	None	5000	5000	0	5000	0	None	11W711	None	CA00253265	C	SFY2011-12
110000021	MAD RIVER COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-12-07 00:00:00	110008764	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-09-27 00:00:00	2010-09-27 00:00:00	Yes	2012-06-22 00:00:00	2012-06-11 00:00:00	AP IJ	AP IJ	50000	20000	0	20000	0	None	SDPK11	N	CA00245459	B	SFY2011-12
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-12-07 00:00:00	110008767	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-08-11 00:00:00	2011-08-11 00:00:00	No	2011-12-29 00:00:00	None	FTR BR	None	100	100	0	100	0	None	IZ1U11	None	CA00280281	C	SFY2011-12
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-01-11 00:00:00	110008897	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-01-20 00:00:00	2011-01-20 00:00:00	No	2012-02-02 00:00:00	None	FTR BR	None	300	300	0	300	0	None	GQ6V11	None	CA00257121	C	SFY2011-12
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-02-22 00:00:00	110008923	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-06-29 00:00:00	2010-06-29 00:00:00	No	2012-03-14 00:00:00	None	FTR BR	None	400	400	0	400	0	None	180M11	None	CA00234953	C	SFY2011-12
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-02-21 00:00:00	110008924	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-06-28 00:00:00	2010-06-28 00:00:00	No	2012-03-13 00:00:00	None	FTR BR	None	300	300	0	300	0	None	1L6211	None	CA00234677	C	SFY2011-12
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-02-22 00:00:00	110008926	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-06-17 00:00:00	2010-06-17 00:00:00	No	2012-03-14 00:00:00	None	FTR BR	None	500	500	0	500	0	None	CW0811	None	CA00233786	C	SFY2011-12
110001203	MARIN COMMUNITY CLINIC	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2012-02-17 00:00:00	110008935	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-10-12 00:00:00	2010-10-12 00:00:00	No	2012-03-12 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	TY9I11	None	CA00250264	C	SFY2011-12
110001203	MARIN COMMUNITY CLINIC	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2012-02-17 00:00:00	110008937	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-10-12 00:00:00	2010-10-12 00:00:00	No	2012-03-12 00:00:00	None	FTR RES	None	900	900	-225	675	0	None	TY9I11	None	CA00250264	C	SFY2011-12
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-04-12 00:00:00	110009180	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-12-05 00:00:00	2011-12-05 00:00:00	No	2012-05-03 00:00:00	None	FTR RES	None	100	100	0	100	0	None	5TE811	None	CA00292562	C	SFY2011-12
630009861	SUTTER COAST COMMUNITY CLINIC	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2012-05-23 00:00:00	110009268	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-03-22 00:00:00	2011-03-22 00:00:00	No	2012-06-14 00:00:00	None	FTR BR	None	4200	4200	-1050	3150	0	None	W5OI11	None	CA00269011	C	SFY2011-12
630009861	SUTTER COAST COMMUNITY CLINIC	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2012-05-23 00:00:00	110009287	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-03-22 00:00:00	2011-03-22 00:00:00	No	2012-06-14 00:00:00	None	FTR RES	None	4200	4200	-1050	3150	0	None	W5OI11	None	CA00269011	C	SFY2011-12
110000946	KENTFIELD HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-05-09 00:00:00	110009288	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	FTR/AE Stage III P/U	2011-05-25 00:00:00	2011-05-25 00:00:00	No	2012-05-31 00:00:00	None	FTR AE	None	400	400	0	400	0	None	FB4X11	N	CA00271623	B	SFY2011-12
110000070	ADVENTIST HEALTH UKIAH VALLEY	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-05-17 00:00:00	110009313	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-10-04 13:00:00	2011-10-04 13:00:00	No	2012-06-08 00:00:00	None	FTR BR	None	1300	1300	0	1300	0	None	KMPM11	None	CA00292068	C	SFY2011-12
100001790	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	Non-LTC	HOSPICE	Hospice	Santa Rosa	2012-05-31 00:00:00	110009342	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-04-06 12:00:00	2011-04-06 12:00:00	No	2012-06-21 00:00:00	None	FTR BR	None	200	200	0	200	0	None	UOL111	None	CA00266533	C	SFY2011-12
110000608	MENDOCINO COMMUNITY HEALTH CLINIC, INC.	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-02-23 00:00:00	110009375	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-10-11 00:00:00	2011-10-11 00:00:00	No	2013-03-15 00:00:00	None	FTR BR	None	700	700	0	700	0	None	E3FO11	None	CA00287583	C	SFY2012-13
110000608	MENDOCINO COMMUNITY HEALTH CLINIC, INC.	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-02-23 00:00:00	110009376	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-10-11 00:00:00	2011-10-11 00:00:00	No	2013-03-15 00:00:00	None	FTR RES	None	600	600	0	600	0	None	E3FO11	None	CA00287583	C	SFY2012-13
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-08-22 00:00:00	110009396	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-01-26 00:00:00	2012-01-26 00:00:00	No	2012-09-13 00:00:00	None	FTR AE	None	5200	5200	0	5200	0	None	GJGN11	N	CA00304045	C	SFY2012-13
100001790	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	Non-LTC	HOSPICE	Hospice	Santa Rosa	2012-07-31 00:00:00	110009397	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-09-01 00:00:00	2010-09-01 00:00:00	No	2012-08-21 00:00:00	None	FTR RES	None	500	500	0	500	0	None	0N4311	None	CA00242518	C	SFY2012-13
100001790	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	Non-LTC	HOSPICE	Hospice	Santa Rosa	2012-07-31 00:00:00	110009398	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-09-01 00:00:00	2010-09-01 00:00:00	No	2012-08-21 00:00:00	None	FTR BR	None	500	500	0	500	0	None	0N4311	None	CA00242518	C	SFY2012-13
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-08-21 00:00:00	110009435	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-12-06 00:00:00	2011-12-06 00:00:00	No	2012-09-12 00:00:00	None	FTR BR	None	400	400	0	400	0	None	C5OO11	None	CA00293099, CA00293108	C, C	SFY2012-13
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-08-21 00:00:00	110009438	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-12-06 00:00:00	2011-12-06 00:00:00	No	2012-09-12 00:00:00	None	FTR RES	None	400	400	0	400	0	None	C5OO11	None	CA00293099, CA00293108	C, C	SFY2012-13
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-09-08 00:00:00	110009479	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-07-25 00:00:00	2011-07-25 00:00:00	No	2012-09-28 00:00:00	None	FTR BR	None	800	800	0	800	0	None	MFZ811	None	CA00289900	D	SFY2012-13
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-12-12 00:00:00	110009669	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2010-08-27 00:00:00	2010-08-27 00:00:00	No	2013-01-04 00:00:00	None	FTR RES	None	700	700	0	700	0	None	DUBO11	None	CA00241860	C	SFY2012-13
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-12-12 00:00:00	110009671	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2010-08-27 00:00:00	2010-08-27 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	DUBO11	None	CA00241860	C	SFY2012-13
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-12-12 00:00:00	110009672	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-08-31 00:00:00	2010-08-31 00:00:00	No	2013-01-04 00:00:00	None	FTR RES	None	700	700	0	700	0	None	DUBO11	None	CA00241863	C	SFY2012-13
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2013-01-30 00:00:00	110009707	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2011-02-16 00:00:00	2011-02-16 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	2HZX11	N	CA00275191	A	SFY2012-13
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-02-11 00:00:00	110009710	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-10-24 00:00:00	2010-10-24 00:00:00	No	2016-02-19 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	5B0511	N	CA00247797	B	SFY2014-15
110000608	MENDOCINO COMMUNITY HEALTH CLINIC, INC.	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-07-16 00:00:00	110009856	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-12-13 17:00:00	2011-12-13 17:00:00	No	2013-08-06 00:00:00	None	FTR RES	None	100	100	0	100	0	None	Z7GM11	None	CA00293584	C	SFY2013-14
110000057	JEROLD PHELPS COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-06-25 00:00:00	110009857	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-06-26 11:25:00	2012-06-26 11:25:00	No	2014-07-17 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	SOJN11	None	CA00317815	C	SFY2013-14
110000057	JEROLD PHELPS COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-06-25 00:00:00	110009858	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-06-26 11:25:00	2012-06-26 11:25:00	No	2014-07-17 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	SOJN11	None	CA00317815	C	SFY2013-14
110000812	PETALUMA HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-09-13 00:00:00	110009859	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-08-23 00:00:00	2011-08-23 00:00:00	No	2013-10-04 00:00:00	None	FTR RES	None	1600	1600	0	1600	0	None	FQP711	None	CA00281063	C	SFY2013-14
110000812	PETALUMA HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-09-13 00:00:00	110009860	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-08-23 00:00:00	2011-08-23 00:00:00	No	2013-10-04 00:00:00	None	FTR RES	None	1600	1600	0	1600	0	None	FQP711	None	CA00281063	C	SFY2013-14
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2013-05-20 00:00:00	110009905	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-10-29 00:00:00	2010-10-29 00:00:00	No	2013-06-11 00:00:00	None	FTR RES	None	1400	1400	0	1400	0	None	Q2JB11	None	CA00247716	C	SFY2012-13
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2013-08-22 00:00:00	110009906	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-11-12 00:00:00	2010-11-12 00:00:00	No	2013-09-13 00:00:00	None	FTR RES	None	7400	7400	0	7400	0	None	C42L11	None	CA00249438	C	SFY2013-14
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2013-05-31 00:00:00	110009908	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2011-05-05 00:00:00	2011-05-05 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	LHIM11	N	CA00269065, CA00274284, CA00276079	B, A, A	SFY2012-13
110000381	MENDOCINO COAST CLINICS, INC.	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-11-22 00:00:00	110010119	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-08-14 00:00:00	2012-08-14 00:00:00	Yes	2013-12-17 00:00:00	2013-12-05 00:00:00	FTR RES	FTR RES	18800	10000	0	10000	0	None	EQ3811	None	CA00322024	C	SFY2013-14
110000128	PLANNED PARENTHOOD NAPA CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2014-03-11 00:00:00	110010302	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-08-10 00:00:00	2012-08-10 00:00:00	No	2015-06-03 00:00:00	None	AP BR	None	2500	2500	-625	1875	0	None	BEOX11	None	None	None	SFY2013-14
110000812	PETALUMA HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-12-12 00:00:00	110010314	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-10-04 00:00:00	2010-10-04 00:00:00	Yes	2014-01-06 00:00:00	2013-12-23 00:00:00	FTR RES	None	2300	2300	0	2300	0	None	SDW011	None	CA00250887	C	SFY2013-14
110000812	PETALUMA HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-12-17 00:00:00	110010316	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-10-04 00:00:00	2010-10-04 00:00:00	Yes	2014-01-09 00:00:00	2013-12-23 00:00:00	FTR BR	None	5400	5400	0	5400	0	None	SDW011	None	CA00250887	C	SFY2013-14
110001143	FRESENIUS MEDICAL CARE OF EUREKA	Non-LTC	ESRD/CDC	Chronic Dialysis Clinic	Santa Rosa	2014-02-07 00:00:00	110010330	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Other	Loss of Medical Records	2012-12-11 00:00:00	2012-12-11 00:00:00	No	2014-03-03 00:00:00	None	FTR RES	None	3000	3000	-750	2250	0	None	CXY311	None	CA00341245	C	SFY2013-14
110001143	FRESENIUS MEDICAL CARE OF EUREKA	Non-LTC	ESRD/CDC	Chronic Dialysis Clinic	Santa Rosa	2014-03-11 00:00:00	110010333	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Other	Loss of Medical Record	2012-12-11 00:00:00	2012-12-11 00:00:00	No	2014-04-02 00:00:00	None	FTR BR	None	4100	4100	-1025	3075	0	None	CXY311	None	CA00341245	C	SFY2013-14
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-11-14 00:00:00	110010347	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-04-04 00:00:00	2011-04-04 00:00:00	Yes	2015-06-03 00:00:00	2015-05-20 00:00:00	AP BR	AP BR	77500	54250	0	54250	0	None	SLLZ11	None	CA00265628	C	SFY2014-15
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-11-14 00:00:00	110010348	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2011-04-04 00:00:00	2011-04-04 00:00:00	Yes	2014-12-09 00:00:00	2014-12-03 00:00:00	FTR RES	None	64400	64400	0	64400	0	None	SLLZ11	None	CA00265628	C	SFY2014-15
100001790	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	Non-LTC	HOSPICE	Hospice	Santa Rosa	2014-02-06 00:00:00	110010436	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-10-16 00:00:00	2013-10-16 00:00:00	No	2014-02-28 00:00:00	None	FTR RES	None	100	100	0	100	0	None	E7MT11	None	CA00374646	E	SFY2013-14
100001790	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	Non-LTC	HOSPICE	Hospice	Santa Rosa	2014-02-06 00:00:00	110010438	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-10-16 00:00:00	2013-10-16 00:00:00	No	2014-02-28 00:00:00	None	FTR BR	None	100	100	0	100	0	None	E7MT11	None	CA00374646	E	SFY2013-14
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-09-13 00:00:00	110010856	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2014-02-07 09:13:00	2014-02-07 09:13:00	No	2014-10-03 00:00:00	None	FTR AE	None	500	500	0	500	0	None	5LSM11	N	CA00388219	B	SFY2014-15
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-09-15 00:00:00	110010937	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-06-03 00:00:00	2013-06-03 00:00:00	No	2014-10-06 00:00:00	None	FTR AE	None	300	300	0	300	0	None	0RYZ11	N	CA00358416	B	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-10-17 00:00:00	110010940	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-04-24 00:00:00	2012-04-24 00:00:00	No	2014-11-07 00:00:00	None	FTR BR	None	200	200	0	200	0	None	HXHV11	None	CA00309127	C	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-11-17 00:00:00	110010941	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-07-24 00:00:00	2012-07-24 00:00:00	No	2014-12-10 00:00:00	None	FTR BR	None	100	100	0	100	0	None	HXHV11	None	CA00319934	D	SFY2014-15
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-05-13 00:00:00	110010943	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-09-18 00:00:00	2013-09-18 00:00:00	No	2015-06-04 00:00:00	None	FTR BR	None	2600	2600	-650	1950	0	None	564611	None	CA00374178	E	SFY2014-15
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-05-13 00:00:00	110010944	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-09-18 00:00:00	2013-09-18 00:00:00	No	2015-06-04 00:00:00	None	FTR RES	None	2900	2900	-725	2175	0	None	564611	None	CA00374178	E	SFY2014-15
110000044	ADVENTIST HEALTH CLEARLAKE	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-11-14 00:00:00	110011005	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2010-12-07 00:00:00	2010-12-07 00:00:00	No	2016-08-01 00:00:00	None	AP BR	None	2500	2500	-625	1875	0	None	7X4W11	None	CA00251830	C	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-01-16 00:00:00	110011010	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-10-18 00:00:00	2012-10-18 00:00:00	No	2015-02-09 00:00:00	None	FTR RES	None	400	400	0	400	0	None	PFQ311	None	CA00331295	E	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-01-16 00:00:00	110011011	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-10-18 00:00:00	2012-10-18 00:00:00	No	2015-02-09 00:00:00	None	FTR BR	None	500	500	0	500	0	None	PFQ311	None	CA00331295	E	SFY2014-15
110001146	SILVERADO DIALYSIS	Non-LTC	ESRD/CDC	Chronic Dialysis Clinic	Santa Rosa	2014-10-03 00:00:00	110011012	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-05-31 00:00:00	2012-05-31 00:00:00	No	2014-10-24 00:00:00	None	FTR RES	None	800	800	0	800	0	None	Q5WE11	None	CA00329002	E	SFY2014-15
110001146	SILVERADO DIALYSIS	Non-LTC	ESRD/CDC	Chronic Dialysis Clinic	Santa Rosa	2014-10-03 00:00:00	110011013	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-05-31 00:00:00	2012-05-31 00:00:00	No	2014-10-24 00:00:00	None	FTR BR	None	1200	1200	0	1200	0	None	Q5WE11	None	CA00329002	E	SFY2014-15
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-06-18 00:00:00	110011032	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2012-01-04 00:00:00	2012-01-04 00:00:00	No	2016-02-19 00:00:00	None	AP IJ	None	37500	37500	0	37500	0	None	8MMR11	N	CA00296060	B	SFY2014-15
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-11-14 00:00:00	110011046	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2013-08-12 00:00:00	2013-08-12 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	6BL111	N	CA00367325	C	SFY2014-15
110000070	ADVENTIST HEALTH UKIAH VALLEY	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-01-14 00:00:00	110011049	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-09-11 00:00:00	2012-09-11 00:00:00	No	2015-02-05 00:00:00	None	FTR RES	None	500	500	0	500	0	None	OVPU11	None	CA00325924	C	SFY2014-15
110000044	ADVENTIST HEALTH CLEARLAKE	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-01-16 00:00:00	110011072	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-30 00:00:00	2013-04-30 00:00:00	No	2015-02-09 00:00:00	None	FTR RES	None	800	800	0	800	0	None	V2VO11	None	CA00354887	E	SFY2014-15
110000044	ADVENTIST HEALTH CLEARLAKE	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-01-16 00:00:00	110011073	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-30 00:00:00	2013-04-30 00:00:00	No	2015-02-09 00:00:00	None	FTR BR	None	800	800	0	800	0	None	V2VO11	None	CA00354887	E	SFY2014-15
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-01-20 00:00:00	110011074	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-11-13 00:00:00	2011-11-13 00:00:00	No	2015-02-10 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	K8DP11	None	CA00292169	C	SFY2014-15
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-01-20 00:00:00	110011075	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2011-11-13 00:00:00	2011-11-13 00:00:00	No	2015-02-10 00:00:00	None	FTR RES	None	1000	1000	0	1000	0	None	K8DP11	None	CA00292169	C	SFY2014-15
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2017-02-14 00:00:00	110011306	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2014-04-29 00:00:00	2014-04-29 00:00:00	No	2017-03-08 00:00:00	None	AP IJ	None	40000	40000	0	40000	0	None	4Q1D11	N	CA00399624	B	SFY2016-17
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-05-12 00:00:00	110011390	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2015-06-03 00:00:00	None	FTR RES	None	500	500	-125	375	0	None	5CGQ11	None	CA00299299	D	SFY2014-15
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-05-12 00:00:00	110011391	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2015-06-03 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	5CGQ11	None	CA00299299	D	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-05-12 00:00:00	110011401	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2015-06-03 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	DNDF11	None	CA00299298	C	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-05-12 00:00:00	110011402	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2015-06-03 00:00:00	None	FTR RES	None	500	500	-125	375	0	None	DNDF11	None	CA00299298	C	SFY2014-15
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-07-24 00:00:00	110011404	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2013-10-06 00:00:00	2013-10-06 00:00:00	Yes	2017-05-11 00:00:00	2017-04-24 00:00:00	AP IJ	AP IJ	100000	100000	0	100000	0	None	EWKP11	N	CA00372443, CA00372887	A, A	SFY2015-16
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-07-24 00:00:00	110011421	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2013-04-23 00:00:00	2013-04-23 00:00:00	Yes	2017-05-11 00:00:00	2017-04-24 00:00:00	AP IJ	AP IJ	50000	50000	0	50000	0	None	HP5D11	N	CA00353131	B	SFY2015-16
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-07-24 00:00:00	110011422	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2013-05-24 00:00:00	2013-05-24 00:00:00	Yes	2017-05-11 00:00:00	2017-04-24 00:00:00	AP IJ	AP IJ	75000	45000	0	45000	0	None	KO8Q11	N	CA00363220	B	SFY2015-16
100001730	HEARTLAND HOSPICE SERVICES	Non-LTC	HOSPICE	Hospice	Santa Rosa	2015-07-08 00:00:00	110011548	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-08-12 00:00:00	2014-08-12 00:00:00	No	2015-07-29 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	EUZR11	None	CA00411593	E	SFY2015-16
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-06-17 00:00:00	110011552	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2013-10-30 00:00:00	2013-10-30 00:00:00	No	2015-07-10 00:00:00	None	AP BR	None	7500	7500	0	7500	0	None	X0UO11	None	CA00380234	C	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-07-10 00:00:00	110011553	Open	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach of IT system theft/loss of edevice/med rec	None	2014-06-02 00:00:00	2014-06-02 00:00:00	No	2015-07-31 00:00:00	None	FTR RES	None	300	300	75	225	150	None	GAH111	None	CA00401448, CA00403983, CA00406425	B, B, C	SFY2015-16
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-07-10 00:00:00	110011605	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-02-14 00:00:00	2013-02-14 00:00:00	No	2015-07-31 00:00:00	None	FTR RES	None	600	600	0	600	0	None	J3F011	None	CA00351858, CA00355704, CA00359379	B, B, B	SFY2015-16
010001142	MAXIM HEALTHCARE SERVICES	Non-LTC	HHA	Home Health Agency	Santa Rosa	2016-01-14 00:00:00	110011952	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-10-26 00:00:00	2011-10-26 00:00:00	No	2016-02-05 00:00:00	None	FTR BR	None	200	200	0	200	0	None	ZCGD11	None	CA00288855	C	SFY2015-16
010001142	MAXIM HEALTHCARE SERVICES	Non-LTC	HHA	Home Health Agency	Santa Rosa	2016-01-14 00:00:00	110011953	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-10-28 00:00:00	2011-10-28 00:00:00	No	2016-02-05 00:00:00	None	FTR BR	None	300	300	0	300	0	None	JYOG11	None	CA00289010	D	SFY2015-16
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2016-05-12 00:00:00	110011964	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-11-14 00:00:00	2010-11-14 00:00:00	No	2016-06-03 00:00:00	None	FTR RES	None	800	800	0	800	0	None	K24P11	None	CA00250935	C	SFY2015-16
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2016-05-12 00:00:00	110011965	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-11-14 00:00:00	2010-11-14 00:00:00	No	2016-06-03 00:00:00	None	FTR BR	None	700	700	0	700	0	None	K24P11	None	CA00250935	C	SFY2015-16
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2017-03-14 00:00:00	110011976	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-03-01 00:00:00	2015-03-01 00:00:00	No	2017-04-05 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	3CLQ11	N	CA00434106	B	SFY2016-17
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2017-03-14 00:00:00	110012063	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2014-12-01 00:00:00	2014-12-01 00:00:00	No	2017-04-05 00:00:00	None	FTR AE	None	300	300	0	300	0	None	I5UH11	N	CA00423277	B	SFY2016-17
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2017-03-14 00:00:00	110012067	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-01-17 00:00:00	2015-01-17 00:00:00	No	2017-04-05 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	UT2M11	N	CA00438648	B	SFY2016-17
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-06-11 00:00:00	110012068	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-06-16 00:00:00	2012-06-16 00:00:00	Yes	2019-07-02 00:00:00	2019-06-21 00:00:00	FTR RES	FTR RES	5200	3900	0	3900	0	None	9GH711	None	CA00322517, CA00322517, CA00322523, CA00322523	C, C, C, C	SFY2018-19
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-06-11 00:00:00	110012070	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-06-16 00:00:00	2012-06-16 00:00:00	Yes	2019-07-02 00:00:00	2019-06-21 00:00:00	FTR BR	FTR BR	5200	3900	0	3900	0	None	9GH711	None	CA00322517, CA00322523	C, C	SFY2018-19
110000073	ADVENTIST HEALTH VALLEJO	Non-LTC	APH	Acute Psychiatric Hospital	Santa Rosa	2016-03-16 00:00:00	110012074	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-02-01 00:00:00	2013-02-01 00:00:00	No	2016-04-07 00:00:00	None	FTR RES	None	300	300	0	300	0	None	SBCX11	None	CA00345403	E	SFY2015-16
110000073	ADVENTIST HEALTH VALLEJO	Non-LTC	APH	Acute Psychiatric Hospital	Santa Rosa	2016-03-16 00:00:00	110012075	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-02-01 00:00:00	2013-02-01 00:00:00	No	2016-04-07 00:00:00	None	FTR BR	None	300	300	0	300	0	None	SBCX11	None	CA00345403	E	SFY2015-16
110000008	ADVENTIST HEALTH HOWARD MEMORIAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-07-20 00:00:00	110012080	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-07-19 00:00:00	2012-07-19 00:00:00	No	2018-08-10 00:00:00	None	AP BR	None	25000	25000	-25000	0	0	None	TVIR11	None	CA00319835	C	SFY2018-19
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-06-11 00:00:00	110012096	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-06-16 00:00:00	2012-06-16 00:00:00	Yes	2019-07-02 00:00:00	2019-06-21 00:00:00	FTR RES	FTR RES	5200	3900	0	3900	0	None	9GH711	None	CA00322517, CA00322523	C, C	SFY2018-19
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-07-03 00:00:00	110012106	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	AE report to the Dept.	2014-09-19 00:00:00	2014-09-19 00:00:00	No	2018-07-25 00:00:00	None	FTR AE	None	900	900	0	900	0	None	X0TC11	N	CA00415616	B	SFY2018-19
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-06-14 00:00:00	110012482	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-07-22 00:00:00	2014-07-22 00:00:00	No	2018-07-06 00:00:00	None	FTR RES	None	100	100	0	100	0	None	0ZS511	None	CA00412592	E	SFY2017-18
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-01 00:00:00	110013821	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	FTR-AE	2017-02-21 00:00:00	2017-02-21 00:00:00	No	2018-03-22 00:00:00	None	FTR AE	None	200	200	0	200	0	None	19Q211	N	CA00524400	C	SFY2017-18
110000019	SUTTER LAKESIDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-01 00:00:00	110013823	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-03-10 00:00:00	2011-03-10 00:00:00	No	2018-03-22 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	EFF311	None	CA00264308	D	SFY2017-18
110000019	SUTTER LAKESIDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-01 00:00:00	110013825	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-03-10 00:00:00	2011-03-10 00:00:00	No	2018-03-22 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	EFF311	None	CA00264308	D	SFY2017-18
110000378	NORTHBAY VACAVALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-04-24 00:00:00	110013826	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-11-13 00:00:00	2013-11-13 00:00:00	No	2018-05-15 00:00:00	None	FTR BR	None	500	500	0	500	0	None	9IPR11	None	CA00378347	E	SFY2017-18
110000378	NORTHBAY VACAVALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-04-24 00:00:00	110013827	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-11-13 00:00:00	2013-11-13 00:00:00	No	2018-05-15 00:00:00	None	FTR BR	None	200	200	0	200	0	None	9IPR11	None	CA00378347	E	SFY2017-18
630012364	KAISER FOUNDATION HOSPITAL - VACAVILLE	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-07-02 00:00:00	110013830	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-03-21 00:00:00	2013-03-21 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	WBQV11	None	CA00350262	B	SFY2018-19
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-04-19 00:00:00	110013831	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2014-01-01 00:00:00	2014-01-01 00:00:00	No	2018-05-10 00:00:00	None	FTR BR	None	800	800	0	800	0	None	VZT211	None	CA00390486	C	SFY2017-18
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-05 00:00:00	110013833	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-03-14 00:00:00	2014-03-14 00:00:00	No	2018-03-26 00:00:00	None	FTR BR	None	700	700	0	700	0	None	RSZ811	None	CA00393461	E	SFY2017-18
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-05 00:00:00	110013834	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-03-14 00:00:00	2014-03-14 00:00:00	No	2018-03-26 00:00:00	None	FTR BR	None	700	700	0	700	0	None	RSZ811	None	CA00393461	E	SFY2017-18
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-07 00:00:00	110013839	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-08-22 00:00:00	2014-08-22 00:00:00	No	2018-03-28 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	MXGF11	N	CA00412527	B	SFY2017-18
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-05-24 00:00:00	110013841	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-01-23 00:00:00	2015-01-23 00:00:00	No	2018-06-15 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	DEVG11	N	None	None	SFY2017-18
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-06 00:00:00	110013842	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Abuse - Nursing P & P	2015-04-20 00:00:00	2015-04-20 00:00:00	No	2018-03-27 00:00:00	None	AP NON-IJ	None	17600	17600	0	17600	0	None	TD7911	N	CA00441302	A	SFY2017-18
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-05-23 00:00:00	110013849	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-06-02 00:00:00	2015-06-02 00:00:00	No	2018-06-14 00:00:00	None	AP NON-IJ	None	12750	12750	0	12750	0	None	1X7W11	N	CA00450672	B	SFY2017-18
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-12-17 00:00:00	110013858	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-02-10 00:00:00	2016-02-10 00:00:00	No	2019-01-08 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	GBK011	N	CA00476463	B	SFY2018-19
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-05-23 00:00:00	110013866	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-01-03 00:00:00	2016-01-03 00:00:00	No	2018-06-14 00:00:00	None	AP NON-IJ	None	4250	4250	0	4250	0	None	LRHL11	N	CA00470930	B	SFY2017-18
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-19 00:00:00	110013883	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-05-05 00:00:00	2017-05-05 00:00:00	No	2018-04-09 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	KFJG11	N	CA00536666	C	SFY2017-18
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-07 00:00:00	110013884	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	Physical Care	2017-01-25 00:00:00	2017-01-25 00:00:00	No	2018-03-28 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	NRZ011	N	CA00522971, CA00522971	B, B	SFY2017-18
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-05-24 00:00:00	110013885	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Physical care - retained	2017-04-14 00:00:00	2017-04-14 00:00:00	No	2018-06-15 00:00:00	None	AP NON-IJ	None	5000	5000	0	5000	0	None	X98711	N	CA00536093	C	SFY2017-18
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-15 00:00:00	110013886	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	Physical care - retained	2017-04-14 00:00:00	2017-04-14 00:00:00	No	2018-04-05 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	X98711	N	CA00536093	C	SFY2017-18
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-09-05 00:00:00	110013889	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Patient Environment	2015-09-01 00:00:00	2015-09-01 00:00:00	No	2018-09-26 00:00:00	None	AP NON-IJ	None	10625	10625	0	10625	0	None	GO6N11	N	CA00461759	B	SFY2018-19
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-09-05 00:00:00	110013891	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Infection Control	2015-09-01 00:00:00	2015-09-01 00:00:00	No	2018-09-26 00:00:00	None	AP NON-IJ	None	10625	10625	0	10625	0	None	GO6N11	N	CA00461759	B	SFY2018-19
110000946	KENTFIELD HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-16 00:00:00	110013916	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2017-10-20 00:00:00	2017-10-20 00:00:00	No	2018-04-06 00:00:00	None	FTR BR	None	3100	3100	0	3100	0	None	MPED11	None	CA00565821	E	SFY2017-18
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-21 00:00:00	110013918	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-10-03 00:00:00	2014-10-03 00:00:00	No	2018-04-11 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	TQ8L11	N	CA00417689	B	SFY2017-18
630012364	KAISER FOUNDATION HOSPITAL - VACAVILLE	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-05-24 00:00:00	110014105	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-04-14 00:00:00	2016-04-14 00:00:00	No	2018-06-15 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	WTQ811	N	CA00491366	B	SFY2017-18
110000058	ADVENTIST HEALTH ST. HELENA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-06-18 00:00:00	110014168	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-10-07 00:00:00	2015-10-07 00:00:00	No	2018-07-10 00:00:00	None	FTR AE	None	700	700	0	700	0	None	550C11	N	CA00462529	C	SFY2017-18
110000058	ADVENTIST HEALTH ST. HELENA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-06-18 00:00:00	110014169	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-09-01 00:00:00	2015-09-01 00:00:00	No	2018-07-10 00:00:00	None	FTR AE	None	200	200	0	200	0	None	550C11	N	CA00457208, CA00457208	C, C	SFY2017-18
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-10-05 00:00:00	110014462	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-02-01 00:00:00	2018-02-01 00:00:00	No	2018-10-26 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	DLKZ11	N	CA00588811	B	SFY2018-19
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-11-06 00:00:00	110014488	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-05-08 00:00:00	2018-05-08 00:00:00	No	2018-11-30 00:00:00	None	AP NON-IJ	None	13387.5	13387.5	0	13387.5	0	None	8U2211	N	CA00588230	B	SFY2018-19
110000073	ADVENTIST HEALTH VALLEJO	Non-LTC	APH	Acute Psychiatric Hospital	Santa Rosa	2018-12-11 00:00:00	110014634	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2017-09-01 00:00:00	2017-09-01 00:00:00	No	2019-01-02 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	TJF011	N	CA00552016, CA00552016	B, B	SFY2018-19
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-01-22 00:00:00	110014743	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-08-29 00:00:00	2018-08-29 00:00:00	No	2019-02-12 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	YG9C11	N	CA00468194	B	SFY2018-19
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-04-10 00:00:00	110014913	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-07-26 00:00:00	2011-07-26 00:00:00	No	2019-05-01 00:00:00	None	FTR AE	None	900	900	0	900	0	None	WXR011	Y	CA00278833, CA00278833	A, A	SFY2018-19
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-06-11 00:00:00	110015048	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-06-16 00:00:00	2012-06-16 00:00:00	Yes	2019-07-02 00:00:00	2019-06-21 00:00:00	FTR BR	FTR BR	5200	3900	0	3900	0	None	9GH711	None	CA00322517, CA00322523	C, C	SFY2018-19
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-07-31 00:00:00	110015241	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-05-21 00:00:00	2015-05-21 00:00:00	No	2019-08-21 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	TIXQ11	N	CA00444440, CA00444440, CA00444440	B, B, B	SFY2019-20
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2022-01-14 00:00:00	110015339	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2015-01-31 00:00:00	2015-01-31 00:00:00	No	2022-02-22 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	7XE411	None	CA00433228, CA00478450	D, C	SFY2021-22
110000058	ADVENTIST HEALTH ST. HELENA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-09-23 00:00:00	110015382	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2019-05-08 00:00:00	2019-05-08 00:00:00	No	2019-10-14 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	SIDV11	N	CA00637288, CA00637288, CA00637288	C, C, C	SFY2019-20
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-09-18 00:00:00	110015390	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-12-03 00:00:00	2018-12-03 00:00:00	No	2019-10-09 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	Y1IH11	N	CA00615745	B	SFY2019-20
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-09-26 00:00:00	110015391	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2019-02-12 00:00:00	2019-02-12 00:00:00	No	2019-10-17 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	YZJE11	N	CA00624882	B	SFY2019-20
110000073	ADVENTIST HEALTH VALLEJO	Non-LTC	APH	Acute Psychiatric Hospital	Santa Rosa	2019-09-23 00:00:00	110015392	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-10-16 00:00:00	2018-10-16 00:00:00	No	2019-10-14 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	EF4H11	N	CA00608020, CA00638713	A, C	SFY2019-20
110000011	KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-10-15 00:00:00	110015453	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2016-02-01 00:00:00	2016-02-01 00:00:00	No	2019-11-05 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	FZ0U11	N	CA00475470, CA00475470	A, A	SFY2019-20
110000058	ADVENTIST HEALTH ST. HELENA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-12-19 00:00:00	110015455	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2019-04-24 00:00:00	2019-04-24 00:00:00	No	2020-01-10 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	FD1Y11	N	CA00636313	B	SFY2019-20
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-01-24 00:00:00	110015581	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-06-14 00:00:00	2019-06-14 00:00:00	No	2020-02-14 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	51E511	N	CA00642546, CA00642546, CA00642546	B, B, B	SFY2019-20
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-02-13 00:00:00	110015645	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2019-08-20 00:00:00	2019-08-20 00:00:00	No	2020-03-05 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	H70311	N	CA00652173	B	SFY2019-20
110000982	NOVATO COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-02-21 00:00:00	110015751	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-10-24 00:00:00	2014-10-24 00:00:00	No	2020-03-13 00:00:00	None	FTR BR	None	300	300	0	300	0	None	7NK711	None	CA00421579	D	SFY2019-20
110000982	NOVATO COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-02-21 00:00:00	110015752	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-10-24 00:00:00	2014-10-24 00:00:00	No	2020-03-13 00:00:00	None	FTR RES	None	300	300	0	300	0	None	7NK711	None	CA00421579	D	SFY2019-20
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-03-16 00:00:00	110015763	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-10-27 00:00:00	2015-10-27 00:00:00	No	2020-04-06 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	BYEJ11	N	CA00463891	B	SFY2019-20
110000508	KAISER FOUNDATION HOSPITAL - SANTA ROSA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-10-14 00:00:00	110015770	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2019-03-04 00:00:00	2019-03-04 00:00:00	No	2020-11-04 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	ZMO811	N	CA00628822, CA00628822, CA00628822, CA00628822	B, B, B, B	SFY2020-21
110000982	NOVATO COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-09-08 00:00:00	110015932	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-03-05 00:00:00	2014-03-05 00:00:00	No	2020-09-29 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	621711	None	CA00392171	E	SFY2020-21
110000982	NOVATO COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-09-08 00:00:00	110015933	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-03-05 00:00:00	2014-03-05 00:00:00	No	2020-09-29 00:00:00	None	FTR RES	None	800	800	-200	600	0	None	621711	None	CA00392171, CA00392171	E, E	SFY2020-21
110000982	NOVATO COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-09-21 00:00:00	110015936	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-04-06 00:00:00	2014-04-06 00:00:00	No	2020-10-12 00:00:00	None	FTR RES	None	400	400	0	400	0	None	Z54211	None	CA00395036	E	SFY2020-21
110000982	NOVATO COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-09-21 00:00:00	110015937	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-04-06 00:00:00	2014-04-06 00:00:00	No	2020-10-12 00:00:00	None	FTR BR	None	400	400	0	400	0	None	Z54211	None	CA00395036	E	SFY2020-21
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-10-28 00:00:00	110016098	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-09-01 00:00:00	2016-09-01 00:00:00	No	2020-11-19 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	3NYQ11	N	CA00505170	B	SFY2020-21
110000946	KENTFIELD HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-02-03 00:00:00	110016255	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-10-14 00:00:00	2016-10-14 00:00:00	No	2021-02-25 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	096K11	N	CA00511191	B	SFY2020-21
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-03-29 00:00:00	110016308	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-10-02 00:00:00	2020-10-02 00:00:00	No	2021-04-20 00:00:00	None	FTR AE	None	600	600	0	600	0	None	DGLZ11	Y	CA00708878, CA00708878, CA00708878	B, B, B	SFY2020-21
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-03-25 00:00:00	110016366	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2021-04-16 00:00:00	None	FTR BR	None	200	200	0	200	0	None	U08B11	None	CA00299277	C	SFY2020-21
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-03-25 00:00:00	110016367	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2021-04-16 00:00:00	None	FTR RES	None	500	500	0	500	0	None	U08B11	None	CA00299277	C	SFY2020-21
110000045	PROVIDENCE REDWOOD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-11-22 00:00:00	110017076	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2017-05-22 00:00:00	2017-05-22 00:00:00	No	2021-12-15 00:00:00	None	FTR BR	None	600	600	0	600	0	None	IZB511	None	CA00545842, CA00545842	D, D	SFY2021-22
110000045	PROVIDENCE REDWOOD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-11-22 00:00:00	110017077	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2017-05-22 00:00:00	2017-05-22 00:00:00	No	2021-12-15 00:00:00	None	FTR BR	None	600	600	0	600	0	None	IZB511	None	CA00545842, CA00545842	D, D	SFY2021-22
630012364	KAISER FOUNDATION HOSPITAL - VACAVILLE	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-11-16 00:00:00	110017079	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2020-05-21 00:00:00	2020-05-21 00:00:00	No	2021-12-09 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	T83011	Y	CA00691332, CA00691332, CA00691341, CA00691341, CA00691345	A, A, A, A, A	SFY2021-22
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-11-16 00:00:00	110017090	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-11-27 00:00:00	2018-11-27 00:00:00	No	2021-12-09 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	GCR211	N	CA00616297	B	SFY2021-22
110000010	NORTHBAY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-11-29 00:00:00	110017135	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-06-24 00:00:00	2018-06-24 00:00:00	No	2021-12-20 00:00:00	None	AP NON-IJ	None	3750	3750	0	3750	0	None	TDW411	N	CA00593583, CA00593583	C, C	SFY2021-22
110000058	ADVENTIST HEALTH ST. HELENA	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2022-06-30 00:00:00	110017751	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2019-01-03 00:00:00	2019-01-03 00:00:00	No	2022-07-22 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	6XNR11	Y	CA00618518, CA00618518	B, B	SFY2021-22
110000038	SONOMA SPECIALTY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2022-09-15 00:00:00	110017942	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2021-09-02 00:00:00	2021-09-02 00:00:00	No	2022-10-06 00:00:00	None	AP NON-IJ	None	13200	13200	0	0	13200	None	UNUK11	Y	CA00752094, CA00752094	B, B	SFY2022-23
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2023-02-07 00:00:00	110019009	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-01-08 00:00:00	2021-01-08 00:00:00	No	2023-08-31 00:00:00	None	AP BR	None	17500	17500	0	17500	0	None	P4PX11	None	CA00727033	D	SFY2022-23
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2007-08-20 00:00:00	120004201	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2007-08-14 00:00:00	2007-08-14 00:00:00	No	2007-09-11 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	JBX111	Y	CA00123066	A	SFY2007-08
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2008-10-22 00:00:00	120005296	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE07 - Use of device other than as intended	None	2008-03-10 00:00:00	2008-03-10 00:00:00	Yes	2008-11-13 00:00:00	2009-03-09 00:00:00	AP IJ	None	25000	25000	0	25000	0	None	SYXF11	N	CA00144287	B	SFY2008-09
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2008-04-08 00:00:00	120005297	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-03-10 00:00:00	2008-03-10 00:00:00	No	2008-04-29 00:00:00	None	FTR AE	None	900	900	0	900	0	None	SYXF11	N	CA00144287	B	SFY2007-08
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2008-09-29 00:00:00	120005364	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-20 00:00:00	2008-06-20 00:00:00	No	2008-10-21 00:00:00	None	FTR AE	None	900	900	0	900	0	None	DEOK11	N	CA00155774	C	SFY2008-09
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2008-09-15 00:00:00	120005403	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-12 00:00:00	2007-12-12 00:00:00	No	2008-10-06 00:00:00	None	FTR AE	None	400	400	0	400	0	None	SRV611	N	CA00135523	B	SFY2008-09
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2008-09-15 00:00:00	120005404	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-11-16 00:00:00	2007-11-16 00:00:00	No	2008-10-06 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	SRV611	N	CA00135523	B	SFY2008-09
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2008-09-29 00:00:00	120005449	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-27 00:00:00	2008-05-27 00:00:00	No	2008-10-21 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	JKXB11	N	CA00153657	B	SFY2008-09
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2008-11-17 00:00:00	120005558	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-05 00:00:00	2008-07-05 00:00:00	No	2008-12-10 00:00:00	None	FTR AE	None	700	700	0	700	0	None	Y43811	N	CA00157022	B	SFY2008-09
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2008-11-17 00:00:00	120005562	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-27 00:00:00	2008-08-27 00:00:00	No	2008-12-10 00:00:00	None	FTR AE	None	300	300	0	300	0	None	G3VZ11	N	CA00162128	B	SFY2008-09
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2009-02-06 00:00:00	120005845	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-21 00:00:00	2008-08-21 00:00:00	No	2009-03-03 00:00:00	None	FTR AE	None	200	200	0	200	0	None	E73511	N	CA00161494	B	SFY2008-09
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2009-02-03 00:00:00	120005849	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-28 00:00:00	2008-07-28 00:00:00	No	2009-02-26 00:00:00	None	FTR AE	None	8100	8100	0	8100	0	None	LXTV11	N	CA00166884	B	SFY2008-09
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2009-04-07 00:00:00	120005917	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2008-12-06 00:00:00	2008-12-06 00:00:00	Yes	2009-09-28 00:00:00	2009-09-18 00:00:00	AP IJ	AP IJ	25000	16250	0	16250	0	None	V7Z011	N	CA00171339	A	SFY2008-09
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2009-04-07 00:00:00	120006009	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-12 00:00:00	2008-10-12 00:00:00	No	2009-05-11 00:00:00	None	FTR AE	None	500	500	0	500	0	None	GBEF11	N	CA00167106	B	SFY2008-09
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2009-06-22 00:00:00	120006256	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-02-28 00:00:00	2009-02-28 00:00:00	No	2009-07-14 00:00:00	None	FTR AE	None	500	500	0	500	0	None	X1X011	N	CA00180450	B	SFY2008-09
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2009-10-27 00:00:00	120006623	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-07-31 13:10:00	2009-07-31 13:10:00	No	2009-11-18 00:00:00	None	FTR AE	None	2800	2800	0	2800	0	None	5SO611	N	CA00166884	B	SFY2009-10
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-06-07 00:00:00	120006658	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2009-07-31 00:00:00	2009-07-31 00:00:00	No	2010-07-01 00:00:00	None	AP BR	None	25000	25000	0	25000	0	None	9E5U11	None	CA00197270	B	SFY2009-10
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-01-07 00:00:00	120006678	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-01-26 02:54:00	2009-01-26 02:54:00	No	2010-02-01 00:00:00	None	FTR AE	None	20200	20200	0	20200	0	None	WFBM11	N	CA00199264	B	SFY2009-10
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-02-04 00:00:00	120006809	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-07-27 15:50:00	2009-07-27 15:50:00	No	2010-02-25 00:00:00	None	FTR AE	None	400	400	0	400	0	None	4XC011	N	CA00197569	B	SFY2009-10
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-01-21 00:00:00	120006810	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-21 09:10:00	2008-12-21 09:10:00	No	2010-02-17 00:00:00	None	FTR AE	None	18200	18200	0	18200	0	None	6CWG11	N	CA00193142	B	SFY2009-10
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-01-21 00:00:00	120006811	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-01-19 08:15:00	2009-01-19 08:15:00	No	2010-02-17 00:00:00	None	FTR AE	None	15300	15300	0	15300	0	None	6CWG11	N	CA00193143	C	SFY2009-10
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-01-21 00:00:00	120006812	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-09-11 08:20:00	2009-09-11 08:20:00	No	2010-02-11 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	OL5F11	N	CA00203406	B	SFY2009-10
120001464	SIERRA VIEW MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-01-21 00:00:00	120006813	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-10-02 00:00:00	2009-10-02 00:00:00	No	2010-02-11 00:00:00	None	FTR AE	None	900	900	0	900	0	None	DVCI11	N	CA00205106	C	SFY2009-10
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-09-23 00:00:00	120006892	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-09-15 00:00:00	2009-09-15 00:00:00	No	2010-12-15 00:00:00	None	AP BR	None	60000	60000	-15000	45000	0	None	2BWN11	None	CA00200065	B	SFY2010-11
120000336	ADVENTIST HEALTH DELANO	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-09-23 00:00:00	120007267	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-10-14 00:00:00	2009-10-14 00:00:00	No	2010-12-15 00:00:00	None	AP BR	None	60000	60000	-15000	45000	0	None	LOL411	None	CA00207243	B	SFY2010-11
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-09-23 00:00:00	120007268	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2009-10-31 00:00:00	2009-10-31 00:00:00	No	2010-10-14 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	WOYN11	None	CA00209743	B	SFY2010-11
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-05-28 00:00:00	120007270	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach of IT system theft/loss of edevice/med rec	None	2009-10-31 00:00:00	2009-10-31 00:00:00	No	2010-06-21 00:00:00	None	FTR RES	None	2000	2000	-500	1500	0	None	WOYN11	None	CA00209743	B	SFY2009-10
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2011-07-21 00:00:00	120008400	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE14 - Maternal death/disab due to labor/del/post	None	2010-12-17 00:00:00	2010-12-17 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	E81511	Y	CA00253068	C	SFY2011-12
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2011-07-21 00:00:00	120008406	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE15 - Death/disability directly related to hypoglycemia	None	2011-04-18 00:00:00	2011-04-18 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	81GR11	N	CA00267654	C	SFY2011-12
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2013-09-23 00:00:00	120009442	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE07 - Use of device other than as intended	None	2010-03-16 00:00:00	2010-03-16 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	FDOJ11	Y	CA00221802	B	SFY2013-14
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2015-06-08 00:00:00	120011533	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-04-16 00:00:00	2014-04-16 00:00:00	No	2015-06-29 00:00:00	None	AP NON-IJ	None	5000	5000	0	5000	0	None	9O8411	N	CA00437543	B	SFY2014-15
120001467	ADVENTIST HEALTH TULARE	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2015-08-18 00:00:00	120011674	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2015-05-05 00:00:00	2015-05-05 00:00:00	No	2015-09-11 00:00:00	None	AP NON-IJ	None	11812	11812	0	11812	0	None	7V2Q11	N	CA00442091	B	SFY2015-16
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2015-09-17 00:00:00	120011727	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2011-12-04 00:00:00	2011-12-04 00:00:00	No	2015-10-08 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	SVN211	N	CA00295152	B	SFY2015-16
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2015-09-28 00:00:00	120011748	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-08-11 00:00:00	2010-08-11 00:00:00	No	2015-10-19 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	55PT11	N	CA00359400	B	SFY2015-16
120000426	PHYSICIANS PLAZA SURGICAL CENTER	Non-LTC	ASC	Surgical Clinic	Bakersfield	2015-09-30 00:00:00	120011763	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2013-01-24 00:00:00	2013-01-24 00:00:00	Yes	2015-10-21 00:00:00	2015-10-09 00:00:00	FTR AE	None	13500	13500	-500	13000	0	None	2RQ311	N	CA00358859	B	SFY2015-16
120000409	RIDGECREST REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-01-11 00:00:00	120011845	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-01-04 00:00:00	2014-01-04 00:00:00	No	2016-02-02 00:00:00	None	AP BR	None	2550	2550	-637.5	1912.5	0	None	16ZQ11	None	CA00390447	B	SFY2015-16
120000409	RIDGECREST REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-01-11 00:00:00	120011846	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2014-01-04 00:00:00	2014-01-04 00:00:00	No	2016-02-02 00:00:00	None	FTR BR	None	1600	1600	0	1600	0	None	16ZQ11	None	CA00390447	B	SFY2015-16
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-01-11 00:00:00	120011848	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-12-07 00:00:00	2014-12-07 00:00:00	Yes	2016-02-02 00:00:00	2018-01-18 00:00:00	AP BR	AP BR	7500	5625	0	5625	0	None	NB6U11	None	CA00423333	B	SFY2015-16
120001471	FAMILY HEALTHCARE NETWORK	Non-LTC	COMTYC	Primary Care Clinic	Bakersfield	2016-02-03 00:00:00	120011851	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-08-11 00:00:00	2014-08-11 00:00:00	No	2016-02-25 00:00:00	None	AP BR	None	12750	12750	-3187.5	9562.5	0	None	97E311	None	CA00409572	B	SFY2015-16
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-01-11 00:00:00	120011852	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-04-08 00:00:00	2015-04-08 00:00:00	No	2016-02-02 00:00:00	None	AP BR	None	12750	12750	-3187.5	9562.5	0	None	LRT811	None	CA00438945, CA00440954	B, B	SFY2015-16
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-04-06 00:00:00	120012168	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2014-12-19 00:00:00	2014-12-19 00:00:00	Yes	2016-04-27 00:00:00	2016-04-19 00:00:00	AP NON-IJ	AP NON-IJ	15750	11000	0	11000	0	None	KSFD11	N	CA00467713	C	SFY2015-16
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-05-18 00:00:00	120012269	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-02-04 00:00:00	2016-02-04 00:00:00	No	2016-06-09 00:00:00	None	AP NON-IJ	None	15000	15000	0	15000	0	None	9YPN11	N	CA00475632	B	SFY2015-16
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-06-02 00:00:00	120012306	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-02-01 00:00:00	2016-02-01 00:00:00	No	2016-06-23 00:00:00	None	AP NON-IJ	None	17250	17250	0	17250	0	None	1UZN11	N	CA00478148	B	SFY2015-16
120001467	ADVENTIST HEALTH TULARE	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-06-21 00:00:00	120012342	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-02-03 00:00:00	2016-02-03 00:00:00	No	2016-07-13 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	2JW311	N	CA00486248	B	SFY2015-16
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-08-02 00:00:00	120012483	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-03-12 00:00:00	2016-03-12 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	L94R11	N	CA00480900	A	SFY2016-17
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-09-27 00:00:00	120012587	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-06-22 00:00:00	2016-06-22 00:00:00	No	2016-10-20 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	2RIF11	N	CA00493273	B	SFY2016-17
120001467	ADVENTIST HEALTH TULARE	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-10-04 00:00:00	120012616	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-09-16 00:00:00	2015-09-16 00:00:00	No	2016-10-25 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	8VWF11	N	CA00488455	B	SFY2016-17
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-10-12 00:00:00	120012649	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-06-22 00:00:00	2016-06-22 00:00:00	No	2016-11-02 00:00:00	None	AP NON-IJ	None	14025	14025	0	14025	0	None	UCJ811	N	CA00493511	B	SFY2016-17
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2017-01-30 00:00:00	120012925	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE07 - Use of device other than as intended	None	2016-11-29 00:00:00	2016-11-29 00:00:00	No	2017-02-21 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	5WYU11	N	CA00513448	B	SFY2016-17
120001467	ADVENTIST HEALTH TULARE	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2017-03-02 00:00:00	120013012	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-09-16 00:00:00	2015-09-16 00:00:00	No	2017-03-23 00:00:00	None	FTR AE	None	21900	21900	0	21900	0	None	8VWF11	N	CA00488455	B	SFY2016-17
120001653	FAMILY HEALTHCARE NETWORK	Non-LTC	COMTYC	Primary Care Clinic	Bakersfield	2017-06-14 00:00:00	120013016	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2016-06-23 00:00:00	2016-06-23 00:00:00	No	2017-07-07 00:00:00	None	AP BR	None	25000	25000	-25000	0	0	None	WBIM11	None	CA00497267	C	SFY2016-17
120001467	ADVENTIST HEALTH TULARE	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2017-04-20 00:00:00	120013140	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-09-29 00:00:00	2016-09-29 00:00:00	No	2017-05-11 00:00:00	None	AP NON-IJ	None	16537	16537	0	16537	0	None	5S0P11	N	CA00507101	B	SFY2016-17
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2017-06-05 00:00:00	120013253	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Surgical Error - RFO	2017-02-04 00:00:00	2017-02-04 00:00:00	No	2017-06-26 00:00:00	None	AP NON-IJ	None	12375	12375	0	12375	0	None	TQQO11	N	CA00529170	B	SFY2016-17
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2017-06-06 00:00:00	120013262	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	RFO	2017-03-17 00:00:00	2017-03-17 00:00:00	Yes	2017-06-27 00:00:00	2017-06-19 00:00:00	AP NON-IJ	AP NON-IJ	14025	10000	0	10000	0	None	S5C411	N	CA00527601	B	SFY2016-17
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2017-06-13 00:00:00	120013279	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Retained Foreign Object	2017-03-01 00:00:00	2017-03-01 00:00:00	Yes	2017-07-05 00:00:00	2017-06-23 00:00:00	AP NON-IJ	AP NON-IJ	11250	9000	0	9000	0	None	GTRJ11	N	CA00532765	B	SFY2016-17
120000336	ADVENTIST HEALTH DELANO	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2018-03-14 00:00:00	120013904	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-05-22 00:00:00	2008-05-22 00:00:00	No	2018-04-04 00:00:00	None	FTR AE	None	11700	11700	0	11700	0	None	BYDW11	N	CA00546313	B	SFY2017-18
630016214	FAMILY HEALTHCARE NETWORK	Non-LTC	COMTYC	Primary Care Clinic	Bakersfield	2018-03-29 00:00:00	120014037	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-09-30 00:00:00	2017-09-30 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	XT5H11	None	CA00560339	D	SFY2017-18
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2018-07-10 00:00:00	120014229	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE27 - Death/injury from a physical assault	None	2018-02-27 00:00:00	2018-02-27 00:00:00	No	2018-12-28 00:00:00	None	AP IJ	None	51975	51975	0	51975	0	None	3JEQ11	N	CA00576420	A	SFY2018-19
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2018-08-03 00:00:00	120014314	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-12-02 00:00:00	2017-12-02 00:00:00	No	2018-12-28 00:00:00	None	AP IJ	None	31350	31350	0	31350	0	None	Z6DS11	N	CA00565272	B	SFY2018-19
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2018-12-06 00:00:00	120014635	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-07-26 00:00:00	2018-07-26 00:00:00	No	2018-12-28 00:00:00	None	AP NON-IJ	None	12120	12120	0	12120	0	None	QVFV11	N	CA00597776, CA00597776	B, B	SFY2018-19
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2018-12-28 00:00:00	120014695	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-04-03 00:00:00	2018-04-03 00:00:00	No	2019-04-11 00:00:00	None	AP IJ	None	34650	34650	0	34650	0	None	SE7U11	N	CA00584143	B	SFY2018-19
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2019-05-03 00:00:00	120015039	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-08-16 00:00:00	2018-08-16 00:00:00	No	2019-07-09 00:00:00	None	AP IJ	None	83250	83250	0	83250	0	None	NL2W11	N	CA00600791	B	SFY2018-19
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2019-05-07 00:00:00	120015042	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2018-07-26 00:00:00	2018-07-26 00:00:00	No	2019-05-28 00:00:00	None	AP NON-IJ	None	4040	4040	0	4040	0	None	6OST11	N	CA00598271	B	SFY2018-19
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2019-05-10 00:00:00	120015062	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-11-13 00:00:00	2018-11-13 00:00:00	No	2019-05-31 00:00:00	None	AP NON-IJ	None	5250	5250	0	5250	0	None	DQDU11	N	CA00612431	B	SFY2018-19
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2019-07-01 00:00:00	120015210	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-10-15 00:00:00	2018-10-15 00:00:00	No	2019-07-22 00:00:00	None	AP NON-IJ	None	15000	15000	0	15000	0	None	D1NZ11	N	CA00609147	A	SFY2019-20
120001464	SIERRA VIEW MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2019-09-04 00:00:00	120015364	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE14 - Maternal death/disab due to labor/del/post	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	71962.5	71962.5	0	71962.5	0	None	O5ZX11	Y	CA00625350	B	SFY2019-20
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2019-09-30 00:00:00	120015423	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-02-26 00:00:00	2019-02-26 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	44400	44400	0	44400	0	None	Q4UT11	N	CA00631677	B	SFY2019-20
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2019-11-06 00:00:00	120015518	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-09-13 00:00:00	2019-09-13 00:00:00	Yes	2019-11-27 00:00:00	2019-12-02 00:00:00	AP NON-IJ	None	15000	15000	0	0	15000	None	Y6LE11	N	CA00655647	B	SFY2019-20
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2020-01-21 00:00:00	120015700	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-06-17 00:00:00	2019-06-17 00:00:00	No	2020-02-11 00:00:00	None	AP IJ	None	31350	31350	0	31350	0	None	MPSC11	N	CA00642727	B	SFY2019-20
120001330	BAKERSFIELD HEART HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2020-11-03 00:00:00	120016133	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-07-10 00:00:00	2019-07-10 00:00:00	No	2020-11-25 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	N3RT11	N	CA00655161, CA00655161	B, B	SFY2020-21
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2020-12-10 00:00:00	120016191	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2020-01-09 00:00:00	2020-01-09 00:00:00	No	2021-01-04 00:00:00	None	AP IJ	None	86650	86650	0	86650	0	None	IPCB11	N	CA00671664	B	SFY2020-21
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2021-03-18 00:00:00	120016353	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2019-12-28 00:00:00	2019-12-28 00:00:00	Yes	2021-04-09 00:00:00	2021-03-31 00:00:00	AP IJ	None	72000	72000	0	72000	0	None	COXR11	Y	CA00670703, CA00672301	B, A	SFY2020-21
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2021-05-28 00:00:00	120016555	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-03-05 00:00:00	2020-03-05 00:00:00	No	2021-06-21 00:00:00	None	AP NON-IJ	None	13200	13200	0	0	13200	None	3E8611	N	CA00680161	B	SFY2020-21
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2021-07-21 00:00:00	120016738	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2020-07-01 00:00:00	2020-07-01 00:00:00	No	2021-08-11 00:00:00	None	FTR AE	None	13000	13000	0	13000	0	None	0LTJ11	Y	CA00712358	B	SFY2021-22
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2021-09-02 00:00:00	120016823	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2020-01-17 00:00:00	2020-01-17 00:00:00	No	2021-09-24 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	Y3VM11	Y	CA00672290, CA00673507	B, A	SFY2021-22
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2022-03-17 00:00:00	120017502	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2020-09-11 00:00:00	2020-09-11 00:00:00	No	2022-04-08 00:00:00	None	AP IJ	None	66600	66600	0	66600	0	None	IZ4M11	N	CA00714930, CA00736699	B, B	SFY2021-22
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2022-07-01 00:00:00	120017758	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2021-11-11 00:00:00	2021-11-11 00:00:00	No	2022-07-25 00:00:00	None	AP IJ	None	57750	57750	0	57750	0	None	WCK411	N	CA00765460, CA00770995	B, B	SFY2022-23
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2022-10-10 00:00:00	120018068	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2022-01-25 00:00:00	2022-01-25 00:00:00	No	2022-10-31 00:00:00	None	AP NON-IJ	None	12000	12000	0	0	12000	None	ETF011	N	CA00771379	B	SFY2022-23
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2022-10-13 00:00:00	120018077	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2020-07-01 00:00:00	2020-07-01 00:00:00	No	2022-11-03 00:00:00	None	AP IJ	None	49500	49500	0	49500	0	None	Y37B11	N	CA00774271	B	SFY2022-23
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2022-10-19 00:00:00	120018097	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2022-01-29 00:00:00	2022-01-29 00:00:00	No	2022-11-09 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	ZWWM11	N	CA00771956	B	SFY2022-23
120001464	SIERRA VIEW MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2021-03-12 00:00:00	120018559	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-10-26 00:00:00	2017-10-26 00:00:00	Yes	2023-05-03 00:00:00	2023-04-17 00:00:00	AP BR	None	15000	15000	0	15000	0	None	YWPM11	None	CA00563413	D	SFY2020-21
120000409	RIDGECREST REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2021-01-28 00:00:00	120018734	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-09-01 00:00:00	2017-09-01 00:00:00	No	2023-06-08 00:00:00	None	AP BR	None	82500	82500	-20625	61875	0	None	QZU011	None	CA00565537	C	SFY2020-21
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-05-17 00:00:00	120018754	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2022-02-05 00:00:00	2022-02-05 00:00:00	No	2023-06-08 00:00:00	None	AP IJ	None	31635	31635	0	31635	0	None	JWD711	N	CA00790107	B	SFY2022-23
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-05-17 00:00:00	120018762	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2022-02-05 00:00:00	2022-02-05 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	13800	13800	0	13800	0	None	JWD711	N	CA00790107	B	SFY2022-23
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-05-26 00:00:00	120018798	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-09-13 00:00:00	2022-09-13 00:00:00	No	2023-06-19 00:00:00	None	AP IJ	None	44887.5	44887.5	0	44887.5	0	None	QFMO11	N	CA00805322	B	SFY2022-23
120000409	RIDGECREST REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-06-14 00:00:00	120018859	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-11-17 00:00:00	2022-11-17 00:00:00	Yes	2023-07-06 00:00:00	2023-07-06 00:00:00	AP IJ	Drop>Deficiency	49500	25000	0	25000	0	None	NM5C11	N	CA00812467, CA00812467	B, B	SFY2022-23
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-07-03 00:00:00	120018880	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-02-27 00:00:00	2023-02-27 00:00:00	No	2023-07-25 00:00:00	None	AP NON-IJ	None	15000	15000	0	0	15000	None	O4Q711	N	CA00828942	B	SFY2023-24
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-05-16 00:00:00	120018967	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2020-11-11 00:00:00	2020-11-11 00:00:00	No	2023-08-16 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	MWXT11	None	CA00728403	D	SFY2022-23
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-08-10 00:00:00	120019045	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-01-06 00:00:00	2022-01-06 00:00:00	Yes	2023-08-31 00:00:00	2023-11-07 00:00:00	AP IJ	None	125000	125000	0	0	125000	None	CJTV11	Y	CA00769103, CA00769103	B, B	SFY2023-24
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-08-28 00:00:00	120019103	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2023-02-24 00:00:00	2023-02-24 00:00:00	No	2023-09-20 00:00:00	None	AP NON-IJ	None	16500	16500	0	0	16500	None	UV3L11	N	CA00828339	B	SFY2023-24
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-10-03 00:00:00	120019215	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2023-02-27 00:00:00	2023-02-27 00:00:00	No	2023-10-24 00:00:00	None	AP IJ	None	75750	75750	0	75750	0	None	0R8T11	N	CA00829673	B	SFY2023-24
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-10-06 00:00:00	120019236	Closed	Administrative Penalty	None	A1 - Critical Care	None	2023-06-02 00:00:00	2023-06-02 00:00:00	Yes	2023-10-16 00:00:00	2023-11-27 00:00:00	NP	None	15000	15000	0	15000	0	None	F12L11	N	CA00845493, CA00848660, CA00848768	B, B, B	SFY2023-24
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-10-17 00:00:00	120019259	Closed	Administrative Penalty	None	A1 - Critical Care	None	2023-06-10 00:00:00	2023-06-10 00:00:00	Yes	2023-10-27 00:00:00	2023-11-27 00:00:00	NP	None	30000	30000	0	30000	0	None	W4B211	N	CA00846765, CA00846767, CA00848717, CA00853168	B, B, B, B	SFY2023-24
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-10-31 00:00:00	120019322	Closed	Administrative Penalty	None	A1 - Critical Care	None	2023-06-28 00:00:00	2023-06-28 00:00:00	Yes	2023-11-10 00:00:00	2023-11-27 00:00:00	NP	None	30000	30000	0	30000	0	None	NU4Q11	N	CA00848210, CA00848214	B, B	SFY2023-24
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-11-03 00:00:00	120019340	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-07-22 00:00:00	2023-07-22 00:00:00	Yes	2023-11-29 00:00:00	2023-11-27 00:00:00	AP IJ	None	30000	30000	0	30000	0	None	GBN111	N	CA00851870	B	SFY2023-24
120001444	KAWEAH HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-11-08 00:00:00	120019343	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-04-18 00:00:00	2023-04-18 00:00:00	No	2023-12-04 00:00:00	None	AP NON-IJ	None	14250	14250	0	14250	0	None	4WS711	N	CA00837559	B	SFY2023-24
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-11-17 00:00:00	120019384	Closed	Administrative Penalty	None	A1 - Critical Care	None	2023-04-09 00:00:00	2023-04-09 00:00:00	Yes	2023-11-27 00:00:00	2023-11-27 00:00:00	NP	None	30000	30000	0	30000	0	None	QOFM11	N	CA00835679	B	SFY2023-24
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-11-17 00:00:00	120019386	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-01-09 00:00:00	2023-01-09 00:00:00	Yes	2023-12-12 00:00:00	2023-11-27 00:00:00	AP NON-IJ	AP NON-IJ	16500	14850	0	14850	0	None	VHCW11	N	CA00829272	B	SFY2023-24
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-11-28 00:00:00	120019413	Closed	Administrative Penalty	None	A1 - Critical Care	None	2023-07-13 00:00:00	2023-07-13 00:00:00	Yes	2023-12-08 00:00:00	2023-12-01 00:00:00	NP	None	30000	30000	0	30000	0	None	G84211	N	CA00849532, CA00851652, CA00851652	B, A, A	SFY2023-24
120000342	KERN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-12-08 00:00:00	120019455	Closed	Administrative Penalty	None	A5 - Combined Labor/Delivery/Postpartum	None	2023-07-01 00:00:00	2023-07-01 00:00:00	Yes	2023-12-18 00:00:00	2023-12-11 00:00:00	NP	None	30000	30000	0	30000	0	None	BIS911	N	CA00849540	B	SFY2023-24
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2024-01-10 00:00:00	120019585	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-08-26 00:00:00	2022-08-26 00:00:00	No	2024-01-31 00:00:00	None	AP IJ	None	58875	58875	0	58875	0	None	9SG811	Y	CA00800754	B	SFY2023-24
120000338	BAKERSFIELD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2024-02-02 00:00:00	120019692	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2023-08-01 00:00:00	2023-08-01 00:00:00	No	2024-02-23 00:00:00	None	AP NON-IJ	None	15750	15750	0	15750	0	None	706611	N	CA00854481	B	SFY2023-24
120000411	ADVENTIST HEALTH BAKERSFIELD	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-11-21 00:00:00	120019992	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2020-03-01 00:00:00	2020-03-01 00:00:00	No	2024-05-22 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	CM0E11	None	CA00707914	C	SFY2023-24
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2024-05-10 00:00:00	120020159	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-08-29 00:00:00	2023-08-29 00:00:00	No	2024-06-03 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	MDEH11	N	CA00859013	B	SFY2023-24
170001888	CALIFORNIA MENS COLONY	Non-LTC	GACH	General Acute Care Hospital	State Facilities Section	2011-04-21 00:00:00	150008180	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2009-10-20 00:00:00	2009-10-20 00:00:00	Yes	2011-09-30 00:00:00	2011-09-16 00:00:00	AP IJ	AP IJ	50000	30000	0	30000	0	None	XQR411	N	CA00213590, CA00213591, CA00213591	C, C, C	SFY2010-11
930000089	KINDRED HOSPITAL - LA MIRADA	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-05-04 00:00:00	150012223	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-09-04 00:00:00	2015-09-04 00:00:00	No	2016-05-25 00:00:00	None	AP NON-IJ	None	12500	12500	0	12500	0	None	YJHE11	N	CA00457624	B	SFY2015-16
170001873	LA COUNTY SHERIFF'S DEPT TWIN TOWERS CTC	Non-LTC	CTC	Correctional Treatment Center	State Facilities Section	2012-02-24 00:00:00	170008792	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2010-09-23 00:00:00	2010-09-23 00:00:00	No	2013-07-26 00:00:00	None	AP BR	None	42500	42500	0	42500	0	None	R0M711	None	CA00247036	C	SFY2011-12
170001873	LA COUNTY SHERIFF'S DEPT TWIN TOWERS CTC	Non-LTC	CTC	Correctional Treatment Center	State Facilities Section	2012-02-24 00:00:00	170008794	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2010-09-23 00:00:00	2010-09-23 00:00:00	No	2012-03-16 00:00:00	None	FTR BR	None	2500	2500	0	2500	0	None	R0M711	None	CA00247036	C	SFY2011-12
170001873	LA COUNTY SHERIFF'S DEPT TWIN TOWERS CTC	Non-LTC	CTC	Correctional Treatment Center	State Facilities Section	2012-02-24 00:00:00	170008795	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2010-09-23 00:00:00	2010-09-23 00:00:00	No	2012-03-16 00:00:00	None	FTR RES	None	2600	2600	0	2600	0	None	R0M711	None	CA00247036	C	SFY2011-12
930000026	HUNTINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-08-04 00:00:00	170012356	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE06 -Use of contaminated drug, device, or biologic	None	2015-07-16 00:00:00	2015-07-16 00:00:00	No	2016-08-25 00:00:00	None	FTR AE	None	29800	29800	0	29800	0	None	NJ4C11	N	CA00455049	A	SFY2016-17
170001858	DEPARTMENT OF STATE HOSPITALS - METROPOLITAN	Non-LTC	APH	Acute Psychiatric Hospital	State Facilities Section	2017-08-16 00:00:00	170013440	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-07-29 00:00:00	2016-07-29 00:00:00	No	2017-09-07 00:00:00	None	AP NON-IJ	None	4797	4797	0	4797	0	None	O75T11	N	CA00499071	C	SFY2017-18
630014470	CALIFORNIA HEALTH CARE FACILITY - STOCKTON	Non-LTC	CTC	Correctional Treatment Center	State Facilities Section	2021-12-03 00:00:00	170018982	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2019-04-26 00:00:00	2019-04-26 00:00:00	Yes	2023-08-30 00:00:00	2023-08-17 00:00:00	AP BR	AP BR	25000	25000	0	25000	0	None	3G4211	None	CA00635723	D	SFY2021-22
630014470	CALIFORNIA HEALTH CARE FACILITY - STOCKTON	Non-LTC	CTC	Correctional Treatment Center	State Facilities Section	2022-09-06 00:00:00	170019069	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-03-10 00:00:00	2019-03-10 00:00:00	Yes	2023-09-14 00:00:00	2023-08-29 00:00:00	AP BR	AP BR	25000	0	0	0	0	None	681Z11	None	CA00630905	C	SFY2022-23
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-10 00:00:00	170020128	Closed	Administrative Penalty	None	A10 - Telemetry	None	2023-11-29 00:00:00	2023-11-29 00:00:00	No	2024-05-20 00:00:00	None	NP	None	30000	30000	0	30000	0	None	PLZE11	N	CA00865440, CA00871989, CA00873312, CA00875565, CA00876905	B, B, B, B, B	SFY2023-24
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2007-11-09 00:00:00	220004453	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-09-21 00:00:00	2007-09-21 00:00:00	No	2007-12-05 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	HJ6K11	N	CA00109900, CA00118497	H, A	SFY2007-08
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-04-30 00:00:00	220004977	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-01-28 00:00:00	2008-01-28 00:00:00	No	2008-05-21 00:00:00	None	FTR AE	None	600	600	0	600	0	None	FHEK11	N	CA00140151	B	SFY2007-08
220000010	KAISER FOUNDATION HOSPITAL - REDWOOD CITY	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-03-19 00:00:00	220005008	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE22 - Death associated with a fall	None	2008-01-21 00:00:00	2008-01-21 00:00:00	No	2008-04-10 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	EDOK11	N	CA00140040	A	SFY2007-08
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-04-28 00:00:00	220005032	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-01-17 00:00:00	2008-01-17 00:00:00	No	2008-05-19 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	NZPR11	N	CA00140785	B	SFY2007-08
220000010	KAISER FOUNDATION HOSPITAL - REDWOOD CITY	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-07-10 00:00:00	220005223	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-04 00:00:00	2007-10-04 00:00:00	No	2008-07-31 00:00:00	None	FTR AE	None	15600	15600	0	15600	0	None	2TOH11	N	None	None	SFY2008-09
220000009	KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-07-14 00:00:00	220005229	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-04-12 00:00:00	2008-04-12 00:00:00	Yes	2008-08-04 00:00:00	2008-07-21 00:00:00	FTR AE	None	3600	3600	0	3600	0	None	C8D311	N	CA00153572	B	SFY2008-09
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-07-28 00:00:00	220005267	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-19 00:00:00	2008-05-19 00:00:00	No	2008-08-18 00:00:00	None	FTR AE	None	3500	3500	0	3500	0	None	I2EV11	N	CA00155114	B	SFY2008-09
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-07-30 00:00:00	220005279	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-12 00:00:00	2008-06-12 00:00:00	No	2008-08-20 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	NITE11	N	CA00156958	B	SFY2008-09
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-10-22 00:00:00	220005546	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-20 08:00:00	2008-08-20 08:00:00	No	2008-11-13 00:00:00	None	FTR AE	None	900	900	0	900	0	None	WCBL11	N	CA00162293	B	SFY2008-09
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-10-27 00:00:00	220005553	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-31 08:00:00	2008-07-31 08:00:00	No	2008-11-18 00:00:00	None	FTR AE	None	5800	5800	0	5800	0	None	3P3C11	N	CA00165421	B	SFY2008-09
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-10-28 00:00:00	220005555	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-19 08:00:00	2008-08-19 08:00:00	No	2008-11-19 00:00:00	None	FTR AE	None	300	300	0	300	0	None	099311	N	CA00161635	B	SFY2008-09
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-11-14 00:00:00	220005606	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-04 08:00:00	2008-08-04 08:00:00	Yes	2008-12-09 00:00:00	2008-11-24 00:00:00	FTR AE	Drop>Deficiency	300	0	0	0	0	None	60JR11	N	CA00159999	B	SFY2008-09
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-11-14 00:00:00	220005607	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-31 08:00:00	2008-07-31 08:00:00	No	2008-12-09 00:00:00	None	FTR AE	None	200	200	0	200	0	None	60JR11	N	CA00159552	B	SFY2008-09
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-11-14 00:00:00	220005611	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-17 08:00:00	2008-07-17 08:00:00	Yes	2008-12-09 00:00:00	2008-11-24 00:00:00	FTR AE	FTR AE	1400	500	0	500	0	None	60JR11	N	CA00159407	B	SFY2008-09
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-11-14 00:00:00	220005613	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-09-26 08:00:00	2008-09-26 08:00:00	No	2008-12-09 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	KCQR11	N	CA00166894	B	SFY2008-09
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-12-31 00:00:00	220005753	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-03-31 00:00:00	2008-03-31 00:00:00	No	2009-01-23 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	LTWW11	N	CA00145949	B	SFY2008-09
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-01-15 00:00:00	220005799	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-11-17 08:00:00	2008-11-17 08:00:00	No	2009-02-06 00:00:00	None	FTR AE	None	900	900	0	900	0	None	ITNL11	N	CA00170855	B	SFY2008-09
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-01-15 00:00:00	220005800	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-04-30 08:00:00	2008-04-30 08:00:00	No	2009-02-06 00:00:00	None	FTR AE	None	21800	21800	0	21800	0	None	ITNL11	N	CA00171685	B	SFY2008-09
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-01-21 00:00:00	220005814	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-11-04 08:00:00	2008-11-04 08:00:00	No	2009-02-11 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	VS0J11	N	CA00170110	B	SFY2008-09
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-01-21 00:00:00	220005815	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-11-24 08:00:00	2008-11-24 08:00:00	No	2009-02-11 00:00:00	None	FTR AE	None	500	500	0	500	0	None	WK1W11	N	CA00171166	B	SFY2008-09
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-01-21 00:00:00	220005816	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-11-13 08:00:00	2008-11-13 08:00:00	No	2009-02-11 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	WK1W11	N	CA00170730	B	SFY2008-09
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-03-19 00:00:00	220006001	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-02-01 08:00:00	2009-02-01 08:00:00	No	2009-04-10 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	HPVQ11	N	CA00178426	B	SFY2008-09
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-05-26 00:00:00	220006216	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-04-29 08:00:00	2009-04-29 08:00:00	No	2009-06-16 00:00:00	None	FTR AE	None	400	400	0	400	0	None	SRM011	N	CA00187643	C	SFY2008-09
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-07-23 00:00:00	220006416	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-12-20 12:00:00	2008-12-20 12:00:00	No	2009-08-14 00:00:00	None	FTR AE	None	300	300	0	300	0	None	LTNL11	N	CA00136169	B	SFY2009-10
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-09-10 00:00:00	220006545	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-09-08 00:00:00	2008-09-08 00:00:00	No	2009-10-01 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	1TVD11	N	CA00172409	B	SFY2009-10
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-10-30 00:00:00	220006673	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2008-09-24 00:00:00	2008-09-24 00:00:00	No	2009-11-23 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	6LE511	N	CA00164578	B	SFY2009-10
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-12-23 00:00:00	220006775	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-07-09 08:00:00	2009-07-09 08:00:00	No	2010-01-19 00:00:00	None	FTR BR	None	3800	3800	-950	2850	0	None	GP7W11	None	CA00199522	C	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-12-16 00:00:00	220006799	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-27 08:00:00	2009-10-27 08:00:00	No	2010-01-08 00:00:00	None	FTR BR	None	100	100	0	100	0	None	D6DY11	None	CA00206935	C	SFY2009-10
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-01-20 00:00:00	220006845	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-11-26 08:00:00	2009-11-26 08:00:00	No	2010-02-10 00:00:00	None	FTR AE	None	300	300	0	300	0	None	1OCE11	N	CA00210434	C	SFY2009-10
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-12-24 00:00:00	220006852	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-08-13 08:00:00	2009-08-13 08:00:00	No	2010-01-20 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	MSKF11	None	CA00199518	C	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-01-13 00:00:00	220006913	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-12 08:00:00	2009-11-12 08:00:00	No	2010-02-05 00:00:00	None	FTR BR	None	3000	3000	-750	2250	0	None	61LX11	None	CA00211967	C	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-01-14 00:00:00	220006918	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-08 08:00:00	2009-10-08 08:00:00	No	2010-02-08 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	B5K211	None	CA00205218	C	SFY2009-10
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-03-08 00:00:00	220006962	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-04-14 00:00:00	2009-04-14 00:00:00	No	2010-12-08 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	HW5G11	N	CA00191275	C	SFY2009-10
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-03-08 00:00:00	220006963	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-07-15 00:00:00	2009-07-15 00:00:00	No	2010-12-08 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	ACMC11	N	CA00198637	C	SFY2009-10
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-04-07 00:00:00	220007107	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-12-14 00:00:00	2009-12-14 00:00:00	Yes	2011-06-24 00:00:00	2011-06-06 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	IVRX11	N	CA00213018	C	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-04-19 00:00:00	220007140	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-01-04 08:00:00	2010-01-04 08:00:00	No	2010-05-10 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	TSBN11	None	CA00215069	C	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-04-20 00:00:00	220007143	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE15 - Death/disability directly related to hypoglycemia	None	2009-05-18 08:00:00	2009-05-18 08:00:00	No	2010-05-13 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	U8RI11	N	CA00192277	C	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-04-27 00:00:00	220007163	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-05-21 08:00:00	2008-05-21 08:00:00	No	2010-05-18 00:00:00	None	FTR AE	None	7300	7300	0	7300	0	None	SSKO11	N	CA00160164	B	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-04-29 00:00:00	220007165	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-05-19 00:00:00	2008-05-19 00:00:00	Yes	2010-05-20 00:00:00	2010-11-22 00:00:00	AP IJ	AP IJ	25000	25000	0	25000	0	None	SSKO11	N	CA00160164	B	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-05-12 00:00:00	220007198	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-10-08 00:00:00	2008-10-08 00:00:00	Yes	2010-06-01 00:00:00	2010-11-22 00:00:00	AP IJ	AP IJ	25000	25000	0	25000	0	None	YRHG11	N	CA00166278	B	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-05-13 00:00:00	220007219	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-08-24 08:00:00	2009-08-24 08:00:00	No	2010-06-07 00:00:00	None	FTR BR	None	3000	3000	-750	2250	0	None	70C911	None	CA00203283	C	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-05-13 00:00:00	220007220	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-05 08:00:00	2009-10-05 08:00:00	No	2010-06-07 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	70C911	None	CA00204735	C	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-05-13 00:00:00	220007221	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-19 08:00:00	2009-11-19 08:00:00	No	2010-06-07 00:00:00	None	FTR BR	None	1300	1300	-325	975	0	None	VV6K11	None	CA00210637	C	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-05-28 00:00:00	220007269	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-03-15 08:00:00	2009-03-15 08:00:00	No	2010-06-21 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	L6OC11	N	CA00183546	B	SFY2009-10
220000026	AHMC SETON MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-01 00:00:00	220007275	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-01-22 08:00:00	2009-01-22 08:00:00	No	2010-06-22 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	026G11	N	CA00177116	B	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-01 00:00:00	220007276	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-12-11 08:00:00	2009-12-11 08:00:00	Yes	2010-06-22 00:00:00	2010-06-11 00:00:00	FTR BR	FTR BR	4900	4900	0	4900	0	None	O5WT11	None	CA00220643	C	SFY2009-10
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-02 00:00:00	220007277	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-01-05 08:00:00	2010-01-05 08:00:00	No	2010-06-25 00:00:00	None	FTR BR	None	2300	2300	0	2300	0	None	H0YF11	None	CA00217148	C	SFY2009-10
220000008	KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-09 00:00:00	220007288	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-01-01 00:00:00	2009-01-01 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	RTK611	N	CA00173737	B	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-09 00:00:00	220007306	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-02-02 08:00:00	2010-02-02 08:00:00	No	2010-07-01 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	FDZS11	None	CA00218400	C	SFY2009-10
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-15 00:00:00	220007311	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-05-26 08:00:00	2009-05-26 08:00:00	No	2010-07-06 00:00:00	None	FTR AE	None	200	200	0	200	0	None	EWKZ11	N	CA00190494	C	SFY2009-10
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-17 00:00:00	220007315	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-02-12 08:00:00	2009-02-12 08:00:00	No	2010-07-08 00:00:00	None	FTR AE	None	5900	5900	0	5900	0	None	ZXW511	N	CA00185285	C	SFY2009-10
220000007	SAN MATEO MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-22 00:00:00	220007320	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2010-03-30 00:00:00	2010-03-30 00:00:00	No	2013-05-09 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	6QEU11	N	CA00223807	A	SFY2009-10
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-23 00:00:00	220007331	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-03-03 00:00:00	2009-03-03 00:00:00	Yes	2010-07-14 00:00:00	2010-12-09 00:00:00	AP BR	AP BR	250000	187500	0	187500	0	None	XKVN11	None	CA00179966	C	SFY2009-10
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-07-01 00:00:00	220007352	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-15 08:00:00	2010-05-15 08:00:00	No	2010-07-22 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	FFEK11	None	CA00230550	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-07-15 00:00:00	220007386	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-05-31 08:00:00	2010-05-31 08:00:00	No	2010-08-05 00:00:00	None	FTR AE	None	500	500	0	500	0	None	554U11	N	CA00231964	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-07-14 00:00:00	220007387	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-25 08:00:00	2010-05-25 08:00:00	No	2010-08-05 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	554U11	None	CA00231970	C	SFY2010-11
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-07-16 00:00:00	220007396	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-03-29 08:00:00	2010-03-29 08:00:00	No	2010-08-09 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	MOKH11	None	CA00224616	B	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-06-27 00:00:00	220007398	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2009-12-11 00:00:00	2009-12-11 00:00:00	Yes	2012-10-01 00:00:00	2012-09-13 00:00:00	AP BR	AP IJ	245100	95100	0	95100	0	None	O5WT11	None	CA00220643	C	SFY2010-11
220000033	LANGLEY PORTER PSYCHIATRIC INSTITUTE	Non-LTC	APH	Acute Psychiatric Hospital	San Francisco	2010-07-19 00:00:00	220007404	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-17 08:00:00	2010-05-17 08:00:00	No	2010-08-10 00:00:00	None	FTR BR	None	100	100	0	100	0	None	345P11	None	CA00230074	C	SFY2010-11
220000009	KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-08-16 00:00:00	220007416	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2009-08-24 00:00:00	2009-08-24 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	XMV011	N	None	None	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-08-04 00:00:00	220007467	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-02-19 00:00:00	2010-02-19 00:00:00	Yes	2011-10-03 00:00:00	2011-09-14 00:00:00	AP IJ	AP IJ	50000	37500	0	37500	0	None	UN0V11	N	CA00218897	C	SFY2010-11
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-08-24 00:00:00	220007517	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-04-09 08:00:00	2010-04-09 08:00:00	No	2010-09-28 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	1ZDW11	N	CA00226695	B	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-09-03 00:00:00	220007519	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-19 08:00:00	2010-05-19 08:00:00	No	2010-09-28 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	Y6UY11	None	CA00230531	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-10-20 00:00:00	220007653	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-07-09 08:00:00	2010-07-09 08:00:00	No	2010-11-10 00:00:00	None	FTR BR	None	3200	3200	0	3200	0	None	M3OY11	None	CA00239647	B	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-10-20 00:00:00	220007654	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-08-18 08:00:00	2010-08-18 08:00:00	No	2010-11-10 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	M3OY11	None	CA00240849	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-10-28 00:00:00	220007683	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-04-08 08:00:00	2010-04-08 08:00:00	No	2010-11-19 00:00:00	None	FTR AE	None	600	600	0	600	0	None	66FR11	N	CA00225884	B	SFY2010-11
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-11-03 00:00:00	220007701	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-04-13 08:00:00	2010-04-13 08:00:00	No	2010-11-29 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	P0L411	N	CA00228205	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-11-03 00:00:00	220007703	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-01-20 08:00:00	2010-01-20 08:00:00	No	2010-11-29 00:00:00	None	FTR BR	None	800	800	0	800	0	None	OMQ211	None	CA00217356	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-11-04 00:00:00	220007705	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-01-20 08:00:00	2010-01-20 08:00:00	No	2010-11-30 00:00:00	None	FTR BR	None	900	900	0	900	0	None	OMQ211	None	CA00217356	C	SFY2010-11
220000003	CHINESE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-01-26 00:00:00	220007873	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-11-19 08:00:00	2010-11-19 08:00:00	No	2011-02-16 00:00:00	None	FTR AE	None	200	200	0	200	0	None	HCUX11	N	CA00250924	C	SFY2010-11
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-01-27 00:00:00	220007881	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-09-03 08:00:00	2010-09-03 08:00:00	No	2011-02-17 00:00:00	None	FTR BR	None	1400	1400	0	1400	0	None	XMUU11	None	CA00244587	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-02-04 00:00:00	220007903	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-08-25 08:00:00	2010-08-25 08:00:00	No	2011-02-28 00:00:00	None	FTR BR	None	600	600	0	600	0	None	TOUM11	None	CA00244189	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-02-01 00:00:00	220007908	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-09-08 08:00:00	2010-09-08 08:00:00	No	2011-02-23 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	VGPM11	N	CA00244514	B	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-08-11 00:00:00	220007923	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-11-05 17:54:00	2010-11-05 17:54:00	No	2011-09-01 00:00:00	None	FTR BR	None	5300	5300	-1325	3975	0	None	MENF11	None	CA00254967	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-02-18 00:00:00	220007956	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-12-24 08:00:00	2010-12-24 08:00:00	No	2011-03-14 00:00:00	None	FTR AE	None	600	600	0	600	0	None	3KVS11	N	CA00254437	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-02-18 00:00:00	220007957	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-12-27 08:00:00	2010-12-27 08:00:00	No	2011-03-14 00:00:00	None	FTR AE	None	400	400	0	400	0	None	3KVS11	N	CA00254439	C	SFY2010-11
220000008	KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-21 00:00:00	220007960	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-02-06 00:00:00	2010-02-06 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	K96B11	N	CA00217978	C	SFY2011-12
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-03-04 00:00:00	220008001	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2011-01-03 00:00:00	2011-01-03 00:00:00	No	2014-02-10 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	IV7511	None	CA00255005	C	SFY2010-11
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-03-07 00:00:00	220008008	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-01-12 08:00:00	2011-01-12 08:00:00	No	2011-03-28 00:00:00	None	FTR BR	None	800	800	0	800	0	None	S85T11	None	CA00257400	C	SFY2010-11
220000010	KAISER FOUNDATION HOSPITAL - REDWOOD CITY	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2007-08-30 00:00:00	220008033	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-08-16 08:00:00	2007-08-16 08:00:00	No	2007-09-21 00:00:00	None	FTR AE	None	700	700	0	700	0	None	SWFX11	N	CA00124772	C	SFY2007-08
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2007-10-19 00:00:00	220008035	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-08-04 08:00:00	2007-08-04 08:00:00	No	2007-11-09 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	9C1I11	N	CA00140785	B	SFY2007-08
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2007-08-22 00:00:00	220008043	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-08-08 08:00:00	2007-08-08 08:00:00	No	2007-09-13 00:00:00	None	FTR AE	None	400	400	0	400	0	None	IXG211	N	CA00123755	B	SFY2007-08
220000018	CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2007-10-31 00:00:00	220008045	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-09-21 08:00:00	2007-09-21 08:00:00	No	2007-11-26 00:00:00	None	FTR AE	None	900	900	0	900	0	None	I1C211	N	CA00128604	C	SFY2007-08
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2007-11-20 00:00:00	220008047	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-10-18 08:00:00	2007-10-18 08:00:00	No	2007-12-13 00:00:00	None	FTR AE	None	300	300	0	300	0	None	04ZL11	N	CA00130473	C	SFY2007-08
220000018	CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2007-10-31 00:00:00	220008048	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-09-25 08:00:00	2007-09-25 08:00:00	No	2007-11-26 00:00:00	None	FTR AE	None	500	500	0	500	0	None	I1C211	N	CA00128609	C	SFY2007-08
220000008	KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-03-28 00:00:00	220008051	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE15 - Death/disability directly related to hypoglycemia	None	2010-06-12 00:00:00	2010-06-12 00:00:00	No	2012-09-20 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	KLLX11	Y	CA00235034	B	SFY2010-11
220000008	KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-03-22 00:00:00	220008055	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-06-12 08:00:00	2010-06-12 08:00:00	No	2011-04-13 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	KLLX11	N	CA00235034	B	SFY2010-11
220000003	CHINESE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-03-23 00:00:00	220008062	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-02-09 00:00:00	2010-02-09 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	0GW211	Y	CA00217996	B	SFY2010-11
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-04-04 00:00:00	220008079	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE05 - Death during or up to 24 hours after surgery	None	2010-05-17 00:00:00	2010-05-17 00:00:00	No	2012-09-20 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	ZZ2C11	N	CA00232109	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-05-17 00:00:00	220008249	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-03-15 08:00:00	2011-03-15 08:00:00	No	2011-06-08 00:00:00	None	FTR AE	None	100	100	0	100	0	None	R3LT11	N	CA00263199	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-05-17 00:00:00	220008252	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-03-07 08:00:00	2011-03-07 08:00:00	No	2011-06-08 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	R3LT11	None	CA00263204	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-05-17 00:00:00	220008253	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-03-21 09:45:00	2011-03-21 09:45:00	No	2011-06-08 00:00:00	None	FTR AE	None	400	400	0	400	0	None	R3LT11	N	CA00264320	C	SFY2010-11
220000009	KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-06-14 00:00:00	220008309	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-08-30 00:00:00	2010-08-30 00:00:00	No	2012-09-21 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	XO0N11	N	CA00258737	B	SFY2010-11
220000716	MENLO PARK SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-06-23 00:00:00	220008327	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-07-02 08:00:00	2009-07-02 08:00:00	No	2011-07-15 00:00:00	None	FTR AE	None	800	800	0	800	0	None	XOIW11	N	CA00195291	C	SFY2010-11
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-06-29 00:00:00	220008345	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-03-10 08:00:00	2011-03-10 08:00:00	No	2011-07-21 00:00:00	None	FTR AE	None	600	600	0	600	0	None	CW9Y11	N	CA00263189	C	SFY2010-11
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-01 00:00:00	220008356	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2009-10-05 00:00:00	2009-10-05 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	X2W211	N	CA00204986	B	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-01 00:00:00	220008358	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-03-10 00:00:00	2011-03-10 00:00:00	Yes	2013-02-26 00:00:00	2013-02-07 00:00:00	AP IJ	AP IJ	100000	45500	0	45500	0	None	CW9Y11	N	CA00263189	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-08-01 00:00:00	220008397	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-02-23 08:00:00	2010-02-23 08:00:00	No	2011-08-22 00:00:00	None	FTR BR	None	1400	1400	0	1400	0	None	NWDS11	None	CA00221858	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-20 00:00:00	220008399	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-10-25 08:00:00	2010-10-25 08:00:00	No	2011-08-10 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	N8OP11	None	CA00248523	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-21 00:00:00	220008407	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-11-04 08:00:00	2010-11-04 08:00:00	No	2011-08-11 00:00:00	None	FTR BR	None	500	500	0	500	0	None	8CDC11	None	CA00249685	B	SFY2011-12
220000716	MENLO PARK SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-12-01 00:00:00	220008409	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-07-02 00:00:00	2009-07-02 00:00:00	No	2012-09-20 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	XOIW11	N	CA00195291	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-27 00:00:00	220008418	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-01-31 08:00:00	2011-01-31 08:00:00	No	2011-08-17 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	DWJ111	None	CA00258604	B	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-26 00:00:00	220008419	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-01-26 08:00:00	2011-01-26 08:00:00	No	2011-08-16 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	DWJ111	None	CA00258608	B	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-27 00:00:00	220008421	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-02-02 08:00:00	2011-02-02 08:00:00	No	2011-08-17 00:00:00	None	FTR AE	None	200	200	0	200	0	None	DWJ111	N	CA00258611	B	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-27 00:00:00	220008422	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-01-28 08:00:00	2011-01-28 08:00:00	No	2011-08-17 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	DWJ111	None	CA00258612	B	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-26 00:00:00	220008423	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-01-26 08:00:00	2011-01-26 08:00:00	No	2011-08-16 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	DWJ111	None	CA00258615	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-27 00:00:00	220008425	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-02-04 08:00:00	2011-02-04 08:00:00	No	2011-08-17 00:00:00	None	FTR AE	None	700	700	0	700	0	None	DWJ111	N	CA00259415	C	SFY2011-12
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-10-26 00:00:00	220008594	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Immediate Jeopardy	None	2010-12-14 00:00:00	2010-12-14 00:00:00	Yes	2014-02-10 00:00:00	2014-01-24 00:00:00	AP BR	None	250000	250000	-250000	0	0	None	I8K811	None	CA00259080	B	SFY2011-12
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-11-14 00:00:00	220008743	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-07-26 00:00:00	2011-07-26 00:00:00	Yes	2013-02-26 00:00:00	2013-02-08 00:00:00	AP IJ	None	100000	100000	-100000	0	0	None	ZSFP11	Y	CA00280120	B	SFY2011-12
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-11-17 00:00:00	220008757	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-02-11 00:00:00	2011-02-11 00:00:00	No	2013-02-26 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	59J911	N	CA00259468	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-12-20 00:00:00	220008837	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2010-02-23 00:00:00	2010-02-23 00:00:00	No	2013-03-11 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	NWDS11	None	CA00221858	C	SFY2011-12
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-12-22 00:00:00	220008844	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-09-15 00:00:00	2010-09-15 00:00:00	Yes	2012-01-17 00:00:00	2013-07-03 00:00:00	AP BR	AP BR	25000	13000	0	13000	0	None	FZ6911	None	CA00243460	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-01-12 00:00:00	220008908	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-06-09 00:00:00	2011-06-09 00:00:00	No	2013-02-26 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	V65C11	N	CA00273112	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-03-06 00:00:00	220009080	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-06-06 08:00:00	2011-06-06 08:00:00	No	2012-03-27 00:00:00	None	FTR BR	None	5400	5400	-1500	3900	0	None	E30B11	None	CA00278358	C	SFY2011-12
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-03-06 00:00:00	220009087	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-10-28 08:00:00	2011-10-28 08:00:00	No	2012-03-27 00:00:00	None	FTR AE	None	3600	3600	0	3600	0	None	6TIG11	N	CA00292326	B	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-03-06 00:00:00	220009094	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-11-05 08:00:00	2011-11-05 08:00:00	No	2012-03-27 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	ISG211	None	CA00290380	C	SFY2011-12
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-03-09 00:00:00	220009104	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-10-14 00:00:00	2010-10-14 00:00:00	Yes	2012-09-20 00:00:00	2012-09-08 00:00:00	AP IJ	None	50000	50000	0	0	50000	None	1GDJ11	N	CA00254601	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-03-11 00:00:00	220009111	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-11-22 08:00:00	2010-11-22 08:00:00	No	2012-03-30 00:00:00	None	FTR AE	None	3200	3200	0	3200	0	None	E2DJ11	N	CA00253999	B	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-03-12 00:00:00	220009114	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-11-22 00:00:00	2010-11-22 00:00:00	Yes	2013-01-11 00:00:00	2012-12-20 00:00:00	AP IJ	AP IJ	75000	49500	0	49500	0	None	E2DJ11	N	CA00253999	B	SFY2011-12
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-03-14 00:00:00	220009126	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-03-08 00:00:00	2011-03-08 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	Q4JH11	N	CA00263993	C	SFY2011-12
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-03-27 00:00:00	220009190	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-05-03 00:00:00	2011-05-03 00:00:00	No	2015-02-24 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	T1JO11	None	CA00268593	B	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-04-10 00:00:00	220009219	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2011-08-25 00:00:00	2011-08-25 00:00:00	Yes	2014-06-20 00:00:00	2014-06-09 00:00:00	AP BR	None	25000	25000	0	0	25000	None	SD4X11	None	CA00283181	C	SFY2011-12
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-04-10 00:00:00	220009223	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-09-28 08:00:00	2010-09-28 08:00:00	No	2012-05-01 00:00:00	None	FTR AE	None	900	900	0	900	0	None	WKV611	N	CA00245844	C	SFY2011-12
220000018	CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-04-19 00:00:00	220009240	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-06-10 00:00:00	2011-06-10 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	6BX411	N	CA00272808	B	SFY2011-12
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-04-24 00:00:00	220009255	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2010-03-12 00:00:00	2010-03-12 00:00:00	No	2013-07-22 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	LDDD11	None	CA00224352	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-05-21 00:00:00	220009320	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-11-22 08:00:00	2011-11-22 08:00:00	No	2012-06-12 00:00:00	None	FTR AE	None	900	900	0	900	0	None	Z8VQ11	N	CA00292018	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-05-23 00:00:00	220009331	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2011-11-05 00:00:00	2011-11-05 00:00:00	Yes	2014-06-20 00:00:00	2014-06-09 00:00:00	AP BR	None	249700	249700	0	0	249700	None	ISG211	None	CA00290380	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-05-25 00:00:00	220009341	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-02-13 08:00:00	2011-02-13 08:00:00	No	2012-06-18 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	3VI311	N	CA00260985	C	SFY2011-12
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-07-25 00:00:00	220009419	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-05-02 08:00:00	2012-05-02 08:00:00	No	2012-08-15 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	06X911	None	CA00310304	C	SFY2012-13
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-07-26 00:00:00	220009420	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-02-14 08:00:00	2011-02-14 08:00:00	No	2012-08-16 00:00:00	None	FTR AE	None	600	600	0	600	0	None	WBFC11	N	CA00260501	C	SFY2012-13
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-08-09 00:00:00	220009437	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-01-31 08:00:00	2012-01-31 08:00:00	No	2012-08-30 00:00:00	None	FTR BR	None	1600	1600	-400	1200	0	None	6CDF11	None	CA00300759	C	SFY2012-13
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-08-13 00:00:00	220009439	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-02-07 08:00:00	2012-02-07 08:00:00	No	2012-09-04 00:00:00	None	FTR BR	None	1400	1400	-350	1050	0	None	1JNV11	None	CA00301331	C	SFY2012-13
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-08-24 00:00:00	220009458	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2009-12-09 00:00:00	2009-12-09 00:00:00	No	2013-07-22 00:00:00	None	AP BR	None	100000	100000	-25000	75000	0	None	Y71G11	None	CA00211950	C	SFY2012-13
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-08-30 00:00:00	220009463	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-04-19 08:00:00	2012-04-19 08:00:00	No	2012-09-21 00:00:00	None	FTR BR	None	4300	4300	-1075	3225	0	None	PYXY11	None	CA00314418	C	SFY2012-13
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-10-15 00:00:00	220009554	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-05-02 00:00:00	2011-05-02 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	K8RT11	None	CA00269988	C	SFY2012-13
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-10-15 00:00:00	220009555	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2012-03-20 00:00:00	2012-03-20 00:00:00	Yes	2014-06-24 00:00:00	2014-06-12 00:00:00	AP BR	None	125000	125000	0	0	125000	None	GHF611	None	CA00304405	C	SFY2012-13
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-10-25 00:00:00	220009573	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-06-18 08:00:00	2012-06-18 08:00:00	No	2012-11-16 00:00:00	None	FTR BR	None	1800	1800	-450	1350	0	None	LSOM11	None	CA00317619	C	SFY2012-13
220000417	HEALTH AT HOME	Non-LTC	HHA	Home Health Agency	San Francisco	2013-05-20 00:00:00	220009915	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2013-01-09 00:00:00	2013-01-09 00:00:00	No	2015-11-09 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	S8SE11	None	CA00339503	C	SFY2012-13
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-06-06 00:00:00	220009934	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-08-30 08:00:00	2012-08-30 08:00:00	No	2013-06-27 00:00:00	None	FTR BR	None	1100	1100	0	1100	0	None	PJDT11	None	CA00326018	C	SFY2012-13
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-06-07 00:00:00	220009941	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-05-18 08:00:00	2012-05-18 08:00:00	No	2013-06-28 00:00:00	None	FTR BR	None	2800	2800	-700	2100	0	None	Q23911	None	CA00312005	C	SFY2012-13
220001110	SURGERY CENTER MOUNTAIN VIEW	Non-LTC	ASC/SURGC	Surgical Clinic	San Jose	2013-06-11 00:00:00	220009945	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-02-21 08:00:00	2013-02-21 08:00:00	No	2013-07-02 00:00:00	None	FTR BR	None	4100	4100	0	4100	0	None	TXJS11	None	CA00350385	C	SFY2012-13
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-06-12 00:00:00	220009949	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-10-31 08:00:00	2012-10-31 08:00:00	No	2013-07-03 00:00:00	None	FTR AE	None	400	400	0	400	0	None	RW3011	N	CA00332772	C	SFY2012-13
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-06-13 00:00:00	220009951	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-09-26 08:00:00	2012-09-26 08:00:00	No	2013-07-05 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	XEPN11	None	CA00328727	C	SFY2012-13
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-06-14 00:00:00	220009952	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-08-07 08:00:00	2012-08-07 08:00:00	No	2013-07-08 00:00:00	None	FTR BR	None	1600	1600	-400	1200	0	None	WDD811	None	CA00324106	D	SFY2012-13
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-06-14 00:00:00	220009954	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-05-30 08:00:00	2012-05-30 08:00:00	No	2013-07-08 00:00:00	None	FTR BR	None	8600	8600	-2150	6450	0	None	SFHJ11	None	CA00324148	C	SFY2012-13
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-06-17 00:00:00	220009956	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-08-23 08:00:00	2012-08-23 08:00:00	No	2013-07-09 00:00:00	None	FTR BR	None	1200	1200	-300	900	0	None	KJ9P11	None	CA00325336	C	SFY2012-13
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-07-08 00:00:00	220010000	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-03-01 08:00:00	2013-03-01 08:00:00	No	2013-07-29 00:00:00	None	FTR AE	None	500	500	0	500	0	None	M8F411	N	CA00346788	C	SFY2013-14
220000662	ACCENTCARE HOME HEALTH OF CALIFORNIA, INC.	Non-LTC	HHA	Home Health Agency	San Francisco	2013-08-13 00:00:00	220010064	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-10-22 00:00:00	2012-10-22 00:00:00	Yes	2015-02-24 00:00:00	2015-02-06 00:00:00	AP BR	AP BR	150000	75000	0	75000	0	None	4FIG11	None	CA00330806	C	SFY2013-14
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-08-26 00:00:00	220010120	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-04-19 08:00:00	2012-04-19 08:00:00	No	2013-09-17 00:00:00	None	FTR BR	None	1800	1800	-450	1350	0	None	67N811	None	CA00310312	C	SFY2013-14
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-09-09 00:00:00	220010138	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-08-01 08:00:00	2012-08-01 08:00:00	No	2013-09-30 00:00:00	None	FTR BR	None	500	500	0	500	0	None	NMFJ11	None	CA00323952	C	SFY2013-14
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-09-10 00:00:00	220010143	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-11-06 08:00:00	2012-11-06 08:00:00	No	2013-10-01 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	5FT911	None	CA00333808	C	SFY2013-14
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-01-10 00:00:00	220010374	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-10-21 00:00:00	2013-10-21 00:00:00	No	2014-02-07 00:00:00	None	AP BR	None	38750	38750	-9687.5	29062.5	0	None	GBVG11	None	CA00374966	B	SFY2013-14
220000026	AHMC SETON MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-02-24 00:00:00	220010496	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-08-01 08:00:00	2013-08-01 08:00:00	No	2014-03-17 00:00:00	None	FTR AE	None	300	300	0	300	0	None	34IU11	N	CA00365543	C	SFY2013-14
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-04-18 00:00:00	220010623	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2013-10-31 08:00:00	2013-10-31 08:00:00	No	2014-05-09 00:00:00	None	FTR BR	None	1200	1200	0	1200	0	None	EI8111	None	CA00377475	B	SFY2013-14
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-04-18 00:00:00	220010643	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE10 - Death/disability due to disappearance	None	2013-10-08 00:00:00	2013-10-08 00:00:00	No	2015-01-06 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	49D811	Y	CA00372499	B	SFY2013-14
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-05-02 00:00:00	220010695	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-10-30 08:00:00	2013-10-30 08:00:00	No	2014-05-23 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	WFY011	None	CA00376326	C	SFY2013-14
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-05-02 00:00:00	220010696	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-10-28 08:00:00	2013-10-28 08:00:00	No	2014-05-23 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	WFY011	None	CA00376330	C	SFY2013-14
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-05-02 00:00:00	220010697	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-10-29 08:00:00	2013-10-29 08:00:00	No	2014-05-23 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	WFY011	None	CA00376377	C	SFY2013-14
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-05-02 00:00:00	220010698	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-10-30 08:00:00	2013-10-30 08:00:00	No	2014-05-23 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	WFY011	None	CA00376382	C	SFY2013-14
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-05-02 00:00:00	220010699	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-11-01 08:00:00	2013-11-01 08:00:00	No	2014-05-23 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	WFY011	None	CA00376629	C	SFY2013-14
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-07-15 00:00:00	220010867	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-05-12 08:00:00	2014-05-12 08:00:00	No	2014-08-05 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	J2QP11	None	CA00400275	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-08-13 00:00:00	220010927	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-04-25 00:00:00	2014-04-25 00:00:00	No	2014-09-04 00:00:00	None	FTR BR	None	1100	1100	-275	825	0	None	THEB11	None	CA00398405	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-08-13 00:00:00	220010930	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-05-19 00:00:00	2014-05-19 00:00:00	No	2014-09-04 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	THEB11	None	CA00400173	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-08-19 00:00:00	220010933	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-12-04 00:00:00	2013-12-04 00:00:00	No	2014-09-10 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	V29J11	None	CA00381383	C	SFY2014-15
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-08-25 00:00:00	220010954	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2012-11-05 00:00:00	2012-11-05 00:00:00	No	2014-09-16 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	JJKG11	None	CA00333545	C	SFY2014-15
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-08-26 00:00:00	220010960	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2013-05-30 00:00:00	2013-05-30 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	DS6111	N	CA00358159	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-09-24 00:00:00	220011027	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2014-10-15 00:00:00	None	FTR BR	None	1300	1300	-325	975	0	None	KE6Z11	None	CA00374447	C	SFY2014-15
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-09-25 00:00:00	220011031	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2012-08-28 00:00:00	2012-08-28 00:00:00	No	2015-06-03 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	0J8011	None	CA00325831	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-09-26 00:00:00	220011034	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2011-05-09 00:00:00	2011-05-09 00:00:00	No	2015-03-06 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	8QMY11	N	CA00281816	B	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-11-06 00:00:00	220011114	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-07-16 00:00:00	2014-07-16 00:00:00	No	2014-12-02 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	CYNO11	None	CA00407918	D	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-11-06 00:00:00	220011115	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2014-01-02 00:00:00	2014-01-02 00:00:00	No	2014-12-02 00:00:00	None	FTR BR	None	1800	1800	-450	1350	0	None	6O3N11	None	CA00385420	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-12-03 00:00:00	220011149	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-10-15 00:00:00	2013-10-15 00:00:00	No	2014-12-24 00:00:00	None	FTR BR	None	200	200	0	200	0	None	O0Y911	None	CA00374612	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-12-04 00:00:00	220011150	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-10-15 00:00:00	2013-10-15 00:00:00	No	2014-12-26 00:00:00	None	FTR BR	None	200	200	0	200	0	None	O0Y911	None	CA00374618	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-12-04 00:00:00	220011155	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-10-07 00:00:00	2013-10-07 00:00:00	No	2014-12-26 00:00:00	None	FTR BR	None	400	400	0	400	0	None	O0Y911	None	CA00373828	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-12-04 00:00:00	220011157	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-10-04 00:00:00	2013-10-04 00:00:00	No	2014-12-26 00:00:00	None	FTR BR	None	400	400	0	400	0	None	H67G11	None	CA00374244	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-12-29 00:00:00	220011206	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-09-05 00:00:00	2014-09-05 00:00:00	No	2015-01-21 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	FV4P11	None	CA00414178	D	SFY2014-15
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-12-29 00:00:00	220011208	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-05-22 00:00:00	2012-05-22 00:00:00	No	2015-01-21 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	M0HJ11	N	CA00314000	C	SFY2014-15
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-12-29 00:00:00	220011209	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-09-24 00:00:00	2014-09-24 00:00:00	No	2015-01-21 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	5WD311	None	CA00415424	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-12-30 00:00:00	220011211	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-08-21 00:00:00	2014-08-21 00:00:00	No	2015-01-22 00:00:00	None	FTR BR	None	800	800	0	800	0	None	KE6D11	None	CA00412923	C	SFY2014-15
220000026	AHMC SETON MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-02-26 00:00:00	220011292	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2012-07-24 00:00:00	2012-07-24 00:00:00	Yes	2015-03-19 00:00:00	2015-05-20 00:00:00	AP IJ	AP IJ	50000	10000	-9670	330	0	None	KJCR11	N	CA00320085	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-02 00:00:00	220011295	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-09-13 00:00:00	2013-09-13 00:00:00	No	2015-03-23 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	4GQD11	None	CA00371121	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-02 00:00:00	220011298	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-09-06 00:00:00	2013-09-06 00:00:00	No	2015-03-23 00:00:00	None	FTR BR	None	1200	1200	-300	900	0	None	4GQD11	None	CA00371137	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-03 00:00:00	220011299	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-01-07 00:00:00	2014-01-07 00:00:00	No	2015-03-24 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	G2CM11	None	CA00384340	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-03 00:00:00	220011300	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-01-07 00:00:00	2014-01-07 00:00:00	No	2015-03-24 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	G2CM11	None	CA00384393	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-03 00:00:00	220011301	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-01-02 00:00:00	2014-01-02 00:00:00	No	2015-03-24 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	G2CM11	None	CA00383816	C	SFY2014-15
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-05 00:00:00	220011303	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2014-07-03 00:00:00	2014-07-03 00:00:00	No	2015-03-26 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	EHGW11	None	CA00406634	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-04 00:00:00	220011304	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-11-25 00:00:00	2013-11-25 00:00:00	No	2015-03-25 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	EUPH11	None	CA00379613	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-10 00:00:00	220011313	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-12-10 00:00:00	2014-12-10 00:00:00	No	2015-04-01 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	D6DQ11	None	CA00424146	D	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-10 00:00:00	220011314	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-12-09 00:00:00	2014-12-09 00:00:00	No	2015-04-01 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	D6DQ11	None	CA00424151	D	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-23 00:00:00	220011356	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2014-08-19 00:00:00	2014-08-19 00:00:00	Yes	2015-04-17 00:00:00	2018-01-16 00:00:00	AP BR	None	12500	12500	0	12500	0	None	LGNQ11	None	CA00410134	B	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-23 00:00:00	220011357	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2014-06-09 00:00:00	2014-06-09 00:00:00	Yes	2015-04-17 00:00:00	2018-01-16 00:00:00	AP BR	AP BR	250000	125000	0	125000	0	None	27M311	None	CA00407173	C	SFY2014-15
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-24 00:00:00	220011358	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2012-10-16 00:00:00	2012-10-16 00:00:00	No	2015-11-09 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	8WR811	None	CA00330488	C	SFY2014-15
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-05-06 00:00:00	220011451	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2014-02-26 00:00:00	2014-02-26 00:00:00	No	2015-06-05 00:00:00	None	AP BR	None	21250	21250	-5312.5	15937.5	0	None	2NUH11	None	CA00389501	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-06-18 00:00:00	220011571	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2014-01-13 00:00:00	2014-01-13 00:00:00	No	2015-07-09 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	II8T11	None	CA00385469	C	SFY2014-15
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-11-16 00:00:00	220011587	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-07-15 00:00:00	2014-07-15 00:00:00	Yes	2015-12-09 00:00:00	2018-01-16 00:00:00	AP BR	None	21250	21250	0	21250	0	None	QKPO11	None	CA00406756	C	SFY2015-16
630013450	NORTH EAST MEDICAL SERVICES - EASTMOOR	Non-LTC	COMTYC	Primary Care Clinic	San Francisco	2015-07-03 00:00:00	220011596	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-12-19 00:00:00	2013-12-19 00:00:00	No	2015-07-24 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	CZC111	None	CA00382442	C	SFY2015-16
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-07-03 00:00:00	220011597	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-10-15 00:00:00	2013-10-15 00:00:00	No	2015-07-24 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	XLRG11	None	CA00376085	C	SFY2015-16
220000026	AHMC SETON MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-10-22 00:00:00	220011794	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-07-07 00:00:00	2015-07-07 00:00:00	No	2015-11-13 00:00:00	None	FTR AE	None	900	900	0	900	0	None	3GX311	N	CA00451639	C	SFY2015-16
220000008	KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-11-04 00:00:00	220011819	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-11-17 00:00:00	2014-11-17 00:00:00	No	2015-11-30 00:00:00	None	FTR BR	None	2900	2900	-725	2175	0	None	YUPG11	None	CA00424740	D	SFY2015-16
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-11-24 00:00:00	220011871	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2013-09-09 00:00:00	2013-09-09 00:00:00	No	2015-12-17 00:00:00	None	FTR BR	None	1500	1500	-375	1125	0	None	OUW811	None	CA00371774	A	SFY2015-16
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-12-23 00:00:00	220011923	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-10-01 00:00:00	2015-10-01 00:00:00	No	2016-01-15 00:00:00	None	FTR AE	None	800	800	0	800	0	None	TZC311	N	CA00462007	C	SFY2015-16
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-05-10 00:00:00	220012220	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-01-20 00:00:00	2012-01-20 00:00:00	No	2016-06-01 00:00:00	None	FTR AE	None	4700	4700	0	4700	0	None	MNU511	N	CA00302802	C	SFY2015-16
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-05-23 00:00:00	220012283	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2015-07-27 00:00:00	2015-07-27 00:00:00	No	2016-06-14 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	OEDD11	None	CA00456226	E	SFY2015-16
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-05-23 00:00:00	220012284	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2015-07-27 00:00:00	2015-07-27 00:00:00	No	2016-06-14 00:00:00	None	AP BR	None	36000	36000	-9000	27000	0	None	OEDD11	None	CA00456226	E	SFY2015-16
220000008	KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-09-07 00:00:00	220012544	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE07 - Use of device other than as intended	None	2015-12-06 00:00:00	2015-12-06 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	083D11	N	CA00471877	B	SFY2016-17
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-09-21 00:00:00	220012590	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-02-08 00:00:00	2016-02-08 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	47452	47452	0	47452	0	None	EIIK11	N	CA00477434	C	SFY2016-17
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-10-05 00:00:00	220012628	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2014-10-08 00:00:00	2014-10-08 00:00:00	No	2016-10-26 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	9W0211	N	CA00421347	C	SFY2016-17
220000018	CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-12-05 00:00:00	220012793	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2015-04-08 00:00:00	2015-04-08 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	47452	47452	0	47452	0	None	MSA311	N	CA00438717, CA00439028	C, C	SFY2016-17
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-12-14 00:00:00	220012820	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2015-01-29 00:00:00	2015-01-29 00:00:00	No	2017-01-06 00:00:00	None	FTR BR	None	6000	6000	0	6000	0	None	RI6B11	None	CA00439776	E	SFY2016-17
220000008	KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-12-23 00:00:00	220012842	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-04-12 00:00:00	2016-04-12 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	J0DX11	Y	CA00484762, CA00493807	C, C	SFY2016-17
220000008	KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-12-28 00:00:00	220012850	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-04-04 00:00:00	2016-04-04 00:00:00	No	2017-01-20 00:00:00	None	AP NON-IJ	None	12750	12750	0	12750	0	None	NY0W11	N	CA00483599	C	SFY2016-17
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-12-29 00:00:00	220012851	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2015-04-30 00:00:00	2015-04-30 00:00:00	No	2017-01-23 00:00:00	None	FTR BR	None	600	600	0	600	0	None	DOSF11	None	CA00444661	E	SFY2016-17
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2017-02-06 00:00:00	220012878	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-06-24 00:00:00	2015-06-24 00:00:00	No	2017-02-28 00:00:00	None	FTR AE	None	7100	7100	0	7100	0	None	16LQ11	N	CA00458532	C	SFY2016-17
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2017-02-08 00:00:00	220012955	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2014-04-25 00:00:00	2014-04-25 00:00:00	No	2017-03-02 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	SO9611	N	CA00398410	B	SFY2016-17
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2017-02-08 00:00:00	220012959	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Surgical Error	2016-06-29 00:00:00	2016-06-29 00:00:00	No	2017-03-02 00:00:00	None	AP NON-IJ	None	12750	12750	0	12750	0	None	OMGR11	N	CA00495281	B	SFY2016-17
220000023	CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2017-04-19 00:00:00	220013123	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2017-05-10 00:00:00	None	AP IJ	None	47452	47452	0	47452	0	None	SCSI11	Y	CA00432057	C	SFY2016-17
220000023	CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2017-05-17 00:00:00	220013211	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2016-05-01 00:00:00	2016-05-01 00:00:00	No	2017-06-08 00:00:00	None	AP IJ	None	66600	66600	0	66600	0	None	O5C311	Y	CA00500940	C	SFY2016-17
220000008	KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2017-05-31 00:00:00	220013238	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2016-07-15 00:00:00	2016-07-15 00:00:00	No	2017-06-21 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	E78Y11	None	CA00499261	E	SFY2016-17
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2017-05-31 00:00:00	220013243	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-06-16 00:00:00	2016-06-16 00:00:00	No	2017-06-21 00:00:00	None	FTR AE	None	900	900	0	900	0	None	BVD311	N	CA00494001	C	SFY2016-17
220000010	KAISER FOUNDATION HOSPITAL - REDWOOD CITY	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2017-06-01 00:00:00	220013246	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-11-01 00:00:00	2014-11-01 00:00:00	No	2017-06-22 00:00:00	None	FTR BR	None	4100	4100	0	4100	0	None	56VR11	None	CA00425544	E	SFY2016-17
220000008	KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2017-07-12 00:00:00	220013339	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE07 - Use of device other than as intended	None	2015-12-06 00:00:00	2015-12-06 00:00:00	No	2017-08-02 00:00:00	None	FTR AE	None	11700	11700	0	11700	0	None	SUIM11	N	CA00483304	C	SFY2017-18
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2018-10-22 00:00:00	220014102	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-04-28 00:00:00	2016-04-28 00:00:00	No	2018-11-13 00:00:00	None	AP NON-IJ	None	15817.5	15817.5	0	15817.5	0	None	24TS11	N	CA00536665	B	SFY2018-19
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2018-10-22 00:00:00	220014520	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2016-04-28 00:00:00	2016-04-28 00:00:00	No	2018-11-13 00:00:00	None	FTR AE	None	35500	35500	0	35500	0	None	24TS11	N	CA00536665	B	SFY2018-19
220000010	KAISER FOUNDATION HOSPITAL - REDWOOD CITY	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2019-10-31 00:00:00	220015501	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-02-06 00:00:00	2018-02-06 00:00:00	No	2019-11-21 00:00:00	None	AP NON-IJ	None	4750	4750	0	4750	0	None	1L0W11	N	CA00647387, CA00647387	C, C	SFY2019-20
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2020-02-05 00:00:00	220015726	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-11-02 00:00:00	2018-11-02 00:00:00	No	2020-02-26 00:00:00	None	AP NON-IJ	None	4040	4040	0	4040	0	None	8RKY11	Y	CA00613997	B	SFY2019-20
220000010	KAISER FOUNDATION HOSPITAL - REDWOOD CITY	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2020-03-03 00:00:00	220015728	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2019-05-03 00:00:00	2019-05-03 00:00:00	No	2020-03-24 00:00:00	None	AP NON-IJ	None	13320	13320	0	13320	0	None	9OCE11	N	CA00637830	B	SFY2019-20
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2023-06-02 00:00:00	220018820	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2022-08-13 00:00:00	2022-08-13 00:00:00	No	2023-06-23 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	GTYI11	Y	CA00807008	B	SFY2022-23
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2022-02-25 00:00:00	220018992	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2019-06-07 00:00:00	2019-06-07 00:00:00	Yes	2023-08-30 00:00:00	2023-08-17 00:00:00	AP BR	None	250000	250000	0	250000	0	None	FYM911	None	CA00644165	C	SFY2021-22
220000018	CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2023-08-15 00:00:00	220019212	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-04-22 00:00:00	2022-04-22 00:00:00	No	2023-11-16 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	WGR411	None	CA00786732	D	SFY2023-24
220000031	UCSF MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2023-06-13 00:00:00	220019425	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-06-12 00:00:00	2022-06-12 00:00:00	No	2024-01-18 00:00:00	None	AP BR	None	10000	10000	0	10000	0	None	MZOT11	None	CA00798921	D	SFY2022-23
220000022	CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2024-02-13 00:00:00	220020307	Open	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2023-03-19 00:00:00	2023-03-19 00:00:00	No	2024-03-06 00:00:00	None	FTR BR	None	3200	3200	0	0	3200	None	QF8211	None	CA00841258	D	SFY2023-24
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2007-10-22 00:00:00	230004129	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-04-05 00:00:00	2007-04-05 00:00:00	No	2007-11-13 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	VS2712	N	None	None	SFY2007-08
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2007-08-03 00:00:00	230004144	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-06-18 00:00:00	2007-06-18 00:00:00	Yes	2007-08-24 00:00:00	2007-11-02 00:00:00	AP IJ	AP IJ	25000	12500	0	12500	0	None	R6O111	N	None	None	SFY2007-08
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2007-08-03 00:00:00	230004145	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-06-18 00:00:00	2007-06-18 00:00:00	Yes	2007-08-24 00:00:00	2007-11-02 00:00:00	AP IJ	AP IJ	25000	12500	0	12500	0	None	R6O111	N	None	None	SFY2007-08
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2007-11-16 00:00:00	230004368	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2007-08-26 00:00:00	2007-08-26 00:00:00	No	2007-12-11 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	ZL2G11	N	CA00124962	A	SFY2007-08
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2008-04-16 00:00:00	230004897	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2007-12-19 10:30:00	2007-12-19 10:30:00	Yes	2008-05-07 00:00:00	2008-05-19 00:00:00	FTR AE	FTR AE	8800	6600	0	6600	0	None	K9Q911	N	CA00144518	A	SFY2007-08
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2007-12-07 00:00:00	230004898	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2007-08-05 11:45:00	2007-08-05 11:45:00	No	2007-12-31 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	NQJT11	N	CA00123862	A	SFY2007-08
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2008-05-16 00:00:00	230005053	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-04-21 10:40:00	2008-04-21 10:40:00	No	2008-06-09 00:00:00	None	FTR AE	None	600	600	0	600	0	None	M1X811	N	CA00149114	B	SFY2007-08
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2009-02-05 00:00:00	230005605	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	FTR ADVERSE EVENT	2008-06-30 09:50:00	2008-06-30 09:50:00	No	2009-03-02 00:00:00	None	FTR AE	None	8800	8800	0	8800	0	None	MH5I11	N	CA00164986	B	SFY2008-09
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2008-12-22 00:00:00	230005691	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-16 00:00:00	2008-10-16 00:00:00	No	2009-01-13 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	8BCJ11	N	CA00168029	B	SFY2008-09
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2009-08-31 00:00:00	230005828	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-07-31 00:00:00	2008-07-31 00:00:00	Yes	2009-09-22 00:00:00	2009-09-10 00:00:00	AP IJ	None	25000	25000	0	25000	0	None	WD3L11	N	CA00159362	A	SFY2009-10
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2009-02-20 00:00:00	230005893	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-03 00:00:00	2008-12-03 00:00:00	No	2009-03-13 00:00:00	None	FTR AE	None	200	200	0	200	0	None	78TF11	N	CA00171713	A	SFY2008-09
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2009-11-05 00:00:00	230006624	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-01-23 00:00:00	2009-01-23 00:00:00	No	2009-12-01 00:00:00	None	AP BR	None	50000	50000	0	50000	0	None	5U1K11	None	CA00194379	D	SFY2009-10
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-06-07 00:00:00	230006665	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-08-17 00:00:00	2009-08-17 00:00:00	Yes	2010-06-28 00:00:00	2010-06-17 00:00:00	AP BR	AP BR	130000	25000	0	25000	0	None	DZJS11	None	CA00199623	C	SFY2009-10
230000422	VIBRA HOSPITAL OF NORTHERN CALIFORNIA	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-08-20 00:00:00	230006782	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2009-10-18 00:00:00	2009-10-18 00:00:00	No	2010-09-15 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	PF3Y11	None	CA00206650	E	SFY2010-11
230000001	ORCHARD HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2009-12-15 00:00:00	230006786	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-03-31 00:00:00	2009-03-31 00:00:00	No	2010-12-15 00:00:00	None	AP BR	None	5000	5000	0	5000	0	None	K9TZ11	None	CA00183575	D	SFY2009-10
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2009-07-01 00:00:00	230006795	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-05-20 00:00:00	2009-05-20 00:00:00	No	2012-10-04 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	XR5711	None	CA00189266	B	SFY2009-10
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-06-28 00:00:00	230006819	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-10-08 00:00:00	2009-10-08 00:00:00	No	2010-07-19 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	WJGW11	None	CA00175360	B	SFY2009-10
230000020	ST. ELIZABETH COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-03-16 00:00:00	230006830	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-04-07 00:00:00	2009-04-07 00:00:00	No	2010-04-07 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	F02211	N	CA00185991	A	SFY2009-10
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-08-13 00:00:00	230006831	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-10-27 00:00:00	2009-10-27 00:00:00	No	2010-09-10 00:00:00	None	FTR BR	None	300	300	0	300	0	None	43F311	None	CA00207179	E	SFY2010-11
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-06 00:00:00	230006891	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-03-13 00:00:00	2009-03-13 00:00:00	No	2012-09-28 00:00:00	None	AP BR	None	100000	100000	-25000	75000	0	None	IXB911	None	CA00181586	C	SFY2010-11
230000020	ST. ELIZABETH COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-08 00:00:00	230006965	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-18 00:00:00	2009-11-18 00:00:00	No	2010-12-29 00:00:00	None	FTR BR	None	1400	1400	0	1400	0	None	FL7W11	None	CA00210582	E	SFY2010-11
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-03-26 00:00:00	230006967	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-12-03 00:00:00	2009-12-03 00:00:00	No	2010-04-19 00:00:00	None	FTR AE	None	3600	3600	0	3600	0	None	RXDN11	N	CA00214750	C	SFY2009-10
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-02-04 00:00:00	230006969	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2009-01-23 00:00:00	2009-01-23 00:00:00	No	2010-09-07 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	RZZ111	None	CA00176965	C	SFY2009-10
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-08-10 00:00:00	230007037	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	FTR Timely	2010-01-22 00:00:00	2010-01-22 00:00:00	No	2010-09-01 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	ER3911	None	CA00217659	E	SFY2010-11
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-03-26 00:00:00	230007042	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	FTR AE timely	2009-12-03 00:00:00	2009-12-03 00:00:00	No	2010-04-19 00:00:00	None	FTR AE	None	3600	3600	0	3600	0	None	A3BH11	N	CA00214751	C	SFY2009-10
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-03-26 00:00:00	230007043	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	FTR AE TIMELY	2010-01-26 00:00:00	2010-01-26 00:00:00	No	2010-04-19 00:00:00	None	FTR AE	None	500	500	0	500	0	None	PXD811	N	CA00217647	C	SFY2009-10
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-03-26 00:00:00	230007044	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	FTR AE Timely	2009-11-20 00:00:00	2009-11-20 00:00:00	No	2010-04-20 00:00:00	None	FTR AE	None	7700	7700	0	7700	0	None	403Q11	N	CA00218031	B	SFY2009-10
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-08-23 00:00:00	230007251	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-02-26 00:00:00	2010-02-26 00:00:00	No	2010-09-17 00:00:00	None	FTR BR	None	3300	3300	-825	2475	0	None	K46L11	None	CA00224586	E	SFY2010-11
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-08-05 00:00:00	230007433	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-04-15 00:00:00	2010-04-15 00:00:00	No	2010-09-14 00:00:00	None	FTR BR	None	1400	1400	-350	1050	0	None	SW4E11	None	CA00228022	E	SFY2010-11
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-08-20 00:00:00	230007434	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-04-12 00:00:00	2010-04-12 00:00:00	No	2010-09-14 00:00:00	None	FTR AE	None	300	300	0	300	0	None	LMCM11	N	CA00225942	C	SFY2010-11
230000423	HOME HEALTH CARE MANAGEMENT, INC.	Non-LTC	HHA	Home Health Agency	Chico	2010-08-19 00:00:00	230007435	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-02-06 00:00:00	2010-02-06 00:00:00	No	2010-09-13 00:00:00	None	FTR BR	None	5100	5100	-1275	3825	0	None	WIPL11	None	CA00226132	E	SFY2010-11
230000089	FEATHER RIVER TRIBAL HEALTH, INC.	Non-LTC	COMTYC	Primary Care Clinic	Chico	2010-08-20 00:00:00	230007469	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2010-05-06 00:00:00	2010-05-06 00:00:00	No	2010-09-14 00:00:00	None	FTR BR	None	700	700	0	700	0	None	M6LV11	None	CA00229590	E	SFY2010-11
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-01-04 00:00:00	230007479	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2009-06-12 19:00:00	2009-06-12 19:00:00	No	2011-01-26 00:00:00	None	FTR AE	None	18300	18300	0	18300	0	None	7UFF11	N	CA00212059	B	SFY2010-11
230000422	VIBRA HOSPITAL OF NORTHERN CALIFORNIA	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-02-07 00:00:00	230007481	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-11-26 03:30:00	2009-11-26 03:30:00	No	2011-03-01 00:00:00	None	FTR AE	None	9400	9400	0	9400	0	None	XOUU11	N	CA00220003	B	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-06 00:00:00	230007667	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-01-16 17:00:00	2009-01-16 17:00:00	No	2010-12-27 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	R40011	None	CA00177057	C	SFY2010-11
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-13 00:00:00	230007688	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-03-08 00:00:00	2010-03-08 00:00:00	No	2012-09-28 00:00:00	None	AP BR	None	60000	60000	-15000	45000	0	None	6X4611	None	CA00221420	B	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-06 00:00:00	230007697	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-01-16 17:00:00	2009-01-16 17:00:00	No	2010-12-27 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	R40011	None	CA00177058	C	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-06 00:00:00	230007698	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-01-16 17:00:00	2009-01-16 17:00:00	No	2010-12-27 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	R40011	None	CA00177059	C	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-06 00:00:00	230007699	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-01-16 17:00:00	2009-01-16 17:00:00	No	2010-12-27 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	R40011	None	CA00177061	C	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-09 00:00:00	230007717	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-03-09 15:00:00	2010-03-09 15:00:00	No	2010-12-30 00:00:00	None	FTR BR	None	2800	2800	-700	2100	0	None	M6FZ11	None	CA00225172	E	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-01-04 00:00:00	230007718	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-28 18:00:00	2009-11-28 18:00:00	No	2011-01-26 00:00:00	None	FTR BR	None	17500	17500	-4375	13125	0	None	YSEY11	None	CA00230466	E	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-21 00:00:00	230007719	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-06 15:30:00	2010-05-06 15:30:00	No	2011-01-11 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	8L4J11	None	CA00228880	E	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-21 00:00:00	230007720	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-06-02 10:20:00	2010-06-02 10:20:00	No	2011-01-11 00:00:00	None	FTR BR	None	1900	1900	-475	1425	0	None	B4UO11	None	CA00233773	E	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-02-03 00:00:00	230007806	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-06 17:00:00	2009-03-06 17:00:00	No	2011-02-25 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	K42S11	None	CA00181578	B	SFY2010-11
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-01-27 00:00:00	230007867	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-07-23 07:52:00	2010-07-23 07:52:00	No	2011-02-17 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	F20711	N	CA00238767	B	SFY2010-11
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-03-15 00:00:00	230007874	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2010-06-10 00:00:00	2010-06-10 00:00:00	No	2013-07-26 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	W1XC11	None	CA00234147	B	SFY2010-11
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-04-18 00:00:00	230008018	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-03-07 00:00:00	2009-03-07 00:00:00	No	2012-09-28 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	U4U811	None	CA00254921, CA00255535	B, B	SFY2010-11
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-03-17 00:00:00	230008027	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2010-10-18 00:00:00	2010-10-18 00:00:00	Yes	2013-07-26 00:00:00	2013-07-09 00:00:00	AP BR	AP BR	250000	115000	0	115000	0	None	NZFC11	None	CA00246991	B	SFY2010-11
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2007-12-11 00:00:00	230008050	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-16 00:00:00	2007-10-16 00:00:00	No	2008-01-03 00:00:00	None	FTR AE	None	300	300	0	300	0	None	IEIH11	N	CA00130221	B	SFY2007-08
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-04-27 00:00:00	230008126	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-01-18 04:42:00	2011-01-18 04:42:00	No	2011-05-18 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	EY2611	N	CA00259489	B	SFY2010-11
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-12-07 00:00:00	230008138	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-12-20 13:56:00	2010-12-20 13:56:00	No	2011-12-29 00:00:00	None	FTR AE	None	5600	5600	0	5600	0	None	ZI0C11	N	CA00259741	B	SFY2011-12
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-05-26 00:00:00	230008245	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2010-12-13 00:00:00	2010-12-13 00:00:00	No	2014-02-10 00:00:00	None	AP BR	None	5000	5000	0	5000	0	None	Q6J411	None	CA00255981	B	SFY2010-11
230000089	FEATHER RIVER TRIBAL HEALTH, INC.	Non-LTC	COMTYC	Primary Care Clinic	Chico	2011-05-24 00:00:00	230008247	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-04-06 00:00:00	2011-04-06 00:00:00	No	2014-02-14 00:00:00	None	AP BR	None	5000	5000	-1250	3750	0	None	8MK111	None	CA00265525	D	SFY2010-11
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-06-08 00:00:00	230008279	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-04-04 03:20:00	2011-04-04 03:20:00	No	2011-06-29 00:00:00	None	FTR AE	None	300	300	0	300	0	None	463N11	N	CA00265585	B	SFY2010-11
230000265	TAHOE FOREST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-01-19 00:00:00	230008326	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	FTR Timely	2011-04-19 13:31:00	2011-04-19 13:31:00	No	2012-02-09 00:00:00	None	FTR AE	None	200	200	0	200	0	None	05TE11	N	CA00267672	B	SFY2011-12
230000367	SHASTA COMMUNITY HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Chico	2011-07-11 00:00:00	230008369	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Patient Rights	None	2011-04-27 09:00:00	2011-04-27 09:00:00	No	2011-08-01 00:00:00	None	FTR RES	None	600	600	0	600	0	None	2HJX11	None	CA00267737	E	SFY2011-12
230000004	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-05-23 00:00:00	230008484	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-12-22 00:00:00	2010-12-22 00:00:00	No	None	None	AP BR	None	2500	2500	-625	1875	0	None	1RMH11	None	CA00254717	B	SFY2011-12
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-04 00:00:00	230008490	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-05-25 00:00:00	2011-05-25 00:00:00	Yes	2014-06-20 00:00:00	2014-06-09 00:00:00	AP BR	AP IJ	50000	50000	0	50000	0	None	H14W11	None	CA00273375	B	SFY2011-12
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-04 00:00:00	230008491	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-05-25 08:23:00	2011-05-25 08:23:00	No	2012-04-25 00:00:00	None	FTR BR	None	1500	1500	-375	1125	0	None	H14W11	None	CA00273375	B	SFY2011-12
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-04 00:00:00	230008493	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2011-05-25 08:23:00	2011-05-25 08:23:00	No	2012-04-25 00:00:00	None	FTR RES	None	1500	1500	-375	1125	0	None	H14W11	None	CA00273375	B	SFY2011-12
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-01-12 00:00:00	230008644	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2011-08-09 00:00:00	2011-08-09 00:00:00	No	2012-02-03 00:00:00	None	FTR AE	None	300	300	0	300	0	None	7W4I11	N	CA00281362	B	SFY2011-12
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-02-15 00:00:00	230008682	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-02-22 09:30:00	2011-02-22 09:30:00	No	2012-03-08 00:00:00	None	FTR AE	None	6100	6100	0	6100	0	None	5JCJ11	N	CA00267994	B	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-11-28 00:00:00	230008717	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2011-04-04 14:12:00	2011-04-04 14:12:00	No	2011-12-19 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	IURP11	N	CA00267110	B	SFY2011-12
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-02-21 00:00:00	230008775	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-06-16 16:45:00	2011-06-16 16:45:00	No	2012-03-13 00:00:00	None	FTR AE	None	3400	3400	0	3400	0	None	SB9E11	N	CA00277139	B	SFY2011-12
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-12-07 00:00:00	230008777	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-07-15 08:00:00	2011-07-15 08:00:00	No	2011-12-29 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	02HB11	N	CA00277771	B	SFY2011-12
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-02-23 00:00:00	230008783	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-09-09 00:00:00	2011-09-09 00:00:00	No	2012-03-15 00:00:00	None	FTR BR	None	3700	3700	-925	2775	0	None	M1JE11	None	CA00287847	E	SFY2011-12
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-02-23 00:00:00	230008784	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-08-22 00:00:00	2011-08-22 00:00:00	No	2012-03-15 00:00:00	None	FTR BR	None	4800	4800	-1200	3600	0	None	M1JE11	None	CA00287851	E	SFY2011-12
630012204	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Chico	2012-03-22 00:00:00	230008797	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Care	None	2011-07-08 11:20:00	2011-07-08 11:20:00	No	2012-04-12 00:00:00	None	FTR BR	None	3200	3200	-800	2400	0	None	H8T811	None	CA00279565	E	SFY2011-12
630012204	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Chico	2012-03-22 00:00:00	230008799	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Patient Care	None	2011-07-08 11:20:00	2011-07-08 11:20:00	No	2012-04-12 00:00:00	None	FTR RES	None	2900	2900	-725	2175	0	None	H8T811	None	CA00279565	E	SFY2011-12
230000367	SHASTA COMMUNITY HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Chico	2012-02-14 00:00:00	230008878	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-07-27 00:00:00	2011-07-27 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	5000	5000	-1250	3750	0	None	CIYE11	None	CA00286832	B	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-11-16 00:00:00	230008906	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-01-01 00:00:00	2009-01-01 00:00:00	No	2013-07-26 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	IYSR11	None	CA00239471, CA00242628	C, B	SFY2012-13
630012204	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Chico	2012-03-02 00:00:00	230009005	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Care	None	2011-10-25 07:35:00	2011-10-25 07:35:00	No	2012-03-23 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	FF3E11	None	CA00288930	E	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-23 00:00:00	230009013	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-12-17 00:00:00	2011-12-17 00:00:00	No	2012-05-14 00:00:00	None	FTR BR	None	300	300	0	300	0	None	M21F11	None	CA00294178	E	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-23 00:00:00	230009014	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-12-17 16:58:00	2011-12-17 16:58:00	No	2012-05-14 00:00:00	None	FTR RES	None	300	300	0	300	0	None	M21F11	None	CA00294178	E	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-30 00:00:00	230009023	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-11-01 10:00:00	2011-11-01 10:00:00	No	2012-05-21 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	ID4L11	None	CA00290214	E	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-30 00:00:00	230009025	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-11-01 10:00:00	2011-11-01 10:00:00	No	2012-05-21 00:00:00	None	FTR RES	None	900	900	0	900	0	None	ID4L11	None	CA00290214	E	SFY2011-12
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-16 00:00:00	230009149	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-12-13 00:00:00	2011-12-13 00:00:00	Yes	2012-12-05 00:00:00	2012-11-19 00:00:00	AP BR	AP BR	95000	77500	0	77500	0	None	UCFP11	None	CA00295004	B	SFY2011-12
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-12 00:00:00	230009151	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-12-13 17:16:00	2011-12-13 17:16:00	Yes	2012-05-03 00:00:00	2012-04-27 00:00:00	FTR BR	FTR BR	1600	1300	0	1300	0	None	UCFP11	None	CA00295004	B	SFY2011-12
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-12 00:00:00	230009157	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2011-12-13 17:16:00	2011-12-13 17:16:00	Yes	2012-05-03 00:00:00	2012-04-27 00:00:00	FTR RES	FTR RES	1500	1200	0	1200	0	None	UCFP11	None	CA00295004	B	SFY2011-12
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-11-14 00:00:00	230009178	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-11-28 00:00:00	2011-11-28 00:00:00	Yes	2015-11-09 00:00:00	2015-10-26 00:00:00	AP BR	None	60000	60000	0	0	60000	None	0QL211	None	CA00294876	E	SFY2012-13
230000499	ADVENTIST HEALTH HOME CARE SERVICES	Non-LTC	HHA	Home Health Agency	Chico	2012-05-21 00:00:00	230009187	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-09-07 16:40:00	2011-09-07 16:40:00	No	2012-06-12 00:00:00	None	FTR RES	None	2000	2000	0	2000	0	None	HFUN11	None	CA00283331	B	SFY2011-12
230000259	COLUSA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-07-17 00:00:00	230009234	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-05-15 00:00:00	2011-05-15 00:00:00	No	None	None	AP BR	None	5000	5000	0	5000	0	None	O0KY11	None	CA00275802	B	SFY2013-14
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-06-28 00:00:00	230009235	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-09-16 00:00:00	2011-09-16 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	5000	5000	-1250	3750	0	None	0QO711	None	CA00282653	B	SFY2012-13
230000259	COLUSA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-07-17 00:00:00	230009236	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-07-05 00:00:00	2011-07-05 00:00:00	No	2015-02-24 00:00:00	None	AP BR	None	6000	6000	0	6000	0	None	O0KY11	None	CA00275784	B	SFY2013-14
230000265	TAHOE FOREST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-23 00:00:00	230009237	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-01-18 14:40:00	2012-01-18 14:40:00	No	2012-05-14 00:00:00	None	FTR RES	None	1300	1300	0	1300	0	None	UGHG11	None	CA00296918	E	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-11-06 00:00:00	230009238	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-09-22 17:10:00	2011-09-22 17:10:00	No	2012-11-30 00:00:00	None	FTR AE	None	700	700	0	700	0	None	F9HP11	N	CA00285932	B	SFY2012-13
230000004	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-23 00:00:00	230009242	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-12-30 00:00:00	2011-12-30 00:00:00	No	2012-05-14 00:00:00	None	FTR BR	None	600	600	0	600	0	None	4D2H11	None	None	None	SFY2011-12
230000004	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-23 00:00:00	230009243	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-12-30 00:00:00	2011-12-30 00:00:00	No	2012-05-14 00:00:00	None	FTR RES	None	600	600	0	600	0	None	4D2H11	None	CA00296109	E	SFY2011-12
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-06-22 00:00:00	230009270	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-01-29 00:00:00	2012-01-29 00:00:00	Yes	2012-12-05 00:00:00	2012-11-19 00:00:00	AP BR	AP BR	25000	18750	0	18750	0	None	JBYM11	None	CA00300148	B	SFY2011-12
230000092	PLANNED PARENTHOOD OF THE NORTH VALLEY - CHICO CTR.	Non-LTC	COMTYC	Primary Care Clinic	Chico	2012-11-09 00:00:00	230009277	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-12-21 00:00:00	2011-12-21 00:00:00	No	2015-06-03 00:00:00	None	AP BR	None	2500	2500	-625	1875	0	None	R8M211	None	CA00294738	B	SFY2012-13
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-01-17 00:00:00	230009337	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-10-10 20:30:00	2011-10-10 20:30:00	No	2013-02-08 00:00:00	None	FTR BR	None	3100	3100	-775	2325	0	None	XZ2Y11	None	CA00289915	B	SFY2012-13
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-05-25 00:00:00	230009338	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2011-10-10 20:30:00	2011-10-10 20:30:00	No	2012-06-18 00:00:00	None	FTR RES	None	2500	2500	-625	1875	0	None	XZ2Y11	None	CA00289915	B	SFY2011-12
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-04-02 00:00:00	230009339	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-10-10 00:00:00	2011-10-10 00:00:00	Yes	2014-06-20 00:00:00	2014-06-09 00:00:00	AP BR	AP BR	42500	42500	0	42500	0	None	XZ2Y11	None	CA00289915	B	SFY2012-13
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-07-10 00:00:00	230009359	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-12-28 09:30:00	2011-12-28 09:30:00	No	2012-07-31 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	3SWH11	None	CA00295183	B	SFY2012-13
230000012	MERCY MEDICAL CENTER MT. SHASTA	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-01-10 00:00:00	230009865	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-02-05 00:00:00	2013-02-05 00:00:00	No	2015-11-09 00:00:00	None	AP BR	None	2500	2500	-625	1875	0	None	94OM11	None	CA00343448	D	SFY2013-14
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-07-17 00:00:00	230010014	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2012-03-19 16:28:00	2012-03-19 16:28:00	No	2013-08-07 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	X7T911	None	CA00309476	B	SFY2013-14
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-12-18 00:00:00	230010015	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-03-19 00:00:00	2012-03-19 00:00:00	No	2015-11-10 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	X7T911	None	CA00309476	B	SFY2013-14
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-08-28 00:00:00	230010104	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-04-12 16:26:00	2012-04-12 16:26:00	No	2013-09-19 00:00:00	None	FTR BR	None	2200	2200	-550	1650	0	None	L3UL11	None	CA00310285	C	SFY2013-14
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-08-28 00:00:00	230010106	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-04-12 16:26:00	2012-04-12 16:26:00	No	2013-09-19 00:00:00	None	FTR RES	None	2200	2200	-550	1650	0	None	L3UL11	None	CA00310285	C	SFY2013-14
230000006	GLENN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-01-21 00:00:00	230010262	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2013-09-29 00:00:00	2013-09-29 00:00:00	Yes	2015-06-09 00:00:00	2015-05-26 00:00:00	AP IJ	None	37500	37500	0	37500	0	None	HEBL11	N	CA00372036	A	SFY2013-14
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-11-27 00:00:00	230010283	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-01-07 09:30:00	2012-01-07 09:30:00	No	2013-12-20 00:00:00	None	FTR AE	None	600	600	0	600	0	None	F61O11	N	CA00296394	B	SFY2013-14
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-06-18 00:00:00	230010362	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2012-09-15 00:00:00	2012-09-15 00:00:00	No	2015-03-05 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	6WVT11	N	CA00327421	A	SFY2013-14
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-06-18 00:00:00	230010363	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2012-09-15 07:30:00	2012-09-15 07:30:00	No	2014-07-10 00:00:00	None	FTR AE	None	800	800	0	800	0	None	6WVT11	N	CA00327421	A	SFY2013-14
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-06-25 00:00:00	230010364	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-03-14 13:00:00	2013-03-14 13:00:00	No	2014-07-17 00:00:00	None	FTR AE	None	3600	3600	0	3600	0	None	WL2011	N	CA00368845	B	SFY2013-14
630011844	SUTTER SURGICAL HOSPITAL - NORTH VALLEY	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-05-16 00:00:00	230010720	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-09-27 14:45:00	2012-09-27 14:45:00	No	2014-06-09 00:00:00	None	FTR AE	None	900	900	0	900	0	None	INPQ11	N	CA00329163	B	SFY2013-14
230000259	COLUSA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-11-24 00:00:00	230010957	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-04-12 00:00:00	2013-04-12 00:00:00	No	2014-12-17 00:00:00	None	AP BR	None	6750	6750	-6750	0	0	None	6SO711	None	CA00351185	B	SFY2014-15
230000004	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-08-26 00:00:00	230010958	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-01-07 00:00:00	2013-01-07 00:00:00	No	2014-09-17 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	UB8K11	None	CA00341287	E	SFY2014-15
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-11-24 00:00:00	230010997	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-02-25 00:00:00	2012-02-25 00:00:00	Yes	2015-11-09 00:00:00	2015-10-26 00:00:00	AP BR	None	25000	25000	0	0	25000	None	2B5111	None	CA00302697	D	SFY2014-15
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-09-30 00:00:00	230011004	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-10-18 00:00:00	2013-10-18 00:00:00	No	2014-10-21 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	137B11	N	CA00376101	B	SFY2014-15
230000008	BANNER LASSEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-12-15 00:00:00	230011028	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-10-25 00:00:00	2012-10-25 00:00:00	No	2015-01-07 00:00:00	None	FTR BR	None	800	800	0	800	0	None	G3HP11	None	CA00333072	E	SFY2014-15
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-12-05 00:00:00	230011058	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2014-12-29 00:00:00	None	FTR AE	None	800	800	0	800	0	None	UH4R11	N	CA00374047	B	SFY2014-15
230000008	BANNER LASSEN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-12-15 00:00:00	230011164	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-10-25 00:00:00	2012-10-25 00:00:00	No	2015-01-06 00:00:00	None	FTR RES	None	800	800	0	800	0	None	G3HP11	None	CA00333072	E	SFY2014-15
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2015-08-31 00:00:00	230011168	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-03-14 00:00:00	2011-03-14 00:00:00	Yes	2016-10-13 00:00:00	2016-07-18 00:00:00	AP BR	None	42500	42500	0	0	42500	None	7YG311	None	CA00352699	D	SFY2015-16
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-12-10 00:00:00	230011169	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-07-26 00:00:00	2013-07-26 00:00:00	Yes	2016-08-01 00:00:00	2016-07-18 00:00:00	AP BR	None	75000	75000	0	0	75000	None	R6ZF11	None	CA00363574	D	SFY2014-15
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2015-10-12 00:00:00	230011753	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-07-03 00:00:00	2015-07-03 00:00:00	No	2015-11-02 00:00:00	None	AP NON-IJ	AP NON-IJ	11875	8906.25	0	8906.25	0	None	FMSW11	N	None	None	SFY2015-16
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2015-10-12 00:00:00	230011755	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-06-22 00:00:00	2015-06-22 00:00:00	No	2015-11-02 00:00:00	None	AP NON-IJ	AP NON-IJ	14250	10687.5	0	10687.5	0	None	FMSW11	N	None	None	SFY2015-16
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2015-10-12 00:00:00	230011756	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-07-28 00:00:00	2015-07-28 00:00:00	No	2015-11-02 00:00:00	None	AP NON-IJ	AP NON-IJ	5225	3918.75	0	3918.75	0	None	FMSW11	N	None	None	SFY2015-16
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2015-11-03 00:00:00	230011823	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-08-04 00:00:00	2013-08-04 00:00:00	No	2015-11-25 00:00:00	None	FTR AE	None	400	400	0	400	0	None	2DJO11	N	CA00365821	B	SFY2015-16
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2015-11-05 00:00:00	230011826	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-12-30 00:00:00	2013-12-30 00:00:00	No	2015-12-01 00:00:00	None	FTR AE	None	300	300	0	300	0	None	HGJK11	N	CA00383088	B	SFY2015-16
230000265	TAHOE FOREST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2015-12-10 00:00:00	230011867	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-09-22 00:00:00	2013-09-22 00:00:00	No	2016-01-04 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	T10J11	N	CA00372508, CA00375899	B, B	SFY2015-16
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-02-24 00:00:00	230011933	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2014-04-17 00:00:00	2014-04-17 00:00:00	No	2016-03-22 00:00:00	None	AP NON-IJ	None	14250	14250	0	14250	0	None	9XYZ11	N	CA00400301	B	SFY2015-16
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-02-24 00:00:00	230011938	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2014-04-17 00:00:00	2014-04-17 00:00:00	No	2016-01-26 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	9XYZ11	N	CA00400301	B	SFY2015-16
230000001	ORCHARD HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-03-03 00:00:00	230012059	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-10-30 00:00:00	2013-10-30 00:00:00	No	2016-03-24 00:00:00	None	FTR AE	None	600	600	0	600	0	None	H4ZS11	N	CA00377279	B	SFY2015-16
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-03-24 00:00:00	230012140	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-04-03 00:00:00	2013-04-03 00:00:00	No	2016-04-15 00:00:00	None	FTR BR	None	1500	1500	0	1500	0	None	KKFH11	None	CA00352268	D	SFY2015-16
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-03-30 00:00:00	230012141	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-12-02 00:00:00	2013-12-02 00:00:00	No	2016-04-21 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	67F811	N	CA00380910	B	SFY2015-16
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-03-24 00:00:00	230012142	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-08-15 00:00:00	2014-08-15 00:00:00	No	2016-04-15 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	CB1N11	N	CA00422216	B	SFY2015-16
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-05-18 00:00:00	230012262	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-06-24 00:00:00	2014-06-24 00:00:00	No	2016-06-09 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	6VO911	N	CA00405267	B	SFY2015-16
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-07-15 00:00:00	230012310	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-07-25 00:00:00	2014-07-25 00:00:00	No	2016-08-05 00:00:00	None	FTR AE	None	500	500	0	500	0	None	OBEY11	N	CA00407693, CA00408010	A, A	SFY2016-17
230000001	ORCHARD HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-07-27 00:00:00	230012474	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Infection Control	2016-06-30 00:00:00	2016-06-30 00:00:00	No	2016-08-17 00:00:00	None	AP NON-IJ	AP NON-IJ	16625	12468.75	0	12468.75	0	None	RRPG11	N	None	None	SFY2016-17
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-09-16 00:00:00	230012582	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-06-04 00:00:00	2012-06-04 00:00:00	No	2016-10-07 00:00:00	None	FTR AE	None	300	300	0	300	0	None	7QPI11	Y	CA00313985	B	SFY2016-17
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-09-22 00:00:00	230012593	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-11-21 00:00:00	2012-11-21 00:00:00	No	2016-10-13 00:00:00	None	FTR AE	None	7700	7700	0	7700	0	None	O13C11	N	CA00396805	B	SFY2016-17
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-10-18 00:00:00	230012630	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-03-23 00:00:00	2014-03-23 00:00:00	No	2016-11-08 00:00:00	None	FTR AE	None	400	400	0	400	0	None	FCQI11	N	CA00393336	B	SFY2016-17
230000422	VIBRA HOSPITAL OF NORTHERN CALIFORNIA	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-12-08 00:00:00	230012779	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-09-10 00:00:00	2016-09-10 00:00:00	No	2016-12-30 00:00:00	None	AP NON-IJ	None	4750	4750	0	4750	0	None	ITU711	N	None	None	SFY2016-17
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-04-28 00:00:00	230013156	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-11-24 00:00:00	2015-11-24 00:00:00	No	2017-05-19 00:00:00	None	FTR AE	None	200	200	0	200	0	None	1EML11	N	CA00467460	B	SFY2016-17
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-06-20 00:00:00	230013295	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-03-13 00:00:00	2013-03-13 00:00:00	No	2017-07-12 00:00:00	None	FTR AE	None	7200	7200	0	7200	0	None	O6D611	N	CA00356497	B	SFY2016-17
630011844	SUTTER SURGICAL HOSPITAL - NORTH VALLEY	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-07-06 00:00:00	230013329	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-07-10 00:00:00	2015-07-10 00:00:00	No	2017-07-27 00:00:00	None	FTR AE	None	100	100	0	100	0	None	IBDS11	N	CA00450925	B	SFY2017-18
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-07-06 00:00:00	230013331	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-08-11 00:00:00	2015-08-11 00:00:00	No	2017-07-27 00:00:00	None	FTR AE	None	200	200	0	200	0	None	V2W411	N	CA00454934	B	SFY2017-18
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-08-24 00:00:00	230013453	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2016-05-12 00:00:00	2016-05-12 00:00:00	No	2017-09-15 00:00:00	None	FTR AE	None	200	200	0	200	0	None	6C5N11	N	CA00488834	B	SFY2017-18
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-05-08 00:00:00	230013601	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2016-09-13 00:00:00	2016-09-13 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	ZCXP11	None	CA00516302, CA00516302	D, D	SFY2017-18
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-11-28 00:00:00	230013621	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2017-01-06 00:00:00	2017-01-06 00:00:00	No	2017-12-19 00:00:00	None	FTR AE	None	700	700	0	700	0	None	JC5D11	N	CA00518695	C	SFY2017-18
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-07-18 00:00:00	230013715	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2017-11-29 00:00:00	2017-11-29 00:00:00	No	2018-08-08 00:00:00	None	AP IJ	None	30000	30000	0	30000	0	None	GBJ511	N	CA00563555	B	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-03-15 00:00:00	230013716	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-11-11 00:00:00	2017-11-11 00:00:00	No	2018-04-05 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	GBJ511	N	CA00561708	B	SFY2017-18
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-02-27 00:00:00	230013739	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2017-04-17 00:00:00	2017-04-17 00:00:00	No	2018-03-20 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	3EEJ11	N	CA00535417	C	SFY2017-18
230000004	EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-01-19 00:00:00	230013799	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-07-11 00:00:00	2016-07-11 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	9000	9000	-2250	6750	0	None	KMCT11	None	CA00496789	C	SFY2017-18
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-11-21 00:00:00	230013800	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2016-02-10 00:00:00	2016-02-10 00:00:00	No	2017-12-14 00:00:00	None	AP BR	None	0	0	0	0	0	None	8ZOL11	None	CA00478893	E	SFY2017-18
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-11-17 00:00:00	230013803	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-08-12 00:00:00	2016-08-12 00:00:00	Yes	2018-10-01 00:00:00	2018-09-18 00:00:00	AP BR	AP BR	7500	6000	0	6000	0	None	KPFF11	None	CA00499726	D	SFY2017-18
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-12-06 00:00:00	230013812	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-11-02 00:00:00	2016-11-02 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	7500	7500	0	7500	0	None	IFMZ11	None	CA00510712	D	SFY2017-18
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-01-11 00:00:00	230013844	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-08-02 00:00:00	2016-08-02 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	22500	22500	-22500	0	0	None	EOET11	None	CA00499677	D	SFY2017-18
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-01-11 00:00:00	230013846	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-06-14 00:00:00	2016-06-14 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	2MT011	None	None	None	SFY2017-18
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-01-11 00:00:00	230013867	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2016-12-14 00:00:00	2016-12-14 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	5HZE11	None	CA00516759	E	SFY2017-18
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-06-19 00:00:00	230013906	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-09-29 00:00:00	2017-09-29 00:00:00	No	2019-02-28 00:00:00	None	AP IJ	None	47500	47500	0	47500	0	None	UC3E11	Y	CA00555480	B	SFY2017-18
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-01-11 00:00:00	230013936	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-07-31 00:00:00	2016-07-31 00:00:00	Yes	2018-10-01 00:00:00	2018-09-18 00:00:00	AP BR	AP BR	7500	6000	0	6000	0	None	WWNC11	None	CA00497873	D	SFY2017-18
230000265	TAHOE FOREST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-04-24 00:00:00	230014082	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-01-19 00:00:00	2017-01-19 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	750	750	-187.5	562.5	0	None	5FFX11	None	CA00525285	D	SFY2017-18
230000005	ADVENTIST HEALTH FEATHER RIVER	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-04-16 00:00:00	230014356	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-02-04 00:00:00	2018-02-04 00:00:00	No	2019-05-07 00:00:00	None	FTR AE	None	8300	8300	0	8300	0	None	7H8X11	N	CA00585546	C	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-03-15 00:00:00	230014946	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-02-28 00:00:00	2014-02-28 00:00:00	No	2019-04-05 00:00:00	None	AP BR	None	0	0	0	0	0	None	5VGR11	None	CA00406466	D	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-04-18 00:00:00	230014967	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2016-07-11 00:00:00	2016-07-11 00:00:00	No	2019-07-09 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	R8ZM11	Y	CA00495562	C	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-05-07 00:00:00	230014969	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-10-17 00:00:00	2016-10-17 00:00:00	No	2019-05-28 00:00:00	None	FTR AE	None	5900	5900	0	5900	0	None	4OS611	N	CA00515240	C	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-05-06 00:00:00	230015013	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-05-16 00:00:00	2018-05-16 00:00:00	No	2019-05-27 00:00:00	None	FTR AE	None	900	900	0	900	0	None	7BQO11	N	CA00589213	B	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-04-30 00:00:00	230015021	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2016-12-05 00:00:00	2016-12-05 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	300	300	0	300	0	None	5C7Q11	N	CA00514182	C	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-05-06 00:00:00	230015030	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2018-04-03 00:00:00	2018-04-03 00:00:00	No	2019-05-27 00:00:00	None	FTR AE	None	300	300	0	300	0	None	JJIU11	N	CA00582356	C	SFY2018-19
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-05-07 00:00:00	230015032	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2018-02-22 00:00:00	2018-02-22 00:00:00	No	2019-05-28 00:00:00	None	FTR AE	None	600	600	0	600	0	None	KROZ11	N	CA00576792	C	SFY2018-19
230000444	PATIENTS' HOSPITAL OF REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-06-04 00:00:00	230015061	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-01-03 00:00:00	2017-01-03 00:00:00	No	2019-06-25 00:00:00	None	AP NON-IJ	None	12120	12120	0	0	12120	None	NZU811	N	CA00519244	C	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-08-08 00:00:00	230015101	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2016-05-24 00:00:00	2016-05-24 00:00:00	No	2019-08-30 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	KVSI11	Y	CA00489884	B	SFY2019-20
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-07-17 00:00:00	230015126	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2016-07-22 00:00:00	2016-07-22 00:00:00	No	2019-08-07 00:00:00	None	AP NON-IJ	None	13200	13200	0	0	13200	None	6GTE11	Y	CA00496760	C	SFY2019-20
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-10-29 00:00:00	230015294	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE08 - Death/disability due to intravascular air embolism	None	2017-10-06 00:00:00	2017-10-06 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	52250	52250	0	52250	0	None	SMTB11	Y	CA00556323	B	SFY2019-20
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-01-03 00:00:00	230015296	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-01-15 00:00:00	2018-01-15 00:00:00	No	2022-01-25 00:00:00	None	AP NON-IJ	None	15000	15000	0	15000	0	None	I69B11	N	CA00570164	B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-10-29 00:00:00	230015375	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2018-05-09 00:00:00	2018-05-09 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	118750	118750	0	118750	0	None	R75X11	Y	CA00589555	B	SFY2019-20
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-12-06 00:00:00	230015385	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2017-01-01 00:00:00	2017-01-01 00:00:00	No	2019-12-27 00:00:00	None	AP NON-IJ	None	15000	15000	0	15000	0	None	1FJY11	N	CA00518155, CA00520860	B, B	SFY2019-20
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-10-29 00:00:00	230015425	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2018-07-29 00:00:00	2018-07-29 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	30000	30000	0	30000	0	None	GVKH11	N	CA00598230	B	SFY2019-20
230000012	MERCY MEDICAL CENTER MT. SHASTA	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-12-06 00:00:00	230015562	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2017-08-25 00:00:00	2017-08-25 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	30000	30000	0	30000	0	None	8R9H11	Y	CA00550356	B	SFY2019-20
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2020-05-08 00:00:00	230015730	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2018-07-02 00:00:00	2018-07-02 00:00:00	No	2020-06-01 00:00:00	None	AP NON-IJ	None	15000	15000	0	15000	0	None	J1QB11	Y	CA00621865, CA00621865	B, B	SFY2019-20
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2020-05-15 00:00:00	230015762	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2014-10-15 00:00:00	2014-10-15 00:00:00	Yes	2020-06-08 00:00:00	2020-05-26 00:00:00	AP NON-IJ	AP NON-IJ	19190	15320	0	15320	0	None	YNJ511	N	CA00418022, CA00418022, CA00418774	B, B, B	SFY2019-20
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-12-02 00:00:00	230015779	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-11-16 00:00:00	2015-11-16 00:00:00	No	2021-12-23 00:00:00	None	AP NON-IJ	None	12120	12120	0	12120	0	None	IUWI11	N	CA00466442, CA00466442	B, B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2020-04-30 00:00:00	230015861	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-01-12 00:00:00	2019-01-12 00:00:00	No	2020-05-21 00:00:00	None	FTR AE	None	800	800	0	800	0	None	J1QB11	N	CA00621865	B	SFY2019-20
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2020-05-15 00:00:00	230015862	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2014-10-15 00:00:00	2014-10-15 00:00:00	No	2020-06-05 00:00:00	None	FTR AE	None	300	300	0	300	0	None	YNJ511	N	CA00418022, CA00418022, CA00418022, CA00418774, CA00418774	B, B, B, B, B	SFY2019-20
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-12-16 00:00:00	230016554	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-04-26 00:00:00	2016-04-26 00:00:00	No	2022-01-06 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	5FSE11	Y	None	None	SFY2021-22
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-11-22 00:00:00	230017109	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-08-09 00:00:00	2019-08-09 00:00:00	No	2021-12-15 00:00:00	None	FTR AE	None	200	200	0	200	0	None	SIBT11	N	CA00650912	B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-11-22 00:00:00	230017112	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-11-13 00:00:00	2019-11-13 00:00:00	No	2021-12-15 00:00:00	None	FTR AE	None	200	200	0	200	0	None	3CBF11	N	CA00664613	B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-11-22 00:00:00	230017113	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-11-20 00:00:00	2019-11-20 00:00:00	No	2021-12-15 00:00:00	None	FTR AE	None	700	700	0	700	0	None	M0NP11	N	CA00665908	B	SFY2021-22
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-11-29 00:00:00	230017116	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-02-11 00:00:00	2019-02-11 00:00:00	No	2021-12-20 00:00:00	None	FTR AE	None	400	400	0	400	0	None	JPAF11	N	CA00626323	B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-11-23 00:00:00	230017123	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE21 - Death/disability due to a burn	None	2017-01-02 00:00:00	2017-01-02 00:00:00	No	2021-12-16 00:00:00	None	FTR AE	None	2600	2600	0	2600	0	None	1FJY11	N	CA00518155, CA00520860	B, B	SFY2021-22
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-12-13 00:00:00	230017128	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-16 00:00:00	2020-11-16 00:00:00	No	2022-01-03 00:00:00	None	FTR AE	None	900	900	0	900	0	None	VUYN11	N	CA00712759, CA00712759, CA00714911	B, B, B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-12-30 00:00:00	230017172	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2020-10-04 00:00:00	2020-10-04 00:00:00	No	2022-01-21 00:00:00	None	AP NON-IJ	None	4250	4250	0	4250	0	None	UZQC11	N	CA00708505	B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-12-30 00:00:00	230017218	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE07 - Use of device other than as intended	None	2021-01-26 00:00:00	2021-01-26 00:00:00	No	2022-01-21 00:00:00	None	AP NON-IJ	None	12877.5	12877.5	0	12877.5	0	None	3KFI11	N	CA00723735	C	SFY2021-22
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-03-09 00:00:00	230017239	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-11-11 00:00:00	2020-11-11 00:00:00	No	2022-03-30 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	5VL811	Y	CA00713080	C	SFY2021-22
230000020	ST. ELIZABETH COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-03-30 00:00:00	230017474	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2019-08-18 00:00:00	2019-08-18 00:00:00	No	2022-04-21 00:00:00	None	AP NON-IJ	None	15675	15675	0	15675	0	None	57GH11	Y	CA00651165	B	SFY2021-22
230000422	VIBRA HOSPITAL OF NORTHERN CALIFORNIA	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-03-30 00:00:00	230017482	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-03-08 00:00:00	2020-03-08 00:00:00	No	2022-04-21 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	F0G011	Y	CA00683544, CA00683858, CA00684027	B, B, B	SFY2021-22
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-06-09 00:00:00	230017635	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2020-12-03 00:00:00	2020-12-03 00:00:00	No	2022-06-30 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	JKW711	Y	CA00725751	B	SFY2021-22
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-11-29 00:00:00	230017827	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2021-04-24 00:00:00	2021-04-24 00:00:00	No	2022-12-20 00:00:00	None	AP NON-IJ	None	12720	12720	0	12720	0	None	NCSU11	N	CA00739214	C	SFY2022-23
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-12-08 00:00:00	230017990	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-07-27 00:00:00	2022-07-27 00:00:00	No	2022-12-29 00:00:00	None	AP IJ	None	125000	125000	0	125000	0	None	XLME11	Y	CA00795932, CA00796230, CA00796287	B, B, B	SFY2022-23
630011844	SUTTER SURGICAL HOSPITAL - NORTH VALLEY	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-01-12 00:00:00	230018148	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2022-01-12 00:00:00	2022-01-12 00:00:00	No	2022-02-03 00:00:00	None	AP IJ	None	29925	29925	0	29925	0	None	IOLI11	N	CA00772143	B	SFY2021-22
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-04-09 00:00:00	230018537	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-07-03 00:00:00	2017-07-03 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	BZS411	None	CA00549397	D	SFY2020-21
230000367	SHASTA COMMUNITY HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Chico	2021-12-03 00:00:00	230018542	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-09-13 00:00:00	2012-09-13 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	5000	5000	-1250	3750	0	None	Q7MF11	None	CA00449090	D	SFY2021-22
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-03-19 00:00:00	230018553	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-06-18 00:00:00	2017-06-18 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	U2X911	None	CA00559747	D	SFY2020-21
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-03-26 00:00:00	230018558	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-07-10 00:00:00	2017-07-10 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	E9ZD11	None	CA00543831	D	SFY2020-21
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-02-25 00:00:00	230018570	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-07-26 00:00:00	2017-07-26 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	2WHO11	None	CA00547003	D	SFY2021-22
230000092	PLANNED PARENTHOOD OF THE NORTH VALLEY - CHICO CTR.	Non-LTC	COMTYC	Primary Care Clinic	Chico	2021-02-12 00:00:00	230018572	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-04-01 00:00:00	2018-04-01 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	7500	7500	0	7500	0	None	TGX611	None	CA00583861	C	SFY2020-21
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2023-08-15 00:00:00	230018591	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-01-16 00:00:00	2023-01-16 00:00:00	No	2023-09-06 00:00:00	None	AP IJ	None	125000	125000	0	125000	0	None	ORER11	Y	CA00823123	A	SFY2023-24
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2023-05-30 00:00:00	230018979	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-09-13 00:00:00	2018-09-13 00:00:00	No	2023-08-16 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	NDFZ11	None	CA00606926	D	SFY2022-23
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2023-05-02 00:00:00	230019007	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-10-06 00:00:00	2017-10-06 00:00:00	Yes	2023-08-30 00:00:00	2023-08-10 00:00:00	AP BR	None	30000	30000	0	0	30000	None	9GVH11	None	CA00625401	D	SFY2022-23
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-01-12 00:00:00	230019020	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-03-12 00:00:00	2023-03-12 00:00:00	No	2024-02-02 00:00:00	None	AP IJ	None	94500	94500	0	94500	0	None	HXX211	Y	CA00831256, CA00831256, CA00831256	B, B, B	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2023-11-02 00:00:00	230019043	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-03-19 00:00:00	2023-03-19 00:00:00	No	2023-11-28 00:00:00	None	AP IJ	None	90562	90562	0	90562	0	None	MM1G11	N	CA00831920	B	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2023-11-16 00:00:00	230019202	Closed	Administrative Penalty	None	A10 - Telemetry	None	2022-07-18 00:00:00	2022-07-18 00:00:00	No	2023-11-26 00:00:00	None	NP	None	15000	15000	0	15000	0	None	2L1Y11	N	CA00794229, CA00794229, CA00798348, CA00798348, CA00801315, CA00801315	B, B, B, B, B, B	SFY2023-24
230000367	SHASTA COMMUNITY HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Chico	2023-08-15 00:00:00	230019207	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-02-14 00:00:00	2017-02-14 00:00:00	No	2023-11-16 00:00:00	None	AP BR	None	12500	12500	-3125	9375	0	None	T2AN11	None	CA00523650	D	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-06 00:00:00	230019214	Closed	Administrative Penalty	None	A10 - Telemetry	None	2023-01-05 00:00:00	2023-01-05 00:00:00	No	2024-05-16 00:00:00	None	NP	None	30000	30000	0	30000	0	None	ETZ311	N	CA00838783, CA00842716	B, B	SFY2023-24
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2023-11-16 00:00:00	230019290	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-12-15 00:00:00	2022-12-15 00:00:00	No	2023-12-11 00:00:00	None	AP NON-IJ	None	12120	12120	0	12120	0	None	H2JX11	N	CA00817409, CA00828463, CA00828463	B, B, B	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-02-02 00:00:00	230019325	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2023-08-04 00:00:00	2023-08-04 00:00:00	No	2024-02-26 00:00:00	None	AP IJ	None	60375	60375	0	60375	0	None	ZMJ011	N	CA00854291	B	SFY2023-24
230000261	ADVENTIST HEALTH AND RIDEOUT	Non-LTC	GACH	General Acute Care Hospital	Chico	2023-10-01 00:00:00	230019734	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2022-07-08 00:00:00	2022-07-08 00:00:00	No	2024-03-13 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	9D6211	None	CA00793575	D	SFY2023-24
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2023-08-15 00:00:00	230019786	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-04-30 00:00:00	2018-04-30 00:00:00	No	2024-04-10 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	WBJM11	None	CA00587680	D	SFY2023-24
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-01-30 00:00:00	230019978	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-05-23 00:00:00	2019-05-23 00:00:00	No	2024-05-22 00:00:00	None	AP BR	None	12500	12500	-3125	9375	0	None	J1IC11	None	CA00642279	D	SFY2023-24
230000014	OROVILLE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-02-13 00:00:00	230019980	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-12-14 00:00:00	2022-12-14 00:00:00	No	2024-05-22 00:00:00	None	AP BR	None	20000	20000	-5000	15000	0	None	72Z411	None	CA00817816	D	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-06 00:00:00	230020107	Closed	Administrative Penalty	None	A10 - Telemetry	None	2023-10-13 00:00:00	2023-10-13 00:00:00	No	2024-05-16 00:00:00	None	NP	None	30000	30000	0	30000	0	None	RL3B11	N	CA00867356, CA00867356, CA00867497, CA00867497, CA00884933, CA00884933, CA00885455, CA00885455	C, C, C, C, B, B, B, B	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-06 00:00:00	230020108	Closed	Administrative Penalty	None	A10 - Telemetry	None	2024-01-07 00:00:00	2024-01-07 00:00:00	No	2024-05-16 00:00:00	None	NP	None	30000	30000	0	30000	0	None	FEKP11	N	CA00879158, CA00879158	C, C	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-15 00:00:00	230020141	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2023-10-12 00:00:00	2023-10-12 00:00:00	No	2024-06-06 00:00:00	None	AP NON-IJ	None	15750	15750	0	15750	0	None	RL3B11	N	CA00867356, CA00867356, CA00867497, CA00867497	C, C, C, C	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-21 00:00:00	230020201	Closed	Administrative Penalty	None	A10 - Telemetry	None	2023-12-16 00:00:00	2023-12-16 00:00:00	No	2024-05-31 00:00:00	None	NP	None	30000	30000	0	30000	0	None	ZBDW11	N	CA00875170, CA00875176, CA00875234, CA00875383, CA00875945, CA00876903, CA00882065	B, B, B, B, B, B, B	SFY2023-24
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2008-05-16 00:00:00	240005045	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-01-12 00:00:00	2008-01-12 00:00:00	No	2008-06-09 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	CLVS11	N	CA00138220	B	SFY2007-08
240000103	ST. BERNARDINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-07-02 00:00:00	240006288	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2008-08-20 22:30:00	2008-08-20 22:30:00	No	2009-07-23 00:00:00	None	FTR AE	None	100	100	0	100	0	None	BUKL11	N	CA00161205	C	SFY2009-10
240000100	ARROWHEAD REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-06-30 00:00:00	240006311	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-11-29 00:00:00	2008-11-29 00:00:00	No	2009-07-21 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	IGQU11	N	CA00172830	C	SFY2008-09
240000040	KINDRED HOSPITAL ONTARIO	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-07-03 00:00:00	240006313	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2008-04-22 00:00:00	2008-04-22 00:00:00	No	2009-07-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	9B1T11	N	CA00147759	C	SFY2009-10
240000100	ARROWHEAD REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-07-03 00:00:00	240006359	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-10-16 00:00:00	2008-10-16 00:00:00	No	2009-07-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	72CP11	N	CA00170371	C	SFY2009-10
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-07-03 00:00:00	240006364	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-08-15 00:00:00	2008-08-15 00:00:00	No	2009-07-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	9D5611	N	CA00161487	B	SFY2009-10
240000082	COMMUNITY HOSPITAL OF SAN BERNARDINO	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-10-21 00:00:00	240006635	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-03-10 00:00:00	2009-03-10 00:00:00	No	2009-11-12 00:00:00	None	AP BR	None	75000	75000	-18750	56250	0	None	7UP111	None	CA00181838	B	SFY2009-10
240000082	COMMUNITY HOSPITAL OF SAN BERNARDINO	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-10-22 00:00:00	240006643	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-02-28 00:00:00	2009-02-28 00:00:00	No	2009-11-13 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	OI8G11	None	CA00179753	C	SFY2009-10
240000014	HI-DESERT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-11-24 00:00:00	240006736	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2009-05-22 00:00:00	2009-05-22 00:00:00	Yes	2009-12-17 00:00:00	2010-05-27 00:00:00	AP IJ	AP IJ	50000	15000	0	15000	0	None	7NZN11	N	CA00189824, CA00190039	C, E	SFY2009-10
240000103	ST. BERNARDINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-12-09 00:00:00	240006762	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-03-09 00:00:00	2009-03-09 00:00:00	Yes	2009-12-31 00:00:00	2010-04-16 00:00:00	AP IJ	Drop>Deficiency	50000	10000	0	10000	0	None	9WXJ11	N	CA00181368	E	SFY2009-10
240000024	KAISER FOUNDATION HOSPITAL FONTANA	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-12-22 00:00:00	240006804	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2008-09-16 00:00:00	2008-09-16 00:00:00	Yes	2010-01-14 00:00:00	2010-04-20 00:00:00	AP IJ	None	25000	25000	0	25000	0	None	59SQ11	N	CA00167812	E	SFY2009-10
240000103	ST. BERNARDINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-12-22 00:00:00	240006823	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-05-22 00:00:00	2009-05-22 00:00:00	No	2012-10-01 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	1EJN11	None	CA00190082	E	SFY2009-10
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2013-12-02 00:00:00	240006904	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-04-30 00:00:00	2009-04-30 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	5000	5000	0	5000	0	None	UTI011	None	CA00187117	E	SFY2013-14
240001330	DESERT VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2012-01-12 00:00:00	240008899	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-10-03 00:00:00	2011-10-03 00:00:00	Yes	2013-09-06 00:00:00	2013-08-22 00:00:00	AP IJ	AP IJ	50000	37500	0	37500	0	None	999999	N	CA00285592	E	SFY2011-12
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2013-12-02 00:00:00	240010286	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-04-27 00:00:00	2009-04-27 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	5000	5000	0	5000	0	None	G29011	None	CA00187710	C	SFY2013-14
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-03-26 00:00:00	240010575	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-04-20 00:00:00	2010-04-20 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	8QNP11	N	CA00228810	B	SFY2013-14
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-05-22 00:00:00	240010640	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2010-02-26 00:00:00	2010-02-26 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	GCN311	N	CA00224633	C	SFY2013-14
240000100	ARROWHEAD REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-04-18 00:00:00	240010641	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2011-10-07 00:00:00	2011-10-07 00:00:00	No	2015-02-24 00:00:00	None	AP BR	None	95000	95000	0	95000	0	None	W6BR11	None	CA00292182	E	SFY2013-14
240000103	ST. BERNARDINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-05-14 00:00:00	240010645	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2011-01-14 00:00:00	2011-01-14 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	DDGE11	N	CA00256145	E	SFY2013-14
240000046	REDLANDS COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-05-14 00:00:00	240010648	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-03-24 00:00:00	2010-03-24 00:00:00	No	2015-02-24 00:00:00	None	AP BR	None	92500	92500	-23125	69375	0	None	OG3Z11	None	CA00224842	B	SFY2013-14
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-06-11 00:00:00	240010749	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-01-04 00:00:00	2010-01-04 00:00:00	No	2015-03-05 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	7KW911	Y	CA00214803	E	SFY2013-14
240000778	CANYON RIDGE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	San Bernardino	2014-09-03 00:00:00	240010965	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2011-07-31 00:00:00	2011-07-31 00:00:00	No	2014-09-24 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	RNC811	N	CA00280327	E	SFY2014-15
240000778	CANYON RIDGE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	San Bernardino	2014-08-27 00:00:00	240010966	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2011-07-31 00:00:00	2011-07-31 00:00:00	Yes	2015-01-06 00:00:00	2014-12-23 00:00:00	AP IJ	AP IJ	50000	30000	0	30000	0	None	RNC811	N	CA00280327	E	SFY2014-15
240000103	ST. BERNARDINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-09-03 00:00:00	240010971	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-03-28 00:00:00	2012-03-28 00:00:00	No	2014-09-24 00:00:00	None	FTR AE	None	18000	18000	0	18000	0	None	ZZAL11	N	CA00304250	E	SFY2014-15
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-09-03 00:00:00	240010973	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-02-06 00:00:00	2012-02-06 00:00:00	No	2014-09-24 00:00:00	None	FTR AE	None	900	900	0	900	0	None	U2S011	N	CA00301084	B	SFY2014-15
240000024	KAISER FOUNDATION HOSPITAL FONTANA	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-09-03 00:00:00	240010978	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2014-05-08 00:00:00	2014-05-08 00:00:00	No	2016-02-19 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	0ZUN11	Y	CA00398884	B	SFY2014-15
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-11-19 00:00:00	240011132	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-09-18 00:00:00	2012-09-18 00:00:00	No	2014-12-12 00:00:00	None	FTR AE	None	100	100	0	100	0	None	TLGN11	N	CA00327805	C	SFY2014-15
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-01-14 00:00:00	240011231	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-08-07 00:00:00	2012-08-07 00:00:00	Yes	2015-02-05 00:00:00	2015-01-30 00:00:00	FTR AE	None	200	200	0	200	0	None	HEOH11	N	CA00322086	E	SFY2014-15
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-01-14 00:00:00	240011232	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-09-14 00:00:00	2012-09-14 00:00:00	Yes	2015-02-05 00:00:00	2015-01-30 00:00:00	FTR AE	None	36600	36600	0	36600	0	None	LZ5511	N	CA00322070	E	SFY2014-15
240000100	ARROWHEAD REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-01-14 00:00:00	240011233	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2015-02-05 00:00:00	None	FTR AE	None	7200	7200	0	7200	0	None	BOTG11	N	CA00307680	E	SFY2014-15
240001330	DESERT VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-01-16 00:00:00	240011238	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2011-06-15 00:00:00	2011-06-15 00:00:00	Yes	2015-06-09 00:00:00	2015-05-20 00:00:00	AP IJ	Drop>Deficiency	50000	37500	0	37500	0	None	V9FG11	N	CA00273525, CA00273525	E, E	SFY2014-15
240000053	SAN ANTONIO REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-03-02 00:00:00	240011291	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-02-08 00:00:00	2012-02-08 00:00:00	No	2015-03-23 00:00:00	None	FTR AE	None	32900	32900	0	32900	0	None	NX4N11	N	CA00300028	E	SFY2014-15
240000046	REDLANDS COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-03-12 00:00:00	240011324	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2013-08-14 00:00:00	2013-08-14 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	L42I11	N	CA00388156	E	SFY2014-15
240000052	MOUNTAINS COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-04-14 00:00:00	240011379	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-10-11 00:00:00	2012-10-11 00:00:00	No	2015-05-05 00:00:00	None	FTR BR	None	400	400	0	400	0	None	TN1V11	None	CA00331092	C	SFY2014-15
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-05-11 00:00:00	240011458	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-08-08 00:00:00	2012-08-08 00:00:00	No	2015-06-02 00:00:00	None	FTR AE	None	900	900	0	900	0	None	BCUJ11	N	CA00323738	C	SFY2014-15
240000100	ARROWHEAD REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-05-11 00:00:00	240011459	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-03-03 00:00:00	2012-03-03 00:00:00	No	2015-06-02 00:00:00	None	FTR AE	None	600	600	0	600	0	None	S5KS11	N	CA00303297	E	SFY2014-15
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-07-10 00:00:00	240011621	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-07-29 00:00:00	2009-07-29 00:00:00	No	2015-11-09 00:00:00	None	AP BR	None	4250	4250	0	4250	0	None	B41911	None	CA00201179	E	SFY2015-16
240000037	NORTHERN INYO HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-08-25 00:00:00	240011692	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2010-08-05 00:00:00	2010-08-05 00:00:00	No	2016-08-01 00:00:00	None	AP BR	None	6750	6750	-1687.5	5062.5	0	None	YHYI11	None	CA00371852	E	SFY2015-16
240000082	COMMUNITY HOSPITAL OF SAN BERNARDINO	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-10-02 00:00:00	240011769	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Rights	None	2014-12-26 00:00:00	2014-12-26 00:00:00	No	2015-10-23 00:00:00	None	FTR BR	None	3800	3800	-950	2850	0	None	SZYG11	None	CA00432320	C	SFY2015-16
240000100	ARROWHEAD REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2016-01-15 00:00:00	240011971	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2014-05-18 00:00:00	2014-05-18 00:00:00	No	2018-01-30 00:00:00	None	AP BR	None	7500	7500	0	7500	0	None	8LH211	None	CA00410428	C	SFY2015-16
240000100	ARROWHEAD REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2016-05-17 00:00:00	240012178	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-02-27 00:00:00	2013-02-27 00:00:00	No	2016-06-08 00:00:00	None	FTR AE	None	700	700	0	700	0	None	DMDU11	N	CA00347383	E	SFY2015-16
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2016-09-13 00:00:00	240012576	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-03-20 00:00:00	2013-03-20 00:00:00	No	2016-10-04 00:00:00	None	FTR AE	None	700	700	0	700	0	None	6I5P11	N	CA00350272	E	SFY2016-17
240001330	DESERT VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2021-12-03 00:00:00	240017867	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2018-08-09 00:00:00	2018-08-09 00:00:00	No	2022-09-15 00:00:00	None	AP BR	None	15000	15000	0	15000	0	None	WZXZ11	None	CA00601876	D	SFY2021-22
240000002	BEAR VALLEY COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2021-12-03 00:00:00	240018358	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-03-07 00:00:00	2019-03-07 00:00:00	No	2023-03-02 00:00:00	None	AP BR	None	5000	5000	-1250	3750	0	None	3TS711	None	CA00631039	D	SFY2021-22
240000053	SAN ANTONIO REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2021-12-03 00:00:00	240018578	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-06-26 00:00:00	2018-06-26 00:00:00	Yes	2023-05-03 00:00:00	2023-04-14 00:00:00	AP BR	None	15000	15000	0	0	15000	None	82MN11	None	CA00596986	D	SFY2021-22
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2021-12-03 00:00:00	240018972	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2018-06-27 00:00:00	2018-06-27 00:00:00	No	2023-08-16 00:00:00	None	AP BR	None	12500	12500	-3125	9375	0	None	5OP811	None	CA00598293, CA00598293	D, D	SFY2021-22
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2022-02-25 00:00:00	240018981	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-03-08 00:00:00	2019-03-08 00:00:00	No	2023-08-16 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	E7II11	None	CA00632135	D	SFY2021-22
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2022-08-23 00:00:00	240019333	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2021-05-24 00:00:00	2021-05-24 00:00:00	No	2023-12-20 00:00:00	None	AP BR	None	105000	105000	-26250	78750	0	None	M39811	None	CA00738910	D	SFY2022-23
240000027	LOMA LINDA UNIVERSITY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2023-09-19 00:00:00	240019792	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-04-02 00:00:00	2018-04-02 00:00:00	No	2024-04-10 00:00:00	None	AP BR	None	12500	12500	0	12500	0	None	AHHF11	None	CA00584119	D	SFY2023-24
240000024	KAISER FOUNDATION HOSPITAL FONTANA	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2023-11-28 00:00:00	240020137	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-08-18 00:00:00	2022-08-18 00:00:00	No	2024-06-19 00:00:00	None	AP BR	None	20000	20000	-5000	15000	0	None	62OG11	None	CA00811990	D	SFY2023-24
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2007-12-18 00:00:00	250004254	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-05-30 00:00:00	2007-05-30 00:00:00	Yes	2008-01-10 00:00:00	2007-10-29 00:00:00	AP IJ	AP IJ	25000	5000	0	5000	0	None	4HCU11	N	None	None	SFY2007-08
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-03-12 00:00:00	250004483	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-10-02 00:00:00	2007-10-02 00:00:00	Yes	2008-04-03 00:00:00	2008-03-21 00:00:00	AP IJ	AP IJ	25000	5000	0	5000	0	None	8QOU11	N	None	None	SFY2007-08
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-03-17 00:00:00	250004852	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-12-12 00:00:00	2007-12-12 00:00:00	No	2008-04-08 00:00:00	None	FTR AE	None	3100	3100	0	3100	0	None	PGC711	N	CA00138106	B	SFY2007-08
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-03-17 00:00:00	250004891	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-01-11 00:00:00	2008-01-11 00:00:00	No	2008-04-08 00:00:00	None	FTR AE	None	900	900	0	900	0	None	B9XZ11	N	CA00139016	C	SFY2007-08
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-08-18 00:00:00	250005108	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-01-24 00:00:00	2008-01-24 00:00:00	Yes	2008-09-09 00:00:00	2008-08-22 00:00:00	AP IJ	AP IJ	25000	18750	0	18750	0	None	1B2U11	N	CA00138472, CA00138472	C, C	SFY2008-09
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-08-18 00:00:00	250005109	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-02-28 00:00:00	2008-02-28 00:00:00	Yes	2008-09-09 00:00:00	2008-08-22 00:00:00	AP IJ	AP IJ	25000	18750	0	18750	0	None	1B2U11	N	CA00138472	C	SFY2008-09
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-11-04 00:00:00	250005570	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-12-02 00:00:00	2007-12-02 00:00:00	No	2008-11-26 00:00:00	None	FTR AE	None	18100	18100	0	18100	0	None	OD8C11	N	CA00152201	C	SFY2008-09
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-11-04 00:00:00	250005572	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-05-05 00:00:00	2008-05-05 00:00:00	No	2008-11-26 00:00:00	None	FTR AE	None	8300	8300	0	8300	0	None	RRTR11	N	CA00158799	C	SFY2008-09
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-11-04 00:00:00	250005578	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-07-05 00:00:00	2008-07-05 00:00:00	No	2008-11-26 00:00:00	None	FTR AE	None	100	100	0	100	0	None	SWVR11	N	CA00156646	C	SFY2008-09
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-11-07 00:00:00	250005595	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-11-19 00:00:00	2007-11-19 00:00:00	No	2008-12-03 00:00:00	None	FTR AE	None	22700	22700	0	22700	0	None	3TZ111	N	CA00141059	C	SFY2008-09
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2009-08-31 00:00:00	250006195	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	Staffing	2008-06-06 00:00:00	2008-06-06 00:00:00	Yes	2009-09-22 00:00:00	2009-09-03 00:00:00	AP IJ	AP IJ	25000	5000	0	5000	0	None	WJMG11	N	CA00146788	C	SFY2009-10
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2009-09-16 00:00:00	250006559	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2008-08-04 00:00:00	2008-08-04 00:00:00	Yes	2009-10-07 00:00:00	2010-01-28 00:00:00	AP IJ	AP IJ	25000	17500	0	17500	0	None	96D811	N	CA00158812, CA00158976	B, C	SFY2009-10
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2009-09-16 00:00:00	250006564	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-08-04 00:00:00	2008-08-04 00:00:00	Yes	2009-10-07 00:00:00	2010-01-28 00:00:00	AP IJ	AP IJ	25000	17500	0	17500	0	None	96D811	N	CA00158812, CA00159980	B, C	SFY2009-10
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2009-09-16 00:00:00	250006565	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-08-04 00:00:00	2008-08-04 00:00:00	Yes	2009-10-07 00:00:00	2010-01-28 00:00:00	AP IJ	AP IJ	25000	17500	0	17500	0	None	96D811	N	CA00158812	B	SFY2009-10
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2009-09-16 00:00:00	250006566	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2008-08-04 00:00:00	2008-08-04 00:00:00	Yes	2009-10-07 00:00:00	2010-01-28 00:00:00	AP IJ	AP IJ	25000	17500	0	17500	0	None	96D811	N	CA00158812	B	SFY2009-10
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2009-12-08 00:00:00	250006761	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2009-07-14 00:00:00	2009-07-14 00:00:00	No	2009-12-30 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	UR9O11	N	CA00195114	C	SFY2009-10
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-01-05 00:00:00	250006888	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2009-10-28 00:00:00	2009-10-28 00:00:00	Yes	2010-01-28 00:00:00	2010-04-22 00:00:00	AP IJ	AP IJ	100000	100000	0	100000	0	None	E4O411	N	CA00206439	B	SFY2009-10
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-01-14 00:00:00	250006921	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2009-08-12 00:00:00	2009-08-12 00:00:00	Yes	2010-02-08 00:00:00	2010-04-22 00:00:00	AP IJ	AP IJ	50000	50000	0	50000	0	None	DLPF11	N	CA00196406, CA00196406, CA00196406	C, C, C	SFY2009-10
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-01-14 00:00:00	250006922	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2009-09-03 00:00:00	2009-09-03 00:00:00	Yes	2010-02-08 00:00:00	2010-04-22 00:00:00	AP IJ	AP IJ	75000	75000	0	75000	0	None	UNQN11	N	CA00200713	B	SFY2009-10
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-03-09 00:00:00	250007028	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-08-08 00:00:00	2009-08-08 00:00:00	No	2010-03-30 00:00:00	None	FTR AE	None	100	100	0	100	0	None	W8EN11	N	CA00198553	C	SFY2009-10
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2009-04-16 00:00:00	250007134	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-05-21 00:00:00	2008-05-21 00:00:00	No	2009-05-07 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	CWRH11	N	CA00151535	C	SFY2008-09
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-05-14 00:00:00	250007223	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-09-04 00:00:00	2008-09-04 00:00:00	No	2010-06-07 00:00:00	None	FTR AE	None	5600	5600	0	5600	0	None	HGU011	N	CA00167548, CA00168523	C, C	SFY2009-10
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-05-14 00:00:00	250007224	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-08-29 00:00:00	2008-08-29 00:00:00	Yes	2010-06-07 00:00:00	2010-05-27 00:00:00	FTR AE	None	3500	3500	0	3500	0	None	8CT311	N	CA00165807	C	SFY2009-10
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-06-17 00:00:00	250007318	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-11-27 00:00:00	2008-11-27 00:00:00	No	2010-07-08 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	23ZE11	N	CA00171381	C	SFY2009-10
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-06-17 00:00:00	250007319	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-12-05 00:00:00	2008-12-05 00:00:00	No	2010-07-08 00:00:00	None	FTR AE	None	500	500	0	500	0	None	23ZE11	N	CA00171381	C	SFY2009-10
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-07-16 00:00:00	250007399	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-12-02 00:00:00	2008-12-02 00:00:00	No	2010-08-09 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	41GT11	N	CA00172529	C	SFY2010-11
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-07-20 00:00:00	250007412	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-11-03 00:00:00	2008-11-03 00:00:00	No	2010-08-10 00:00:00	None	FTR AE	None	3200	3200	0	3200	0	None	N27711	N	CA00171903	C	SFY2010-11
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-07-21 00:00:00	250007415	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-06-29 00:00:00	2009-06-29 00:00:00	No	2010-08-11 00:00:00	None	FTR AE	None	200	200	0	200	0	None	K9H811	N	CA00194167	C	SFY2010-11
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-07-21 00:00:00	250007418	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-12-17 00:00:00	2008-12-17 00:00:00	Yes	2010-08-11 00:00:00	2010-07-29 00:00:00	FTR AE	None	1400	1400	0	1400	0	None	D96711	N	CA00173887	C	SFY2010-11
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-03-21 00:00:00	250008053	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-06-22 00:00:00	2009-06-22 00:00:00	No	2011-09-29 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	QJ0911	N	CA00201465, CA00205916	C, C	SFY2010-11
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-04-07 00:00:00	250008127	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-11-16 00:00:00	2009-11-16 00:00:00	No	2011-04-28 00:00:00	None	FTR AE	None	400	400	0	400	0	None	682H11	N	CA00207916	C	SFY2010-11
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-04-15 00:00:00	250008160	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-07-09 00:00:00	2009-07-09 00:00:00	No	2010-05-06 00:00:00	None	FTR AE	None	200	200	0	200	0	None	6DFB11	N	CA00195325	C	SFY2009-10
250000048	PACIFIC GROVE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Riverside	2010-04-15 00:00:00	250008161	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-09-30 00:00:00	2008-09-30 00:00:00	No	2010-05-06 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	EJQ911	N	CA00167005	C	SFY2009-10
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-05-18 00:00:00	250008263	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-10-07 00:00:00	2009-10-07 00:00:00	No	2011-06-09 00:00:00	None	FTR AE	None	100	100	0	100	0	None	RBQI11	N	CA00204865	C	SFY2010-11
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-06-09 00:00:00	250008303	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-03-19 00:00:00	2008-03-19 00:00:00	Yes	2011-06-30 00:00:00	2011-06-22 00:00:00	FTR AE	None	2400	2400	0	0	2400	None	JSZZ11	Y	CA00147125	C	SFY2010-11
630011959	KAISER FOUNDATION HOSPITAL-MORENO VALLEY	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-06-14 00:00:00	250008305	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-09-28 00:00:00	2010-09-28 00:00:00	No	2011-07-06 00:00:00	None	FTR AE	None	100	100	0	100	0	None	3LS811	N	CA00244986	C	SFY2010-11
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-06-14 00:00:00	250008307	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-08-06 00:00:00	2010-08-06 00:00:00	No	2011-07-06 00:00:00	None	FTR AE	None	300	300	0	300	0	None	II3G11	N	CA00238993	E	SFY2010-11
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-07-21 00:00:00	250008402	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-10-19 00:00:00	2008-10-19 00:00:00	No	2011-08-11 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	N75V11	N	CA00168573	C	SFY2011-12
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-08-01 00:00:00	250008432	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-11-06 00:00:00	2009-11-06 00:00:00	Yes	2011-08-22 00:00:00	2011-08-09 00:00:00	FTR AE	None	1900	1900	0	1900	0	None	PDZ011	N	CA00209628	C	SFY2011-12
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-09-07 00:00:00	250008553	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-08-06 00:00:00	2010-08-06 00:00:00	No	2011-09-29 00:00:00	None	FTR BR	None	300	300	0	300	0	None	II3G11	None	CA00238993	E	SFY2011-12
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-10-25 00:00:00	250008663	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-10-22 00:00:00	2010-10-22 00:00:00	No	2011-11-16 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	SQIV11	None	CA00248574	C	SFY2011-12
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-10-25 00:00:00	250008664	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-10-22 00:00:00	2010-10-22 00:00:00	No	2011-11-16 00:00:00	None	FTR RES	None	1000	1000	-250	750	0	None	SQIV11	None	CA00248574	C	SFY2011-12
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-01-11 00:00:00	250008905	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-04-19 00:00:00	2010-04-19 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	LID811	Y	CA00226479, CA00250406	B, C	SFY2010-11
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2012-02-13 00:00:00	250009015	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2010-10-29 00:00:00	2010-10-29 00:00:00	Yes	2012-09-20 00:00:00	2012-09-04 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	X0XG11	N	CA00247960	C	SFY2011-12
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-03-13 00:00:00	250009787	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-09-14 00:00:00	2011-09-14 00:00:00	No	2013-04-04 00:00:00	None	FTR AE	None	200	200	0	200	0	None	QC1O11	N	CA00284226	C	SFY2012-13
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-03-13 00:00:00	250009788	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-07-22 00:00:00	2011-07-22 00:00:00	No	2013-04-04 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	VK2011	N	CA00279353	C	SFY2012-13
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-03-13 00:00:00	250009790	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-08-16 00:00:00	2011-08-16 00:00:00	No	2013-04-04 00:00:00	None	FTR AE	None	100	100	0	100	0	None	HYO511	N	CA00280542	C	SFY2012-13
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-05-01 00:00:00	250009869	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-07-31 00:00:00	2009-07-31 00:00:00	No	2013-05-22 00:00:00	None	FTR AE	None	600	600	0	600	0	None	G8JE11	N	CA00198214	C	SFY2012-13
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-05-01 00:00:00	250009870	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-07-31 00:00:00	2009-07-31 00:00:00	No	2013-05-22 00:00:00	None	FTR BR	None	500	500	0	500	0	None	G8JE11	None	CA00198214	C	SFY2012-13
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-05-02 00:00:00	250009873	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-04-15 00:00:00	2009-04-15 00:00:00	No	2013-05-23 00:00:00	None	FTR AE	None	300	300	0	300	0	None	1XBQ11	N	CA00185910	C	SFY2012-13
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-05-02 00:00:00	250009875	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-03-23 00:00:00	2009-03-23 00:00:00	No	2013-05-23 00:00:00	None	FTR BR	None	1100	1100	0	1100	0	None	5EJ511	None	CA00184208	C	SFY2012-13
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-05-02 00:00:00	250009876	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-03-23 00:00:00	2009-03-23 00:00:00	No	2013-05-23 00:00:00	None	FTR BR	None	1200	1200	0	1200	0	None	5EJ511	None	CA00184208	C	SFY2012-13
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-06-20 00:00:00	250009960	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2011-04-15 00:00:00	2011-04-15 00:00:00	No	2014-02-10 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	PF6Y11	None	CA00267889	C	SFY2012-13
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-10 00:00:00	250010004	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-11-14 00:00:00	2011-11-14 00:00:00	Yes	2013-07-31 00:00:00	2013-07-22 00:00:00	FTR AE	None	1900	1900	0	1900	0	None	G7K011	N	CA00292296	C	SFY2013-14
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-17 00:00:00	250010017	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-11-09 00:00:00	2012-11-09 00:00:00	No	2013-08-07 00:00:00	None	FTR AE	None	6200	6200	0	6200	0	None	0ZQJ11	N	CA00339767	C	SFY2013-14
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-23 00:00:00	250010022	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-01-07 00:00:00	2012-01-07 00:00:00	No	2013-08-13 00:00:00	None	FTR AE	None	100	100	0	100	0	None	UQ4211	N	CA00296420	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-24 00:00:00	250010025	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-08-16 00:00:00	2011-08-16 00:00:00	No	2013-08-14 00:00:00	None	FTR AE	None	100	100	0	100	0	None	1OMG11	N	CA00280536	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-01-24 00:00:00	250010027	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-02-11 00:00:00	2011-02-11 00:00:00	No	2014-02-14 00:00:00	None	FTR AE	None	10700	10700	0	10700	0	None	OC7H11	N	CA00271610	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-24 00:00:00	250010031	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-07-25 00:00:00	2011-07-25 00:00:00	No	2013-08-14 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	SODO11	N	CA00280452	C	SFY2013-14
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-10-04 00:00:00	250010033	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-02-01 00:00:00	2013-02-01 00:00:00	No	2013-10-25 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	493I11	None	CA00343125	C	SFY2013-14
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-25 00:00:00	250010034	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-01-03 00:00:00	2012-01-03 00:00:00	No	2013-08-15 00:00:00	None	FTR AE	None	400	400	0	400	0	None	JOSS11	N	CA00295944	C	SFY2013-14
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-29 00:00:00	250010046	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-11-21 00:00:00	2012-11-21 00:00:00	No	2013-08-19 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	099011	N	CA00335708	C	SFY2013-14
630011959	KAISER FOUNDATION HOSPITAL-MORENO VALLEY	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-10-09 00:00:00	250010056	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-02-11 00:00:00	2013-02-11 00:00:00	No	2013-10-30 00:00:00	None	FTR BR	None	200	200	0	200	0	None	HJCI11	None	CA00344111	C	SFY2013-14
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-10-07 00:00:00	250010108	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-02-01 00:00:00	2013-02-01 00:00:00	No	2013-10-28 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	493I11	None	CA00343125	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-10-03 00:00:00	250010182	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-09-21 00:00:00	2011-09-21 00:00:00	No	2013-10-24 00:00:00	None	FTR AE	None	12100	12100	0	12100	0	None	Q6PY11	N	CA00296116	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-10-03 00:00:00	250010185	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-09-19 00:00:00	2011-09-19 00:00:00	No	2013-10-24 00:00:00	None	FTR AE	None	11100	11100	0	11100	0	None	Q6PY11	N	CA00296116	C	SFY2013-14
630011959	KAISER FOUNDATION HOSPITAL-MORENO VALLEY	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-10-09 00:00:00	250010194	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2013-02-11 00:00:00	2013-02-11 00:00:00	No	2013-10-30 00:00:00	None	FTR RES	None	300	300	0	300	0	None	HJCI11	None	CA00344111	C	SFY2013-14
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-10-11 00:00:00	250010200	Open	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-09-20 00:00:00	2012-09-20 00:00:00	Yes	2013-11-01 00:00:00	2013-10-24 00:00:00	FTR BR	None	2900	2900	0	0	2900	None	G4X111	None	None	None	SFY2013-14
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-10-14 00:00:00	250010205	Open	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-09-20 00:00:00	2012-09-20 00:00:00	Yes	2013-11-04 00:00:00	2013-10-24 00:00:00	FTR RES	None	2900	2900	0	0	2900	None	G4X111	None	CA00331058	C	SFY2013-14
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-01-15 00:00:00	250010378	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-11-28 00:00:00	2012-11-28 00:00:00	No	2014-02-06 00:00:00	None	FTR AE	None	400	400	0	400	0	None	N1FW11	Y	CA00335502	B	SFY2013-14
250000727	MENIFEE GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-01-23 00:00:00	250010384	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-01-23 00:00:00	2012-01-23 00:00:00	No	2014-02-13 00:00:00	None	FTR BR	None	400	400	0	400	0	None	3VH211	None	CA00298137	C	SFY2013-14
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-02-05 00:00:00	250010444	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2012-10-15 00:00:00	2012-10-15 00:00:00	No	2014-02-27 00:00:00	None	FTR RES	None	900	900	0	900	0	None	MTK811	None	CA00331182	E	SFY2013-14
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-03-07 00:00:00	250010454	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-10-15 00:00:00	2012-10-15 00:00:00	No	2014-03-28 00:00:00	None	FTR BR	None	900	900	0	900	0	None	MTK811	None	CA00331182	E	SFY2013-14
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-03-06 00:00:00	250010522	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2010-09-29 00:00:00	2010-09-29 00:00:00	No	2014-05-22 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	05XK11	Y	CA00244689	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-03-06 00:00:00	250010524	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2010-08-21 00:00:00	2010-08-21 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	SJW411	N	CA00240375	B	SFY2013-14
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-03-21 00:00:00	250010565	Open	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2013-07-11 00:00:00	2013-07-11 00:00:00	Yes	2014-04-14 00:00:00	2014-04-04 00:00:00	FTR BR	None	100	100	0	0	100	None	MC3H11	None	CA00362726	D	SFY2013-14
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-03-21 00:00:00	250010566	Open	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-07-11 00:00:00	2013-07-11 00:00:00	Yes	2014-04-14 00:00:00	2014-04-04 00:00:00	FTR RES	None	100	100	0	0	100	None	MC3H11	None	CA00362726	D	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-04-03 00:00:00	250010599	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2010-08-19 00:00:00	2010-08-19 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	0F9311	N	CA00240276, CA00240382	B, B	SFY2013-14
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-04-09 00:00:00	250010608	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-09-14 00:00:00	2013-09-14 00:00:00	No	2014-04-30 00:00:00	None	FTR BR	None	300	300	0	300	0	None	CP0L11	None	CA00370963	D	SFY2013-14
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-04-09 00:00:00	250010609	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-09-14 00:00:00	2013-09-14 00:00:00	No	2014-04-30 00:00:00	None	FTR RES	None	200	200	0	200	0	None	CP0L11	None	CA00370963	D	SFY2013-14
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-04-09 00:00:00	250010611	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-06-18 00:00:00	2013-06-18 00:00:00	No	2014-04-30 00:00:00	None	FTR BR	None	1500	1500	0	1500	0	None	YDT911	None	CA00361453	D	SFY2013-14
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-04-09 00:00:00	250010612	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2013-06-18 00:00:00	2013-06-18 00:00:00	No	2014-04-30 00:00:00	None	FTR RES	None	2400	2400	0	2400	0	None	YDT911	None	CA00361453	D	SFY2013-14
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-04-10 00:00:00	250010613	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-06-05 00:00:00	2013-06-05 00:00:00	No	2014-05-01 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	HIWI11	None	CA00359526	D	SFY2013-14
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-04-10 00:00:00	250010614	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2013-06-05 00:00:00	2013-06-05 00:00:00	No	2014-05-01 00:00:00	None	FTR RES	None	900	900	-225	675	0	None	HIWI11	None	CA00359526	D	SFY2013-14
630014442	TEMECULA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-04-10 00:00:00	250010616	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-12-23 00:00:00	2013-12-23 00:00:00	No	2014-05-01 00:00:00	None	FTR RES	None	900	900	0	900	0	None	8E2N11	None	CA00381459	D	SFY2013-14
250000727	MENIFEE GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-08-07 00:00:00	250010630	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2012-01-23 00:00:00	2012-01-23 00:00:00	No	2014-08-28 00:00:00	None	FTR RES	None	400	400	-100	300	0	None	3VH211	None	CA00298137	C	SFY2014-15
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-05-06 00:00:00	250010709	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2010-10-10 00:00:00	2010-10-10 00:00:00	Yes	2014-08-15 00:00:00	2014-07-31 00:00:00	AP IJ	AP IJ	75000	80000	0	80000	0	None	Z89711	N	CA00245659	B	SFY2013-14
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-05-07 00:00:00	250010712	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-04-29 00:00:00	2011-04-29 00:00:00	Yes	2014-08-15 00:00:00	2014-08-01 00:00:00	AP IJ	Drop>Deficiency	50000	15000	0	15000	0	None	MH3U11	N	CA00268068	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-05-08 00:00:00	250010718	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2012-01-01 00:00:00	2012-01-01 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	EKED11	N	CA00298458	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-05-09 00:00:00	250010721	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2011-02-18 00:00:00	2011-02-18 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	BGKC11	Y	CA00259865, CA00260367	C, C	SFY2013-14
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-07-24 00:00:00	250010729	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2012-03-19 00:00:00	2012-03-19 00:00:00	Yes	2014-08-15 00:00:00	2014-07-31 00:00:00	AP IJ	AP IJ	100000	45000	0	45000	0	None	EGKN11	N	CA00309249	C	SFY2014-15
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-06-26 00:00:00	250010834	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2013-10-13 00:00:00	2013-10-13 00:00:00	No	2014-07-18 00:00:00	None	FTR RES	None	600	600	-150	450	0	None	FYY511	None	CA00374781	D	SFY2013-14
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-07-08 00:00:00	250010853	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-10-13 00:00:00	2013-10-13 00:00:00	No	2014-07-29 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	FYY511	None	CA00374781	D	SFY2014-15
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-08-08 00:00:00	250010925	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2011-01-15 00:00:00	2011-01-15 00:00:00	No	2015-03-05 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	LCRP11	N	CA00283972	B	SFY2014-15
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-08-11 00:00:00	250010926	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-10-06 00:00:00	2011-10-06 00:00:00	Yes	2015-03-05 00:00:00	2015-02-23 00:00:00	AP IJ	AP IJ	100000	77250	0	77250	0	None	YXPK11	Y	CA00286109	B	SFY2014-15
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-08-15 00:00:00	250010938	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach of IT system theft/loss of edevice/med rec	None	2010-05-20 00:00:00	2010-05-20 00:00:00	No	2014-09-08 00:00:00	None	FTR RES	None	2000	2000	0	2000	0	None	J0OH11	None	CA00221959, CA00223859, CA00230105, CA00230112	C, C, C, C	SFY2014-15
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-08-27 00:00:00	250010939	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-06-11 00:00:00	2009-06-11 00:00:00	No	2014-09-18 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	NV5S11	N	CA00193661	C	SFY2014-15
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-10-01 00:00:00	250011042	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-03-26 00:00:00	2008-03-26 00:00:00	No	2014-10-22 00:00:00	None	FTR AE	None	35400	35400	0	35400	0	None	VLCJ11	N	CA00182159	B	SFY2014-15
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-10-24 00:00:00	250011088	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-02-04 00:00:00	2009-02-04 00:00:00	No	2014-11-17 00:00:00	None	FTR BR	None	15000	15000	-3750	11250	0	None	4XMO11	None	CA00194629	C	SFY2014-15
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-10-24 00:00:00	250011089	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2009-02-04 00:00:00	2009-02-04 00:00:00	No	2014-11-17 00:00:00	None	FTR RES	None	14400	14400	-3600	10800	0	None	4XMO11	None	CA00194629	C	SFY2014-15
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-10-28 00:00:00	250011095	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-07-18 00:00:00	2013-07-18 00:00:00	No	2014-11-19 00:00:00	None	FTR BR	None	600	600	0	600	0	None	OOXU11	None	CA00364451	D	SFY2014-15
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-10-28 00:00:00	250011096	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2013-07-18 00:00:00	2013-07-18 00:00:00	No	2014-11-19 00:00:00	None	FTR RES	None	600	600	0	600	0	None	OOXU11	None	CA00364451	D	SFY2014-15
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-02-19 00:00:00	250011136	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	Pressure ulcer	2009-03-30 00:00:00	2009-03-30 00:00:00	No	2015-03-12 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	X2ML11	N	CA00184723	C	SFY2014-15
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-03-03 00:00:00	250011197	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-05-29 00:00:00	2013-05-29 00:00:00	No	2015-03-24 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	RFDN11	N	CA00359108	C	SFY2014-15
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-03-13 00:00:00	250011198	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-05-20 00:00:00	2013-05-20 00:00:00	No	2015-04-06 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	RFDN11	N	CA00359108	C	SFY2014-15
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-12-23 00:00:00	250011201	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-06-30 00:00:00	2013-06-30 00:00:00	No	2015-01-15 00:00:00	None	FTR BR	None	5000	5000	0	5000	0	None	XLVP11	None	CA00369310	D	SFY2014-15
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-01-08 00:00:00	250011218	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2012-12-11 00:00:00	2012-12-11 00:00:00	No	2015-01-30 00:00:00	None	FTR BR	None	300	300	0	300	0	None	IAKR11	None	CA00337247	C	SFY2014-15
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-01-12 00:00:00	250011228	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-12-11 00:00:00	2012-12-11 00:00:00	No	2015-02-03 00:00:00	None	FTR RES	None	300	300	0	300	0	None	IAKR11	None	CA00337247	C	SFY2014-15
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-04-24 00:00:00	250011419	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2013-06-30 00:00:00	2013-06-30 00:00:00	No	2015-05-15 00:00:00	None	FTR RES	None	5000	5000	0	5000	0	None	XLVP11	None	CA00369310	D	SFY2014-15
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-04-24 00:00:00	250011420	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2014-07-29 00:00:00	2014-07-29 00:00:00	No	2015-05-15 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	WX9U11	None	CA00409626	D	SFY2014-15
630014442	TEMECULA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-06 00:00:00	250011444	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2013-10-27 00:00:00	2013-10-27 00:00:00	No	2015-05-28 00:00:00	None	FTR BR	None	2000	2000	0	2000	0	None	370Y11	None	CA00377895	D	SFY2014-15
630014442	TEMECULA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-06 00:00:00	250011445	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2013-10-27 00:00:00	2013-10-27 00:00:00	No	2015-05-28 00:00:00	None	FTR RES	None	1800	1800	0	1800	0	None	370Y11	None	CA00377895	D	SFY2014-15
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-06 00:00:00	250011446	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-02-15 00:00:00	2014-02-15 00:00:00	No	2015-05-28 00:00:00	None	FTR AE	None	600	600	0	600	0	None	H2L511	N	CA00389250	D	SFY2014-15
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-06 00:00:00	250011448	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-01-14 00:00:00	2008-01-14 00:00:00	No	2015-05-28 00:00:00	None	FTR AE	None	31800	31800	0	31800	0	None	Z4M611	N	CA00267796	C	SFY2014-15
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-06 00:00:00	250011449	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-02-19 00:00:00	2014-02-19 00:00:00	No	2015-05-28 00:00:00	None	FTR AE	None	8000	8000	0	8000	0	None	ZDAD11	N	CA00398669	C	SFY2014-15
250000727	MENIFEE GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-06 00:00:00	250011450	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-05-02 00:00:00	2014-05-02 00:00:00	No	2015-05-28 00:00:00	None	FTR AE	None	4400	4400	0	4400	0	None	N7NS11	N	CA00396417	C	SFY2014-15
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-06 00:00:00	250011454	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2014-01-20 00:00:00	2014-01-20 00:00:00	No	2015-05-28 00:00:00	None	FTR BR	None	4400	4400	-1100	3300	0	None	0CBJ11	None	CA00391038	D	SFY2014-15
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-06 00:00:00	250011455	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2014-01-20 00:00:00	2014-01-20 00:00:00	No	2015-05-28 00:00:00	None	FTR RES	None	4400	4400	-1100	3300	0	None	0CBJ11	None	CA00391038	D	SFY2014-15
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-07 00:00:00	250011456	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-09-16 00:00:00	2009-09-16 00:00:00	No	2015-05-29 00:00:00	None	FTR AE	None	800	800	0	800	0	None	3P4511	N	CA00203451	C	SFY2014-15
630011959	KAISER FOUNDATION HOSPITAL-MORENO VALLEY	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-07 00:00:00	250011457	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-12-03 00:00:00	2014-12-03 00:00:00	No	2015-05-29 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	29QG11	N	CA00424188	C	SFY2014-15
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-13 00:00:00	250011474	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-05-29 00:00:00	2014-05-29 00:00:00	No	2015-06-04 00:00:00	None	FTR AE	None	800	800	0	800	0	None	5MWU11	N	CA00401603	C	SFY2014-15
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-13 00:00:00	250011475	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-02-07 00:00:00	2013-02-07 00:00:00	No	2015-06-04 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	F9L411	N	CA00347163	C	SFY2014-15
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-19 00:00:00	250011483	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-07-01 00:00:00	2014-07-01 00:00:00	No	2015-06-10 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	61YE11	N	CA00406042	C	SFY2014-15
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-19 00:00:00	250011484	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-05-08 00:00:00	2014-05-08 00:00:00	No	2015-06-10 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	45SH11	N	CA00399716	C	SFY2014-15
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-19 00:00:00	250011485	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-04-29 00:00:00	2014-04-29 00:00:00	No	2015-06-10 00:00:00	None	FTR AE	None	400	400	0	400	0	None	BLFL11	N	CA00397790	C	SFY2014-15
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-20 00:00:00	250011486	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-12-18 00:00:00	2013-12-18 00:00:00	No	2015-06-11 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	261H11	N	CA00382322	C	SFY2014-15
630011959	KAISER FOUNDATION HOSPITAL-MORENO VALLEY	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-19 00:00:00	250011487	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-07-08 00:00:00	2011-07-08 00:00:00	Yes	2015-06-10 00:00:00	2015-06-05 00:00:00	FTR AE	FTR AE	85200	60000	0	60000	0	None	1ZI411	N	CA00376547	C	SFY2014-15
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-19 00:00:00	250011488	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-06-11 00:00:00	2014-06-11 00:00:00	No	2015-06-10 00:00:00	None	FTR AE	None	6000	6000	0	6000	0	None	HK5Q11	N	CA00409642	C	SFY2014-15
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-19 00:00:00	250011489	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-07-08 00:00:00	2014-07-08 00:00:00	No	2015-06-10 00:00:00	None	FTR AE	None	6100	6100	0	6100	0	None	JYLO11	N	CA00412997	C	SFY2014-15
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-20 00:00:00	250011490	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-12-29 00:00:00	2014-12-29 00:00:00	No	2015-06-11 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	GB2U11	N	CA00427150	C	SFY2014-15
630011959	KAISER FOUNDATION HOSPITAL-MORENO VALLEY	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-20 00:00:00	250011492	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2015-01-08 00:00:00	2015-01-08 00:00:00	No	2015-06-11 00:00:00	None	FTR BR	None	1400	1400	-350	1050	0	None	18VJ11	None	CA00432023	C	SFY2014-15
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-20 00:00:00	250011496	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2014-09-25 00:00:00	2014-09-25 00:00:00	No	2015-06-11 00:00:00	None	FTR RES	None	6000	6000	0	6000	0	None	I2CT11	None	CA00418458	D	SFY2014-15
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-20 00:00:00	250011497	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2014-09-25 00:00:00	2014-09-25 00:00:00	No	2015-06-11 00:00:00	None	FTR BR	None	2600	2600	0	2600	0	None	I2CT11	None	CA00418458	D	SFY2014-15
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-20 00:00:00	250011498	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2015-01-08 00:00:00	2015-01-08 00:00:00	No	2015-06-11 00:00:00	None	FTR RES	None	1400	1400	-350	1050	0	None	ZM5F11	None	CA00431363	B	SFY2014-15
630010561	MAGNOLIA WEST DIALYSIS	Non-LTC	ESRD/CDC	Chronic Dialysis Clinic	Riverside	2015-05-20 00:00:00	250011499	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2014-05-16 00:00:00	2014-05-16 00:00:00	No	2015-06-11 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	EXAW11	None	CA00400177	D	SFY2014-15
630011694	CANYON SPRINGS DIALYSIS	Non-LTC	ESRD/CDC	Chronic Dialysis Clinic	Riverside	2015-05-21 00:00:00	250011501	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2014-05-16 00:00:00	2014-05-16 00:00:00	No	2015-06-12 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	7L9U11	None	CA00400172, CA00400172	D, D	SFY2014-15
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-07-09 00:00:00	250011610	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2009-03-28 00:00:00	2009-03-28 00:00:00	No	2015-07-30 00:00:00	None	FTR BR	None	2000	2000	-500	1500	0	None	PDWZ11	None	CA00185963	C	SFY2015-16
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-07-09 00:00:00	250011612	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-02-22 00:00:00	2010-02-22 00:00:00	No	2015-07-30 00:00:00	None	FTR AE	None	300	300	0	300	0	None	FTUF11	N	CA00220162	B	SFY2015-16
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-07-09 00:00:00	250011616	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-05-26 00:00:00	2010-05-26 00:00:00	No	2015-07-30 00:00:00	None	FTR AE	None	200	200	0	200	0	None	5VQ011	N	CA00231003	C	SFY2015-16
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-07-09 00:00:00	250011619	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-06-15 00:00:00	2010-06-15 00:00:00	No	2015-07-30 00:00:00	None	FTR AE	None	200	200	0	200	0	None	R32N11	N	CA00233237	C	SFY2015-16
250000048	PACIFIC GROVE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Riverside	2015-08-25 00:00:00	250011691	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2012-05-31 00:00:00	2012-05-31 00:00:00	No	2015-09-16 00:00:00	None	FTR BR	None	1300	1300	-1300	0	0	None	WIEX11	None	CA00314988	C	SFY2015-16
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-03 00:00:00	250011708	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-03-26 00:00:00	2015-03-26 00:00:00	No	2015-09-25 00:00:00	None	FTR AE	None	600	600	0	600	0	None	AL0F11	N	CA00437783	C	SFY2015-16
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-03 00:00:00	250011709	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-04-20 00:00:00	2015-04-20 00:00:00	No	2015-09-25 00:00:00	None	FTR AE	None	500	500	0	500	0	None	VHQO11	N	CA00441167	C	SFY2015-16
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-04 00:00:00	250011711	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-02-19 00:00:00	2015-02-19 00:00:00	No	2015-09-28 00:00:00	None	FTR AE	None	100	100	0	100	0	None	BPBI11	N	CA00432937	C	SFY2015-16
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-11 00:00:00	250011718	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-06-02 00:00:00	2009-06-02 00:00:00	No	2015-10-02 00:00:00	None	FTR AE	None	300	300	0	300	0	None	87U411	N	CA00191455	C	SFY2015-16
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-11 00:00:00	250011719	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-11-04 00:00:00	2010-11-04 00:00:00	No	2015-10-02 00:00:00	None	FTR AE	None	3500	3500	0	3500	0	None	MYSW11	N	CA00252225	C	SFY2015-16
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-17 00:00:00	250011729	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-05-20 00:00:00	2015-05-20 00:00:00	No	2015-10-08 00:00:00	None	FTR AE	None	700	700	0	700	0	None	36FI11	N	CA00444960	C	SFY2015-16
250000048	PACIFIC GROVE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Riverside	2015-09-18 00:00:00	250011731	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2012-05-31 00:00:00	2012-05-31 00:00:00	No	2015-10-09 00:00:00	None	FTR RES	None	600	600	-600	0	0	None	WIEX11	None	CA00314988	C	SFY2015-16
250000042	PALO VERDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-18 00:00:00	250011732	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2013-12-26 00:00:00	2013-12-26 00:00:00	No	2015-10-09 00:00:00	None	FTR BR	None	6100	6100	-1525	4575	0	None	YH7E11	None	CA00389818, CA00390076	D, D	SFY2015-16
250000042	PALO VERDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-18 00:00:00	250011734	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2013-12-26 00:00:00	2013-12-26 00:00:00	No	2015-10-09 00:00:00	None	FTR RES	None	5400	5400	-1350	4050	0	None	YH7E11	None	CA00389818, CA00390076	D, D	SFY2015-16
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-22 00:00:00	250011744	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-07-06 00:00:00	2015-07-06 00:00:00	No	2015-10-13 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	VNWV11	N	CA00451850	C	SFY2015-16
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-24 00:00:00	250011745	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-05-21 00:00:00	2015-05-21 00:00:00	No	2015-10-15 00:00:00	None	FTR AE	None	200	200	0	200	0	None	90PN11	N	CA00444643	C	SFY2015-16
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-29 00:00:00	250011764	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-08-13 00:00:00	2015-08-13 00:00:00	No	2015-10-20 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	X0RO11	N	CA00454719	C	SFY2015-16
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-29 00:00:00	250011765	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2014-09-23 00:00:00	2014-09-23 00:00:00	No	2015-10-20 00:00:00	None	FTR AE	None	10200	10200	0	10200	0	None	RMKE11	N	CA00423152	C	SFY2015-16
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-10-02 00:00:00	250011770	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2014-07-19 00:00:00	2014-07-19 00:00:00	No	2015-10-23 00:00:00	None	FTR AE	None	14100	14100	0	14100	0	None	WC1011	N	CA00423535	C	SFY2015-16
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-10-06 00:00:00	250011772	Open	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-01-23 00:00:00	2009-01-23 00:00:00	Yes	2015-10-27 00:00:00	2015-10-15 00:00:00	FTR BR	None	5800	5800	0	0	5800	None	I7N711	None	CA00183084	C	SFY2015-16
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-10-07 00:00:00	250011775	Open	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2009-01-23 00:00:00	2009-01-23 00:00:00	Yes	2015-10-28 00:00:00	2015-10-15 00:00:00	FTR RES	None	5800	5800	0	0	5800	None	I7N711	None	CA00183084	C	SFY2015-16
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-10-20 00:00:00	250011789	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2011-01-06 00:00:00	2011-01-06 00:00:00	No	2015-11-10 00:00:00	None	FTR RES	None	16500	16500	0	16500	0	None	9EKK11	None	CA00255039	C	SFY2015-16
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-02-24 00:00:00	250012039	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-03-17 00:00:00	2011-03-17 00:00:00	No	2018-01-30 00:00:00	None	AP BR	None	20000	20000	0	20000	0	None	E58F11	None	CA00266625	B	SFY2015-16
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-02-23 00:00:00	250012040	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-11-19 00:00:00	2015-11-19 00:00:00	No	2016-03-15 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	YK0Y11	N	CA00469358	C	SFY2015-16
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-02-23 00:00:00	250012041	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-08-26 00:00:00	2015-08-26 00:00:00	No	2016-03-15 00:00:00	None	FTR AE	None	400	400	0	400	0	None	ZC3R11	N	CA00457160	C	SFY2015-16
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-02-24 00:00:00	250012042	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-04-06 00:00:00	2015-04-06 00:00:00	No	2016-03-16 00:00:00	None	FTR AE	None	16400	16400	0	16400	0	None	PRE411	N	CA00459119	C	SFY2015-16
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-02-25 00:00:00	250012050	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-02-27 00:00:00	2015-02-27 00:00:00	No	2016-03-17 00:00:00	None	FTR AE	None	20200	20200	0	20200	0	None	RVOX11	N	CA00459146	C	SFY2015-16
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-03-18 00:00:00	250012128	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-09-09 00:00:00	2015-09-09 00:00:00	No	2016-04-11 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	RLK911	N	CA00460112	C	SFY2015-16
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-03-21 00:00:00	250012131	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-09-30 00:00:00	2015-09-30 00:00:00	No	2016-04-12 00:00:00	None	FTR AE	None	200	200	0	200	0	None	SQ1L11	N	CA00460964	C	SFY2015-16
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-05-26 00:00:00	250012294	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2016-02-21 00:00:00	2016-02-21 00:00:00	No	2016-06-17 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	H9T311	None	CA00480624	D	SFY2015-16
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-05-31 00:00:00	250012295	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2016-02-21 00:00:00	2016-02-21 00:00:00	No	2016-06-21 00:00:00	None	FTR RES	None	100	100	-25	75	0	None	H9T311	None	CA00480624	D	SFY2015-16
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-05-26 00:00:00	250012296	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-06-14 00:00:00	2015-06-14 00:00:00	Yes	2016-06-17 00:00:00	2016-06-09 00:00:00	FTR AE	None	9100	9100	0	0	9100	None	8XMT11	N	CA00458866	C	SFY2015-16
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-06-22 00:00:00	250012325	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-09-13 00:00:00	2011-09-13 00:00:00	No	2018-01-30 00:00:00	None	AP BR	None	17500	17500	0	17500	0	None	J6EG11	None	CA00286637	C	SFY2015-16
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-06-30 00:00:00	250012346	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2016-01-23 00:00:00	2016-01-23 00:00:00	No	2016-07-22 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	1PL411	None	CA00477515	D	SFY2015-16
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-06-22 00:00:00	250012347	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2016-01-23 00:00:00	2016-01-23 00:00:00	No	2016-07-14 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	1PL411	None	CA00477515	D	SFY2015-16
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-06-22 00:00:00	250012349	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-06-03 00:00:00	2011-06-03 00:00:00	No	2016-07-14 00:00:00	None	FTR BR	None	2000	2000	-500	1500	0	None	J6EG11	None	CA00286637	C	SFY2015-16
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-07-27 00:00:00	250012479	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-01-06 00:00:00	2015-01-06 00:00:00	No	2016-08-17 00:00:00	None	FTR AE	None	25400	25400	0	25400	0	None	IG8L11	N	CA00459154	C	SFY2016-17
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-07-27 00:00:00	250012480	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-03-16 00:00:00	2015-03-16 00:00:00	No	2016-08-17 00:00:00	None	FTR AE	None	18500	18500	0	18500	0	None	CNC011	N	CA00459141	C	SFY2016-17
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-07-27 00:00:00	250012481	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-03-11 00:00:00	2015-03-11 00:00:00	No	2016-08-17 00:00:00	None	FTR AE	None	19000	19000	0	19000	0	None	VHX611	N	CA00459132	C	SFY2016-17
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-08-23 00:00:00	250012534	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-08-02 00:00:00	2015-08-02 00:00:00	No	2016-09-14 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	GTYZ11	N	CA00453351	B	SFY2016-17
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-08-24 00:00:00	250012539	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-11-27 00:00:00	2015-11-27 00:00:00	No	2016-09-15 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	H3FY11	N	CA00467815	C	SFY2016-17
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-10-13 00:00:00	250012651	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE08 - Death/disability due to intravascular air embolism	None	2014-08-05 00:00:00	2014-08-05 00:00:00	Yes	2017-05-11 00:00:00	2017-04-28 00:00:00	AP IJ	AP IJ	100000	70000	0	70000	0	None	2C5711	Y	CA00408725	C	SFY2016-17
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-10-13 00:00:00	250012652	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2014-05-22 00:00:00	2014-05-22 00:00:00	No	2016-11-03 00:00:00	None	AP NON-IJ	None	17325	17325	0	17325	0	None	K5DW11	N	CA00407187	C	SFY2016-17
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-10-20 00:00:00	250012669	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-08-31 00:00:00	2016-08-31 00:00:00	No	2016-11-10 00:00:00	None	FTR AE	None	100	100	0	100	0	None	CHUK11	N	CA00501963	C	SFY2016-17
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-02-02 00:00:00	250012926	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-09-06 00:00:00	2016-09-06 00:00:00	No	2017-02-24 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	GZNS11	N	CA00501984	C	SFY2016-17
250000048	PACIFIC GROVE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Riverside	2017-02-09 00:00:00	250012962	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-02-25 00:00:00	2016-02-25 00:00:00	No	2017-03-03 00:00:00	None	AP NON-IJ	None	5000	5000	0	5000	0	None	T2UX11	N	CA00477926	B	SFY2016-17
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-02-21 00:00:00	250012985	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE21 - Death/disability due to a burn	None	2014-04-29 00:00:00	2014-04-29 00:00:00	No	2017-03-14 00:00:00	None	FTR AE	None	400	400	-400	0	0	None	BLFL11	N	CA00397790	C	SFY2016-17
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-02-28 00:00:00	250013009	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2014-04-29 00:00:00	2014-04-29 00:00:00	No	2017-03-21 00:00:00	None	AP IJ	None	42750	42750	0	42750	0	None	BLFL11	N	CA00397790	C	SFY2016-17
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-03-17 00:00:00	250013059	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-03-05 00:00:00	2016-03-05 00:00:00	No	2017-04-10 00:00:00	None	AP NON-IJ	None	14250	14250	0	14250	0	None	YBCV11	N	CA00498396	C	SFY2016-17
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-04-26 00:00:00	250013161	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-04-30 00:00:00	2016-04-30 00:00:00	No	2017-05-17 00:00:00	None	AP NON-IJ	None	15750	15750	0	15750	0	None	E50511	N	CA00486392	B	SFY2016-17
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-06-07 00:00:00	250013263	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-02-06 00:00:00	2017-02-06 00:00:00	No	2017-06-28 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	PIVL11	N	CA00524908	C	SFY2016-17
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-06-09 00:00:00	250013273	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE13 - Hemolytic reaction	None	2014-10-18 00:00:00	2014-10-18 00:00:00	No	2017-06-30 00:00:00	None	AP IJ	None	82500	82500	0	82500	0	None	RROL11	N	CA00420048, CA00422608	B, C	SFY2016-17
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-06-09 00:00:00	250013275	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE13 - Hemolytic reaction	None	2014-10-18 00:00:00	2014-10-18 00:00:00	No	2017-06-30 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	RROL11	N	CA00420048	B	SFY2016-17
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-06-14 00:00:00	250013290	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2016-12-15 00:00:00	2016-12-15 00:00:00	No	2017-07-06 00:00:00	None	FTR AE	None	200	200	0	200	0	None	2LUF11	N	CA00515556	C	SFY2016-17
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-06-26 00:00:00	250013315	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2016-01-30 00:00:00	2016-01-30 00:00:00	Yes	2017-07-18 00:00:00	2017-07-11 00:00:00	AP NON-IJ	AP NON-IJ	15675	11800	0	11800	0	None	0PZH11	N	CA00486558	C	SFY2016-17
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-06-26 00:00:00	250013317	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2016-01-30 00:00:00	2016-01-30 00:00:00	Yes	2017-07-18 00:00:00	2017-07-10 00:00:00	FTR AE	FTR AE	9700	7231.25	0	7231.25	0	None	0PZH11	N	CA00486558	C	SFY2016-17
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-07-11 00:00:00	250013335	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2014-12-04 00:00:00	2014-12-04 00:00:00	No	2017-08-01 00:00:00	None	AP IJ	None	31500	31500	0	31500	0	None	G1XF11	N	CA00422666	D	SFY2017-18
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-07-25 00:00:00	250013373	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-04-01 00:00:00	2015-04-01 00:00:00	Yes	2017-08-15 00:00:00	2018-04-28 00:00:00	AP IJ	AP IJ	125000	90000	0	90000	0	None	TZYX11	N	CA00438857	C	SFY2017-18
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-09-07 00:00:00	250013480	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-10-08 00:00:00	2015-10-08 00:00:00	Yes	2017-09-28 00:00:00	2018-04-28 00:00:00	AP IJ	AP IJ	125000	90000	0	90000	0	None	UF3811	N	CA00462998	B	SFY2017-18
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-09-19 00:00:00	250013506	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2016-09-11 00:00:00	2016-09-11 00:00:00	No	2017-10-10 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	VP2K11	N	CA00503875	C	SFY2017-18
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-09-21 00:00:00	250013513	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-07-31 00:00:00	2017-07-31 00:00:00	No	2017-10-12 00:00:00	None	FTR AE	None	400	400	0	400	0	None	TNLL11	N	CA00547769	C	SFY2017-18
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-10-26 00:00:00	250013577	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-07-12 00:00:00	2016-07-12 00:00:00	No	2017-11-17 00:00:00	None	FTR AE	None	9300	9300	0	9300	0	None	1GQP11	N	CA00506126	C	SFY2017-18
250000727	MENIFEE GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-11-13 00:00:00	250013614	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2017-01-24 00:00:00	2017-01-24 00:00:00	No	2017-12-06 00:00:00	None	AP NON-IJ	None	3750	3750	0	3750	0	None	QXS511	N	CA00519549, CA00519594	A, A	SFY2017-18
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-11-13 00:00:00	250013616	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2017-05-03 00:00:00	2017-05-03 00:00:00	No	2017-12-06 00:00:00	None	AP NON-IJ	None	11812	11812	0	11812	0	None	G3I511	N	CA00534537	C	SFY2017-18
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-11-14 00:00:00	250013623	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE24 - Care by impersonating licensed provider	None	2015-07-21 00:00:00	2015-07-21 00:00:00	No	2017-12-07 00:00:00	None	AP IJ	None	51975	51975	0	51975	0	None	IOAR11	N	CA00451429, CA00451880	C, C	SFY2017-18
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-12-08 00:00:00	250013682	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-12-13 00:00:00	2016-12-13 00:00:00	No	2018-01-01 00:00:00	None	AP NON-IJ	None	15675	15675	0	15675	0	None	ZVS211	N	CA00514168, CA00514175	B, B	SFY2017-18
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-02-13 00:00:00	250013809	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2016-12-04 00:00:00	2016-12-04 00:00:00	No	2018-03-07 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	JQ6F11	Y	CA00513631	B	SFY2017-18
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-03-01 00:00:00	250013868	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-08-03 00:00:00	2016-08-03 00:00:00	No	2018-03-22 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	EMIL11	Y	CA00514989	C	SFY2017-18
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-03-01 00:00:00	250013869	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2015-08-15 00:00:00	2015-08-15 00:00:00	No	2018-03-22 00:00:00	None	AP NON-IJ	None	4312	4312	0	4312	0	None	05EN11	N	CA00456243	B	SFY2017-18
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-03-01 00:00:00	250013870	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-07-20 00:00:00	2016-07-20 00:00:00	No	2018-03-22 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	SZQR11	N	CA00497318	C	SFY2017-18
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-03-02 00:00:00	250013873	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2016-12-02 00:00:00	2016-12-02 00:00:00	No	2018-03-23 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	CSZL11	Y	CA00513419	B	SFY2017-18
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-03-08 00:00:00	250013893	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2017-10-25 00:00:00	2017-10-25 00:00:00	No	2018-03-29 00:00:00	None	FTR AE	None	800	800	0	800	0	None	GLVH11	N	CA00560034	C	SFY2017-18
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-03-19 00:00:00	250013919	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-08-26 00:00:00	2015-08-26 00:00:00	No	2018-04-09 00:00:00	None	AP IJ	None	44887.5	44887.5	0	44887.5	0	None	OF7711	N	CA00455976	A	SFY2017-18
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-03-20 00:00:00	250013925	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-06-05 00:00:00	2016-06-05 00:00:00	No	2018-04-10 00:00:00	None	AP IJ	None	49500	49500	0	49500	0	None	M4W611	N	CA00491050	C	SFY2017-18
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-03-20 00:00:00	250013926	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2017-11-01 00:00:00	2017-11-01 00:00:00	No	2018-04-10 00:00:00	None	FTR AE	None	400	400	0	400	0	None	LKZY11	N	CA00560448	B	SFY2017-18
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-03-27 00:00:00	250013944	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-12-14 00:00:00	2016-12-14 00:00:00	Yes	2018-04-17 00:00:00	2018-08-24 00:00:00	AP IJ	AP IJ	49500	37125	0	37125	0	None	5MVL11	N	CA00514753	C	SFY2017-18
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-04-12 00:00:00	250013996	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-03-06 00:00:00	2018-03-06 00:00:00	No	2018-05-03 00:00:00	None	FTR AE	None	500	500	0	500	0	None	2QXD11	N	CA00578549	C	SFY2017-18
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-04-13 00:00:00	250013998	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2017-06-28 00:00:00	2017-06-28 00:00:00	No	2018-05-04 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	FA4Q11	N	CA00541828	C	SFY2017-18
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-04-16 00:00:00	250014001	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-09-24 00:00:00	2016-09-24 00:00:00	No	2018-05-07 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	048611	Y	CA00505497	C	SFY2017-18
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-04-17 00:00:00	250014004	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2016-09-25 00:00:00	2016-09-25 00:00:00	No	2018-05-08 00:00:00	None	FTR AE	None	300	300	0	300	0	None	048611	Y	CA00505497	C	SFY2017-18
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-04-25 00:00:00	250014028	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2017-07-10 00:00:00	2017-07-10 00:00:00	No	2018-05-16 00:00:00	None	AP NON-IJ	None	12375	12375	0	12375	0	None	9RZ711	N	CA00543313	C	SFY2017-18
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-05-08 00:00:00	250014063	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE24 - Care by impersonating licensed provider	None	2017-06-30 00:00:00	2017-06-30 00:00:00	No	2018-05-29 00:00:00	None	AP NON-IJ	None	17106.25	17106.25	0	17106.25	0	None	5TGV11	N	CA00541955	B	SFY2017-18
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-05-08 00:00:00	250014065	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE24 - Care by impersonating licensed provider	None	2017-08-30 00:00:00	2017-08-30 00:00:00	No	2018-05-29 00:00:00	None	AP NON-IJ	None	17106.25	17106.25	0	17106.25	0	None	N1DF11	N	CA00550659	B	SFY2017-18
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-05-10 00:00:00	250014074	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-03-04 00:00:00	2018-03-04 00:00:00	No	2018-06-01 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	3MMT11	N	CA00579176	C	SFY2017-18
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-05-23 00:00:00	250014103	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-10-07 00:00:00	2017-10-07 00:00:00	Yes	2018-06-14 00:00:00	2018-06-11 00:00:00	AP NON-IJ	AP NON-IJ	15750	13388	0	13388	0	None	44ZQ11	N	CA00556071, CA00558482	C, C	SFY2017-18
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-06-12 00:00:00	250014148	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-09-05 00:00:00	2017-09-05 00:00:00	Yes	2018-07-03 00:00:00	2018-08-21 00:00:00	AP IJ	None	75000	75000	0	0	75000	None	ENQQ11	Y	CA00552371	B	SFY2017-18
250000042	PALO VERDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-06-13 00:00:00	250014158	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-03-24 00:00:00	2018-03-24 00:00:00	No	2018-07-05 00:00:00	None	FTR AE	None	300	300	0	300	0	None	LPJT11	N	CA00582245	C	SFY2017-18
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-01-14 00:00:00	250014222	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2017-11-10 00:00:00	2017-11-10 00:00:00	No	2022-02-04 00:00:00	None	FTR RES	None	2900	2900	0	2900	0	None	8E7E11	None	CA00568406	E	SFY2021-22
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-07-13 00:00:00	250014239	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-05-04 00:00:00	2018-05-04 00:00:00	No	2018-08-03 00:00:00	None	FTR AE	None	200	200	0	200	0	None	7XZ011	N	CA00586546	B	SFY2018-19
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-09-07 00:00:00	250014392	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2017-04-14 00:00:00	2017-04-14 00:00:00	No	2018-09-28 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	JJT611	Y	CA00531590	C	SFY2018-19
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-10-10 00:00:00	250014480	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-07-05 00:00:00	2018-07-05 00:00:00	No	2018-10-31 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	2ETM11	N	CA00594166	B	SFY2018-19
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-10-11 00:00:00	250014483	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-10-06 00:00:00	2017-10-06 00:00:00	No	2018-11-01 00:00:00	None	FTR AE	None	15200	15200	0	15200	0	None	MLW611	N	CA00572059	C	SFY2018-19
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-10-19 00:00:00	250014513	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2018-05-17 00:00:00	2018-05-17 00:00:00	No	2018-11-09 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	EW4Q11	N	CA00590297	C	SFY2018-19
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-10-24 00:00:00	250014528	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2018-02-01 00:00:00	2018-02-01 00:00:00	No	2018-11-15 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	YJ4811	N	CA00577078	C	SFY2018-19
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-11-20 00:00:00	250014577	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-07-20 00:00:00	2017-07-20 00:00:00	No	2019-02-28 00:00:00	None	AP IJ	None	49500	49500	0	49500	0	None	4IN011	N	CA00575944	C	SFY2018-19
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-11-21 00:00:00	250014600	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2017-07-20 00:00:00	2017-07-20 00:00:00	Yes	2018-12-14 00:00:00	2018-12-03 00:00:00	FTR AE	None	2900	2900	0	2900	0	None	4IN011	N	CA00575944, CA00575944	C, C	SFY2018-19
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-03-12 00:00:00	250014872	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2018-08-20 00:00:00	2018-08-20 00:00:00	Yes	2019-04-02 00:00:00	2019-04-03 00:00:00	FTR AE	None	6100	6100	0	6100	0	None	NFZU11	N	CA00605844	B	SFY2018-19
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-03-12 00:00:00	250014874	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2018-09-09 00:00:00	2018-09-09 00:00:00	No	2019-04-02 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	NFZU11	N	CA00605844	B	SFY2018-19
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-03-12 00:00:00	250014875	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2018-09-06 00:00:00	2018-09-06 00:00:00	Yes	2019-04-02 00:00:00	2019-04-03 00:00:00	FTR AE	None	4400	4400	0	4400	0	None	NFZU11	N	CA00605844	B	SFY2018-19
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-05-21 00:00:00	250015093	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-11-03 00:00:00	2018-11-03 00:00:00	No	2019-06-11 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	EQC711	Y	CA00611362	B	SFY2018-19
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-05-22 00:00:00	250015099	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-01-02 00:00:00	2019-01-02 00:00:00	No	2019-06-12 00:00:00	None	FTR AE	None	200	200	0	200	0	None	693R11	N	CA00619435	B	SFY2018-19
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-05-22 00:00:00	250015100	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-01-30 00:00:00	2019-01-30 00:00:00	No	2019-06-12 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	JSMJ11	N	CA00624720	C	SFY2018-19
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-06-26 00:00:00	250015197	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-01-02 00:00:00	2019-01-02 00:00:00	No	2019-07-17 00:00:00	None	FTR AE	None	200	200	0	200	0	None	4PDO11	N	CA00619444	B	SFY2018-19
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-06-26 00:00:00	250015198	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-01-01 00:00:00	2019-01-01 00:00:00	No	2019-07-17 00:00:00	None	FTR AE	None	300	300	0	300	0	None	4PDO11	N	CA00619444	B	SFY2018-19
630011959	KAISER FOUNDATION HOSPITAL-MORENO VALLEY	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-06-27 00:00:00	250015206	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-03-18 00:00:00	2019-03-18 00:00:00	Yes	2019-07-18 00:00:00	2019-07-12 00:00:00	FTR AE	FTR AE	4700	4700	0	4700	0	None	4BV311	N	CA00633410	C	SFY2018-19
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-07-01 00:00:00	250015214	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-10-31 00:00:00	2018-10-31 00:00:00	No	2019-07-22 00:00:00	None	AP NON-IJ	None	17325	17325	0	17325	0	None	KDCK11	N	CA00610541	B	SFY2019-20
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-07-26 00:00:00	250015252	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-02-26 00:00:00	2019-02-26 00:00:00	No	2019-08-16 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	H1G811	N	CA00628061	C	SFY2019-20
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-07-29 00:00:00	250015253	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2019-04-01 00:00:00	2019-04-01 00:00:00	Yes	2019-08-19 00:00:00	2019-08-08 00:00:00	FTR AE	None	1300	1300	0	1300	0	None	52ZQ11	N	CA00634222	C	SFY2019-20
630014442	TEMECULA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-08-16 00:00:00	250015321	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-05-20 00:00:00	2019-05-20 00:00:00	No	2019-09-06 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	6ZJQ11	N	CA00642509	C	SFY2019-20
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-08-27 00:00:00	250015356	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-11-03 00:00:00	2009-11-03 00:00:00	No	2019-09-17 00:00:00	None	FTR AE	None	48900	48900	0	48900	0	None	YG1U11	N	CA00627031	C	SFY2019-20
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-08-28 00:00:00	250015358	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-11-03 00:00:00	2017-11-03 00:00:00	No	2019-09-18 00:00:00	None	AP NON-IJ	None	14962.5	14962.5	0	14962.5	0	None	YG1U11	N	CA00627031	C	SFY2019-20
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-09-19 00:00:00	250015403	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-07-22 00:00:00	2019-07-22 00:00:00	No	2019-10-10 00:00:00	None	FTR AE	None	500	500	0	500	0	None	0SE811	N	CA00648611	C	SFY2019-20
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-09-25 00:00:00	250015414	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-04-24 00:00:00	2019-04-24 00:00:00	No	2019-10-16 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	DHRE11	N	CA00636921	C	SFY2019-20
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-09-27 00:00:00	250015422	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-04-19 00:00:00	2019-04-19 00:00:00	No	2019-10-18 00:00:00	None	FTR AE	None	500	500	0	500	0	None	1Z9F11	N	CA00635571	C	SFY2019-20
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-10-10 00:00:00	250015448	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2019-03-21 00:00:00	2019-03-21 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	598Q11	Y	CA00627929	B	SFY2019-20
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-10-23 00:00:00	250015472	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2019-08-05 00:00:00	2019-08-05 00:00:00	No	2019-11-13 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	G5B211	N	CA00651469	C	SFY2019-20
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-11-19 00:00:00	250015530	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2019-05-26 00:00:00	2019-05-26 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	66150	66150	0	66150	0	None	CLXJ11	N	CA00639821	B	SFY2019-20
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-11-25 00:00:00	250015554	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2019-03-13 00:00:00	2019-03-13 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	VZEI11	N	CA00624837	B	SFY2019-20
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-12-03 00:00:00	250015565	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-05-20 00:00:00	2019-05-20 00:00:00	No	2019-12-24 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	TY1C11	N	CA00641834	C	SFY2019-20
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-12-04 00:00:00	250015573	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2019-07-21 00:00:00	2019-07-21 00:00:00	No	2019-12-25 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	PBUP11	N	CA00650095	C	SFY2019-20
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-12-23 00:00:00	250015630	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2019-01-23 00:00:00	2019-01-23 00:00:00	No	2020-01-13 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	O3W211	Y	CA00621526	B	SFY2019-20
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-01-07 00:00:00	250015670	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-10-05 00:00:00	2019-10-05 00:00:00	No	2020-01-28 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	81Q511	N	CA00661690	C	SFY2019-20
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-01-16 00:00:00	250015694	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-10-24 00:00:00	2019-10-24 00:00:00	No	2020-02-06 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	C07811	N	CA00664243	C	SFY2019-20
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-01-16 00:00:00	250015695	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-10-29 00:00:00	2019-10-29 00:00:00	No	2020-02-06 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	C07811	N	CA00664243	C	SFY2019-20
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-01-28 00:00:00	250015719	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2019-12-10 00:00:00	2019-12-10 00:00:00	No	2020-02-18 00:00:00	None	FTR AE	None	300	300	0	300	0	None	IUH711	N	CA00668140	C	SFY2019-20
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-03-10 00:00:00	250015794	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-09-29 00:00:00	2019-09-29 00:00:00	No	2020-03-31 00:00:00	None	FTR AE	None	8000	8000	0	8000	0	None	F7X411	N	CA00663498	C	SFY2019-20
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-03-10 00:00:00	250015799	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-09-29 00:00:00	2019-09-29 00:00:00	No	2020-03-31 00:00:00	None	FTR AE	None	4000	4000	0	4000	0	None	F7X411	N	CA00663498	C	SFY2019-20
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-03-20 00:00:00	250015818	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-09-09 00:00:00	2019-09-09 00:00:00	No	2020-04-10 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	12DV11	N	CA00656776	C	SFY2019-20
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-05-12 00:00:00	250015879	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2019-09-05 00:00:00	2019-09-05 00:00:00	No	2020-06-02 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	96M911	N	CA00654165	C	SFY2019-20
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-09-02 00:00:00	250016017	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-03-18 00:00:00	2020-03-18 00:00:00	No	2020-09-24 00:00:00	None	FTR AE	None	3200	3200	0	3200	0	None	YS0111	N	CA00686412	B	SFY2020-21
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-09-14 00:00:00	250016024	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-01-20 00:00:00	2020-01-20 00:00:00	No	2020-10-05 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	TQ0611	Y	CA00673114	B	SFY2020-21
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-09-14 00:00:00	250016037	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-02-29 00:00:00	2020-02-29 00:00:00	No	2020-10-05 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	X5BM11	Y	CA00679420, CA00679420	B, B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-09-17 00:00:00	250016038	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2019-10-25 00:00:00	2019-10-25 00:00:00	No	2020-10-08 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	7OLP11	N	CA00661548	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-11-30 00:00:00	250016171	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-02-25 00:00:00	2020-02-25 00:00:00	No	2020-12-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	QPWF11	N	CA00678997	B	SFY2020-21
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-01-07 00:00:00	250016234	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-02-24 00:00:00	2020-02-24 00:00:00	Yes	2021-01-29 00:00:00	2021-01-27 00:00:00	FTR AE	None	8900	8900	0	8900	0	None	NUVH11	N	CA00677558	B	SFY2020-21
630014442	TEMECULA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-01-19 00:00:00	250016243	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2020-04-03 00:00:00	2020-04-03 00:00:00	No	2021-02-09 00:00:00	None	FTR BR	None	500	500	0	500	0	None	K9XB11	None	CA00687713	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-02-01 00:00:00	250016259	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-04-23 00:00:00	2020-04-23 00:00:00	No	2021-02-23 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	ZHF711	N	CA00690452, CA00690452	B, B	SFY2020-21
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-02-04 00:00:00	250016264	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-03-30 00:00:00	2020-03-30 00:00:00	No	2021-02-26 00:00:00	None	FTR AE	None	500	500	0	500	0	None	ATS711	N	CA00684788	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-02-24 00:00:00	250016298	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-06-23 00:00:00	2020-06-23 00:00:00	No	2021-03-17 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	7HRV11	N	CA00698101	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-02-24 00:00:00	250016299	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-06-30 00:00:00	2020-06-30 00:00:00	No	2021-03-17 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	7HRV11	N	CA00698101	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-02-24 00:00:00	250016301	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-07-15 00:00:00	2020-07-15 00:00:00	No	2021-03-17 00:00:00	None	FTR AE	None	200	200	0	200	0	None	7HRV11	N	CA00698101	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-02-24 00:00:00	250016303	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-07-16 00:00:00	2020-07-16 00:00:00	No	2021-03-17 00:00:00	None	FTR AE	None	100	100	0	100	0	None	7HRV11	N	CA00698101	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-02-26 00:00:00	250016317	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2020-08-06 00:00:00	2020-08-06 00:00:00	No	2021-03-19 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	EPOV11	Y	CA00703377	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-03-15 00:00:00	250016348	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-12-09 00:00:00	2020-12-09 00:00:00	No	2021-04-06 00:00:00	None	FTR AE	None	100	100	0	100	0	None	2TUL11	N	CA00716966	B	SFY2020-21
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-03-15 00:00:00	250016349	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-05-19 00:00:00	2020-05-19 00:00:00	No	2021-04-06 00:00:00	None	FTR AE	None	200	200	0	200	0	None	JL0N11	N	CA00690112	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-03-29 00:00:00	250016387	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-10-07 00:00:00	2019-10-07 00:00:00	No	2021-04-20 00:00:00	None	FTR AE	None	36200	36200	0	36200	0	None	50IE11	N	CA00693390	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-03-29 00:00:00	250016388	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-10-07 00:00:00	2019-10-07 00:00:00	No	2021-04-20 00:00:00	None	FTR AE	None	25100	25100	0	25100	0	None	50IE11	N	CA00693390	B	SFY2020-21
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-04-01 00:00:00	250016391	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-09-11 00:00:00	2020-09-11 00:00:00	No	2021-04-22 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	1SHF11	N	CA00703373, CA00707707	B, C	SFY2020-21
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-04-05 00:00:00	250016400	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-09-17 00:00:00	2020-09-17 00:00:00	No	2021-04-26 00:00:00	None	FTR AE	None	5900	5900	0	5900	0	None	1SHF11	N	CA00703373, CA00707707	B, C	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-04-22 00:00:00	250016436	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-05-31 00:00:00	2020-05-31 00:00:00	No	2021-05-13 00:00:00	None	FTR AE	None	4400	4400	0	4400	0	None	VUGK11	N	CA00697493	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-04-26 00:00:00	250016442	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-06-01 00:00:00	2020-06-01 00:00:00	No	2021-05-17 00:00:00	None	FTR AE	None	4300	4300	0	4300	0	None	VUGK11	N	CA00697493	B	SFY2020-21
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-04-28 00:00:00	250016448	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-09-21 00:00:00	2020-09-21 00:00:00	No	2021-05-19 00:00:00	None	FTR AE	None	300	300	0	300	0	None	6WUY11	N	CA00707053	C	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-04-30 00:00:00	250016449	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-08-26 00:00:00	2020-08-26 00:00:00	No	2021-05-21 00:00:00	None	FTR AE	None	100	100	0	100	0	None	04RT11	N	CA00703489	B	SFY2020-21
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-04-29 00:00:00	250016455	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-24 00:00:00	2020-11-24 00:00:00	No	2021-05-20 00:00:00	None	FTR AE	None	200	200	0	200	0	None	9OHW11	N	CA00714762	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-05-04 00:00:00	250016468	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-27 00:00:00	2020-11-27 00:00:00	No	2021-05-25 00:00:00	None	FTR AE	None	600	600	0	600	0	None	PMC711	N	CA00715856	B	SFY2020-21
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-05-04 00:00:00	250016470	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2020-11-19 00:00:00	2020-11-19 00:00:00	No	2021-05-25 00:00:00	None	FTR AE	None	700	700	0	700	0	None	0RZ111	N	CA00714591	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-05-05 00:00:00	250016475	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-28 00:00:00	2020-11-28 00:00:00	No	2021-05-26 00:00:00	None	FTR AE	None	500	500	0	500	0	None	7IQY11	N	CA00715845	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-05-07 00:00:00	250016482	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-17 00:00:00	2020-11-17 00:00:00	No	2021-05-28 00:00:00	None	FTR AE	None	300	300	0	300	0	None	QXPO11	N	CA00712427, CA00715286	B, B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-05-10 00:00:00	250016483	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-19 00:00:00	2020-11-19 00:00:00	No	2021-06-01 00:00:00	None	FTR AE	None	100	100	0	100	0	None	QXPO11	N	CA00712427, CA00715286	B, B	SFY2020-21
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-05-14 00:00:00	250016502	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-08-07 00:00:00	2020-08-07 00:00:00	No	2021-06-07 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	SEEO11	N	CA00704917	C	SFY2020-21
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-05-20 00:00:00	250016534	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2020-05-08 00:00:00	2020-05-08 00:00:00	No	2021-06-15 00:00:00	None	AP NON-IJ	None	10000	10000	0	10000	0	None	YFKJ11	N	CA00688490	B	SFY2020-21
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-05-24 00:00:00	250016535	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2020-06-26 00:00:00	2020-06-26 00:00:00	No	2021-06-15 00:00:00	None	AP NON-IJ	None	8500	8500	0	8500	0	None	597N11	N	CA00696525	B	SFY2020-21
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-05-26 00:00:00	250016543	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2020-04-18 00:00:00	2020-04-18 00:00:00	No	2021-06-17 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	PLYE11	Y	CA00685809	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-09 00:00:00	250016589	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-09-27 00:00:00	2020-09-27 00:00:00	No	2021-06-30 00:00:00	None	FTR AE	None	20200	20200	0	20200	0	None	D27D11	N	CA00702477	B	SFY2020-21
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-11 00:00:00	250016603	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-11 00:00:00	2020-11-11 00:00:00	No	2021-07-02 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	BW1611	N	CA00714861	B	SFY2020-21
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-11 00:00:00	250016604	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-09-29 00:00:00	2020-09-29 00:00:00	No	2021-07-02 00:00:00	None	FTR AE	None	100	100	0	100	0	None	C22I11	N	CA00707726	C	SFY2020-21
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-11 00:00:00	250016605	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-10-08 00:00:00	2020-10-08 00:00:00	No	2021-07-02 00:00:00	None	FTR AE	None	15600	15600	0	15600	0	None	C22I11	N	CA00707726	C	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-07-01 00:00:00	250016615	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-08-14 00:00:00	2020-08-14 00:00:00	No	2021-07-22 00:00:00	None	FTR AE	None	200	200	0	200	0	None	RO0N11	N	CA00702542	B	SFY2021-22
250000048	PACIFIC GROVE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Riverside	2021-06-17 00:00:00	250016619	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2020-09-04 00:00:00	2020-09-04 00:00:00	No	2021-07-08 00:00:00	None	FTR AE	None	900	900	0	900	0	None	364Y11	N	CA00705671	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-18 00:00:00	250016623	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-26 00:00:00	2020-11-26 00:00:00	No	2021-07-09 00:00:00	None	FTR AE	None	700	700	0	700	0	None	BXRB11	N	CA00715847	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-18 00:00:00	250016624	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-24 00:00:00	2020-11-24 00:00:00	No	2021-07-09 00:00:00	None	FTR AE	None	900	900	0	900	0	None	BXRB11	N	CA00715847	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-21 00:00:00	250016629	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-10-09 00:00:00	2020-10-09 00:00:00	No	2021-07-12 00:00:00	None	FTR AE	None	200	200	0	200	0	None	3CV611	N	CA00709208	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-22 00:00:00	250016631	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-10-10 00:00:00	2020-10-10 00:00:00	No	2021-07-13 00:00:00	None	FTR AE	None	100	100	0	100	0	None	3CV611	N	CA00709208	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-22 00:00:00	250016632	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-24 00:00:00	2020-11-24 00:00:00	No	2021-07-13 00:00:00	None	FTR AE	None	900	900	0	900	0	None	1J4J11	N	CA00715859	B	SFY2020-21
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-25 00:00:00	250016647	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2020-07-22 00:00:00	2020-07-22 00:00:00	No	2021-07-16 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	F8TD11	N	CA00700203	B	SFY2020-21
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-07-06 00:00:00	250016697	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-09-17 00:00:00	2020-09-17 00:00:00	No	2021-07-27 00:00:00	None	FTR AE	None	200	200	0	200	0	None	REFE11	N	CA00706439	C	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-07-07 00:00:00	250016698	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-09-17 00:00:00	2020-09-17 00:00:00	No	2021-07-28 00:00:00	None	FTR AE	None	3800	3800	0	3800	0	None	REFE11	N	CA00706439	C	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-07-08 00:00:00	250016700	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-07-25 00:00:00	2020-07-25 00:00:00	No	2021-07-29 00:00:00	None	FTR AE	None	11200	11200	0	11200	0	None	O8FN11	N	CA00703474	B	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-07-13 00:00:00	250016717	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-02-05 00:00:00	2021-02-05 00:00:00	No	2021-08-03 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	FYEU11	N	CA00722568	C	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-07-21 00:00:00	250016750	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-24 00:00:00	2020-11-24 00:00:00	No	2021-08-11 00:00:00	None	FTR AE	None	900	900	0	900	0	None	WN3G11	N	CA00715857	B	SFY2021-22
630011959	KAISER FOUNDATION HOSPITAL-MORENO VALLEY	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-08-02 00:00:00	250016786	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-01-08 00:00:00	2021-01-08 00:00:00	No	2021-08-23 00:00:00	None	FTR AE	None	200	200	0	200	0	None	WIIR11	N	CA00721533, CA00721533	B, B	SFY2021-22
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-08-06 00:00:00	250016798	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-12-29 00:00:00	2020-12-29 00:00:00	No	2021-08-27 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	UG8H11	N	CA00721536	B	SFY2021-22
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-08-18 00:00:00	250016828	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-12-25 00:00:00	2020-12-25 00:00:00	No	2021-09-09 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	OS7P11	N	CA00722998, CA00722998	B, B	SFY2021-22
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-08-18 00:00:00	250016829	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-02-13 00:00:00	2021-02-13 00:00:00	No	2021-09-09 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	8JQY11	N	CA00727477, CA00727477	C, C	SFY2021-22
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-08-24 00:00:00	250016848	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-12-30 00:00:00	2020-12-30 00:00:00	No	2021-09-15 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	PWEO11	N	CA00721562	B	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-09-01 00:00:00	250016878	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-03-29 00:00:00	2021-03-29 00:00:00	No	2021-09-23 00:00:00	None	FTR AE	None	600	600	0	600	0	None	8UG811	N	CA00732366	B	SFY2021-22
630011959	KAISER FOUNDATION HOSPITAL-MORENO VALLEY	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-09-08 00:00:00	250016901	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-01-14 00:00:00	2021-01-14 00:00:00	No	2021-09-29 00:00:00	None	FTR AE	None	300	300	0	300	0	None	604U11	N	CA00722505	C	SFY2021-22
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-09-10 00:00:00	250016905	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-08-28 00:00:00	2020-08-28 00:00:00	No	2021-10-01 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	LTYW11	Y	CA00703483, CA00703546	B, B	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-09-22 00:00:00	250016948	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-09-27 00:00:00	2020-09-27 00:00:00	No	2021-10-13 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	YF7W11	Y	CA00706872, CA00707475	B, C	SFY2021-22
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-09-30 00:00:00	250016970	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-03-19 00:00:00	2021-03-19 00:00:00	No	2021-10-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	FDR911	N	CA00730724	B	SFY2021-22
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-10-22 00:00:00	250017031	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE05 - Death during or up to 24 hours after surgery	None	2020-10-02 00:00:00	2020-10-02 00:00:00	No	2021-11-15 00:00:00	None	AP IJ	None	49500	49500	0	49500	0	None	GG5011	Y	CA00708083, CA00711912	C, B	SFY2021-22
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-11-05 00:00:00	250017080	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-16 00:00:00	2020-11-16 00:00:00	No	2021-12-01 00:00:00	None	FTR AE	None	8700	8700	0	8700	0	None	XSYF11	N	CA00720475	C	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-11-19 00:00:00	250017114	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-05 00:00:00	2020-11-05 00:00:00	No	2021-12-14 00:00:00	None	FTR AE	None	2800	2800	0	2800	0	None	LB5311	N	CA00715739	B	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-11-19 00:00:00	250017119	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-07 00:00:00	2020-11-07 00:00:00	No	2021-12-14 00:00:00	None	FTR AE	None	2600	2600	0	2600	0	None	LB5311	N	CA00715739	B	SFY2021-22
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-11-23 00:00:00	250017133	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2020-08-08 00:00:00	2020-08-08 00:00:00	No	2021-12-16 00:00:00	None	AP IJ	None	100500	100500	0	100500	0	None	QB1C11	Y	CA00700992	B	SFY2021-22
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-12-06 00:00:00	250017155	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-02-02 00:00:00	2021-02-02 00:00:00	No	2021-12-27 00:00:00	None	FTR AE	None	15800	15800	0	15800	0	None	9YMQ11	N	CA00726021, CA00726021	B, B	SFY2021-22
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-12-06 00:00:00	250017157	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-03-09 00:00:00	2021-03-09 00:00:00	No	2021-12-27 00:00:00	None	FTR AE	None	100	100	0	100	0	None	WYDT11	N	CA00729188, CA00729188	B, B	SFY2021-22
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-01-20 00:00:00	250017280	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2020-11-20 00:00:00	2020-11-20 00:00:00	No	2022-02-10 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	OPWP11	Y	CA00715397	B	SFY2021-22
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-01-27 00:00:00	250017298	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2020-11-20 00:00:00	2020-11-20 00:00:00	No	2022-02-17 00:00:00	None	FTR AE	None	900	900	0	900	0	None	OPWP11	Y	CA00715397	B	SFY2021-22
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-02-01 00:00:00	250017305	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-12-10 00:00:00	2020-12-10 00:00:00	No	2022-02-23 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	ISYC11	N	CA00720582	C	SFY2021-22
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-02-04 00:00:00	250017321	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-05-11 00:00:00	2021-05-11 00:00:00	No	2022-02-28 00:00:00	None	FTR AE	None	400	400	0	400	0	None	USO211	N	CA00737297, CA00737297	B, B	SFY2021-22
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-02-04 00:00:00	250017322	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-09-10 00:00:00	2021-09-10 00:00:00	No	2022-02-28 00:00:00	None	FTR AE	None	100	100	0	100	0	None	FS1J11	N	CA00753205, CA00753205	B, B	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-02-10 00:00:00	250017337	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-02-10 00:00:00	2021-02-10 00:00:00	No	2022-03-04 00:00:00	None	AP NON-IJ	None	13387.5	13387.5	0	13387.5	0	None	F7I111	N	CA00725428, CA00725428	B, B	SFY2021-22
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-02-14 00:00:00	250017342	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-01-29 00:00:00	2021-01-29 00:00:00	No	2022-03-08 00:00:00	None	AP NON-IJ	None	3937.5	3937.5	0	3937.5	0	None	NL9Y11	N	CA00723528	C	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-02-14 00:00:00	250017354	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-05-27 00:00:00	2021-05-27 00:00:00	No	2022-03-08 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	L1QV11	N	CA00740059	B	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-02-15 00:00:00	250017358	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-05-04 00:00:00	2021-05-04 00:00:00	No	2022-03-09 00:00:00	None	FTR AE	None	3300	3300	0	3300	0	None	L1QV11	N	CA00740059	B	SFY2021-22
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-02-17 00:00:00	250017365	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2021-04-03 00:00:00	2021-04-03 00:00:00	No	2022-03-11 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	7E8111	Y	CA00731531, CA00731538, CA00731543, CA00731905, CA00732277, CA00732277	B, B, B, B, B, B	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-02-25 00:00:00	250017448	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-10-02 00:00:00	2021-10-02 00:00:00	No	2022-03-18 00:00:00	None	FTR AE	None	300	300	0	300	0	None	0FVB11	N	CA00756475, CA00756475	B, B	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-03-04 00:00:00	250017466	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-09-08 00:00:00	2021-09-08 00:00:00	No	2022-03-25 00:00:00	None	FTR AE	None	10500	10500	0	10500	0	None	538V11	N	CA00752419, CA00752419	B, B	SFY2021-22
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-03-17 00:00:00	250017512	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2021-09-06 00:00:00	2021-09-06 00:00:00	No	2022-04-08 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	33Z511	N	CA00754935	B	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-05-25 00:00:00	250017667	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-01-01 00:00:00	2022-01-01 00:00:00	No	2022-06-16 00:00:00	None	FTR AE	None	400	400	0	0	400	None	8S9P11	N	CA00768306, CA00768306	B, B	SFY2021-22
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-05-27 00:00:00	250017676	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-12-26 00:00:00	2021-12-26 00:00:00	No	2022-06-20 00:00:00	None	FTR AE	None	400	400	0	400	0	None	E7WW11	N	CA00767647, CA00767647	B, B	SFY2021-22
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-06-09 00:00:00	250017700	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2021-04-22 00:00:00	2021-04-22 00:00:00	No	2022-06-30 00:00:00	None	AP NON-IJ	None	3800	3800	0	3800	0	None	IDOT11	N	CA00734759, CA00734759	B, B	SFY2021-22
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-06-21 00:00:00	250017716	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-01-03 00:00:00	2022-01-03 00:00:00	No	2022-07-13 00:00:00	None	FTR AE	None	900	900	0	900	0	None	T1T111	N	CA00769391, CA00769391	B, B	SFY2021-22
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-07-22 00:00:00	250017816	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-08-26 00:00:00	2021-08-26 00:00:00	No	2022-08-12 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	KKMU11	N	CA00750904, CA00750904	B, B	SFY2022-23
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-07-25 00:00:00	250017819	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-01-25 00:00:00	2022-01-25 00:00:00	No	2022-08-15 00:00:00	None	FTR AE	None	400	400	0	400	0	None	TRNM11	N	CA00771945, CA00771945	B, B	SFY2022-23
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-08-03 00:00:00	250017871	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-07-20 00:00:00	2021-07-20 00:00:00	No	2022-08-24 00:00:00	None	AP IJ	None	42000	42000	0	42000	0	None	CEYQ11	Y	CA00744999	A	SFY2022-23
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-08-19 00:00:00	250017912	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-05-02 00:00:00	2022-05-02 00:00:00	No	2022-09-12 00:00:00	None	AP IJ	None	69300	69300	0	69300	0	None	HW8M11	N	CA00783807	B	SFY2022-23
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-09-07 00:00:00	250017958	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-06-18 00:00:00	2021-06-18 00:00:00	No	2022-09-28 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	D5T011	Y	CA00741467, CA00741467	B, B	SFY2022-23
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-09-22 00:00:00	250018010	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-12-17 00:00:00	2021-12-17 00:00:00	No	2022-10-13 00:00:00	None	AP IJ	None	55000	55000	0	55000	0	None	TWOY11	N	CA00765797	B	SFY2022-23
630012971	LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-11-03 00:00:00	250018139	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2022-03-09 00:00:00	2022-03-09 00:00:00	No	2022-11-29 00:00:00	None	AP IJ	None	86625	86625	0	86625	0	None	8JJ211	Y	CA00776541	B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-11-09 00:00:00	250018149	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-03-24 00:00:00	2022-03-24 00:00:00	No	2022-12-05 00:00:00	None	FTR AE	None	300	300	0	300	0	None	PV7C11	N	CA00779123	B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-12-01 00:00:00	250018194	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-05-08 00:00:00	2022-05-08 00:00:00	No	2022-12-22 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	TNH911	N	CA00787398	B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-12-01 00:00:00	250018197	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-04-30 00:00:00	2022-04-30 00:00:00	No	2022-12-22 00:00:00	None	FTR AE	None	2800	2800	0	2800	0	None	TNH911	N	CA00787398	B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-12-01 00:00:00	250018199	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-05-07 00:00:00	2022-05-07 00:00:00	No	2022-12-22 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	TNH911	N	CA00787398, CA00787398, CA00787398	B, B, B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-12-02 00:00:00	250018208	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-06-23 00:00:00	2022-06-23 00:00:00	No	2022-12-23 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	SUSS11	N	CA00792735, CA00792735	B, B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-12-02 00:00:00	250018210	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-05-27 00:00:00	2022-05-27 00:00:00	No	2022-12-23 00:00:00	None	FTR AE	None	600	600	0	600	0	None	J6ZJ11	N	CA00788115, CA00788115	B, B	SFY2022-23
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-12-09 00:00:00	250018231	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-05-23 00:00:00	2022-05-23 00:00:00	Yes	2022-12-30 00:00:00	2022-12-19 00:00:00	FTR AE	FTR AE	1000	750	0	750	0	None	XNWD11	N	CA00788141, CA00788141	B, B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-12-15 00:00:00	250018246	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-05-31 00:00:00	2022-05-31 00:00:00	No	2023-01-06 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	NUE611	N	CA00789189, CA00789189	B, B	SFY2022-23
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-01-06 00:00:00	250018285	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2021-12-21 00:00:00	2021-12-21 00:00:00	No	2023-01-30 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	2LUW11	N	CA00765962	B	SFY2022-23
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-01-06 00:00:00	250018287	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-05-26 00:00:00	2022-05-26 00:00:00	No	2023-01-30 00:00:00	None	FTR AE	None	700	700	0	700	0	None	T7SL11	N	CA00788142, CA00788142	B, B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-02-10 00:00:00	250018403	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-07-20 00:00:00	2022-07-20 00:00:00	No	2023-03-06 00:00:00	None	FTR AE	None	200	200	0	200	0	None	3CMC11	N	CA00795885, CA00795885	B, B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-02-10 00:00:00	250018404	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-07-21 00:00:00	2022-07-21 00:00:00	No	2023-03-06 00:00:00	None	FTR AE	None	100	100	0	100	0	None	3CMC11	N	CA00795885	B	SFY2022-23
250000012	HEMET GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-04-13 00:00:00	250018633	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2023-03-22 00:00:00	2023-03-22 00:00:00	No	2023-05-04 00:00:00	None	AP NON-IJ	None	11812.5	11812.5	0	11812.5	0	None	3DZD11	N	CA00778332, CA00778332	B, B	SFY2022-23
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-05-24 00:00:00	250018769	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2022-06-24 00:00:00	2022-06-24 00:00:00	No	2023-06-15 00:00:00	None	AP NON-IJ	None	11812.5	11812.5	0	11812.5	0	None	MQ0611	N	CA00790769, CA00790769	B, B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-06-02 00:00:00	250018821	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2022-08-24 00:00:00	2022-08-24 00:00:00	No	2023-06-23 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	30N811	N	CA00803350, CA00803350	B, B	SFY2022-23
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-06-29 00:00:00	250018905	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2022-10-01 00:00:00	2022-10-01 00:00:00	No	2023-07-21 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	460X11	N	CA00807775	B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-06-29 00:00:00	250018911	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-07-12 00:00:00	2022-07-12 00:00:00	No	2023-07-21 00:00:00	None	AP NON-IJ	None	13387.5	13387.5	0	13387.5	0	None	NY2J11	N	CA00797655	B	SFY2022-23
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-07-05 00:00:00	250018927	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-09-12 00:00:00	2022-09-12 00:00:00	No	2023-07-26 00:00:00	None	FTR AE	None	300	300	0	300	0	None	TOZC11	N	CA00803972, CA00803972	B, B	SFY2023-24
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-12-13 00:00:00	250018969	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-03-05 00:00:00	2019-03-05 00:00:00	Yes	2023-08-16 00:00:00	2023-08-07 00:00:00	AP BR	None	25000	25000	0	25000	0	None	94BJ11	None	CA00630429	D	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-07-28 00:00:00	250018985	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2022-05-22 00:00:00	2022-05-22 00:00:00	No	2023-08-21 00:00:00	None	AP IJ	None	125000	125000	0	125000	0	None	3YC311	Y	CA00786644	B	SFY2023-24
250000006	CORONA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-07-25 00:00:00	250018998	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2022-04-15 00:00:00	2022-04-15 00:00:00	No	2023-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	VG3Z11	Y	CA00782420, CA00782420	A, A	SFY2023-24
250000011	EISENHOWER MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-08-04 00:00:00	250019023	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2022-07-13 00:00:00	2022-07-13 00:00:00	No	2023-08-25 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	TTD111	Y	CA00795474	B	SFY2023-24
630014442	TEMECULA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-12-03 00:00:00	250019146	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-02-19 00:00:00	2018-02-19 00:00:00	No	2023-10-18 00:00:00	None	AP BR	None	12500	12500	-3125	9375	0	None	MO8C11	None	CA00620455	D	SFY2021-22
630014442	TEMECULA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-06-20 00:00:00	250019153	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2018-02-19 00:00:00	2018-02-19 00:00:00	No	2022-07-12 00:00:00	None	FTR RES	None	6800	6800	-1700	5100	0	None	MO8C11	None	CA00620455, CA00620455	D, D	SFY2021-22
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-09-22 00:00:00	250019160	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2022-08-24 00:00:00	2022-08-24 00:00:00	No	2023-10-13 00:00:00	None	AP IJ	None	82687.5	82687.5	0	82687.5	0	None	30N811	N	CA00803350, CA00803350, CA00803350	B, B, B	SFY2023-24
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-09-15 00:00:00	250019164	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-09-22 00:00:00	2022-09-22 00:00:00	No	2023-10-06 00:00:00	None	AP IJ	None	63000	63000	0	63000	0	None	O3DO11	N	CA00804606	B	SFY2023-24
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-03-19 00:00:00	250019171	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2017-08-09 00:00:00	2017-08-09 00:00:00	Yes	2023-10-18 00:00:00	2023-10-06 00:00:00	AP BR	AP BR	125000	62500	0	62500	0	None	NDUF11	None	CA00550534	E	SFY2020-21
630014442	TEMECULA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-08-23 00:00:00	250019235	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2018-04-08 00:00:00	2018-04-08 00:00:00	No	2023-11-16 00:00:00	None	AP BR	None	12500	12500	-3125	9375	0	None	ZLEC11	None	CA00589205	D	SFY2022-23
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-12-07 00:00:00	250019448	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-09-21 00:00:00	2023-09-21 00:00:00	No	2023-12-29 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	7FDW11	N	CA00804608	B	SFY2023-24
250000050	RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-08-15 00:00:00	250019569	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-12-06 00:00:00	2021-12-06 00:00:00	No	2024-02-14 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	644K11	None	CA00765315	D	SFY2023-24
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2024-02-09 00:00:00	250019670	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2022-10-11 00:00:00	2022-10-11 00:00:00	No	2024-03-04 00:00:00	None	AP NON-IJ	None	13387.5	13387.5	0	13387.5	0	None	5TI011	N	CA00807584	B	SFY2023-24
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2024-02-09 00:00:00	250019716	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-01-10 00:00:00	2023-01-10 00:00:00	No	2024-03-01 00:00:00	None	AP NON-IJ	None	4462.5	4462.5	0	4462.5	0	None	S9RE11	N	CA00821224	B	SFY2023-24
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2024-02-13 00:00:00	250019725	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-03-28 00:00:00	2023-03-28 00:00:00	No	2024-03-06 00:00:00	None	AP NON-IJ	None	4200	4200	0	4200	0	None	UJKM11	N	CA00834146	B	SFY2023-24
250000004	KINDRED HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2024-02-14 00:00:00	250019740	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2022-06-20 00:00:00	2022-06-20 00:00:00	No	2024-03-07 00:00:00	None	FTR AE	None	14500	14500	0	14500	0	None	N93T11	N	CA00806557, CA00811849, CA00811849	B, B, B	SFY2023-24
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2024-05-01 00:00:00	250020079	Closed	Administrative Penalty	None	A1 - Critical Care	None	2023-08-28 00:00:00	2023-08-28 00:00:00	No	2024-05-11 00:00:00	None	NP	None	15000	15000	0	15000	0	None	QJ1F11	N	CA00859616, CA00859616	B, B	SFY2023-24
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2024-05-07 00:00:00	250020124	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2021-02-04 00:00:00	2021-02-04 00:00:00	No	2024-05-29 00:00:00	None	FTR AE	None	70200	70200	0	70200	0	None	XM7911	N	CA00816620, CA00816620	B, B	SFY2023-24
250000707	KAISER FOUNDATION HOSPITAL RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-10-03 00:00:00	250020138	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2022-01-19 00:00:00	2022-01-19 00:00:00	No	2023-10-24 00:00:00	None	FTR BR	None	2600	2600	-650	1950	0	None	YNKK11	None	CA00812088	D	SFY2023-24
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2024-02-01 00:00:00	250020152	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-04-10 00:00:00	2021-04-10 00:00:00	No	2024-06-19 00:00:00	None	AP BR	None	20000	20000	0	0	20000	None	Z71W11	None	CA00736640	D	SFY2023-24
250000017	JOHN F. KENNEDY MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2024-02-01 00:00:00	250020189	Open	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2021-04-10 00:00:00	2021-04-10 00:00:00	No	2024-02-23 00:00:00	None	FTR BR	None	800	800	0	0	800	None	Z71W11	None	CA00736640	D	SFY2023-24
250000049	RIVERSIDE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2024-06-18 00:00:00	250020335	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2024-01-03 00:00:00	2024-01-03 00:00:00	No	2024-07-10 00:00:00	None	FTR AE	None	400	400	0	400	0	None	75Q611	N	CA00879792, CA00879792, CA00879792	B, B, B	SFY2023-24
230000265	TAHOE FOREST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-07-12 00:00:00	800013606	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2016-08-22 00:00:00	2016-08-22 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	750	750	-187.5	562.5	0	None	5UE911	None	CA00503084	D	SFY2017-18
230000013	ENLOE HEALTH	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-07-12 00:00:00	800013607	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2015-11-25 00:00:00	2015-11-25 00:00:00	Yes	2018-10-01 00:00:00	2018-09-18 00:00:00	AP BR	AP BR	50000	40000	0	40000	0	None	CD4M11	None	CA00469431	D	SFY2017-18
930000093	GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2007-08-13 00:00:00	930004221	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2007-05-31 00:00:00	2007-05-31 00:00:00	No	2007-09-04 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	CSNW11	N	None	None	SFY2007-08
930000004	CEDARS-SINAI MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-01-08 00:00:00	930004565	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2007-11-20 00:00:00	2007-11-20 00:00:00	No	2008-02-01 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	7BS511	N	CA00132637	A	SFY2007-08
930000088	KINDRED HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-02-07 00:00:00	930004675	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-07-10 00:00:00	2007-07-10 00:00:00	No	2008-03-03 00:00:00	None	FTR AE	None	12700	12700	0	12700	0	None	TVFX11	N	None	None	SFY2007-08
930000088	KINDRED HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-02-07 00:00:00	930004676	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-17 00:00:00	2007-10-17 00:00:00	No	2008-03-03 00:00:00	None	FTR AE	None	2800	2800	0	2800	0	None	TVFX11	N	None	None	SFY2007-08
930000088	KINDRED HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-02-07 00:00:00	930004677	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-08-28 00:00:00	2007-08-28 00:00:00	No	2008-03-03 00:00:00	None	FTR AE	None	7800	7800	0	7800	0	None	TVFX11	N	None	None	SFY2007-08
930000088	KINDRED HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-02-07 00:00:00	930004678	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-07-11 00:00:00	2007-07-11 00:00:00	No	2008-03-03 00:00:00	None	FTR AE	None	12600	12600	0	12600	0	None	TVFX11	N	None	None	SFY2007-08
930000088	KINDRED HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-02-07 00:00:00	930004679	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-09-08 00:00:00	2007-09-08 00:00:00	No	2008-03-03 00:00:00	None	FTR AE	None	6700	6700	0	6700	0	None	TVFX11	N	None	None	SFY2007-08
930000088	KINDRED HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-02-07 00:00:00	930004680	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-08-01 00:00:00	2007-08-01 00:00:00	No	2008-03-03 00:00:00	None	FTR AE	None	10500	10500	0	10500	0	None	TVFX11	N	None	None	SFY2007-08
930000123	POMONA VALLEY HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-04-23 00:00:00	930004956	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-03-13 00:00:00	2008-03-13 00:00:00	No	2008-05-14 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	AHB211	Y	CA00143523	A	SFY2007-08
930000015	SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-10-16 00:00:00	930005530	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-09-15 00:00:00	2008-09-15 00:00:00	No	2008-11-06 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	0R5U11	N	CA00163007	C	SFY2008-09
930000128	ST. FRANCIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-10-16 00:00:00	930005533	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-09-17 00:00:00	2008-09-17 00:00:00	No	2008-11-06 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	1CDQ11	Y	None	None	SFY2008-09
930000151	WHITTIER HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-12-10 00:00:00	930005686	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2008-10-14 00:00:00	2008-10-14 00:00:00	No	2009-01-02 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	Y61911	N	CA00166431	B	SFY2008-09
930000065	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-12-11 00:00:00	930005690	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE13 - Hemolytic reaction	None	2008-10-29 00:00:00	2008-10-29 00:00:00	No	2009-01-05 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	K78W11	Y	None	None	SFY2008-09
930000038	COAST PLAZA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-02-20 00:00:00	930005890	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-12-05 00:00:00	2008-12-05 00:00:00	No	2009-03-13 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	3MHS11	N	CA00173807	B	SFY2008-09
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-02-25 00:00:00	930005906	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2008-12-09 00:00:00	2008-12-09 00:00:00	No	2009-03-18 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	O99G11	N	CA00172164	B	SFY2008-09
930000002	CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-04-29 00:00:00	930006146	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2009-03-02 00:00:00	2009-03-02 00:00:00	No	2009-05-20 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	OQD311	N	None	None	SFY2008-09
930000074	KAISER FOUNDATION HOSPITAL-DOWNEY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-05-14 00:00:00	930006192	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	Breach	2009-02-05 00:00:00	2009-02-05 00:00:00	Yes	2009-06-05 00:00:00	2009-05-22 00:00:00	AP BR	None	250000	250000	-62500	187500	0	None	V1TI11	None	CA00176960	A	SFY2008-09
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-06-11 00:00:00	930006283	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2007-09-24 00:00:00	2007-09-24 00:00:00	No	2009-07-02 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	EYIJ11	N	CA00143480	C	SFY2008-09
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-06-26 00:00:00	930006308	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE02 - Wrong patient surgery	None	2007-09-24 00:00:00	2007-09-24 00:00:00	Yes	2009-07-17 00:00:00	2009-07-10 00:00:00	FTR AE	FTR AE	30300	19695	0	19695	0	None	5N6E11	N	CA00143480	C	SFY2008-09
930000015	SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-06-26 00:00:00	930006322	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-13 00:00:00	2008-12-13 00:00:00	No	2009-07-17 00:00:00	None	FTR AE	None	10900	10900	0	10900	0	None	BN3J11	N	None	None	SFY2008-09
930000074	KAISER FOUNDATION HOSPITAL-DOWNEY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-06-29 00:00:00	930006335	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	Medical Record Breach	2009-01-26 00:00:00	2009-01-26 00:00:00	No	2009-08-05 00:00:00	None	AP BR	None	187500	187500	-46875	140625	0	None	5E7211	None	CA00186764	B	SFY2008-09
930000085	LOS ANGELES COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-08-07 00:00:00	930006451	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-05-05 00:00:00	2009-05-05 00:00:00	Yes	2009-08-28 00:00:00	2010-01-27 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	MRZ511	Y	CA00188181	C	SFY2009-10
930000044	CEDARS-SINAI MARINA DEL REY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-09-18 00:00:00	930006567	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-03-29 00:00:00	2007-03-29 00:00:00	No	2009-10-09 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	7K7E11	N	CA00202141	E	SFY2009-10
930000039	KINDRED HOSPITAL SOUTH BAY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-12-04 00:00:00	930006751	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-25 00:00:00	2008-10-25 00:00:00	Yes	2009-12-28 00:00:00	2009-12-14 00:00:00	FTR AE	FTR AE	25300	5060	0	5060	0	None	QFQ211	N	CA00179984	E	SFY2009-10
930000146	DEL AMO BEHAVIORAL HEALTH SYSTEM	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2009-12-09 00:00:00	930006764	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2009-10-15 00:00:00	2009-10-15 00:00:00	Yes	2009-12-31 00:00:00	2010-04-15 00:00:00	AP IJ	None	50000	50000	0	50000	0	None	GLQX11	Y	CA00205159	A	SFY2009-10
930000065	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2010-01-13 00:00:00	930006910	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-04-17 00:00:00	2009-04-17 00:00:00	No	2010-02-05 00:00:00	None	FTR BR	None	1900	1900	0	1900	0	None	SXS311	None	CA00208513	C	SFY2009-10
930000162	RONALD REAGAN UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2010-02-03 00:00:00	930006941	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-08-03 00:00:00	2009-08-03 00:00:00	No	2010-06-30 00:00:00	None	AP BR	None	95000	95000	-23750	71250	0	None	DV6T11	None	CA00198352	B	SFY2009-10
930000114	COLLEGE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2010-02-16 00:00:00	930006980	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-06-29 00:00:00	2009-06-29 00:00:00	Yes	2010-12-15 00:00:00	2010-11-19 00:00:00	AP BR	None	225000	225000	0	0	225000	None	9WRL11	None	CA00207376	B	SFY2009-10
930000015	SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2010-04-14 00:00:00	930007124	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-02-25 00:00:00	2010-02-25 00:00:00	No	2010-05-05 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	J37P11	N	CA00224968	C	SFY2009-10
930000070	EMANATE HEALTH INTER-COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2010-06-23 00:00:00	930007328	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-08-01 00:00:00	2008-08-01 00:00:00	No	2010-07-14 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	47YU11	N	CA00179980	C	SFY2009-10
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2010-08-17 00:00:00	930007498	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-02-05 00:00:00	2010-02-05 00:00:00	No	2010-09-08 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	J71311	N	CA00219553	C	SFY2010-11
930000003	PROMISE HOSP OF EAST LOS ANGELES-EAST L.A. CAMPUS	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2010-09-23 00:00:00	930007587	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-03-24 00:00:00	2010-03-24 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	349C11	N	CA00223727	C	SFY2010-11
930000127	TORRANCE MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2010-10-25 00:00:00	930007666	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-06-11 00:00:00	2009-06-11 00:00:00	No	2011-09-29 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	LQL611	N	CA00224338	C	SFY2010-11
930000002	CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2010-10-25 00:00:00	930007668	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2010-05-21 00:00:00	2010-05-21 00:00:00	Yes	2013-03-08 00:00:00	2013-02-25 00:00:00	AP BR	AP BR	250000	125000	0	125000	0	None	TN4J11	None	CA00230463	C	SFY2010-11
930000086	LOS ANGELES METROPOLITAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-03-01 00:00:00	930007961	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2010-05-13 00:00:00	2010-05-13 00:00:00	No	2011-10-18 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	97EE11	Y	CA00229144	A	SFY2010-11
930001543	KAISER FOUNDATION HOSPITAL - BALDWIN PARK	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-03-28 00:00:00	930008107	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2009-03-09 00:00:00	2009-03-09 00:00:00	No	2012-10-01 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	G6D211	None	CA00235038	C	SFY2010-11
930000109	MOTION PICTURE & TELEVISION HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2011-04-04 00:00:00	930008108	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-03-10 00:00:00	2010-03-10 00:00:00	Yes	2013-03-08 00:00:00	2013-02-22 00:00:00	AP BR	AP BR	112500	56250	0	56250	0	None	S8PM11	None	CA00223532	B	SFY2010-11
930000103	ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-04-19 00:00:00	930008172	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2010-04-09 00:00:00	2010-04-09 00:00:00	No	2012-10-04 00:00:00	None	AP BR	None	112500	112500	0	112500	0	None	M3Q311	None	CA00228561	H	SFY2010-11
930000015	SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-04-20 00:00:00	930008177	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2009-04-18 00:00:00	2009-04-18 00:00:00	Yes	2011-09-29 00:00:00	2011-09-19 00:00:00	AP IJ	AP IJ	50000	25000	0	25000	0	None	GOYC11	N	CA00231733	B	SFY2010-11
930000127	TORRANCE MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-04-29 00:00:00	930008210	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-11-21 00:00:00	2009-11-21 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	7QX611	N	CA00212417	C	SFY2010-11
930000109	MOTION PICTURE & TELEVISION HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2011-05-27 00:00:00	930008275	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-01-29 00:00:00	2010-01-29 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	QCRU11	N	CA00228605	C	SFY2010-11
930000063	HENRY MAYO NEWHALL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-06-03 00:00:00	930008290	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-01-15 00:00:00	2010-01-15 00:00:00	Yes	2011-12-30 00:00:00	2011-12-14 00:00:00	AP IJ	AP IJ	50000	25000	0	25000	0	None	DE4C11	N	None	None	SFY2010-11
930000101	PROVIDENCE SAINT JOSEPH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-07-08 00:00:00	930008310	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-06-20 00:00:00	2010-06-20 00:00:00	Yes	2013-07-22 00:00:00	2013-07-09 00:00:00	AP BR	None	25000	25000	0	25000	0	None	P97011	None	CA00234923	C	SFY2011-12
930000085	LOS ANGELES COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-06-30 00:00:00	930008346	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-10-25 00:00:00	2010-10-25 00:00:00	No	2011-07-22 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	6QZH11	N	CA00250946	C	SFY2010-11
930000072	KAISER FOUNDATION HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-10-15 00:00:00	930008619	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE23 - Death/disab assoc with use of restraints/bedrails	None	2010-06-19 00:00:00	2010-06-19 00:00:00	No	2012-09-20 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	RSQI11	Y	CA00233429	B	SFY2011-12
930000052	PIH HEALTH DOWNEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-11-10 00:00:00	930008728	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-11-16 00:00:00	2010-11-16 00:00:00	No	2014-02-10 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	YYBK11	None	CA00251578	C	SFY2011-12
930000074	KAISER FOUNDATION HOSPITAL-DOWNEY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-11-10 00:00:00	930008730	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-04-12 00:00:00	2010-04-12 00:00:00	No	2013-03-08 00:00:00	None	AP BR	None	42500	42500	0	42500	0	None	1LOF11	None	CA00257715	C	SFY2011-12
930000071	KAISER FOUNDATION HOSPITAL - SOUTH BAY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-11-08 00:00:00	930008731	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-07-16 00:00:00	2010-07-16 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	SSN011	Y	CA00236462	B	SFY2011-12
930000101	PROVIDENCE SAINT JOSEPH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-11-28 00:00:00	930008770	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2010-03-15 00:00:00	2010-03-15 00:00:00	Yes	2013-03-08 00:00:00	2013-02-21 00:00:00	AP BR	None	42500	42500	0	42500	0	None	PCGF11	None	CA00223538	B	SFY2011-12
930000034	CHILDREN'S HOSPITAL LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-11-30 00:00:00	930008774	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2011-07-21 00:00:00	2011-07-21 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	01O011	N	CA00281069	C	SFY2011-12
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-12-21 00:00:00	930008841	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-05-19 00:00:00	2010-05-19 00:00:00	No	2012-06-25 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	T13T11	N	CA00230939	C	SFY2011-12
930000002	CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-12-27 00:00:00	930008852	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-02-02 06:10:00	2011-02-02 06:10:00	No	2012-01-19 00:00:00	None	FTR AE	None	5200	5200	0	5200	0	None	ZWR111	N	CA00268189	C	SFY2011-12
930000002	CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2012-01-03 00:00:00	930008879	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-06-08 00:00:00	2010-06-08 00:00:00	No	2012-09-20 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	0H5J11	N	CA00233103	B	SFY2011-12
930000070	EMANATE HEALTH INTER-COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2012-02-10 00:00:00	930008998	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2011-03-24 00:00:00	2011-03-24 00:00:00	No	2012-11-02 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	ZL2P11	Y	CA00263599	B	SFY2011-12
930000096	USC ARCADIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2012-05-29 00:00:00	930009343	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-03-24 00:00:00	2010-03-24 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	FPJ311	N	CA00240013	C	SFY2011-12
930000035	L.A. DOWNTOWN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2012-12-19 00:00:00	930009679	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2011-09-01 00:00:00	2011-09-01 00:00:00	Yes	2013-05-07 00:00:00	2013-04-24 00:00:00	AP IJ	AP IJ	50000	20000	0	20000	0	None	8HVK11	N	CA00285839	B	SFY2012-13
930000049	SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-02-12 00:00:00	930009745	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-03-23 00:00:00	2009-03-23 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	7PQR11	N	CA00185841	C	SFY2012-13
930000065	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-03-12 00:00:00	930009781	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2012-01-10 00:00:00	2012-01-10 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	YJVP11	Y	CA00315502	C	SFY2012-13
930000041	SAN GABRIEL VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-04-01 00:00:00	930009793	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-11-06 00:00:00	2012-11-06 00:00:00	Yes	2015-11-09 00:00:00	2015-10-23 00:00:00	AP BR	None	250000	250000	-62500	187500	0	None	OSSD11	None	CA00343755	C	SFY2012-13
930000014	BARLOW RESPIRATORY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-06-07 00:00:00	930009938	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2011-11-19 00:00:00	2011-11-19 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	85GM11	Y	CA00298992	C	SFY2012-13
930000085	LOS ANGELES COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-06-07 00:00:00	930009940	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2013-01-08 00:00:00	2013-01-08 00:00:00	Yes	2014-02-21 00:00:00	2014-02-03 00:00:00	AP IJ	AP IJ	50000	30000	0	30000	0	None	4KHV11	N	CA00340450	C	SFY2012-13
930000162	RONALD REAGAN UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-07-09 00:00:00	930010001	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-07-29 00:00:00	2011-07-29 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	30L311	N	CA00281298	C	SFY2013-14
930000008	ANTELOPE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-08-14 00:00:00	930010095	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-03-10 00:00:00	2010-03-10 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	T0WF11	N	CA00235788	C	SFY2013-14
930000127	TORRANCE MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-09-06 00:00:00	930010130	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-11-08 00:00:00	2011-11-08 00:00:00	No	2015-02-24 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	WS4711	None	CA00297295	B	SFY2013-14
930000133	PACIFICA HOSPITAL OF THE VALLEY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-10-18 00:00:00	930010221	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2011-06-26 00:00:00	2011-06-26 00:00:00	Yes	2014-02-21 00:00:00	2014-02-18 00:00:00	AP IJ	None	50000	50000	0	0	50000	None	ING911	Y	CA00274380	B	SFY2013-14
930000026	HUNTINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-11-28 00:00:00	930010241	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2011-09-28 00:00:00	2011-09-28 00:00:00	Yes	2015-02-24 00:00:00	2015-02-12 00:00:00	AP BR	AP BR	250000	150000	0	150000	0	None	LFT811	None	CA00303677	C	SFY2011-12
930000162	RONALD REAGAN UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-11-15 00:00:00	930010269	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-05-31 00:00:00	2011-05-31 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	KFG211	N	CA00278023	C	SFY2013-14
930000111	NORTHRIDGE HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2014-04-17 00:00:00	930010399	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2010-08-18 00:00:00	2010-08-18 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	XNEF11	N	CA00243994	C	SFY2013-14
930000034	CHILDREN'S HOSPITAL LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2014-04-17 00:00:00	930010639	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2013-07-24 00:00:00	2013-07-24 00:00:00	No	2015-01-06 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	UFIU11	N	CA00363690	A	SFY2013-14
930000290	KAISER FOUNDATION HOSPITAL - WOODLAND HILLS	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2014-04-23 00:00:00	930010642	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2013-05-28 00:00:00	2013-05-28 00:00:00	No	2015-03-05 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	MG8711	N	CA00357973	B	SFY2013-14
930000137	AURORA LAS ENCINAS HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2014-07-15 00:00:00	930010868	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2013-10-07 00:00:00	2013-10-07 00:00:00	No	2015-01-06 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	YYR511	N	CA00374420	B	SFY2014-15
930000012	ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2014-12-09 00:00:00	930011165	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2012-09-29 00:00:00	2012-09-29 00:00:00	Yes	2015-03-05 00:00:00	2015-02-20 00:00:00	AP IJ	AP IJ	50000	32500	0	32500	0	None	D0PK11	N	CA00340949	C	SFY2014-15
930000085	LOS ANGELES COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2015-12-22 00:00:00	930011849	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2013-01-03 00:00:00	2013-01-03 00:00:00	Yes	2016-01-14 00:00:00	2017-01-12 00:00:00	AP IJ	AP IJ	75000	38500	0	38500	0	None	3JXN11	N	CA00341616	C	SFY2015-16
930000058	GARFIELD MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2015-12-21 00:00:00	930011917	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2012-11-07 00:00:00	2012-11-07 00:00:00	Yes	2016-01-13 00:00:00	2017-01-05 00:00:00	AP IJ	None	50000	50000	0	50000	0	None	7GFR11	N	CA00333414	C	SFY2015-16
930000008	ANTELOPE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-01-06 00:00:00	930011944	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2010-03-16 00:00:00	2010-03-16 00:00:00	Yes	2016-08-01 00:00:00	2016-07-21 00:00:00	AP BR	None	25000	25000	0	25000	0	None	DR7511	None	CA00222831	C	SFY2015-16
930000064	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-01-08 00:00:00	930011946	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE10 - Death/disability due to disappearance	None	2013-06-10 00:00:00	2013-06-10 00:00:00	Yes	2016-02-01 00:00:00	2017-01-09 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	XH6I11	N	CA00358774	C	SFY2015-16
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-09-09 00:00:00	930011949	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-07-02 00:00:00	2015-07-02 00:00:00	No	2016-09-30 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	ZYEC11	N	CA00452995	B	SFY2016-17
930000196	COLLEGE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2016-01-11 00:00:00	930011951	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2012-05-25 00:00:00	2012-05-25 00:00:00	No	2016-02-02 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	DV3411	N	CA00313278	C	SFY2015-16
930000129	VALLEY PRESBYTERIAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-01-15 00:00:00	930011973	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2011-02-08 00:00:00	2011-02-08 00:00:00	Yes	2016-02-08 00:00:00	2017-01-13 00:00:00	AP IJ	AP IJ	50000	30000	0	30000	0	None	DQGB11	N	CA00262114	B	SFY2015-16
930000004	CEDARS-SINAI MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-01-22 00:00:00	930011980	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-06-18 00:00:00	2013-06-18 00:00:00	Yes	2016-08-01 00:00:00	2016-07-22 00:00:00	AP BR	None	250000	250000	0	0	250000	None	490711	None	CA00360373	B	SFY2015-16
930000111	NORTHRIDGE HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-01-21 00:00:00	930011987	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-08-29 00:00:00	2010-08-29 00:00:00	No	2016-08-01 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	Q4SL11	None	CA00246430	C	SFY2015-16
930000111	NORTHRIDGE HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-01-21 00:00:00	930011988	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-08-22 00:00:00	2010-08-22 00:00:00	No	2016-08-01 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	WRY811	None	CA00243986	C	SFY2015-16
930000103	ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-02-09 00:00:00	930012008	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2013-07-20 00:00:00	2013-07-20 00:00:00	No	2016-03-02 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	GEX711	N	CA00363083	B	SFY2015-16
930000196	COLLEGE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2016-02-09 00:00:00	930012013	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2012-04-10 00:00:00	2012-04-10 00:00:00	No	2016-03-02 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	97GK11	N	CA00307558	A	SFY2015-16
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-02-16 00:00:00	930012019	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2013-01-11 00:00:00	2013-01-11 00:00:00	No	2016-03-08 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	DRLY11	N	CA00340877	C	SFY2015-16
930000133	PACIFICA HOSPITAL OF THE VALLEY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-03-08 00:00:00	930012060	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2013-08-11 00:00:00	2013-08-11 00:00:00	No	2016-03-29 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	N96211	N	CA00365892	B	SFY2015-16
930000096	USC ARCADIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-03-29 00:00:00	930012154	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2014-02-15 00:00:00	2014-02-15 00:00:00	No	2016-04-20 00:00:00	None	AP BR	None	28500	28500	0	28500	0	None	HOCU11	None	CA00389732	C	SFY2015-16
930000191	ADVENTIST HEALTH WHITE MEMORIAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-04-11 00:00:00	930012167	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2013-01-07 00:00:00	2013-01-07 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	U5H511	N	CA00341956, CA00348213	C, C	SFY2015-16
930000089	KINDRED HOSPITAL - LA MIRADA	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-08-26 00:00:00	930012279	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-10-05 00:00:00	2015-10-05 00:00:00	No	2016-09-19 00:00:00	None	FTR AE	None	600	600	0	600	0	None	DO2W11	N	CA00462215	B	SFY2016-17
930000162	RONALD REAGAN UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-06-24 00:00:00	930012288	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-03-04 00:00:00	2015-03-04 00:00:00	No	2016-07-18 00:00:00	None	FTR AE	None	22100	22100	0	22100	0	None	49IM11	N	CA00462571	B	SFY2015-16
930000140	SHERMAN OAKS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-06-24 00:00:00	930012289	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE05 - Death during or up to 24 hours after surgery	None	2015-11-19 00:00:00	2015-11-19 00:00:00	No	2016-07-18 00:00:00	None	FTR AE	None	100	100	0	100	0	None	QDLP11	Y	CA00466959	B	SFY2015-16
930000089	KINDRED HOSPITAL - LA MIRADA	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-06-16 00:00:00	930012290	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-09-23 00:00:00	2015-09-23 00:00:00	No	2016-07-08 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	CGZR11	N	CA00462180	B	SFY2015-16
930000063	HENRY MAYO NEWHALL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-06-09 00:00:00	930012321	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2015-07-14 00:00:00	2015-07-14 00:00:00	No	2016-06-30 00:00:00	None	AP NON-IJ	None	12375	12375	0	12375	0	None	FB0V11	Y	CA00453376	B	SFY2015-16
930000052	PIH HEALTH DOWNEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-06-09 00:00:00	930012322	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-09-28 00:00:00	2015-09-28 00:00:00	Yes	2017-05-11 00:00:00	2017-04-26 00:00:00	AP IJ	None	47025	47025	0	47025	0	None	S4SI11	Y	CA00460600	B	SFY2015-16
930000072	KAISER FOUNDATION HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-07-18 00:00:00	930012415	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2012-05-01 00:00:00	2012-05-01 00:00:00	No	2016-08-08 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	2ID011	N	CA00309142	A	SFY2016-17
930000008	ANTELOPE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-08-19 00:00:00	930012522	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-05-17 00:00:00	2016-05-17 00:00:00	No	2016-09-12 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	MPD511	N	CA00491055	C	SFY2016-17
930000049	SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-10-06 00:00:00	930012631	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-05-23 00:00:00	2015-05-23 00:00:00	No	2016-10-27 00:00:00	None	FTR AE	None	32600	32600	0	32600	0	None	T48S11	N	CA00475364, CA00475364	B, B	SFY2016-17
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-10-06 00:00:00	930012632	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-06-24 00:00:00	2014-06-24 00:00:00	Yes	2016-10-27 00:00:00	2016-10-17 00:00:00	FTR AE	FTR AE	71700	45000	0	45000	0	None	G25E11	N	CA00484548	B	SFY2016-17
930000095	MEMORIALCARE LONG BEACH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-10-12 00:00:00	930012645	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-05-03 00:00:00	2016-05-03 00:00:00	No	2016-11-02 00:00:00	None	FTR AE	None	400	400	0	400	0	None	VGOF11	N	CA00487948	C	SFY2016-17
930000196	COLLEGE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2016-10-26 00:00:00	930012681	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-10-03 00:00:00	2015-10-03 00:00:00	No	2016-11-17 00:00:00	None	AP NON-IJ	None	12375	12375	0	12375	0	None	PC3711	N	CA00460604	B	SFY2016-17
930000133	PACIFICA HOSPITAL OF THE VALLEY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-10-26 00:00:00	930012687	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Patient Safety	2016-03-30 00:00:00	2016-03-30 00:00:00	No	2016-11-17 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	L7CN11	N	CA00482489	B	SFY2016-17
930000014	BARLOW RESPIRATORY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-11-29 00:00:00	930012778	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2015-06-18 00:00:00	2015-06-18 00:00:00	Yes	2016-12-20 00:00:00	2018-04-30 00:00:00	AP IJ	None	59850	59850	0	0	59850	None	RLKY11	N	CA00447980	A	SFY2016-17
930000039	KINDRED HOSPITAL SOUTH BAY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-12-07 00:00:00	930012795	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE06 -Use of contaminated drug, device, or biologic	None	2015-03-02 00:00:00	2015-03-02 00:00:00	No	2016-12-29 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	YIF311	N	CA00433321	A	SFY2016-17
930000027	MISSION COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-12-22 00:00:00	930012837	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2014-02-09 00:00:00	2014-02-09 00:00:00	No	2017-01-17 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	FDMQ11	N	CA00387972, CA00474816	C, B	SFY2016-17
930000082	COMMUNITY HOSPITAL LONG BEACH	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2017-03-13 00:00:00	930012993	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-05-01 00:00:00	2016-05-01 00:00:00	No	2017-04-04 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	7EEN11	N	CA00490055	C	SFY2016-17
930000036	CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2017-06-27 00:00:00	930013057	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-12-31 00:00:00	2015-12-31 00:00:00	No	2017-07-19 00:00:00	None	FTR AE	None	600	600	0	600	0	None	P5DY11	N	CA00472027	B	SFY2016-17
930000036	CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2017-03-23 00:00:00	930013066	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Retain forgein object dur	2016-01-22 00:00:00	2016-01-22 00:00:00	No	2017-04-14 00:00:00	None	AP NON-IJ	None	16650	16650	0	16650	0	None	YC0I11	N	CA00479523	B	SFY2016-17
930000076	KAISER FOUNDATION HOSPITAL-WEST LA	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2017-06-15 00:00:00	930013255	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-11-23 00:00:00	2015-11-23 00:00:00	No	2017-07-07 00:00:00	None	FTR AE	None	200	200	0	200	0	None	Q83J11	N	CA00467263	B	SFY2016-17
930000077	PALMDALE REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2017-07-06 00:00:00	930013312	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2016-03-09 00:00:00	2016-03-09 00:00:00	Yes	2017-07-27 00:00:00	2018-01-04 00:00:00	AP IJ	AP IJ	49500	39600	0	39600	0	None	3Y2E11	N	CA00480191, CA00482818, CA00482818, CA00482818	B, B, B, B	SFY2017-18
930000093	GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2017-10-31 00:00:00	930013320	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-06-11 00:00:00	2016-06-11 00:00:00	No	2017-11-22 00:00:00	None	FTR AE	None	500	500	0	500	0	None	PHWU11	N	CA00492638	B	SFY2017-18
930000036	CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2017-08-28 00:00:00	930013454	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-10-31 00:00:00	2016-10-31 00:00:00	No	2017-09-19 00:00:00	None	FTR AE	None	5500	5500	0	5500	0	None	5I8311	N	CA00516344	B	SFY2017-18
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-01-04 00:00:00	930013647	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-11-25 00:00:00	2015-11-25 00:00:00	No	2018-01-26 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	JV9011	N	CA00468143	B	SFY2017-18
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-02-06 00:00:00	930013717	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-06-21 00:00:00	2016-06-21 00:00:00	No	2018-02-28 00:00:00	None	FTR AE	None	300	300	0	300	0	None	XZZ511	N	CA00493809	B	SFY2017-18
930000065	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-01-29 00:00:00	930013724	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-04-19 00:00:00	2017-04-19 00:00:00	No	2018-02-20 00:00:00	None	FTR AE	None	200	200	0	200	0	None	E9NX11	N	CA00533106	B	SFY2017-18
930000157	PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-11-13 00:00:00	930013733	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-07-11 00:00:00	2016-07-11 00:00:00	No	2019-07-09 00:00:00	None	AP IJ	None	27075	27075	0	27075	0	None	YWV711	N	CA00495270	A	SFY2018-19
930000008	ANTELOPE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-02-22 00:00:00	930013746	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2012-11-03 00:00:00	2012-11-03 00:00:00	No	2018-03-16 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	W6Y611	Y	CA00333458, CA00451789, CA00451789	C, C, C	SFY2017-18
930000004	CEDARS-SINAI MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-02-22 00:00:00	930013836	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Surgical Error	2016-04-28 00:00:00	2016-04-28 00:00:00	No	2018-03-15 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	VSK811	N	CA00487016	B	SFY2017-18
930000162	RONALD REAGAN UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-02-27 00:00:00	930013843	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-09-22 00:00:00	2016-09-22 00:00:00	No	2018-03-20 00:00:00	None	FTR AE	None	3100	3100	0	3100	0	None	MHX411	N	CA00508700	B	SFY2017-18
930000088	KINDRED HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-04-05 00:00:00	930013965	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2016-11-15 00:00:00	2016-11-15 00:00:00	No	2018-04-26 00:00:00	None	FTR AE	None	300	300	0	300	0	None	LIV211	N	CA00511801	B	SFY2017-18
930000047	UCI HEALTH-LAKEWOOD	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-04-11 00:00:00	930013966	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-11-29 00:00:00	2015-11-29 00:00:00	No	2018-05-02 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	94K611	N	CA00469040, CA00469040	B, B	SFY2017-18
930000162	RONALD REAGAN UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-04-11 00:00:00	930013981	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-10-04 00:00:00	2016-10-04 00:00:00	No	2018-05-02 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	68PE11	N	CA00508706	B	SFY2017-18
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-04-10 00:00:00	930013990	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-11-02 00:00:00	2017-11-02 00:00:00	No	2018-05-01 00:00:00	None	FTR AE	None	700	700	0	700	0	None	R1QW11	N	CA00561032, CA00561032	B, B	SFY2017-18
930000062	GREATER EL MONTE COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-05-03 00:00:00	930014038	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-10-01 00:00:00	2017-10-01 00:00:00	No	2018-05-24 00:00:00	None	FTR AE	None	3800	3800	0	3800	0	None	KTWR11	N	CA00560741	B	SFY2017-18
930000072	KAISER FOUNDATION HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-05-03 00:00:00	930014048	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-01-22 00:00:00	2016-01-22 00:00:00	No	2018-05-24 00:00:00	None	AP NON-IJ	None	14250	14250	0	14250	0	None	RWLY11	N	CA00473930	B	SFY2017-18
930000127	TORRANCE MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-05-04 00:00:00	930014053	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-09-22 00:00:00	2016-09-22 00:00:00	No	2018-05-25 00:00:00	None	AP NON-IJ	None	15675	15675	0	15675	0	None	O7B911	N	CA00507028	B	SFY2017-18
930000004	CEDARS-SINAI MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-04-16 00:00:00	930014058	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-08-31 00:00:00	2016-08-31 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	7500	7500	0	7500	0	None	Q23111	None	CA00504242	E	SFY2017-18
930000104	SAINT VINCENT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-05-09 00:00:00	930014070	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2016-12-02 00:00:00	2016-12-02 00:00:00	No	2018-05-31 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	GQK011	Y	CA00513129	B	SFY2017-18
930000153	RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2018-05-11 00:00:00	930014175	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-11-22 00:00:00	2016-11-22 00:00:00	Yes	2018-10-03 00:00:00	2018-09-13 00:00:00	AP BR	AP BR	75000	75000	0	0	75000	None	P41T11	None	CA00512901, CA00512901	C, C	SFY2017-18
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-07-18 00:00:00	930014183	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-11-14 00:00:00	2016-11-14 00:00:00	No	2018-08-08 00:00:00	None	FTR AE	None	400	400	0	400	0	None	71Y711	N	CA00511840	B	SFY2018-19
930001543	KAISER FOUNDATION HOSPITAL - BALDWIN PARK	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-07-18 00:00:00	930014185	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-11-20 00:00:00	2017-11-20 00:00:00	No	2018-08-08 00:00:00	None	FTR AE	None	200	200	0	200	0	None	NHD911	N	CA00562386	B	SFY2018-19
930000151	WHITTIER HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-07-16 00:00:00	930014208	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-08-10 00:00:00	2015-08-10 00:00:00	No	2018-08-06 00:00:00	None	AP NON-IJ	None	4750	4750	0	4750	0	None	KJ4511	N	CA00454852	B	SFY2018-19
930000151	WHITTIER HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-07-19 00:00:00	930014238	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-08-07 00:00:00	2015-08-07 00:00:00	No	2018-08-09 00:00:00	None	FTR AE	None	200	200	0	200	0	None	KJ4511	N	CA00454852	B	SFY2018-19
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-07-18 00:00:00	930014241	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-02-17 00:00:00	2017-02-17 00:00:00	No	2018-08-08 00:00:00	None	FTR AE	None	200	200	0	200	0	None	2N9I11	N	CA00523944	B	SFY2018-19
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-07-18 00:00:00	930014242	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-12-06 00:00:00	2016-12-06 00:00:00	No	2018-08-08 00:00:00	None	FTR AE	None	400	400	0	400	0	None	R88311	N	CA00514725	B	SFY2018-19
930000088	KINDRED HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-07-20 00:00:00	930014243	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-11-18 00:00:00	2016-11-18 00:00:00	No	2018-08-10 00:00:00	None	FTR AE	None	600	600	0	600	0	None	4K3011	N	CA00512249	B	SFY2018-19
930000103	ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-08-08 00:00:00	930014256	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-08-22 00:00:00	2016-08-22 00:00:00	No	2018-08-29 00:00:00	None	FTR AE	None	300	300	0	300	0	None	9F2511	N	CA00501220	C	SFY2018-19
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-07-27 00:00:00	930014277	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-06-03 00:00:00	2016-06-03 00:00:00	No	2018-08-17 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	MUF711	N	CA00491116	C	SFY2018-19
930000162	RONALD REAGAN UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-10-26 00:00:00	930014535	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-12-23 00:00:00	2016-12-23 00:00:00	No	2018-11-19 00:00:00	None	FTR AE	None	800	800	0	800	0	None	8KK311	N	CA00516975, CA00516975	B, B	SFY2018-19
930000157	PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-11-01 00:00:00	930014553	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-10-25 00:00:00	2017-10-25 00:00:00	No	2018-11-27 00:00:00	None	FTR AE	None	400	400	0	400	0	None	SVXV11	N	CA00559780	B	SFY2018-19
930000129	VALLEY PRESBYTERIAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-11-01 00:00:00	930014554	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-06-20 00:00:00	2016-06-20 00:00:00	No	2018-11-27 00:00:00	None	FTR AE	None	400	400	0	400	0	None	B4ME11	N	CA00493846	B	SFY2018-19
930000026	HUNTINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-11-26 00:00:00	930014603	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2017-05-02 00:00:00	2017-05-02 00:00:00	No	2018-12-17 00:00:00	None	AP NON-IJ	None	11812.5	11812.5	0	11812.5	0	None	HCJN11	N	CA00534500	B	SFY2018-19
930000026	HUNTINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-11-29 00:00:00	930014614	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-08-20 00:00:00	2017-08-20 00:00:00	No	2018-12-20 00:00:00	None	AP NON-IJ	None	5250	5250	0	5250	0	None	75M711	N	CA00549590	B	SFY2018-19
930000162	RONALD REAGAN UCLA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-11-29 00:00:00	930014616	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-12-15 00:00:00	2015-12-15 00:00:00	No	2018-12-20 00:00:00	None	FTR AE	None	9400	9400	0	9400	0	None	JW8011	N	CA00482186	B	SFY2018-19
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-11-30 00:00:00	930014618	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2016-03-14 00:00:00	2016-03-14 00:00:00	No	2018-12-21 00:00:00	None	AP NON-IJ	None	15675	15675	0	15675	0	None	041511	N	CA00480758	B	SFY2018-19
930000114	COLLEGE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-12-03 00:00:00	930014622	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2016-11-14 00:00:00	2016-11-14 00:00:00	No	2018-12-24 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	UZZH11	Y	CA00513678	B	SFY2018-19
930000114	COLLEGE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-12-03 00:00:00	930014623	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2016-11-14 00:00:00	2016-11-14 00:00:00	Yes	2018-12-24 00:00:00	2018-12-18 00:00:00	AP NON-IJ	AP NON-IJ	14962	11000	0	11000	0	None	UZZH11	Y	CA00513678	B	SFY2018-19
930000065	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-01-02 00:00:00	930014680	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2016-09-13 00:00:00	2016-09-13 00:00:00	No	2019-01-24 00:00:00	None	AP NON-IJ	None	15675	15675	0	15675	0	None	SLTY11	N	CA00503979	B	SFY2018-19
930000050	KAISER FOUNDATION HOSPITAL - PANORAMA CITY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-01-02 00:00:00	930014681	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-06-08 00:00:00	2016-06-08 00:00:00	No	2019-01-23 00:00:00	None	FTR AE	None	800	800	0	800	0	None	OSXS11	N	CA00492815	B	SFY2018-19
930000036	CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-01-02 00:00:00	930014682	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-09-05 00:00:00	2016-09-05 00:00:00	No	2019-01-24 00:00:00	None	FTR AE	None	400	400	0	400	0	None	XHEX11	N	CA00503067	C	SFY2018-19
930000036	CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-01-02 00:00:00	930014683	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-09-25 00:00:00	2016-09-25 00:00:00	No	2019-01-23 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	EMPH11	N	CA00506647	C	SFY2018-19
930000063	HENRY MAYO NEWHALL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-11-13 00:00:00	930014828	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-09-14 00:00:00	2017-09-14 00:00:00	No	2019-07-09 00:00:00	None	AP IJ	None	53000	53000	0	53000	0	None	SHHG11	N	CA00543798	B	SFY2018-19
930000065	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-03-27 00:00:00	930014857	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-03-17 00:00:00	2015-03-17 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	SJNV11	Y	CA00435760	C	SFY2018-19
930000012	ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-03-20 00:00:00	930014893	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-12-09 00:00:00	2017-12-09 00:00:00	Yes	2019-04-11 00:00:00	2021-10-26 00:00:00	AP IJ	None	47025	47025	0	0	47025	None	QGCR11	Y	CA00564973	B	SFY2018-19
930000151	WHITTIER HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-23 00:00:00	930014980	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-04-11 00:00:00	2016-04-11 00:00:00	No	2019-05-14 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	NOPC11	N	CA00486134	B	SFY2018-19
930000049	SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-23 00:00:00	930014982	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-12-06 00:00:00	2016-12-06 00:00:00	No	2019-05-14 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	ED2N11	N	CA00516236	B	SFY2018-19
930000026	HUNTINGTON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-24 00:00:00	930014983	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-04-08 00:00:00	2016-04-08 00:00:00	No	2019-05-15 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	GVG311	N	CA00485597	B	SFY2018-19
930000040	COMMUNITY HOSPITAL OF HUNTINGTON PARK	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-23 00:00:00	930014984	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-05-04 00:00:00	2016-05-04 00:00:00	No	2019-05-14 00:00:00	None	FTR AE	None	25500	25500	0	25500	0	None	PSB311	Y	CA00488796	B	SFY2018-19
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-26 00:00:00	930014985	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2016-10-25 00:00:00	2016-10-25 00:00:00	No	2019-05-17 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	2L8Q11	Y	CA00510760, CA00510760, CA00510760	B, B, B	SFY2018-19
930000108	MONTEREY PARK HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-25 00:00:00	930014986	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE15 - Death/disability directly related to hypoglycemia	None	2016-09-24 00:00:00	2016-09-24 00:00:00	No	2019-05-16 00:00:00	None	AP NON-IJ	None	15675	15675	0	15675	0	None	R8NS11	Y	CA00504650	B	SFY2018-19
930000022	CENTINELA HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-26 00:00:00	930014987	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-07-11 00:00:00	2017-07-11 00:00:00	No	2019-05-17 00:00:00	None	FTR AE	None	13400	13400	0	13400	0	None	0VFU11	N	CA00559489	B	SFY2018-19
930000129	VALLEY PRESBYTERIAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-25 00:00:00	930014988	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-12-22 00:00:00	2016-12-22 00:00:00	No	2019-05-16 00:00:00	None	FTR AE	None	13200	13200	0	13200	0	None	42XX11	N	CA00538487	B	SFY2018-19
930001543	KAISER FOUNDATION HOSPITAL - BALDWIN PARK	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-25 00:00:00	930014989	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE14 - Maternal death/disab due to labor/del/post	None	2017-10-05 00:00:00	2017-10-05 00:00:00	No	2019-05-16 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	Y62711	Y	CA00557097	B	SFY2018-19
930000104	SAINT VINCENT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-26 00:00:00	930014991	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2018-01-19 00:00:00	2018-01-19 00:00:00	No	2019-05-17 00:00:00	None	AP NON-IJ	None	14250	14250	0	14250	0	None	SNIN11	N	CA00570711	B	SFY2018-19
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-26 00:00:00	930014992	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-08-30 00:00:00	2017-08-30 00:00:00	No	2019-05-17 00:00:00	None	AP NON-IJ	None	14250	14250	0	14250	0	None	6HTT11	N	CA00551659	B	SFY2018-19
930000008	ANTELOPE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-25 00:00:00	930014995	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-05-18 00:00:00	2017-05-18 00:00:00	No	2019-05-16 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	8JX911	N	CA00540839	B	SFY2018-19
930000128	ST. FRANCIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-05-13 00:00:00	930015067	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-11-14 00:00:00	2018-11-14 00:00:00	No	2019-06-03 00:00:00	None	FTR AE	None	9100	9100	0	9100	0	None	BWOD11	N	CA00625253	B	SFY2018-19
930000004	CEDARS-SINAI MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-06-18 00:00:00	930015168	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-05-29 00:00:00	2018-05-29 00:00:00	No	2019-07-09 00:00:00	None	FTR AE	None	32500	32500	0	32500	0	None	R7SR11	N	CA00589540	B	SFY2018-19
930000123	POMONA VALLEY HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-06-19 00:00:00	930015173	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE05 - Death during or up to 24 hours after surgery	None	2019-02-01 00:00:00	2019-02-01 00:00:00	No	2019-07-11 00:00:00	None	FTR AE	None	700	700	0	700	0	None	TQGZ11	Y	CA00624561	B	SFY2018-19
930000033	KINDRED HOSPITAL PARAMOUNT	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-07-23 00:00:00	930015243	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-06-06 00:00:00	2017-06-06 00:00:00	No	2019-08-13 00:00:00	None	FTR AE	None	400	400	0	400	0	None	EN3M11	N	CA00539823	B	SFY2019-20
930000002	CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-08-02 00:00:00	930015273	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2017-08-27 00:00:00	2017-08-27 00:00:00	No	2019-08-23 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	ZYBY11	Y	CA00551568, CA00587570, CA00587570	B, B, B	SFY2019-20
930000039	KINDRED HOSPITAL SOUTH BAY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-08-26 00:00:00	930015348	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-05-01 00:00:00	2019-05-01 00:00:00	No	2019-09-17 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	UJB311	N	CA00640497	B	SFY2019-20
930000059	ADVENTIST HEALTH GLENDALE	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-09-11 00:00:00	930015381	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-07-18 00:00:00	2017-07-18 00:00:00	No	2019-10-02 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	X49P11	N	CA00549227	B	SFY2019-20
930000125	SAN DIMAS COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-10-14 00:00:00	930015454	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-06-25 00:00:00	2018-06-25 00:00:00	No	2019-11-04 00:00:00	None	FTR AE	None	3900	3900	0	3900	0	None	HRE611	N	CA00598803	B	SFY2019-20
930000047	UCI HEALTH-LAKEWOOD	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-10-22 00:00:00	930015470	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-09-08 00:00:00	2017-09-08 00:00:00	Yes	2019-11-13 00:00:00	2019-10-30 00:00:00	FTR AE	FTR AE	57300	5700	0	5700	0	None	VGUK11	N	CA00552647	B	SFY2019-20
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-11-14 00:00:00	930015532	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE10 - Death/disability due to disappearance	None	2017-11-25 00:00:00	2017-11-25 00:00:00	No	2019-12-09 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	ZNES11	Y	CA00562612	B	SFY2019-20
930000031	CALIFORNIA REHABILITATION INSTITUTE, LLC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-02 00:00:00	930015655	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-11-08 00:00:00	2018-11-08 00:00:00	No	2020-01-24 00:00:00	None	FTR AE	None	23800	23800	0	23800	0	None	2PXT11	N	CA00645489	B	SFY2019-20
930000068	PIH HEALTH GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-06 00:00:00	930015662	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-06-24 00:00:00	2019-06-24 00:00:00	No	2020-01-27 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	1W7811	N	CA00645710	B	SFY2019-20
930000068	PIH HEALTH GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-06 00:00:00	930015664	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-07-31 00:00:00	2018-07-31 00:00:00	No	2020-01-27 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	049911	N	CA00601283	B	SFY2019-20
930000108	MONTEREY PARK HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-06 00:00:00	930015666	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-01-21 00:00:00	2018-01-21 00:00:00	No	2020-01-28 00:00:00	None	FTR AE	None	8200	8200	0	8200	0	None	XEOO11	N	CA00582008	B	SFY2019-20
930000065	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-10 00:00:00	930015677	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-09-30 00:00:00	2019-09-30 00:00:00	No	2020-01-31 00:00:00	None	FTR AE	None	500	500	0	500	0	None	6MD011	N	CA00660013	B	SFY2019-20
930000063	HENRY MAYO NEWHALL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-10 00:00:00	930015682	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-07-19 00:00:00	2018-07-19 00:00:00	No	2020-01-31 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	VGGR11	N	CA00599273	B	SFY2019-20
930000129	VALLEY PRESBYTERIAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-15 00:00:00	930015686	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-07-08 00:00:00	2019-07-08 00:00:00	No	2020-02-05 00:00:00	None	FTR AE	None	600	600	0	600	0	None	XHE311	N	CA00646718	B	SFY2019-20
930000040	COMMUNITY HOSPITAL OF HUNTINGTON PARK	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-15 00:00:00	930015687	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-10-07 00:00:00	2019-10-07 00:00:00	No	2020-02-05 00:00:00	None	FTR AE	None	400	400	0	400	0	None	6STN11	N	CA00659671, CA00659671	B, B	SFY2019-20
930000064	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-16 00:00:00	930015688	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-11-28 00:00:00	2018-11-28 00:00:00	Yes	2020-02-06 00:00:00	2020-01-24 00:00:00	FTR AE	None	14300	14300	0	0	14300	None	8IL411	N	CA00635113	B	SFY2019-20
930000031	CALIFORNIA REHABILITATION INSTITUTE, LLC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-17 00:00:00	930015689	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-02-21 00:00:00	2019-02-21 00:00:00	No	2020-02-07 00:00:00	None	FTR AE	None	13300	13300	0	13300	0	None	3Z4R11	N	CA00645493	B	SFY2019-20
930000031	CALIFORNIA REHABILITATION INSTITUTE, LLC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-16 00:00:00	930015690	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-04-01 00:00:00	2019-04-01 00:00:00	No	2020-02-06 00:00:00	None	FTR AE	None	9400	9400	0	9400	0	None	804G11	N	CA00645504	B	SFY2019-20
930000031	CALIFORNIA REHABILITATION INSTITUTE, LLC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-16 00:00:00	930015691	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-07-15 00:00:00	2018-07-15 00:00:00	No	2020-02-07 00:00:00	None	FTR AE	None	35400	35400	0	35400	0	None	LKT911	N	CA00645188	B	SFY2019-20
930000123	POMONA VALLEY HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-20 00:00:00	930015696	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-11-09 00:00:00	2018-11-09 00:00:00	No	2020-02-10 00:00:00	None	FTR AE	None	28900	28900	0	28900	0	None	VNEQ11	N	CA00652890	B	SFY2019-20
930000153	RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2020-03-02 00:00:00	930015776	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2017-03-19 00:00:00	2017-03-19 00:00:00	No	2020-03-24 00:00:00	None	AP IJ	None	71250	71250	0	0	71250	None	V3W911	Y	CA00527503, CA00527503	B, B	SFY2019-20
930000092	MEMORIAL HOSPITAL OF GARDENA	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-03-10 00:00:00	930015796	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-09-05 00:00:00	2019-09-05 00:00:00	No	2020-03-31 00:00:00	None	FTR AE	None	7600	7600	0	7600	0	None	73I311	N	CA00662534	B	SFY2019-20
930000077	PALMDALE REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-09-24 00:00:00	930016043	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-12-11 00:00:00	2017-12-11 00:00:00	No	2020-10-15 00:00:00	None	FTR AE	None	6100	6100	0	6100	0	None	2V1S11	N	CA00574121, CA00574121	B, B	SFY2020-21
930000290	KAISER FOUNDATION HOSPITAL - WOODLAND HILLS	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-12-04 00:00:00	930016178	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-07-16 00:00:00	2019-07-16 00:00:00	No	2020-12-28 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	W6TS11	N	CA00649911	B	SFY2020-21
930000032	PACIFIC GARDENS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-06-14 00:00:00	930016300	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2021-02-04 00:00:00	2021-02-04 00:00:00	Yes	2021-07-06 00:00:00	2021-07-21 00:00:00	AP IJ	AP IJ	31350	21957.5	0	21957.5	0	None	R1HU11	N	CA00724209	A	SFY2020-21
930000912	KECK HOSPITAL OF USC	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-04-07 00:00:00	930016395	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-01-06 00:00:00	2020-01-06 00:00:00	No	2021-04-28 00:00:00	None	FTR AE	None	8800	8800	0	8800	0	None	WDQJ11	N	CA00683946	B	SFY2020-21
930000095	MEMORIALCARE LONG BEACH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-04-07 00:00:00	930016397	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-04-13 00:00:00	2019-04-13 00:00:00	No	2021-04-28 00:00:00	None	AP NON-IJ	None	14250	14250	0	14250	0	None	JUBG11	N	CA00633641	B	SFY2020-21
930000049	SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-04-07 00:00:00	930016399	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-11-14 00:00:00	2018-11-14 00:00:00	No	2021-04-28 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	53RN11	Y	CA00612408	B	SFY2020-21
930000004	CEDARS-SINAI MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-04-19 00:00:00	930016426	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2020-01-24 00:00:00	2020-01-24 00:00:00	No	2021-05-10 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	72B111	N	CA00676585	B	SFY2020-21
930001607	KINDRED HOSPITAL - SANTA ANA	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-04-21 00:00:00	930016427	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-04-22 00:00:00	2020-04-22 00:00:00	No	2021-05-12 00:00:00	None	FTR AE	None	6400	6400	0	6400	0	None	40EP11	N	CA00694980	B	SFY2020-21
930001709	MEMORIALCARE MILLER CHILDREN'S & WOMEN'S HOSPITAL LONG BEACH	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-05-10 00:00:00	930016478	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-01-05 00:00:00	2019-01-05 00:00:00	No	2021-06-01 00:00:00	None	FTR AE	None	13900	13900	0	13900	0	None	LK3811	N	CA00639562	B	SFY2020-21
930000071	KAISER FOUNDATION HOSPITAL - SOUTH BAY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-05-12 00:00:00	930016490	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2019-10-04 00:00:00	2019-10-04 00:00:00	No	2021-06-03 00:00:00	None	FTR AE	None	700	700	0	700	0	None	M0L211	N	CA00659677	B	SFY2020-21
930000071	KAISER FOUNDATION HOSPITAL - SOUTH BAY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-05-12 00:00:00	930016492	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2019-10-04 00:00:00	2019-10-04 00:00:00	No	2021-06-03 00:00:00	None	AP NON-IJ	None	16650	16650	0	16650	0	None	M0L211	Y	CA00659677	B	SFY2020-21
930000032	PACIFIC GARDENS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-06-14 00:00:00	930016497	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-04-19 00:00:00	2021-04-19 00:00:00	Yes	2021-07-05 00:00:00	2021-07-21 00:00:00	AP IJ	AP IJ	100000	70255.5	0	70255.5	0	None	ILEI11	Y	CA00733845, CA00734308	A, A	SFY2020-21
930000032	PACIFIC GARDENS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-07-12 00:00:00	930016563	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-05-26 00:00:00	2021-05-26 00:00:00	Yes	2021-08-03 00:00:00	2021-07-21 00:00:00	AP IJ	AP IJ	57750	40258.5	0	40258.5	0	None	2M2I11	N	CA00737855	A	SFY2021-22
930000032	PACIFIC GARDENS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-07-12 00:00:00	930016614	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-05-28 00:00:00	2021-05-28 00:00:00	Yes	2021-07-06 00:00:00	2021-07-21 00:00:00	AP IJ	AP IJ	86625	60678.5	0	60678.5	0	None	RTIE11	N	CA00738383	A	SFY2021-22
930000109	MOTION PICTURE & TELEVISION HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2021-06-29 00:00:00	930016655	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-12-03 00:00:00	2019-12-03 00:00:00	No	2021-07-20 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	KGKK11	N	CA00668242	B	SFY2020-21
930000041	SAN GABRIEL VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-06-30 00:00:00	930016659	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-06-02 00:00:00	2018-06-02 00:00:00	No	2021-07-21 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	4EVV11	N	CA00590590	B	SFY2020-21
930001543	KAISER FOUNDATION HOSPITAL - BALDWIN PARK	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-06-30 00:00:00	930016662	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2020-06-28 00:00:00	2020-06-28 00:00:00	No	2021-07-21 00:00:00	None	AP NON-IJ	None	17100	17100	0	17100	0	None	Q9QT11	N	CA00694972	B	SFY2020-21
930000111	NORTHRIDGE HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-06-30 00:00:00	930016665	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2019-11-26 00:00:00	2019-11-26 00:00:00	No	2021-07-21 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	LCZJ11	Y	CA00665411, CA00665411	B, B	SFY2020-21
930000064	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-07-13 00:00:00	930016711	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2019-02-02 00:00:00	2019-02-02 00:00:00	Yes	2021-08-03 00:00:00	2021-07-30 00:00:00	AP NON-IJ	AP NON-IJ	12487.5	11238.75	0	0	11238.75	None	7YGM11	Y	CA00623672	B	SFY2021-22
930000050	KAISER FOUNDATION HOSPITAL - PANORAMA CITY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-08-27 00:00:00	930016857	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-03-20 00:00:00	2019-03-20 00:00:00	Yes	2021-09-20 00:00:00	2021-09-10 00:00:00	FTR AE	FTR AE	37400	31790	0	31790	0	None	JYJP11	N	CA00683318	B	SFY2021-22
930000033	KINDRED HOSPITAL PARAMOUNT	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-09-14 00:00:00	930016918	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-04-28 00:00:00	2020-04-28 00:00:00	No	2021-10-05 00:00:00	None	FTR AE	None	4700	4700	0	4700	0	None	HEJY11	N	CA00693414	B	SFY2021-22
930000114	COLLEGE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-09-15 00:00:00	930016924	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE27 - Death/injury from a physical assault	None	2020-01-31 00:00:00	2020-01-31 00:00:00	Yes	2021-10-07 00:00:00	2022-02-10 00:00:00	AP IJ	AP IJ	47452.5	42706.8	0	42706.8	0	None	O23R11	Y	CA00674279, CA00676018, CA00676018, CA00676018, CA00676018	A, A, A, A, A	SFY2021-22
930000101	PROVIDENCE SAINT JOSEPH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-10-26 00:00:00	930017038	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2020-06-09 00:00:00	2020-06-09 00:00:00	No	2021-11-17 00:00:00	None	AP NON-IJ	None	4750	4750	0	4750	0	None	YQ6611	N	CA00692994	B	SFY2021-22
930000004	CEDARS-SINAI MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2022-04-26 00:00:00	930017285	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2021-02-23 00:00:00	2021-02-23 00:00:00	Yes	2022-05-17 00:00:00	2022-05-03 00:00:00	AP IJ	Drop>Deficiency	75000	75000	0	75000	0	None	TTF811	Y	CA00747849, CA00747849	B, B	SFY2021-22
930000123	POMONA VALLEY HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2022-02-03 00:00:00	930017316	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-02-06 00:00:00	2020-02-06 00:00:00	No	2022-02-25 00:00:00	None	FTR AE	None	14200	14200	0	14200	0	None	GMIR11	N	CA00695551	B	SFY2021-22
930000008	ANTELOPE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2022-02-16 00:00:00	930017361	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-05-03 00:00:00	2020-05-03 00:00:00	No	2022-03-10 00:00:00	None	FTR AE	None	300	300	0	300	0	None	MKVP11	N	CA00688347	B	SFY2021-22
930000070	EMANATE HEALTH INTER-COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2022-04-21 00:00:00	930017587	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2021-04-09 00:00:00	2021-04-09 00:00:00	Yes	2022-05-12 00:00:00	2022-06-27 00:00:00	AP IJ	None	75000	75000	0	75000	0	None	6CF811	Y	CA00733607, CA00733607	B, B	SFY2021-22
930000095	MEMORIALCARE LONG BEACH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2022-10-13 00:00:00	930018045	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2022-02-04 00:00:00	2022-02-04 00:00:00	No	2022-11-03 00:00:00	None	AP NON-IJ	None	4400	4400	0	4400	0	None	03EH11	Y	CA00777824, CA00777824, CA00777824, CA00777824, CA00777824, CA00777824	A, A, A, A, A, A	SFY2022-23
930000128	ST. FRANCIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-04-13 00:00:00	930018625	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-04-08 00:00:00	2020-04-08 00:00:00	No	2023-05-04 00:00:00	None	FTR AE	None	1400	1400	-1400	0	0	None	GEE611	N	CA00686466	B	SFY2022-23
930000034	CHILDREN'S HOSPITAL LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-12-10 00:00:00	930018733	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-10-03 00:00:00	2018-10-03 00:00:00	No	2023-06-08 00:00:00	None	AP BR	None	15000	15000	0	15000	0	None	GFS411	None	CA00609432	D	SFY2021-22
930000022	CENTINELA HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-07-10 00:00:00	930018887	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE14 - Maternal death/disab due to labor/del/post	None	2023-01-10 00:00:00	2023-01-10 00:00:00	No	2023-07-31 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	ZB2911	Y	CA00823922, CA00823922	A, A	SFY2023-24
930000002	CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-09-26 00:00:00	930018976	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE14 - Maternal death/disab due to labor/del/post	None	2023-03-02 00:00:00	2023-03-02 00:00:00	No	2023-10-17 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	HKIP11	Y	CA00832667, CA00832667, CA00832667, CA00832667, CA00832667, CA00832667, CA00832667, CA00834236, CA00834236, CA00834236, CA00834236, CA00834236	A, A, A, A, A, A, A, B, B, B, B, B	SFY2023-24
930000088	KINDRED HOSPITAL - LOS ANGELES	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-12-20 00:00:00	930019196	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-08-03 00:00:00	2023-08-03 00:00:00	No	2024-01-11 00:00:00	None	AP IJ	None	49950	49950	0	49950	0	None	901O11	N	CA00852936, CA00853296, CA00853778	B, B, B	SFY2023-24
930000093	GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-05-30 00:00:00	930019328	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-09-25 00:00:00	2018-09-25 00:00:00	No	2023-12-21 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	GD7O11	None	CA00608287	D	SFY2022-23
930000004	CEDARS-SINAI MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-08-08 00:00:00	930019368	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-08-04 00:00:00	2022-08-04 00:00:00	No	2023-08-29 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	ZV3U11	None	CA00799784	C	SFY2023-24
930000093	GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2022-10-05 00:00:00	930019422	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-04-09 00:00:00	2019-04-09 00:00:00	No	2024-01-18 00:00:00	None	AP BR	None	30000	30000	-7500	22500	0	None	V6DB11	None	CA00635858	D	SFY2022-23
930000063	HENRY MAYO NEWHALL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-11-21 00:00:00	930019706	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-01-14 00:00:00	2022-01-14 00:00:00	Yes	2024-03-13 00:00:00	2024-03-02 00:00:00	AP BR	None	170000	170000	0	0	170000	None	UDB811	None	CA00772425	D	SFY2023-24
930000095	MEMORIALCARE LONG BEACH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-08-15 00:00:00	930019771	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2022-09-02 00:00:00	2022-09-02 00:00:00	Yes	2024-04-10 00:00:00	2024-03-27 00:00:00	AP BR	None	20000	20000	0	0	20000	None	K5TO11	None	CA00810014	D	SFY2023-24
930000129	VALLEY PRESBYTERIAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-10-24 00:00:00	930019974	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-03-02 00:00:00	2022-03-02 00:00:00	No	2024-05-22 00:00:00	None	AP BR	None	125000	125000	-31250	93750	0	None	1CJ911	None	CA00777415	C	SFY2023-24
930000129	VALLEY PRESBYTERIAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-04-11 00:00:00	930019977	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-01-08 00:00:00	2022-01-08 00:00:00	No	2024-05-22 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	2TCN11	None	CA00799417	C	SFY2022-23
930000133	PACIFICA HOSPITAL OF THE VALLEY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2024-04-24 00:00:00	930020061	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2024-01-15 00:00:00	2024-01-15 00:00:00	Yes	2024-05-15 00:00:00	2024-06-04 00:00:00	AP NON-IJ	AP NON-IJ	4040	3636	0	0	3636	None	DELK11	N	CA00880498	B	SFY2023-24
930001543	KAISER FOUNDATION HOSPITAL - BALDWIN PARK	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2024-03-12 00:00:00	930020290	Open	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2022-10-05 00:00:00	2022-10-05 00:00:00	No	2024-04-03 00:00:00	None	FTR BR	None	1600	1600	0	0	1600	None	9U8U11	None	CA00812332	D	SFY2023-24